View Full Version : Hookah smoking from a Biomedical and Anthropologic stand point

11-18-2011, 05:24 PM

11-18-2011, 06:40 PM
What i took away from that article: (copy and pasted)

Tar is a complex set of chemicals, some of them (nitrosamines, polycyclic aromatic hydrocarbons) being extremely toxic. Hookah smoking (including with tobacco-free tobamel) produces tar. However, it is very different from that produced by cigarettes because of the great differences in temperatures: hundreds of degrees, which, from a chemical viewpoint, is of utmost importance. Notably, and in striking contrast with ordinary cigarettes, a great part of the aerosol in modern hookah is made up of dihydrogen monoxide [DHMO] and glycerol [4][9]. Undoubtedly, these last chemical compounds, and particularly DHMO [13][35](video) are highly hazardous for human beings (*) and public health campaigns have emphasised this point.
Consequently, calculating and advertising cigarette-equivalents of hookah smoking sessions makes no sense, particularly when “smoking machines” (drawing one puff every 17s over a full hour with the charcoal over the same position atop the bowl) are used for this purpose [9][15]. Indeed, a smoking machine, as that designed for the WHO (objective: world prohibition agenda through the implementation of the so-called "Framework Convention on Tobacco Control" - see elsewhere cogent critique of FCTC) at the US-American University of Beirut, is a caricature of real natural human smoking. Hookah smokers are not robots

This has led to the following scientific misconduct on behalf of health scares experts: equating the toxicity of such smoke with that of cigarettes. Obviously and fortunately, both smokes are completely different from all viewpoints

Antismoking researchers have been clinging to the only study (among two dozens of other peer-reviewed publications pointing to the observed weak (or absence of) link) that would have found an association:

11-18-2011, 07:59 PM
Interesting stuff right there. I will have to really read this in depth when I have the time. I like this kinda stuff.

11-20-2011, 09:55 AM
This guy seems to write and research alot about hookah:

11-20-2011, 01:36 PM
Dihydrogen Monoxide, ROFL

11-21-2011, 05:52 PM
Dihydrogen Monoxide, ROFL

The article was great to read, informative, and funny, but with the title I was expecting something more scholarly. I think it took away from the author's credibility.

11-21-2011, 06:12 PM
i dont know if he used them or not but that seems pretty credible to me

1.Fromme H, Dietrich S, Heitmann D, Dressel H, Diemer J, Schulz T, Jörres RA, Berlin K, Völkel W. Indoor air contamination during a waterpipe (narghile) smoking session. Food Chem Toxicol. 2009 Jul;47(7):1636-41.
2.Salameh P, Waked M, Aoun Z. Waterpipe smoking: Construction and validation of the Lebanon Waterpipe Dependence Scale (LWDS-11). Nicotine Tob Res. 2008 Jan;10(1):149-58
3.Millar N, Budgell BS. The language of public health—a corpus-based analysis. Journal of Public Health 2008;16: 369–74.
http://www.lancs.ac.uk/postgrad/millarn/Files/Millar_Budgel_The%20language%20of%20public%20healt h.PDF
4.Chaouachi K. Harm Reduction Techniques for Hookah (shisha, narghile, “water pipe”) Smoking of Tobacco Based Products. Med Hypotheses 2009 Oct;73(4):623-4.
5.Bacha ZA, Salameh P., Waked M. Saliva Cotinine and Exhaled Carbon Monoxide Levels in Natural Environment Waterpipe Smokers. Inhalation Toxicology 2007;19(9):771-7
6.Chaouachi K. Tout savoir sur le narguilé. Société, culture, histoire et santé. Paris [Eng.: Everything about Hookahs. Society, Culture, Origins and Health Aspects]. Maisonneuve et Larose 2007, 256 pages, colour.
7.Chaouachi K. Narghilé: un problema di Sanità Pubblica [Public Health and Prevention]. Tabaccologia 2006;4. 29-38
8.Van Der Merwe NJ: Cannabis Smoking in 13th-14th Century Ethiopia: Chemical Evidence. In World Anthropology: Cannabis and Culture. Edited by Vera Rubin: Mouton Publ. (The Hague); 1975: 77-80
9.Sajid KM, Chaouachi K, Mahmood R. Hookah smoking and cancer. Carcinoembryonic Antigen (CEA) levels in exclusive/ever hookah smokers. Harm Reduction Journal 2008 (24 May);5(19)
10.Kozlowski, Kim. Michigan health leaders target growing hookah use. The Detroit News 2009 (14 Aug)
11.Chaouachi K. The Medical Consequences of Narghile (Hookah, Shisha) Use in the World. Revue d’Epidemiologie et de Sante Publique (Epidemiology and Public Health) 2007;55(3):165-70.[Article in English]
12.Chaouachi K. Narghile (hookah, shisha) tobacco smoking: expect the unexpected everywhere and not only in Syria. Int J Infect Dis. 2009 Dec 15. [Epub ahead of print]. doi:10.1016/j.ijid.2009.08.016
13.Way, Tom. DiHydrogen Monoxide. DHMO Division 2009.
14.[Comments on] Sajid KM, Chaouachi K, Mahmood R. Hookah smoking and cancer. Carcinoembryonic Antigen (CEA) levels in exclusive/ever hookah smokers. Harm Reduction Journal 2008 (24 May);5(19)
15.Chaouachi K. Public health intervention for narghile (hookah, shisha) use requires a radical critique of the related “standardised” smoking machine. Journal of Public Health [Springer Berlin/Heidelberg] 2009; 17(5): 355-xxx. DOI : 10.1007/s10389-009-0272-7
16.Al Rashidi M, Shihadeh A, Saliba NA. Volatile aldehydes in the mainstream smoke of the narghile waterpipe. Food Chem Toxicol. 2008 Nov;46(11):3546-9.
17.Meleigy M. Waterpipe and communicable diseases link, says WHO. The Lancet/Infections 2007 (July); Vol 7; issue 7:448
18.Al-Mutairi SS, Shihab-Eldeen AA, Mojiminiyi OA, Anwar, AA. Comparative analysis of the effects of hubble-bubble (Sheesha) and cigarette smoking on respiratory and metabolic parameters in hubble-bubble and cigarette smokers. Respirology 2006; 11: 4...
19.Chaouachi K. Hookah (Narghile, Shisha) Smoking and Communicable Diseases. Tabaccologia 2008;1:47 [in English]
20.Chaouachi K. Micronuclei and Shisha/Goza Smoking in Egypt. Mutation Research/Genetic Toxicology and Environmental Mutagenesis 675 (2009) 81–82
Hard Consequences of Using the ""Waterpipe"" Scientific Nominalism
21.Chaouachi K. A Critique of the WHO’s TobReg “Advisory Note” entitled: “Waterpipe Tobacco Smoking: Health Effects, Research Needs and Recommended Actions by Regulators” (2005). Journal of Negative Results in Biomedicine 2006 (17 Nov); 5:17
22.Maziak W, Ward KD, Afifi Soweid RA, Eissenberg T. Tobacco smoking using a waterpipe: a re-emerging strain in a global epidemic. Tobacco Control 2004; 13: 327-33
23.Deckers SK, Farley J, Heath J. Tobacco and its trendy alternatives: implications for pediatric nurses. Crit Care Nurs Clin North Am 2006 (Mar);18(1):95-104
24.Baker RR, Dixon M. The Retention of Tobacco Smoke Constituents in the Human Respiratory Tract. Inhalation Toxicology 2006; 17:255–94
25.Chaouachi K. Le Narguilé: Anthropologie d’un mode d’usage de drogues douces, Paris, L’Harmattan, 1997, 262 pages
26.Chaouachi K. Is Medical Concern about Hookah Environmental Tobacco Smoke Hazards Warranted ? The Open General & Internal Medicine Journal 2009; 3:31-3.
27.Rodu B, Phillips CV. Switching to smokeless tobacco as a smoking cessation method: evidence from the 2000 National Health Interview Survey. Harm Reduct J. 2008 May 23;5:18
28.Maziak W, Ward K, Eissenberg T. Interventions for waterpipe smoking cessation. Cochrane Database Syst Rev. 2007 Oct 17;(4):CD005549.
29.Sepetdjian E, Shihadeh A, Saliba NA. Measurement of 16 polycyclic aromatic hydrocarbons in narghile waterpipe tobacco smoke. Food Chem Toxicol 2008 May;46(5):1582-90 [BASED ON BIASED SMOKING MACHINE].
30.Chaouachi K. Prevention and sporadic carbon monoxide poisoning related to shisha (hookah, narghile) tobacco smoking. J Emerg Med. 2010 (Feb 2)[Epub ahead of print] . doi:10.1016/j.jemermed.2009.11.027
31.Eissenberg T, Shihadeh A. Waterpipe tobacco and cigarette smoking direct comparison of toxicant exposure. Am J Prev Med. 2009 Dec;37(6):518-23.
32.Chaouachi K. Hookah epidemic [Clarification about Cancer]. Br Dent J 2009; 207: 192-3. DOI: 10.1038/sj.bdj.2009.771
33.Ben Saad H. Le narguilé et ses effets sur la santé. Partie I : le narguilé, description générale et propriétés [The narghile and its effects on health. Part I: The narghile, general description and properties]. Rev Pneumol Clin 2009 65: 369 [Epub ahead of print 6 Nov]. Doi : 10.1016/j.pneumo.2009.08.010
34.Ben Saad H. Le narguilé et ses effets sur la santé. Partie II : les effets du narguilé sur la santé [The narghile and its effects on health. Part II: The effects of the narghile on health]. Rev Pneumol Clin 2009 [Epub ahead of print 6 Nov]. Doi : 10.1016/j.pneumo.2009.08.011
35.Video on the hazards of DiHydrogen Monoxide (DHMO)
36.Shihadeh A. [E-Letter] Findings on Waterpipe Second Hand Smoke. BMJ 2009 (20 Oct)
37.Chaouachi K. Re: Findings on Waterpipe Second Hand Smoke. BMJ 2009 (11 Nov)
38.Chaouachi K. Hookah (Shisha, Narghile) Smoking and Environmental Tobacco Smoke (ETS). A Critical Review of the Relevant Literature and the Public Health Consequences. International Journal of Environmental Research and Public Health. 2009; 6(2):798-843.
39.WMA (World Medical Association). Ethical Principles for Medical Research Involving Human Subjects. Adopted by WMA GA 18th GA (General Assembly), Helsinki (Finland), June 1964. Further amended until the 52nd WMA GA (Edinburgh, Scotland, Oct 2000). Clarification on Paragraph 29 added by WMA GA (Washington, 2002) and other on Paragraph 30 by WMA GA (Tokyo, 2004)
40.Cobb C, Ward KD, Maziak W, Shihadeh AL, Eissenberg T. Waterpipe tobacco smoking: an emerging health crisis in the United States. Am J Health Behav. 2010 May-Jun;34(3):275-85.
41.Chaouachi K. Hookah (shisha, narghile, "water pipe") indoor air contamination in German unrealistic experiment. Serious methodological bias and ethical concern. Food Chem Toxicol. 2010 Jan 25. [Epub ahead of print][UNCORRECTED proof]. Doi:10.1016/j.fct.2010.01.020
42.Fromme H. Response to comment on "indoor air contamination during a waterpipe (narghile) smoking session". Food Chem Toxicol. 2010 Jan 25. [Epub ahead of print]
43.Noonan D. Exemptions for hookah bars in clean indoor air legislation: a public health concern. Public Health Nurs. 2010 Jan-Feb;27(1):49-53.
44.Nafae A, Misra SP, Dhar SN, Shah SN. Bronchogenic carcinoma in Kashmir Valley. Indian J Chest Dis. 1973 Oct; 15(4):285-95.
45.Rastam S, Li FM, Fouad FM, Kamal HM, Akil N, Moustafa AE. Water pipe smoking and human oral cancers. 1. Med Hypotheses. 2009 Nov 3. [Epub ahead of print]
46.Fouad FM, Rastam S, Moustafa AE. Involvement of water pipe smoking in the development of human pancreatic cancer. Int J Cancer. 2009 Nov 23. [Epub ahead of print]
47.Prignot JJ, Sasco AJ, Poulet E, Gupta PC, Aditama TY. Alternative forms of tobacco use. Int J Tuberc Lung Dis. 2008 Jul;12(7):718-27.
48.Ray CS. The hookah – the Indian waterpipe. Current Science 2009; 96 (10):1319-23.
49.Chaouachi K, Sajid KM. A critique of recent hypotheses on oral (and lung) cancer induced by water pipe (hookah, shisha, narghile) tobacco smoking. Med Hypotheses 2009 (online: 24 Dec). Doi:10.1016/j.mehy.2009.11.036
50.Chaouachi K, Sajid KM. Cancer risks of hookah (shisha, narghile) tobacco use require further independent sound studies. Int J Cancer. 2010 Jan 20. [Epub ahead of print]
51.Ghasemi A, Syedmoradi L, Momenan AA, Zahediasl S, Azizi F. The influence of cigarette and qalyan (hookah) smoking on serum nitric oxide metabolite concentration. Scand J Clin Lab Invest. 2010 Feb 15. [Epub ahead of print]
52.Akl E, Gaddam S, Gunukula SK, Honeine R, Abou Jaoude P, Irani J. The effects of waterpipe tobacco smoking on health outcomes: a systematic review. International Journal of Epidemiology. Advance Access published online on March 4, 2010. Doi:10.1093/ije/dyq002
53.Akl EA, Aleem S, Gunukula SK, Honeine R, Abou Jaoude P, Irani J. Survey instruments used in clinical and epidemiological research on waterpipe tobacco smoking: a systematic review. BMC Public Health. 2010 Jul 13;10(1):415.
54.Raad D, Gaddam S, Schunemann HJ, Irani J, Abou Jaoude P, Honeine R, Akl EA. Effects of waterpipe tobacco smoking on lung function: a systematic review and meta-analysis. Chest. published 29 July 2010. Doi: 10.1378/chest.10-0991
55.Chaouachi K. [Peer-reviewed Comment] “Systematic Reviews” on ““Waterpipe”” (Shisha, Hookah, Narghile) Tobacco Smoking Should Not Recycle Old Errors. BMC Public Health 2010 (13 Aug)
56.Chaouachi K. Systematic Errors and Biases in “Systematic Review”on ““Waterpipe””:Source: "Peer-Reviewed" International Journal of Epidemiology. Knol. 2010 Aug 21
57.Khabour OF, Alsatari ES, Azab M, Alzoubi KH, Sadiq MF. Assessment of genotoxicity of waterpipe and cigarette smoking in lymphocytes using the sister-chromatid exchange assay: A comparative study. Environ Mol Mutagen. 2010 Aug 25. [Epub ahead of print]