HUBBLY BUBBLY - (CANSA)


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"Hubbly bubbly" more dangerous than cigarettes

“It is cool NOT to smoke – especially hubbly bubbly.”

This is the message from Sr Frances Minné, CANSA’s Health Programmes Coordinator in Potchefstroom who held an exhibition about the dangers of smoking hubbly bubbly (hookah/water pipe) at North West University on 7 May 2008.

Over 500 students attended the interactive exhibition. “It was very frightening to realise how many students are deceived that water pipe or hubbly smoking is safe because it is filtered through water,” said Minné, whose presentation included a demonstration of a hubbly pipe and other related products.

How water pipes work

Water pipes have a head, body, water bowl and hose. Holes in the bottom of the head allow smoke to pass into the body’s central conduit. This conduit is submerged in the water that half fills the water bowl. The hose is not submerged, exits from the water bowl’s top and ends with a mouthpiece from which the smoker inhales.

The tobacco, which is placed into the head is very moist and often sweetened or flavoured, does not burn in a self sustaining manner. Thus, the charcoal is placed on top of the tobacco filled head often seperated by perforated aluminium foil. The smoker inhales through the hose creating a vacuum above the water and drawing air through the body and over the tobacco and charcoal.

Having passed over the charcoal, the heated air, which now also contains charcoal combustion products, passes through the tobacco and the smoke aerosol is produced. The smoke passes through the water pipe body, bubbles through the water in the bowl and is carried through the hose to the smoker.

Contrary to ancient folklore and popular belief, the smoke that emerges from the water pipe contains numerous toxins known to cause lung cancer, heart disease and other diseases. Remember that water pipe smoking also delivers the addictive drug nicotine.

A water pipe smoking session may expose the smoker to more smoke over a longer period of time than a cigarette smoker: cigarette smokers typically take 8-12, 40-47 ml puffs over 5-7 minutes and inhale 0.5 to 0.6 litres of smoke.

Compare that to water pipe smoking sessions which typically last 20-80 minutes, during which the smoker may take 50-200 puffs which range from about 0.15 to 1 litre of smoke each. The water pipe smoker may therefore inhale as much smoke during one session as a cigarette smoker would inhale consuming 100 or more cigarettes! While water does absorb some of the nicotine, water pipe smokers can be exposed to sufficient doses of this drug to cause addiction.

Serious hazard

Using the water pipe to smoke tobacco poses a serious potential health hazard to both smokers and others exposed to the smoke emitted. Using the water pipe is NOT a safe alternative to cigarette smoking. A typical 1 hour long water pipe smoking session involves inhaling 100-200 times the volume of smoke inhaled with a single cigarette. Even after it has been passed through water, the smoke produced by a water pipe contains high levels of toxic compounds, including carbon monoxide, heavy metals and cancer causing elements.

Because of the growing popularity of this type of smoking, CANSA North West & Limpopo will be launching a blog on this subject soon.

CANSA Potchefstroom would like to thank Radio PUK for advertising of the event and to the World Health Organisation study group on Tobacco Product Regulation (TobReg), April 2008.

Hubbly bubbly sounds cool - but it's dangerous and addictive

Smoking a hubbly bubbly, also known as a hookah, waterpipe or narghile, is not a safe alternative to smoking. It is associated with many of the same risks as smoking and may in fact involve some unique health risks, says the Cancer Association of South Africa (CANSA).

A typical 1-hour long waterpipe smoking session involves inhaling 100 – 200 times the volume of smoke inhaled with a single cigarette. Even after the smoke has passed through the water, it still contains high levels of toxic compounds, including carbon monoxide, metals and cancer causing chemicals.
There is no proof that any device or accessory can make waterpipe smoking safer.

 “Young people are lead to believe using waterpipes is safe and fun, but they are deadly,” says Gerda Strauss, Head of Health Progammes at CANSA. “We need to educate the population on the serious health risks associated with waterpipe use, to prevent an increase in tobacco related deaths."

The waterpipe was invented in India during the 16th century; it was thought that passing the smoke through water made the smoke harmless. This misconception is still believed by many today, but the smoke that emerges from a waterpipe contains numerous toxins known to cause lung cancer, heart disease and other diseases. While water does absorb some of the nicotine, waterpipe smokers can be exposed to sufficient doses of this drug to cause addiction, making trying to quit the habit difficult.

The popularity of waterpipe smoking appears to be encouraged by the social nature of the activity as well as the unfounded assumptions of relative safety compared to cigarettes. In reality, a waterpipe smoking session may expose the smoker to more smoke over a longer period of time than occurs when smoking a cigarette.

Using tobacco in any form or flavour, smoked, chewed or inhaled, greatly increases the risk of serious tobacco related diseases, leading to a poor quality of life and premature death.

Contact CANSA

For more information please contact Gerda Strauss, Head of Health Programmes, CANSA. Email gstrauss@email.org.za,  Tel: 011 616 7662 or Cell: 082 399 7199.  Alternately, contact CANSA toll-free on 0800 22 66 22.

Hubbly Bubblies, Hookahs, Narghiles, Waterpipes

Alice Victor 2008-05-25

The names may sound cool, but they are not. They are dangerous and addictive killers.

History

According to one historical account, the waterpipe was invented in India during the 16th century by a physician named Hakim Abul Fath, who suggested that smoke “should be passed through a small receptacle of water so that it would be rendered harmless.” Contrary to this ancient lore and today’s popular belief, the smoke that emerges from a waterpipe contains numerous toxicants known to cause lung cancer, heart disease and other diseases. While water does absorb some of the nicotine, waterpipe smokers can be exposed to a sufficient doses of this drug to cause addiction.

Myths vs Facts

Traditionally, waterpipes have been used to smoke tobacco and other substances by the indigenous people Africa and Asia for the past 4 centuries. Today, the highest rates of waterpipe smoking occur in the North African, the Eastern Mediterranean regions and South East Asia. Since the 1990’s, waterpipe smoking has spread among new populations and demographics to include college students and young persons in the United States, Brazil, Western European and Southern African countries.

The popularity of waterpipe smoking appears to be stimulated by the social nature of the activity as well as the unfounded assumptions of relative safety compared to cigarettes. In reality, a water pipe smoking session may expose the smoker to more smoke over a longer period of time than occurs when smoking a cigarette.

Cigarette smokers typically take 8 – 12, 40-47 ml puffs over 5-7 minutes and inhale 0.5 to 0.6 litres of smoke. In contrast, water pipe smoking sessions typically the last 20-80 minutes, during which the smoker may take 50-200 puffs which range from about 0.15 to 1 litre of smoke each. The water pipe smoker may therefore inhale as much smoke during one session as a cigarette smoker would inhale consuming 100 or more cigarettes

Facts

Preliminary research on patterns of waterpipe smoking supports the idea that waterpipe smoking is associated with many of the same risks as cigarette smoking and may, in fact, involve some unique health risks.

  • Using a waterpipe to smoke tobacco is not a safe alternative to cigarette smoking.

  • A typical 1-hour long waterpipe smoking session involves inhaling 100 – 200 times the volume of smoke inhaled with a single cigarette.

  • Even after the smoke has passed through the water, it still contains high levels of toxic compounds, including carbon monoxide, metals and cancer causing chemicals.

  • There is no proof that any device or accessory can make waterpipe smoking safer.
     

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