Laserfiche WebLink
l~'t ~i ~' 1*RDRP <br />rne.oco-d Dlsw~ <br />\ I IZI>IZI' I'ubliratiun ~'~~~~++~ <br />\rurl~ I~~~~rml - ~i~lumc ~. ~umhrr ~\u~ua 2O0~ <br />Hooked on Hookah? <br />What You Obn't KMow Can 1 11 You <br />by Kamlesh Asotra, Ph.D. <br />"Harmful hookahs lure a young crowd "-announces <br />the headline of a recent Contra Costa Times article. <br />According to the article, public health professionals in <br />California are very concerned about hookah smoking <br />among our youth.' Researchers across the globe have <br />echoed similar concerns.Z•' A growing number of college <br />students and others in the United States who have tried or <br />now regularly participate in hookah smoking claim that <br />they do not smoke cigarettes or use tobacco. Most of <br />these individuals believe that hookah smoke is neither <br />addictive nor as harmful as cigarette or cigar smoke.' <br />This sense of false security may be perpetuated by the <br />myth that the hookah smoke, after bubbling through <br />water becomes devoid of the harmful elements that are <br />present in cigarette smoke. <br />Among more than 1 billion smokers worldwide, 100 <br />million people in Africa, Asia, and the Middle East use <br />water pipe or hookah to smoke tobacco. Water pipe is var- <br />iously known in different regions as hookah (Indian sub- <br />continent and Africa), shisha, borry, goza (Egypt, Saudi <br />Arabia), narghile, arghile (Jordan, Lebanon, Syria, and <br />Israel), shui yan dai (China), or bubble-bubble. It's <br />believed to have originated in India in the 16th century <br />and found its way to Persia (Iran), Turkey, and the Eastern <br />Mediterraneans In the last 25 years, hookah smoking <br />has become increasingly popular in Arab societies, <br />Europe, and the United States due mainly to the cultural <br />and social practices of new immigrants from countries <br />where hookah smoking is an accepted tradition. Recently, <br />hookah bars have mushroomed across California and in <br />several other states with sizable Arab-American popula- <br />tions. More than 300 hookah bars are operating in the <br />United States, with at least 50 in California. Many are <br />located near colleges, universities, and shopping malls <br />and are frequented by college students and locals. The <br />bars offer an "exotic ambience" where customers can <br />smoke a variety of fruit flavors and aromas in smoking <br />sessions that last 45 to 60 minutes, for the cost of about <br />$15.^ <br />Is hookah smoke really so innocuous? This article <br />describes hookah smoke chemistry and highlights facts <br />related to hookah smoking and diseases that deserve <br />attention and further scientific research. <br />Hookah tobacco combustion-"cool" burning <br />Hookah or water pipe is made of a clay bowl, body, water <br />reservoir, and a stem or hose for inhalation of tobacco <br />smoke. Hookah tobacco--inu'essel or maassel (assal means <br />EXHIBIT B <br />75A-21 <br />