Hookah bars: new source of diseases

New Delhi: Today as the world celebrates No-Smokingperson's health as smoking cigarettes, said Dr.
Day. Do you really think this day has any significance inPurushottam Lal, chairman and chief interventional
our lives or is it just a gimmick. The ban on smoking atcardiologist of Metro Hospitals and Heart Institute.
public places which was brought into effect by theHookah was tremendously popular especially during
former Union Health Minister A Ramdoss is nothing butMughal rule.
a sham.The hookah has since become less popular; however,
Rural India continues to be plagued by serious healthit is once again garnering the attention of the masses,
problems due to lack of proper health facilities. Weand cafés and restaurants that offer it as a
need to shift our focus to that area rather than chaseconsumable are popular. The use of hookahs from
people who are adults and are well aware about theancient times in India was not only a custom, but a
harmful effects of smoking. As banning smoking hasmatter of prestige. Rich and landed classes would
given rise to another fad that is hooka bars which aresmoke hookahs.
as lethal as smoking cigarettes.Tobacco is smoked in hookahs in many villages as per
Though, India may lose 2.5 million people an year bytraditional customs. Smoking a tobacco-molasses
2025, due to growing tobacco consumption that willshisha is now becoming popular amongst the youth in
prove to be a great hurdle to the country's economicIndia. There are several chain clubs, bars and coffee
growth, the irony remains that there are many whoseshops in India offering a wider variety of mu‘assels,
survival depends on tobacco cultivation and sale. Manyincluding non-tobacco versions.
woman in Madhya pradesh run their families solely by"The popularity of water pipes may be due in part to
making biddis.perceptions that they are safer than cigarettes," Dr.
Not only that numerous countries, including some of thePurushottam Lal, leading cardiologist and chairman of
poorest nations, such as Malawi, Zimbabwe, ZambiaMetro Group of Hospitals said. A false belief among
and Tanzania now face the prospect of seeing millionsusers is that the smoke from hookah is less
of jobs lost and a huge decline in the export ofdangerous than that of cigarettes. This is wrong!
tobacco. Tobacco cultivation is critical for the economyHowever since people think this is true, it gives a false
in these countries and one of the few agriculturalsense of security and reduces concerns about true
activities to have remained buoyant during the recenthealth effects.
worldwide economic crisis. India is no exception to thisAccording to studies, in a one-hour (1 hour) hookah
realitysession, users consume around 100 to 200 times the
So rather focusing only on celebrating No-Smokingsmoke and about 70 times the nicotine as they do in
Day once a year or banning smoking in public placesone cigarette. Water pipe smokers are seven times (7
we should first search for alternative source of incometimes) more likely than non-smokers to show signs of
for those involved in tobacco cultivation. We shouldgum disease and mouth cancer. Each hookah session
create awareness amongst the youth and children at(commonly referred to as "a sesh") consists of 50 to
a very early age so that they do not succumb to this200 inhalations that each range from 0.15 to 0.50 liters
vice or seek pleasure by splurging in Hooka bars whichof smoke.
are equally fatal.There are over 250 different kinds of Hookah flavors,
The increasing craze among the common people toand that number continues to rise. Hookah contains 69
go in for Hookah smoking has become a cause ofdifferent carcinogens.
worry. People are of the belief that Hookah smoking is"However, water pipe smoke contains nicotine, carbon
less toxic, as compared to cigarette. However, themonoxide, carcinogens and may contain greater
reality is that it is equally lethal as the cigarette smoking.amounts of tar and heavy metals than cigarette
Infact, a single session of Hookah smoking, whichsmoke," Dr. Lal warned.
usually lasts about 30-60 minutes, causes equivalentOn 31st May each year WHO celebrates World No
harm as a pack of cigarettes.Tobacco Day, highlighting the health risks associated
Hookah cafes are popping up all over the countrywith tobacco use and advocating for effective policies
(even in the smallest cities), and teens seem to beto reduce consumption. Tobacco use is the second
drawn to their exotic charm - which makes thecause of death globally (after hypertension) and is
hookah trend that much more dangerous. It iscurrently responsible for killing one in 10 adults
estimated that one in four young adults have used aworldwide.
hookah - a water pipe used to inhale flavored tobacco.A 2005 study found that water pipe smokers were
In India many young people seem to believe thatfive times more likely than non-smokers to show signs
hookahs and other water pipes are safer thanof gum disease. People who smoked water pipes had
cigarettes, but use of hookah is equally detrimental to afive times the risk of lung cancer as non-smokers.