• Smoking a hookah pipe for 60 to 80 minutes is the equivalent of smoking 100 cigarettes. (World Health Organization)
• Hookah, which is smoked for about 45 minutes, delivers 36 times more tar than a cigarette, 15 times more carbon monoxide and 70 percent more nicotine. (Thomas Eissenberg, a psychology professor at Virginia Commonwealth University and co-author of a hookah study)
• Even after it has passed through water, the smoke produced by a hookah contains high levels of toxic compounds, including carbon monoxide, heavy metals and cancer-causing chemicals. (Center for Disease Control)
• The charcoal used to heat tobacco in the hookah increases the health risks by producing high levels of carbon monoxide, metals and cancer-causing chemicals. (Center for Disease Control)
• Water pipe smokers are five times more likely than non-smokers to show signs of gum disease. (Journal of Periodontology)
• Hookah smokers are at risk for the same kinds of diseases that are caused by cigarette smoking, including oral cancer, esophageal and gastric carcinoma, lung cancer, reduced pulmonary function and decreased fertility. (Center for Disease Control)
• Sharing a hookah may increase the risk of transmission of tuberculosis, viruses such as herpes or hepatitis, and other illnesses. (Center for Disease Control)
• Babies born to women who smoked one or more water pipes a day during pregnancy have lower birth weights (were at least 100 grams less) than babies born to nonsmokers and are at an increased risk of respiratory diseases. (Center for Disease Control)
• Secondhand smoke from hookahs poses a serious risk for non-smokers. (Center for Disease Control)