Myth Busters
Health Effects
& Hookah
Hookah v.s Cigarettes
Hookah Facts
Prevention Education
100

True or False: Cigarette smoke and Hookah smoke are very different and don’t contain the same chemicals.



False, they contain many of the same chemicals (like tar, nicotine)

Source:  https://health.clevelandclinic.org/smoking-the-hookah-habit-is-harmful/ 



100

True or False: Smoking hookah can lead to decreased fertility.

True, due to the toxic chemicals 



100

True or False: There are 83 toxic chemicals found in hookah smoke.



True:83 



100

True or False: The charcoal that is burned in hookah makes it less toxic than cigarettes because it burns at a low temperature.



False, the added charcoal releases smoke that is burned at a low temperature in hookah that makes it more toxic and effect body’s blood pressure and lung functioning

Source: https://www.wdgpublichealth.ca/blog/simple-facts-everyone-should-know-about-hookah 



100

True or False: Smoking hookah is a safe alternative for quitting cigarettes 



200

True or False: Second Hand smoke is NOT a danger associated with hookah. 



False, second hand smoke from hookah is dangerous especially for non-smokers 

Source: https://www.mayoclinic.org/healthy-lifestyle/quit-smoking/expert-answers/hookah/faq-20057920 



200

True or false: Smoking hookah with non-tobacco flavor means that there are no effects. 



False; Studies of tobacco-based hookah and “herbal” hookah show that smoke from both preparations contain carbon monoxide and other toxic agents known to increase the risks for smoking-related cancers, heart disease, and lung disease.

Source: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm 



200

True or False: In an average cigarette smoking session Bravo and Damani will inhale 500-600 ml of smoke so when one smokes hookah, an average session is 20,000 ml.



FALSE,  90,000, This is a lot more smoke and this has to do with the social nature of hookah smoking. 

Source: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm 



200

True or False: Hookah does not damage Mr. Al's teeth and gums.



False, Hookah use leads to dental problems and oral cancers.

Source: https://health.clevelandclinic.org/smoking-the-hookah-habit-is-harmful/ 



200

True or False: Hookah is not popular in youths.



False; According to the 2014 National Youth Tobacco Survey, hookah is the second most commonly used tobacco product (9.4%) for high school students

source:https://multco-web7-psh-files-usw2.s3-us-west-2.amazonaws.com/s3fs-public/Hookah%20Fact%20Sheet%20FINAL%2011-15.pdf 



300

What chemical in hookah makes it so addictive?

a. Nicotine

b. Tar

c. Heavy metals

d. All of the above

Nicotine

300

If a pregnant woman smokes hookah regularly what effect can that have on the baby?     

    A. Coming out smoking like Snoop Dogg

    B. The baby will be addicted to nicotine

    C. Low birth weight

    D. Smaller than normal head

    E. B and C are correct



E. B and C are correct


Babies born addicted to nicotine go through withdrawal upon birth, including irritability, lack of sleep, etc.

Babies will also be born with low birth weight.

300

Hookah smoke has ______ times more tar than cigarette smoke.

    A. 5 

    B. 36 

    C. 2 

    D. 28 



B. 36

300

Hookah is a type of water pipe that uses ____ to burn _____?

A. nicotine, opioids

B. opioids, marijuana

C. marijuana, charcoal 

D.charcoal, tobacco

D. charcoal, tobacco



300

What are some steps you can take in order to quit smoking hookah? 

A. use nicotine patches & gum

B. buy a hookah pen, its better because its smaller intake

C. Set a quit date, talk to a doctor, find other activities to do such as exercise and finding a new hobby, getting rid of hookah device, cutting down on use over period of time 

D. all of the above

c. Set a quit date, talk to a doctor, find other activities to do such as exercise and finding a new hobby, getting rid of hookah device, cutting down on use over period of time

400

Hookah is not just water vapor, what are some chemicals found in hookah? 

    A. Tar

    B. Carbon monoxide

    C. Nicotine 

    D. All of the above 



D. All of the above 



400

What short term effects can occur from smoking hookah?     

    A. Decreased anxiety 

    B. High blood pressure

    C. Reduced hunger

    D. Reduced lung functioning

    E. Both  B and D



E. High blood pressure and reduced lung functioning ( Why) because the heat source of the charcoal 

Source: https://www.lung.org/quit-smoking/smoking-facts/health-effects/facts-about-hookah 



400

In a typical one hour hookah smoking session, Kadidia may inhale____ times the amount of smoke they would inhale from a single cigarette. 


A. 25- 50 times

B. 50- 100 times

C. 100- 200 times

D. 200- 400 times

C. In a single water pies 

C. 100-200 times



400

Why is hookah so popular among high school and college students?

A. It is good for one’s health.

B. everyone is doing it

C. The company markets the flavors toward them and because hookah is used in social settings

D. none of the above

C. The company markets the flavors toward them and because hookah is used in social settings

Source: https://www.tobaccofreeco.org/product-facts/hookah/ 



400

Why does early use of hookah increase a Ms. Eliza's chance of becoming addicted?

A. Because the brain is not fully developed until age 24-25. Drugs disrupt brain functioning such as memory, learning, judgement, behavioral control, and motivation. 

B. the excessive use damages the brain

C. the spread of disease

D. none of the above




A: Because the brain is not fully developed until age 24-25. Drugs disrupt brain functioning such as memory, learning, judgement, behavioral control, and motivation. 

Source: https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/preventing-drug-misuse-addiction-best-strategy 



500

What is one long term health effect of smoking hookah?



Heart disease and many types of cancers such as lung, throat, tongue, and mouth cancer.  

Source: https://www.lung.org/quit-smoking/smoking-facts/health-effects/facts-about-hookah 




500

Smoking hookah is linked to what?


Due to the large amount of carbon monoxide in hookah smoke and the increased intake of smoke it can cause carbon monoxide poisoning.

Cancer, stroke, heart attack, pulmonary diseases, etc.

Source: https://drugfree.org/drug-and-alcohol-news/hookahs-can-cause-carbon-monoxide-poisoning-health-officials-say/ 




500

Does Mr. Emmanuel absorb more nicotine from smoking cigarettes or hookah?



Hookah, because smokers inhale more deeply and more frequently.

Source: https://health.clevelandclinic.org/smoking-the-hookah-habit-is-harmful/ 




500

A typical cigarette smoking session is 5-6 minutes… How long is a typical hookah smoking session?



500

What is the name of one hotline you can call to talk about addiction or mental health?



Substance Abuse and Mental Health Services Administration (SAMHSA) 1-800-662-4357. National Suicide Prevention 1-800-273-8255. Drugfree.org 855-378-4373. Al-Anon and Ala-teen 800-356-9996

Source: https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline 


1-800-QUIT-NOW (1-800-784-8669)