The following factsheets were designed to provide community members and health care professionals with information on shisha smoking, vaping and the potential harms associated with those practices. These resources look at the impact of shisha smoking on Young People, Pregnant Women and Young Families, and the broader community. They also look at the potential harms of vaping. Information on the current shisha and vaping laws in NSW are provided.

Factsheets in English

Akl, E.A., Gaddam, S., Gunukula, S. K., Honeine, R., Jaoude, P.A., & Irani, J. (2010). The effects of waterpipe tobacco smoking on health outcomes: a systematic review. International Journal of Epidemiology, 39, 834-857. doi:10.1093/ije/dyq002

Al-Dahr, M. H. S. (2010). Impact of smoking on platelet, coagulation and lipid profile in young male subjects. World Applied Sciences Journal, 11(1), 118-123.

Bernd, K., DeGrood, D., Stadtler, H., Coats, S., Carmack, D., Mailig, R. & Hauser, C. (2019). Contributions of charcoal, tobacco, and syrup to the toxicity and particle distribution of waterpipe tobacco smoke. Toxicology letters, 313, 60-65. doi:10.1016/j.toxlet.2019.06.003

Cancer Council Victoria. (2017). Australian Secondary School Students’ Use of Tobacco, Alcohol, Over-the-Counter Drugs, and Illicit Substances. Available here.

Daher, N., Saleh, R., Jaroudi, E., Sheheitli, H., Badr, T., Sepetdjian, E., Al Rashidi, M., Saliba, N, & Shihadeh, A. (2010). Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: Sidestream smoke measurements and assessment of second-hand smoke emission factors. Atmospheric Environment, 44(1), 8-14. doi: 10/10.1016/j.atmosenv.2009.10.004

de Suremain, N., Ngo, J., Loschi, S., Haegy-Doehring, I., Aroulandom, J., & Carbajal, R. (2019). Carbon monoxide poisoning from waterpipe (narghile) smoking in a child. Archives de Pediatrie26(1), 44-47. doi:10.1016/j.arcped.2018.11.008

Djordjevic, M.V., Stellman, S.D., & Zang, E. (2000). Doses of nicotine and lung carcinogens delivered to cigarette smokers. Journal of the National Cancer Institute, 92(2), 106-111.

Eissenberg, T. (2019). Now is the Time for Effective Regulation Regarding Tobacco Smoking Using a Waterpipe (Hookah). Journal of Adolescent Health64(6), 685-686.     doi:10.1016/j.jadohealth.2019.03.011

Haddad, L., Kelly, D. L., Weglicki, L. S., Barnett, T. E., Ferrell, A. V., & Ghadban, R. (2016). A systematic review of effects of waterpipe smoking on cardiovascular and respiratory health outcomes. Tobacco use insights, 9, TUI-S39873. doi:10.4137/TUI.S39873

Haik, M. Y., Ashour, A. A., Alahmad, Y.F., Al-Ishaq, F. A., Saad, M. M., Hussein, M. M, Mubarak, R. S., Mohamed, W. A., & Moustafa, A. E. A. (2019). Water-pipe smoking and serum testosterone levels in adult males in Qatar. Tobacco Induced Diseases, 17, 1-8. doi:10.18332/tid/99572

Hallit, S., Hallit, R., Haddad, C., Youssef, L., Zoghbi, M., Constantine, R., Kheir, N., & Salameh, P. (2019). Previous, current, and cumulative dose effect of waterpipe smoking on LDL and total cholesterol. Environmental Science and Pollution Research, 26(8), 8194-8201. doi:10.1007/s11356-019-04311-1

Hammal, F., Chappell, A., Wild, T. C., Kindzierski, W., Shihadeh, A., Vanderhoek, A., … & Finegan, B. A. (2015). ‘Herbal’ but potentially hazardous: an analysis of the constituents and smoke emissions of tobacco-free waterpipe products and the air quality in the cafes where they are served. Tobacco control, 24(3), 290-297.

Jawad, M., Eissenberg, T., Salman, R., Soule, E., Alzoubi, K. H., Khabour, O. F. & Shihadeh, A. (2019). Toxicant inhalation among singleton waterpipe tobacco users in natural settings. Tobacco Control, 28(2), 181-188. doi: 10.1136/tobaccocontrol-2017-054230

Jukema, J. B., Bagnasco, D. E., & Jukema, R. A. (2014). Waterpipe smoking: not necessarily less hazardous than cigarette smoking. Netherlands Heart Journal, 22(3), 91-99. doi:10.1007/s12471-013-0501-0

Khemiss, M., Ben Fekih, D., Ben Khelifa, M., & Ben Saad, H. (2019). Comparison of Periodontal Status Between Male Exclusive Narghile Smokers and Male Exclusive Cigarette Smokers. American Journal of Men’s Health, 13(2). doi:10.117/1557988319839872

Nuwayhid, I. A., Yamout, B., Azar, G., & Al Kouatly Kambris, M. (1998). Narghile (Hubble-Bubble) Smoking, Low Birth Weight, and Other Pregnancy Outcomes. American Journal of Epidemiology, 148(4), 375-383.

Ramji, R., Nilsson, M., Arnetz, B., Wiklund, Y., & Arnetz, J. (2019). Taking a stand: An untapped strategy to reduce waterpipe smoking in adolescents. Substance use & misuse, 54(3), 514-524. doi:10.1080/10826084.2018.1521429

Rezk-Hanna, M., & Benowitz, N. L. (2018). Cardiovascular effects of hookah smoking: potential implications for cardiovascular risk. Nicotine & Tobacco Research. doi:10.1093/ntr/nty065

Saravanan, C., Attlee, A., & Sulaiman, N. (2019). A Cross Sectional Study on Knowledge, Beliefs and Psychosocial Predictors of Shisha Smoking among University Students in Sharjah, United Arab Emirates. Asian Pacific Journal of Cancer Prevention, 20(3), 903-909. doi:10.31557/APJCP.2019.20.3.903

Selim, G. M., Fouad, H., & Ezzat, S. (2013). Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography. Anadolu Kardiyol Derg, 13(7), 647-54I.

Shafique, K., Mirza, S. S., Mughal, M. K., Arain, Z. I., Khan, N. A., Tareen, M. F., & Ahmad, I. (2012). Water-pipe smoking and metabolic syndrome: a population-based study. PloS one, 7(7), e39734. doi:10.1371/journal.pone.0039734

Shihadeh A., Azar S., Antonios C., Haddad A. Towards a topographical model of narghile waterpipe café smoking: a pilot study in a high socioeconomic status neighborhood of Beirut, Lebanon. Pharmacol Biochem Behav. 2004 Sep;79(1):75–82. doi: 10.1016/j.pbb.2004.06.005.

Soflaei, S. S., Darroudi, S., Tayefi, M., Tirkani, A. N., Moohebati, M., Ebrahimi, M., … & Ghayour-Mobarhan, M. (2018). Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: a population-based study. Diabetology & metabolic syndrome, 10(1), 33. doi:10.1186/s13098-018-0335-4

Sudano, I., & Barthelmes, J. (2018). Is waterpipe-smoking bad for your heart? European Heart Journal, 39(33), 3016-3017. doi:10.1093/eurheartj/ehy441

Szyfter, K., Napierala, M., Florek, E., Braakhuis, B. J., Takes, R. P., Rodrigo, J. P., & Ferlito, A. (2019). Molecular and health effects in the upper respiratory tract associated with tobacco smoking other than cigarettes. International Journal of Cancer, 144(11), 2635-2643. doi:10.1002/ijc.31846

Wollina, U. (2015). Water pipe smoking and dermatologic consequences. Journal of the European Academy of Dermatology and Venereology, 29(8), 1481-1484. doi:10.1111/jdv.12984

World Health Organisation. (2015). Waterpipe Tobacco Smoking and Health [Fact Sheet]. Available here.

Yadav, S., & Rawal, G. (2018). Waterpipe tobacco smoking: A mini-review. Journal of Translational Internal Medicine, 6(4), 173-175. doi:10.1515/jtim-2016-0013