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Water Pipe No Safer Than Cigarettes: Study
Date:4/29/2013

MONDAY, April 29 (HealthDay News) -- People who smoke tobacco through a water pipe, also known as a hookah, are still exposing themselves to a harmful mix of toxins, according to a small new study.

Researchers from the University of California, San Francisco (UCSF), cautioned that water pipes are not less harmful than cigarettes. And those who use a water pipe appear to face higher levels of carbon monoxide and benzene, which has been linked to increased risk for leukemia.

"People want to know if it is a lesser health risk if they switch from cigarettes to smoking a water pipe on a daily basis," Peyton Jacob III, a UCSF research chemist at San Francisco General Hospital and Trauma Center, said in a university news release. "We found that water pipe smoking is not a safe alternative to cigarette smoking, nor is it likely to be an effective harm-reduction strategy."

In addition, Dr. Neal Benowitz, a UCSF tobacco researcher at San Francisco General Hospital and Trauma Center, pointed out that "if you are smoking from a hookah daily, you are likely to be at increased risk for cancer."

The study involved eight men and five women who have smoked cigarettes and also have experience using water pipes. The participants smoked an average of three water pipe sessions daily -- the equivalent of 11 cigarettes per day. Because people metabolize toxic substances differently, the researchers had the participants smoke a water pipe and cigarettes on different days.

After analyzing the participants' urine, the investigators found that using a water pipe doubled the levels of a benzene byproduct.

The participants' breath was also tested over 24 hours. The study revealed that carbon monoxide levels were two and a half times higher after water pipe use than cigarette smoking.

Although intake of nicotine is less among water pipe users, the researchers said, they are smoking more than just tobacco.

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