The tube ends in a mouthpiece from which the smoker inhales the smoke from the substances being burnt into their lungs.
Shisha smoking is traditionally used by people from Middle Eastern or Asian community groups but is becoming increasingly popular among all groups in cities around the UK.
What is in a shisha pipe?
Shisha pipes use tobacco sweetened with fruit or molasses sugar, which makes the smoke more aromatic than cigarette smoke. Popular flavourings include apple, plum, coconut, mango, mint, strawberry and cola. Wood, coal, or charcoal is burned in the shisha pipe to heat the tobacco and create the smoke because the fruit syrup or sugar makes the tobacco damp.
When you smoke shisha, you and anyone sitting near you are breathing in smoke which releases toxins including carbon monoxide and heavy metals –reducing your body’s ability to carry oxygen around in your blood. Visit our smoking page to find out more about the effect that smoking has your body.
How harmful is shisha smoking?
Traditionally shisha tobacco contains cigarette tobacco, so like cigarettes it contains nicotine, tar, carbon monoxide and heavy metals, such as arsenic and lead. As a result, shisha smokers are at risk of the same kinds of diseases as cigarette smokers, such as heart disease, cancer, respiratory disease and problems during pregnancy.
It’s difficult to say exactly how much smoke or toxic substances you’re exposed to in a typical shisha session.People smoke shisha for much longer periods of time than they smoke a cigarette, and in one puff of shisha you inhale the same amount of smoke as you’d get from a smoking a whole cigarette.
The average shisha-smoking session lasts an hour and research has shown that in this time you can inhale the same amount of smoke as from more than 100 cigarettes.
Some people mistakenly think that shisha smoking is not addictive because the water used in the pipe can absorb nicotine. In reality, because only some of the nicotine is absorbed by the water, shisha smokers are still exposed to enough nicotine to cause an addiction.
Stop smoking booklet
However you smoke, if want to stop this booklet can help. It provides practical tips for smokers who are thinking about giving up and helps you understand more about why you smoke and how you can stop smoking for good. It explains the link between smoking and heart disease and discusses different approaches to quitting, with tips and activities to help you on your journey.
Order or download now
Is herbal shisha safer?
No it isn’t. Shisha, herbal or otherwise, usually contains tobacco. Fruit or herbal flavours do not mean the product is healthy. Even if you use tobacco-free shisha, you’re still at risk from the carbon monoxide and any toxins in the coal or charcoal used to burn the shisha.
Second hand smoke is also a worry. If you’re smoking with other people or in a public place and the shisha includes cigarette tobacco, it’s likely you’ll breathe in their second hand smoke too.
Who uses shisha?
Shisha smoking is traditionally used by people from Middle Eastern or Asian community groups but is becoming increasingly popular in cities around the UK.
Recent data on shisha shows it’s getting used more widely. Two in five local authorities we surveyed said they’d seen an increase in the number of shisha bars since 2007, with research showing that one in 10 Caucasian people have now tried it.
Where can I get help quitting?
Whether it's cigarettes or shisha, smoking still remains the number one cause of preventable death in the UK.
If you use shisha and want to quit:
- order or download our Stop Smoking booklet, or
- ring Quitline on 0300 123 1044 for more advice.