It's not only cigarettes that get people dependent on tobacco. Hookahs, staples of Middle Eastern café society, are water pipes used to smoke tobacco through a hose with a tapered mouthpiece. There's a myth going around that hookahs are safer because the smoke is cooled when it passes through the water.
But take a look at the black, resinous gunk that builds up in a hookah hose. Some of that gets into users' mouths and lungs. Indeed, experts say hookahs are no safer than cigarettes — and since they don't have filters and people often use them for long periods, the health risks might be even greater. Hookahs are usually shared, so there's the additional risk from germs being passed around along with the pipe.
Also beware of electronic cigarettes (e-cigarettes), which contain cancer-causing chemicals and other toxins, including a compound used in antifreeze. These battery-operated devices use cartridges filled with nicotine, flavorings, and other chemicals and convert them into a vapor that's inhaled by the user.
E-cigarettes haven't been evaluated or approved by the U.S. Food and Drug Administration (FDA), so they don't have to post the health warnings that nicotine replacement products or conventional cigarettes do. But there's no such thing as a safe nicotine product.
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