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According to a recent World Health Organization (WHO) advisory, a typical one-hour session of hookah smoking exposes the user to 100 to 200 times the volume of smoke inhaled from a single cigarette. Even after passing through the water, the tobacco smoke produced still contains high levels of toxic compounds, including carbon monoxide, heavy metals and cancer-causing chemicals (carcinogens). [More info here]
Hookahs are marketed as being a safe alternative to cigarettes. This claim is false. The water does not filter out many of the toxins. In fact, hookah smoke has been shown to contain concentrations of toxins, such as carbon monoxide, nicotine, "tar," and heavy metals, that are as high or higher than are seen with cigarette smoke. Several types of cancer, including lung cancer, have been linked to hookah smoking. Hookah is also linked to other unique risks not associated with cigarette smoking. For example, infectious diseases including tuberculosis (which can infect the lungs or other parts of the body), aspergillus (a fungus that can cause serious lung infections), and helicobacter (which can cause stomach ulcers) may be spread by sharing the pipe or through the way the tobacco is prepared - American Cancer Society
BOTTOM LINE: If smoking cigarettes is harmful and haram, then hookah smoking is only worse - Muslim Matters.org

