A May 2010 study in the journal Pediatrics reported that 23 percent of teens and young adults in North America have smoked a hookah at least once in the past year. Many teens think that hookahs—also known as water pipes, shisha, narghile, goza, or hubble-bubble—are a safe and healthier alternative to cigarettes. According to the World Health Organization (WHO), hookah users are exposed to more carbon monoxide and may actually inhale more tobacco smoke than cigarette smokers because of the large amount of smoke that is inhaled during one hookah session. Hookah use has also been linked to lung and oral cancers, heart disease, and other serious illnesses.
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