Conclusion

Shisha though being a drug is not considered like one and is considered as taking drugs
legellay , so government should intervene to overcome the social acception of shisha
smoking and should implement policies like , selling of shisha tobacco to under 18
people is illegal as a first step on putting ban on shisha.

Moreover, hookah is considered to be same as cigerette that they both fall in the same
catagory and even adults cant put a prohibition on its open usage, so the government
should atleast arrange some seminars to aware people about its hazards and that how
not smoking it can lead to a healthy lifestyle.Furthermore government should make sure
that those people working in tabacco industry must be provided with healthy and safe
working environments.

These even many parents are involved in smoking shisha along with there children so
they must also be penelised by the government not only heavy taxes should be imposed
but some nights in jail should also be make obligatory and parents should also be
educated about this severe matter.

But still everything comes back to the point that a complete ban on anything is not
possible.Though things move slowly and gradually should policies should be
implemented to drop the shisha tobacco production and consumption.

Recommendation
The results from this research displayed that shisha is getting populor in the teen youth at a high
rate irrespective of the health issues caused by it. This is because shisha is newly introduced in
pakistan particularly in lahore only few years ago. Therefore, not enough research is conducted
on its usage.

There is a great need for educating people or general public regarding the shisha hazards, our
islamic scholars along with NGO's should take part in conducting seminars to spread awareness
about its harmful effects. Workshops must be conducted by the doctors in schools, colleges in
the city of lahore to educate people about the dangers involved with puffing shisha smoke.
Moreover government should also play a vital role by putting a ban on the public selling of
shisha's in cafes and other places.

The workers working in shisha producing factories are also facing great health issues so
government should implement policies to provide them with healthy and safe working places
these demerit good producing stations should be banned completely.But, its not solely
governments responsibility to eliminate shisha but one should also take action.Worshops in
universities must be conducted to spread awareness.
And lastly, shisha is not dangerous only when smoked it gets even more killing when one starts
mixing hash and other drugs in it to get a more exciting feeling. So the provision of shisha should
be prohibited in every local or other pan shops, not only in lahore but all around the globe.

Methodology
We have gathered the data by taking 4 interviews and by makng random people fill out
the questionnaire online using esurveycreator.
About 30 questionaire were filled and the results were showed and analyised with the
help of pie charts. Most of the people filling the questionnaire are from university and
few are outsiders.
The interviews we took are from 4 different people involved in shisha smoking directly or
indirectly as: a consumer, a doctor, a shisha supplier and a cafe worker. There answrs are
also judged and analyised while writing the whole reserach.

Social Significance
Shisa in pakistan was introduced in the year 2000 in the city of lahore int a cafe called
"mini golf" , the owner of the cafe Shah Sharabeel increased his bank balances like great
and incouraged other cafe owners to serve shisha in their places to earn more as shisha
was and is become an integrel part of all gatherings. Shisha got so much hype that it was
now being served in the poshe areas of gulberg to the low areas like anarkali, mostly
underground.

It was really astonishing for us as a shisha consumer when we were invited to a friends
brother's wedding and we were served with a hookah, that moment had me like that
shisha is so acceptable by all in society. The serving of Shisha in wedding ceremonies is
becoming fashion nowadays. Shisha is being easily available at retail shops with lisence
even though there are many underground shops selling hookah and due to its easy
availablity it is present in each youngsters home , and when they were asked about what
their parents have to say when they see shisha in their rooms, the answers amazed us
even more as shisha's were not considered bad by their parents as were cigerettes.

Reasons why shisha is becoming more common these days is because of lack of
information people are really not educated enough and believe that shisha is health
friendly but what they dont really know it that it is more dangerouse than cigerettes.A
very import assumption was gathered when we intervied a regular shisha smoker that
why is shisha become so popular these days and the answer was recorded as that shisha
is becominng more like a trend and an incentive to have a meetup with friends.
Shisha in a short time span had gained a great popularity and have attracted all type of
people but mostly the youngsters of the late teens are its biggest consumers. Although
govenment is taking steps to overcome its growing popularity but this good act of
government still have raised many questions like , why to put a ban on shisha when no
action is taken on cigerettes and other drugs.

In answer it's basic that Shisha is socially acknowledged. At the point when individuals
don't get once more from attempting cigarettes and different medications then this
Shisha a delicious productive sweet enhanced smoking framework ought not hold back
by individuals. There are numerous purposes behind smoking Shisha some says that it is
a leisure activity, it is the best side interest with friends or simply puffing as others do it.
Shisha smoking isn't constrained to Shisha bars just yet it is spreading its underlying
foundations in educational premises too, With the floating news of Punjab
Government's thought for an inside and out entire prohibition on Shisha, numerous
eager financial specialists feel disheartened to advance in the beforehand sprouting
Shisha business. Obviously a 100 percent prohibition on anything can't be esteemed
conceivable however even a couple of successful measures here by the legislature can
prompt a generally huge potential drop in the Shisha market.

Shisha has turned out to be so basic in Pakistan that about all cafes, eateries and
restaurants offer Shisha in different flavors. Our youngsters today are pulled in to Shisha,
as it arrives in variety flavors and is well known as a gathering movement". Numerous
Shisha buyers have confidence in this false articulation that Shisha is less hurtful than
cigarettes yet actually calm diverse Shisha is much more unique in relation to cigarettes.
By smoking Shisha one breathes in more carbon monoxide as contrast with breathing in
of cigarettes, which cause heart infections, respiratory issues and numerous more like
cigarettes illnesses." According to an examination led in Saudi Arabia, where Shisha is
exceptionally well known, Shisha is more dangerous than a cigarette. Headaches, blurred
vision, palpitations and laziness are only a portion of the consequences of intaking such
drug by the consumers

Pakistani govenrment should take actions to stop the growing ill trend os shisha
smoking, smoking this publically should be completely banned and if someone just cant
live without drugs should take them in his/her home.Furthermore seminars should be
organised to aware people about its hookah smoking hazards.

Shisha smoking for one hour is equalent to 100 cigarettes, Shisha consumption has
increased like fashion in no time. Pakistan's Chest Society Sindh's General Secretary Dr
Mushataque Ahmed Memon said that a recent research has showcased that smoking
Shisha is 10 times more bad as compared to cigarette while smoking Shisha for an hour
is equival to smoking 100 cigarettes, further he told that the hazards of cigarette are no
hidden from anyone like mouth cancers and all.

Health General Secretary said that smoking hookah can cause lung cancer. Along with
respiratory problems and asthma.He further said that no actions have been taken to ban
shisha due to which it has become a keen problem for youngsters healt and it should not
be ignored.

Pakistan Medical Association's President Prof Dr Idrees Edhi said that Shisha is becoming
common since families do not consider it bad. He said especially the youth adopt Shisha
smoking as a trend which eventually leads to addiction.

He said that everybody knows about the risks of cigarettes however nobody knows
about the hazards of Shisha. Each cafe and eateries serve Shisha where every student
irrespective of gender appreciate the taste and smoke of Shisha without seeing its risks.
He brought up specific confusions which are the purposes for this rising pattern he said
individuals believe that Shisha is ecological agreeable because of ridiculous reasons
including that the tobacco is sifted through water before inward breath; less nicotine
content than that of a cigarette and more beneficial smoking because of the expansion
of natural product enhances yet these all are misunderstandings.Dr Javaid Khan told that
he directed a review in four colleges which uncovered that 43 percent male and 11
percent female students were the addicts of Shisha while 60 percent guys and 18
percent females had smoked Shisha once in their lives.

Shisha has become lifestyle for majority of the youngsters as we carried out a survey in
which we asked the quantity of consumption of Shisha on average, majority reply was
once a day is mandatory. Shisha has become more of a trend and a way of life showing
high standards. It has become a mean of get together. This really shows its importance.
Government carry out surveys, research and passing laws against Shisha shows that
Shisha is becoming Pakistanis culture its significance is increasing gradually. These days
hookah is becoming a major part of any event whether it is basant, wedding ceremony,
birthday party or any private party. Shisha is easy to score as cigarettes. But still people
due to their stupid assumptions like to consume more of shisha that it is less hazardous
and this shows that how badly our nation is affected by shisha in all ways.

Shisha Cafes
Cafe is anything where we go and have things to eat but when we talk about cafes in
pakistan specially in the city of lahore only one thing pops up in one's mind and that is a
shisha corner beacuse of its distingushing feature of serving shisha.
Shisha has been greatly on its popularity spree since its birth in lahore Pakistan around
15-18 years back . Being introduced in the national park area in the cafe names as "mini
golf".

As the demand for shisha grew dramatically like in the areas called Gulberg and Defense
(DHA), many shisha cafes were introduced there and as competition grew Mini Golf
started to launch variety of promotional schemes as at that time only their huge bank
balances were there concerns and not the health of the consumers.Mainly college going
age group was targeted by the shisha cafe owners by displaying hookah as the greatest
hype on all time.

As it was claimed in an article in 2010 that shisha is mostly common in the ages between
16-20 irrespective of gender where 70% are males and remaining are the females.
According our research mostly people dont know about the shisha hazards and those wo
even know about it dont take them seriously and one the greatest dangers of shisha is
that it may cause low fertility among girls.

There are like many underground cafes these days in all elite areas of lahore like gulberg
and DHA but the owners are illetrate and are not aware aboout the hookah hazards and
those who even know about them , they just dont care as long as their bank accounts
are happy.

The media and the DHA societal pressure was the reason that government got a bit
active in banning the practise of shisha smiking as about 5-6 years ago a girl died in DHA
while puffing shisha.This happened because shisha was set up with cocaine mixed in the
flavour and base was filled with alcohol rather than water, the two drugs had a bad cross
and the girl's body was unable to handle such reaction and she died.But, even after that
their was no any serious impact seen on the shisha providers or consumers and in DHA
outskirts shisha was still being served in the cafes.

When we are talking about shisha and its providers so we must not forget about the
workers in the shisha cafes, so just to fill out this gap we intervied Muhammad Arslan
one of the cafe worker for our research purpose.He said that when government had not
put such penalties on shisha and its provision , in that time he himself use to serve about
70 shisha servings a day.When he was asked about his health so he said he was normal
but what i noticed that he was so weak and was looking like a drug addict to be more
accurate.Furthermore when he was asked that why he dosent serve food so he claimed
that he liked it when his clients use to praise his shisha the way he sets it up.But what
thing had us amazed during his interview was that no safety precautions or health
benefits were given to the workers in the cafe, showing how cruel the owners are only
thing about self satisfaction.

This about thing clearly stats that the workers are not aware about the shisha hazards so
it is solely their employers duty to provide them with precautions and government
should arrange awareness seminars ragarding shisha hazards and further actions must
be taken against employers for exploiting workers.

Once the interview of worker was analyzed we moved towards the suppliers to see what
they have to say in their defence. And to see if they are affected by the raids in cafes
serving shisha as was held in jamin java gulberg.So it was made clear that the raids does
left an effect as many shisha cafes went underground and many wrote notes that
underage shisha selling is banned here and all.

Cafe Rock was surved for the above mentioned purpose and its owner Mr.Omer javed
Butt was interviewed.His cafe also had the sign board saying no selling of shisha to
underage people,and when was asked that if he was aware about the hazards of shisha
so the answer was that he was but he claimed that certain flavours like GUTKA are the
dangerous one's and his cafe dosent sell any of those flavours.Furthermore, he said that
his cafe's main purpose it to work as a restaurant not a shisha corner so shisha is only
provided if one orders food also and with this scheme he some how discourages
shisha.And lastly about workers benefits he said that those providing shisha are
receiving a cut on their working hours and nothing else.

As for govenrments consideration regarding shisha is that it cant be banned completely

beacause cigarettes are not being banned even after being a more dangerouse
addiction. Such kind of governments poor management had lead shisha to be in
consumers home which makes it clear that shisha cant be banned and no such affects
are to on the shisha industry.

The reasons for banning shisha in the elite areas of lahore was already known to all of
our interviewees that it was clear that shisha was set up using different types of
drugs.However, such allegation was never proved but was true even when Arslan the
worker was asked so he refused that no drugs were not used and if they were mixed like
cocaine so they were easily detected.But still some people still mnage to mix drugs and
even raids to cafes or underground cafes were not so strong because government
officials also take bribe from the cafe owners and let them go safely.As one can see
fromthe results,it is advisable for the government to take actions but legally and in an
appropriate manner.

Clientele
Shisha was introduced in pakistan as "hookah". It gradually gained its popularity among
the big cities like Lahore,Karachi and Islamabad. People addicted to it are so worried
with its ban and the only reason the increased number of both male and female
smokers.The different variety of flavours and the sweet smell of shisha does attract more
people than attracted by cigarette.

Smoking shisha is more like a lifestyle these days for the youngsters.The shisha places
are the greatest hypes and have gained a great number of customers. The elite areas of
lahore like DHA have releaxed many concerned parents that now their children are safe
but still their are many questions unanswered like, Why is shisha still allowed to be
served in some areas of lahore ? and Do cafe's need lisence to serve shisha ?

The NGO's and government should work togather and arrange awareness seminars to
educate people about the hazards of shisha just like they arrange seminars for the
dangers of cigarette smoking. Furthermore, if shisha is considered to be harmfull for
health so why is it not banned completely in the city and is allowed to be served in some
areas of lahore.

Youngsters are the main focus of all the tobacoo industry in the country of pakistan , as
they are the backbone of nation and are young and free and once they get addicted to
drugs so drug industry will be in profits.So, to overcome this scenerio heavy taxation
should be placed on the provision of drugs like shisha and tobacco promoting
advertisemnets should be banned. As this would help get control over the more number
of addicted youngsters.

Areas near kalma chowk and gaddafi stadium in lahore were considered to be the shisha
smoking hubs due to which CM Punjab Mr.Shahbaz Shareef took a note in senate on the
health of people and banning shisha to over come its addiction in young people
speacially girls.

Another important claim is that what parents dont know is that the flavour used to set
up shisha is as dangerous as cigarette due to which Tobacco Control Cell have printed
and distributed flyers in different places to make sure that how bad shisha is and should
not be given to anyone under the age of 18.

As indicated by Muhammad Ahmed Pansota a police group drove by the Liberty police
SHO assaulted Restaurants of Danial Arif (Sheikhoo's Cafe at MM Alam Road), and Arif
Saleem (Cafe Life at Gaddafi Stadium). There were two Shishas held from Arif's eatery
and four from Saleem's. The police disclosed to them that were not permitted to serve
Shishas, however the police had nothing in composed. The applicants' additional they
serve Shisha all through the area with no resistance from the administration authorities.
The customers were not involved in any criminal exercises rather the police strike was
unlawful and intended to extort them to close their business. The customers knew about
every one of the principles and direction with respect to their business. The police
assault harmed the applicants' notoriety for being well as brought about awesome
misfortune Pansota included. The court has been asked for to announce this activity of
police illicit and unlawful.

Habiba Younis calls attention to that Shisha at first rose as a style symbol in "elite circles"
has now secured individuals from about all types of society. The most inclined of these
were, obviously, youngsters. For some, it was a side interest, a past time with
companions, a mean of being progressed with the most recent patterns or basic
recreation puffing since others are doing it. Besides, these days its use isn't just bound to
Shisha bars yet it is additionally developing roots in instructive premises, for example,
colleges.

It isn't uncommon to discover students having their personal water pipes in college
dorms. Additionally a reality worth specifying here is that under the front of Shisha
custom numerous different medications are currently accessible in the market.
Numerous bars have been accounted for to serve Shisha blended with illicit medications
like cocaine and hashish.

Shisha is becoming like the best alternate to cigarette as smoking it twice a day makes
you less needy about smoking a cigarette as it gives out less CO than cigarette and have
environment friendly flavours.

WHO (World Health Organization) the TCC of the service of wellbeing has created a 15-
minute video to attract regard for tobacco control laws and their authorization in
Pakistan. The narrative examines the Shisha among youth and the prohibitation of offer
of tobacco items to youth. Shisha has turned into a style image and youth are utilizing it
without understanding its effect on wellbeing.

CPO Ghulam Mehmood Dogar says while conversing with appointments of students that
youthful age is ruined because of economic disparity and they are a subject to sexual
abuse. It is named as a catastrophe of the general public. The police are subsequently,
requested to dispatch crackdown soon against medicate trafficking, web cafes and
Shisha smoking.

As indicated by an overview there are about 30 million smokers in the nation. Just about.
100,000 passings consistently are identified with smoking . More than 85 percent of the
instances of lung and mouth malignancy and asthma are smoker. Pakistanis spend over
Rs50 billion every year on smoking. The Anti Narcotic Force report says one hour
smoking of Shisha is more hurtful than smoking of 100 cigarettes

Similarly it is stated that, the proportion between youthful male and youthful female
smokers had contracted from 4:1 of every 1996 to 2:1 out of 2003. It is disturbing to take
note of that Shisha smokers are maturing in numbers, because of specific conventions
appended to it made it more well known among the young today. There is a critical need
to teach people in general against the threats of the Shisha utilize. ("Tabacco kills 274
Pakistanis consistently: specialists") According to a social laborer Munir Khan who went
by in excess of 5 Shisha Houses in Model Town, Johar Town, Tech Society, DHA and M
Alam street Gulberg advised this copyist that he conversed with a gathering of
adolescents sitting in a Shisha House and they revealed to him that their parents were
unaware about water pipe smoking and even if they knew somehow they would have
no issue with it.

Health Issues
Shisha smoking is quite dangerous for mans health.Its growing trend is in boom from
past few years because of false understandings about it that it has lower level of nicotine
than that of cigarette along with that it has low level of CO and its water filter out many
of the dangerous chemicals.But what people doesnt know is that the nw researches
have stated that there are three additional risks over cigarette when smoking shisha:

1. Flavoured tobacco releases fumes when burned with coals which add mre toxins
to already dangerous smokes

2. 200 times more smoke is inhaled when smoking shisha compared to a cigarette

3. High levels of secondhand smoke( Our literature review)

Smoke from the Shisha contains many dangerous chemical metals like, Arsenic, Cobalt,
nicotine, coaltar, Carbon Monoxide (CO), Lead and Chromium. Research has
demonstrated that under typical Shisha session the smoke delivered from a solitary pipe
utilize contain around a similar measure of Nicotine and Tar identical to 20 Cigarettes.
Research has additionally showcased that following 45 minutes of Shisha utilize
terminated air, carbon monoxide, plasma nicotine and heart rate are altogether lifted.
While look into about Shisha smoking is as yet rising, confirm demonstrates that it
postures numerous threats:

·1 Shisha contains toxins those may cause lung cancers

·2 Shisha releases same amount of nicotine as cigarette causeing tobacco

 dependence

·3 Shisha smoke posses secondhand smoke CO.

·4 Shisha smoking for girls causes low fertility and if smoked by pregnant women
the weight of babies may be under the optimum level

·5 Shisha pipes are not cleaned properly in cafes hence increasing the chances of
diseases like : TB, herpes and etc

The real aim of this research paper is to make people aware about the hazards linked
with the shisha smoking and the research results stated that most people are addicted
to it due to its flavours and the aromatic smells released when it is burnt on coals.

While doing the research, different visits were made to various cafes, and it was
discovered that customers fell a feeling of joy when smoking shisha. Nicotine produces
physical and temperament adjusting impacts in your cerebrum that are incidentally
satisfying. These impacts influence you to need to utilize tobacco and prompt reliance.
At the same time, stopping tobacco use causes withdrawal symptoms, including
irritability and anxiety. (Wikipedia)

There are many ways to get over the addiction of nicotine, and there are various reasons
for your addiction:

·6 You just cant stop smoking even after making many attempts to stop it.

·7 You may have experienced withdrawl symptoms, like mode-swings including

anger and other.

·8 Even when you are suffering from different types of health issues or diseases you
still dont stop or you just cant stop.

·9 You start giving up at life, places and people when you cant smoke in front of
them cause for you smoking is everything now.

Shisha contains Carbon Monoxide (CO) which creates certain hurtful ailments, for
example, Chronic obstructive aspiratory disease(COPD), otherwise called ceaseless
obstructive lung disease(COLD),chronic obstructive aviation route disease(COAD),chronic
wind stream limitation(CAL) and unending obstructive respiratory disease(CORD), which
is the co-event of constant bronchitis and emphysema, a couple of usually coinciding
ailments of the lungs in which the aviation routes end up limited. (U.S. National Heart
Lung and Blood Institute - What is COPD).This prompts an impediment of the stream of
air to and from the lungs, causing shortness of breath. In clinical practice, COPD is
characterized by its naturally low wind stream on lung work tests.In complexity to
asthma, this impediment is ineffectively reversible and normally deteriorates after some
time.

COPD is caused by harmful particles or gas,usually caused by tobacco smoking, which

starts an abnormal inflammatory response in the lungs.Moreover, aschronic bronchitis,
which is analyzed clinically when individuals routinely hack upsputum. In the alveoli, the
fiery reaction causes decimation of the tissues of the lung, a procedure known as
emphysema.Furthermore, COPD also leads to acute exacerbations which are as a result
of infections and polluted air.

People feel difficulty in breathing as a symptom of COPD.There breath shortens and the
can not breath properly.Individuals with COPD ordinarily depict this as: "My breathing
requires exertion," "I can not breath,".People with COPD, commonly first notice dyspnea
when they excersise and lungs need oxygen. Dyspnea has a tendency to get worse and it
also starts to occur in the daily activities as well. In the later stages of COPD, dyspnea
worsens and also starts when resting and does not stops.Moreover, other signs of COPD
are coughing, chest tightening and tiredness.

In many cases of COPD, there is a respiratory failure. At the point when this
happens,cyanosis, a pale blue staining of the lips caused by an absence of oxygen in the
blood, can happen. An abundance of carbon dioxide in the blood can cause cerebral
pains, sluggishness or jerking (asterixis). An entanglement of cutting edge COPD is cor
pulmonale, a strain on the heart because of the additional work required by the heart to
direct blood through the influenced lungs.

There are some common symtoms of COPD, although these are found in other diseases
as well but with these there is a high risk that the individual is affected with COPD.The
symptoms are as follows:

·10 Increased breathing rate

·11 weezing sound of lungs

·12 Imbalance between breathing in and out

·13 Breathing throgh pursed lip

·14 increased antero posterior to lateral ratio of the chest

Carbon monoxide released from smoking shisha also results in cough with sputum
production.This means there is more mocus present in the airways with naroow them
down and coughs with sputum takes place.Due to this the inner walls of the lung airways
become thick and breathing problems takes place as the flow of breath is disturbed or
naroowed down causinf asthma sometimes.

Emphysema is likewise caused because of the presence of CO which is a critical element

of hookah smoke. Lung harm and aggravation of the air sacs (alveoli) brings about
emphysema.Emphysema is characterized as amplification of the air spacesdistalto
theterminal bronchioles, with demolition of their walls.The obliteration of air space
dividers lessens the surface area available for the trading of oxygen and carbon dioxide
during relaxing. It additionally decreases the flexibility of the lung itself, which brings
about lost help for the aviation routes that are implanted in the lung. These aviation
routes will probably crumple making further confinement wind stream. The exertion
made by patients experiencing emphysema amid exhalation, causes a pink shading in
their appearances, thus the term generally used to refer to them as, "Pink Puffers"

Epidemiological studies demonstrate that non-smokers are more affected than the
regular smokers and are at more risk for medical problems.We met Doctor Atif
Mehmood, it was a stunning reality to discover that Shisha smoking influences the
regular smoker as well as influences the nearby people as well more than the regular
smoker. This is called Passive smoking which is the inward breath of smoke, called
secondhand smoke(SHS) or environmental tobacco smoke(ETS), from tobacco items
consumed by others. It happens when a smoker smokes and a person is near him, he
also has to breath thus takes the smoke inside.Doctor Atif demonstrated that used
tobacco smoke causes swear affects. As of now, the life dangers of used smoke are more
worse, and these dangers are usually indoor where there is less air and oxygen.

According to the research, more correct measures of used smoke presentation

recommends that dangers to nonsmokers might be significantly more higher . A British
report revealed that presentation to used smoke expands the danger of coronary illness
among non-smokers by as much as 60%, like light smoking.Evidence additionally
demonstrates that breathed in side stream smoke, the primary part of used smoke, is
around four times more dangerous than standard smoke, a reality that was known to the
tobacco business since the 1980s, which kept its discoveries mystery. A few researchers
trust that the danger of aloof smoking, specifically the danger of creating coronary heart
illnesses, may have been considerably thought little of.

A minority of doctors think that its difficult to see how ecological tobacco smoke, which
is significantly more weak than effectively breathed in smoke, could have an impact that
is additional danger of coronary illness among dynamic smokers.One proposed
clarification is that used smoke isn't just a weakened adaptation of "standard" smoke,
yet has an alternate structure with more dangerous substances per gram of aggregate
particulate matter.Passive smoking seems, by all accounts, to be fit for hastening the
intense appearances of cardio-vascular ailments (atherothrombosis) and may likewise
negatively affect the result of patients who endure intense coronary disorders. Raupach
T, Schäfer K, Konstantinides S and Andreas S (2006). "Used smoke as an intense risk for
the cardiovascular framework: a change in paradigm".(European Heart Journal,27, 4,
pp.386-392).

Dr.Sobia a local gynecologist in lahore stated that inhaling or doing smoking is one of the
reasons for increasing in miscarragies. Furthermore, smoking does cause low birth
weights of the newborns along with an increase in infant death syndroms. furthermore,
smoke intake can cause the fetus in the womb to lose brain cells and can be the cause of
accidental deaths.

Another health study showcased that smoking shisha dosen't only makes women
fertility questionable but it also cause sperm count in males to be low which is quite
dreadful news for the youngsters.

Although shisha smoking is trending but along with its coolness its also giving birth to
different types of cancers inclunding lungs , orals and others.Different types of heart
diseases and respiratory problems also take place due to increased shisha
smoking.Bladders , kidneys and pancrease are also badly affected by the smoke of
hubble bubble.

Oral cancer one of the most widespread disease of shisha is sore throught that dosent
go away ever, as cancer is the increased number of cells in body those are not
controlable and cause damage to the surrounding tissues.

According to our research we have gathered few symptoms those are common or are in
the early stages of cancers of lip, nose, throat , mouth and others and are best to be
treated early if noticed in one :

·15 Swelling of the areas like: lips, throat, mouth and others.

·16 The developement of red and white patches in the mouth.

·17 Unexplained mouth bleeding with numbness and laziness.

·18 Difficulty while chewing and swallowing.

·19 Chronic sore throat

·20 A change in your teeths pattern, the way you bite.

Dr Atif additionally told us that Sore throat is because of the consumption of Shisha.
Sore throat is torment, scratchiness or aggravation of the throat that increases when you
swallow. A sore throat is the sign of pharyngitis which is soreness of the pharynx, or
throat.

As per a few respondents, Sinus migraines are additionally experienced because of the
smoke. You may feel weight around your eyes, cheeks and brow. Plus your head throbs
as well. In spite of the fact that these can show sinus migraines, don't form a hasty
opinion. Numerous individuals who expect they have sinus cerebral pains really have
headaches or strain migraines. At the point when sinus migraines caused by sinusitis do
happen, legitimate analysis and treatment are the keys to help.

During the research, we discovered that a one hour session of Shisha smoking is equal to
100 cigarettes. While meeting a specialist at Hameed latif Hospital, Lahore, it was
stunning to know that even the specialist consented to this reality which already just
appeared like a thought. As per a House Officer Dr. Ali Tariq at Hameed latif Hospital,
Lahore, the tobacco is no less lethal in a Shisha pipe, and the water in the Shisha does
not sift through the dangerous fixings in the tobacco smoke. At the point when made the
inquiry on the off chance that one hour of Shisha smoking is proportionate to 100
cigarettes, he disclosed to us that Shisha smokers may really breathe in more tobacco
smoke than cigarette smokers.

"Shisha massivly affects the body since it opens the smoker to a substantially bigger
volume of smoke than what might be breathed in from a cigarette. Despite the fact that
the smoke is sifted through by water, inward breath of harmful substances is like or
much more prominent than that of cigarette smoking. Numerous individuals are deluded
in trusting that water sift through the poisons and that nicotine is decreased in water
pipe smoking. Not exclusively does water pipe smoking incorporate an indistinguishable
substances from tobacco smoke, for example, carbon monoxide and tar, tobacco utilized
for water pipe smoking contains two to four percent nicotine, rather than the one to
three percent for cigarettes,"Dr Atif said. "The weights of work and passionate worry of
individuals who feel they don't experience their lives well make strain and mental
torment," he said.

They need to stop this torment, so they choose to smoke Shisha, which has chemicals
that are caught up in the lungs. Those soothing chemicals make a trip through the blood
to sedative focuses in the mind, making individuals to relax.

A sole session of smoking Shisha produces carbon monoxide levels four to five times
higher than those created from smoking a cigarette. At the point when the breath of
substantial tobacco smokers was estimated, carbon monoxide levels of 30 to 40 ppm
(parts per million) were found. These levels show that roughly 5 to 7 percent of blood
was not working legitimately. The breath of Shisha smokers estimated 40 to 70 ppm of
carbon monoxide, bringing about 8 to 12 percent of blood being influenced. BBC News
takes note of that the typical carbon monoxide level is 3 ppm. Hoisted carbon monoxide
levels can bring about mind harm and obviousness.

Despite the fact that not a hazard specifically connected with Shisha, the spread of
irresistible sickness is related with shared water channels. silva is exchanged through the
hose attached to the shisha resulting in many dangerous diseases, for example,
tuberculosis, herpes and the H1N1 infection, and additionally more typical ailments, for
example, the icy and influenza infections.

Even if one tries to quite the bad habit of shisha smoking he just cant get it over that
quickly because of peer pressure around the person and the feel that he/she once
smoked just cant allow the person to overcome smoking that easily.