Environment
High burden — Hookah / Shisha Smoke is a significant avoidable exposure.
Water-pipe tobacco smoked over a long session.
Each driver rated 0 (none) to 10 (worst)
Evidence strength: strong · Detox Score = 100 − hazard×4.6 − exposure×3.4 − persistence×2.6, clamped 1–100.
A Detox Score of 37 places hookah / shisha smoke in the High band. The chemical-hazard rating is what drives the score down. A hookah session can deliver more smoke, carbon monoxide and polycyclic aromatic hydrocarbons than a single cigarette. The water pipe cools the smoke but does not filter out the toxicants.
Hookah / Shisha Smoke has a Detox Score of 37 out of 100 (High burden), which means it is a significant avoidable exposure. A hookah session can deliver more smoke, carbon monoxide and polycyclic aromatic hydrocarbons than a single cigarette. The water pipe cools the smoke but does not filter out the toxicants.
A lower-exposure swap for hookah / shisha smoke is: Avoiding it — the water does not make it safe. A hookah session can deliver more smoke, carbon monoxide and polycyclic aromatic hydrocarbons than a single cigarette. The water pipe cools the smoke but does not filter out the toxicants.