The Hidden Dangers of Hookah: Understanding the risks
- Dimpho Ditsebe
- May 27
- 3 min read
Updated: Jul 11
Hookah, also known as hubbly bubbly, has become a popular feature at social gatherings, particularly among young people. With its fruity flavors and smooth, fragrant smoke, it often seems harmless, almost relaxing. But behind the haze lies a much more dangerous reality.
In an interview with Dr. Sedibe, a General Practitioner at Myclinic, we uncovered the hard truths about hookah smoking. A young user also shared candid insights about why so many are drawn to it, and why that’s a significant concern.
The deceptive allure of Hookah
Young adults are increasingly embracing the hookah culture. Its appealing presentation and varied flavours create an enticing social environment. However, it's crucial to question whether it's worth the risk. The popularity of hookah may stem from misconceptions about its safety compared to cigarettes.
Dr. Sedibe sheds light on these misconceptions with hard facts. Many people believe that the water in hookah pipes filters out harmful substances, making them safer. This is far from the truth. The potential health risks should give everyone pause.
Hookah vs. Cigarettes: Which is Worse?
Many people believe that hookah is a safer alternative to cigarettes, mainly because the smoke passes through water. But as Dr. Sedibe points out, this assumption is dangerously flawed.
“One hookah session can last up to an hour and include more than 100 puffs, compared to just 10–15 in a cigarette.”
Here’s what that means in real terms:
Nicotine, tar, carbon monoxide, and other cancer-causing substances are still present.
The water does not filter out toxins; it merely cools the smoke, making it feel less harsh.
The quantity of smoke inhaled during a single session is significantly greater than with cigarettes.
The Real Health Risks of Hookah
Dr. Sedibe warns that regular hookah use comes with serious long-term health consequences:
Lung and throat cancers
High blood pressure and heart disease
Recurrent chest infections
A weakened immune system
Increased risk of tuberculosis, especially when pipes are shared
“Sharing a hookah pipe is like kissing everyone in the room,” Dr. Sedibe explains. “You’re exposing yourself to all their germs and potentially serious infections.”
Yes, Hookah is Addictive
Despite its sweet scent, hookah smoke contains nicotine, the same addictive substance found in cigarettes. Many young people underestimate this risk.
“It relaxes you after a long day,” said one casual user who started smoking hookah at 18. “I only smoke twice a month, so I think I’m safe.”
But even infrequent use can lead to dependence. Those headaches and dizziness are early signs that her body is reacting to the chemicals she’s inhaling. The idea that hookah is harmless is a common myth. In reality, it can be just as addictive as any other form of smoking.
What About Secondhand Smoke?
Think you're in the clear because you don’t smoke? Think again. Sitting in a room where others are using hookah puts you at risk too.
Dr. Sedibe stresses that passive smokers inhale many of the same toxins and often in larger quantities because of poor ventilation. Secondhand exposure to hookah smoke can contribute to similar health risks as traditional cigarettes.
Final Word: Should You Quit?
Dr. Sedibe shares his own story of quitting smoking and the improved health he now enjoys:
“These substances will eventually shorten your life. Quit early. Seek help if you need it. Your future self will thank you.”
Before You Light Up: Ask Yourself, What Are You Really Gaining?
You're not missing out by saying no. You're saving your lungs, your heart, and your future.
Know the risks. Choose wisely.
It's essential to stay informed about the realities of hookah smoking. Educating yourself can empower you to make healthier choices. Engaging in open conversations about the risks can also help challenge the perceptions surrounding hookah.
A Lasting Impact on Public Health
The health implications of hookah extend beyond individual users. Communities can suffer from increased healthcare costs due to diseases linked to smoking. As hookah lounges become commonplace, public health officials face challenges in addressing these issues.
Understanding Addiction and Recovery
If you or someone you know struggles with addiction to hookah, support is available. Many resources, including counseling and support groups, can provide assistance. Recognizing the signs of addiction is the first step toward a healthier future.
The Role of Education in Prevention
Education is our best tool in combating the misconceptions surrounding hookah. Schools, parents, and community organisations should work together to raise awareness about the risks. Providing accurate information can deter young people from starting to smoke.
🎥 Watch the full interview on our YouTube channel: Myclinic Healthcare – YouTube

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