Shisha Kommentar

Punkt
A:
Der
Nikotin­Spiegel
ist
beim
Wasserpfeiferauchen
genauso
hoch
wie
beim
Zigarettenrauchen.
Konsequenzen
sind
z.B.
Abhängigkeit,
erhöhtes
Krebsrisiko
(Nikotin
erhöht
die
Schädlichkeit
von
Kanzerogenen
für
16
verschiedene
Krebsarten),
Schlaganfall
und
Herzinfarkt
Risiko.
Quellen:
­
Cobb
CO,
Shihadeh
A,
Weaver
MF,
Eissenberg
T.
Waterpipe
tobacco
smoking
and
cigarette
smoking:
a
direct
comparison
of
toxicant
exposure
and
subjective
effects.
Nicotine
Tob
Res
2011;
13:78­87,
doi:10.1093/ntr/ntq212.[2]
Punkt
B:
lebensgefährliche,
akute
Kohlenmonoxid
Vergiftungen
bei
Wasserpfeiferauchern
sind
bereits
aufgetreten
und
stellen
ein
neue
Gestalt
eines
alten
Lasters
der
Notfallmedizin
dar.
Dies
liegt
daran,
dass
deutliche
mehr
CO
beim
Wasserpfeiferauchen
als
beim
Zigarettenrauchen
produziert
wird.
Quellen:
­
Cobb
CO,
Shihadeh
A,
Weaver
MF,
Eissenberg
T.
Waterpipe
tobacco
smoking
and
cigarette
smoking:
a
direct
comparison
of
toxicant
exposure
and
subjective
effects.
Nicotine
Tob
Res
2011;
13:78­87,
doi:10.1093/ntr/ntq212.[2]
­
Schubert
J,
Hahn
J,
Dettbarn
G,
Seidel
A,
Luch
A,
Schulz
TG.
Mainstream
smoke
of
the
waterpipe:
does
this
environmental
matrix
reveal
as
significant
source
of
toxic
compounds?
Toxicol
Lett.
2011
Sep
10;205(3):279­84.
Epub
2011
Jun
25.[3]
­La
Fauci
G,
Weiser
G,
Steiner
IP,
Shavit
I.Carbon
monoxide
poisoning
in
narghile
(water
pipe)
tobacco
smokers.CJEM.
2012
Jan
1;14(1):57­9.[4]
­
Marco
L.A.
Sivilotti,
MD,
MSc*;
Riyad
B.
Abu­Laban,
MD,
MHSc†;Inhaling
smoke
causes
smoke
inhalation:
put
that
in
your
hookah
pipe!
CJEM
2012;14(1):3­4
[7]
Punkt
C:
Die
Belastung
mit
Kanzerogenen
ist
genauso
ausgeprägt
und
gesundheitsschädlich
wie
in
Zigarettenrauch.
Quellen:
­
Schubert
J,
Heinke
V,
Bewersdorff
J,
Luch
A,
Schulz
TG.
Waterpipe
smoking:
the
role
of
humectants
in
the
release
of
toxic
carbonyls.
Arch
Toxicol.
2012
Jun
17.
[Epub
ahead
of
print].[8]
­Schubert
J,
Hahn
J,
Dettbarn
G,
Seidel
A,
Luch
A,
Schulz
TG.
Mainstream
smoke
of
the
waterpipe:
does
this
environmental
matrix
reveal
as
significant
source
of
toxic
compounds?
Toxicol
Lett.
2011
Sep
10;205(3):279­84.
Epub
2011
Jun
25.[3]
Punkt
D:
Das
Wasserpfeiferauchen
führt
wie
Zigarettenrauchen
zur
chronischen
Bronchitis
und
einer
das
Lungengewebe
zerstörenden
Entzündung.
­Rammah
M,
Dandachi
F,
Salman
R,
Shihadeh
A,
El­Sabban
M.
In
vitro
cytotoxicity
and
mutagenicity
of
mainstream
waterpipe
smoke
and
its
functional
consequences
on
alveolar
type
II
derived
cells.
Toxicol
Lett.
2012
Jun
20;211(3):220­31.
Epub
2012
Apr
10.[5]
Zitate:
“These
findings
are
consistent
with
the
conclusion
that
waterpipe
tobacco
smoking
presents
substantial
risk
of
dependence,
disease,
and
death,
and
they
can
be
incorporated
into
prevention
interventions
that
might
help
deter
more
adolescents
and
young
adults
from
experimenting
with
an
almost
certainly
lethal
method
of
tobacco
use.”[2]
“Altogether,
the
data
presented
in
this
study
point
to
the
health
hazards
associated
with
the
consumption
of
waterpipes.”[3]
“We
present
an
acutely
confused
adolescent
patient
who
had
CO
poisoning
after
narghile
tobacco
smoking.
She
presented
with
syncope
and
a
carboxyhemoglobin
level
of
24%
and
was
treated
with
hyperbaric
oxygen.
Five
additional
cases
of
CO
poisoning
after
narghile
smoking
were
identified
during
a
literature
search,
with
carboxyhemoglobin
levels
of
20
to
30%.”[4]
“Even
under
optimal
conditions,
it
far
exceeds
the
carbon
monoxide
in
the
exhaust
of
the
2000
Toyota
4­Runner
truck
one
of
us
drives”[7]
“Poisoning
prevention
will
be
the
focus
of
the
March
2012
SafeKids
Week,
an
event
that
will
emphasize
public
health
advocacy,
legislation,
and
education.”[7]
“Should
we
expect
Health
Canada
to
consider
banning
the
hookah
based
on
the
Canada
Consumer
Product
Safety
Act,
new
legislation
intended
to
protect
the
public
from
products
that
are
dangerous
to
health
when
used
as
intended?
Or
should
we
simply
content
ourselves
by
educating
our
patients
and
colleagues
to
“be
aware”
of
what
seems
obvious:
that
inhaling
smoke,
or
burning
charcoal
indoors
for
that
matter,
can
be
a
bad
idea?
Neither
traditional
practices
nor
popular
youth
trends
should
be
immune
from
scrutiny
and
common
sense.”
[7]
“Altogether,
considerable
amounts
of
toxic
carbonyls
are
present
in
the
waterpipe
smoke,
thus
conferring
a
health
risk
to
waterpipe
smokers.”
[8]
Quellen:
[1]
G.
Herold
„Innere
Medizin“
2010
[2]Cobb
CO,
Shihadeh
A,
Weaver
MF,
Eissenberg
T.
Waterpipe
tobacco
smoking
and
cigarettes
smoking:
a
direct
comparison
of
toxicant
exposure
and
subjective
effects.
Nicotine
Tob
Res
2011;
13:78­87,
doi:10.1093/ntr/ntq212.
[3]
Schubert
J,
Hahn
J,
Dettbarn
G,
Seidel
A,
Luch
A,
Schulz
TG.
Mainstream
smoke
of
the
waterpipe:
does
this
environmental
matrix
reveal
as
significant
source
of
toxic
compounds?
Toxicol
Lett.
2011
Sep
10;205(3):279­84.
Epub
2011
Jun
25.
[4]
La
Fauci
G,
Weiser
G,
Steiner
IP,
Shavit
I.Carbon
monoxide
poisoning
in
narghile
(water
pipe)
tobacco
smokers.CJEM.
2012
Jan
1;14(1):57­9.
[5]
Rammah
M,
Dandachi
F,
Salman
R,
Shihadeh
A,
El­Sabban
M.
In
vitro
cytotoxicity
and
mutagenicity
of
mainstream
waterpipe
smoke
and
its
functional
consequences
on
alveolar
type
II
derived
cells.
Toxicol
Lett.
2012
Jun
20;211(3):220­
31.
Epub
2012
Apr
10.
[6
1.
]Hakim
FM,
Hellou
EB,
Goldbart
AM,
et
al.
The
acute
effects
of
water­pipe
smoking
on
the
cardiorespiratory
system.
Chest
2011;
139:775­81.
[7]Marco
L.A.
Sivilotti,
MD,
MSc*;
Riyad
B.
Abu­Laban,
MD,
MHSc†;Inhaling
smoke
causes
smoke
inhalation:
put
that
in
your
hookah
pipe!CJEM
2012;14(1):3­4
[8]
Schubert
J,
Heinke
V,
Bewersdorff
J,
Luch
A,
Schulz
TG.
Waterpipe
smoking:
the
role
of
humectants
in
the
release
of
toxic
carbonyls.
Arch
Toxicol.
2012
Jun
17.
[Epub
ahead
of
print].