Similar to cigarettes, hookah smoking delivers the addictive
drug nicotine and it is at least as toxic as cigarette
smoking. While many hookah smokers may consider this
practice less harmful than smoking cigarettes, hookah
smoking carries many of the same health risks as
cigarettes.
Hookahs are water pipes that are used to smoke specially
made tobacco that is usually flavored. They are also called
a number of different names, including waterpipe, narghile,
argileh, shisha, hubble-bubble, and goza. Hookah smoking
is typically practiced in groups, with the same mouthpiece
passed from person to person.

In recent years, there has been an increase in hookah use
around the world, most notably among youth and college
students.

The Risk
According to a study published in the 2012 issue of CDC's
Preventing Chronic Disease (PCD ) , many hookah smokers
believe that smoking a hookah carries less risk of tobacco-
related disease than cigarette smoking. However, hookah
smoke contains many of the same harmful toxins as
cigarette smoke and has been associated with lung cancer,
respiratory illness, low birth weight, and periodontal disease.

According to a report from the World Health Organization
(WHO), a hookah smoking session may expose the smoker to more smoke over a longer period of time than occurs when smoking a cigarette. Also, due to the method of smoking—including frequency of puffing, depth
of inhalation, and length of the smoking session—hookah
smokers may absorb higher concentrations of the same
toxins found in cigarette smoke.

Hookah Smoke and Cancer

The charcoal used to heat tobacco in the hookah
increases the health risks by producing smoke that
contains high levels of carbon monoxide, metals, and
cancer-causing chemicals.

A typical 1-hour-long hookah smoking session involves
200 puffs, while an average cigarette is 20 puffs. The
volume of smoke inhaled during a typical hookah
session is about 90,000 milliliters, compared with 500
to 600 milliliters inhaled when smoking a cigarette.
Using a hookah to smoke tobacco poses a serious
potential health hazard to smokers and others exposed
to the emitted smoke.

With this, you should therefore be informed that smoking Shisha doesn't make you a different from someone that smokes cigarette. Just know that smokers are liable to lung cancer and thus are liable to die young.