Figure 11.1: nicotine tobacco products adapted from City of Bradford Metropolitan District Council Common names for products containing tobacco include: waterpipes, shisha, hookah, hubble-bubble (containing tobacco and flavourings) zarda (tobacco often added to paan) gutkha (processed tobacco with added sweeteners) scented chewing tobacco (tobacco with added flavours) naswar, nas, niswar (tobacco with slaked lime, indigo, cardamom, oil, menthol, water) chillam (heated tobacco) paan (tobacco, areca nut or supari, slaked lime, betel leaf) snuff, snus (powdered or ground tobacco) khaini (tobacco, slaked lime paste, sometimes areca nut) Although there has been less research on smokeless tobacco use, a similar approach to delivering very brief advice is recommended (chapter 2, table 3b) for patients who are users [footnote 34]
Chewing tobacco, a habit often dismissed as less harmful than smoking cigarettes, carries significant health risks, including an increased risk of mouth cancer
To avoid any messes with excess shisha juice, we use phunnel bowls like the 80 Feet Espana and Kaloud Vitria bowls
Occasional cigar enthusiasts or first-timers lack this protection and are far more susceptible to nausea