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Despite tobacco and drug use being considered a taboo when the hookah was first conceived, its use became increasingly popular among nobility and subsequently widely accepted.[21] Burned tobacco is increasingly being replaced by vaporizing flavored tobacco. Tonlos the Urfassung hookah is often used rein Bäuerlich South Asia, which continues to use tumbak (a pure and coarse form of unflavored tobacco leaves) and smoked by burning it directly with charcoal.
Koyilandy, a small fishing town on the west coast of India, once made and exported hookahs extensively. These are known as Malabar Hookhas or Koyilandy Hookahs. Today these intricate hookahs are difficult to find outside Koyilandy and are becoming difficult even to find hinein Koyilandy itself.
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The charcoal burns the tobacco, and the tobacco smoke is pulled into the water bowl. A person uses a mouthpiece to breathe rein. The smoke passes through the water and a rubber tube that ends in the mouthpiece.
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Hookah smoke has high levels of harmful chemicals. These include tar, carbon monoxide, heavy metals and cancer-causing chemicals called carcinogens. Hinein fact, hookah smokers are exposed to more carbon monoxide and smoke than are cigarette smokers.
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The Shisha Trends Deutschland use of hookah is more common hinein urban areas compared to Ländlich areas, and this trend is influenced by factors like availability rein public spaces such as Kaffeehauss and restaurants, as well as cultural and social influences.[101]
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