wood smoke vs cigarette smoke Everything you Need to Know About Smoking Traditional Cooking's Hidden Health Risks:

In 2016, cardiovascular disease, cancer, and chronic lower respiratory diseases were the first, second, and fourth leading causes of death in Wyoming, respectively (CDC, NCDHS, 2017)

The report seemed to lead some people to quit, but smoking rates were back up in 1965

This approach may mean that dedicated smoke breaks are not provided beyond the standard break times

Thus, prolonged or heavy use of hookah may induce risk of tumor development, especially in oral cavity and esophagus, which further argues against the notion that hookah has no/less harm if not inhaled kept in mouth. Indeed, incidence of benign lesions of the vocal cords was linked to the presence of cysts in 4.8% of hookah users, which was similar to cigarette smokers [134]