by thearabweekly.com — By Samar Kadi– Recent studies indicated that most shisha smokers in Lebanon are women and young Lebanese are among the heaviest shisha smokers in the world. – “It is a nice pastime, especially when we sit with friends in cafes, chatting while having a smoke,” said Nada Cherif. Cherif said she was never enticed to smoke cigarettes but she is a regular user of nargile — also known as shisha, hookah or water pipe — which has become an epidemical trend in Lebanon. Cherif insisted that she is not a tobacco addict. “I have friends who smoke the nargile more than once a day and alternate with cigarettes,” she said.
Lebanon has been ranked among the world’s highest tobacco-consuming countries in recent years. In 2015, a report by the World Health Organisation (WHO) put Lebanon third for the highest cigarette consumption per capita. “It is no surprise that we have the highest cancer rate in the region,” said Nadine Chatila, director of communications at the American University of Beirut Medical Centre (AUBMC). “The problem is that indoor smoking is allowed in many public places. Shisha is easily accessible and you can even have it delivered to your home at a very cheap price.” AUBMC’s cancer department estimates that 8,000 cases of cancer are reported in Lebanon annually. Dr Nagi Saghir, professor of haematology-oncology and director of the breast cancer centre at AUBMC, has stated that cases are divided equally between the sexes and that, among the 4,000 cases of cancer in women, 1,700 are breast cancer. Oncologist Dr Joseph Makdessi noted that cancer prevalence has risen globally, not only in Lebanon, with lung cancer being the most common type of the disease. “Almost 90% of lung cancer cases are related directly to smoking,” Makdessi said. “Among females, cases of breast cancer are the highest, whereas prostate cancer is the most common among men.” While smoking could be one of the main causes for lung cancer, other factors are relevant for the increase in cancer cases, Makdessi said.