Skip to main content

Advertisement

Log in

Indoor air quality in waterpipe cafés: exposure level to particulate matter

  • Research Article
  • Published:
Environmental Science and Pollution Research Aims and scope Submit manuscript

Abstract

Waterpipe is increasingly being used worldwide. Despite waterpipe cafés gaining popularity among Iranian population, there is a paucity of research measuring exposures and assessing the health effects of waterpipe smoke in these places. The objective of the current study was to investigate the exposure to PM10, PM2.5, and PM1 concentrations and risk assessment of PM2.5 exposures in different age groups in the indoor air of waterpipe cafés. The study samples were taken from indoor air of 50 waterpipe cafés in Ardabil, Iran. The PM10, PM2.5, and PM1 concentrations were assessed using a portable GRIMM dust monitors. The mean (±SD) concentrations of indoor air PM10, PM2.5, and PM1 were 765 ± 352, 624 ± 327, and 500 ± 305 μg/m3, respectively. The mean of HQ (hazard quotient) for PM2.5 in all age groups of 16 and older was > 1, which corresponds to an unacceptably high risk for human health. Also, the mean of ELCRs (excess lifetime cancer risk) for PM2.5 in different age groups exceeded the limit value by the USEPA. The results indicated that the PM concentration is significantly influenced by the number of waterpipe smokers, type of ventilation system, and kind of tobacco. Therefore, waterpipe cafés are a potential source for exposure to PM10, PM2.5, and PM1 and increase the risk of respiratory diseases and cardiovascular problems among waterpipe smokers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  • Agbenyikey W, Wellington E, Gyapong J, Travers MJ, Breysse PN, McCarty KM, Navas-Acien A (2011) Secondhand tobacco smoke exposure in selected public places (PM2. 5 and air nicotine) and non-smoking employees (hair nicotine) in Ghana. Tob Control 20:107–111

    Article  Google Scholar 

  • Akl EA, Gaddam S, Gunukula SK, Honeine R, Jaoude PA, Irani J (2010) The effects of waterpipe tobacco smoking on health outcomes: a systematic review. Int J Epidemiol 39:834–857

    Article  Google Scholar 

  • Al Mulla A, Fanous N, Seidenberg AB, Rees VW (2014) Secondhand smoke emission levels in waterpipe cafes in Doha, Qatar Tobacco control:tobaccocontrol-2014-051717

  • Al Mulla A, Fanous N, Seidenberg AB, Rees VW (2015) Secondhand smoke emission levels in waterpipe cafes in Doha, Qatar Tobacco control:tobaccocontrol-2014-051717

  • Al Rashidi M, Shihadeh A, Saliba N (2008) Volatile aldehydes in the mainstream smoke of the narghile waterpipe. Food Chem Toxicol 46:3546–3549

    Article  CAS  Google Scholar 

  • Baghani AN, Rostami R, Arfaeinia H, Hazrati S, Fazlzadeh M, Delikhoon M (2018) BTEX in indoor air of beauty salons: risk assessment, levels and factors influencing their concentrations. Ecotoxicol Environ Saf 159:102–108

    Article  CAS  Google Scholar 

  • Baghani AN, Sorooshian A, Heydari M, Sheikhi R, Golbaz S, Ashournejad Q, Kermani M, Golkhorshidi F, Barkhordari A, Jafari AJ, Delikhoon M, Shahsavani A (2019) A case study of BTEX characteristics and health effects by major point sources of pollution during winter in Iran. Environ Pollut 247:607–617. https://doi.org/10.1016/j.envpol.2019.01.070

    Article  CAS  Google Scholar 

  • Bolte G, Heitmann D, Kiranoglu M, Schierl R, Diemer J, Koerner W, Fromme H (2008) Exposure to environmental tobacco smoke in German restaurants, pubs and discotheques. J Expo Sci Environ Epidemiol 18:262–271

    Article  CAS  Google Scholar 

  • Cain WS, Leaderer BP, Isseroff R, Berglund LG, Huey RJ, Lipsitt ED, Perlman D (1983) Ventilation requirements in buildings—I. control of occupancy odor and tobacco smoke odor. Atmos Environ (1967) 17:1183–1197. https://doi.org/10.1016/0004-6981(83)90341-4

    Article  CAS  Google Scholar 

  • Chaouachi K (2009) Hookah (Shisha, Narghile) smoking and environmental tobacco smoke (ETS). A critical review of the relevant literature and the public health consequences. Int J Environ Res Public Health 6:798–843

    Article  Google Scholar 

  • Cobb CO, Vansickel AR, Blank MD, Jentink K, Travers MJ, Eissenberg T (2012) Indoor air quality in Virginia waterpipe cafes tobacco control:tobaccocontrol-2011-050350

  • Council NR (1986) Environmental tobacco smoke: measuring exposures and assessing health effects. National Academies Press

  • Daher N, Saleh R, Jaroudi E, Sheheitli H, Badr T, Sepetdjian E, al Rashidi M, Saliba N, Shihadeh A (2010) Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: sidestream smoke measurements and assessment of second-hand smoke emission factors. Atmos Environ 44:8–14

    Article  CAS  Google Scholar 

  • de Oliveira BFA, Ignotti E, Artaxo P, do Nascimento Saldiva PH, Junger WL, Hacon S (2012) Risk assessment of PM 2.5 to child residents in Brazilian Amazon region with biofuel production. Environ Health 11:64

    Article  Google Scholar 

  • Dehghani M, Fazlzadeh M, Sorooshian A, Tabatabaee HR, Miri M, Baghani AN, Delikhoon M, Mahvi AH, Rashidi M (2018) Characteristics and health effects of BTEX in a hot spot for urban pollution. Ecotoxicol Environ Saf 155:133–143

    Article  CAS  Google Scholar 

  • Delikhoon M, Fazlzadeh M, Sorooshian A, Baghani AN, Golaki M, Ashournejad Q, Barkhordari A (2018) Characteristics and health effects of formaldehyde and acetaldehyde in an urban area in Iran. Environ Pollut 242:938–951

    Article  CAS  Google Scholar 

  • Eissenberg T, Shihadeh A (2009) Waterpipe tobacco and cigarette smoking: direct comparison of toxicant exposure. Am J Prev Med 37:518–523

    Article  Google Scholar 

  • El-Roueiheb Z, Tamim H, Kanj M, Jabbour S, Alayan I, Musharrafieh U (2008) Cigarette and waterpipe smoking among Lebanese adolescents, a cross-sectional study, 2003–2004. Nicotine Tob Res 10:309–314

    Article  Google Scholar 

  • Elsayed Y, Dalibalta S, Abu-Farha N (2016) Chemical analysis and potential health risks of hookah charcoal. Sci Total Environ 569:262–268

    Article  CAS  Google Scholar 

  • El-Zaatari ZM, Chami HA, Zaatari GS (2015) Health effects associated with waterpipe smoking. Tob Control 24:i31–i43

    Article  Google Scholar 

  • EPA (2016) NAAQS table. United States Environmental Protection Agency Web Site. https://wwwepagov/criteria-air-pollutants/naaqs-table

  • EPA U (2011) Exposure factors handbook 2011 edition (final). US Environmental Protection Agency, Washington, DC

    Google Scholar 

  • Faridi S et al (2017) Bioaerosol exposure and circulating biomarkers in a panel of elderly subjects and healthy young adults. Sci Total Environ 593:380–389

    Article  CAS  Google Scholar 

  • Faridi S, Shamsipour M, Krzyzanowski M, Künzli N, Amini H, Azimi F, Malkawi M, Momeniha F, Gholampour A, Hassanvand MS, Naddafi K (2018) Long-term trends and health impact of PM 2.5 and O 3 in Tehran, Iran, 2006–2015. Environ Int 114:37–49

    Article  CAS  Google Scholar 

  • Fazlzadeh M, Rostami R, Hazrati S, Rastgu A (2015) Concentrations of carbon monoxide in indoor and outdoor air of Ghalyun cafes. Atmos Pollut Res 6:550–555

    Article  CAS  Google Scholar 

  • Fiala SC, Morris DS, Pawlak RL (2012) Measuring indoor air quality of hookah lounges. Am J Public Health 102:2043–2045

    Article  Google Scholar 

  • Fromme H, Dietrich S, Heitmann D, Dressel H, Diemer J, Schulz T, Jörres RA, Berlin K, Völkel W (2009) Indoor air contamination during a waterpipe (narghile) smoking session. Food Chem Toxicol 47:1636–1641

    Article  CAS  Google Scholar 

  • Greene NA, Morris VR (2006) Assessment of public health risks associated with atmospheric exposure to PM2. 5 in Washington, DC, USA. Int J Environ Res Public Health 3:86–97

    Article  CAS  Google Scholar 

  • Gurung G, Bradley J, Delgado-Saborit JM (2016) Effects of shisha smoking on carbon monoxide and PM2. 5 concentrations in the indoor and outdoor microenvironment of shisha premises. Sci Total Environ 548:340–346

    Article  CAS  Google Scholar 

  • Hammal F et al. (2013) ‘Herbal’but potentially hazardous: an analysis of the constituents and smoke emissions of tobacco-free waterpipe products and the air quality in the cafes where they are served tobacco control:tobaccocontrol-2013-051169

  • Hassanvand MS et al (2015) Characterization of PAHs and metals in indoor/outdoor PM10/PM2. 5/PM1 in a retirement home and a school dormitory. Sci Total Environ 527:100–110

    Article  CAS  Google Scholar 

  • Hazrati S, Rostami R, Fazlzadeh M (2015) BTEX in indoor air of waterpipe cafés: levels and factors influencing their concentrations. Sci Total Environ 524:347–353

    Article  CAS  Google Scholar 

  • Hazrati S, Rostami R, Farjaminezhad M, Fazlzadeh M (2016a) Preliminary assessment of BTEX concentrations in indoor air of residential buildings and atmospheric ambient air in Ardabil, Iran. Atmos Environ 132:91–97. https://doi.org/10.1016/j.atmosenv.2016.02.042

    Article  CAS  Google Scholar 

  • Hazrati S, Rostami R, Fazlzadeh M, Pourfarzi F (2016b) Benzene, toluene, ethylbenzene and xylene concentrations in atmospheric ambient air of gasoline and CNG refueling stations. Air Qual Atmos Health 9:403–409

    Article  CAS  Google Scholar 

  • Heydari G, Taghizdeh F, Fazlzadeh M, Jafari AJ, Asadgol Z, Mehrizi EA, Moradi M, Arfaeinia H (2019) Levels and health risk assessments of particulate matters (PM 2.5 and PM 10) in indoor/outdoor air of waterpipe cafés in Tehran, Iran. Environ Sci Pollut Res 26:7205–7215

    Article  CAS  Google Scholar 

  • Hyland A, Travers M, Dresler C, Higbee C, Carpenter C, Connolly G, Cummings K (2006) A 24-country comparison of levels of indoor air pollution in different workplaces. In: Roswell Park Cancer Institute, International Agency for Research on Cancer, Harvard School of Public Health

  • Hyland A, Travers MJ, Dresler C, Higbee C, Cummings KM (2008) A 32-country comparison of tobacco smoke derived particle levels in indoor public places. Tob Control 17:159–165

    Article  CAS  Google Scholar 

  • Jackson D, Aveyard P (2008) Waterpipe smoking in students: prevalence, risk factors, symptoms of addiction, and smoke intake. Evidence from one British university. BMC Public Health 8:174

    Article  Google Scholar 

  • Jacob P, Raddaha AHA, Dempsey D, Havel C, Peng M, Yu L, Benowitz NL (2013) Comparison of nicotine and carcinogen exposure with water pipe and cigarette smoking. Cancer Epidemiol Prev Biomark 22:765–772

    Article  CAS  Google Scholar 

  • Kim H, Kang K, Kim T (2018) Measurement of particulate matter (PM2. 5) and health risk assessment of cooking-generated particles in the kitchen and living rooms of apartment houses. Sustainability 10:843

    Article  CAS  Google Scholar 

  • Li F, Xiao M, Zhang J, Yang J, Zhu L (2017) Health risk assessment on tunnel workers’ exposure to PM10 based on triangular fuzzy numbers. In: AIP conference proceedings, vol 1. AIP Publishing, p 040011

  • Liu R et al (2010) A cross-sectional study on levels of second-hand smoke in restaurants and bars in five cities in China. Tob Control 19:i24–i29

    Article  Google Scholar 

  • Martinasek MP, McDermott RJ, Martini L (2011) Waterpipe (hookah) tobacco smoking among youth. Curr Probl Pediatr Adolesc Health Care 41:34–57

    Article  Google Scholar 

  • Masjedi MR, Taghizadeh F, Hamzehali S, Ghaffari S, Fazlzadeh M, Jafari AJ, Niazi S, Mehrizi EA, Moradi M, Pasalari H, Arfaeinia H (2019) Air pollutants associated with smoking in indoor/outdoor of waterpipe cafés in Tehran, Iran: concentrations, affecting factors and health risk assessment. Sci Rep 9:3110

    Article  CAS  Google Scholar 

  • Maziak W (2011) The global epidemic of waterpipe smoking. Addict Behav 36:1–5

    Article  Google Scholar 

  • Maziak W, Ali RA, Fouad MF, Rastam S, Wipfli H, Travers MJ, Ward KD, Eissenberg T (2008) Exposure to secondhand smoke at home and in public places in Syria: a developing country’s perspective. Inhal Toxicol 20:17–24

    Article  CAS  Google Scholar 

  • Maziak W, Taleb ZB, Bahelah R, Islam F, Jaber R, Auf R, Salloum RG (2015) The global epidemiology of waterpipe smoking. Tob Control 24:i3–i12

    Article  Google Scholar 

  • Nafees AA, Taj T, Kadir MM, Fatmi Z, Lee K, Sathiakumar N (2011) Indoor air pollution (PM2. 5) due to secondhand smoke in selected hospitality and entertainment venues of Karachi, Pakistan Tobacco control:tc. 2011.043190

  • Nelin TD, Joseph AM, Gorr MW, Wold LE (2012) Direct and indirect effects of particulate matter on the cardiovascular system. Toxicol Lett 208:293–299

    Article  CAS  Google Scholar 

  • Nieuwenhuijsen MJ, Dadvand P, Grellier J, Martinez D, Vrijheid M (2013) Environmental risk factors of pregnancy outcomes: a summary of recent meta-analyses of epidemiological studies. Environ Health 12:6

    Article  Google Scholar 

  • Pärna K, Usin J, Ringmets I (2008) Cigarette and waterpipe smoking among adolescents in Estonia: HBSC survey results, 1994–2006. BMC Public Health 8:392

    Article  Google Scholar 

  • Raute LJ, Gupta PC, Pednekar MS (2011) Smoking ban and indoor air quality in restaurants in Mumbai, India. Indian J Occup Environ Med 15:68–72

    Article  Google Scholar 

  • Rostami R, Zarei A, Saranjam B, Ghaffari HR, Hazrati S, Poureshg Y, Fazlzadeh M (2019) Exposure and risk assessment of PAHs in indoor air of waterpipe cafés in Ardebil, Iran. Build Environ 155:47–57

    Article  Google Scholar 

  • Schubert J, Luch A, Schulz TG (2013) Waterpipe smoking: analysis of the aroma profile of flavored waterpipe tobaccos. Talanta 115:665–674

    Article  CAS  Google Scholar 

  • Schubert J, Müller FD, Schmidt R, Luch A, Schulz TG (2015) Waterpipe smoke: source of toxic and carcinogenic VOCs, phenols and heavy metals? Arch Toxicol 89:2129–2139

    Article  CAS  Google Scholar 

  • Sepetdjian E, Shihadeh A, Saliba NA (2008) Measurement of 16 polycyclic aromatic hydrocarbons in narghile waterpipe tobacco smoke. Food Chem Toxicol 46:1582–1590

    Article  CAS  Google Scholar 

  • Sepetdjian E, Abdul Halim R, Salman R, Jaroudi E, Shihadeh A, Saliba NA (2012) Phenolic compounds in particles of mainstream waterpipe smoke. Nicotine Tob Res 15:1107–1112

    Article  CAS  Google Scholar 

  • Shihadeh A, Saleh R (2005) Polycyclic aromatic hydrocarbons, carbon monoxide,“tar”, and nicotine in the mainstream smoke aerosol of the narghile water pipe. Food Chem Toxicol 43:655–661

    Article  CAS  Google Scholar 

  • Shihadeh A, Salman R, Jaroudi E, Saliba N, Sepetdjian E, Blank MD, Cobb CO, Eissenberg T (2012) Does switching to a tobacco-free waterpipe product reduce toxicant intake? A crossover study comparing CO, NO, PAH, volatile aldehydes,“tar” and nicotine yields. Food Chem Toxicol 50:1494–1498

    Article  CAS  Google Scholar 

  • Stephens WE (2018) Comparing the cancer potencies of emissions from vapourised nicotine products including e-cigarettes with those of tobacco smoke. Tob Control 27:10–17

    Article  Google Scholar 

  • Taghvaee S, Sowlat MH, Mousavi A, Hassanvand MS, Yunesian M, Naddafi K, Sioutas C (2018) Source apportionment of ambient PM 2.5 in two locations in Central Tehran using the positive matrix factorization (PMF) model. Sci Total Environ 628:672–686

    Article  CAS  Google Scholar 

  • Torrey CM, Moon KA, D'Ann LW, Green T, Cohen JE, Navas-Acien A, Breysse PN (2015) Waterpipe cafes in Baltimore, Maryland: carbon monoxide, particulate matter, and nicotine exposure. J Expo Sci Environ Epidemiol 25:405–410

    Article  CAS  Google Scholar 

  • Travers MJ, Kulak JA, Vogl L (2018) Waterpipe cafés are hazardous to your health: determination of a waterpipe specific calibration factor. Int J Hyg Environ Health 221:48–53

    Article  Google Scholar 

  • USEPA (2007) Reference concentration for chronic inhalation exposure (RfC), IRIS summary. Integrated Risk Information System

  • USEPA I (2007) Reference concentration for chronic inhalation exposure (RfC). Integrated Risk Information System. http://www.epa.gov/iris. 2014

  • WHO. (2005) Air quality guidelines: global update 2005. Particulate matter, ozone, nitrogen dioxide and sulfur dioxide. World Health Organization

  • Zaidi S, Moin O, Khan J (2011) Second-hand smoke in indoor hospitality venues in Pakistan. Int J Tuberc Lung Dis 15:972–977

    Article  CAS  Google Scholar 

  • Zhang B, Haji F, Kaufman P, Muir S, Ferrence R (2013) ‘Enter at your own risk’: a multimethod study of air quality and biological measures in Canadian waterpipe cafes tobacco control:tobaccocontrol-2013-051180

  • Zhang B, Haji F, Kaufman P, Muir S, Ferrence R (2015) ‘Enter at your own risk’: a multimethod study of air quality and biological measures in Canadian waterpipe cafes. Tob Control 24:175–181

    Article  Google Scholar 

  • Zhou S et al. (2014) Air quality in New York City hookah bars tobacco control:tobaccocontrol-2014-051763

  • Zhou S, Weitzman M, Vilcassim R, Wilson J, Legrand N, Saunders E, Travers M, Chen LC, Peltier R, Gordon T (2015) Air quality in New York City hookah bars. Tob Control 24:e193–e198

    Article  Google Scholar 

  • Zhou S et al. (2016) Secondhand hookah smoke: an occupational hazard for hookah bar employees tobacco control:tobaccocontrol-2015-052505

Download references

Acknowledgments

The authors are grateful for the technical support from laboratory of environmental health engineering in Tehran University of Medical Sciences.

Funding

This research work was financially supported by Social Determinants of Health Research Center (grant number: ARUMS.SDHRC.1397. 05).

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Mohammad Sadegh Hassanvand or Mehdi Fazlzadeh.

Additional information

Responsible editor: Philippe Garrigues

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Naddafi, K., Nabizadeh, R., Rostamy, R. et al. Indoor air quality in waterpipe cafés: exposure level to particulate matter. Environ Sci Pollut Res 26, 26605–26616 (2019). https://doi.org/10.1007/s11356-019-05546-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11356-019-05546-8

Keywords

Navigation