Has coronavirus killed off shisha cafes forever?

Has coronavirus killed off shisha cafes forever?
A street vendor makes a hookah or smoking pipe at a roadside shop in Lahore on January 15, 2019. (AFP/File Photo)
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Updated 12 August 2020

Has coronavirus killed off shisha cafes forever?

Has coronavirus killed off shisha cafes forever?
  • Compared with non-smokers, studies show smokers overall are more likely to develop severe COVID-19 symptoms
  • WHO warning says shisha smoking could facilitate coronavirus transmission in social settings

DUBAI: The age-old, convivial practice of sharing the shisha, or the waterpipe, during an evening of conversation and laughter has long been an integral part of many cultures, including in the Middle East. But now it is facing its biggest test of survival in living memory.

The World Health Organization (WHO) says using shisha involves the sharing of mouth pieces and hoses, which could facilitate the transmission of the coronavirus in social settings. The Middle East, with its thousands of shisha cafes, is particularly vulnerable.

As the pandemic gripped the world, many countries in the region — including Saudi Arabia, the UAE and Kuwait — imposed bans on shisha use. But this practice was drawing flak even before the COVID-19 era, with health experts warning that it was even more harmful than cigarette smoking.

According to the WHO advisory on shisha, “one hour of shisha use is equal to smoking approximately 100 cigarettes. It can be less or more, depending on the many factors.”

A review of studies by public-health experts convened by WHO on April 29 found that compared with non-smokers, smokers overall are more likely to develop severe COVID-19 symptoms. It also found that smoking impairs lung function, making it harder for the body to fight off coronaviruses and other respiratory diseases.

Dr. Assem Youssef, specialist pulmonologist at Medcare Hospital in Dubai, says shisha smoke contains high levels of tar, carbon monoxide, heavy metals and cancer-causing chemicals.

It increases the risk of lung and oral cancers, heart diseases and other circulatory diseases. “Shisha use by pregnant women can result in low birth-weight babies,” Dr. Youssef told Arab News. “Shisha pipes, if not cleaned properly, may lead to serious infectious diseases.”

FASTFACT

Shisha and COVID-19

Smokers overall are more likely to develop severe COVID-19 symptoms, compared to non-smokers (WHO).

“In shishas, only the nozzle is replaced after every use,” said Dr. Rami Sukhon, a specialist in family medicine at Dubai’s Al Zahra Hospital. “When smoking the shisha, there is a risk of the particles of saliva travelling through the nozzle down to the shisha base, which is not sterilized after a smoker is done with it,” he said.

“Further, shisha cafes are usually closed spaces, especially in summer, where several people exhale large volumes of smoke through their mouths and nose into the same air – this also poses the risk of spreading the virus through droplets released into the air.”

However, more research is required to assess the exact level of risk, Dr. Sukhon said.

On the matter of e-shishas, electronic water pens which operate in the same manner as an e-cigarette, experts say these are just as harmful.

The WHO has strongly recommended their ban in public places. However, the spread of the virus through the e-shisha has a different context.

“In e-shishas, if the shisha pen is not shared between people and is not smoked within a closed room with other people, the risk of spreading the virus can be considered as being lower,” Dr. Sukhon told Arab News. “Also, the volume of smoke from a shisha pen is less than from an actual shisha.”

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E-products’ emissions typically contain nicotine and other toxic substances that are harmful to both users and non-users, who are exposed to the aerosols second-hand, say health experts. Evidence reveals that these products are particularly risky when used by children and adolescents.

“Nicotine is highly addictive and young people’s brains develop up to their mid-twenties,” said the WHO.

“Exposure to nicotine (in) children and adolescents can have long-lasting, damaging effects on brain development and there is risk of nicotine addiction. Furthermore, there is a growing body of evidence in some [cases] that minors who use (are first-time users of) e-nicotine products increase their chances of (switching to) traditional tobacco cigarettes later in life.”

Tobacco kills more than 8 million people globally every year. More than seven million of these deaths are from direct tobacco use and around 1.2 million due to non-smokers being exposed to second-hand smoke.

Does this mean the shisha is in danger of becoming a thing of the past? Dr. Sukhon believes that before countries decide on reopening shisha cafes, they need to thoroughly evaluate the risks involved.

The WHO says it is up to countries to decide on the return of the shisha cafes, adding that if countries have been successful in banning it during the pandemic, they could ban them beyond COVID-19 as well.


Shisha in history

Known by different names — huqqa, sisah or shisha, qalyan, arjilah, nargil — depending on the region, the shisha has a long and illustrious history.

The shisha is said to have its origins in India back in the 16th century. There may be references to the shisha being used in Persia before then, but scholars point to the lack of evidence of the use of the water pipe until the 1560s. Some hold that the word nargil, as the shisha was called in Persia, derives from the Sanskrit word narikela, meaning coconut, suggesting that early shisha bowls were crafted from coconut shells.

According to Fumari’s Hookah Blog, the origin of the word shisha dates back to 16th-century India when the British East India Company began exporting glass to India and India glass makers crafted hookah bowls. The device was invented to purify smoke through water in a glass base called a “shisha” (or glass).

During this period, smoking tobacco became popular in high society. Shisha then migrated to the Turkish culture and during the 18th century increased its footprint, spreading through the Middle East in the 19th century.

In Egypt, traditional forms of tobacco were reformulated into a mix called Mu’Assel (meaning with honey) by mixing honey or molasses with the tobacco. By the late 1900s, shisha had migrated to virtually every continent as immigrants brought along with them a custom to share with their new home country.

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@CalineMalek


Lebanese army calls for Arab, foreign aid as cash crisis deepens

Lebanese army calls for Arab, foreign aid as cash crisis deepens
Updated 18 June 2021

Lebanese army calls for Arab, foreign aid as cash crisis deepens

Lebanese army calls for Arab, foreign aid as cash crisis deepens
  • Threat to military ‘leaves entire country at risk,’ defense ministers warn summit

BEIRUT: Lebanese army commander Gen. Joseph Aoun on Thursday expressed confidence that the military will overcome what he described as a “crucial and delicate period” facing Lebanon.

The military chief warned of an increasingly untenable situation, but said that the institution remains strong.

“We believe that we will overcome this crucial and delicate period thanks to the strong will of our soldiers, and to the support of the Lebanese people and the friendly countries,” Gen. Aoun said.

His remarks came as 20 members of the International Support Group for Lebanon (ISG), in addition to European and Arab countries, the UN, EU and other international organizations attended a virtual conference on Thursday to support the army.

Discontent is brewing among Lebanon’s security forces over a currency crash that has wiped out most of the value of their salaries. Lebanon’s pound has lost 90 percent of its value against the dollar since late 2019.

The conference, organized by France in collaboration with Italy and the UN, aimed to mobilize support through in-kind aid for the Lebanese Army such as food, medicine and spare parts for its military equipment, in light of the collapse of the pound and the effect of the country’s struggling economy on the military.

Lebanon is facing a political deadlock and the biggest economic crisis in its history, and there are expectations that the army will step in to protect public safety in the event of a full collapse — much feared by the international community.

French Defense Minister Florence Parly said: “We are concerned that the Lebanese army remains capable of fulfilling its duties in maintaining security and stability.”

Her Italian counterpart, Lorenzo Guerrini, highlighted the importance of “quickly responding to the needs of the army by providing it with basic support requirements.”

Joana Wronecka, UN special coordinator for Lebanon, said that the army must be kept “cohesive and operative.”

Zeina Akar, Lebanon’s caretaker defense minister, said: “Taking into consideration the unstable environment — full of upheaval and uncertainty — that surrounds Lebanon, the army is a guarantee for stability and for the security of the Lebanese people.”

The minister said the army is facing the same problems as the Lebanese people.

“Its purchase power is eroding and it needs strong support to keep performing its duties. The army’s personnel need support in order to provide livelihood for their families.”

Gen. Aoun reviewed the army’s requirements at Thursday’s talks, saying that there is “an incremental need today to support it so that it remains tenacious and capable of doing its duties.”

He said that the depreciation of the Lebanese pound had stripped military salaries of 90 percent of their value.

Gen. Aoun warned that “the continuous retreat of the economic and financial situation in Lebanon will eventually lead to the collapse of institutions, including the military institution, which will render the whole country vulnerable on the security level.”

Soldiers “need support as individuals to overcome this precarious period,” he added.

“The army is the guarantee for security and stability in Lebanon and the region. Jeopardizing its role will lead to the collapse of Lebanon and to the spread of chaos.”

France, which has led international efforts, has sought to ramp up pressure on Lebanon’s squabbling politicians after failed attempts to agree a new government and launch reforms.

“The participants highlighted the dire and steadily degrading economic and social conditions in Lebanon. In this context, they stressed that the Lebanese army, though overstretched, remains a crucial pillar of the Lebanese state,” the French Armed Forces Ministry said in a statement.

“Their cohesiveness and professionalism remain key to preserving the country’s stability.”


How corruption and violence go hand-in-hand in Iraq

How corruption and violence go hand-in-hand in Iraq
Updated 18 June 2021

How corruption and violence go hand-in-hand in Iraq

How corruption and violence go hand-in-hand in Iraq
  • Iran-backed groups willing to kidnap, kill to protect corrupt revenue streams: Experts
  • Iraq ranked 160 out of 180 in Transparency International’s Corruption Perceptions Index

LONDON: Iran-backed militias in Iraq’s Popular Mobilization Forces (PMF) employ assassinations, kidnappings and other forms of violence in order to protect the income they derive from widespread and deep-rooted corruption in Iraq, a panel of experts said on Thursday.

At an online event hosted by British think tank Chatham House and attended by Arab News, Mohammad Al-Hakim, senior advisor on economic reform to Iraq’s prime minister, said the country’s corruption crisis extends back to the days of Saddam Hussein’s rule, but is now systemic, politically sanctioned and backed by the threat of violence by Iran-backed groups.

“There’s a deep problem with the structure of the Iraqi state. This is very much a legacy that needs to be addressed,” Al-Hakim said. “The Iraqi state system has been deteriorating over 50 years.”

Iraq ranks in the bottom 20 countries in the world in Transparency International’s Corruption Perceptions Index.

Government employees from the bottom to the top of Iraqi governance are engaging in systematic corruption, said Al-Hakim.

At the highest levels of the Iraqi state, civil servants have developed relationships with politicians that they use to line their own pockets and make money for their political allies.

Maya Gebeily, Middle East correspondent at the Thomson Reuters Foundation, said one of the underpinnings of this system is the PMF, which operates as a “cartel,” using violence to suppress any opposition or attempt to upturn the status quo.

“It’s important to think about this corruption as a cartel. There are players in the cartel who agree with each other on how to divvy up the spoils that are coming in either from tariffs, from a specific project, or into the ministry,” she added.

“That’s why there are no ‘turf wars’ … because everyone is benefitting from this system. As soon as the bodies start showing up, that means an economic loss.”

But that has not deterred the militias from violence, Gebeily said. They just do not use it against each other.

“What they’re doing is using violence against anybody who’s trying to root out corruption. Researchers, activists and others who’ve been extremely vocal about corruption have been kidnapped, murdered or otherwise harassed,” she said.

Law-abiding officials have been physically threatened, beaten up or had their families attacked when they refused to be complicit in corruption.

“Armed groups use violence as an enforcement mechanism to make sure their economic interests are secured,” said Gebeily.

“Let’s say you want to import cigarettes. Cigarettes are extremely lucrative to import, so you need an extremely powerful group — and the one I discovered was importing them was Kata’ib Hezbollah — to be involved in that import.”

Iraq’s most powerful armed militia, Kata’ib Hezbollah has directly attacked US forces in the country.

It is also widely believed to be behind a string of assassinations and kidnappings, including that of Hisham Al-Hashimi, a journalist who described the Iran-backed group as “the strongest and most dangerous group in the so-called Islamic resistance.”

Renad Mansour, director of the Iraq Initiative at Chatham House, said: “If we’re talking about power and where it lies in the Iraqi state, you only need look at the attempt by the prime minister to arrest Qasem Muslih, the leader of a brigade in the PMF, and why the prime minister was unable to keep someone who he accused of having a role in assassinations in jail.”

Mansour added: “Actually, these aren’t just militias. They have more connectivity to Iraq’s Parliament, to Iraq’s judiciary, than the prime minister does. They’re effectively connected to power in a more central way than the traditional and formal heads of state.”

This reveals the true and farcical nature of power in Iraq, Mansour said. “Those sitting on top of the system struggle with access to the state that they’re meant to be head of,” he added.

“Those apparently sitting outside the state actually have more connectivity to the essence, the power, the core of the state.”


Bahrain crown prince discusses Middle East security with UK PM Johnson

Bahrain's Crown Prince Salman bin Hamad meets UK Prime Minister Boris Johnson at 10 Downing Street. (BNA)
Bahrain's Crown Prince Salman bin Hamad meets UK Prime Minister Boris Johnson at 10 Downing Street. (BNA)
Updated 18 June 2021

Bahrain crown prince discusses Middle East security with UK PM Johnson

Bahrain's Crown Prince Salman bin Hamad meets UK Prime Minister Boris Johnson at 10 Downing Street. (BNA)
  • The two leaders discussed the global effort against COVID-19 and deepening cooperation on green technology
  • Prince Salman also met with Prince Charles, conveying greetings from King Hamad to Queen Elizabeth II

LONDON: Bahrain and the UK vowed to boost economic and security cooperation as Crown Prince Salman bin Hamad held talks with the British prime minister on Thursday.
Prince Salman said relations with the UK continued to evolve toward more advanced and solid partnerships in various fields, based on their close history spanning decades, Bahrain News Agency reported.
“The bilateral partnership between the two countries are based on opening wider horizons for the development of solid relations at all levels, in a manner that reflects the aspirations of the two countries,” Prince Hamad said during his meeting with Prime Minister Boris Johnson at 10 Downing Street.
He praised Britain’s strategic and vital role in maintaining security and stability in the region, and developing cooperation in areas such as military, economic and trade.
“They reflected on the close and historic partnership between the UK and Bahrain and agreed to further strengthen our economic, security and diplomatic cooperation,” Downing Street said in a statement, adding the two leaders discussed the global effort against COVID-19, support for international initiatives to combat the pandemic, including COVAX, and deepening cooperation on green technology and the transition to renewable energy.
“They also spoke about regional security issues and defense collaboration, and the prime minister commended the Bahraini government’s steps to normalize relations with Israel,” the statement added.
Prince Salman also met with Prince Charles, conveying greetings from King Hamad to Queen Elizabeth II.


Iran says nuclear talks closer to deal, Russia says time-consuming work remains

Iran says nuclear talks closer to deal, Russia says time-consuming work remains
Updated 17 June 2021

Iran says nuclear talks closer to deal, Russia says time-consuming work remains

Iran says nuclear talks closer to deal, Russia says time-consuming work remains

DUBAI: Indirect talks between Tehran and Washington on reviving the 2015 Iran nuclear deal have come closer than ever to an agreement, but essential issues remain to be negotiated, the top Iranian negotiator said on Thursday.
The Islamic Republic and six world powers have been negotiating in Vienna since April to work out steps for both sides to take. The United States withdrew in 2018 from the pact, under which Iran accepted curbs on its nuclear program in exchange for a lifting of many foreign sanctions against it.
“We achieved good, tangible progress on the different issues .... we are closer than ever to an agreement but there are still essential issues under negotiations,” Iranian Deputy Foreign Minister Abbas Araqchi was quoted as telling Al Jazeera television.
Araqchi said Iran’s presidential election on Friday would have no effect on the negotiations and the Iranian negotiating team will continue the talks regardless of domestic policy.
The sixth round of talks resumed on Saturday with the remaining parties to the deal — Iran, Russia, China, France, Britain, Germany and the European Union — meeting in the basement of a luxury hotel.
The US delegation to the talks is based in a hotel across the street as Iran refuses face-to-face meetings.
Since former US President Donald Trump pulled out of the deal and reimposed sanctions on Iran, Tehran has embarked on counter-measures, including rebuilding stockpiles of enriched uranium, a potential pathway to nuclear bombs.
“We want to make sure that what happened when Trump pulled out of the deal will not be repeated by any other American president in the future,” Araqchi told the pan-Arab satellite TV network.
Russia’s envoy to the talks, Mikhail Ulyanov, added a note of caution, saying progress had been made in the last few days but talks were tough.
“Some difficult and time-consuming topics still remain unresolved,” he said.
France’s foreign ministry said on Wednesday there were still significant disagreements.
Iran’s new president is expected to name his Cabinet by mid-August. Current President Hassan Rouhani’s term ends on Aug. 3, a government spokesman said.


Kuwait to allow vaccinated foreigners entry from August

Kuwait to allow vaccinated foreigners entry from August
Updated 17 June 2021

Kuwait to allow vaccinated foreigners entry from August

Kuwait to allow vaccinated foreigners entry from August
  • The Gulf country in February banned entry of non-citizens to limit the spread of the virus
  • Foreign travellers will need to have been fully inoculated with one of Pfizer/BioNTech, AstraZeneca, Moderna and Johnson & Johnson

KUWAIT: Kuwait announced Thursday it would allow foreigners who have been fully vaccinated against the novel coronavirus to enter the country from August 1, after a months-long suspension.
The Gulf country in February banned the entry of non-citizens in a bid to limit the spread of the virus, but has started to ease some of its Covid-19 restrictions in recent weeks.
Government spokesman Tareq Al-Mizrem said foreign travelers will need to have been fully inoculated with one of the four vaccines that the Gulf country has approved — Pfizer/BioNTech, AstraZeneca, Moderna and Johnson & Johnson.
Passengers must also hold a negative PCR test conducted a maximum of 72 hours before travel, and undergo another test during a seven-day quarantine in the country, Mizrem told a press conference.
Meanwhile, only Kuwaiti citizens who have been fully vaccinated will be allowed to travel abroad from August 1, he said, although some exceptions would be made, such as for pregnant women.
Previously, Kuwaitis were required to have had at least one jab in order to travel.
Mizrem also announced that Kuwait would allow access to large shopping malls, gyms and restaurants from June 27 only for those who have been fully inoculated.
“The government has decided to allow those who have received a (full) Covid-19 vaccine... to enter restaurants and cafes, gyms, salons, shopping malls more than 6,000 square meters,” said Mizrem.
Kuwait has officially recorded more than 332,000 coronavirus cases, over 1,800 of them fatal.