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Shisha contains: 36 times more carcinogenic tar than cigarette smoke 15 times more carbon monoxide higher levels of lead, nickel and arsenic hydrogen cyanide and a whole bunch of potent carcinogens nicotine, a chemical that causes an addictive effect If the shisha pipe is not properly cleaned, sharing it with others can increase the risk of contracting diseases, such as tuberculosis, hepatitis, meningitis and other infectious diseases