Shisha and Public Health in Saudi Arabia

Shisha and Public Health in Saudi Arabia

July 21, 2026Anders Signell

Shisha smoking remains culturally present in Saudi Arabia, particularly in social and café settings. At the same time, public health authorities increasingly identify shisha as a significant health concern.

This concern is based on strong scientific evidence related to smoke exposure, charcoal combustion, and long smoking sessions.


Shisha and Public Health Priorities

Saudi Arabia has made public health a national priority, with increasing focus on reducing tobacco-related disease.

According to the World Health Organization (WHO) , waterpipe smoking contributes to preventable illness and places a burden on public health systems.


High Exposure From Shisha Smoking

Shisha smoking is associated with:

  • Long sessions lasting up to 90 minutes
  • High smoke volume
  • Carbon monoxide exposure from charcoal

The CDC notes that prolonged waterpipe sessions can result in inhalation of significantly larger volumes of smoke than cigarette smoking.


Misconceptions Increase Risk

Public health authorities warn that common misconceptions — such as believing shisha is safer because smoke passes through water — can increase use and reduce risk awareness.

WHO explicitly states that water does not make shisha safe.


Saudi Arabia’s Public Health Response

Saudi Arabia has implemented tobacco control measures aligned with global public health recommendations.

The Saudi Food and Drug Authority (SFDA) plays a central role in regulating tobacco and nicotine products and promoting public health awareness.


The Role of Harm Reduction

Public health discussions increasingly include harm reduction strategies for adult smokers who are unable or unwilling to quit nicotine use entirely.

According to the Royal College of Physicians , providing access to smoke-free alternatives can reduce exposure to the most harmful substances associated with smoking.


Frequently Asked Questions

Why is shisha a concern in Saudi Arabia?

Because it involves high exposure to toxic smoke, charcoal combustion, and long smoking sessions.

Is shisha regulated in Saudi Arabia?

Yes. Tobacco and nicotine products are regulated as part of public health policy.

Do health authorities support harm reduction?

Yes. Many public health bodies recognize the role of smoke-free alternatives for adult smokers.


Conclusion

Shisha smoking presents clear public health challenges due to smoke inhalation, charcoal use, and widespread misconceptions about safety.

In Saudi Arabia, health authorities increasingly emphasize education, regulation, and harm reduction to reduce the long-term health impact of shisha use.

Adults who are not ready to stop using nicotine can browse our smoke-free nicotine pouches, which involve no smoke and no charcoal. For adult nicotine users only.

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