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Contrary to ancient lore and popular belief, the World Health Organization reported, the smoke that emerges from a waterpipe contains numerous toxicants known to cause lung cancer, heart disease, and other diseases. When compared with cigarette smoking, according to the Mayo Clinic, The tobacco is no less toxic in a hookah pipe, and the water in the hookah does not filter out the toxic ingredients in the tobacco smoke. Theres reason, they continue, to think it might actually be more dangerous