Hookah smoking and COVID-19: call for action

Shekhar, Skand; Hannah‐Shmouni, Fady

doi:10.1503/cmaj.75332

Cited by 32 publications

(26 citation statements)

References 6 publications

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“…Some editorial mentioned THC (for an increased risk of COVID-19 through lung injuries ( Volkow, 2020 )), cannabiol as a therapeutic option ( Sexton, 2020 ), and the risk for hookah users (around 100 millions worldwide). A hookah (shisha or waterpipe) is a single or multi-stemmed instrument that has been used for smoking various flavored substances, such as cannabis, tobacco and opium, for centuries, and is popular in the Indian subcontinent, the Arabian peninsula, Kenya, South Africa, Turkey, United States and Canada ( Shekhar and Hannah-Shmouni, 2020 ).…”

Section: Results and Observationsmentioning

confidence: 99%

Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review

Mallet

Dubertret

Strat

2021

Progress in Neuro-Psychopharmacology and Biological Psychiatry

123

111

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Background In the context of the COVID-19 worldwide pandemic, an up-to-date review of current challenges in addictions is necessary. While large scale disasters may have an impact on substance use and addictions, the use of some substances is also likely to modify the risk of COVID-19 infection or course. Many countries have imposed lockdowns. Whether this quarantine or the end of lockdown measures will have an impact on substance use is discussed. The aim of this review is to gather knowledge for clinicians and to guide public health policies during/after lockdown. Methods PubMed was reviewed in August 6th (2020), to determine the current evidences and observations concerning the addictions and SARS-CoV2. We used all the names of the severe acute respiratory syndrome of coronavirus 2 (SARS-CoV2 previously 2019 nCoV), the name of the coronavirus disease 2019 (COVID-19), and common substances of abuse. For the physiopathological parts, searches were conducted using key words such as “infection” or “pneumonia”. For the lockdown effects, key words such as “quarantine”, “disaster” or “outbreak” were used. Results Overall, pathophysiological data showed an increased risk of infections for individuals with Substance Use Disorders (SUD) and a possible protective role of nicotine. During lockdown, there is a substantial risk of increasing SUDs. Individuals with opioid use disorder are particularly at risk of relapse or of involuntary withdrawal. After lockdown, increase of use may be observed as far as years after. Individuals with addictions are at higher risk of multimorbidity and mortality during COVID outbreak. Conclusion This review describes useful strategies in clinical practice, including a systematic assessment of addiction comorbidity during this almost worldwide lockdown/pandemic. This review also highlights important areas for future research.

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Section: Results and Observationsmentioning

confidence: 99%

Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review

Mallet

Dubertret

Strat

2021

Progress in Neuro-Psychopharmacology and Biological Psychiatry

123

111

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“…Behaviors associated with substance abuse provide recipe for community spread of the virus. SARS-CoV-2-laden particles drift through mephitic vaping and wafting smoke [33]. Repeated spitting habits are customary in tobacco-chewers [34].…”

Section: Substance Abuse As the Risk Factor For Acquiring Sars-cov2mentioning

confidence: 99%

COVID-19 and addiction

Dubey¹,

Ghosh

Chatterjee

et al. 2020

Diabetes & Metabolic Syndrome: Clinical Research & Revi

308

242

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Background and aims: 2019-coronavirus disease (COVID-19) is causing insurmountable psychosocial impact on the whole mankind. Marginalized community, particularly those with substance use disorders (SUD), are particularly vulnerable to contract the infection and also likely to suffer from greater psychosocial burden. This article analyses the intricate bi-directional relationship between COVID-19 and addiction.

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“…Due to the risks of public health posed by transmission of SARS-CoV-2, some countries have already imposed restrictions on hooka use [111]. The usage of e-cigarettes and hookah/waterpipe smoking should be stopped during the SARS-CoV-2 transmission cycle or at least from the start of symptoms.…”

Section: Electronic Cigarette Vaping Hooka and Covid-19mentioning

confidence: 99%

Smoking and COVID-19: Adding Fuel to the Flame

Kashyap

Dhasmana

Massey

et al. 2020

IJMS

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The coronavirus disease 2019 (COVID-19) pandemic, an infection caused by the severe acute respiratory syndrome coronavirus (SARS-CoV-2), has led to more than 771,000 deaths worldwide. Tobacco smoking is a major known risk factor for severe illness and even death from many respiratory infections. The effects of smoking on COVID-19 are currently controversial. Here, we provide an overview of the current knowledge on the effects of smoking on the clinical manifestations, disease progression, inflammatory responses, immunopathogenesis, racial ethnic disparities, and incidence of COVID-19. This review also documents future directions of smoking related research in COVID-19. The current epidemiological finding suggests that active smoking is associated with an increased severity of disease and death in hospitalized COVID-19 patients. Smoking can upregulate the angiotensin-converting enzyme-2 (ACE-2) receptor utilized by SARS-CoV-2 to enter the host cell and activate a ‘cytokine storm’ which can lead to worsen outcomes in COVID-19 patients. This receptor can also act as a potential therapeutic target for COVID-19 and other infectious diseases. The COVID-19 pandemic sheds light on a legacy of inequalities regarding gender, racial, and ethnic health disparities associated with active smoking, thus, smoking cessation may help in improving outcomes. In addition, to flatten the COVID-19 curve, staying indoors, avoiding unnecessary social contact, and bolstering the immune defense system by maintaining a healthy diet/living are highly desirable.

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Hookah smoking and COVID-19: call for action

Cited by 32 publications

References 6 publications

Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review

Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review

COVID-19 and addiction

Smoking and COVID-19: Adding Fuel to the Flame

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