Health Assessment Based On the Exposure of Alpha Radioactivity in Narghile Smoking

Document Type : Original Paper


Department of Physics, collage of science, Kerbala University


Introduction: Smokers and non-smokers are at the risk of developing lung cancer when exposed to alpha rays as a result of the relatively low levels of radium and radon that may be present in different tobacco species. There is a great interest in studies and research on the radionuclides in narghile tobacco emitting alpha particles to know the relationship between smoking narghile and cancer, especially lung cancer.
Material and Methods: This study was conducted to measure the alpha rays in 30 different narghile samples in the markets of Iraq. Radon concentrations were determined using time-tested passive radio doses containing CR-39 solid-state pathway detectors.
Results: The radon concentrations in samples varied from27.44±4.4 Bq/m3 to 214.61±18.1 Bq/m3 with the mean value of 65.60±41.04 Bq/m3. The annual effective dose varies from 0.69±0.09 mSv/y to 5.41±2.20 mSv/y with the mean value of 1.64±1.03 mSv/y. The lung cancer risk cases per year vary from 12.46±2.11 to 97.45±7.34 with the mean value of 29.77±18.63 per million people. The effective radium content ranged between 0.054Bq/kg and 0.425Bq/kg with the mean value of 0.131 of Bq/kg, while the radon emission values for the mass and surface units ranged from 0.410 to 3.212 with the mean of 0.996 mBq/kg.h and 9.040 to 70.703 with the mean value of 21.943mBq/m2.h, respectively.
Conclusion: The results of the study showed that alpha rays are within the internationally accepted limits and presently do not pose a threat to human health and life in terms of the radiation activity of the investigated narghile tobacco species in this study.


Main Subjects

  1. Kuper H, Adami HO, Boffetta P. Tobacco use, cancer, causation and public health impact. J Inter Med. 2002; 251:455-66.
  2. The Sacred Narghile. 2005. Available from:
  3. Wolfram RM, Chehne F, Oguogho A, Sinzinger H. Narghile (water pipe) smoking influences platelet function and (iso-)eicosanoids. Life Sci. 2003; 74:47–53.
  4. Gupta D, Boffetta P, Gaborieau V, Jindal S. Risk factor of lung cancer in Chandigarh, India. Indian J Med Res. 2011; 113:142-50.
  5. USA Today. Hookah trend puffing along. 2005. Available from: hookah-trendhtm.
  6. Koul PA, Hajni MR, Sheikh MA, Khan UH, Shah Y, Ahangar AG, et al. Hookah smoking and lung cancer in the Kashmir Valley of the Indian Subcontinent. Asian Pacific J Cancer Prev. 2011; 12:519-24.
  7. Knishkowy B, Amitai Y. Water-pipe (narghile) smoking: an emerging health risk behavior. Pediatrics-English Edition. 2005 Jul 1;116(1):e113.
  8. Kandela P. Nargile smoking keeps Arabs in Wonderland. Lancet. 2000; 356:1175.
  9. Kiter G, Ucan ES, Ceylan E, Kilinc O. Water-pipe smoking and pulmonary functions. Respir Med. 2000; 94:891–4.
  10. Sharma RN, Deva C, Behera D, Khanduja KL. Reactive oxygen species formation in peripheral blood neutrophils in different types of smokers. Indian J Med Res. 1997; 106:475–80.
  11. Yadav JS, Thakur S. Genetic risk assessment in hookah smokers. Cytobios. 2000; 101:101–13.
  12. Al-Fayez SF, Salleh M, Ardawi M, Zahran FM. Effects of sheesha and cigarette smoking on pulmonary function of Saudi males and females. Trop Geogr Med. 1988; 40:115–23.
  13. Bayindir U, Ucan ES, Sercin B, Ikiz F. The effect of water-pipe smoking on the peak flow rate [abstract]. Eur Respir J. 1993;6(17):608.
  14. Altinsik G, Ucan ES, Akpinar O. Effect of water pipe smoking on pulmonary functions [abstract]. Eur Respir J. 1995;8(19):233.
  15. Funck-Brentano C, Raphaël M, Lafontaine M, Arnould JP, Verstuyft C, Lebot M, et al. Effects of type of smoking (pipe, cigars or cigarettes) on biological indices of tobacco exposure and toxicity. Lung Cancer. 2006 Oct 1;54(1):11-8.
  16. Tarsheen KS, Moataz N, Goetz HK. Radon and lung cancer. Clin Adv Hematol Oncol. 2012; 10:157-64.
  17. Baias PF, Hofmann W, Winkler-Heil R, Cosma C, Duliu OG. Lung dosimetry for inhaled radon progeny in smokers. Radiat Prot Dosimetry. 2010; 138:111-8.
  18. Marmorstein J. Lung cancer: is the increasing incidence due to radioactive Polonium in cigarettes?. Southern medical journal. 1986 Feb;79(2):145-50.
  19. Martel EA. Tobacco radioactivity and cancer in smokers. her. Scientist. 1975; 63:404-12.
  20. Alberigi S, Pecequilo RS, Lobo HAS, Campos MP. Assessment of effective doses from radon levels for tour guides at several galleries of Santana cave, Southern Brazil, with CR-39 detectors: Preliminary results. Radiat Prot Dosim. 2011; 54:1-4.
  21. Ghany HAA. The association between indoor radon and tobacco smoke. Indoor Built Environ. 2006;15: 289-93.
  22. Ghany HAA. Enhancement of radon exposure in smoking area. Environ Geochem Health. 2007; 29:249-55.
  23. Saad AF, Abdalla YK, Hussein NA, Elyaseery IS. Radon exhalation rate from building materials used on the Garyounis University campus, Benghazi, Libya. Turkish J Eng Env Sci. 2010; 34:67-74.
  24. Jamil K, Zakaullah M, Abu-Jarad F, Mujahid SA. Experimental and Monte Carlo simulation studies of open cylindrical radon monitoring device using CR-39 detector. Journal of environmental radioactivity. 2003 Jan 1;65(2):243-54.
  25. Rafat M, Amin M, Eissa F. Radon level and radon effective dose rate determination using SSNTDs in scanner cave, Eastern desert of Egypt. Environ Monit Assess. 2008; 143: 59-65.
  26. Hashim AK , Mohammed EJ. Natural radioactivity due to radon in dwellings of Karbala city, Iraq. Int. J. Adv. Res. 2016;4(8): 1164-71.
  27. Ismail AH, Jaafar MS. Indoor radon concentration and its health risks in selected locations in Iraqi Kurdistan using CR-39 NTDs. In2010 4th International Conference on Bioinformatics and Biomedical Engineering. 2010; 1-8.
  28. Ismail AH, Hussyin ZA. Study of seasonal variations of radon levels and its risks inside different schools in Iraqi Kurdistan region for the first time. In Proceedings of the 10 th 2007.
  29. Kansal S, Mehra R, Singh NP. Life time fatality risk assessment due to variation of indoor radon concentration in dwellings in western Haryana, India. Applied Radiation and Isotopes. 2012 Jul 1;70(7):1110-2.
  30. UNSCEAR. United Nations Scientific Committee on the Effects of Atomic Radiation: Sources and Effects of Ionizing Radiation. Vol. 1. United Nations, New York. 2000.
  31. ICRP (International Commission on Radiological Protection Publication). Protection against Radon-222 at home and at work. Annals of ICRP: Oxford: Pergamon press. 1994;  1-45.
  32. Mowlavi AA, Fornasier MR, Binesh A, De Denaro M. Indoor radon measurement and effective dose assessment of 150 apartments in Mashhad, Iran. Environmental monitoring and assessment. 2012 Feb 1;184(2):1085-8.
  33. UNSCAER Appendix I: Epidemiological evaluation of radiation induced cancer; Appendix G: Biological effects of low radiation doses. 2000.
  34. Abumurad KM, Al-Omari RA. Indoor radon levels in irbid and health risk from internal doses. Radiation Measurements. 2008 Aug 1;43: S389-91.
  35. Mansour HH, per Khdar S, Abdulla HY, Muhamad NQ, Othman MM, Qader S. Measurement of indoor radon levels in Erbil capital by using solid state nuclear track detectors. Radiation measurements. 2005 Nov 1;40(2-6):544-7.
  36. Abdullah AA. Internal and external radiation exposure evaluation amongst selected workers and locations in Iraq. Ph.D. Thesis, University Sains Malaysia, Malaysia. 2013.
  37.  Alsaedi AK, Almayahi BA, Alasadi AH. Cement 222Rn and 226Ra concentration measurements in selected samples from different companies. Asian Journal of Natural and Applied Sciences. 2013;2(4):95-100.
  38. Mahur AK, Khan MS, Naqvi AH, Prasad R, Azam A. Measurement of effective radium content of sand samples collected from Chhatrapur beach, Orissa, India using track etch technique. Radiation Measurements. 2008 Aug 1;43: S520-2.
  39. Mahur AK, Kumar R, Sengupta D, Prasad R. Estimation of radon exhalation rate, natural radioactivity and radiation doses in fly ash samples from Durgapur thermal power plant, West Bengal, India. Journal of environmental radioactivity. 2008 Aug 1;99(8):1289-93.
  40. Azam A, Naqvi AH, Srivastava DS. Radium content and radon exhalation measurement using LR-115 type II plastic track detectors. Nucl Geophys. 1995;9(6):653-7.
  41. Abu-Jarad F, Fremlin JH, Bull R. A study of radon emitted from building materials using plastic α-track detectors. Physics in Medicine & Biology. 1980 Jul;25(4):683.
  42. Khan AJ, Prasad R, Tyagi RK. Measurement of radon exhalation rate from some building materials. International Journal of Radiation Applications and Instrumentation. Part D. Nuclear Tracks and Radiation Measurements. 1992 Oct 1;20(4):609-10.
  43. International Commission on Radiological Protection. Statement on Radon, ICRP Ref. 00/902/09. 2009.
  44. UNSCEAR. Genetic and somatic effects of ionizing radiation. United Nations .1993.
  45. ICRP, 1993. Protection Against Radon-222 at Home and at Work. ICRP Publication 65. Ann. ICRP 23 (2).
  46.  Hashim AK, Najam LA, Tettey-Larbi L. A Study of Radon Concentration in Different Brands Tobacco Cigarette in Iraqi Market, Influencing Factors and Lung Cancer Risk. International Journal of Science and Technology. 2015 Oct;5(10).
  47. Abdalsattar KH, Najam A, Najam A, Abbas FH. Lung Cancer Risk Due to Radon in Different Brand Cigarette Tobacco in Iraqi Market. World Scientific News. 2017;77(2):163-76.
  48. Farid SM. A Study on the Radon Concentrations in Tobacco in Jeddah, Saudi Arabia and the Associated Health Effects. Medical Journal of Islamic World Academy of Sciences. 2012 Jul;109(413):1-0.
  49. Farid SM. Enhancement of radon exposure in narghile (water pipe) smoking areas. Medical Journal of Islamic World Academy of Sciences. 2013 Oct;21(4):155-62.
  50. Nain M, Gupta M, Chauhan RP, Kant K, Sonkawade RG, Chakarvarti SK. Estimation of radioactivity in tobacco. Indian Journal of pure and applied applied physics. 2010;4:820-2.
  51. Pourimani R, Davoodmaghami T. Radiological hazard resulting from natural radioactivity of soil in east of Shazand power plant. Iranian Journal of Medical Physics. 2018;15(3):192-9.
  52. Pourimani R, Mortazavi Shahroudi SM. Radiological Assessment of the Artificial and Natural Radionuclide Concentrations of Wheat and Barley Samples in Karbala, Iraq. Iranian Journal of Medical Physics. 2018 Apr 1;15(2):126-31.
  53. Almayahi BA. Determination of Radionuclide Concentration in Human Teeth in Najaf Governorate, Iraq. Iranian Journal of Medical Physics. 2017 Dec 1;14(4):173-82.
  54. Masoumi H, Hasanzadeh H, Jadidi M, Mirmohammadkhani M, Bitarafan-Rajabi A, Abedelahi A, Emadi A, Bokharaeian M, Shabani F, Moshfegh S, Seifi D. A survey on the radiation protection status among radiology staff. Iranian Journal of Medical Physics. 2018 Jul 1;15(3):176-82.