Regular pipe smoking is known to carry serious health risks including increased danger of various forms of cancer as well as pulmonary and cardiovascular illnesses.
[1] According to Alfred Dunhill, Africans have had a long tradition of smoking hemp in gourd pipes, asserting that by 1884 the King of the Baluka tribe of the Congo had established a "riamba" or hemp-smoking cult in place of fetish-worship.
Similarly, methamphetamine has gained popularity in a crystalline form which when smoked in a pipe lets the user avoid the painful nasal irritation of snorting.
When not applied to a cigarette or joint, the liquid form of PCP is typically smoked in a pipe with tobacco or cannabis.
Smaller pipes such as the midwakh or kiseru are used to inhale milder tobaccos such as dokha or other substances such as ground cannabis or opium.
They consist of a bowl for packing material into, stem for inhaling, and a carburettor (carb) for controlling suction and airflow into the pipe.
[6] In addition, there is a causal relationship between pipe smoking and mortality due to lung and other cancers, as well as periodontal problems, such as tooth and bone loss.