No, the people of the Middle East do not smoke illegal substances in the water pipe. The Koran forbids alcoholic drinks and also any form of intoxication, I've been told (am doing more research on this item). But for relaxation, it is an ancient remedy. Flavored tobacco (cherry, apple, etc) is the usual fare.
Somehow the smoke travels from the pipe bowl at the top of the tall stem to the water bowl and thence to the leather tube which leads to the consumer's mouth. It produces, they believe, a cooler smoke.
Today young women smoke them in public - in cafes and restaurants. In US college towns a shisha bar may be a fashionable new boite.
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