Culture-United States and Canada

Recently many cities, states and counties have implemented indoor smoking bans. In some jurisdictions, hookah businesses can be exempted from the policies through special permits. Some permits however, have requirements such as the business earning a certain minimum percentage of their revenue from alcohol or tobacco.

In cities with indoor smoking bans, hookah bars have been forced to close or consider alternatives, such as offering flavored tobacco based maasel. In many cities though, hookah lounges have been growing in popularity. From the year 2000 to 2004, over 200 new hookah cafes opened for business, most of which are targeted at a young-adult age group, and were particularly near college campuses or cities with large Middle-Eastern communities. This activity continues to grow in popularity within the post-secondary student demographic.

In North America, the term 'shisha' is not as commonly used as 'hookah'. Sometimes 'Shisha' can also refer to the Flavored Tobacco inside the pipe as opposed to the Hookah pipe itself.

Culture-South Africa

In South Africa, hookah, colloquially known as a hubbly bubbly or an okka pipe, is popular amongst the Cape Malay, Indian population, where it is smoked as a social pastime. However, hookah is seeing increasing popularity with white South Africans, especially the youth. Bars that additionally provide hookahs are becoming more prominent, although smoking is normally done at home or in public spaces such as beaches and picnic sites.

In South Africa, the terminology of the various hookah components also differ from other countries. The clay "head/bowl" is known as a "clay pot". The hoses are called "pipes" and the air release valve is known, strangely, as a "clutch".

Some scientists point to the dagga pipe as an African origin of hookah

Culture-Southeast Asia-Philippines

In the Philippines, the Hookah or Shisha was particularly used within the minority Arab Filipino communities and Indian Filipino, although particularly among indigenous Muslim Filipinos, a historical following of social and cultural trends set in the Middle East led to the Hookah being a rare albeit prestige social-habit of noblemen in important trade cities such as Cotabato or Jolo.

Hookah was virtually unknown by Christian Filipinos before the latter 20th century, yet the popularity among contemporary younger Christians is now vastly growing. In the capital's most cosmopolitan city, Makati; various high-end bars and clubs offer hookahs to patrons.

Although hookah use has been common for hundreds of years and enjoyed by people of all ages, it has just begun to become a youth-oriented pastime in Asia in recent times. Hookahs are most popular with college students and young adults, who may be underage and thus unable to purchase cigarettes.

Culture-South Asia-Pakistan

In Pakistan, although traditionally prevalent in rural areas for generations, hookahs have become very popular in the cosmopolitan cities. Many clubs and cafes are offering them and it has become quite popular amongst the youth and students in Pakistan. This form of smoking has become very popular for social gatherings, functions, and events. There are a large number of cafes and restaurants offering a variety of hookahs. Karachi has seen a growth in this business.

Culture-South Asia-India

The concept of hookah originated In India, once the province of the wealthy, it was tremendously popular especially during Mughal rule. The hookah has since become less popular, however it is once again garnering the attention of the masses, and cafés and restaurants that offer it as a consumable are popular. The use of hookahs from ancient times in India was not only a custom, but a matter of prestige. Rich and landed classes would smoke hookahs. Tobacco is smoked in hookahs in many villages as per traditional customs. Smoking molasses in a hookah is now becoming popular amongst the youth in India. It is a growing trend amongst youngsters and adolescents. There are several chain clubs, bars and coffee shops in India offering a variety of hookahs. The new trends emerging are that of non-tobacco hookahs with herbal flavors.

Koyilandy, a small fishing town on the west coast of India, once made and exported these extensively. These are known as Malabar Hookhas or Koyilandy Hookahs. Today these intricate hookahs are difficult to find outside of Koyilandy and not much easier to find in Koyilandy itself.

While chewing tobacco is widespread, the government looks down on hookah smoking. There have been numerous raids and bans recently on hookah smoking, especially in Gujarat

Culture-Middle East-Israel

Smoking hookah is a not only a tradition, but culture. In Israel, the hookah is prevalent among Middle Eastern Jewish immigrants from Iran, Iraq, Turkey and Yemen (collectively known as Mizrahi Jews). Hookah use is also common in the Arab home where families will commonly smoke after a large meal or at a family gathering. Hookahs are becoming increasingly popular within Israel particularly among tourists. Shops selling paraphernalia can be found on most high streets and markets. Most nightclubs also have hookahs. In 2005, due to an increase in use among youth, a campaign was launched by The Israel Cancer Association warning against the hazards of hookah smoking, and the IDF has forbidden the use of hookahs by soldiers within its bases.

Culture-Middle East-Iran

In Iran, the hookah is known as a ghalyun (Farsi: قليان, قالیون, غلیون, also spelled ghalyan, ghalyaan or ghelyoon). It is similar in many ways to the Arabic hookah but has its own unique attributes. An example is the top part of the ghalyoun called 'sar' (Persian: سر=head), where the tobacco is placed, is bigger than the ones seen in Turkey. Also the major part of the hose is flexible and covered with soft silk or cloth while the Turkish make the wooden part as big as the flexible part.

Each person has his own personal mouthpiece (called an Amjid) (امجید), Amjid is usually made of wood or metal and decorated with valuable or other stones. Amjids are only used for their fancy look. However, all the Hookah Bars have plastic mouth-pieces.

Use of water pipes in Iran can be traced back to the Qajar period. In those days the hoses were made of sugar cane. Iranians had a special tobacco called Khansar (خانسار, presumably name of the origin city). The charcoals would be put on the Khansar without foil. Khansar has less smoke than the normal tobacco. Nasser al-Din Shah Qajar, Shah of Persia (1848-1896) is reputed to have considered a hookah mouthpiece pointed at him an insult.

The smoking of hookahs is very popular with young people in Iran, and many young people can be seen smoking them in local tea shops.

The hookah was, until recently, served to all ages; Iranian officials have since passed a law forbidding its use by those under 20.

Culture-Middle East-Arab world

In the Arab world, people smoke it as part of their culture and traditions. Social smoking is done with a single or double hose, and sometimes even more numerous such as a triple or quadruple hose in the forms of parties or small get-togethers. When the smoker is finished, either the hose is placed back on the table signifying that it is available, or it is handed from one user to the next, folded back on itself so that the mouthpiece is not pointing at the recipient. Another tradition is that the recipient taps or slaps the previous smoker on the back of the hand while taking it, as a sign of respect or friendship. It has been recorded that the Arabs are the biggest shisha smokers in the World and have the most shisha Cafes.^{[citation needed]}

In cafés and restaurants, however, it is common for each smoker to order an individual hookah, as the price is generally low, ranging from USD 3 to USD 25.

Most cafés (Arabic: مقهىً, transliteration: maqhah, translation: coffeeshop) in the Middle East offer shishas. Cafés are widespread and are amongst the chief social gathering places in the Arab world (akin to public houses in Britain). Some expatriate Britons arriving in the Middle East adopt shisha cafés to make up for the lack of pubs in the region, especially where prohibition is in place.

History

In India in the court of the Mughal emperor Akbar (1542 - 1605 CE) Following the European introduction of tobacco to India, Hakim Abul Fateh Gilani a descendant of Abdul Qadir Al-Gilani came from Baghdad to India who was later a physician in the court of Mughal raised concerns after smoking tobacco became popular among Indian noblemen, and subsequently envisaged a system which allowed smoke to be passed through water in order to be 'purified'. Gilani introduced the hookah after Asad Beg, then ambassador of Bijapur, encouraged Akbar to take up smoking.^[9] Following popularity among noblemen, this new device from Arabia for smoking soon became a status symbol for the Indian aristocracy and gentry. The Indian Hookah was designed differently from the Arabian Hookah or Shisha which was invented during the Abbasid Empire in Baghdad. They were different in shape and design.