🎯 Learning OutcomesMatokeo ya KujifunzaLearning Outcomes

By the end of this lesson, you will be able to:Mwisho wa somo hili, utaweza:Mwisho wa lesson hii, utaweza:

  1. Explain what shisha is and how it is produced and consumedEleza shisha ni nini na jinsi inavyotengenezwa na kutumiwaExplain shisha ni nini na jinsi inatengenezwa na kutumiwa
  2. Debunk the top myths about shisha being safer than cigarettes using scientific evidencePinga hadithi kuu za shisha kuwa salama zaidi kuliko sigara kwa kutumia ushahidi wa kisayansiDebunk myths za shisha kuwa safer than cigarettes kwa kutumia scientific evidence
  3. Identify the specific chemicals in shisha smoke and their health effectsTambua kemikali maalum katika moshi wa shisha na athari zake za kiafyaIdentify specific chemicals kwa shisha smoke na health effects zao
  4. Explain how shisha creates nicotine addiction and the social normalisation riskEleza jinsi shisha inavyosababisha uraibu wa nikotini na hatari ya kawaida ya kijamiiExplain jinsi shisha inasababisha nicotine addiction na social normalisation risk
  5. Apply refusal skills to shisha peer pressure situations in KenyaTumia ujuzi wa kukataa katika hali za shinikizo la shisha KenyaApply refusal skills kwa shisha peer pressure situations Kenya
Big Question:Swali Kuu:Big Question: Your friends at the Nairobi hookah lounge say "Shisha is just flavoured steam — it's not even a real drug." Is this true? What do you say?Marafiki wako katika baa ya shisha ya Nairobi wanasema "Shisha ni mvuke wa ladha tu — si dawa hata." Je, hii ni kweli? Unasema nini?Marafiki wako kwa hookah lounge ya Nairobi wanasema "Shisha ni flavoured steam tu — si drug hata." Je, hii ni kweli? Unasema nini?
💨 What Is Shisha? — The Truth Behind the SmokeShisha ni Nini? — Ukweli Nyuma ya MoshiWhat Is Shisha? — Truth Behind the Smoke

Shisha (also called hookah, water pipe, narghile or hubble bubble) is a device for smoking specially prepared tobacco called maassel. Charcoal heats the tobacco, and smoke passes through water before being inhaled.Shisha (pia inaitwa hookah, bomba la maji, narghile) ni kifaa cha kuvuta tumbaku iliyoandaliwa maalum inayoitwa maassel. Mkaa huipasha joto tumbaku, na moshi hupita kwenye maji kabla ya kuvutwa.Shisha (also called hookah, water pipe, narghile or hubble bubble) is a device for smoking specially prepared tobacco called maassel. Charcoal heats the tobacco, and smoke passes through water before being inhaled.

⚠️ The water does NOT filter out harmful chemicals — this is the biggest shisha myth. Water cools the smoke (making it feel smoother) but dangerous toxins pass through unchanged.Maji HAYAFILTRI kemikali hatari — hii ni hadithi kubwa zaidi ya shisha. Maji hupoza moshi lakini sumu hatari hupita bila kubadilika.
Shisha Fact ENUkweliReality ENUkweli Halisi
One shisha session lastsKipindi kimoja cha shisha45–60 minutes on averageDakika 45–60 kwa wastani
Smoke inhaled per sessionMoshi unaovutwa kwa kipindiUp to 200 puffs vs 20 for a cigaretteHadi mapigo 200 vs 20 kwa sigara
Tar per sessionLami kwa kipindi36× more than one cigaretteMara 36 zaidi ya sigara moja
Carbon monoxideMonoksidi kaboniUp to 40× more than one cigaretteHadi mara 40 zaidi ya sigara
Nicotine per sessionNikotini kwa kipindiEquivalent to smoking 10 cigarettesSawa na kuvuta sigara 10
🔑 Maassel🔑 Maassel The tobacco used in shisha — soaked in molasses, honey, fruit flavours and glycerine. The sweet taste and fruity smell hide the tobacco and nicotine.Tumbaku inayotumiwa katika shisha — iliyolowekwa katika molasi, asali, ladha za matunda na glycerine.
🧪 Chemicals in Shisha Smoke — What You're Really InhalingKemikali katika Moshi wa Shisha — Unachovuta KweliChemicals za Shisha Smoke — Unachovuta Kweli
Chemical ENKemikaliSource ENChanzoHealth Effect ENAthari za Kiafya
NicotineNikotiniTobacco leafJani la tumbakuHighly addictive — rewires brain reward systemUraibu sana — inabadilisha mfumo wa tuzo wa ubongo
Carbon monoxideCOCharcoal combustionMwako wa mkaaBlocks oxygen — causes heart disease and hypoxiaInazuia oksijeni — ugonjwa wa moyo
TarLamiBurning tobaccoTumbaku inayowakaCoats lung tissue — causes cancerInafunika tishu za mapafu — saratani
Heavy metalsMetali nzitoHookah hose and bowlBomba na bakuli la hookahLead, arsenic, chromium — organ damageRisasi, arseniki — uharibifu wa viungo
FormaldehydeFormaldehydeCombustion byproductBidhaa ya mwakoKnown carcinogen — causes cancerKansajeni inayojulikana — inasababisha saratani
BenzeneBenzeniCharcoal combustionMwako wa mkaaCauses leukaemia — blood cancerInasababisha lukemia — saratani ya damu
⚠️ Sharing a shisha pipe directly transmits tuberculosis (TB), herpes, hepatitis, COVID-19 and other respiratory infections. Mouthpieces do NOT fully prevent transmission even when new.Kushiriki bomba la shisha kunapelekea moja kwa moja kifua kikuu (TB), herpes, hepatitis na maambukizi mengine ya kupumua.

The charcoal used in shisha produces its own toxic smoke separate from the tobacco. Even herbal/tobacco-free shisha uses charcoal — meaning carbon monoxide and benzene are still inhaled.Mkaa unaotumika katika shisha unazalisha moshi wake wenye sumu tofauti na tumbaku. Hata shisha ya mimea/isiyo na tumbaku hutumia mkaa — ikimaanisha CO na benzeni bado zinapumuzwa.The charcoal used in shisha produces its own toxic smoke separate from the tobacco. Even herbal/tobacco-free shisha uses charcoal — meaning carbon monoxide and benzene are still inhaled.

🚫 Busting the Shisha MythsKupiga Hadithi za ShishaBusting Shisha Myths
Myth ENHadithiScientific Reality ENUkweli wa Kisayansi
"The water filters toxins""Maji hufiltri sumu"FALSE. Water cools smoke but does NOT remove tar, CO, nicotine, or heavy metals.UONGO. Maji hupoza moshi lakini HAYAONDOI lami, CO, nikotini, au metali nzito.
"It's just flavoured steam""Ni mvuke wa ladha tu"FALSE. Shisha smoke contains all the same carcinogens as cigarettes plus charcoal toxins.UONGO. Moshi wa shisha una kansajeni zote kama sigara pamoja na sumu ya mkaa.
"No tobacco — no harm""Bila tumbaku — bila madhara"FALSE. Herbal shisha still uses charcoal producing CO and benzene. Addiction risk remains.UONGO. Shisha ya mimea bado hutumia mkaa ikitoa CO na benzeni.
"One session is no big deal""Kipindi kimoja si tatizo"FALSE. One session = 200 puffs, 36× more tar, 40× more CO than one cigarette.UONGO. Kipindi kimoja = mapigo 200, mara 36 zaidi ya lami, mara 40 zaidi ya CO.
"It's less addictive""Ni uraibu mdogo"FALSE. One session delivers nicotine equivalent to 10 cigarettes — high addiction potential.UONGO. Kipindi kimoja kinatoa nikotini sawa na sigara 10 — hatari kubwa ya uraibu.
"It's a social activity, not a drug""Ni shughuli ya kijamii, si dawa"FALSE. Nicotine is classified as a drug. Social settings are how most addictions begin.UONGO. Nikotini ni dawa. Mazingira ya kijamii ndiyo jinsi uraibu mwingi unavyoanza.
The Kenya Shisha SceneHali ya Shisha KenyaShisha lounges are increasingly common in Nairobi, Mombasa, Nakuru and other Kenyan towns, often targeting youth through attractive settings, music, and fruity flavours. Some are unregulated. Kenya's Tobacco Control Act 2007 applies to shisha — smoking is banned in public places and sale to under-18s is illegal.Baa za shisha zinaenea zaidi Nairobi, Mombasa na miji mingine ya Kenya, mara nyingi ikilenga vijana kupitia mazingira ya kuvutia na ladha za matunda.
🔗 Addiction & Social NormalisationUraibu na Kawaida ya KijamiiAddiction na Social Normalisation

Nicotine addiction from shisha develops faster than most people expect. Because sessions are long and social, the brain receives repeated high-dose nicotine — training it to associate relaxation and social bonding with nicotine.Uraibu wa nikotini kutoka kwa shisha hukua haraka zaidi kuliko watu wengi wanavyotarajia. Kwa sababu vipindi ni virefu na vya kijamii, ubongo hupokea nikotini ya dozi nyingi mara kwa mara.Nicotine addiction from shisha develops faster than most people expect. Because sessions are long and social, the brain receives repeated high-dose nicotine — training it to associate relaxation and social bonding with nicotine.

Week ENWikiTypical Experience ENUzoefu wa KawaidaWarning Sign ENIshara ya Onyo
Week 1Wiki 1First session — pleasant, relaxed, curiousKipindi cha kwanza — kupendezaBrain notes dopamine rewardUbongo hurekodia tuzo ya dopamine
Week 2–4Wiki 2–4Regular sessions with friends — "part of the vibe"Vipindi vya kawaida — "sehemu ya mazingira"Cravings between sessions startTamaa kati ya vipindi zinaanza
Month 2–3Mwezi 2–3Going to the lounge even when you didn't plan toKwenda baa hata bila mpangoTolerance building — needing more to feel relaxedKuhitaji zaidi kuhisi utulivu
Month 4+Mwezi 4+Irritable without shisha, thinking about it oftenHasira bila shisha, ukifikiria mara kwa maraNicotine dependence — medical conditionUtegemezi wa nikotini — hali ya kiafya
🗣️ SHENG
"Watu wanasema 'tunaenda kushisha' kana kwamba ni kawaida kama chai. Lakini nikotini inakufanya 'addicted' bila hata kujua."
People say "let's go shisha" as casually as tea. But nicotine is addicting you without you noticing.
🎬 Video: The Truth About ShishaVideo: Ukweli Kuhusu ShishaVideo: Truth About Shisha
🎬

Video will appear here when uploaded by your teacher.Video itaonekana hapa ikipakiwa na mwalimu wako.

Admin: Upload a video lesson to this module
🎭 Scenario: Handling Shisha PressureHali: Kushughulikia Shinikizo la ShishaScenario: Kushughulikia Shisha Pressure
Grace, 18, is out with her university friends at a Nairobi hookah lounge. Everyone is sharing a pipe. Her friend says "Just try it — it's only flavours, not a real drug."
What should Grace do?
Peter sees his younger sister (15) posting photos on Instagram at a shisha lounge with older students.
What is the BEST response from Peter?
🛡️ Saying No to Shisha & Getting HelpKusema Hapana kwa Shisha na Kupata MsaadaKusema No kwa Shisha na Kupata Help

You have the right to say no in any social setting. Use facts — they are more powerful than excuses:Una haki ya kusema hapana katika mazingira yoyote ya kijamii. Tumia ukweli — una nguvu zaidi kuliko udhuru:You have the right to say no in any social setting. Use facts — they are more powerful than excuses:

If They Say ENWakisemaYou Say ENUnasemaWhy It Works ENKwa Nini Inafanya Kazi
"It's just steam""Ni mvuke tu""Actually, shisha has 36x more tar than a cigarette.""Ukweli, shisha ina lami mara 36 zaidi ya sigara."Facts shut down myths instantlyUkweli unafunga hadithi mara moja
"One session won't hurt""Kipindi kimoja""One session = 10 cigarettes of nicotine. I'm good.""Kipindi kimoja = nikotini ya sigara 10. Niko sawa."Specific number is persuasiveNambari maalum ina nguvu
"Everyone does it""Kila mtu anafanya""I make my own health decisions.""Ninafanya maamuzi yangu ya kiafya."Asserts autonomy without argumentInadai uhuru bila ugomvi
"You're boring""Una boring""I'd rather be boring than have lung cancer.""Nipendelee kuwa boring kuliko kuwa na saratani."Humor deflects mockeryUcheshi unapinga dharau

If you or someone you know is already addicted to shisha/nicotine:Kama wewe au mtu unayemjua tayari ana uraibu wa shisha/nikotini:If you or someone you know is already addicted to shisha/nicotine:

Resource ENRasilimaliContact ENWasiliano
NACADA HelplineNACADA0800 723 253 (Free 24/7)0800 723 253
Kenya Tobacco-Free InitiativeMpango wa Kenya bila TumbakuMinistry of Health KenyaWizara ya Afya
School counsellorMshauri wa shuleFirst step — free and confidentialHatua ya kwanza — ya siri
📝 Reflection & PracticeTafakari na MazoeziReflection na Practice
📓 Personal ReflectionTafakari ya Kibinafsi

Have you ever seen shisha being used as a "normal" social activity? What myths did people believe? What would you say now that you know the facts?Je, umewahi kuona shisha ikitumika kama shughuli ya kawaida ya kijamii? Ni hadithi zipi ambazo watu waliamini? Ungesema nini sasa ukijua ukweli?

Quick CheckQuick CheckBefore the quiz: (1) How many times more tar does one shisha session produce vs one cigarette? (2) Name THREE chemicals in shisha smoke. (3) Why is sharing a shisha pipe a health risk beyond nicotine? (4) What is the NACADA helpline number?Before the quiz: (1) How many times more tar does one shisha session produce vs one cigarette? (2) Name THREE chemicals in shisha smoke. (3) Why is sharing a shisha pipe a health risk beyond nicotine? (4) What is the NACADA helpline number?
📊 Quiz — 25 MarksJaribio — Alama 25Quiz — Marks 25

Complete all parts. 15/25 (60%) to earn your certificate.Kamilisha sehemu zote. 15/25 kupata cheti.Fanya sehemu zote. 15/25 kupata certificate.

Part A: MCQ — 10 marksSehemu A: MCQPart A: MCQ
1. How much MORE tar does one shisha session produce compared to smoking one cigarette?1. Lami NGAPI ZAIDI kipindi kimoja cha shisha hutoa ikilinganishwa na kuvuta sigara moja?1. Tar ngapi MORE one shisha session hutoa compared na smoking one cigarette?
A5 times moreMara 5 zaidiMara 5 zaidi
B10 times moreMara 10 zaidiMara 10 zaidi
C36 times moreMara 36 zaidiMara 36 zaidi
DSame amount as a cigaretteKiasi sawa na sigaraSame amount kama sigara
2. Why does the water in a shisha pipe NOT make it safer?2. Kwa nini maji katika bomba la shisha HAYAFANYI kuwa salama zaidi?2. Kwa nini maji kwa shisha pipe HAYAFANYI kuwa safer?
AThe water evaporates before filtering anythingMaji hupuka kabla ya kuchuja chochoteMaji huvuka kabla ya kuchuja kitu chochote
BWater only cools the smoke — toxins like CO, nicotine and tar still pass through unchangedMaji hupoza moshi tu — sumu kama CO, nikotini na lami bado hupita bila kubadilikaMaji hupoza smoke tu — toxins kama CO, nikotini na tar bado hupita unchanged
CWater turns chemicals into harmless vapourMaji hubadilisha kemikali kuwa mvuke usio na madharaMaji hubadilisha chemicals kuwa harmless vapour
DThe flavouring in the tobacco cancels out toxinsLadha katika tumbaku huondoa sumuFlavouring katika tumbaku huondoa toxins
3. Sharing a shisha pipe can transmit which of the following infections?3. Kushiriki bomba la shisha kunaweza kupelekea maambukizi gani kati ya yafuatayo?3. Kushiriki shisha pipe inaweza kupelekea maambukizi gani?
AOnly herpes simplex virusHerpes simplex tuHerpes simplex tu
BOnly tuberculosisKifua kikuu tuTB tu
COnly COVID-19COVID-19 tuCOVID-19 tu
DTuberculosis, herpes, hepatitis and respiratory infectionsKifua kikuu, herpes, hepatitis na maambukizi ya kupumuaTB, herpes, hepatitis na respiratory infections
4. One shisha session delivers approximately how much nicotine?4. Kipindi kimoja cha shisha hutoa nikotini kiasi gani takriban?4. One shisha session hutoa takriban nikotini kiasi gani?
AEquivalent to half a cigaretteSawa na nusu sigaraSawa na nusu sigara
BEquivalent to 2 cigarettesSawa na sigara 2Sawa na sigara 2
CEquivalent to 10 cigarettesSawa na sigara 10Sawa na sigara 10
DNo measurable nicotineNikotini yoyote inayopimikaHakuna nikotini inayopimika
5. Under Kenya's Tobacco Control Act 2007, shisha:5. Chini ya Sheria ya Udhibiti wa Tumbaku ya Kenya ya 2007, shisha:5. Chini ya Kenya Tobacco Control Act 2007, shisha:
AIs completely unregulated and legal for all agesHaidhibitiwa kabisa na ni halali kwa umri woteHaidhibitiwa na ni legal kwa umri wote
BIs covered under tobacco law — sale to under-18s is illegal and smoking in public is bannedInashughulikiwa chini ya sheria ya tumbaku — mauzo kwa chini ya miaka 18 ni haramuInashughulikiwa chini ya tobacco law — mauzo kwa under-18s ni illegal
CIs legal for people over 16Ni halali kwa watu zaidi ya miaka 16Ni legal kwa watu zaidi ya miaka 16
DIs only banned in schools and hospitalsInakatazwa tu shuleni na hospitaliniInakatazwa tu shuleni na hospitalini
6. Which toxic metal found in shisha smoke comes primarily from the hookah equipment itself?6. Metali gani yenye sumu inayopatikana katika moshi wa shisha inatoka hasa kutoka kwa vifaa vya hookah yenyewe?6. Toxic metal gani inayopatikana kwa shisha smoke inatoka hasa kutoka kwa hookah equipment yenyewe?
ALead and arsenic from the metal pipes and fittingsRisasi na arseniki kutoka kwa mabomba ya chumaLead na arsenic kutoka kwa metal pipes
BNicotine from the tobaccoNikotini kutoka kwa tumbakuNicotine kutoka kwa tumbaku
CTar from the flavouring chemicalsLami kutoka kwa kemikali za ladhaTar kutoka kwa flavouring chemicals
DCarbon monoxide from the fruit flavoursMonoksidi kaboni kutoka kwa ladha za matundaCarbon monoxide kutoka kwa fruit flavours
7. The MOST accurate description of herbal (tobacco-free) shisha is:7. Maelezo SAHIHI ZAIDI ya shisha ya mimea (isiyo na tumbaku) ni:7. Description ACCURATE ZAIDI ya herbal (tobacco-free) shisha ni:
ACompletely safe because it contains no tobaccoSalama kabisa kwa sababu haina tumbakuCompletely safe kwa sababu haina tumbaku
BSlightly less harmful but still contains some nicotineKidogo pungufu ya madhara lakini bado ina nikotini kidogoKidogo less harmful lakini bado ina nicotine kidogo
CStill harmful because charcoal combustion produces CO, benzene and other toxins regardless of tobaccoBado ni hatari kwa sababu mwako wa mkaa hutoa CO, benzeni na sumu zingine bila kujali tumbakuBado ni harmful kwa sababu charcoal combustion hutoa CO, benzene na toxins bila kujali tumbaku
DSafe for people with asthma as it does not contain tarSalama kwa watu wenye pumu kwa sababu haina lamiSafe kwa watu wenye asthma kwa sababu haina tar
8. When Achieng's friend says "Shisha is just flavoured steam — not a real drug," the BEST factual response is:8. Wakati rafiki wa Achieng anasema "Shisha ni mvuke wa ladha tu — si dawa halisi," jibu BORA la ukweli ni:8. Wakati rafiki wa Achieng anasema "Shisha ni flavoured steam tu — si real drug," best factual response ni:
AAgree and try it once to be politeKubali na ujaribu mara moja kwa heshimaKubali na ujaribu mara moja kuwa polite
BIgnore them and walk away without explanationWaache na uende bila kuelezaIgnore na uende bila kueleza
CSay it is haram and refuse on religious grounds onlySema ni haramu na kukataa kwa sababu za kidini tuSema ni haram na kukataa kwa sababu za kidini tu
DSay: "Actually, shisha smoke contains nicotine, tar, and carbon monoxide — one session equals 10 cigarettes of nicotine and 36 cigarettes of tar."Sema: "Ukweli, moshi wa shisha una nikotini, lami, na CO — kipindi kimoja = nikotini ya sigara 10 na lami ya sigara 36."Sema: "Actually, shisha smoke ina nicotine, tar, na CO — one session = nikotini ya cigarettes 10 na tar ya cigarettes 36."
9. Benzene found in shisha smoke is particularly dangerous because it:9. Benzeni inayopatikana katika moshi wa shisha ni hatari hasa kwa sababu:9. Benzene inayopatikana kwa shisha smoke ni hatari sana kwa sababu:
AIs a known cause of leukaemia (blood cancer)Ni sababu inayojulikana ya lukemia (saratani ya damu)Ni known cause ya leukaemia (blood cancer)
BMakes the smoke smell unpleasantInafanya moshi kunuka vibayaInafanya smoke kunuka vibaya
CCauses immediate respiratory failureInasababisha kushindwa kupumua mara mojaInasababisha immediate respiratory failure
DReacts with nicotine to create a more addictive compoundInafanya kazi na nikotini kuunda kiwanja chenye uraibu zaidiInareact na nicotine kuunda more addictive compound
10. A hookah lounge in Nairobi advertises "nicotine-free, organic fruit shisha." This product:10. Baa ya hookah Nairobi inatangaza "shisha ya matunda ya kikaboni, isiyo na nikotini." Bidhaa hii:10. Hookah lounge Nairobi inatangaza "nicotine-free, organic fruit shisha." Bidhaa hii:
AIs completely safe as it contains no nicotine or tobaccoNi salama kabisa kwani haina nikotini wala tumbakuNi completely safe kwani haina nicotine wala tumbaku
BStill exposes users to charcoal toxins including CO, benzene and heavy metals from equipmentBado yanadhuru kwa sumu ya mkaa ikiwemo CO, benzeni na metali nzito kutoka kwa vifaaBado inaexpose users kwa charcoal toxins ikiwemo CO, benzene na heavy metals kutoka kwa equipment
CIs legal to sell to under-18s because it has no tobaccoNi halali kuuza kwa chini ya miaka 18 kwa sababu haina tumbakuNi legal kuuza kwa under-18s kwa sababu haina tumbaku
DHas been approved by Kenya Bureau of Standards as safeImeidhinishwa na Shirika la Viwango la Kenya kama salamaImeidhinishwa na KEBS kama safe
Part B: Fill in the Blanks — 5 marksSehemu B: Jaza NafasiPart B: Fill Blanks

One shisha session produces approximately ______ times more tar than a single cigarette.Kipindi kimoja cha shisha hutoa takriban mara ______ zaidi ya lami kuliko sigara moja.One shisha session hutoa approximately mara ______ zaidi ya tar kuliko single cigarette.

The charcoal in shisha produces a gas called ______ that blocks oxygen in the blood and causes heart disease.Mkaa katika shisha hutoa gesi inayoitwa ______ inayozuia oksijeni katika damu na kusababisha ugonjwa wa moyo.Mkaa kwa shisha hutoa gas inayoitwa ______ inayozuia oxygen kwa damu na kusababisha heart disease.

Under Kenya's Tobacco Control Act 2007, selling shisha to anyone under ______ years old is illegal.Chini ya Sheria ya Udhibiti wa Tumbaku ya Kenya ya 2007, kuuza shisha kwa mtu yeyote chini ya miaka ______ ni haramu.Chini ya Kenya Tobacco Control Act 2007, kuuza shisha kwa mtu yeyote chini ya miaka ______ ni illegal.

The highly addictive chemical found in shisha tobacco that rewires the brain's reward system is called ______.Kemikali yenye uraibu mkubwa inayopatikana katika tumbaku ya shisha inayobadilisha mfumo wa tuzo wa ubongo inaitwa ______.Highly addictive chemical inayopatikana kwa shisha tobacco inayorewire brain reward system inaitwa ______.

Benzene in shisha smoke is a known cause of ______ cancer (blood cancer).Benzeni katika moshi wa shisha ni sababu inayojulikana ya saratani ya ______ (saratani ya damu).Benzene kwa shisha smoke ni known cause ya ______ cancer (blood cancer).

Part C: Short Answer — 10 marksSehemu C: Majibu MafupiPart C: Short Answer

A friend tells you "Shisha is safer than cigarettes because the water filters the smoke." Using specific facts, explain why this is false. (4 marks)Rafiki anakuambia "Shisha ni salama zaidi kuliko sigara kwa sababu maji huchuja moshi." Kwa kutumia ukweli maalum, eleza kwa nini hii ni uongo. (alama 4)Friend anakuambia "Shisha ni safer than cigarettes kwa sababu water hufilter smoke." Kwa kutumia specific facts, explain kwa nini hii ni false. (marks 4)

Describe THREE specific health risks of sharing a shisha pipe, other than nicotine addiction. (3 marks)Eleza HATARI TATU maalum za kiafya za kushiriki bomba la shisha, zaidi ya uraibu wa nikotini. (alama 3)Describe HATARI TATU specific za kiafya za kushiriki shisha pipe, zaidi ya nicotine addiction. (marks 3)

Explain the concept of social normalisation and why it makes shisha particularly dangerous for Kenyan youth. (3 marks)Eleza dhana ya kawaida ya kijamii na kwa nini inafanya shisha kuwa hatari hasa kwa vijana wa Kenya. (alama 3)Explain concept ya social normalisation na kwa nini inafanya shisha kuwa particularly dangerous kwa Kenyan youth. (marks 3)

Below 60% — try again!Chini ya 60%!Chini ya 60%!

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