Hookah cafes are popping up across Dearborn as the smoking trend, touted as a safer alternative to cigarette smoking, becomes more popular and people are becoming hooked on hookahs. But the first tobacco trend of the 21st century isn\'t as safe as many users assume. Hookahs, also called waterpipes, are relatively new to the United States. Dr. Adnan Hammad, director of the Arab Community Center for Economic and Social Services (ACCESS) in Dearborn, reported in an ACCESS Community Heath Research Center and Wayne State University College of Nursing Study that hookah smoking is not a safe alternative to cigarette smoking. Hammad found, \"urine and plasma nicotine levels, heart rates and blood pressure were sharply elevated with arghile (hookah) use, and there are indications that such smokers are at greater risk for poor pulmonary functioning and oral cancer.\"