hookah is known by various names such as narghile, arghile, waterpipe, dokha, and shisha 3,4 .Moreover, hookah use has acute and long-term detrimental effects on the respiratory and cardiovascular systems and increases the risk of diseases such as coronary artery disease and chronic obstructive pulmonary disease. In the use of hookah, tobacco is often used through a common path, including the mouth, hose, and chamber, in the hookah structure 2,5 . Additionally, there is a risk of survival of microorganisms transmitted from consumers in hookah pieces and outfits (including chambers and hoses). On the other hand, most consumers are reluctant to clean hookah