Poor Lung Hygiene in Kashmiri Population as Increased Risk Factor in Aggravating COVID-19 Disease Condition

  • Sheikh A. Umar
  • Mir R. Rayees
  • Sheikh A. Tasduq
Keywords: Poor Lung Hygiene, Kashmiri Population, COVID-19, Hookah Smoking, Comorbid Conditions


COVID-19 pandemic has put the whole world in cauldron as almost each and every nation is affected by this deadly virus. Intense research is going on world over to demystify the microscopic involvements of this virus, how and whom it infects and in devising out a suitable treatment strategy in containing this pandemic. Till now there is no suitable therapeutic strategy available yet and people are advised to maintain social distancing protocols to protect themselves from contracting this disease. If we talk of symptoms, there are new things coming to fore what was initially thought out with new classes of symptoms continuously added to the already existing list and presumed to be directly aggravated on contracting COVID infection. Among various other factors that greatly increase the chances of getting infected and in aggravating the symptoms in COVID-19, poor lung health among elderly population has been found to significantly increase the chances of contracting the viral disease, exacerbating the disease condition & in poor prognosis to available treatment strategies. Hookah smoking is very common among majority of elderly population in Kashmir & cigarette smoking in younger lots could turn out devastating if the world pandemic takes an epidemic shape in Kashmir region. With high prevalence of other comorbid conditions like hypertension, type 2 diabetes, obesity and in conjunction with above nominal prevalence of cigarette and hookah smoking. Majority of both elderly and younger Kashmiri population could contract the disease and show severe symptoms owing to the factors discussed. Here, we summarize the prevalence of hookah smoking among majority of population in Kashmir and the associated lung diseases that are directly or indirectly attributed to high cigarette or hookah smoking in Kashmir and how it could act as high risk factor in COVID pandemic infection.


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Vial W. C. (1986). Cigarette smoking and lung disease. The American journal of the medical sciences, 291(2), 130–142. https://doi.org/10.1097/00000441-198602000-00011

Bhat, T. A., Dhar, S. A., Dar, T. A., Naikoo, M. A., Naqqash, M. A., Bhat, A., & Butt, M. F. (2016). The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population. International journal of health sciences, 10(1), 57–68.

Andrabi, S. M., Bhat, M. H., Andrabi, S. R., Kamili, M. M., Imran, A., Nisar, I., & Nisar, U. (2013). Prevalence of metabolic syndrome in 8-18-year-old school-going children of Srinagar city of Kashmir India. Indian journal of endocrinology and metabolism, 17(1), 95–100. https://doi.org/10.4103/2230-8210.107812

Koul, P. A., Hajni, M. R., Sheikh, M. A., Khan, U. H., Shah, A., Khan, Y., Ahangar, A. G., & Tasleem, R. A. (2011). Hookah smoking and lung cancer in the Kashmir valley of the Indian subcontinent. Asian Pacific journal of cancer prevention : APJCP, 12(2), 519–524.

Brake, S. J., Barnsley, K., Lu, W., McAlinden, K. D., Eapen, M. S., & Sohal, S. S. (2020). Smoking Upregulates Angiotensin-Converting Enzyme-2 Receptor: A Potential Adhesion Site for Novel Coronavirus SARS-CoV-2 (Covid-19). Journal of clinical medicine, 9(3), 841. https://doi.org/10.3390/jcm9030841

Gemmati, D., Bramanti, B., Serino, M. L., Secchiero, P., Zauli, G., & Tisato, V. (2020). COVID-19 and Individual Genetic Susceptibility/Receptivity: Role of ACE1/ACE2 Genes, Immunity, Inflammation and Coagulation. Might the Double X-chromosome in Females Be Protective against SARS-CoV-2 Compared to the Single X-Chromosome in Males?. International journal of molecular sciences, 21(10), 3474. https://doi.org/10.3390/ijms21103474

Doyle, J. T., Dawber, T. R., Kannel, W. B., Heslin, A. S., & Kahn, H. A. (1962). Cigarette smoking and coronary heart disease. Combined experience of the Albany and Framingham studies. The New England journal of medicine, 266, 796–801. https://doi.org/10.1056/nejm196204192661602

WHO updates on its official website under FAQ’s section. Available at: https://www.who.int/about/who-we-are/frequently-asked-questions

Pauwels, R. A., Buist, A. S., Calverley, P. M., Jenkins, C. R., Hurd, S. S., & GOLD Scientific Committee (2001). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. American journal of respiratory and critical care medicine, 163(5), 1256–1276. https://doi.org/10.1164/ajrccm.163.5.2101039

Lewis Tanya. (2020). Smoking or vaping may increase the risk of a severe coronavirus infection. Scientific American 175. Available at: https://www.scientificamerican.com/article/smoking-or-vaping-may-increase-the-risk-of-a-severe-coronavirus-infection1/

Peter K.Jeffery. (1999). Effects of Cigarette Smoke and Air Pollutants on the Lower Respiratory Tract. In: Air Pollution and Health. United States: Elsevier-Academic Press. pp. 219-268. https://doi.org/10.1016/B978-012352335-8/50087-9

Wender, R., Fontham, E. T., Barrera, E., Jr, Colditz, G. A., Church, T. R., Ettinger, D. S., Etzioni, R., Flowers, C. R., Gazelle, G. S., Kelsey, D. K., LaMonte, S. J., Michaelson, J. S., Oeffinger, K. C., Shih, Y. C., Sullivan, D. C., Travis, W., Walter, L., Wolf, A. M., Brawley, O. W., & Smith, R. A. (2013). American Cancer Society lung cancer screening guidelines. CA: a cancer journal for clinicians, 63(2), 107–117. https://doi.org/10.3322/caac.21172

Farsalinos, K., Barbouni, A., & Niaura, R. (2020). Systematic review of the prevalence of current smoking among hospitalized COVID-19 patients in China: could nicotine be a therapeutic option?. Internal and emergency medicine, 1–8. Advance online publication. https://doi.org/10.1007/s11739-020-02355-7

The counterfactual. (2019). Vaping risk compared to smoking: challenging a false and dangerous claim by Professor Stanton Glantz. Available at: https://www.clivebates.com/vaping-risk-compared-to-smoking-challenging-false-dangerous-claim-by-stanton-glantz/

Tanya Lewis. (2020). Smoking or Vaping May Increase the Risk of a Severe Coronavirus Infection. In: Public Health. Scientific American 175. Avilable at: https://www.scientificamerican.com/article/smoking-or-vaping-may-increase-the-risk-of-a-severe-coronavirus-infection1/

Alhazzani, W., Møller, M. H., Arabi, Y. M., Loeb, M., Gong, M. N., Fan, E., Oczkowski, S., Levy, M. M., Derde, L., Dzierba, A., Du, B., Aboodi, M., Wunsch, H., Cecconi, M., Koh, Y., Chertow, D. S., Maitland, K., Alshamsi, F., Belley-Cote, E., Greco, M., … Rhodes, A. (2020). Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Critical care medicine, 48(6), e440–e469. https://doi.org/10.1097/CCM.0000000000004363

Fletcher, C., & Peto, R. (1977). The natural history of chronic airflow obstruction. BMJ, 1(6077), 1645–1648. https://doi.org/10.1136/bmj.1.6077.1645

Smith, K. R. (2000). Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax, 55(6), 518–532. https://doi.org/10.1136/thorax.55.6.518

Wu, C., Chen, X., Cai, Y., Xia, J., Zhou, X., Xu, S., Huang, H., Zhang, L., Zhou, X., Du, C., Zhang, Y., Song, J., Wang, S., Chao, Y., Yang, Z., Xu, J., Zhou, X., Chen, D., Xiong, W., Xu, L., … Song, Y. (2020). Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA internal medicine, e200994. Advance online publication. https://doi.org/10.1001/jamainternmed.2020.0994

Guzik, T. J., Mohiddin, S. A., Dimarco, A., Patel, V., Savvatis, K., Marelli-Berg, F. M., Madhur, M. S., Tomaszewski, M., Maffia, P., D'Acquisto, F., Nicklin, S. A., Marian, A. J., Nosalski, R., Murray, E. C., Guzik, B., Berry, C., Touyz, R. M., Kreutz, R., Wang, D. W., Bhella, D., … McInnes, I. B. (2020). COVID-19 and the cardiovascular system: implications for risk assessment, diagnosis, and treatment options. Cardiovascular research, cvaa106. Advance online publication. https://doi.org/10.1093/cvr/cvaa106

Koul, P. A., Hakim, N. A., Malik, S. A., Khan, U. H., Patel, J., Gnatiuc, L., & Burney, P. G. (2016). Prevalence of chronic airflow limitation in Kashmir, North India: results from the BOLD study. The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 20(10), 1399–1404. https://doi.org/10.5588/ijtld.15.0968

Li, G., He, X., Zhang, L., Ran, Q., Wang, J., Xiong, A., Wu, D., Chen, F., Sun, J., & Chang, C. (2020). Assessing ACE2 expression patterns in lung tissues in the pathogenesis of COVID-19. Journal of autoimmunity, 102463. Advance online publication. https://doi.org/10.1016/j.jaut.2020.102463

How to Cite
Sheikh A. Umar, Mir R. Rayees, & Sheikh A. Tasduq. (2020). Poor Lung Hygiene in Kashmiri Population as Increased Risk Factor in Aggravating COVID-19 Disease Condition. International Journal for Research in Applied Sciences and Biotechnology, 7(4), 1-4. https://doi.org/10.31033/ijrasb.7.4.1

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