Kenyans caught peddling shisha could face a fine of up to Sh1 million, six months in jail, or both, under proposed new regulations.

The new rules are aimed at tightening the country's crackdown on the cancer-causing product.

The Ministry of Health is also inviting members of the public to submit their views before the rules are finalised.

The proposed Public Health (Prohibition of Shisha Smoking and Waterpipe Tobacco Products) Rules, 2026, would ban the importation, manufacture, sale, distribution, advertising, promotion and use of shisha, also known as waterpipe tobacco.

The rules would replace the existing 2017 regulations and introduce much tougher penalties for offenders.

Health Cabinet Secretary Aden Duale, in the Regulatory Impact Statement accompanying the proposed rules, said the government is seeking stronger measures because shisha remains a serious threat to public health despite the ban introduced nine years ago.

"Shisha smoking poses significant health risks to both users and non-users. Research shows that a single shisha session can expose a person to more smoke and harmful chemicals than smoking several cigarettes. The use of shared mouthpieces also increases the risk of spreading communicable diseases such as tuberculosis, hepatitis and Covid-19," Duale said in the statement.

Shisha is tobacco-based and tobacco remains the single biggest preventable cause of cancer.

Duale said scientific evidence confirms that waterpipe tobacco smoking can contribute to oral, oesophageal and lung cancers, as well as respiratory, cardiovascular and periodontal diseases.

According to the Ministry of Health and the WHO, nearly 12,000 Kenyans die from tobacco-related illnesses every year. This translates to an average of more than 30 lives lost each day.

Duale added; "The World Health Organization (WHO) has confirmed that shisha smoke contains toxic substances, including nicotine, tar, carbon monoxide, heavy metals and carcinogens. These substances contribute to addiction, respiratory illnesses, heart disease and cancer."

Under the proposed rules, it will be illegal to import, manufacture, sell, distribute, advertise, display, supply or consume waterpipe tobacco products in Kenya.

People will also be prohibited from allowing premises to be used for shisha smoking, including public buildings, business premises, parking areas and public parks.

The ministry says the tougher law is necessary because shisha use has continued to grow, particularly among young people.

"Waterpipe smoking has become increasingly common in social settings, often viewed as a harmless or fashionable activity. Its flavoured variants and use in group settings have contributed to its rising popularity, especially among youth and women," Duale said.

He warned that this normalisation poses a threat to public health efforts by undermining anti-smoking campaigns and creating a gateway to other forms of tobacco use.

The statement notes that Kenya banned shisha in 2017, becoming the fourth East African country after Uganda, Tanzania and Rwanda to take the step. However, some entertainment venues continued offering the product despite the ban.

The ministry cited previous findings showing that, before the ban, authorities prohibited 19 shisha flavours after tests found some contained narcotic substances, including bhang and heroin.

"According to analysis, 79.2 per cent of shisha samples collected tested positive for heroin," the statement says.

The ministry further noted that shisha smoking has become increasingly visible in bars and clubs despite the existing ban.

A 2023 report by the National Authority for the Campaign Against Alcohol and Drug Abuse found that shisha smoking had gradually become popular among young people in Kenya, especially in towns and cities with many bars.

"The report notes that the sight of shisha in most pubs is an open secret and, in fact, smokers no longer hide in special rooms anymore," the statement says.

The ministry is now conducting public participation on the proposed regulations and has scheduled public hearings across the country.

The meetings this week will take place in Kakamega, Nanyuki, Samburu, Laikipia, Nyeri, Kiambu, Murang'a, Kirinyaga, Kisumu, Siaya, Migori, Homa Bay, Kisii, Nyamira, Kericho, Bomet, Narok, Nakuru, Baringo, Nyandarua, Nairobi, Machakos, Kajiado, Kitui and Makueni.

INSTANT ANALYSIS

The proposed shisha ban signals a tougher public health stance by the government, shifting from regulation to near-total prohibition backed by heavy penalties, including fines of up to Sh1 million.

While authorities justify the move using WHO-linked evidence on cancer risks and rising youth consumption, the policy also highlights enforcement gaps since the 2017 ban. The continued visibility of shisha in urban entertainment venues suggests weak compliance and possible enforcement challenges within parts of the hospitality sector.

Ultimately, the success of the new rules will depend less on legislation and more on enforcement capacity, public awareness and behavioural change among young users.