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Nothing to smile about: Asia's deadly addiction to betel quids
Nothing to smile about: Asia's deadly addiction to betel quids
updated 8:06 PM EST, Tue November 5, 2013
STORY HIGHLIGHTS
- Hundreds of millions of people chew betel quids, mostly in Asia
- Research shows that chewing the parcels raises the risk of oral cancer
- Betel quids are parcels of areca nuts and tobacco wrapped in a lime-coated betel leaf
- In Myanmar, they're popular with taxi drivers who use them to stay awake on the roads
Editor's note: CNN's On the Road
series takes you to different countries, exploring the challenges and
opportunities they face. In October we visit Myanmar focusing on the
country's development and putting its transformation in a global
context.
Yangon, Myanmar (CNN) -- Heavy users of betel quids
reveal their addiction when they smile. Their teeth are stained a
reddish-black, dyed from years of chewing potent parcels of areca nuts
and tobacco, wrapped in a lime-coated betel leaf.
"Some people after they
eat they're drinking coffee or tea; always after eating I'm chewing the
betel nut. I like it," says Myo Min Than, a 28-year-old noodle seller at
a market in Myanmar's largest city, Yangon.
Like tea or coffee, betel
quids -- or "nuts" as they're often referred to -- give users a lift.
But unlike tea or coffee, they also give them oral cancer.
"Having one is okay, but
the danger increases when you start having the second one. When you
reach a certain point, people will get cancer," said Professor Ying-chin
Ko, vice president of Kaohsiung Medical University in Taiwan who conducted some of the first studies into the link between betel quids and oral cancer in the 1990s.
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A betel quid is the name
given to small parcels that typically contain areca nuts, wrapped in a
betel leaf coated with slaked lime. Some contain tobacco. Spices may be
added for taste in different parts of Asia, including cardamom, saffron
cloves and sweeteners, according to research compiled by the International Agency for Research on Cancer in its Monograph "Betel-quid and Areca-nut Chewing" (2004).
Around 600 million people
worldwide are thought to chew betel quids, making them the fourth most
commonly used psychoactive substance after tobacco, alcohol and
caffeinated drinks. They're predominantly chewed in Asia, where their
use isn't limited to adults. You can see it in the research, and on the
teeth of some children.
In Myanmar, quids are popular with drivers who use them to stay alert on the road.
U Sein, 37, chews around
10 quids a day. He's a taxi driver, and is stocking up at one of the
many roadside stands in central Yangon.
"The tobacco is just like a drug," he said. "So when I'm chewing the betel nut I get a bit dizzy."
He says he doesn't smoke
cigarettes. Quids, he says, are "better for me," though it's unclear
whether he's referring to his health or the cheap cost of the addictive
little parcels.
A pack of three costs
100 Burmese kyat, around 10 U.S. cents. At least, that's how much seller
Kyaw Thet, 26, charges at his stall in central Yangon. He's quickly
wrapping new parcels while U Sein waits.
Having one is okay, but the danger increases when you start having
the second one. When you reach a certain point, people will get cancer.
Professor Ying-chin Ko
Professor Ying-chin Ko
Kyaw Thet can't say how
many parcels he makes a day, but in a couple of minutes he's made six.
He swiftly coats the leaves with lime before arranging them in rows and
adding areca nuts and a sprinkle of tobacco. He flicks some more lime on
before bagging them, and adds another sprinkle of tobacco for good
measure.
U Sein smiles as he hands over his cash, his teeth flecked that familiar shade of red.
The chewing of areca
nuts dates back centuries, as far as the bronze age, according to a
study of remains excavated at Nui Nap, Thanh Hoa province in Vietnam,
published in 2001. Researchers found the teeth appeared to be stained by
betel quids.
The practice has been
around so long it's become an important part of cultural and religious
rituals, and in some parts of Asia the parcels are used as a herbal remedy for anything from toothache to acne. Some also believe they have aphrodisiac properties.
Scientific research has
found that chewing betel quids leads to an increased risk of cancer --
whether or not tobacco is included.
Carcinogens derived from
tobacco and the areca nut were found in the saliva of people chewing
the parcels, though it wasn't clear whether they were leaching from the
tobacco or whether they were being produced during the chewing process.
Ko thinks it's the
latter. "The leaves are fine, they will not cause cancer. Lime will not
lead to cancer, but it may accelerate carcinogen to release. It's a
hidden danger," Ko said.
In some countries,
authorities have launched awareness campaigns but health officials face
an uphill battle in convincing addicts that it's not worth the buzz.
In Taiwan, Ko says, "People are aware, but it's just hard to get rid of the addiction."
The tobacco is just like a drug. So when I'm chewing the betel nut I get a bit dizzy.
U Sein
U Sein
Papua New Guinea recently introduced a ban on the sale and chewing of areca nuts in
the capital Port Moresby, but that was mainly to rid the city of the
unsightly red saliva users spit into the street when they chew.
In Myanmar, the Consumer
Protection Association, a non-governmental organization, has started
trying to raise public awareness of the risks of betel quids, however
its message is about the dangers of pesticides on leaves.
"Long ago, betel leaves
were used as medicine but nowadays betel leaves cause oral cancer
because of the excessive use of pesticides and insecticides," the
association's chairman Bo Oat Khine told CNN.
It's a theory that's not supported by any scientific evidence, Ko said.
"There's absolutely no
relation between the two. Both areca nuts and leaves have very strong
resistance to pests" so neither are usually used during cultivation, he
said.
"Earlier studies show pesticides may have a connection to lymph cancer or blood cancer, but never oral cancer," he added.
Despite the evidence,
noodle seller Myo Min Than has no plans to kick the habit. He says he
needs his 10 parcels a day to stay awake during long shifts at his
market stall, which start at 3 a.m. with a trip to the wholesaler, and
end at 8 p.m. when he dumps his unsold stock.
"I'm working the whole day, it's a very long day, so when I'm chewing the betel nut I don't want to sleep," he said.
end quote from:
Nothing to smile about: Asia's deadly addiction to betel quids
When I was in Bihar, India in 1985 and 1986 I often saw men chewing Beetlejuice or Betel and spitting it in the gutters of the streets. I suppose it would be like drinking a whole lot of coffee everyday except it stains your teeth. But, I agree it is a pretty disgusting habit. But mostly the betel addiction was more or less confined to poorer areas where people had to work a whole lot more to survive. So, it is mostly an addiction of poor men who work a lot of hours to make enough money for their families to live and are just trying to stay awake so they don't fall asleep driving or working so they don't get physically maimed doing their jobs.
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