Source: www.nice.org.uk Author: staff Smokeless tobacco products used by some people in South Asian communities are associated with serious health risks such as oral cancer and cardiovascular disease, according to latest NICE guidance. Many members of the South Asian community use smokeless tobacco products to freshen the breath or to aid digestion. These products, which include paan or gutkha, are typically served as a mixture which is chewed and consists of betel leaf combined with areca nut, tobacco and spices. Research shows that particular groups within South Asian communities such as women, those in older age groups and people from Bangladeshi origin, are more likely to use these products. However, many are not aware that using smokeless tobacco carries health risks such as cardiovascular disease, dental disease, nicotine addiction, problems in pregnancy, and oral cancer. South Asian women are almost four times more likely to have oral cancer as those from other groups. It is thought that the prevalence of smokeless tobacco among South Asian women is one of the main reasons for this increased likelihood. NICE's public health guidance on smokeless tobacco cessation for South Asian communities contains a number of recommendations to tackle its use and improve knowledge of its associated health risks. The recommendations are aimed a range of groups including directors of public health, clinical commissioning groups, dental public health consultants, and faith leaders and others involved in faith centres. NICE says local need should be assessed to determine the prevalence and incidence of smokeless tobacco [...]