Asian chewing habit linked to oral cancer
1/15/2005 Diana Parsell Science News USA Palm-Nut Problem Several hundred million people today practice the ancient custom of chewing betel. In south Asia, where the habit is most prevalent, the signs are hard to miss. Placed inside the cheek and sucked for hours, a betel wad turns saliva bright red, and betel users' spit does likewise to sidewalks and streets. People typically chew betel as a quid consisting of nut pieces from an Areca catechu palm mixed with powdered lime (calcium hydroxide) and wrapped in the leaf of the pepper plant Piper betle. Betel is used primarily as a stimulant. Areca nuts contain alkaloids that induce euphoria and raise a person's heart rate and skin temperature. Some chewers say a cheekful of betel aids digestion. Over the past decade, a variety of evidence has linked betel chewing to several types of oral cancer. Although the custom is falling out of fashion in several countries, such as Thailand and Cambodia, it's growing in popularity in other areas. Especially troubling is that many new betel users are adolescents and children, say Asian health officials. Some governments in Asia are taking steps to reduce betel use. Oral cancer is relatively rare in Western countries. In some south Asian countries, however, it ranks first among malignancies. According to the World Health Organization (WHO), a disproportionate number of the world's cases of oral cancer in men occurs in regions of Asia where betel chewing is common. Once diagnosed mainly in adults, such cancers are now [...]