More Indians chew tobacco blend, get oral cancer
Source: Boston.com By: Adi Narayan MUMBAI — Safiq Shaikh was 13 when he began chewing a blend of tobacco, areca nut, and spices that jolted him awake when his job at a textile loom got too dreary. Five years later, doctors in Mumbai lopped off his tongue to halt the cancer that was spreading through his mouth. Shaikh believed the fragrant, granular mixture he chewed, known in India as gutka, was a harmless stimulant and at first he ignored the milky lump growing inside his mouth. Now Shaikh is one of about 200,000 Indians diagnosed with a tobacco-related malignancy this year, said his surgeon, Pankaj Chaturvedi. India now has the highest number of oral cancers in the world, after a group of entrepreneurs known locally as “gutka barons’’ turned a 400-year-old tobacco product hand-rolled in betel leaves into a spicy blend sold for 2 cents on street corners from Bangalore to New Delhi. Sales of chewing tobacco, worth $4.6 billion in 2004, are on track to double by 2014, according to Datamonitor, a branch of the international research firm based in Hyderabad, India. The combination of tobacco and areca nut makes gutka and its hand-made ancestor, known as paan, addictive, scientists said. Areca nut is the fourth-most commonly used psychoactive substance in the world after tobacco, alcohol, and caffeine, according to the World Health Organization. “Now you have an industrial version of a traditional thing’’ spurring demand, said Chaturvedi, who works at Tata Memorial Hospital in Mumbai, Asia’s largest cancer [...]