Betel quid and areca nut, typically made up of a mixture of areca nut and slaked lime wrapped in a betel leaf with added flavorings, is a known risk factor for many oral and other associated cancers. There are more than 600 million betel quid or areca nut users worldwide (or 10% of the world's population), making it a critical global cancer control issue. With its use steeped in culture and tradition, the use of betel quid and areca nut is widely unregulated, and poses a significant and understudied health threat to the Asia-Pacific region where prevalence is high. Unlike many forms of smoked tobacco, the two are widely used by women in regions where common. Betel quid and areca use also extends beyond the Asia-Pacific region to diaspora and migrant communities in the U.S., South Africa, and parts of Europe and the Middle East.
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