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Niche Tobacco. Babul Hussain. Key Facts. One person dies every five hours from mouth cancer in the UK The Indian sub-continent accounts for one-third of the world burden of mouth cancer Approximately 90% of mouth cancer is caused by tobacco use
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Niche Tobacco Babul Hussain
Key Facts • One person dies every five hours from mouth cancer in the UK • The Indian sub-continent accounts for one-third of the world burden of mouth cancer • Approximately 90% of mouth cancer is caused by tobacco use • In the past 10 years mouth cancer has increased by approx 41% in the UK
Key Facts • Globally 12% • 16% in India • Pakistan (17%) • Bangladesh (31%)
Beedi/ Biri Creamy snuff Dry Snuff Gul Gutkha Khaini Mawa Betel Nut Mishri Nass Paan Masala Qiwam Red Tooth Powder Zarda Shisha Betel Leaf Popular Types Of NT
Tobacco use in the Asian communities Cancer Research UK.org
Pan Masala and betel quid How it is used: a quid is placed in the mouth (usually between the gum and cheek) and gently sucked and chewed. Effects: Modern scientific studies have shown that chewing Betel leaf may be related to a number of forms of oral cancer such as SMF.
Gutkha • How is it used: held in the mouth and chewed. Saliva is generally spit out, but sometimes swallowed. • Effects: The increased risk of cancer of gums, throat, lungs, liver, stomach and even prostate, is probably the most serious side effect of this product.
Nass (naswar, niswar) • How it is used: held in the mouth for 10-15 minutes and is sometimes chewed slowly. • Effects: Swelling or sore that does not heal, gum disease, highly addictive, frequent users risk cancer of the lining of the mouth .
Hookah smokers may actually inhale more tobacco smoke than cigarette smokers. Some reports say the equivalent of 200 cigarettes. • The smoke produced from a single pipe contains approximately the same amount of carbon monoxide, nicotine and tar equivalent to 20 cigarettes. • Shisha use has serious health consequences on the lungs and heart, low birth weight, precipitation of asthma attacks and pneumonia. • The common belief is that smoke is filtered by the water when in actual fact, nicotine is not water-soluble. The water filter is a gimmick. Since the smoke is ‘cooled’ by the water pipe, it is also possible to inhale the smoke more deeply into the lungs. • Shisha smoke retained all the carcinogens of cigarette smoke while adding more carbon monoxide and a separate set of carcinogens from the use of burning coals. • Risk of infection with tuberculosis or hepatitis.
Work So Far • 2800 in total • 80 different organisations • Collection of data • Health Awareness Days • Alternative Curriculum Days • Workshops • Mouth Screenings • Health MOT Days • Drop In Sessions
Key Findings • Almost 40% of participants are tobacco users. • Children as young as 8 have used some of these products • Almost 65% of the people surveyed at 2 colleges were not aware of the content of niche tobacco • Significant part of South Asian culture
Successes • 26 Community Champions • Health Professionals Training • Peer Education • Imams Training • Ramadhan Campaign • Radio and TV appearances
Bradford 497,400 with 21.1% (104,951) South Asian residents • Leeds 761,100 with 5.9% (45,294) South Asian residents • Kirklees 401,000 with 12.1% (48,521) South Asian residents • Calderdale 200,100 with 7.5% (15,007) South Asian residents • Wakefield 321,600 with 2.4% (7,718) South Asian residents