M A I L B A G | Saturday, April 24, 1999 |
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Tobacco threat The chewing of tobacco and pan masala is fast becoming a social evil in Punjab with a corresponding increase in number of patients with scars arising out of the abuse of these substances. The habit of tobacco and pan masala use in addition to causing addiction leads to damage of the mouth and surrounding areas which could turn into cancer. The first abnormality which is noticed by a habitual user is a restricted movements of the lower jaw (lock jaw). It is estimated that there are over 1500 pan shops in Amritsar city alone, with a large number of grocery and confectionery shops also vending pan masala. On an average 30,000 to 40,000 pouches of regular pan masala and tobacco containing gutka and zarda are sold everyday in addition to thousands of betel quids containing tobacco or otherwise. The result of such a largescale abuse of the pan masala has been that number of patients with oral sub mucosal fibrosis (presenting with a locked jaw and burning sensation in mouth and hypersensitivity to chillies) has now gone up. The alarming fact is that most of these patients belong to the 20-30 years age group and to all sections of society. It is a condition which could turn into cancer if not checked at an early stage and we could start seeing a large number of patients with oral cancers in coming years in Punjab also. The states like UP, Bihar, Gujarat and Rajasthan are already coping with a burden of a large number of oral cancer patients. According to a survey conducted by the Tata Institute of Fundamental Research, Bombay, the prevalence of sub mucosal fibrosis in random samples in India is 0.4%. Areca nut (supari), which is the main ingredient of pan masala, is the main causative factor in the development of this condition. This addition of tobacco in the pan masala compounds the problems and accelerates the development of this condition. Tobacco is responsible for nearly 40% of all cancers in India. The sandalwood powder which is another constituent of pan masala consumes 6000 sandalwood trees every year. The most important aspect in this developing epidemic of oral sub mucosal fibrosis is the primary prevention. A ban on the advertisement of these products in newspapers and electronic media needs to be enforced. The free availability of the pan masala has made it accessible even to our children which is a cause for serious concern. A strong social movement needs to be built with a focus on youth and school-going children. The Lake city, Udaipur, has taken a lead in this regard where a strong anti-tobacco campaign has been built by a local NGO. Let us act now lest it is too late. DR DINESH KUMAR * * * * Tailpiece Whenever a promising government is toppled; The pressure on every citizen also mounts. However, hope that Vajpayee is no more troubled; If the general public opinion really counts |
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