India "gutka" chewing tobacco habit a tough nut to crack

Key points
- Ten Indian states have banned a popular form of chewing tobacco in a major policy shift that may save millions of lives and strike a blow at the global tobacco industry, already reeling from new anti-smoking laws around the world.
- But an estimated 65 million Indians use "gutka" - a heady form of chewing tobacco made of crushed betel nut, nicotine and laced with thousands of chemicals - and furious manufacturers are fighting to have the bans overturned.
- Companies such as Delhi-based DS Group are dragging states to courts, complaining that the billion-dollar industry should be regulated as tobacco and not as food and that the bans threaten the livelihoods of millions of farmers and street vendors scattered from Bangalore to New Delhi.
- No one thinks of them," said a company official on condition of anonymity.
Ten Indian states have banned a popular form of chewing tobacco in a major policy shift that may save millions of lives and strike a blow at the global tobacco industry, already reeling from new anti-smoking laws around the world.
But an estimated 65 million Indians use "gutka" - a heady form of chewing tobacco made of crushed betel nut, nicotine and laced with thousands of chemicals - and furious manufacturers are fighting to have the bans overturned.
Companies such as Delhi-based DS Group are dragging states to courts, complaining that the billion-dollar industry should be regulated as tobacco and not as food and that the bans threaten the livelihoods of millions of farmers and street vendors scattered from Bangalore to New Delhi.
"Nobody understands the bigger picture. What will happen to those poor farmers? No one thinks of them," said a company official on condition of anonymity. No company Reuters consulted would speak on record.
Last week, Punjab became the tenth of 28 states to ban the sale of gutka after the Food Safety and Standards Authority of India reclassified it as a foodstuff, prohibiting the use of tobacco and nicotine as "ingredients in any food product".
Gutka making is controlled by family-run Indian firms, with no international tobacco companies in the business. Several other forms of chewing tobacco considered less harmful have not been reclassified as foodstuffs and are not banned.
Gutka (also spelled gutkha, guttkha, or guthka) is a preparation of crushed areca nut (also called betel nut), tobacco, catechu, paraffin, slaked lime and sweet or savory flavorings. It is manufactured in India and exported to a few other countries. A mild stimulant, it is sold across India in small, individual-sized packets that cost between 2 and 10 rupees per packet. It is consumed much like chewing tobacco, and like chewing tobacco, it is considered responsible for oral cancer and other severe negative health effects.
Highly addictive and a known carcinogen, gutkha is currently the subject of much controversy in India. Many states have sought to curb its immense popularity by taxing sales of gutkha heavily or by banning it outright.
Excessive gutkha use can eventually lead to loss of appetite, promote unusual sleep patterns, and loss of concentration along with other tobacco-related problems.
A gutkha user can easily be identified by prominently stained teeth ranging from dirty yellowish-orange to reddish-black. The stains are difficult to remove by normal brushing and usually need the attention of a dentist.
After gutkha is consumed, it is generally spat onto a wall or at the ground, causing an unsightly red stain that is quite resistant to the elements. Some building owners have taken to combating this unpleasantness by painting murals of gods on their walls, with the idea that gutkha chewers would not spit on a god.
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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