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India continues to report the highest prevalence of oral cancers globally with 75,000 to 80,000 new cases of such cancers.

Most of this type of cancer can be attributed to the use of chewing tobacco considering more Indians chew tobacco than smoke it.

As against 26 percent chewing tobacco users, India has 14 percent smoking tobacco users globally, indicating that prevention of the use of chewing tobacco remains one of the single biggest challenges for Ministry of Health`s ambitious programme to reduce the incidence of non-communicable diseases.

Global Adult Tobacco Survey

(GATS) India, 2008-2013

288 million men and 13 million women, followed by India with 197 million men and 78 million women.

IMARC’s latest study “Pan Masala Market in India: Industry Trends, Share, Size, Growth, Opportunity and Forecast 2019-2024” has segmented the pan masala market on the basis of state, type and price. Among the various types of pan masala available in the Indian market, pan masala containing tobacco represents the dominating type accounting for more than 50% of the entire market. Pan masala containing tobacco is followed by plain pan masala and flavoured pan masala. Exports also represent a major driver of the Indian pan masala market. The Indian exports of pan masala are dominated by UAE accounting for around one-third of the total export values. UAE is followed by USA, Singapore, Afghanistan, South Africa, Saudi Arabia and Malaysia. The report has also analysed some of the key players operating in the market and provides their business overview and market shares.

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India continues to report the highest prevalence of oral cancers globally with 75,000 to 80,000 new cases of such cancers reported every year.

A recent report prepared by experts of National Institute of Health and Family Welfare (NIHFW) to study the harmful effects of gutka specified clearly

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udy by PC Gupta et al, Tata Institute of Fundamental Research, Mumbai, 1998 say:Oral cancer is the sixth commonest cancer in the world (Parkin et al, 1993). Its incidence is particularly high in India, some other countries of Asia, and certain places in the Western hemisphere e.g., parts of France and Brazil. The WHO has estimated that 90% of oral cancers in India among men are attributed to the chewing and smoking of tobacco. (WHO, 1984)

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                         The risk of transformation of OSF in to oral cancer has been estimated to be as high as 1 in 5.

Oral Fibrosis




1964 – Every 10000 Population – 16 OSF Patients (0.16 % of Total Population)
1994 – Every 10000 Population – 320 OSF Patients (3.20 % of Total Population)
Rise in number of OSF Patients in 30 years is 20 times.

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