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‫الوقاية خير من‬
    ‫العلج‬
     PREVENTION
IS BETTER THAN CURE
A Presentation based on research done by



  Dr. Cumel Dexter
M.B.B.S. (Dow.) M.R.C.P. (UK) F.R.C.P. (Edim.)

      Associate Professor 
   Consultant Gastroenterologist
           From Ghana
Audio recordings done by



M. Murtaza Raaz

Professor  advocative speaker
         From Rajode
Paan, Gutko, Sopari….

 The Asian’s Peril
Areca Nut/ Betel Leaf/ Slaked Lime
Types of Oral Moharramaat
   Cigarette Charas Heroin
   Gutka     (Many      Indian
    Sachets)
   Naswar and Nass
   Zarda(Sweetened
    Tobacco)
   Khaini (Lime + tobacco)
   Beetle Nuts (All types)
Gutka Making factory
Tray in which Gutka is made
S.M.F Submucous Fibrosis
  Due to Gutka  Tobacco




                          Receding of gums with
                          premature loss of teeth


  Extrinsic Staining 
Accelerated Tooth decay
Oral Submucous Fibrosis
Leukoplakia of the lining of the mouth
Oral Cancer due to Tobacco
Oral Cancer due to Tobacco
Tumor on the palate due to Tobacco
Picture taken after surgery
 37 yrs old male
 Chronic Smoker
 Tobacco Chewer
 Picture taken after
  surgery for Cheek
  Cancer.
 Died 14 months
  later from Lung
  Cancer.
 Chronic Tobacco
  User
 Picture taken after
  surgery for Cancer.
Ulcer of Tongue
Cancer of Tongue
Fact
   The highest incidence of oral cancer
worldwide is seen in persons of Asian origin
due to the rampant use of Tobacco, Betel
      Nut, Slaked Lime and Paan use


 Advanced Cancer of the Mouth, Lip and Chin
  in a chronic smoker and Paan Masala user
Cancer of Neck
Fact
Heart attacks are at 5 times more
common in smoker as compared to
          non-smokers



     Coronary Artery Disease
Fact
Stroke is 6 times more common in
             smokers




        Ischemic Stroke
Tobacco Smoke
   Side Stream Smoke      Particles and Gas
    (Passive Smokers)      Nicotine
                           Tar
                           Benzene
                            Benzopyrene
   Main Stream Smoke      Carbon Monoxide
    (Active Smokers)       Formaldehyde
                           Hydro cyanide
Fact
The incidence of lung cancer is 20 times
higher in a lifetime smoker as compared
        to a lifetime non smoker



             Lung Cancer
Esophageal Cancer
Normal Architecture of the Liver




Alcoholic Cirrhosis of                         Liver Cancer
      the Liver
Gangrene of the Feet
   Reduces    IQ      and   intellectual
    Capacity
   Domestic Problems
   Financial Crisis
   Oral Cancer
   Lung Cancer
   Ulcers
   Deformity in sperms
   Gangrene of feet
)Data (epidemiology


   Tobacco KILLS 4.9 Million People annually

   About 10 millions will die every year by

    2020

   Most of these will be in middle age

   Mostly in third world
An ounce of prevention
yields a pound of cure

  Prevention Works
    Lets practice it
ACT NOW BEFORE IT’S
     TOO LATE
REMEMBER

A DANGER FORSEEN IS
 A DANGER AVOIDED
‫طببيب ردشد وهد ى‬
   ‫يِ  ُ  ُ  ٍ هَ  ُ  ىً‬
 ‫دشىفففففى‬
     ‫هَ ف‬          ‫كفففف م‬
                        ‫هَف‬
 ‫سفقبي م غي وهو ى‬
   ‫هَ يِ هَ هَ و ّ هَ هَ  ىً‬
 ‫طب فففففففففففففففففففه‬
                      ‫يِ هُّف‬

 ‫اثثث هداية نا طببيب ؛‬
                     ‫ْ‬
‫ككمراهي انسس هو ى‬
‫نىفسي نا كئبينك مريضو‬
 ‫نسس اثثث نا طب يه‬
               ‫ْ‬
‫687‬

    ‫فرماوسس ؛‬   ‫طع‬
                     ‫ااقا مولى‬
                             ‫ْ‬

‫فرمان ؛ ته ماتهسس ححرهاؤ‬
    ‫هٌ‬
 ‫. جفه روكسفس اهنفا سي باز‬
  ‫رهففففو خمر حرام –‬
‫سككاريضض ، تماكو ، جككار‬
‫فرماوسس ؛:‬       ‫طع‬
                            ‫ااقا مولى‬   ‫ْ‬
‫ثث لي نوناماوسا نااوثثثرت باكو‬
   ‫م‬         ‫ْ ه‬
             ‫س‬          ‫توجه زبان ثرع ع م‬

‫ْ س راباوس! س اريضاوس! ‪Youngsters‬‬
         ‫اوس! دش ْ س ك ضس‬
              ‫ْ‬   ‫ك‬
‫خاص وطحهوطكوئيبهي واخبيالمانه‬
            ‫اه‬      ‫س ظ ح ط‬
                        ‫كظ ط‬   ‫نس‬
‫كههبيطتونوجوان؛فف،ف هناتوكري‬
      ‫ف م‬            ‫اوي س م ط‬
                             ‫ْ جائس‬
                                    ‫لئ س.‬
                                     ‫بيس .‬
                                       ‫.‬
‫لوككففو اج جففه درككس )‪(drugs‬‬
            ‫هٌ‬        ‫ْ‬           ‫كتناك‬
‫استعمال كرسس ؛ ككورمبينضض بهي ككهنو‬
‫اهنا واسطسس بندوبست كرسس ؛، ككهني‬
‫سختي كرسس ؛ -مككر ته ساتهف كتناك مؤمن‬
       ‫تهئي نسس اهوا درككس ثثثئبيسس .‬
                      ‫هٌ‬

 ‫دنبيا ما بهي تمام زندككي‬
‫اهني خراب تهئي جائي انسس‬
‫ما اسكر كثبيره فقلبيله‬
             ‫حرام‬
‫جه حبيزنوزيادهحهاك مال سا نوتهورو‬
 ‫وستو ه هٌ‬       ‫ح‬         ‫ح‬
            ‫بهيحرام؛فف‬
             ‫ف‬
‫ببيمار دشىفاء ثثثات سس هبيطط‬
 ‫هبيطط‬      ‫ففسففف‬
                ‫جاتس‬
                 ‫ف‬        ‫ففي فف‬
                           ‫ج ف‬ ‫ف‬
‫ ُ فففففففففففففففففففففففففسففف‬
                          ‫مردس‬
‫ه سس ثثثهو نك ك سس ثثثاني‬
‫فط فف ا فرف س فف بس فف ايسفف‬
 ‫فا ف‬  ‫مبيط ف ثث فر ف فر ف‬         ‫ز‬

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Tobacco

  • 1. ‫الوقاية خير من‬ ‫العلج‬ PREVENTION IS BETTER THAN CURE
  • 2. A Presentation based on research done by Dr. Cumel Dexter M.B.B.S. (Dow.) M.R.C.P. (UK) F.R.C.P. (Edim.) Associate Professor Consultant Gastroenterologist From Ghana
  • 3. Audio recordings done by M. Murtaza Raaz Professor advocative speaker From Rajode
  • 4. Paan, Gutko, Sopari…. The Asian’s Peril
  • 5.
  • 6. Areca Nut/ Betel Leaf/ Slaked Lime
  • 7. Types of Oral Moharramaat  Cigarette Charas Heroin  Gutka (Many Indian Sachets)  Naswar and Nass  Zarda(Sweetened Tobacco)  Khaini (Lime + tobacco)  Beetle Nuts (All types)
  • 9. Tray in which Gutka is made
  • 10. S.M.F Submucous Fibrosis Due to Gutka Tobacco Receding of gums with premature loss of teeth Extrinsic Staining Accelerated Tooth decay
  • 12. Leukoplakia of the lining of the mouth
  • 13. Oral Cancer due to Tobacco
  • 14. Oral Cancer due to Tobacco
  • 15. Tumor on the palate due to Tobacco
  • 17.  37 yrs old male  Chronic Smoker  Tobacco Chewer  Picture taken after surgery for Cheek Cancer.  Died 14 months later from Lung Cancer.
  • 18.
  • 19.  Chronic Tobacco User  Picture taken after surgery for Cancer.
  • 22.
  • 23. Fact The highest incidence of oral cancer worldwide is seen in persons of Asian origin due to the rampant use of Tobacco, Betel Nut, Slaked Lime and Paan use Advanced Cancer of the Mouth, Lip and Chin in a chronic smoker and Paan Masala user
  • 25.
  • 26.
  • 27.
  • 28. Fact Heart attacks are at 5 times more common in smoker as compared to non-smokers Coronary Artery Disease
  • 29. Fact Stroke is 6 times more common in smokers Ischemic Stroke
  • 30. Tobacco Smoke  Side Stream Smoke  Particles and Gas (Passive Smokers)  Nicotine  Tar  Benzene Benzopyrene  Main Stream Smoke  Carbon Monoxide (Active Smokers)  Formaldehyde  Hydro cyanide
  • 31.
  • 32.
  • 33. Fact The incidence of lung cancer is 20 times higher in a lifetime smoker as compared to a lifetime non smoker Lung Cancer
  • 34.
  • 36. Normal Architecture of the Liver Alcoholic Cirrhosis of Liver Cancer the Liver
  • 38. Reduces IQ and intellectual Capacity  Domestic Problems  Financial Crisis  Oral Cancer  Lung Cancer  Ulcers  Deformity in sperms  Gangrene of feet
  • 39. )Data (epidemiology  Tobacco KILLS 4.9 Million People annually  About 10 millions will die every year by 2020  Most of these will be in middle age  Mostly in third world
  • 40. An ounce of prevention yields a pound of cure Prevention Works Lets practice it
  • 41. ACT NOW BEFORE IT’S TOO LATE
  • 42. REMEMBER A DANGER FORSEEN IS A DANGER AVOIDED
  • 43.
  • 44. ‫طببيب ردشد وهد ى‬ ‫يِ ُ ُ ٍ هَ ُ ىً‬ ‫دشىفففففى‬ ‫هَ ف‬ ‫كفففف م‬ ‫هَف‬ ‫سفقبي م غي وهو ى‬ ‫هَ يِ هَ هَ و ّ هَ هَ ىً‬ ‫طب فففففففففففففففففففه‬ ‫يِ هُّف‬ ‫اثثث هداية نا طببيب ؛‬ ‫ْ‬ ‫ككمراهي انسس هو ى‬ ‫نىفسي نا كئبينك مريضو‬ ‫نسس اثثث نا طب يه‬ ‫ْ‬
  • 45. ‫687‬ ‫فرماوسس ؛‬ ‫طع‬ ‫ااقا مولى‬ ‫ْ‬ ‫فرمان ؛ ته ماتهسس ححرهاؤ‬ ‫هٌ‬ ‫. جفه روكسفس اهنفا سي باز‬ ‫رهففففو خمر حرام –‬ ‫سككاريضض ، تماكو ، جككار‬
  • 46. ‫فرماوسس ؛:‬ ‫طع‬ ‫ااقا مولى‬ ‫ْ‬ ‫ثث لي نوناماوسا نااوثثثرت باكو‬ ‫م‬ ‫ْ ه‬ ‫س‬ ‫توجه زبان ثرع ع م‬ ‫ْ س راباوس! س اريضاوس! ‪Youngsters‬‬ ‫اوس! دش ْ س ك ضس‬ ‫ْ‬ ‫ك‬ ‫خاص وطحهوطكوئيبهي واخبيالمانه‬ ‫اه‬ ‫س ظ ح ط‬ ‫كظ ط‬ ‫نس‬ ‫كههبيطتونوجوان؛فف،ف هناتوكري‬ ‫ف م‬ ‫اوي س م ط‬ ‫ْ جائس‬ ‫لئ س.‬ ‫بيس .‬ ‫.‬
  • 47. ‫لوككففو اج جففه درككس )‪(drugs‬‬ ‫هٌ‬ ‫ْ‬ ‫كتناك‬ ‫استعمال كرسس ؛ ككورمبينضض بهي ككهنو‬ ‫اهنا واسطسس بندوبست كرسس ؛، ككهني‬ ‫سختي كرسس ؛ -مككر ته ساتهف كتناك مؤمن‬ ‫تهئي نسس اهوا درككس ثثثئبيسس .‬ ‫هٌ‬ ‫دنبيا ما بهي تمام زندككي‬ ‫اهني خراب تهئي جائي انسس‬
  • 48. ‫ما اسكر كثبيره فقلبيله‬ ‫حرام‬ ‫جه حبيزنوزيادهحهاك مال سا نوتهورو‬ ‫وستو ه هٌ‬ ‫ح‬ ‫ح‬ ‫بهيحرام؛فف‬ ‫ف‬
  • 49. ‫ببيمار دشىفاء ثثثات سس هبيطط‬ ‫هبيطط‬ ‫ففسففف‬ ‫جاتس‬ ‫ف‬ ‫ففي فف‬ ‫ج ف‬ ‫ف‬ ‫ ُ فففففففففففففففففففففففففسففف‬ ‫مردس‬ ‫ه سس ثثثهو نك ك سس ثثثاني‬ ‫فط فف ا فرف س فف بس فف ايسفف‬ ‫فا ف‬ ‫مبيط ف ثث فر ف فر ف‬ ‫ز‬

Editor's Notes

  1. Good afternoon Gentlemen This afternoon I will talk about a traditional Asian habit turned malady and that is the use of the Areca nut, the Paan leaf, Slaked lime, Catechu and oral Tobacco combination and its very real dangers . These constituents are partners in crime responsible for the alarming increase in pre-malignant and malignant oral lesions in persons of Asian origin. This combination is know as betel mix/Mawo/Gutka You may be shocked to hear that today in this very city there are children starting from the age of 5 years, yes, gentleman you heard me correctly 5 years!!! and above hooked on tobacco laced betel mix . For the benefit of the uninitiated let me introduce to you what the components of this betel mix are, what they looks like, their roles and effects .
  2. Act now before it is too late
  3. I hope that all of you present are now empower with the real facts about this deadly habit and will spread the word after all .....a danger foreseen is a danger avoided