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DOI: 10.1055/s-0043-1764216
Chewing Doma (Fermented Betel Nut): Culture versus Cancer?
Abstract
Areca nut consumption is embedded in many cultures, including that of Bhutan, several parts of India, and other South Eastern countries. Traditional fermenting of areca nut results in the production of what is called doma in Bhutan. The process enhances its carcinogenic potential and is tightly linked to oral and upper gastrointestinal cancers. As many as 45% of Bhutanese people chew doma. It is the number one cause of cancers of the oral cavity, oropharynx, hypopharynx, and larynx. We propose the slogan “Don't chew your way to cancer, say no to doma” would help in reducing oral and esophageal cancers in Bhutan.
Publication History
Article published online:
10 April 2023
© 2023. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 WHO IARC GLOBOCAN Bhutan-fact-sheets. Accessed February 14, 2023 at: https://gco.iarc.fr/today/data/factsheets/populations/64-bhutan-fact-sheets.pdf
- 2 WHO IARC GLOBOCAN Bhutan-fact-sheets. . Accessed February 14, 2023 at: https://gco.iarc.fr/today/data/factsheets/populations/64-bhutan-fact-sheets.pdf
- 3 Tshering P, Dorjee S, Dendup T, Dorji T, Wangmo D. Epidemiological and histopathological characteristics of head and neck cancers in Bhutan from 2011 to 2017: a retrospective descriptive study. Ecancermedicalscience 2020; 14: 1024 DOI: 10.3332/ecancer.2020.1024.
- 4 Cox S, Ullah M, Zoellner H. Oral and systemic health effects of compulsive areca nut use. In Neuropathology of Drug Addictions and Substance Misuse. Academic Press; 2016: 785-793
- 5 Sharan RN, Mehrotra R, Choudhury Y, Asotra K. Association of betel nut with carcinogenesis: revisit with a clinical perspective. PLoS One 2012; 7 (08) e42759 DOI: 10.1371/journal.pone.0042759.
- 6 Ramchandani AG, D'Souza AV, Borges AM, Bhisey RA. Evaluation of carcinogenic/co-carcinogenic activity of a common chewing product, pan masala, in mouse skin, stomach and esophagus. Int J Cancer 1998; 75 (02) 225-232
- 7 Narzary Y, Brahma J, Brahma C, Das S. A study on indigenous fermented foods and beverages of Kokrajhar, Assam, India. J Ethn Foods. 2016; 3 (04) 284-291
- 8 Wangdi K, Jamtsho T. Prevalence and correlates of betel quid chewing among Bhutanese adults. Subst Use Misuse 2020; 55 (09) 1443-1449
- 9 Patidar KA, Parwani R, Wanjari SP, Patidar AP. Various terminologies associated with areca nut and tobacco chewing: a review. J Oral Maxillofac Pathol 2015; 19 (01) 69-76
- 10 Awang MN. Fate of betel nut chemical constituents following nut treatment prior to chewing and its relation to oral precancerous & cancerous lesion. Dent J Malays 1988; 10 (01) 33-37
- 11 Accessed February 15, 2023 at: https://en.wikipedia.org/wiki/Areca_nutLast
- 12 Monpas, The Sturdy Highlanders Of The Eastern Himalayas. Accessed February 15, 2023 at: https://www.outlookindia.com/travel/monpas-the-sturdy-highlanders-of-the-eastern-himalayas-news-189229
- 13 Patel, Amol & Patel, Manali & Tshering et al. Chewing Doma (Fermented Betel Nut): Culture versus Cancer?. South Asian Journal of Cancer. Epub ahead of print
- 14 Ahuja U, Ahuja S, Ahuja SC. “Betel Nuts”, Encyclopaedia of the History of Science, Technology, and Medicine in Non-Western Cultures. Dordrecht: Springer; 2016
- 15 Farrar J, Hotez P, Junghanss T, Kang G, Lalloo D, White NJ. Manson's Tropical Diseases E-Book. Elsevier Health Sciences; 2013
- 16 Guwahati: The Curious Food History Behind Its Name. Accessed February 15, 2023 at: https://www.slurrp.com/article/guwahati-the-curious-food-history-behind-its-name-1654420215557
- 17 Gutiérrez A. Medieval food as deity worship: The elaboration of food offerings in Chola-era ritual practice. In: The Routledge Handbook of Hindu Temples. India: Routledge India; 2023:126–144
- 18 Cost of doma eats into the pocket. Accessed February 15, 2023 at: http://www.bhutantoday.bt/cost-of-doma-eats-into-the-pocket/
- 19 Phukan RK, Ali MS, Chetia CK, Mahanta J. Betel nut and tobacco chewing; potential risk factors of cancer of oesophagus in Assam, India. Br J Cancer 2001; 85 (05) 661-667