Cancer of larynx was 9.8% among males and 2% among females while cancer of the tongue was 6.8% among males and 2.6% among females.[] A hospital-based study in Nepal revealed that high consumption of chewing betel quid is associated with oral carcinoma.[] In one multicentric study, participants from Nepal endorsed tolerance and withdrawal to the betel quid dependence, and found that dependency was linked to age, gender, schooling years, drinking, smoking, tobacco-added betel quid use and environmental accessibility of betel quid.[] According to the Asian Betel Quid Consortium study (2009-10) in Kathmandu, Chitwan, Nawalparari and Pokhara among 1002 participants, the prevalence of oral leukoplakia among betel quid chewers was 4.7 times higher than in non-chewers.[] A higher prevalence of oral pre-malignant disorders (OPD) was observed among abusers of betel quid chewing than non-abusers in Nepal.[] The betel quid dependent users had a higher pre-neoplastic risk than non-dependent betel quid users.[] Economic Impact of smokeless tobacco use in Nepal Smokeless tobacco products are imported mainly from India
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