Tobacco that you don’t smoke (including paan, betel quid and chewing tobacco) is not a 'safe' way to use tobacco. It causes cancer and can be as addictive as smoking. Find out the risks and how you can quit.
Betel quid, paan or gutkha is a mixture of ingredients, including betel nut (also called areca nut), herbs, spices and often tobacco, wrapped in a betel leaf.
Chewing smokeless tobacco, such as paan or gutkha, is popular with many people from south Asian communities, but all forms of tobacco can harm your health.
Studies have also found that betel itself can raise the risk of cancer, so chewing betel quid without tobacco is still harmful.
Smoking increases your risk of cancer , heart disease and respiratory problems . This is true whether you smoke cigarettes, bidi (thin cigarettes of tobacco wrapped in brown tendu leaf) or shisha (also known as a water pipe or hookah).
A World Health Organization study has suggested that during one session on a water pipe (around 20 to 80 minutes) a person can inhale the same amount of smoke as a cigarette smoker consuming 100 or more cigarettes.
Like cigarette smoke, water pipe smoke contains cancer-causing chemicals and toxic gases such as carbon monoxide.
The most effective way to quit smoking and tobacco use is with expert help from a stop smoking adviser or doctor.
Many services also offer support to help you stop using smokeless tobacco, such as paan.
Important: Our website provides useful information but is not a substitute for medical advice. You should always seek the advice of your doctor when making decisions about your health.