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The number would later increase to 14

In 2003, the World Health Organization sponsored group, International Agency for Research on Cancer (IARC) concluded that sufficient evidence of chewing betel quid, even without tobacco, is carcinogenic to humans

[DOI] [PubMed] [Google Scholar] 9.Talamini G, Bassi C, Falconi M, Sartori N, Salvia R, Rigo L, Castagnini A, Di Francesco V, Frulloni L, Bovo P, Vaona B, Angelini G, Vantini I, Cavallini G, Pederzoli P

Pakistan grows a large variety of betel leaf, specifically in the coastal areas of Sindh, [40] although paan is also imported in large quantities from Bangladesh and Sri Lanka

It can be done probably with modification