What areas of the world is betelnut primarily consumed?
In India (the largest consumer of areca nut) and Pakistan the preparation of nut with or without betel leaf is commonly referred to as paan. It is available practically everywhere and is sold in ready-to-chew pouches called “Pan Masala” or supari, as a mixture of many flavors whose primary base is areca nut crushed into small pieces. Pan Masala with a small quantity of tobacco is called gutka. The easily-discarded small plastic supari or gutka pouches are an ubiquitous pollutant of the South Asian environment. Some of the liquid in the mouth is usually disposed of by spitting, producing bright red spots which are highly visible in the streets. Trails of those red stains lining the sidewalks in India and Sri Lanka are a sure indication of the popularity of betel chewing in an area. The Shimoga District in Karnataka is presently the largest producer of betelnut in India. In the Maldives areca nut chewing is very popular, but spitting is frowned upon and regarded as an unrefined, gross wa