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Across Myanmar it's easy to find roadside stands selling betel quids,
在缅甸很容易在街边摊铺看到卖槟郎块的，
the signs of this habit include the red stains on teeth as well streets and sidewalks.
有这个习惯的人牙齿上会有红斑，也可以在大街上和人行道上看到槟郎。
After I chew betel quids my mouth feels better. I have bad breath and I want my mouth to smell better.
当我咀嚼槟郎后，我的嘴会感觉很好，我有口臭，我希望让我的嘴可以更清新。
Figures from the World Health Organization show that almost 25% of women in Myanmar chew betel quids and more than 60% of the men do.
世卫组织的数据显示，缅甸近25%的女性咀嚼槟郎，超60%的男性服用。
Aung Thura is 30 years old and has been chewing betel quids for eight years.
苏拉30岁了，他拒绝槟郎有八年了。
It keeps me awake and keeps me from getting bored when I'm working.
这让我保持清醒，让我在工作时不至于感到无聊。
Betel quids are made from areca nuts that are placed in a betel leaf with slaked lime. In Myanmar it's usually mixed with tobacco.
槟郎块来自槟榔，将它放在蒌叶上，再配上熟石灰，在缅甸，槟郎通常和烟草混在一起。
Health advocates say the nicotine in the tobacco and the arecoline in the areca nuts are a bad combination.
健康呼吁认识称，将烟草中的尼古丁和槟郎中的槟榔碱混在一起是很糟糕的。
And they are addictive chemicals so by having two things together people like to chewing more and more.
它们是可以上瘾的化学物品，将两种混在一起，人们喜欢咀嚼更多。
Dr. Than Sein is head of the People's Health Foundation, a health advocacy group in Myanmar that's trying to educate the public about the risks.
塞恩医生是人民健康基金会的领导人，这是缅甸的一个健康呼吁组织，尝试着教育公众关于健康风险。
Their campaigns have included TV spots with betel quid chewers who are terminally ill.
他们的活动包括电视预告片，显示着槟郎咀嚼者身患绝症。
Betel chewing the first major cause is mouth cancer, oral cancer, then larynx cancer, and then lung cancer and also stomach cancer.
咀嚼槟郎的第一风险就是口腔癌，之后是喉癌，之后是肺癌还有胃癌。
According to the World Health Organization, someone who regularly chews betel quids mixed with tobacco for a long-period of time
根据世卫组织称，长时间咀嚼混有烟草槟郎的人
is more than seven-times more likely to get oral cancer than someone who does not chew it. But some people dismiss the risks.
比那些不食用的人患口腔癌的概率大七倍，但一些人否认这种风险。
I'm not worried, nothing happens like that. Chewing betel quid doesn't lead to mouth cancer, only if you leave it all night.
我不担心，什么都没发生，咀嚼槟郎不会造成口腔癌，除非你整夜食用。
But Doctor Than Sein says the risks are clearly there for all betel quid chewers especially anyone who chews it regularly for more than a decade.
但塞恩医生说对那些咀嚼者而言，特别是那些吃了十多年的人。
And he adds that all too often they find out they have cancer when it's too late to cure.
他还补充说，很多时候他们都发现自己得了癌症，但为时已晚。
Becuase cancer is caused slowly and people do not know it and once they know it they are almost dying.
因为癌症的发展是很缓慢的，人们起初不知道，但当知道时已经不行了。
But in Myanmar, all signs point to betel quid chewing remaining one of the country's most popular habits.
但在缅甸，所有的迹象都显示槟郎依然是缅甸最受欢迎的习惯之一。
For VOA news Dave Grunebaum, Yangon, Myanmar
VOA新闻，戴夫·格鲁内鲍姆缅甸仰光报道
