
Say 'betel nut' —
A man shows off his stained teeth, dyed red from years of chewing betel quids, potent parcels of areca nuts, lime and tobacco wrapped in a betel leaf. They give users a buzz when they're chewed but are also known to cause oral cancer.

All wrapped in a betel leaf —
A woman sells betel leaves at a market in central Yangon. The climbing plant is grown throughout Asia, but predominantly in India and Bangladesh, according to Kew.org.

A sprinkle of areca nuts —
Areca nuts are the seeds of the areca palm. They're sprinkled onto lime-coated betel nut leaves to make betel quids. Other ingredients are added, depending on local tastes, including cardamom, saffron cloves and sweeteners.

Step 1: A slick of lime —
Kyaw Thet works quickly at his stall in central Yangon. He first coats the betel leaves in slaked lime before lining them up in rows on the counter to add the extra ingredients.

Step 2: A sprinkle of tobacco —
He sprinkles tobacco on each leaf, adding to the addictive nature of the betel quid.

Step 3: Add the nuts —
Areca "nuts" are added to the parcel, though they're not really nuts. They're seeds that come from the areca palm, which is grown throughout Asia.

Step 4: Extra lime —
More lime is flicked onto the leaves before they're ready for wrapping.

Step 5: Wrapping it up —
Kyaw Thet quickly rolls the leaves, tucking them into one hand while he works on the next. He sells them in packs of three for 100 Burmese kyat, around 10 U.S. cents.

Step 6: More tobacco —
A bit more tobacco and perhaps an extra sprinkle of lime complete the process.

The buyer —
Taxi driver U Sein, 37, is a happy customer. He chews around 10 betel quids a day. He says he doesn't smoke and that quids are "better for me."

Roadside stalls —
Betel quid stalls are a common sight in markets and on roads in central Yangon. They're chewed in many countries throughout Asia, despite the published health risks.


