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Betel nut use in the Pacific

Betel nut is the fourth most commonly used psychoactive substance in the world after tobacco, alcohol and caffeine. Its main active psychoactive component, called arecoline, is thought to cause adverse health effects. The International Agency for Research on Cancer (IARC) stated that the betel nut is a carcinogen

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Tuberculosis in the Pacific Island Countries

On a global scale, the burden of TB in the Pacific is relatively small, but in some Pacific Island Countries, for example, Kiribati, Marshall Islands, and Solomon Islands, their individual case notification rates are higher than the average notification rate of 95 per 100000 population in the Western Pacific Region (Global tuberculosis report 2017, WHO).

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