Health is a big issue due to their worsening situation, the problems of insufficient food supplies and the stress and strains of survival. This is compounded by low sanitation, lack of health education and a poor water supply. The old industry of growing poppies and the problems of drug smuggling in the area mean that drug addition, HIV and AIDS are also some of the problems facing these communities. Tobacco related illnesses are also prevalent with 80% of older men smoking country tobacco and 60% of older women chewing it.