Matzo (steamed) immediately after rice flour is mixed with water and they pierce it many times with handle of the spoon to let out steam so that the bread will not rise (this custom is called "juthante kannu kuthal" in the Malayalam language meaning "piercing the bread according to the custom of Jews"). This bread is cut by the head of the family and shared among the family members. In Israel, the Saint James Vicariate For Hebrew Speaking Catholics uses matzo as the host for the Eucharistic celebration in the Mass as a form of inculturation. At the end of World
Matzo for the Eucharist are flat, unleavened bread. The main reason for the use of this bread is the belief, that because the last supper was described in the Synoptic Gospels as a passover meal, the unleavened matzo bread was used by Jesus when he held it up and said "this is my body". All Byzantine Rite churches use leavened bread for the Eucharist as this symbolizes the risen Christ. Some Oriental Orthodox and Eastern Catholic Christians use leavened bread, as in the east there is the tradition, based upon the gospel of John, that leavened bread was on the table