Nicotine Science and Policy

Nicotine pouches, particularly ZYN, have sparked various discussions and concerns, including ties to conservatism and masculinity. Recent Bloomberg News coverage questions if ZYN's online hype could lead to a downfall similar to Juul's. While comparisons to Big Tobacco's unethical marketing are made, the safety claims of ZYN and Juul are upheld as factual. The article also touches on the diminishing awareness of smoking's health risks as focus shifts to vaping and pouches. User-generated content and influencer reviews are scrutinized, with ZYN standing out for not funding positive coverage. Overall, the text reflects on changing perceptions of smoking-related risks and the impact of independent media on product reputation.

Dr. Melissa Little led a study on nicotine pouch use among U.S. soldiers, revealing that soldiers are ten times more likely to use these products than average American adults, posing serious health risks. Researchers from UVA Cancer Center and UNC Lineberger analyzed responses from 1,957 soldiers, finding 23.8% use nicotine pouches within 30 days. Usage increased from 20.2% in 2022 to 24.7% in 2023. Users, mostly younger males, face health risks including cardiovascular issues and cancer promotion. The study aims to develop interventions for soldiers transitioning to civilian life to reduce nicotine and tobacco consumption.

According to recent Eurobarometer data, one in four EU citizens smokes, with the highest rates found in eastern and southeastern Europe. Bulgaria leads with 37% smokers, followed by Greece (36%), Croatia (35%), and Romania (34%). Cyprus ranks seventh at 29%, while Sweden reports the lowest rate (8%), followed by the Netherlands (11%) and Denmark (14%). The survey highlights a gender gap in tobacco use, with 28% of men and 21% of women smoking. Over half of EU citizens (56%) have never smoked. Young men facing financial difficulties, particularly those aged 25-39 (32%), are the most likely to smoke.

Enforcement of the e-cigarette ban in Taiwan has been inadequate since the law was amended in 2023. Only a small percentage of cases resulted in fines, with 1,247 fines issued out of 500,000 cases. These fines were for selling e-cigarettes, heated tobacco devices, and illegal use, indicating a lack of proper enforcement. The presence of "zombie vapes" with anesthetic drugs like etomidate poses further risks to public health. Legislative Yuan is calling for increased inspections and public awareness to prevent the negative impacts of e-cigarettes. The Executive Yuan is collaborating across ministries to strengthen control measures and crack down on e-cigarette-related illegal activities.

Rep. Jerald Raymond is drafting a bill to prevent teens from accessing vaping products containing dangerous drugs like fentanyl. Valley County Coroner Scott Carver highlights an increase in teen deaths linked to vaping illicit substances. Despite existing laws, the rise in fatalities prompts discussions on further restrictions, such as online sale regulations and taxation to deter underage vaping. Lawmakers, including Sen. Mark Harris, are working on gathering support for the legislation. The bill aims to address the alarming trend and minimize teen access to lethal substances through vaping pens.

Youth smoking rates in the United States have plummeted to historic lows—an unprecedented victory in tobacco control. Yet, public health seems oddly silent. Why is this monumental achievement not being celebrated?

As the new year starts, people make resolutions like giving up habits such as e-cigarettes. "Quitter's Day" on the second Friday of January often marks when resolutions are abandoned, but staying focused is important. Vaping has become popular, with many using it to quit smoking, although the addictive nature of nicotine poses challenges. To quit vaping, experts advise reducing nicotine intake gradually and managing triggers. Utilizing stop-smoking services and therapies can aid in the process. While vaping is considered less harmful than smoking, the long-term effects are still being studied. Disposable vapes are contributing to plastic pollution and wastage issues. Strategies like exercise and seeking support can help cope with withdrawal symptoms when quitting vaping.

The Rajasthan High Court has raised serious concerns regarding the online sale of e-cigarettes, describing the enforcement mechanisms as inadequate despite existing laws prohibiting their sale. A bench comprising Chief Justice Manindra Mohan Shrivastava and Justice Uma Shanker Vyas issued directives for authorities to file an affidavit outlining the steps taken to address the issue. While hearing a public interest litigation (PIL), the court noted the significant challenge posed by the online availability of e-cigarettes and highlighted the lack of tangible results from enforcement efforts. The central government informed the court that implementing the ban is the responsibility of state governments and that instructions had been issued to them accordingly.

Research shows that vapers strongly oppose a ban on non-tobacco e-liquid flavors. Studies indicate that flavored vapes can help adults quit smoking, especially sweet flavors. Flavors like fruit, candy, and dessert are popular among users, with tobacco flavors less preferred. Restrictions on vape flavors could lead to some users reverting to smoking. Regulators should consider the preferences of adult vapers, as non-tobacco flavors are seen as helpful in quitting smoking. Youth vaping bans may inadvertently increase cigarette smoking. Policymakers should carefully consider the impact of flavor bans on adult smokers trying to quit.

New research by IoPPN & ASH shows 1% of adults and youths currently use nicotine pouches. The Tobacco and Vapes Bill aims to regulate pouch sales, advertising, and content. Nicotine pouches are non-tobacco sachets placed between the lips and gums to release nicotine. Findings from ASH surveys 2020-2024 reveal an increase in adult pouch use to 5.4% but only 1% currently use them. Youth usage stands at 1.2%. Study highlights the need to track pouch trends and understand socio-demographic factors.