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18C.6 Public health and regulatory considerations
Foreword

Relevant news and research: Public health and regulatory considerations

Lang, K. (2026). Nicotine pouches: WHO calls for stricter regulation as tobacco industry targets young people. BMJ, s957. Available from: https://www.ncbi.nlm.nih.gov/pubmed/42140654


World Health Organization (2026). Exposing marketing tactics and strategies driving the global growth of nicotine pouches. . Available from: https://www.who.int/publications/i/item/9789240114920


Choi, K., Jewett, B., Hamilton-Moseley, K. R., Zarei, K., Hacker, K. and Phan, L. (2026). Patterns of tobacco product use among US adults who use nicotine pouches and the association between nicotine pouch use and tobacco product use cessation. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41775635


Lee, J. and Cassidy, R. N. (2026). Factors associated with considering switching to nicotine pouches among US adults who smoke. Drug Alcohol Depend Rep, 100420. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41859246


Moore, R., Cunradi, C., Moose, K., Meza, E., Hernandez, E. and Caetano, R. (2026). Developing Messages to Prevent Smokeless Tobacco and Nicotine Pouch Uptake Among Early Career Rural Firefighters in California: A Qualitative Study. Behav Sci (Basel), 3. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41898131


Muhammad-Kah, R., Hannel, T., Wei, L., Cheng, H., Iyer, S. and Sarkar, M. (2026). Investigating the population health impact of an oral tobacco-derived nicotine pouch product utilizing a three-product tobacco use population model. Front Public Health, 1772045. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41822933


Farsalinos, K. (2026). Nicotine pouches: an aid in smoking cessation, or a new public health hazard?. Intern Emerg Med. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41686395


Gonzalez, L. F. and Friedman, T. C. (2026). Nicotine pouches: A wolf in sheep's clothing. Tob Prev Cessat. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41646083


Erturk, N. and Karababa, H. N. (2026). Comparative effects of electronic and traditional cigarette use on pulmonary function, autonomic regulation, and exercise capacity in young adults. Ir J Med Sci. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41537932


Pant, S. and Anderer, S. (2026). Can Nicotine Pouches Help People Quit Smoking?. JAMA, 4, 293-295. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41481300


Hoek, J., Waa, A. and Ball, J. (2025). 8 reasons the government should not introduce oral nicotine pouches to NZ. The Conversation. Available from: https://theconversation.com/8-reasons-the-government-should-not-introduce-oral-nicotine-pouches-to-nz-271604


Polosa, R., Fagerstrom, K. and Rodu, B. (2025). The emerging role of oral nicotine pouches in tobacco harm reduction. Intern Emerg Med. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41441963


Wermert, A., Brasky, T. M., Newton, A. M., Hinton, A., Curran, H., Ferketich, A. K., Carpenter, M. J., Shields, P. G., Tomko, P., Wagener, T. L. and Keller-Hamilton, B. (2025). Testing oral nicotine pouches versus nicotine replacement therapy for cigarette harm reduction in Appalachia: The ARISE study protocol. PLoS One, 12, e0338503. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41433314


Chapman, F., Morrissey, R., McDermott, S., Cahours, X., Verron, T., Taverner, V., Stevenson, M. and Nahde, T. (2025). Evaluation of high-nicotine oral products shows potential to reduce tobacco-related harm by offering satisfying alternatives. Sci Rep, 1, 34636. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41044396


Hartmann-Boyce, J., Tattan-Birch, H., Brown, J., Shahab, L., Goniewicz, M. L., Ma, C. L., Wu, A. D., Travis, N., Jarman, H., Livingstone-Banks, J. and Lindson, N. (2025). Oral nicotine pouches for cessation or reduction of use of other tobacco or nicotine products. Cochrane Database Syst Rev, 10, CD016220. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41130602


Al-Otaibi, H. M. and Althobiani, M. A. (2025). Nicotine pouches: a narrative review of the existing literature. Front Public Health, 1641308. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40933411


Heshmati, J., Shahen, S., Bates, E. L., Visintini, S., Quirouette, E., Mullen, K. A. and Mir, H. (2025). Nicotine pouches and clinical outcomes related to smoking cessation: A systematic review of randomized trials. Addiction. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41001885


Adekeye, O. T. and Mumba, M. N. (2025). Oral Nicotine Pouches: A Growing Public Health Concern. J Psychosoc Nurs Ment Health Serv, 6, 7-Oct. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40464446


Fucito, L. M., Baldassarri, S. R., Wu, R., Gueorguieva, R., Morean, M. E., Herbst, R. S., Krishnan-Sarin, S. and O'Malley, S. S. (2025). Effects of oral nicotine pouches on cigarette smoking behaviour and tobacco harm exposure: a randomised pilot trial in adults. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40550628


Jan, R. and Jan, M. (2025). The growing public health concern of nicotine pouch consumption among Pakistani youth. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40475311


Kamdar, D. (2025). Why nicotine pouches may not be the best choice to help you stop smoking. The Conversation. Available from: https://theconversation.com/why-nicotine-pouches-may-not-be-the-best-choice-to-help-you-to-stop-smoking-251856


Mathew, M. G. and Cherian, J. (2025). Nicotine pouches: a harm reduction breakthrough or a flavoured trap?. Br Dent J, 4, 211. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40021852


Hartmann-Boyce, J., Tattan-Birch, H., Brown, J., Shahab, L., Goniewicz, M. L., Ma, C., Wu, A. D., Travis, N., Jarman, H., Livingstone-Banks, J. and Lindson, N. (2025). Oral nicotine pouches for cessation or reduction of use of other tobacco or nicotine products. Cochrane Database Syst Rev, 2, CD016220. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39945317


Earlier news and research

For news items and research on this topic earlier than 2025, click here.

Intro
Chapter 2