Thursday, 31 Jul 2025

Nicotine pouches pose alarming danger in US households, experts warn

A recent study reveals nicotine pouch ingestions among children under 6 increased by 763% from 2020 to 2023, posing greater poisoning risks than other nicotine products.


Nicotine pouches pose alarming danger in US households, experts warn
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The pouches contain a dissolving powder made of nicotine and flavorings that gets absorbed through the gums and lining of the mouth, according to the Centers for Disease Control and Prevention.

The research, published by the American Academy of Pediatrics, found that there were 134,663 reported cases of ingestion of pouches, vapes and other nicotine products among children between 2010 and 2023. 

Gary Smith, M.D., director of the Center for Injury Research and Policy at NCH, told Fox News Digital that nicotine pouches were not tracked in national poison center data until 2020.

"However, between 2020 and 2023 (the most recent year of data from the study), the rate of unintentional ingestion of nicotine pouches by young children increased at a fast rate - even as ingestion rates for other formulations of nicotine declined," he said.

The study found a 59% increase in nicotine ingestions between 2010 and 2015, which was primarily driven by liquid and solid nicotine products. 

From 2015 to 2023, liquid nicotine ingestion dropped by 45%, leading to a 34% reduction in overall nicotine ingestion incidents.

"Because data are self-reported, they cannot be completely verified by poison centers," he added.

Smith also pointed out that the study did not analyze nicotine dosage, and that there is the possibility of "miscategorization of data and missing data."

In 2015, Congress passed the Child Nicotine Poisoning Prevention Act, which made it a law for liquid nicotine packaging to be child-resistant. "This suggests that legislation can make a difference," Smith said. 

There are opportunities for further improvement in terms of passing preventative laws, the researcher noted.

Given that nicotine pouches present a "serious and growing toxic ingestion hazard" among young children, Smith calls for ongoing surveillance and prevention efforts.

Parents who suspect that a child has ingested a nicotine pouch should call the national Poison Help number at 1-800-222-1222, Smith advised.

"The safest choice is to keep all nicotine products out of the home," he said. Otherwise, they should be stored safely and out of reach.

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