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Under-6 Nicotine Poisonings Surge 763% With Rise of Flavored Pouches

A Pediatrics study attributes the spike to easy access to high-concentration, flavored pouches lacking child-resistant packaging

NEW YORK, NEW YORK - JANUARY 29: In this photo illustration, ZYN nicotine cases and pouches are seen on a table on January 29, 2024 in New York City. Sen. Chuck Schumer (D-NY) is calling for federal action on ZYN, a popular nicotine pouch in the United States. The senator is asking the FTC and FDA to investigate the companies marketing and the health effects of the nicotine pouch. (Photo Illustration by Michael M. Santiago/Getty Images)
Containers of Zyn, a Phillip Morris smokeless nicotine pouch, are displayed for sale among other nicotine and tobacco products at a newsstand in New York. (BEBETO MATTHEWS/AP FILE)

Overview

  • U.S. poison centers recorded 134,663 accidental nicotine ingestions among children under age 6 from 2010 through 2023.
  • Pouch exposures tracked since 2020 now far exceed declines in liquid and other nicotine formulations.
  • Nicotine pouches carry a 150% higher risk of serious medical outcomes and are twice as likely to result in hospitalization.
  • Seventy-six percent of cases involved children under 2 and nearly all occurred at home, including two fatal liquid-nicotine ingestions.
  • Experts urge keeping nicotine products locked away, avoiding use in view of children and calling Poison Help at 1-800-222-1222 if ingestion is suspected.