The increasing prevalence of nicotine pouches among young people, particularly within school environments, presents a growing public health concern. These small, discreet pouches, often marketed under various brand names but commonly referred to by their Swedish predecessor, snus, contain highly concentrated nicotine and are placed between the gum and lip. Their inconspicuous nature makes them easily concealable, contributing to their rising popularity among adolescents who may seek a nicotine source without the tell-tale signs of traditional smoking or vaping.
However, the perceived convenience belies significant health risks. The potent nicotine content in these pouches poses a serious threat of rapid and severe addiction, particularly for developing adolescent brains which are more susceptible to the neurochemical changes induced by nicotine. Beyond systemic effects, direct contact with the oral mucosa can cause localized damage. Users frequently report gum irritation, inflammation, and recession, where the gum tissue pulls away from the teeth, potentially leading to increased tooth sensitivity, root exposure, and even tooth loss over time. Lesions and sores inside the mouth are also commonly associated with prolonged use.
A significant challenge in addressing this trend is the largely unregulated status of these products in many jurisdictions. Unlike traditional tobacco products or e-cigarettes, nicotine pouches often fall into a regulatory grey area, meaning they may not be subject to the same strict age verification laws, marketing restrictions, or health warnings. This lack of oversight allows for easier access for minors and limits public health interventions aimed at curbing their use. Schools are increasingly reporting instances of students using these products during class, highlighting the urgent need for greater awareness, educational initiatives, and clearer regulatory frameworks to protect youth from the harmful effects of these addictive and damaging substances.