USA Archives - TobaccoTactics https://tobaccotactics.org/topics/usa/ The essential source for rigorous research on the tobacco industry Fri, 05 Apr 2024 14:48:51 +0000 en-GB hourly 1 https://wordpress.org/?v=6.4.3 https://tobaccotactics.org/wp-content/uploads/2020/02/tt-logo-redrawn-gray.svg USA Archives - TobaccoTactics https://tobaccotactics.org/topics/usa/ 32 32 Global Tobacco and Nicotine Forum 2022 https://tobaccotactics.org/article/global-tobacco-and-nicotine-forum-2022/ Wed, 22 Nov 2023 14:11:11 +0000 https://tobaccotactics.org/?post_type=pauple_helpie&p=15354

The Global Tobacco and Nicotine Forum (GTNF) is an annual tobacco industry conference. The GTNF 2022 was a hybrid event that took place virtually, and in Washington for in-person delegates, from 27-29 September 2022. The following speakers, panellists and moderators were listed on the GTNF website: Joe Ackerman- Swedish Match Jonathan H. Adler- Case Western […]

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The Global Tobacco and Nicotine Forum (GTNF) is an annual tobacco industry conference.

The GTNF 2022 was a hybrid event that took place virtually, and in Washington for in-person delegates, from 27-29 September 2022.1

The following speakers, panellists and moderators were listed on the GTNF website:23

TobaccoTactics Resources

References

  1. Global Tobacco and Nicotine Forum, Accessing Innovation, GTNF website, 2022, archived October 2022, accessed May 2023
  2. Global Tobacco and Nicotine Forum, 2022 Speakers: Fresh voices and viewpoints, GTNF website, archived June 2022, accessed May 2023
  3. Global Tobacco and Nicotine Forum, 2022 Agenda, GTNF website, archived September 2022, accessed May 2023

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BOTEC Analysis https://tobaccotactics.org/article/botec-analysis/ Thu, 02 Nov 2023 10:03:51 +0000 https://tobaccotactics.org/?post_type=pauple_helpie&p=15306 Background BOTEC Analysis is a research and consultancy firm based in the US, which works on nicotine and tobacco harm reduction, cannabis, drug policy, transportation and community corrections.  Its website states that “BOTEC combines the capabilities of a consultancy and a think tank, resulting in service that is nimble and responsive but also grounded in evidence […]

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Background

BOTEC Analysis is a research and consultancy firm based in the US, which works on nicotine and tobacco harm reduction, cannabis, drug policy, transportation and community corrections.4  Its website states that “BOTEC combines the capabilities of a consultancy and a think tank, resulting in service that is nimble and responsive but also grounded in evidence and ethical accountability”.5

BOTEC Analysis has received funding from Philip Morris International (PMI) and the Foundation for a Smoke Free World (FSFW).

People

Samuel Hampsher-Monk has been the Managing Director of BOTEC Analysis since 2017.67 BOTEC Analysis has developed its tobacco harm reduction work since he took on this role.8

A list of other current employees can be found on the BOTEC Analysis website.

Relationship with the Tobacco Industry

Funded by the Foundation for a Smoke-Free World

BOTEC Analysis has received funding from the Foundation for a Smoke-Free World (FSFW) since 2019.

In 2019, It received a grant of US$299,767 to “Investigate the drivers of smoking cessation in five countries with alternative nicotine delivery device markets”.9

In 2021, it received a further two grants totalling US$401,349 to “Further develop the drivers of smoking cessation in five countries with legalized alternative nicotine delivery systems (ANDS) through a series of additional journal articles, econometric studies, and a full-length book on optimal nicotine regulation” and “Conduct an investigation and analysis and develop recommendations regarding the (i) literature addressing the relationship between COVID-19 and tobacco and nicotine products; (ii) the impact of various tobacco/nicotine related COVID restrictions around the world on smoking and alternative nicotine delivery system (ANDS) use”.10

In 2022 BOTEC received its largest grants to date, two grants totalling US$937,023 to “Investigate the drivers for smoking cessation and tobacco harm reduction in five countries with alternative nicotine delivery systems markets” and “Develop journal articles, econometric studies, and a full-length book regarding the drivers of smoking cessation in five countries with legalized alternative nicotine delivery systems”.11

PMI IMPACT grant

BOTEC analysis received a grant from PMI through its PMI IMPACT initiative in 2017 to conduct research on the “Impact of e-cigarette regulation on illegal trade in tobacco products in the European Union”.12

As part of this project, a paper found that “the more available e-cigarettes become, the less ITTP [illicit trade in tobacco products] market share rises in response to tax-driven price increases for conventional cigarettes”,13 an argument beneficial to PMI’s business strategy of pushing heated tobacco products, not as an alternative but a supplement to its cigarette business.

For more information see List of Successful PMI IMPACT Applicants.

Other activities

Hampsher-Monk and Jamer Prieger, Senior Researcher at BOTEC Analysis,6 are listed as co-authors of a book due to be published in 2024 titled ‘Clearing the Air on E-Cigarettes and Harm Reduction, Volume I: Tobacco Regulation, Economics, and Public Health’.14 The other co-author is Sudhanshu Patwardhan, Medical Director of the Centre for Health Research and Education (CHRE).

Hampsher-Monk was listed as a speaker at the 2023 ‘New Approaches’ conference, held at the Harvard Club of New York City, in the same week as the United Nations General Assembly.8 For more details see Healthy Initiatives (a FSFW grantee).

Relevant Link

TobaccoTactics Pages

References

  1. Global Tobacco and Nicotine Forum, Accessing Innovation, GTNF website, 2022, archived October 2022, accessed May 2023
  2. Global Tobacco and Nicotine Forum, 2022 Speakers: Fresh voices and viewpoints, GTNF website, archived June 2022, accessed May 2023
  3. Global Tobacco and Nicotine Forum, 2022 Agenda, GTNF website, archived September 2022, accessed May 2023
  4. BOTEC Analysis, Our Work, website, undated, archived March 2023, accessed October 2023
  5. BOTEC Analysis, About Us, website, undated, archived May 2022,  accessed October 2023
  6. abBOTEC Analysis, Our Team and Network, website, undated, archived March 2023, accessed October 2023
  7. Samuel C. Hampsher-Monk, LinkedIn Profile, website, undated, accessed October 2023
  8. abNew Approaches Conference, 18 September 2023, Harvard Club of New York City, website, undated, accessed September 2023
  9. Foundation for a Smoke-Free World, Form 990-PF, 2019 Tax Return, 15 May 2020, accessed May 2020
  10. Foundation for a Smoke-Free World, Form 990-PF, 2021 Tax Return, 16 May 2022, accessed May 2021
  11. Foundation for a Smoke-Free World, Form 990-PF, 2022 Tax Return, 15 May 2023, accessed May 2023
  12. Philip Morris International, Selected Projects: First Funding Round, PMI IMPACT website, undated, accessed January 2019
  13. J.E. Prieger, M. Kleiman, J. Kulick, A. Aziani, M. Levi, S. Hampsher, C. Manning, R. Hahn, The Impact of E-Cigarette Regulation on the Illicit Trade in Tobacco Products in the European Union, SSRN, 15 June 2019
  14. S. C. Hampsher-Monk, J. E. Prieger, S. Patwardhan, Clearing the Air on E-Cigarettes and Harm Reduction, Volume I: Tobacco Regulation, Economics, and Public Health, 2024, Palgrave Macmillan

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Reynolds American Inc. https://tobaccotactics.org/article/reynolds-american-inc/ Thu, 29 Jun 2023 13:38:29 +0000 https://tobaccotactics.org/?post_type=pauple_helpie&p=14499 Reynolds American inc. (RAI) is the parent company of tobacco company R. J. Reynolds. It is owned by British American Tobacco (BAT). Background BAT bought RAI in 2017. BAT owned 42.2% of RAI shares from 2004 to 2017. In January 2017, BAT announced that it had agreed to acquire the remaining 57.8% stake. This acquisition was […]

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Reynolds American inc. (RAI) is the parent company of tobacco company R. J. Reynolds. It is owned by British American Tobacco (BAT).

Background

BAT bought RAI in 2017.1516

BAT owned 42.2% of RAI shares from 2004 to 2017.16 In January 2017, BAT announced that it had agreed to acquire the remaining 57.8% stake.17 This acquisition was completed by July 2017. 1516

When BAT bought RAI it inherited Vuse e-cigarettes.15

Reynolds also sold its blu e-cigarettes and some of its cigarette brands to Imperial Tobacco (now Imperial Brands).

TobaccoTactics Resources

Relevant Links

References

  1. Global Tobacco and Nicotine Forum, Accessing Innovation, GTNF website, 2022, archived October 2022, accessed May 2023
  2. Global Tobacco and Nicotine Forum, 2022 Speakers: Fresh voices and viewpoints, GTNF website, archived June 2022, accessed May 2023
  3. Global Tobacco and Nicotine Forum, 2022 Agenda, GTNF website, archived September 2022, accessed May 2023
  4. BOTEC Analysis, Our Work, website, undated, archived March 2023, accessed October 2023
  5. BOTEC Analysis, About Us, website, undated, archived May 2022,  accessed October 2023
  6. abBOTEC Analysis, Our Team and Network, website, undated, archived March 2023, accessed October 2023
  7. Samuel C. Hampsher-Monk, LinkedIn Profile, website, undated, accessed October 2023
  8. abNew Approaches Conference, 18 September 2023, Harvard Club of New York City, website, undated, accessed September 2023
  9. Foundation for a Smoke-Free World, Form 990-PF, 2019 Tax Return, 15 May 2020, accessed May 2020
  10. Foundation for a Smoke-Free World, Form 990-PF, 2021 Tax Return, 16 May 2022, accessed May 2021
  11. Foundation for a Smoke-Free World, Form 990-PF, 2022 Tax Return, 15 May 2023, accessed May 2023
  12. Philip Morris International, Selected Projects: First Funding Round, PMI IMPACT website, undated, accessed January 2019
  13. J.E. Prieger, M. Kleiman, J. Kulick, A. Aziani, M. Levi, S. Hampsher, C. Manning, R. Hahn, The Impact of E-Cigarette Regulation on the Illicit Trade in Tobacco Products in the European Union, SSRN, 15 June 2019
  14. S. C. Hampsher-Monk, J. E. Prieger, S. Patwardhan, Clearing the Air on E-Cigarettes and Harm Reduction, Volume I: Tobacco Regulation, Economics, and Public Health, 2024, Palgrave Macmillan
  15. abcBritish American Tobacco, BAT completes Acquisition of Reynolds, 25 July 2017, accessed October 2019
  16. abcBritish American Tobacco, Our history – a time-line, undated, accessed February 2023
  17. British American Tobacco, BAT announces agreement to acquire Reynolds, News release 17 January 2017, accessed November 2020

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Flavoured and Menthol Tobacco in the US https://tobaccotactics.org/article/flavoured-menthol-tobacco-us/ Wed, 18 May 2022 17:07:09 +0000 https://tobaccotactics.org/?post_type=pauple_helpie&p=12550 Proposed US-wide (Federal) Menthol and Flavour Ban On 28 April 2022 the US Food and Drug Administration (FDA) announced proposed standards for banning menthol as a characterising flavour in cigarettes and cigars with any characterising flavour other than tobacco. The US had previously banned characterising flavours, except menthol in cigarettes in 2009 (see below). The […]

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Proposed US-wide (Federal) Menthol and Flavour Ban

On 28 April 2022 the US Food and Drug Administration (FDA) announced proposed standards for banning menthol as a characterising flavour in cigarettes and cigars with any characterising flavour other than tobacco.1819 The US had previously banned characterising flavours, except menthol in cigarettes in 2009 (see below).

The rules would come into effect one year after the final publication of the regulations (not yet provided).2021 This time period is similar to the EU ban which the tobacco industry exploited whereas the Canadian ban was implemented within six months.22

The proposed standards would also ban characterising flavours in components or parts of cigarettes and cigars (filters, filter wrapper, paper, filter tips, drops, capsules, flavour cards) whether or not they were sold separately.20 This was not the case with the EU ban, an omission which provided a loophole for the industry to exploit.

The FDA stated that the ban would apply to products being manufactured, distributed or sold in the US.1920 It emphasised that enforcement would be at the company level (manufacturers, distributors, wholesalers, importers and retailers) rather than at individual (smoker) level.1920 It would not restrict flavoured products intended for export.  The FDA suggested that replacing existing local bans with a nationwide ban would reduce opportunities for illicit trade.20

Menthol cigarettes and tobacco products are yet to be banned US-wide. This is despite the Tobacco Control Act of 2009 making the issue of menthol in cigarettes an FDA priority, an FDA report detailing menthol’s harms in 2011, and efforts by health organisations and non-governmental organisations (NGOs) to push the FDA to ban menthol cigarettes.23

Flavour and Menthol Bans in Place in the US

Cigarette flavours, excluding menthol, were banned US-wide in 2009 as part of the Tobacco Control Act.  At this time menthol represented nearly one third (27%) of the cigarette market.2425 By 2018, 36% of cigarettes sold in the US were menthol, and less than 1% of the US population lived in areas where menthol cigarettes were banned.2526

In 2020, Massachusetts was the first state to pass state-wide legislation banning all flavoured tobacco products, including menthol. Later the same year California passed a similar law, although some cigars and pipe tobacco were exempt.27 There are multiple other local bans and restrictions in place across the country – for more information see the factsheet produced by the Campaign for Tobacco Free Kids.28

Industry Opposition to Menthol Bans in the US

The US continues to be an important market for tobacco companies’ menthol brands. In its 2018 Annual Report, BAT said that after it acquired US tobacco company RJ Reynolds in 2017:

“The sales of Newport, together with the other menthol brands of the Group’s operating subsidiaries, represent a significant portion of the Group’s total net sales”.29

In the same report BAT repeatedly noted that any future flavour bans would risk having a negative impact on its business.29 A proposed federal (nationwide) ban in 2016 led to a drop in the value of tobacco companies’ shares, although the ban was not implemented.3031

The tobacco industry claimed that stopping convenience stores selling menthol cigarettes as planned in Minnesota (by restricting their sale to adult only tobacco and stores selling alcohol) would lead to catastrophic financial and job losses.  However independent research suggested losses would be six times smaller: tobacco does not drive use of convenience stores as much as the tobacco industry claims.32

Arguments against a USA-wide ban from the tobacco industry, included that there was not enough scientific evidence to support the ban, because, they claimed, menthol does not increase the disease risk, or markers for dependence or addiction.2033 Some argued there should be an exemption for premium cigars.21

In April 2021, the FDA announced that it was “working towards” a full menthol and flavour ban in cigarettes and cigars, stating that:

“This decision is based on clear science and evidence establishing the addictiveness and harm of these products and builds on important, previous actions that banned other flavored cigarettes in 2009.”34

Industry Lobbying and Interference in US Menthol Bans

Tobacco companies have extensively lobbied against legislation, both nationally and in individual states, in order to oppose or delay the implementation of regulations on menthol and flavour.

The Campaign for Tobacco Free Kids (CTFK) has described tobacco companies repeated attempts to block or delay legislation by filing lawsuits and funding related campaigns, including in San Francisco in 2017, and California in 2019 and 2020.3536 This is a well-documented industry strategy.

Tobacco companies have targeted politicians and law makers with direct financial contributions, and funded third party organisations to lobby on their behalf.3536373839 An investigation by the Bureau of Investigative Journalism (BIJ) revealed how consultants working for Reynolds American did not always declare their links to industry.36

In September 2020, the Los Angeles Times reported that the California Coalition for Fairness had submitted a request for a referendum to overturn the Californian ban.40 The organisation did not provide details of its members, but the newspaper noted that ban was proposed by Attorney Aaron Agenbroad who has previously worked for RJ Reynolds (now BAT) and Jaime Rojas, a spokesman for a tobacco industry campaign to overturn a ban on flavoured tobacco in San Francisco.40 RJ Reynolds also ran a television ad campaign against the ban.40

Tobacco companies have also given financial support to organisations and individuals working within the Black community.35 Some have gone onto to make claims of unexpected impacts of menthol bans on Black people, including criminalisation and harm to community relations.35 The US Public Health Law Centre has rebutted some of this industry misinformation around this issue.41

In June 2020, two US NGOs (African American Tobacco Control Leadership Council and Action on Smoking and Health) filed a lawsuit against the FDA to try to force it to introduce a ban in order to reduce health inequalities, noting that 85% of African American smokers smoke menthol cigarettes.4243 See also the STOP statement on this legal action and the Truth Initiative factsheet

The same figure has been used by the tobacco industry to lobby against the ban, arguing that it is discriminatory: “giving special treatment to the rich, and singling out communities of color”.44 In September 2020, the American Medical Association (AMA) joined the lawsuit as co-plaintiffs.45 The president of the AMA said that:

“For generations, tobacco companies have promoted menthol cigarettes to the African American community, preying especially on African American youth… This action is long, long overdue”.4546

Marketing of Menthol to the Black Community

There is a long history of targeted marketing of menthol by the tobacco industry. In the 1960s starter packs and discounts were distributed in newspapers and magazines popular in Black communities. Black models and famous Black sports people and entertainers have appeared on adverts.  Images relating to Black Power and Black History month have been used in marketing, and tobacco companies have made donations to music festivals. They have also given financial donations to  political and community organisations and leaders.4748

Marketing of flavoured tobacco products was still disproportionately found in Black neighbourhoods in Washington in 2018/19, while other tobacco advertising was not.4950

The BIJ investigation report stated that RAI consultants had “exploited concerns about police brutality against Black citizens”.3651

Relevant Links

Food and Drug Administration, Tobacco Product Standard for Menthol in Cigarettes (United States, 5 April 2022)

Public Health Law Center: Menthol and Other Flavoured Products, PHLC website (United States), including FDA timeline of key events

Centers for Disease Control and Prevention, Office on Smoking and Health Summary of Scientific Evidence: Flavored Tobacco Products, Including Menthol February (United States, 2021)

Truth Initiative, Menthol: Facts, stats and regulations (United States, April 2022)

TobaccoTactics Resources

References

  1. Global Tobacco and Nicotine Forum, Accessing Innovation, GTNF website, 2022, archived October 2022, accessed May 2023
  2. Global Tobacco and Nicotine Forum, 2022 Speakers: Fresh voices and viewpoints, GTNF website, archived June 2022, accessed May 2023
  3. Global Tobacco and Nicotine Forum, 2022 Agenda, GTNF website, archived September 2022, accessed May 2023
  4. BOTEC Analysis, Our Work, website, undated, archived March 2023, accessed October 2023
  5. BOTEC Analysis, About Us, website, undated, archived May 2022,  accessed October 2023
  6. abBOTEC Analysis, Our Team and Network, website, undated, archived March 2023, accessed October 2023
  7. Samuel C. Hampsher-Monk, LinkedIn Profile, website, undated, accessed October 2023
  8. abNew Approaches Conference, 18 September 2023, Harvard Club of New York City, website, undated, accessed September 2023
  9. Foundation for a Smoke-Free World, Form 990-PF, 2019 Tax Return, 15 May 2020, accessed May 2020
  10. Foundation for a Smoke-Free World, Form 990-PF, 2021 Tax Return, 16 May 2022, accessed May 2021
  11. Foundation for a Smoke-Free World, Form 990-PF, 2022 Tax Return, 15 May 2023, accessed May 2023
  12. Philip Morris International, Selected Projects: First Funding Round, PMI IMPACT website, undated, accessed January 2019
  13. J.E. Prieger, M. Kleiman, J. Kulick, A. Aziani, M. Levi, S. Hampsher, C. Manning, R. Hahn, The Impact of E-Cigarette Regulation on the Illicit Trade in Tobacco Products in the European Union, SSRN, 15 June 2019
  14. S. C. Hampsher-Monk, J. E. Prieger, S. Patwardhan, Clearing the Air on E-Cigarettes and Harm Reduction, Volume I: Tobacco Regulation, Economics, and Public Health, 2024, Palgrave Macmillan
  15. abcBritish American Tobacco, BAT completes Acquisition of Reynolds, 25 July 2017, accessed October 2019
  16. abcBritish American Tobacco, Our history – a time-line, undated, accessed February 2023
  17. British American Tobacco, BAT announces agreement to acquire Reynolds, News release 17 January 2017, accessed November 2020
  18. J. Ducharme, The FDA Is Moving Forward with a Menthol Cigarette Ban. Here’s What the Science Says, Time, 4 May 2022, accessed May 2022
  19. abcFood and Drug Administration, FDA Proposes Rules Prohibiting Menthol Cigarettes and Flavored Cigars to Prevent Youth Initiation, Significantly Reduce Tobacco-Related Disease and Death, press release, 28 April 2022, accessed May 2022
  20. abcdefFood and Drug Administration, Tobacco Product Standard for Menthol in Cigarettes, 5 April 2022
  21. abFood and Drug Administration, Tobacco Product Standard for Characterizing Flavors in Cigars, May 2022
  22. Government of Canada, Order Amending the Schedule to the Tobacco Act (Menthol), Order effective 2 October 2017
  23. Tobacco Control Legal Consortium et al, Citizen Petition to U.S. Food and Drug Administration, Prohibiting Menthol as a Characterizing Flavor in Cigarettes, 12 April 2013, accessed May 2022. Available from www.publichealthlawcenter.org
  24. Euromonitor International, Global market share for menthol and capsule cigarettes, 2014-2020, accessed September 2020 (paywall)
  25. abS. W. Rose, M. S. Amato, A. Anesetti-Rothermel et al, Characteristics and Reach Equity of Policies Restricting Flavored Tobacco Product Sales in the United States, Health Promotion Practice, 21(1_suppl), 44S-53S, 2020
  26. World Health Organization, Partial guidelines for implementation of articles 9 and 10 of the WHO Framework Convention on Tobacco Control: regulation of the contents of tobacco products and of tobacco product disclosures, WHO website, 2012, accessed March 2020
  27. P. McGreevy, California bans flavored tobacco sales in response to a surge in teen use, Los Angeles Times, 28 August 2020, accessed September 2020
  28. Campaign for Tobacco Free Kids, States and localities that have restricted the sale of flavoured tobacco products, factsheet, 2022, accessed May 2022
  29. abBritish American Tobacco, Transforming Tobacco: Annual Report 2018, BAT website, 2019, accessed March 2020
  30. B. Chapman, £7bn wiped off tobacco company stocks after report regulator will ban menthol cigarettes, The Independent, 12 November 2018, accessed March 2020
  31. A. Gray, A. Edgecliffe-Johnson, Big Tobacco prepares to fight proposed ban on menthol cigarettes, Financial Times, 17 November 2018, accessed March 2020
  32. K. Ackert, B. Brock, S.C. Friedrichsen et al Countering tobacco industry tactics on the economic costs of restricting menthol tobacco, Tobacco Control 2020;29:e113-e114, doi:10.1136/tobaccocontrol-2020-055737
  33. Mixed Reactions to Menthol and Cigar Flavors Ban, Tobacco Reporter, 2 May 2022, accessed May 2022
  34. Food and Drug Administration, FDA Commits to Evidence-Based Actions Aimed at Saving Lives and Preventing Future Generations of Smokers, press release, 29 April 2021, accessed September 2021
  35. abcdCampaign for Tobacco Free Kids, Hidden Agenda: Tobacco Industry Interference with State and Local Policy, 2022, accessed October 2022
  36. abcdB. Stockton, E. Baumgaertner, R. Lindsay, Paid Protesters Free Lunches and Backroom Chats: Inside the Menthol Lobbying Machine, Bureau of Investigative Journalism, 25 April 2022, accessed October 2022
  37. M. Hall, W. Hickey, How an American tobacco giant is quietly investing big money in hundreds of political races across the nation, Business Insider, 21 May 2022, accessed October 2022
  38. N. Florko, Tobacco companies shower Black Democrats with campaign cash, Stat News, 20 October 2022, accessed October 2022 (paywall)
  39. A. Brown, Tobacco Companies Target Black Democrats Who Are Desperate For Campaign Cash, Moguldum, 22 October 2022, accessed October 2022
  40. abcP. McGreevy, Tobacco industry could ask California voters to overturn ban on flavored tobacco sales, Los Angeles Times, 31 August 2020, accessed September 2020
  41. Public Health Law Centre, Menthol Ban: Highlighting the Facts and Rebutting Tobacco Industry Misinformation, factsheet, undated, archived 28 July 2021, accessed October 2022
  42. Action on Smoking and Health US, ASH & AATCLC File Lawsuit Against FDA, ASH press release, 17 June 2020, accessed July 2020
  43. Public Health Law Center, Supplement to Menthol Citizen Petition: Prohibit Menthol as a Characterizing Flavoring of Cigarettes and Cigarette Smoke, March 2021, accessed May 2022
  44. P. McGreevy, Proposed California ban on flavored tobacco sales sparks discussion of systemic racism, Los Angeles Times, 24 August 2020, accessed September 2020
  45. abAmerican Medical Association (AMA) joins lawsuit against FDA, AMA press release, 3 September 2020, accessed September 2020
  46. Truth Initiative, Making Menthol Black, video, available from truth.com, accessed September 2021
  47. R.K. Jackler, D. Ramamurthi, J. Willett et al, Advertising Created & Continues to Drive the Menthol Tobacco Market: Methods Used by the Industry to Target Youth, Women, & Black Americans, SRITA Research Paper, October 4, 2022. Available from https://tobacco.stanford.edu/publications
  48. American Heart Association, Report: Tobacco industry continuing decades-long targeting of Black communities, women, youth with menthol products, press release, 4 October 2022, accessed October 2022
  49. S.W. Rose, A. Anesetti-Rothermel, S. Westneat et al, Inequitable Distribution of FTP Marketing by Neighborhood Characteristics: Further Evidence for Targeted Marketing, Nicotine & Tobacco Research, Volume 24, Issue 4, April 2022, Pages 484–492, doi:10.1093/ntr/ntab222
  50. Truth Initiative, Black D.C. neighborhoods have greater marketing for flavored tobacco products, including cigars, website, April 18 2022, accessed October 2022
  51. E. Baumgaertner, B. Stockton, R. Lindsay, How Big Tobacco used George Floyd and Eric Garner to stoke fear among Black smokers, L.A. Times, 25 April 2022, accessed October 2022

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Nicotine Pouches https://tobaccotactics.org/article/nicotine-pouches/ Thu, 01 Apr 2021 16:47:59 +0000 https://tobaccotactics.org/?post_type=pauple_helpie&p=9481 As the harms from conventional products have become better understood, and tobacco control measures have been put in place, the cigarette market – from which tobacco companies make most of their profits – has started to shrink. To secure the industry’s longer-term future, transnational tobacco companies (TTCs) have invested in, developed and marketed various newer […]

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As the harms from conventional products have become better understood, and tobacco control measures have been put in place, the cigarette market – from which tobacco companies make most of their profits – has started to shrink. To secure the industry’s longer-term future, transnational tobacco companies (TTCs) have invested in, developed and marketed various newer nicotine and tobacco products, including in low and middle-income countries (LMICs).52

Since the early 2000s TTCs have developed interests in e-cigarettes (also known as electronic delivery systems, or ENDS), heated tobacco products (HTPs), snus and nicotine pouches. Companies have referred to these types of products as ‘next generation products’ (NGPs) although terminology changes over time.

All of the ‘big four’ TTCs (PMI, BAT, JTI, Imperial Brands) have invested in Swedish-style snus and related products called nicotine pouches, which they have promoted as part of their harm reduction strategies.

Background

Nicotine pouches are similar to snus pouches as they are made to be placed between the lip and gum, and do not require spitting. However, nicotine pouches do not contain fresh tobacco leaf but a form of dehydrated nicotine that does not need to be kept cold.53 The pouches also generally contain plant fibres, flavourings and sweeteners.54 Nicotine is absorbed into the bloodstream via the mucous membranes in the mouth.5354 They are not new products and similar oral pouches with contents other than nicotine have been available in Sweden for many years, regulated as food.54

TTCs have identified opportunities to market these products in countries where there is either an existing market for snus, or conversely in markets where tobacco snus is currently banned.53

Researchers have cautioned that nicotine pouches in particular may appeal to youth and non-smokers, as they are often sold in a variety of fruit flavours, in attractive packaging, and can be used discreetly (more so than e-cigarettes).5355  They can also contain high levels of nicotine where unregulated.55

“Tobacco Free”

It appears that some nicotine pouches, may use synthetic, or “tobacco-free”, nicotine (rather than nicotine derived from tobacco leaf),  creating confusion and uncertainty as to how best to regulate these products.53565758

In its 2022 annual report, BAT states that its “current portfolio contains no synthetic nicotine”.59 PMI states that its pouches contain “nicotine derived from tobacco”.60 JTI and Imperial Brands do not refer to synthetic nicotine and describe their pouches as “tobacco-free”.61626364

In 2022, the UK independent scientific Committee on Toxicity (COT) noted in a discussion paper:

“the apparent variation in how manufacturers present nicotine content and strength across different products, which may be confusing for the consumer. In addition, use of the description ‘tobacco-free’ may be misleading as the nicotine may be derived from tobacco, which raises concerns regarding carry over of toxicologically relevant contaminants (e.g., metals and nitrosamines).”65

COT also raised concerns around the lack of specific regulations for nicotine pouches in the UK, and the absence of data other than that produced by the industry.65 COT planned to produce a full report for the UK government in autumn 2023.65

See below for more on regulation.

A diagram showing which companies own which nicotine pouches

Figure 1: Images of nicotine pouch brands owned by the largest tobacco companies as of 2023. (Source: TCRG. Product images from company websites)

Cigarette Companies Investing in Nicotine Pouches

The interests of the four main TTCs are summarised below, as well as those of Altria which also sells nicotine pouches outside the US. PMI was the last to acquire this product through its purchase of Swedish Match in 2022.

British American Tobacco

In 2019, BAT introduced nicotine pouches to its portfolio, marketing them as Lyft in the UK and Velo in the US.666768 A July 2019 news report suggested that BAT’s nicotine pouches were also on sale in Sweden, Italy and Tanzania.69 BAT started  promoting Lyft /Velo in “emerging markets” in LMICs (see below).

In November 2020, BAT announced that it had acquired US-based nicotine pouch company Dryft Sciences, via its subsidiary Reynolds American Inc. (RAI), with the pouches to be sold under the Velo brand.70 According to BAT this would give them a combined share in the US nicotine pouches market of around 10%.70

BAT distinguished Epok, Lyft and Velo from traditional snus and allocated them to a new product category, which it called “modern oral products”.66 In November 2019, it announced that it would consolidate its NGPs under fewer brand names, and all its “modern oral” products would be sold as Velo.71 It continues to market the product as Lyft in Sweden and Denmark.72 It also sells nicotine pouches under its Niconovum brand Zonnic in Sweden.73

BAT reported that it had sold 4 billion pouches worldwide in 2022, and held 69% of the market in Europe, although sales in the US had declined since 2021.5974 It also referred to an estimate that the global nicotine pouch market would grow by 500% by 2026, and referred to the launch of new products ranges called Velo Mini and Velo Max.59 In 2023, BAT said that Velo was leading the market outside of the US and contributing to revenue growth.

In 2024 BAT reported that it had opened a new “innovation centre” in Southampton, UK, to focus on the development of nicotine pouches.

Japan Tobacco International

Japan Tobacco International sells its  Nordic Spirit brand of nicotine pouches, mainly in Europe.7576 In its 2020 integrated report Japan Tobacco stated that the pouch was sold in nine countries, and that it held 70% of the UK market.7778 In 2021, it said that it “prioritized Sweden, Switzerland and the UK”.79 In 2022, JTI announced that it had test-launched Nordic Spirit in the Philippines and was planning to launch a new “formula” in the UK.62 In 2023, new strong and extra strong spearmint flavoured pouches went on sale in the UK, to meet the “demand for stronger variants”.80 According to the Nordic Spirit website its extra strong pouches contain 11mg per pouch (17mg per gram).81

JTI also refers to its nicotine pouches as “modern oral” products.

Imperial Brands

In May 2018, Imperial Brands announced that it had launched a version of its snus brand Skruf without tobacco leaf, called Skruf Super White, intended for sale in Sweden and Norway.82 This product appears to have been rebranded as zoneX for the UK market in August 2019, however its direct sale in the UK was later discontinued.838485  86 In 2022 Imperial’s website stated that in 2021, ZoneX  had “first launched in Sweden and Austria”, further launched in “Norway, Denmark and Estonia” in 2022 and finally made available in “Iceland and duty-free Middle East” in 2023.6364

In 2020, IMB had previously published an article on its Imperial Science website exploring what it described as “The Tobacco-Free Nicotine Pouch Opportunity”.87They later said they had launched a “cutting edge bamboo fibre based product”.88

Imperial’s website describes ZoneX users as:

“young adult nicotine users, typically 25+, urban and open-minded. They’re making lifestyle changes and favour a discreet way to enjoy nicotine.”64

In 2023, Imperial acquired several nicotine pouch brands from Canadian company TJP Labs, to market in the US.89

Altria

In 2019 Altria announced that it was acquiring an 80% share in oral nicotine pouch on! from Swiss tobacco company Burger Sohne.9091 It set up a new subsidiary Helix Innovations, through which it would manufacture and market the product.9091 Altria stated that, as on! was already on sale across the US before August 2016, it did not require pre-market authorisation from the US Food and Drug Administration (FDA).90 However, by mid-2020 it had submitted 35 Pre-Market Tobacco Product Applications (PMTA) for on!, it was sold in 40,000 US stores, and Helix was increasing manufacturing capacity.92 According to Altria, by the end of 2020 the number of stores selling on! had nearly doubled.93 A 2020 investor transcript reported that the product was “attracting female tobacco consumers due to its spitless, white and compact format” and accounted for 30% of this type of oral nicotine product.94

In 2021, Altria acquired the remaining 20% of on!.95 In 2022, it stated that it held over 20% of the UK nicotine pouch market, although the category was “increasingly competitive”.96 It also stated that Helix operates internationally, although most of its oral products are sold in the US.96 As of February 2023, the FDA had not issued marketing order decisions for any on! products.96

Philip Morris International

At the beginning of 2021, PMI did not have a nicotine pouch product on the market. However, in a presentation to investors in February that year, the company noted the “attractive economics” of this small, but growing, product category.97 CEO Andre Calantzopoulos said PMI was planning to develop a product through a “combination of partnerships and internal development”.98

In May 2021, PMI acquired Danish snus manufacturer AG Snus, manufacturer of Shiro nicotine pouches.99100 For more details see Cigarette Companies investing in Snus.

In July 2021, PMI announced that it had acquired Fertin Pharma, a company specialising in nicotine replacement therapy (NRT) type products.101 At this time, PMI also began referring to gums and nicotine pouches as “modern oral” products, as BAT and JTI do.101

At this time, PMI began referring to gums and nicotine pouches as “modern oral” products (as does BAT).101

In 2022, PMI acquired Swedish Match.102 Swedish Match specialises in snus and nicotine pouches, and does not sell cigarettes. By 2023, Shiro nicotine pouches were presented on the PMI website, along with snus, as “oral smokeless products”.103 Its nicotine pouch Zyn has been sold mainly in Sweden and some other European countries, as well as the US (since 2015).104 It also sells the Volt Pearls product in Denmark, Iceland and Sweden.60

In its 2022 annual report, PMI stated that the Zyn trademark had an “indefinite life due to the fast growth and the leading position of the brand in the market”.60

The Global Market

According to a Tobacco Reporter article published in 2024, Euromonitor International values the global market at over US$10 billion and projects it to reach US$15 billion by 2027.105 Nearly 15 billion units were sold in 2023, but they remain a small part of the market.105

In 2023, Euromonitor analysts noted that in the US, there were over US$8.5 billion of retail sales and nearly 3% of the population uses pouches. However, the most rapid increase in sales in 2023 was in Pakistan where BAT markets Velo (see below), and they expect most growth going forward to be in Asia Pacific and Eastern Europe.105 They also noted that most pouches were sold in the US in 2023, the other top five markets (Sweden, Denmark, Pakistan and Austria) between them sold less than a third of the units sold in the US market.105 Other nicotine pouch markets include UK, Germany, Poland, Czech Republic, Uzbekistan, Ukraine and Indonesia.105106

PMI’s purchase of Swedish Match immediately gave it a 60% share of the global market in 2022, a jump from almost zero in 2021. BAT held around a sixth of the global market, and Altria and Swisher (a US-based tobacco company which also sells cigars, snus and snuff, and other nicotine products)107 each held around a twelfth share.108 The global market shares of other companies, including JTI and Imperial Brands, were negligible.

Regulation of Nicotine Pouches

Nicotine pouches are subject to a variety of regulations around the world, from outright bans to partial or selective regulation, depending on how they are defined and classified by governments. In many cases no regulation is in place. The Institute for Global Tobacco Control (IGTC) tracks and reports regulatory approaches around the world (see below).109 Although not all countries contribute to its Policy Scans for nicotine pouches, the most up to date information available on the IGTC database at the time of writing is referenced below.

In the UK, as of 2023, nicotine pouches are regulated under general consumer product safety regulations, not as tobacco products. They are widely available in shops and online.65109110 Concerns have been raised over their availability to youth, and social media marketing.65111112 The UK Department of Health and Social Care stated that it was aware of concerns, but as the use of pouches was low (in England) it did not plan to introduce further regulation at this time.112

European Union

While there is an EU-wide ban on tobacco snus, nicotine pouches are not covered by current tobacco product regulations. This is subject to review in the next revision of the Tobacco Products Directive.113114 It is however important to note that individual member countries are diverging in the way they regulate these products.

Sweden has an exemption from the EU ban on snus.114 In Sweden, pouches containing products other than tobacco and nicotine have long been regulated as food items.54 Zonnic oral pouches (owned by RAI from 2009,115 and BAT from 2017) were registered as an over-the-counter (non-prescription) drug in 2013, but only available from pharmacies and other regulated outlets.116 There are a range of nicotine replacement therapies (NRT) products registered under the same brand name (see below). In 2019, the Swedish National Food Administration advised that nicotine pouches should now not be regulated as food, as they were intended to be spat out and the contents were mostly absorbed through the mouth, not the stomach.54

Elsewhere in Europe regulation varies widely. In France nicotine is classified as a poisonous substance, subject to regulation, but pouches can be regulated as a medicine for cessation purposes.109 In Finland nicotine pouches are no longer classified as medicines, unless marketed as such.117 In Norway (not in the EU but a member of the European Economic Area) a total ban on nicotine pouches and other newer products was lifted in July 2021, and replaced by a market approval scheme.118119 Both tobacco-derived and synthetic nicotine pouches are regulated, but advertising and sponsorship are banned.109

In contrast, in March 2023, Belgium announced a total ban on nicotine pouches, by royal decree.120121 BAT were reported to be petitioning the courts to annul the decree.122 The Netherlands announced a ban a month later.123124

In 2021, the German Office of Consumer Protection and Food Safety (BVL) stated that nicotine pouches were not regulated under either the tobacco legislation or as foodstuffs and so could not be legally sold.125 BAT removed its nicotine pouches from the German market that year.125 Some federal states have withdrawn pouches, and some products have been classified as a health hazard due to high levels of nicotine.109

North America

In the US, nicotine pouches are regulated by the FDA and subject to age restrictions, a nicotine health warning and pre-market assessment .114 There are also regulations specific to synthetic nicotine.126 Nicotine pouches are freely available to consumers.104 US researchers have noted a “loophole”: as nicotine pouches were not included in the smokeless tobacco regulation, companies are able to advertise nicotine pouches on radio, TV and other media.127

Initially the Canadian government did not authorise the sale of nicotine pouches, and issued an alert, stating that as they had not been assessed by “safety, efficacy and quality” they might contain high levels of nicotine and be harmful to health.128 These products are now regulated, either classified as a ‘Natural Health Product’ or as a prescription drug, depending on the level of nicotine.109 In July 2023, Health Canada authorized the marketing of BAT’s Zonnic nicotine pouch (with 4mg of nicotine) as a natural health product.129130131132 Physicians for a Smoke-Free Canada reported that this product contains the same ingredients as BAT’s Velo,131 and noted that:

“BAT will face very few restrictions on how it can market ZONNIC nicotine pouches in Canada, other than with respect to how it represents the therapeutic benefits of the product.”131

Australia & New Zealand

As with e-cigarettes and heated tobacco products, nicotine pouches are banned from sale in Australia, and only available on prescription.109

In New Zealand, oral tobacco products (including snus) and nicotine pouches are banned, unless approved as medicines.109 (E-cigarettes are regulated, but not banned)

New and emerging markets

In some low and middle-income countries, including Argentina, Bangladesh, Georgia, Indonesia, India, and Nigeria, only tobacco-derived products are regulated as tobacco products, but not those derived from synthetic nicotine.109 In others, including Brazil, Brunei Darussalam, Iran, and Thailand, both are regulated as tobacco products.109 In Ukraine there are no specific regulations in place, but synthetic nicotine pouches are regulated as a food product.109 Mauritius bans both,109 whereas in Uruguay, nicotine pouches are categorised as a form of nicotine replacement therapy (see below).109

At the time of writing, July 2023, nicotine pouches remain unregulated in most countries.109

As researchers from Norway, among others, have pointed out:

“The boundaries between various tobacco and nicotine products are getting less clear, making it possible for the tobacco and nicotine industries to take advantage of the discrepancies in regulation.”55

BAT Promoting Nicotine Pouches in LMICs

BAT began marketing Lyft in Kenya in 2019, and Pakistan in 2020. In 2021, BAT said that it was also test marketing its product in Bangladesh and Indonesia.134 and “consumers are familiar with other similar oral products”.135 The company has identified an opportunity to market these products in countries where electronic devices are less popular, affordable, or available due to regulatory restrictions. It also referred to markets where there is was a “pre-existing ritual of oral product consumption”.134135

Kenya

After announcing its intention to sell nicotine pouches in Kenya, BAT launched Lyft in the country in December 2019.69136137 In February 2020, the company announced that it was planning to build a new factory in Nairobi to produce nicotine pouches, and for Kenya to become a regional export hub for the product.138 BAT Kenya (BATK) managing director, Beverley Spencer-Obatoyinbo said that “Given the high incidence of oral stimulant use among smokers, we believe that this new product category will provide a viable alternative to smoking”, although she presented no evidence at the time to support this statement.138

In response to concerns about the potential impact on tobacco farmers, Business Daily Africa reported that BATK’s head of legal and external affairs stated that the company was “using proceeds from the tobacco portfolio to invest in the new categories. When the time comes, we will help them (farmers) transition to sustainable crops,” although this was “not a change that can happen overnight”.139 Spencer-Obatyoinbo confirmed that BAT switching to “non-combustibles” was “not an immediate thing”.139 Nevertheless, in September 2020, BAT was reported to be lobbying the Kenyan Revenue Authority (KRA) for a tax break for the product, citing its large investment and potential exports.140 (According to BAT the nicotine for its pouches is currently manufactured in Switzerland.)140 The Chief Executive of the International Institute for Legislative Affairs argued that this would be a “huge setback for tobacco control interventions in Kenya”.141 For more information see the Kenya country profile page.

Nicotine pouches were initially registered as a pharmaceutical product by the Kenya poisons board.142 This designation was challenged by local advocates.142 Health Cabinet Secretary Mutahi Kagwe wrote to the poisons board, arguing that the product had been wrongly designated, and stated that it was being distributed via vending machines in contravention of the law.142143 Although Lyft was de-registered and effectively banned, there was a reported lack of enforcement and the product was found to still be on sale in December 2020.143144 In February 2021, the Kenyan government said that it was intending to classify nicotine pouches as a tobacco product under the Tobacco Control Act, making the product subject to similar marketing restrictions as cigarettes and other tobacco products.143 Concerns have been raised in Kenya over potential use by children (see below).

In February 2021, BAT told investors that “In Kenya, we have temporarily suspended sales due to local regulatory challenges and continue to engage with the local authorities.”134 In March it told the Kenyan media that it was planning to spend Kenya Sh1 billion (US $10 million) on marketing Lyft once the product was approved.145 This included plans to set up distribution networks across 21 countries in the Common Market for Eastern and Southern Africa (COMESA).145

In 2022, BAT’s nicotine pouch was back on the market in Kenya, as Velo.146 In its annual report, BAT stated it had “reintroduced Velo to a limited retail universe with positive early momentum, as we focus on driving guided trial.”59

The introduction of Velo has not been without controversy, and politicians in Kenya are again asking for the product to be banned. Letters between BAT and the Kenyan Ministry of Health reveal that BAT had lobbied to reduce the size of warning labels on the product.147

BAT has also lobbied against increased taxes on these products.148149150

Pakistan

Velo was launched by BAT in Pakistan in December 2019, with a campaign run by Ogilvy Pakistan “positioned towards affluent adult consumers”.151152153

A Freedom of Information Request submitted by Bath TCRG revealed that UK High Commission staff in Pakistan had attended a “social event” for Velo in February 2020. The FOI stated that “They were invited by the event coordinator and did not meet any Velo representatives at the event.”154

BAT said it was “particularly proud of Velo’s performance in Pakistan”. 74 In its 2022 annual report, BAT stated that Pakistan was its third largest market for nicotine pouches. It said that the market was “enabled by powerful, consumer-centric digital activations”, and that it was selling over 40 million units a month.59 These sales figures, and rapid growth, are roughly consistent with Euromonitor’s estimates.108

South Africa

Unlike NRT products, nicotine pouches are not on the South African Health Products Regulatory Authority’s list of approved medicines, for which it would be subject to clinical trials and regular monitoring updates. Nicotine pouches are also not regulated as tobacco products because the nicotine is synthetic and does not fall under the definition of tobacco products in the Tobacco Products Control Act (2018). This means that they can be sold without health warnings and can be sold to those under the age of 18.155

South Africa is also one of the target markets for PMI’s ZYN nicotine pouches. 156

Indonesia

In February 2021, BAT referred to the test marketing of its nicotine pouches in Indonesia.  BAT reported “encouraging results”.134 External statistics suggest the market remained small.108

Concerns Around Use by Youth

Researchers in the US have identified the risk of nicotine pouches appealing to non-smokers and in particular youth, as some products come in a range of fruit flavours and are more discreet than e-cigarettes.53157 As of 2024, PMI was facing a lawsuit for ZYN in the US on the basis of the product being addictive and harmful to young people. The lawsuit states that PMI is benefiting from the promotion of the brand on social media. 158The FDA has also issued warning letters and penalty charges to a number of retailers for the underage sale of flavoured ZYN nicotine pouches. As of April 2024, the FDA has not authorised the sale of ZYN products in the United States. 159160

Although they can only legally be sold to adults in the UK, concerns have been raised over potential use by children.65161

In 2020, there were reports that Lyft was being used by children in Kenya.138162 Children were also reported to be using the products in schools in Scotland.163

In February 2021, journalists from the Bureau of Investigative Journalism published an article describing how BAT used social media influencers to promote its nicotine pouches in multiple countries, including Australia, Kenya and Pakistan. The authors argued that this was part of a campaign targeted at young people, rather than older adults trying to quit smoking.164165166

An investigation by The Guardian newspaper in 2023 identified further promotion in the UK via social media and music events, as well as prize draws and the provision of free samples.112

BAT also promotes Velo through motorsport sponsorship.167168

Industry Alliance Lobbying in the EU

The ‘Nordic Nicotine Pouches Alliance’ (NNPA) was established in Belgium in 2020.169 As of March 2024, BAT and JTI are the only partners listed on the NNPA website.169

The NNPA webpage states “We engage, inform, and increase knowledge about nicotine pouches”.170  However, on the EU transparency register, its stated goal is to “focus on regulation concerning nicotine pouches within the European Union”, specifically the Tobacco Products Directive and the Tobacco Taxation Directive.171172 Jonas Lundqvist, NNPA CEO, is listed as the accredited lobbyist on the EU register.173171172 In 2022, the estimated cost of NNPA lobbying activities was listed as €400,000-499, 999, four times the amount listed in 2021.171172

NNPA also runs the online news platform ‘Pouchforum’.174 Articles published on the platform have accused the European Commission of misrepresenting the risk of nicotine pouches,175 and suggested that the Commission does not act in a transparent manner.176 The site editor is Robert Casinge, also ‘Senior Partner’ in the NNPA, and previously listed as a lobbyist on the EU register.172177

Framing Nicotine Pouches as NRT

TTCs appear to be framing their nicotine pouches as a nicotine replacement therapy (NRT), which is designed to help smokers quit.178179180 However, they are also marketing them as consumer products, including for use when it is not possible to smoke or use e-cigarettes, for example on a plane. 181182183

In 2016, researchers in the US pointed to the implications for both product regulation and smoking cessation,115 and the:

“blurring of the lines between cessation products and novel tobacco products and potentially confusion and misuse by consumers which may result in initiation or situational and dual use of tobacco products.”115

All four of the main transnational tobacco companies have conducted their own research on nicotine pouches, published on their science websites.

BAT markets Niconovum NRT products, in the US and Sweden under the brand name Zonnic; in Sweden, Zonnic products include nicotine pouches.73184185 In 2020, BAT also rebranded its Revel nicotine lozenge as Velo – the same brand as its nicotine pouchin the US (and submitted it for pre-market approval). 186187

In its 2022 annual report, BAT stated that “[t]he weight of evidence suggest Modern Oral nicotine pouches have a profile that is comparable to nicotine replacement therapy products”. It cited BAT’s 2021 research on Velo, which compared snus, nicotine pouches and NRTs.59188 However, the 2022 report then went on to acknowledge “low levels of average daily consumption and high poly-usage”, leading BAT to submit a further PMTA for a “superior” product.59 As of February 2023, no Velo products had received pre-market approval in the US.59 At the time of writing, it was not yet clear how BAT planned to promote its Zonnic nicotine pouch after it was approved for sale over-the-counter in Canada in July 2023.129130132

BAT’s science website presents its research on nicotine pouches, as well as a summary of the ‘Snus and the Swedish Experience’.189 For more background on this topic see The Swedish Experience.

PMI acquired Fertin Pharma in 2021, stating that Fertin was a “leading producer of Nicotine Replacement Therapy (NRT) solutions”.101 PMI has also referred to the “medical” or “pharmaceutical” grade nicotine in its products.60190 (Read more about on PMI’s acquisition of pharmaceutical companies.)

PMI’s science website presents its research on nicotine pouches.190 It does not refer to its snus products on these pages.190191192

Imperial Brand’s science website has cited evidence on tobacco-leaf snus and other next generation products (NGP)s to support its statement that “these products are more satisfying – and acceptable – to adult smokers than traditional nicotine replacement products (NRTs) like patches, lozenges, and gums”.87  However, the evidence it cites pre-dates the widespread sale of nicotine pouches by TTCs: the 2016 report from the Royal College of Physicians (RCP) refers only to Zonnic and does not discuss satisfaction of acceptability of the product.180

Imperial refers to its use of “high purity pharmaceutical grade nicotine”.87193 In May 2021, Imperial published its “comprehensive scientific assessment” of its nicotine pouches, in comparison to cigarettes.194

Japan Tobacco‘s science website does not feature nicotine pouches, although it includes  its research on these products.195

Environmental Impact

The impact of cigarette filters on the environment is well documented. More recently, the impact of single use, or ‘disposable’, e-cigarettes has been highlighted

As the nicotine pouch market grows the disposal of these single use products is an emerging concern.196197

On its website, BAT states that the Velo plastic cans are being upgraded to use single polymer plastics in order to “align with the group’s ESG ambitions”. 198

TobaccoTactics Resources

TCRG Research

For a comprehensive list of all TCRG publications, including TCRG research that evaluates the impact of public health policy, go to the Bath TCRG’s list of publications.

References

  1. Global Tobacco and Nicotine Forum, Accessing Innovation, GTNF website, 2022, archived October 2022, accessed May 2023
  2. Global Tobacco and Nicotine Forum, 2022 Speakers: Fresh voices and viewpoints, GTNF website, archived June 2022, accessed May 2023
  3. Global Tobacco and Nicotine Forum, 2022 Agenda, GTNF website, archived September 2022, accessed May 2023
  4. BOTEC Analysis, Our Work, website, undated, archived March 2023, accessed October 2023
  5. BOTEC Analysis, About Us, website, undated, archived May 2022,  accessed October 2023
  6. abBOTEC Analysis, Our Team and Network, website, undated, archived March 2023, accessed October 2023
  7. Samuel C. Hampsher-Monk, LinkedIn Profile, website, undated, accessed October 2023
  8. abNew Approaches Conference, 18 September 2023, Harvard Club of New York City, website, undated, accessed September 2023
  9. Foundation for a Smoke-Free World, Form 990-PF, 2019 Tax Return, 15 May 2020, accessed May 2020
  10. Foundation for a Smoke-Free World, Form 990-PF, 2021 Tax Return, 16 May 2022, accessed May 2021
  11. Foundation for a Smoke-Free World, Form 990-PF, 2022 Tax Return, 15 May 2023, accessed May 2023
  12. Philip Morris International, Selected Projects: First Funding Round, PMI IMPACT website, undated, accessed January 2019
  13. J.E. Prieger, M. Kleiman, J. Kulick, A. Aziani, M. Levi, S. Hampsher, C. Manning, R. Hahn, The Impact of E-Cigarette Regulation on the Illicit Trade in Tobacco Products in the European Union, SSRN, 15 June 2019
  14. S. C. Hampsher-Monk, J. E. Prieger, S. Patwardhan, Clearing the Air on E-Cigarettes and Harm Reduction, Volume I: Tobacco Regulation, Economics, and Public Health, 2024, Palgrave Macmillan
  15. abcBritish American Tobacco, BAT completes Acquisition of Reynolds, 25 July 2017, accessed October 2019
  16. abcBritish American Tobacco, Our history – a time-line, undated, accessed February 2023
  17. British American Tobacco, BAT announces agreement to acquire Reynolds, News release 17 January 2017, accessed November 2020
  18. J. Ducharme, The FDA Is Moving Forward with a Menthol Cigarette Ban. Here’s What the Science Says, Time, 4 May 2022, accessed May 2022
  19. abcFood and Drug Administration, FDA Proposes Rules Prohibiting Menthol Cigarettes and Flavored Cigars to Prevent Youth Initiation, Significantly Reduce Tobacco-Related Disease and Death, press release, 28 April 2022, accessed May 2022
  20. abcdefFood and Drug Administration, Tobacco Product Standard for Menthol in Cigarettes, 5 April 2022
  21. abFood and Drug Administration, Tobacco Product Standard for Characterizing Flavors in Cigars, May 2022
  22. Government of Canada, Order Amending the Schedule to the Tobacco Act (Menthol), Order effective 2 October 2017
  23. Tobacco Control Legal Consortium et al, Citizen Petition to U.S. Food and Drug Administration, Prohibiting Menthol as a Characterizing Flavor in Cigarettes, 12 April 2013, accessed May 2022. Available from www.publichealthlawcenter.org
  24. Euromonitor International, Global market share for menthol and capsule cigarettes, 2014-2020, accessed September 2020 (paywall)
  25. abS. W. Rose, M. S. Amato, A. Anesetti-Rothermel et al, Characteristics and Reach Equity of Policies Restricting Flavored Tobacco Product Sales in the United States, Health Promotion Practice, 21(1_suppl), 44S-53S, 2020
  26. World Health Organization, Partial guidelines for implementation of articles 9 and 10 of the WHO Framework Convention on Tobacco Control: regulation of the contents of tobacco products and of tobacco product disclosures, WHO website, 2012, accessed March 2020
  27. P. McGreevy, California bans flavored tobacco sales in response to a surge in teen use, Los Angeles Times, 28 August 2020, accessed September 2020
  28. Campaign for Tobacco Free Kids, States and localities that have restricted the sale of flavoured tobacco products, factsheet, 2022, accessed May 2022
  29. abBritish American Tobacco, Transforming Tobacco: Annual Report 2018, BAT website, 2019, accessed March 2020
  30. B. Chapman, £7bn wiped off tobacco company stocks after report regulator will ban menthol cigarettes, The Independent, 12 November 2018, accessed March 2020
  31. A. Gray, A. Edgecliffe-Johnson, Big Tobacco prepares to fight proposed ban on menthol cigarettes, Financial Times, 17 November 2018, accessed March 2020
  32. K. Ackert, B. Brock, S.C. Friedrichsen et al Countering tobacco industry tactics on the economic costs of restricting menthol tobacco, Tobacco Control 2020;29:e113-e114, doi:10.1136/tobaccocontrol-2020-055737
  33. Mixed Reactions to Menthol and Cigar Flavors Ban, Tobacco Reporter, 2 May 2022, accessed May 2022
  34. Food and Drug Administration, FDA Commits to Evidence-Based Actions Aimed at Saving Lives and Preventing Future Generations of Smokers, press release, 29 April 2021, accessed September 2021
  35. abcdCampaign for Tobacco Free Kids, Hidden Agenda: Tobacco Industry Interference with State and Local Policy, 2022, accessed October 2022
  36. abcdB. Stockton, E. Baumgaertner, R. Lindsay, Paid Protesters Free Lunches and Backroom Chats: Inside the Menthol Lobbying Machine, Bureau of Investigative Journalism, 25 April 2022, accessed October 2022
  37. M. Hall, W. Hickey, How an American tobacco giant is quietly investing big money in hundreds of political races across the nation, Business Insider, 21 May 2022, accessed October 2022
  38. N. Florko, Tobacco companies shower Black Democrats with campaign cash, Stat News, 20 October 2022, accessed October 2022 (paywall)
  39. A. Brown, Tobacco Companies Target Black Democrats Who Are Desperate For Campaign Cash, Moguldum, 22 October 2022, accessed October 2022
  40. abcP. McGreevy, Tobacco industry could ask California voters to overturn ban on flavored tobacco sales, Los Angeles Times, 31 August 2020, accessed September 2020
  41. Public Health Law Centre, Menthol Ban: Highlighting the Facts and Rebutting Tobacco Industry Misinformation, factsheet, undated, archived 28 July 2021, accessed October 2022
  42. Action on Smoking and Health US, ASH & AATCLC File Lawsuit Against FDA, ASH press release, 17 June 2020, accessed July 2020
  43. Public Health Law Center, Supplement to Menthol Citizen Petition: Prohibit Menthol as a Characterizing Flavoring of Cigarettes and Cigarette Smoke, March 2021, accessed May 2022
  44. P. McGreevy, Proposed California ban on flavored tobacco sales sparks discussion of systemic racism, Los Angeles Times, 24 August 2020, accessed September 2020
  45. abAmerican Medical Association (AMA) joins lawsuit against FDA, AMA press release, 3 September 2020, accessed September 2020
  46. Truth Initiative, Making Menthol Black, video, available from truth.com, accessed September 2021
  47. R.K. Jackler, D. Ramamurthi, J. Willett et al, Advertising Created & Continues to Drive the Menthol Tobacco Market: Methods Used by the Industry to Target Youth, Women, & Black Americans, SRITA Research Paper, October 4, 2022. Available from https://tobacco.stanford.edu/publications
  48. American Heart Association, Report: Tobacco industry continuing decades-long targeting of Black communities, women, youth with menthol products, press release, 4 October 2022, accessed October 2022
  49. S.W. Rose, A. Anesetti-Rothermel, S. Westneat et al, Inequitable Distribution of FTP Marketing by Neighborhood Characteristics: Further Evidence for Targeted Marketing, Nicotine & Tobacco Research, Volume 24, Issue 4, April 2022, Pages 484–492, doi:10.1093/ntr/ntab222
  50. Truth Initiative, Black D.C. neighborhoods have greater marketing for flavored tobacco products, including cigars, website, April 18 2022, accessed October 2022
  51. E. Baumgaertner, B. Stockton, R. Lindsay, How Big Tobacco used George Floyd and Eric Garner to stoke fear among Black smokers, L.A. Times, 25 April 2022, accessed October 2022
  52. STOP, Addiction At Any Cost: The Truth About Philip Morris International, 20 February 2020, accessed January 2021
  53. abcdefM.O. Robichaud, A.B. Seidenberg, M.J. Byron, Tobacco companies introduce ‘tobacco-free’ nicotine pouches, Tobacco Control, 2020;29:e145-e146. Published Online First: 21 November 2019, updated December 2020. Doi: 10.1136/tobaccocontrol-2019-055321
  54. abcdeLivsmedelsverket [National Food Administration, Sweden], Ställningstagande angående snusliknande produkter utan tobak [Opinion on snus-like products without tobacco], statement, 18 February 2019 (in Swedish)
  55. abcM. Salokannel, E.Ollila, Snus and snus-like nicotine products moving across Nordic borders: Can laws protect young people? Nordic Studies on Alcohol and Drugs, March 2021, doi:10.1177/1455072521995704
  56. L. Czaplicki, M. Patel, B. Rahman et al, Oral nicotine marketing claims in direct-mail advertising, Tobacco Control 2022;31:663-666, doi: 10.1136/tobaccocontrol-2020-056446
  57. T. Schmid, Smokeless Alternatives on the Upswing, Tobacco Asia, 3 February 2021, accessed March 2021
  58. T. Schmid, A Real Up and Comer: Synthetic Nicotine, Tobacco Asia, 14 February 2020, accessed March 2021
  59. abcdefghBritish American Tobacco, Combined Annual and ESG Report 2022, available from bat.com
  60. abcdPhilip Morris, Annual Report 2022, available from pmi.com
  61. Japan Tobacco International, Reduced Risk Products: Oral products, website, undated, accessed July 2023
  62. abJapan Tobacco, Integrated Report 2022, available from JT.com
  63. abImperial Brands, Annual Report 2022, available from imperialbrandsplc.com
  64. abcImperial Brands, Brands of choice: ZONE X, website, undated, accessed July 2023
  65. abcdefCommittee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT), First draft statement on the bioavailability of nicotine from the use of oral nicotine pouches and assessment of the potential toxicological risk to users, 1 July 2022, available from cot.food.gov.uk
  66. abBritish American Tobacco, Modern and traditional oral products, BAT website, undated, accessed November 2019
  67. C. Gretler, Grandad’s Tobacco Gets a Makeover, Bloomberg, 23 August 2019, accessed November 2019
  68. British American Tobacco sets the pace in Potentially Reduced Risk Products, Grocery Trader, 31 March 2019, accessed November 2019
  69. abCapital FM, Kenya: BAT to Launch Smoke-Free Cigarettes in Kenya, allafrica.com, 19 July 2019, accessed November 2019
  70. abR. Chang, T. Kary, BAT Buys Dryft Sciences’ Pouches Business in Oral Nicotine Push, Bloomberg, 3 November 2020, accessed November 2020
  71. British American Tobacco, British American Tobacco to focus on three global new category brands to further accelerate their growth, News Release, BAT website, 28 November 2019, accessed December 2019
  72. British American Tobacco (Nicoventures), About Velo, product website, undated, accessed July 2023
  73. abBritish American Tobacco/Reynolds American Inc., About Niconovum, website, undated, accessed August 2023
  74. abBritish American Tobacco, Velo: What is Velo?, corporate website, undated, accessed July 2022
  75. Nordic Snus, LD Nordic Spirit, undated, accessed November 2019
  76. JTI Sweden, JTI Sweden and Nordic Snus, accessed November 2019
  77. Japan Tobacco, Integrated Report 2020, accessed March 2021
  78. Japan Tobacco, Integrated Report 2020, available from JT.com
  79. Japan Tobacco, Integrated Report 2021, available from JT.com
  80. J. Thomson, New strength for JTI and Nordic Spirit, Talking Retail, 2 March 2023, accessed March 2024
  81. Japan Tobacco International, Nordic Spirit: FAQ, website, undated, accessed January 2024
  82. Imperial Brands, Tobacco-Free Innovation Ushers in New Era Skruf, 13 December 2018, accessed November 2019
  83. Paul, ZoneX Nicotine Pouches Review, 26 August 2019, heatnotburn.co.uk, accessed November 2019
  84. Imperial Tobacco Limited, ZoneX UK website, registered in August 2019, accessed November 2019
  85. Imperial Brands, Annual Report 2020, accessed March 2021
  86. Imperial Tobacco Limited, ZoneX End of Sales Notice, website, archived June 2021, accessed July 2023
  87. abcImperial Brands, The Tobacco-Free Nicotine Pouch Opportunity, IMB Science website, 12 December 2020, accessed March 2021
  88. Imperial Brands, Annual Report 2021, available from imperialbrandsplc.com
  89. Imperial Brands, Imperial acquires US nicotine pouches range from TJP, press release, 23 June 2023, accessed July 2023
  90. abcA. LaVito, Altria takes stake in Swiss tobacco company Burger Sohne’s global businesses for $372 million as cigarette sales shrink, CNBC, 3 June 2019, accessed January 2020.
  91. abAltria Enters Growing Oral Nicotine Products Category with on! Pouch Product, Business Wire, 3 June 2019, accessed January 2020
  92. Altria, Altria Reports Second Quarter and First Half Results, press release, 28 July 2020, accessed March 2021
  93. Altria, Altria Reports Fourth Quarter and Full Year Results, press release, 28 July 2020, accessed March 2021
  94. Motley Fool, Altria Group (MO) Q2 2020 Earnings Call Transcript, 28 January 2021, accessed March 2021
  95. Altria, Annual Report 2021, available from altria.com199Altria Increases Investment in Noncombustible Tobacco, Convenience Store News, 4 May 2021, accessed July 2023
  96. abcAltria, Annual Report 2022, available from investor.altria.com
  97. Philip Morris International, Investor Day 2021: The Next Growth Phase, presentation, 10 February 2020, accessed March 2021
  98. Philip Morris International, Virtual Investor Day 2021, transcript, accessed March 2021
  99. Mazanti-Andersen, AG Snus Aktieselskab sold to Phillip Morris International, law firm website, 7 May 2020, accessed July 2021
  100. Open Corporates, AG Snus Aktieselskab, Company number 32883044, accessed July 2021
  101. abcdPhilip Morris International, Philip Morris International Announces Agreement to Acquire Fertin Pharma, press release, 1 July 2021, accessed July 2021
  102. Philip Morris International, PMHH acquires shares in Swedish Match outside the offer and becomes the owner of nearly 86% of the shares, BusinessWire, 10 November 2022, accessed November 2022
  103. Philip Morris International, Oral smokeless products, website, undated, archived February 2023, accessed July 2023
  104. abH. Prokop, Nicotine Pouches, Tobacco’s Fast-Growing Subcategory, CSP Daily, 16 October 2020, accessed March 2021
  105. abcdeS. Rossell, The Potential of Pouches, Tobacco Reporter, 30 January 2024, accessed February 2024
  106. Euromonitor International, Passport Tobacco: Key insights, 22 May 2023, accessed July 2023 (subscription)
  107. Swisher International Group, About, website, undated, accessed July 2023
  108. abcEuromonitor International, Nicotine pouches: Brand shares 2018-22, accessed July 2023 (behind paywall)
  109. abcdefghijklmnInstitute for Global Tobacco Control, Policy Scan: Nicotine Pouches, website, updated February 2023, accessed July 2023
  110. Action on Smoking and Health, Awareness and Use of Nicotine Pouches: ASH Smokefree GB survey 2022, available from ash.org.uk
  111. S. Marsh, Instagram influencers advertising nicotine products to young people, charity warns, The Guardian, 12 June 2023, accessed July 2023
  112. abcS. Das, Influencers and freebies: Big Tobacco’s push to sell nicotine pouches in UK, The Guardian (The Observer), 30 July 2023, accessed July 2023
  113. European Commission, Revision of the Tobacco Product Directive, website, undated, accessed July 2023
  114. abcC. Fjellner, Innovation and Less Harmful Alternatives to Tobacco: The Case of Nicotine Pouches Regulation, Policy Brief, The European Centre for International Political Economy, April 2020, accessed March 2021. Note: The author Christofer Fjellner is a Swedish former Member of European Parliament (MEP) who opposed the EU ban on snus
  115. abcG. Kostygina, L. England, P. Ling, New Product Marketing Blurs the Line Between Nicotine Replacement Therapy and Smokeless Tobacco Products, Am J Public Health, 2016 Jul;106(7):1219-22. doi:10.2105/AJPH.2016.303057
  116. Lakemedelsverket [Swedish Medical Products Agency, Zonnic Mint 2 mg munhålepulver i portionspåse [Zonnic Mint 2 mg oral cavity powder in a sachet], website, accessed March 2021
  117. Finnish Medicines Agency (Fimea), Fimea supports legislative reform concerning nicotine pouches, website, 4 April 2023, accessed July 2023
  118. Helsedirekroratet, Tobacco Control in Norway, website, undated, accessed July 2023
  119. TOLL Customs, New tobacco and nicotine products, website, updated 27 June 2023, accessed July 2023
  120. Government of Belgium, Arrêté royal relatif à l’interdiction de mise sur le marché de certains produits similaires, 14 March 2023, available from ejustice.just.fgov.be
  121. Belgian ban: nicotine and cannabinoid pouch sales to be illegal this year, Tobacco Intelligence, 14 April 2023, accessed July 2023 (paywall)
  122. BAT petitions Belgium not to ban nicotine pouches, but to follow the Swedish model, Tobacco Intelligence, 13 June 2023, accessed July 2023 (paywall)
  123. Netherlands bans sales of all nicotine pouches, Reuters, 21 April 2023, accessed July 2023
  124. Netherlands: Government Proposes Total Ban on Nicotine Pouches, Library of Congress, website, 28 April 2023, accessed July 2023
  125. abD. Palacios Rubio, BAT pulls Velo out of German market due to uncertainty over legality of pouches, Tobacco Intelligence blog, 8 July 2021, accessed July 2021
  126. US Food and Drug Administration, Regulation and Enforcement of Non-Tobacco Nicotine (NTN) Products, updated 9 June 2023, accessed July 2023
  127. L.S. Sparrock, L. Phan, J. Chen-Sankey et al, Nicotine Pouch: Awareness, Beliefs, Use, and Susceptibility among Current Tobacco Users in the United States, 2021, Int J Environ Res Public Health, 2023 Jan 22;20(3):2050, doi: 10.3390/ijerph20032050
  128. Health Canada, Unauthorized nicotine buccal pouches may pose serious health risks, Recalls and safety alerts website, 2 November 2020, accessed March 2021
  129. abHealth Canada, Natural Product Number (NPN):80125630 (Zonnic), database entry, undated, accessed August 2023
  130. abLung Saskatchewan, Health Canada approves BAT’s Zonnic non-tobacco nicotine pouch for sale in Canada, website, 24 July 2023, accessed August 2023
  131. abcPhysicians for a Smoke-Free Canada, BAT shoehorns its nicotine pouches onto the Canadian market, blog, 21 July 2023, accessed August 2023
  132. abBAT’s Zonnic approval ‘could open a path into Canada for other nicotine pouches, Tobacco Intelligence, 8 August 2023, accessed August 2023
  133. World Health Organisation, WHO report on the global tobacco epidemic 2021: addressing new and emerging products, August 2021
  134. abcdBritish American Tobacco, 2020 Preliminary Results, press release, 17 February 2021, accessed March 2021
  135. abBritish American Tobacco, 2020 Preliminary Results, webcast transcript, 17 February 2021, accessed March 2021
  136. T. Rajula, Explainers: All about nicotine pouches, Daily Nation, 4 December 2019, accessed December 2019
  137. J. Otieno, All eyes on Health ministry over control of tobacco use, Standard Digital, 15 December 2019, accessed December 2019
  138. abcP. Alushula, BAT to build Sh2.5bn nicotine pouch plant, Business Daily, 21 February 2020, accessed September 2020
  139. abD. Wainainah, Tobacco farmers face losses in BAT plan, Business Daily Africa, 16 September 2020, accessed September 2020
  140. abC. Munda, BAT eyes tax holiday for nicotine pouches, Business Daily, 17 September 2020, accessed October 2020
  141. C.Awour, Anticipated tax holiday for BAT nicotine pouches will be a huge setback for tobacco control interventions in Kenya, International Institute for Legislative Affairs website, 7 October 2020, accessed March 2021
  142. abcM. Saya, Registration of nicotine pouches LYFT illegal, Kagwe declares, The Star, 7 October 2020, accessed March 2021
  143. abcM.Ngugi, State to classify BAT nicotine pouches as Tobacco products, Business Daily,  23 February 2020, accessed February 2020
  144. M. Saya, Anti-tobacco lobbies raise concerns over sale of Lyft, The Star, 11 December 2020, accessed March 2021
  145. abC. Munda, BAT lines up Sh1bn to market pouches, Business Daily Africa, 22 March 2021, accessed March 2021
  146. H. Aloo, BAT reverses ban to relaunch nicotine pouches in Kenya, The Africa Report,31 August 2022, accessed July 2023
  147. M. Chapman, T. Mukhwana, S. Marsh, British American Tobacco undermines Kenyan health laws in bid for Gen Z, The Examination, 23 January 2024, accessed March 2024
  148. C. Awuor, Granting Tax Holiday for BAT Nicotine Pouch Plant a Bad Idea, International Institute for Legislative Affairs, 19 October 2021, accessed July 2021
  149. H. Aloo, BAT-Kenya lobbying for tax reduction to give Lyft a lifeline in Africa, theafricareport, 20 May 2022, accessed July 2023
  150. C. Munda, BAT ties production of nicotine pouches to lower taxes, Business Daily, 12 April 2023, accessed July 2023
  151. British American Tobacco, VELO Tobaco [sic] Free Nicotine Pouch launched in Pakistan, YouTube, accessed March 2021
  152. Here’s what happened at the grand launch of Velo Pakistan, Something Haute, 27 December 2019, accessed March 2021
  153. T.Hasan, Launching a Velo lifestyle, Aurora Dawn, Jan-Feb 2020, accessed March 2021
  154. Foreign, Commonwealth & Development Office, Freedom of Information Act 2000 – request ref: FOI2021/01726, 23 February 2021
  155. C. Pitt, A huff and a puff: Could nicotine pouches put an end to smoking?, Bhekisisa Centre for Health Journalism, 1 March 2024, accessed March 2024
  156. Nicotine Pouches, Tobacco Insider, 2 March 2024, accessed March 2024
  157. Truth Initiative, Flavoured tobacco use among youth and young adults, website, undated, accessed March 2021
  158. Nicotine Pouches, Tobacco Insider, 2 March 2024, accessed March 2024
  159. US issues warning letters to retailers against underage sale of ZYN nicotine pouches, Reuters, 5 April 2024, accessed April 2024
  160. FDA Issues Warning Letters to and Files Civil Money Penalty Complaints Against Retailers for Underage Sales of ZYN Nicotine Pouches, FDA website, 4 April 2024, accessed April 2024
  161. S. Brown, ‘The legal loophole letting nicotine pouches be sold to children needs addressing’, Nursing Times, 8 March 2023, accessed July 2023
  162. Kenyan parents fight sale of Lyft, BAT’s new nicotine product, Nation, 21 August 2020, accessed September 2020
  163. C. Smith, Schools urge parents to be wary about nicotine pouch craze sweeping Fife’s playgrounds, The Courier, 8 December 2020, accessed March 2020
  164. M. Chapman, New products, old tricks? Concerns big tobacco is targeting youngsters, Bureau of Investigative Journalism, 21 February 2021, accessed March 2021
  165. R. Davis, M. Chapman, Tobacco giant bets £1bn on influencers to boost ‘more lung-friendly’ sales, The Guardian, 21 February 2021, accessed March 2021
  166. B. Freeman, Nicotine pouches are being marketed to young people on social media. But are they safe, or even legal?, The Conversation, 25 February 2024, accessed March 2024
  167. N. Derbali, Zandvoort commercials show how motorsport has never completely let go of the tobacco industry [translated], 17 August 2023, accessed August 2023 (paywall)
  168. Adverts for nicotine pouches at Grand Prix “bizarre”: charities [translated], Dutch News, 17 August 2023, accessed August 2023
  169. abNordic Nicotine Pouches Alliance, Companyweb, website, undated, accessed March 2024
  170. Nordic Nicotine Pouches Alliance, Home, website, undated, archived October 2023, accessed March 2024
  171. abcEU Transparency Register: Nordic Nicotine Pouches Alliance, website, undated, accessed March 2024
  172. abcdEU Lobby Facts, Nordic Nicotine Pouches Alliance (NNPA), database, accessed March 2024
  173. Jonas Lundqvist, LinkedIn profile, undated, accessed March 2024
  174. Pouchforum, About us, website, undated, accessed March 2024
  175. European Commission Continues to Misrepresent the Risk of Nicotine Pouches, Pouchforum, 11 October 2023, accessed March 2024
  176. BREAKING: Confidential document distributed by Commission’s consultant recommends a ban on nicotine pouches, Pouchforum, October 2023, accessed March 2024
  177. Robert Casinge, LinkedIn profile, undated, accessed March 2024
  178. World Health Organization, Quitting Toolkit: Medications, website, 2021, accessed August 2023
  179. A. Theodoulou, S.C. Chepkin,W. Ye et al,  Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessation,  Cochrane Database of Systematic Reviews 2023, Issue 6. Art. No.: CD013308, doi: 10.1002/14651858.CD013308.pub2
  180. abRoyal College of Physicians, Nicotine without smoke: Tobacco Harm Reduction, April 2016
  181. Talbot EM, Giovenco DP, Grana R, et al, Cross-promotion of nicotine pouches by leading cigarette brands, Tobacco Control, 2023;32:528-529, 10.1136/tobaccocontrol-2021-056899
  182. Z. Duan, L. Henriksen, D. Vallone D, et al, Nicotine pouch marketing strategies in the USA: an analysis of Zyn, On! and Velo, Tobacco Control, Published Online First: 11 July 2022, doi: 10.1136/tc-2022-057360
  183. B. Freeman, Nicotine pouches are being marketed to young people on social media. But are they safe, or even legal?, The Conversation, 25 February 2024, accessed March 2024
  184. British American Tobacco, Modern and traditional oral products, undated, accessed March 2021
  185. Lakemedelsverket [Swedish Medical Products Agency], Zonnic, search result for list of approved or registered drugs, website, accessed March 2021 (in Swedish)
  186. British American Tobacco, Same Lozenge New Name: Revel is Now Velo Nicotine Lozenges, Velo.com blog, 20 September 2020, no longer accessible in July 2021
  187. Reynolds Submits First Velo PMTA, Tobacco Reporter, 24 August 2020, accessed July 2021
  188. British American Tobacco, Annual Report 2021, available from bat.com
  189. British American Tobacco, What are Modern Oral Products, BAT Science website, undated, archived March 2023, accessed July 2023
  190. abcPhilip Morris International, Oral Nicotine Pouches, PMI Science website, undated, archived June 2023, accessed July 2023
  191. Philip Morris International, PMI’s smoke-free products, PMI Science website, undated, archived June 2023, accessed July 2023
  192. Philip Morris International, PMI’s smoke-free products, PMI Science website, undated, archived June 2023, accessed July 2023
  193. Imperial Brands, Our Next Generation Products: Oral, Imperial Brands Science website, undated, accessed July 2023
  194. Imperial Brands, Research Update: Tobacco-Free Oral Nicotine Pouches, Imperial Brands Science website, 7 May 2021, accessed July 2023
  195. Japan Tobacco, Resource Hub [search for ‘other’ products], JT Science website, undated, accessed July 2023
  196. World Health Organization, Tobacco: poisoning our planet, 29 May 2022, available from who.int
  197. M.M. Jensen, A. Granskov, L.K. Elmhoff, Nicotine sachets are thrown into nature: dangerous for animals and the environment [translated], DRTV, 6 August 2023, accessed August 2023
  198. British American Tobacco, Modern Oral Products, Brands and Innovation website, undated, accessed March 2024

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