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Accidental Nicotine Pouch Ingestion by Children Rises Sharply
A recent study reveals a dramatic increase in accidental nicotine pouch ingestion among young children. Researchers at Nationwide Children’s Hospital in Ohio analyzed data spanning over a decade, encompassing more than 134,000 cases of accidental nicotine ingestion by children under six. While exposure to other nicotine products like vapes, gums, and lozenges decreased after 2016, cases involving nicotine pouches surged by over 760% between 2020 and 2023.
The palatable flavors and high nicotine concentration of these pouches pose a significant risk to young children, who may not recognize the inherent danger. Dr. Natalie Rine, a co-author of the study and director of the Central Ohio Poison Center, explains that unlike other products, nicotine pouches lack clear sensory warnings that might deter a child from swallowing them.
Nicotine pouches, miniature packets placed between the lip and gum, entered the US market in 2014. Although tobacco-free, they contain substantial amounts of nicotine, both synthetic and naturally derived, along with flavorings and sweeteners. Their discreet, smokeless format and appealing flavors have fueled concerns among public health experts, especially given their growing popularity among teens and young adults.
While overall nicotine pouch usage remains relatively low among adults, the study highlighted the serious risks associated with accidental ingestion by children. Even small amounts of nicotine can cause adverse effects in young children, including nausea, vomiting, and tremors. The study revealed that children who ingested nicotine pouches were 150% more likely to experience serious medical outcomes and twice as likely to require hospitalization compared to those who swallowed other smokeless nicotine products.
Although the majority of pediatric nicotine ingestions resulted in minor or no harm, over 1,600 children experienced serious medical consequences, and tragically, two children died after ingesting liquid nicotine.
Dr. Rine advises parents and caregivers to keep nicotine pouches out of children’s reach and sight, emphasizing the importance of discussing safe storage practices with everyone involved in a child’s care. If a child is suspected of ingesting a nicotine pouch, immediate contact with Poison Control is crucial.