With the knowledge that no tobacco products are safe, many parents and others who smoke are looking for healthier alternatives to cigarettes. Some select e-cigarettes, which are highly addictive and can harm the developing brains of teens, children, and fetuses in women who vape while pregnant. The liquid used in e-cigarettes can be dangerous, even apart from its intended use. Children and adults have been poisoned by accidentally swallowing, breathing, or absorbing the liquid through their skin or eyes.
Another highly addictive nicotine product is becoming more attractive: nicotine pouches. According to the Centers for Disease Control and Prevention (CDC), sales of nicotine pouches increased from 126 million pouches in August 2018 to 808 million in March 2022. Nicotine pouches contain a powder made of nicotine, flavorings, and other ingredients.
A disturbing new study published in Pediatrics, a journal of the American Academy of Pediatrics, highlights the hazards of nicotine pouches and vape e-liquids to children under 6. Children may imitate adults in using the pouches and swallow them. Between 2010 and 2023, U.S. poison centers reported over 134,000 cases, most involving toddlers and nearly all occurring at home. Liquid nicotine, even in small amounts, can be toxic to young children.
While most cases were minor, two toddlers died after ingesting liquid nicotine used in vapes. These cases call further attention to the risks of having "tobacco-free” nicotine products and the need to store them safely out of reach of children.
The only healthful alternative for smoking is to quit. Further, parents should model healthy behaviors and not use nicotine products in front of children. The Alabama Quitline is a free telephone and online coaching service that helps people quit tobacco. Services include coaching, a personalized quit plan, and up to 8 weeks of free nicotine replacement therapy patches if enrolled in the coaching program and medically eligible.
Combining counseling with nicotine replacement therapy patches is considered one of the most effective methods to quit tobacco. Nicotine replacement therapy patches help manage withdrawal symptoms, while counseling provides support to overcome cravings and triggers.
For help in quitting tobacco, call 1-800-QUITNOW, text the word "Ready" to 34191, or visit the Alabama Tobacco Quitline website.
Scott Harris, M.D., M.P.H.
State Health Officer