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A recent study from the Abigail Wexner Research Institute at Nationwide Children’s Hospital (NCH) in Columbus, Ohio, has revealed that nicotine pouches pose a significant risk to children.
These pouches contain a dissolving powder made of nicotine and flavorings that is absorbed through the gums and lining of the mouth, according to the Centers for Disease Control and Prevention.
The study, published by the American Academy of Pediatrics, reported 134,663 cases of children ingesting pouches, vapes, and other nicotine products between 2010 and 2023.
Researchers examined calls to the National Poison Data System related to accidental nicotine ingestions among children under the age of 6.
From 2020 to 2023, the ingestion of pouches increased by 763%, with a higher likelihood of causing serious medical consequences compared to other forms of nicotine products.
A new study reveals that nicotine pouch ingestions among children under 6 increased by 763% from 2020 to 2023. (iStock)
Dr. Gary Smith, the director of the Center for Injury Research and Policy at NCH, highlighted the rapid increase in unintentional nicotine pouch ingestions by young children between 2020 and 2023.
There was a 59% rise in nicotine ingestions between 2010 and 2015, driven mainly by liquid and solid nicotine products. However, from 2015 to 2023, liquid nicotine ingestions decreased by 45%, leading to an overall 34% reduction in nicotine ingestion incidents.

The study found an increase in nicotine ingestions between 2010 and 2015 of 59%, which was primarily driven by liquid and solid nicotine products. (iStock)
However, Smith noted that the National Poison Data System underestimates the true number of nicotine ingestions among children under 6 due to being a passive surveillance system.
Legislation, such as the Child Nicotine Poisoning Prevention Act passed in 2015, has contributed to the decline in nicotine ingestions. Smith emphasized the importance of ongoing surveillance and prevention efforts to address the hazards posed by nicotine pouches to young children.

“Many nicotine products are flavored and sold in colorful packaging that may be attractive to a young child,” the researcher warned. (AP Photo/Kirsty Wigglesworth)
Smith recommended that all nicotine products be kept out of reach of children and stored safely. If ingestion is suspected, parents should call the national Poison Help number at 1-800-222-1222.