Why Young People Use Nicotine: New Finnish Research Challenges One-Size-Fits-All Prevention

Youth nicotine policy often begins with a straightforward objective: prevent young people from starting to use nicotine. The harder question is how. Smoking, vaping and nicotine pouch use are sometimes grouped together in prevention strategies because they all involve nicotine. Yet young people may encounter these products in different settings, perceive them differently and respond…

When National Nicotine Restrictions Are Mistaken for EU Policy

The more immediate regulatory story is unfolding in Member States, not in a published EU-wide nicotine-pouch flavour ban Discussion around the next revision of the EU tobacco and nicotine framework is increasingly accompanied by speculation about what the European Commission may ultimately propose for nicotine pouches, including flavours. That discussion needs perspective. There are legitimate…

What Should an Evidence-Based Conversation About Nicotine Pouches Look Like?

A new JAMA communication on vaping raises a wider question: how should clinicians, policymakers and public-health professionals talk about nicotine pouches with adults who smoke? How health professionals communicate about nicotine matters. For years, public discussion of nicotine has often struggled to distinguish the harms caused by smoking from the effects of nicotine itself, or…

Should Nicotine Taxes Reflect Risk? What Switzerland’s Parliamentary Debate Can Teach Policymakers

Taxation remains one of the most established tools in tobacco control. Raising the price of cigarettes can reduce consumption, discourage initiation and contribute to lower smoking prevalence. The World Health Organization recommends that tobacco taxes account for at least 75% of the retail price. The policy question becomes more complicated when the market contains products…

Sweden and Denmark: What Two Nordic Neighbours Can Teach Europe About Nicotine Regulation

Sweden and Denmark share a border, similar living standards and long-established tobacco-control policies. Both have also set ambitions to create smoke-free societies. Their smoking patterns, however, have diverged. A 2024 report from Smoke Free Sweden, The Great Divide, uses that contrast to make a strong case for Sweden’s approach to tobacco harm reduction. It argues…

South Korea and Sweden: What Diverging Smoking Trends Tell Us About Risk-Proportionate Nicotine Policy

Smoking rates have fallen across many high-income countries over the past several decades, but the pace of that decline varies considerably. South Korea and Sweden provide a useful comparison. Both countries have strong public-health institutions and long-standing tobacco-control policies. Both have reduced smoking substantially from historical levels. Their current positions, however, are quite different. OECD…

What Does Good Nicotine Governance Look Like?

Building Regulatory Systems That Deliver Better Public Health Outcomes The rapid evolution of nicotine products has transformed the regulatory landscape. Traditional combustible tobacco products now exist alongside nicotine pouches, electronic cigarettes, heated tobacco products, nicotine replacement therapies, and emerging nicotine technologies. This growing diversity presents governments with an increasingly complex challenge: how can regulatory systems…

Beyond Product Bans: Why Performance Standards Are the Future of Nicotine Regulation

For many years, debates about nicotine regulation have been framed as a choice between allowing products onto the market or banning them altogether. As new smoke-free nicotine products have emerged, public discussion has often focused on restrictions relating to flavours, nicotine concentrations, advertising, taxation, or outright prohibition. While these policy debates remain important, they can…