
Reports of US children ingesting nicotine pouches surge, study says
Several of the children ended up in intensive care after ingesting the pouches and two children died, the report said.
The uptick in poisonings comes as the country has seen a recent surge in sales of nicotine pouches.
'If there is more access or increased popularity of an item in the community, it's not surprising for us to see increased exposures to products like that,' said Natalie Rine, director of the Central Ohio Poison Center at Nationwide Children's Hospital and an author of the study in in Pediatrics, a journal of the American Academy of Pediatrics.
Zyn, a Swedish brand of nicotine pouches produced by the Stockholm-based Swedish Match which is owned by cigarette manufacturer Philip Morris International, has become particularly popular, with the hashtag #ZYN accumulating more than 700m views on TikTok and rightwing commentators such as Tucker Carlson promoting it.
The Zyn pouches come in flavors such as fruit and mint, which public health experts say makes them more attractive to children and teens.
'As a result of it not being in an oil like in a vape pen, or in a leaf like tobacco, there really isn't as much negative taste associated with it for a young child to spit it out, and it's therefore more appealing if you were to discover it as a young kid,' said Dr Molly O'Shea, a Michigan pediatrician and spokesperson for the American Academy of Pediatrics.
While the product can elevate a person's mood and their focus, 'if you're a teeny tiny person, it can poison you. It can increase your heart rate and blood pressure so much that it causes your heart to fail, and that's why it's such a big problem,' said O'Shea.
The study found that most exposures among children resulted in minor or no effects, but there were 39 cases with major medical outcomes, which include seizures and respiratory failure, and two deaths.
Health providers say adults should store the product in a locked area of the home or cabinet so children cannot access them, and to avoid using the products in front of children, who are likely to mimic such behavior.
'Kids are incredibly curious. They're very resourceful, and they want to do what adults do,' O'Shea said.
If you suspect that a child may have ingested a pouch in the US you can call the Poison Help line at 1-800-222-1222 where nurses and pharmacists are available at all hours to advise.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

Leader Live
an hour ago
- Leader Live
Specialist dementia support offered in Wrexham clinics
The free clinics, run by Dementia UK's Admiral Nurses, will return to Nationwide branches in Wrexham throughout August. They are open to anyone affected by dementia and provide practical and emotional advice on memory concerns, understanding diagnoses, and how to access support. Ruby Guild, Admiral Nurse at Dementia UK, said: "We're looking forward to returning to Wales. "Nationwide branches offer a safe and private space for people to access specialist support for dementia, and the Fairer Futures partnership is helping us bring face-to-face support to people in a familiar location." The clinics are part of Nationwide's Fairer Futures programme, which addresses major social issues through partnerships with charities including Dementia UK, Centrepoint, and The Royal Marsden Cancer Charity. Debbie Crosbie, chief executive officer of Nationwide, said: "Nationwide wants to help people live their best life possible, for as long as possible. "By working with Dementia UK to fund more Admiral Nurses and turning our branches into dementia clinics, we're helping to tackle the country's leading cause of death. "As a mutual, we work for the good of society as well as our members. "We believe this and Nationwide Fairer Futures will change hundreds of thousands of lives for the better." The clinics aim to support families and individuals through every stage of dementia, including help with financial and legal matters. Dementia UK has also shared advice on starting difficult conversations about dementia, encouraging loved ones to visit their GP and seek help if they are showing symptoms. The clinics will take place at the following locations: Cardiff, 47/49 Queen Street – August 5, 6, and 7 Swansea, 2-3 Oxford Street – August 19, 20, and 21 Wrexham, 21-23 Regent Street – August 26, 27, and 28 Appointments can be booked through the Dementia UK website.


The Guardian
an hour ago
- The Guardian
Colonial ideas of beauty: how skin lightening products are linked to cancer in black African women
Two months after first going to hospital, a 65-year-old woman was dead – and her doctors are blaming the cosmetic creams she used on her face and body for decades. The anonymous patient, from Togo, is one of a string of recent cases reported in medical journals of cancers in black African women linked to skin-lightening creams and lotions, prompting dermatologists to call for better regulation. The melanin found in darker skin typically offers some protection against the sun damage which can cause cancers. 'Patients with black skin have a natural SPF of about 15, just by having pigmented skin,' says Prof Ncoza Dlova, head of dermatology at the University of KwaZulu-Natal, South Africa,. 'If they remove that melanin [with skin lightening creams], they're actually removing the natural protection.' Estimates of skin lightening product use in African countries range from 25% to 80% of women. Lighter skin is often seen as more desirable, in a trend with complex drivers including values imported in the colonial era. Dlova and colleagues are writing up a paper citing more than 55 cancer cases, from countries including Mali and Senegal. 'If we are getting self-induced skin cancer, then that's a red flag and worrying,' says Dlova. 'We have to do something about it.' The market for skin lightening product is growing, with analysts predicting that the current market size of US$10.7bn (£8bn) will reach US$18.1bn by 2033. There are even reports of the products being used on babies and young children. For Dlova, they are 'a health hazard that needs to be addressed'. Almost every day, she says, her clinic in Durban will see someone with a skin problem linked to lightening products. 'Of course, not all of them are coming with skin cancer … They come in with fungal infections that are resistant to the common treatment that we normally use. They present with pimples, referred to as steroid-induced acne, as well as rosacea. Some present with permanent stretch marks; all these complications are extremely common.' The Togo patient had three large, painful, cancerous tumours on her neck, which she had tried to treat with antibiotics, antiseptics and traditional herbal poultices with no success before going to hospital. One of the tumours was removed, but the others were too close to blood vessels and she could not afford the recommended chemotherapy. She told her doctors she had used creams that included topical hydroquinone and highly potent corticosteroids for about 30 years. In another series of eight cancers, reported in Senegal, the women had used similar products for about 20 years on average. Two of those patients died. Hydroquinone as a skin lightener has been banned in South Africa since 1990, and other African countries including Rwanda, Ivory Coast, Tanzania, Kenya, and Ghana followed suit. Those bans were prompted by serious concerns about an irreversible form of skin damage called ochronosis. But regulation is often weak, and the products are reportedly still available from street vendors and cosmetic shops. The use of steroids in skin lighteners is a newer phenomenon. Topical steroids are used in dermatology to treat inflammatory skin conditions such as eczema, but a side-effect is that they make skin lighter, a fact exploited for their use in cosmetics. If the two problematic ingredients are used together they can have a 'synergistic effect', Dlova says. The International League of Dermatological Societies (ILDS) has published an alert warning about the dangers of misuse of potent topical steroids, and is calling for governments to better regulate the products. The problem goes beyond Africa, says the ILDS president Prof Henry Lim, with the problem first raised by its members in India. After South Africa's hydroquinone ban, there was a lull in how frequently dermatologists encountered complications of skin bleaching, Dlova says 'but again, in the last 10 years there was just a sudden eruption of the complications of skin bleaching again. Skin cancer per se had not been described before, it's only been described recently. So obviously, things have got worse – because from irreversible pigmentation [ochronosis] to skin cancer, those are really red flags implying that we need to do something about it.' While the desire for lighter skin is not new, Dlova suspects the rise of social media over the past decade has led to increased use, pointing to smartphone filters that make skin look smoother and lighter. Tackling the issue will require action from many sectors – not only regulatory agencies. 'Marketing, social media and media all have a role to play – fashion, celebrities and all of that. If they use black models who are lighter in skin colour, the message they are conveying is that you are prettier, you can be a model, you are more attractive if you are lighter. So we need to ensure that the advertisements include diverse skin colours when they are choosing their models,' says Dlova. She also wants to see skin health education in preschools to teach children to be proud of their natural skin, and to get across the message of using sunscreen. Some black patients will have skin challenges including pigmentation disorders, she says, which may require creams with lightening ingredients. But these should be used under medical supervision. Part of the ILDS advocacy will be asking pharmaceutical companies to make those prescription products more affordable, so that people do not need to turn to cheaper off-the-shelf products that may be dangerous.


The Guardian
10 hours ago
- The Guardian
I'm delighted with my 45-minute erections – but why are my orgasms such a letdown?
I am a man in my 60s. When my wife and I have sex, I can keep it up (as it were) for 45 minutes, including about 20 minutes of coitus. All of which I enjoy very much. The problem in recent years is my orgasm. When it arrives, it is a bit of a letdown. It happens extremely quickly and feels like a premature ejaculation, even though it has taken a long time to get there. It makes no difference whether I am on top and in charge of the pace or whether my wife is. How can I make my orgasms more enjoyable? Certain medications – whether prescription or over-the-counter – can change the nature of one's orgasm, so consider whether the culprit could be in your medicine cabinet. If this is a possibility, you should consult with the prescribing physician to find out if there might be an alternative. Another element to investigate is whether your hormones might have something to do with it. For example, you might ask a doctor to look at your testosterone levels. Strong orgasms are fuelled partly by sex hormones such as testosterone, and an insufficiency could lead to the symptoms you are experiencing. Finally, I can tell that you are proud of your sexual prowess, but it might be a good idea to relax a bit on the expectations you set for yourself. A person usually has a better orgasm when they are able to let go of performance pressure. Try to focus simply on pleasure. Pamela Stephenson Connolly is a US-based psychotherapist who specialises in treating sexual disorders. If you would like advice from Pamela on sexual matters, send us a brief description of your concerns to (please don't send attachments). Each week, Pamela chooses one problem to answer, which will be published online. She regrets that she cannot enter into personal correspondence. Submissions are subject to our terms and conditions. Comments on this piece are premoderated to ensure discussion remains on topics raised by the writer. Please be aware there may be a short delay in comments appearing on the site.