Nicotine Pouch Poisonings Surge Among U.S. Children

A study published in Pediatrics shows a 763% increase in reported cases of nicotine pouch ingestion among U.S. children under 6 from 2020 to 2023, with most incidents involving children under age 2 and occurring at home. While overall nicotine-related poisonings in young children have declined since 2015, accidental exposures to flavored and highly concentrated nicotine pouches, such as Zyn, have risen sharply. These pouches are 1.5 to 2 times more likely to cause serious medical outcomes or hospitalization than other nicotine products. Although most children experienced mild symptoms, severe outcomes like seizures, respiratory failure, and death are possible; however, two reported child deaths were linked to liquid nicotine from vapes, not pouches. Experts highlight the risk posed by appealing flavors and discreet packaging, urging increased prevention measures and caregiver vigilance. The study underscores the urgent need for surveillance and public health action as nicotine products continue to evolve.