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Page 27 of 35 / 832 articles

5 min read

The Smoker Who Switched to Pouches: A Clinical Case Series

Ten former smokers describe their transition from cigarettes to nicotine pouches. Their stories illustrate the diversity of pathways away from combustible tobacco—and the common themes that unite them.

quitting smokingnicotine pouchescase studiestransitionpersonal
5 min read

The Global Nicotine Policy Index: Ranking Countries on Harm Reduction

Which countries are leading on evidence-based nicotine policy—and which are falling behind? A comparative assessment of regulatory frameworks across 30 countries, measuring how well policies align with the evidence.

public healthpolicyinternationalrankingharm reduction
4 min read

The Vape Shop of the Future: A Regulatory Forecast

What will the nicotine retail environment look like in 2035? The independent vape shop is an endangered species. What replaces it—and what's gained or lost in the transition?

e-cigarettesretailfutureregulationbusiness
4 min read

The Secondhand Nicotine Debate: What About Nicotine in the Air?

We've focused on secondhand smoke and secondhand vapor. But what about the nicotine that settles on surfaces and circulates in indoor air? The thirdhand nicotine question is the next frontier in exposure science.

public healththirdhand smokenicotineexposureindoor air
4 min read

The Nicotine User's Bill of Rights

What would a just nicotine policy look like from the user's perspective? A thought experiment in centering the people most affected by the policies we debate.

consumer psychologyrightsethicspolicyjustice
4 min read

The Nicotine Analogue Crisis Is Already Here

6-methylnicotine, nicotyrine, and other nicotine analogues are appearing in vaping products—and no regulatory framework is prepared for them. The next nicotine crisis isn't on the horizon. It's on the shelves.

regulationnicotine analogueschemistryloopholessafety
5 min read

The Nicotine Debate: A Field Guide to the Arguments

Every nicotine debate features the same arguments, deployed by the same camps, with the same supporting evidence. Here's a guide to recognizing them—and to evaluating which ones hold up under scrutiny.

public healthdebateargumentscritical thinkingdiscourse
5 min read

The Cigarette of the Future: What Happens When Combustion Is Eliminated

The FDA is advancing a plan to mandate very low nicotine levels in cigarettes, making them non-addictive. If implemented, it would be the most significant product standard in tobacco history. What happens next?

cigarettesnicotine reductionFDAregulationendgame
4 min read

The DIY Nicotine Movement: Is Home-Brew the Future of Cessation?

Thousands of former smokers now mix their own e-liquids, source their own nicotine, and share recipes online. The DIY movement is both a triumph of consumer empowerment and a regulatory nightmare.

consumer psychologyDIYcommunityinnovationregulation
4 min read

The Quitting Smoking Industry: Why Cessation Is Big Business

The global market for smoking cessation products—NRT, pharmaceuticals, digital tools, counseling—is worth billions. The business of helping people quit is complex, competitive, and shaped by incentives that don't always align with public health.

quitting smokingindustrypharmaceuticalbusinesseconomics
4 min read

The Vape Industry Worker: The Human Cost of Manufacturing

Behind every disposable vape is a factory worker—often young, often female, often earning minimum wage in conditions that would be unacceptable in Western factories. The labor dimensions of the vaping supply chain deserve attention.

industry changeslabormanufacturingsupply chainethics
5 min read

Nicotine and Mental Illness: Why Psychiatry Is Rethinking Abstinence

For decades, psychiatric practice treated smoking as a low-priority concern. Now, a growing movement argues that addressing nicotine dependence is as important as managing psychosis—and that harm reduction may be the most effective approach.

nicotinemental healthpsychiatryharm reductiontreatment
4 min read

The School Nurse Protocol: Managing Nicotine Dependence in Adolescents

School nurses are on the front lines of the youth vaping crisis—and most have no training, no protocols, and no resources for treating nicotine dependence. What would an evidence-based school response look like?

youth protectionschoolsnursescessationhealthcare
5 min read

The Vape Juice Black Market: Inside the Underground Economy

As flavor bans and PMTA denials push legal products off the market, an illicit e-liquid economy is thriving. Who's making it, who's selling it, and what's actually in the bottle?

e-cigarettesblack marketillicit traderegulationsafety
4 min read

Nicotine and the Gut Microbiome: An Emerging Frontier

The trillions of microbes in the human gut influence everything from metabolism to mood—and nicotine appears to reshape this ecosystem. The gut-lung-brain axis may help explain smoking's systemic health effects.

nicotinemicrobiomegut healthresearchsystems biology
5 min read

The Tobacco Industry in the Developing World: A Comparative Analysis

The tobacco industry's strategy varies dramatically across LMICs—tailored to local political economies, regulatory gaps, and cultural contexts. A tour through four regions reveals both the diversity of tactics and the consistency of the endgame.

cigarettesLMICindustrycomparativeglobal
5 min read

The Swedish Experience: What 50 Years of Snus Data Tells Us

Sweden is on track to become the first smoke-free nation. The variable that explains this achievement is snus—a moist oral tobacco product that Swedish men have used for generations. The evidence is in. Is anyone listening?

tobaccoSwedensnusharm reductionevidence
5 min read

The Ethics of Nicotine Use in Pregnancy, Revisited

The evidence on nicotine and pregnancy has advanced since the last deep dive. The ethical tensions have not resolved—they've sharpened. What's the least-worst option for the pregnant smoker who can't quit?

public healthpregnancyethicsharm reductionmaternal health
5 min read

The Invisible Epidemic: Smokeless Tobacco in South Asia

While the global debate focuses on smoking and vaping, over 300 million people in South Asia use smokeless tobacco—chewing tobacco, snuff, gutka, paan masala. It causes oral cancer at staggering rates and is almost entirely unregulated.

tobaccosmokeless tobaccoSouth Asiaoral cancerregulation

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