In light of recent discussions, including the letter “Nicotine Regulations” published here, it is important to consider a broader perspective regarding the regulation of nicotine pouches in Pakistan. Pakistan continues to face a significant smoking challenge, with approximately 25 million tobacco users — one of the highest rates globally. This widespread prevalence not only impacts public health but also places a growing burden on the healthcare system and economy.
It is worth noting that nicotine pouches offer many adult smokers a much less harmful alternative to cigarettes. By enabling smokers to shift towards alternatives, we can effectively reduce smoking-related illnesses and ease the long-term economic pressures stemming from tobacco use. However, many adult smokers remain unaware of these better options due to limited public education and access to information.
Consider the Swedish example: widespread availability and adoption of nicotine alternatives have reduced smoking rates to just 4.5%, offering a clear model of how regulated alternatives can bolster public health outcomes.
A balanced regulatory framework is key. It should promote access to scientifically supported alternatives like nicotine pouches, backed by strict quality controls, transparent labeling, and comprehensive public education initiatives. This strategy will comprehensively seek to serve immediate public health needs.
ABU BAKAR KAREEM
KARACHI
