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The ADA is also concerned that marketing some nicotine delivery methods (such as vaping) as less harmful than others is not a viable strategy for preventing deaths and disease caused by tobacco use

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This has been made clear by WHO, including in a report to the Conference of Parties to the WHO FCTC in 2016 [11]

[16] The 2025 National Youth Tobacco Survey showed that 90% of youth using nicotine pouches used flavored nicotine pouches, with mint being the most common flavor used (60.9%), followed by fruit (25%), and menthol flavored (18.1%)