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Interestingly, another shift further down the continuum of harm seems to be underway from snus to nicotine pouches in Norway and Sweden (Murphy et al., 2026): Australia: Analysis of wastewater shows a substantial shift away from combustible tobacco to noncombusted, all while total nicotine consumption remained stable or slightly declining (Wang et al., 2026)

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Some people develop skin rashes or hives when touching affected surfaces