GINN Policy Update: Pouches and NRT – A Balanced Framework for Harm Reduction

By Shem Baldeosingh, Director The Global Institute for Novel Nicotine (GINN), with the benefit of Joel Rubenstein’s vast expertise in the category, is working a comprehensive policy position on nicotine pouches and Nicotine Replacement Therapy (NRT), reaffirming our commitment to advancing harm reduction through innovative, science-backed alternatives to smoking. GINN strongly supports the availability of…

Spotlight on Spain: A Tense Regulatory Crossroads for Nicotine Pouches

Spain is quickly becoming a focal point in the broader European debate over nicotine pouches. While EU institutions weigh broader harm reduction strategies, Spain has taken a more cautious—and in some cases, restrictive—approach to regulating these alternatives. GINN recently held a regional engagement in Spain to better understand the local regulatory landscape, meet with policymakers…

Taxing Trouble: Why Europe’s Tobacco Strategy Must Balance Health Goals with Economic Realities

A leaked internal report from the European Commission has raised urgent questions about the EU’s proposed overhaul of the Tobacco Excise Directive (TED). While the stated goals—reducing smoking and boosting revenue—may be well-intentioned, the Commission’s own analysis warns that sweeping tax hikes could have serious unintended consequences. From soaring excise increases to mounting black market…

GINN INSIGHT: Nicotine Replacement Therapy at a Crossroads- Innovation or Irrelevance?

By Joel Rubenstein, GINN Focal Point Nicotine Replacement Therapy (NRT) was born not out of global health ambition—but naval necessity. In the 1960s, Swedish submariners needed a smoke-free and spit-free way to consume nicotine underwater. The solution was nicotine gum—commissioned by the Swedish Navy and developed by local pharmaceutical companies. What started as a practical…

EU Member States Urge Tighter Regulation of Vaping and Novel Nicotine Products

Several European Union Member States have formally called on the European Commission to introduce stricter regulation of vaping products and emerging nicotine alternatives. This coordinated initiative reflects growing concern among national governments about rising youth experimentation and the evolving nicotine product landscape. It also signals that the revision of the Tobacco Products Directive (TPD) and…

Oral Health and Nicotine Alternatives: New Evidence from a Systematic Review

A newly published systematic review and network meta-analysis by La Rosa et al. (2025) offers valuable insights into the oral health effects of non-combustible nicotine products (NCNPs). As these products gain popularity as reduced-risk alternatives to smoking, understanding their broader health impact—including on oral health—is critical for clinicians, policymakers, and harm reduction advocates alike. The…

AHA Issues Guidance on Cardiovascular Risks of Smokeless Oral Nicotine Products

On January 7, 2025, the American Heart Association (AHA) released a comprehensive policy statement examining the cardiovascular health implications of smokeless oral nicotine products. Published in Circulation, the statement evaluates emerging products such as tobacco-free nicotine pouches, lozenges, gums, tablets, and gummies, many of which contain synthetic nicotine. This is the AHA’s first detailed update…

Welcoming Joel Rubenstein as GINN Focal Point

I’m proud to announce that Joel Rubenstein has joined GINN as our newest Focal Point. Joel brings more than 25 years of leadership in the health, wellness, and consumer healthcare sectors, with a proven track record across CPG, Rx, and OTC categories. His career spans US and Global marketing roles at Pfizer, Novartis and GlaxoSmithKline;…