Hands holding a tablet with pictures of flags from Sweden and Norway showing a pouch containing a dark substance with an arrow pointing at a pouch containing a white substance

Source: Image created by the authors/PlaceIt. Copyright: The Authors/PlaceIt. URL: https://publichealth.jmir.org/2026/1/e85490 License: Licensed by JMIR February 13, 2026, Stockholm, Sweden: A new study tracking oral nicotine purchases in Sweden and Norway suggests that a major transformation is underway. The research, published in JMIR Public Health and Surveillance, is a comprehensive cross-sectional analysis of more than 19 million e-commerce orders from Norway and Sweden between 2018 and 2025. It shows that consumers are increasingly moving away from traditional tobacco-based snus in favor of tobacco leaf–free nicotine pouches. Once a niche product, these nicotine pouches now account for the largest share of online oral nicotine sales inRead More →