Past and future trends in nicotine-delivery product use and the need for a comprehensive approach

This talk focuses on US cigarette and alternative nicotine-delivery product use, and the potential impact of FDA regulations on their use. First, recent trends in cigarette, e-cigarette, oral nicotine pouch, and heated tobacco product use are presented. Trends in the use of individual products vary by age and depend on each of the other products. The potential role of the different products vis-a-vis reducing overall harm and the incentive of firms in promoting these products is then considered. Product use also depends on the impact of FDA regulations, especially their effect on flavor restrictions and the survival of cigarette vs. independent companies. A comprehensive approach towards the different nicotine-delivery products is needed, one that incorporates the impact of industry behavior and the role of innovation in the rapidly evolving US market.