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These factors have stronger, more direct, and more immediate effects on youth tobacco use than other macro-level factors such as school climate and community norms about tobacco use (HHS, 2012)

The letter point out that the descriptors natural and additive free, imply that the products or their smoke do not contain or are free of a substance and/or that the products present a lower risk of tobacco-related disease or are less harmful than one or more other commercially marketed tobacco products. Santa Fe is bound through an agreement with the Federal Trade Commission to include certain disclosures, such as No additives in our tobacco does NOT mean safer, in advertising for American Spirits

Notably, in 2022, Philip Morris International acquired Swedish Match for $16 billion, recognizing the massive potential of nicotine pouches in the health sector

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