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What Parents Should Know About Oral Nicotine Pouches

Posted on August 9, 2024 by Patrick Hercules

According to the Centers for Disease Control and Prevention, cigarette smoking hit a historic low in 2023, with the adult smoking rate dropping to 11%. Because of the steady decline of smokers over the years, tobacco companies have tried other ways to retain customers as well as attract new ones by introducing new products.

One of those new products is oral nicotine pouches. Oral nicotine pouches are small permeable pouches typically placed between the lip and the gum containing crystalized nicotine powder in various flavors. Although little is known about the product, nicotine pouches have become one of the fastest-growing categories, increasing sales from about 126 million units to over 800 million units between 2019 and 2022.

Oral nicotine pouches are aimed at adults who are looking for a tobacco-less, smoke-free alternative to cigarettes as they try to stop smoking. However, according to the 2023 National Youth Tobacco Survey conducted by the Food and Drug Administration and the Centers for Disease Control and Prevention, in October of 2023, 1.5% of middle and high school students reported using nicotine pouches in the previous 30 days.

Tobacco companies sell nicotine pouches in attractive packaging and assorted flavors, including citrus, berry, peppermint, coffee, and mango. Researchers are concerned that this marketing tactic is likely to appeal to young people who may not be aware of the harmful effects of nicotine. Some social media influencers have promoted the use of nicotine pouches by showing how they use them in their daily lives, discreetly placing them in their mouths at work and school, as well as doing taste tests.

“Nicotine pouches are marketed as a nicotine product that provides a buzz without the harmful effects of tobacco or smoking. However, people using these products should be aware that ‘tobacco-free’ does not mean ‘risk-free’”, says Alexandra Howell, DMD, Oral Medicine Specialist and Assistant Professor in the Department of Oral Diagnostic Services at Virginia Commonwealth’s University’s School of Dentistry.

Despite the long-term health impact of nicotine pouches being unknown, the side effects of its use can include:

Nicotine addiction
Irritation of the gums
Lung problems
Infertility problems
Stomach problems
Sore mouth
Hiccups
Nausea

Nicotine pouches can also present several cardiovascular risks. The use of these products can lead to increased heart rate and blood pressure increasing the risk of developing cardiovascular diseases such as hypertension, heart disease, and potential heart attacks.

To speak with a Family Medicine doctor at Jamaica Hospital Medical Center about smoking cessation, please call (718) 206-6942.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

When is a Cough Serious?

Posted on January 24, 2024 by Jacob Lobosco

Coughing is a normal reflex and often does not signify a serious underlying medical condition. However, a cough could be connected to a more significant health issue and should be evaluated by a doctor when it is:

Severe
Worsening over time
Occurring frequently over several days or weeks

A cough can be either “acute,” meaning that it lasts less than three weeks, or “chronic,” meaning that it lasts longer. Some causes of acute cough, such as the common cold or exposure to airborne irritants, are not necessarily causes for concern on their own, but others, such as pneumonia and influenza, are potentially life-threatening for some people, such as older adults, infants, and people with compromised immune systems or chronic health conditions.

In many cases, chronic coughing is also not indicative of a major, life-threatening health problem, such as when it is caused by mild allergies or asthma. However, it may be a cause for concern when it is severe, frequent, or accompanied by one or more other symptoms, including (but not limited to):

Coughing up blood
Wheezing
Shortness of breath
Chest tightness
Fatigue
Unintended weight loss

These symptoms could indicate that a cough is associated with a serious underlying medical condition, such as chronic obstructive pulmonary disease (COPD), emphysema, lung cancer, cystic fibrosis, or pulmonary embolism. If you experience these symptoms, it’s important to get evaluated by a doctor as soon as possible.

You can receive diagnostic care and specialized treatment for your cough at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

World No Tobacco Day

Posted on May 31, 2023 by Jacob Lobosco

On May 31^st each year, the World Health Organization highlights the harmful health effects of tobacco products such as cigarettes. While tobacco usage rates among the general population have decreased over time, approximately 22.3% of people across the world continue to use it. The risks of using tobacco are well documented; however, many people around the world are not fully aware of the dangers.

A substantial amount of information exists about the harmful effects of tobacco usage. Aside from lung-related conditions such as emphysema, there are also very strong links between tobacco usage and heart disease, circulatory problems, and stroke. Coronary vascular diseases are one of the world’s leading causes of death. Tobacco use is the second leading cause of these types of diseases, with hypertension being the leading cause.

Despite the wealth of information available about the harmful effects of tobacco products, their continued usage results in over 8 million deaths each year. Approximately 1.2 million of these deaths occur due to exposure to second-hand smoke, highlighting the negative health impacts that tobacco usage can have not only on the user, but on the people around them, as well.

A few of the World Health Organization’s efforts to inform people about tobacco’s harmful effects include:

Increasing public knowledge of the risks of smoking and secondhand smoke
Encouraging healthcare providers to speak to their patients about the hazards of tobacco
Encouraging governmental support for educational programs
Seeking ways to promote smoke-free zones in buildings and public spaces
Increasing taxes on tobacco products
Making it more difficult to purchase tobacco products
Banning tobacco advertising

If you would like to quit smoking, speak to your medical provider to learn more about the resources available to help you. Jamaica Hospital Medical Center offers a tobacco cessation program that can support you in your efforts to quit. Please call 718-206-8494 to learn more.

What is Popcorn Lung and Can Vaping Cause It?

Posted on July 5, 2019 by Michael Hinck

“Popcorn lung” is the nickname for bronchiolitis obliterans, a serious and irreversible lung disease that can damage the smallest airways in your lungs, resulting in coughing and shortness of breath.

The condition got its nickname because of the chemical diacetyl, a buttery flavored chemical that was commonly found in microwave popcorn. After workers at the factories that produced microwave popcorn began to experience symptoms associated with bronchiolitis obliterans after inhaling diacetyl, manufacturers removed it from their products.

While diacetyl is no longer a threat from microwaved popcorn, many are now being exposed to it through e-cigarette vapor. Diacetyl is often added to “e-juice” liquid by some e-cigarette companies to complement flavorings such as vanilla, maple, coconut and more. In fact, recent studies have found that more than 75 percent of flavored e-cigarettes and refill liquids tested positive for diacetyl

So how does diacetyl cause popcorn lung? Your lungs are where your blood receives oxygen before carrying it to cells in the rest of your body through tiny air sacs called alveoli. Exposure to diacetyl can irritate or scar the alveoli, causing inflammation or narrowing, making it difficult for them to deliver oxygen to your blood.

The main symptoms of popcorn lung are a dry cough and shortness of breath. These show up between two weeks and two months after you’ve been around a toxic gas or had an illness. You’re especially likely to have them after exercising or heavy labor.

Other symptoms may include:

Flu-like illness with fever
Unexplained fatigue
Weight loss
Wheezing
Eye, skin, mouth, or nose irritation, if caused by chemical exposure

Popcorn lung is often misdiagnosed as asthma, bronchitis, or emphysema. To diagnose popcorn lung, your doctor will order an X-ray, CT scan or a surgical lung biopsy. Your doctor may also want to measure your lung’s function by conducting a pulmonary function test.

Unfortunately, there is no cure for popcorn lung, but there are treatments to help alleviate the symptoms or slow the progression of the disease. Treatment options include prescription corticosteroids, cough suppressants, bronchodilators to open the airways or immunosuppressant therapy to decrease your body’s immune response. In severe cases oxygen supplementation may be needed. If left untreated, popcorn lung can be fatal in some cases.

The best way to prevent developing popcorn lung is to avoid exposure to harmful chemicals like diacetyl, found in e-cigarettes.

If you are experiencing symptoms of popcorn lung, make an appointment to see your doctor. To make an appointment with a Pulmonologist at Jamaica Hospital, please call our Ambulatory Care Department at 718-206-7001.

Today is the Great American Smokeout

Posted on November 15, 2018 by Michael Hinck

Today is the Great American Smokeout, an annual event when the American Cancer Society encourages everyone to quit smoking. This event helps to make people aware of the dangers of using tobacco products as well as the tools that are available to help them quit smoking.

The Great American Smokeout started in 1970 in a small town in Massachusetts. People were asked to give up smoking for one day and to take the money that they would have spent on cigarettes and donate it to a local high school scholarship fund. The event spread to other cities both large and small and eventually led to legislation that bans smoking in workplaces, restaurants, and other public spaces both indoors and outdoors.

Smoking is responsible for one in five deaths in the United States today. Lung cancer is the leading cause of death in both men and women. Smoking is also the cause of cancer of the larynx, mouth, sinuses, throat, esophagus, and the bladder. The number of people who smoke has dramatically decreased in the United States since the anti-smoking campaigns began. In 1965 it was estimated that over 40 percent of the population were smokers and today that number is around 18 percent.

Smokers have the best chances of quitting if they use at least two of the following methods:

• Smoking Cessation Groups
• Nicotine substitute products
• Support from family and friends
• Telephone quit lines
• Counseling
• Prescription medications that help to reduce the urge to smoke

If you would like more information about quitting smoking please call the American Cancer Society at 1-800-227-2345. If you would like to schedule an appointment with a doctor at Jamaica Hospital to discuss smoking cessation, please call 718-206-8494.

Now That You’ve Quit Smoking –How Do You Resist Temptation?

Posted on January 8, 2018 by Xavia Malcolm

Congratulations, you have quit smoking. You have accomplished a major milestone in your journey to achieving good health. A challenge you may face after your Quit Day is remaining tobacco-free by resisting the temptation to smoke again. Coping with tobacco cravings can be difficult; however, by applying the following tips you can decrease the urge to smoke:

Remove yourself from situations that may trigger the urge to smoke
Spend free time in environments where smoking is not allowed
Reduce alcohol consumption
Create or join a support group
Think about how harmful tobacco is to your health
Think about the health benefits you will gain by remaining smoke-free
Try nicotine replacements such as gum, patches or prescription medications
Do not have just one cigarette to satisfy a craving- one cigarette will make you want more
If you miss the feeling of having a cigarette in your mouth try a toothpick, a stick of gum, celery -anything besides a cigarette
Exercise
Practice relaxation techniques
Give yourself credit for each day you are tobacco free
Envision being tobacco-free long-term

Quitting smoking and remaining smoke-free can be difficult and requires a life-long commitment but the benefits to your health are immeasurable.

Jamaica Hospital Medical Center offers a Freedom from Smoking Tobacco Cessation Program to help you overcome your addiction to tobacco and enjoy the benefits of better health in a fun and interactive environment. Receive personalized attention as well as the support from group members who are experiencing this journey with you. For more information, please call 718-206-8494.

The Great American Smokeout

Posted on November 15, 2017 by Andrew Rubin

Every year, on the third Thursday of November, the American Cancer Society encourages everyone to take part in the Great American Smokeout. This event helps to make people aware of the dangers of using tobacco products as well as the tools that are available to help them quit smoking.
The Great American Smokeout started in 1970 in a small town in Massachusetts. People were asked to give up smoking for one day and to take the money that they would have spent on cigarettes and donate it to a local high school scholarship fund. The event spread to other cities both large and small and eventually led to legislation that bans smoking in workplaces, restaurants, and other public spaces both indoors and outdoors.
Smoking is responsible for one in five deaths in the United States today. Lung cancer is the leading cause of death in both men and women. Smoking is also the cause of cancer of the larynx, mouth, sinuses, throat, esophagus, and the bladder. The number of people who smoke has dramatically decreased in the United States since the anti-smoking campaigns began. In 1965 it was estimated that over 40 percent of the population were smokers and today that number is around 18 percent.
Smokers have the best chances of quitting if they use at least two of the following methods:
• Smoking Cessation Groups
• Nicotine substitute products
• Support from family and friends
• Telephone quit lines
• Counseling
• Prescription medications that help to reduce the urge to smoke
If you would like more information about quitting smoking please call the American Cancer Society at 1-800-227-2345. If you would like to schedule an appointment with a doctor at Jamaica Hospital to discuss smoking cessation, please call 718-206-8494.

Are Social Smokers “Real Smokers?”

Posted on May 31, 2017 by Joann Ariola

Today, May 31, 2017, is World No Tobacco Day. On this day, the World Health Organization (WHO) asks that healthcare providers highlight the negative effects that smoking can have on a person’s health. This year’s theme is “Tobacco – a threat to development.”

Jamaica Hospital Medical Center would like to participate in World No Tobacco Day by addressing the myth that “social smoking” is not hazardous to your health.

Myth: People who are light or occasional smokers have less of a risk for developing diseases.

Truth: People within this group are usually in denial of the frequency of their use of cigarettes and believe that they are not at risk of developing tobacco-related illnesses.

Research has found that one third of people who classify themselves as social smokers actually smoke more than six times per day
Smoking a lot or a little, increases the risk for developing diseases caused by tobacco
The damage of one puff of nicotine is instant. It takes 10 seconds for nicotine to be transported throughout the body and to the brain. It slows down circulation and increases blood pressure and heart rate
A study conducted by the Center for Tobacco Control Research and Education, found that “light” smoking may result in several health complications such as stroke, COPD, peripheral artery disease, lower respiratory tract infections, weakened immune systems Smoking occasionally or socially does not exclude you from developing the health complications associated with tobacco use. Over time smoking will take its toll on your body. The best thing you can do for your health is quit smoking.

If you or someone you know needs help in quitting smoking please contact Jamaica Hospital’s Freedom From Smoking program at or visit for more information.

Smoking and Dental Care

Posted on February 8, 2017 by Joann Ariola

With smoking, we tend to focus on the effects it may have on the lungs or the heart. However, we don’t focus on the health effects it may have on other parts of the body including your oral health.

The American Cancer Society states that smokers are six times more likely than non-smokers to develop cancers of the mouth, lips, tongue, and throat. In addition, smoking can cause many serious problems for teeth and oral structures. It can interfere with the normal function of gum tissue cells; this can make smokers more susceptible to infections, gum disease, or even periodontal disease. The problem can be further exacerbated when proper dental health care is not followed. The excess of harmful chemicals in cigarette smoke makes smokers twice more likely to suffer tooth loss than non-smokers.

Keep your winning smile and kick the smoking habit. For help to quit smoking, please contact Jamaica Hospital’s smoking cessation support group at 718-206-8494.

Smoking Cessation

Posted on December 22, 2016 by Andrew Rubin

Tobacco is the single greatest cause of multiple diseases and premature deaths in the USA today. It kills more Americans each year than alcohol, crack, heroin, homicide, suicide, car accidents, fire and AIDS combined. There are an estimated 480,000 deaths in the United States annually that are due to tobacco use. It is the only legal consumer product that is lethal when used exactly as recommended by the manufacturer.

Smoking cigarettes affects many aspects of health. Tobacco smoke contains about 7000 chemicals, including low concentrations of such strong poisons as ammonia, cyanide, arsenic and formaldehyde. It also contains 69 carcinogens – substances that are known to cause cancers in humans. Direct association has been established between smoking and cancers of the lung, mouth, nose, throat, larynx, esophagus, colon and rectum, stomach, pancreas, cervix, bladder, kidney and blood.
In the United States, Illnesses caused by smoking cost more than 300 billion dollars per year in direct medical care and lost productivity. Smokers pay twice as much for life insurance and will die on average of 13-14 years earlier than non-smokers. It costs tobacco companies approximately 5 cents to produce a pack of cigarettes.

Many lung conditions are either caused or aggravated by cigarette smoke. It irritates bronchial airways and stimulates mucous production leading eventually to decreased elasticity and functional failure. Patients suffering from COPD, Asthma, Chronic Bronchitis or Emphysema have a much higher risk of dying when repeatedly exposed to smoke.
Smokers are also at greater risk for cardiovascular disease. Smoking damages blood vessels making them stiff and narrow, obstructing blood flow which results with elevated blood pressure, heart attacks, strokes, kidney failure or chronic skin changes.

Pregnant women exposed to tobacco smoke have increased risk of complications like miscarriage, premature birth, and brain and lung damage in developing baby. Sudden infant death syndrome is three times more likely if mother smoked during pregnancy.
Secondhand smoke is the smoke exhaled by smokers or given off by a burning cigarette or pipe. Inhaling secondhand smoke is as hazardous as smoking a cigarette. There is no safe level for secondhand smoke exposure established. People can inhale it at work, homes, cars or public spaces and have all the complications mentioned above.

Smoking tobacco is an addiction similar to heroin and cocaine. It can be successfully treated but the majority of cases require three or more attempts. Quitting smoking offers a chance of feeling better and living longer. Studies have shown that five, common sense steps, provide the best chance for quitting smoking for good:

1. Get ready: set a quit date and throw out all cigarettes and ashtrays from your home.

2. Get support: tell your family, friends and doctor about quitting plans; search the internet for advice.

3. Learn new behaviors: distract yourself from the urge to smoke; exercise or go for a walk.

4. Get medication: combining medication like nicotine patches or Zyban with behavioral adaptation and family support quadruples your chances of success.

5. Be prepared for relapse and difficult situations- most people try to quit a few times before succeeding.

If you would like to learn more about quitting smoking, please call 718-206-8494.