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Onzichtbaar en verslavend: de opmars van nicotinezakjes — Transcript

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  1. 0:06It’s everywhere in soccer. I see it
  2. 0:09when I go out. I’m at school. Finding
  3. 0:12snus at my door.
  4. 0:13>> In VRT news Pano. Nicotine pouches or
  5. 0:16snus.
  6. 0:16>> Don’t lie. If I say one in three
  7. 0:19players uses snus.
  8. 0:20>> Sales are banned in our country, yet
  9. 0:22nicotine pouches are massively finding
  10. 0:24their way to young people.
  11. 0:25>> Night shops sell them everywhere. I use
  12. 0:27nicotine pouches on a daily basis.
  13. 0:30>> According to the industry, better for
  14. 0:32your health.
  15. 0:33>> If that combustion can be eliminated,
  16. 0:35then we are making great progress
  17. 0:37regarding those smoking-related
  18. 0:39diseases.
  19. 0:40>> But what do we really know about the
  20. 0:42risks?
  21. 0:43>> But it is actually very intense.
  22. 0:45Nicotine is poison.
  23. 0:47>> I was completely hooked on it. Couldn't
  24. 0:49go a day without it.
  25. 0:51>> It doesn’t just have an even stronger
  26. 0:53addictive effect on minors. It will
  27. 0:56also have worse long-term consequences.
  28. 1:00Pano, nicotine in a pouch.
  29. 1:07>> Nicotine pouches. Have you ever heard
  30. 1:09of them?
  31. 1:10>> Uh, yeah. For sure.
  32. 1:12>> And do you know snus?
  33. 1:14>> Yeah.
  34. 1:14>> Yes. Those and also little bags in them
  35. 1:17. I use uh nicotine pouches on uh a
  36. 1:19daily basis. Hey, we are journalism
  37. 1:21students at the VUB and we see more and
  38. 1:24more nicotine pouches in our
  39. 1:25environment.
  40. 1:26>> That’s why we’re going out to
  41. 1:28interview young people.
  42. 1:29>> Let's go.
  43. 1:30>> Giel, Jonas, and Pieter Jan are doing
  44. 1:32their master's thesis in investigative
  45. 1:34journalism at the VUB about what seems
  46. 1:36to be a new trend among youth. Nicotine
  47. 1:39pouches or snus. Small white pouches in
  48. 1:42a nice round box with attractive
  49. 1:45flavors from fresh mint to tingling
  50. 1:47cactus spice.
  51. 1:49>> Users place the pouches in their mouths
  52. 1:52under their upper lip. That gives a
  53. 1:54nicotine hit.
  54. 1:56>> In our country, you are not allowed to
  55. 1:58sell these, yet it is everywhere.
  56. 2:00>> Many people do that. You see it a lot
  57. 2:02at the station and at school,
  58. 2:04everywhere actually. People at my door,
  59. 2:06at my door. I know a lot of people who
  60. 2:09have done it, and even classmates who
  61. 2:10used to do it during class.
  62. 2:12>> But you see it everywhere in soccer. I
  63. 2:14see it when I go out. I see it at
  64. 2:16school. Everywhere.
  65. 2:18>> I think 60%of the kids. Yeah.
  66. 2:21>> 60%, that's a bit of an exaggeration.
  67. 2:24Our students conducted their own survey
  68. 2:26among 500 young people. It shows that
  69. 2:28over 10%of them have already tucked a
  70. 2:31nicotine pouch under their lip. 93%of
  71. 2:33young people know what nicotine pouches
  72. 2:36are. Snus smoke in Sweden. Instead of
  73. 2:51smoking and.
  74. 2:55>> Nicotine pouches are a Swedish
  75. 2:57invention. They are not prohibited
  76. 3:00there at all.
  77. 3:01>> You can get nicotine pouches everywhere
  78. 3:03in Sweden. Sweden. I have the white
  79. 3:07gold. Okay. This is nicotine pouches.
  80. 3:12>> For sale in specialized shops, but also
  81. 3:15just in the snack bar. Nicotine pouches
  82. 3:19or snus are integrated here. In Sweden,
  83. 3:22a smoker is an exception. They are into
  84. 3:26snus. Delicious. Those nicotine pouches
  85. 3:35only hit the market 10 years ago.
  86. 3:38Developed by this man, pharmacist
  87. 3:41Thomas Eriksson. We can call you the
  88. 3:45father of nicotine pouches, I think.
  89. 3:48>> I don't like to call me that.
  90. 3:50>> Why not? Yes, it's—we were many who
  91. 3:54contributed to this. There were many
  92. 3:59companies developing white pouches.
  93. 4:01>> Hm hm.
  94. 4:02>> As an alternative to smoke.
  95. 4:05>> Eriksson previously worked on
  96. 4:07developing Nicorette smoking cessation
  97. 4:09products. You get those at the pharmacy
  98. 4:11. Maybe bigger. The creators also want
  99. 4:21to turn nicotine pouches into a
  100. 4:23commercial success. Freely and widely
  101. 4:26available, just like cigarettes. They
  102. 4:29succeeded with these white pouches.
  103. 4:31Containing a powder soaked in nicotine,
  104. 4:34flavoring, and scents. Something
  105. 4:36different from traditional snus.
  106. 4:39>> This is made from tobacco.
  107. 4:41>> Hm hm. I call it ugly snus. They like
  108. 4:47the ugly one, so they have started to
  109. 4:49use this one instead. This smells very
  110. 4:52special; this doesn't smell. A little
  111. 4:56bit of flavor, but you can see the
  112. 4:58difference.
  113. 5:01>> And from a health perspective, it's not
  114. 5:04such a big difference, but this is the
  115. 5:06fastest growing. Eriksson's invention
  116. 5:12is quickly picked up by several tobacco
  117. 5:15giants. We requested an interview with
  118. 5:17the four largest ones. Almost all of
  119. 5:19them refused. Except for one: Philip
  120. 5:22Morris. Philip Morris claims it wants
  121. 5:25to help chain smokers quit, because
  122. 5:28cigarettes are unhealthy. We decided 10
  123. 5:32years ago to radically change course
  124. 5:35and, um, to commit to, uh, a smoke-free
  125. 5:38future. If we bring nicotine pouches to
  126. 5:42market, we are targeting that, uh,
  127. 5:44chain smoker we want to steer away from
  128. 5:47the cigarette. Um.
  129. 5:49>> Are you claiming that Philip Morris is
  130. 5:51concerned about public health? Philip
  131. 5:53Morris. Uh, it may sound very, very, uh
  132. 5:56, contradictory, uh, but we know that
  133. 5:59our, uh—the product that made us the
  134. 6:02company we are today, the cigarette—
  135. 6:04that the cigarette is the most harmful
  136. 6:07nicotine product. Yes, we have 1.5
  137. 6:10billion cigarettes per day today.
  138. 6:13>> Yes, I understand the skepticism and I
  139. 6:16understand very well what you—what
  140. 6:18you mean. Um, we said 10 years ago we
  141. 6:21are going to turn the ship around
  142. 6:23completely and we are going to say of
  143. 6:25the product that made us big: okay, we
  144. 6:28are going to try to phase that out as
  145. 6:30quickly as possible. And when we see
  146. 6:34that in countries like Sweden, where we
  147. 6:37do have these products on the market
  148. 6:39and where health gains can be achieved,
  149. 6:41then that is interesting to look at.
  150. 6:44>> Still remarkable. The tobacco industry
  151. 6:47wants to help us kick the cigarette.
  152. 6:51and she wants us to take a leaf out of
  153. 6:53Sweden's book. There, the number of
  154. 6:55smokers has supposedly dropped thanks
  155. 6:57to nicotine pouches. People use it all
  156. 7:01the time in every place.
  157. 7:03>> Everyone does it or most people
  158. 7:06>> mostly when I'm hanging out with my
  159. 7:08boyfriend because he's addicted to it.
  160. 7:10>> Do you have it on you?
  161. 7:11>> Yeah. Actually, I have one left in here
  162. 7:14. You can have it. Making a documentary
  163. 7:17about snus. Snus.
  164. 7:19>> Yeah. No, I don't. Max. Max.
  165. 7:23>> Max. And what does it do to you? It
  166. 7:28just makes me calm. Okay. Nothing more.
  167. 7:33>> And do you use it during soccer as well
  168. 7:35?
  169. 7:35>> Yeah.
  170. 7:37>> Sometimes, almost like 90%have tried it
  171. 7:40at least, many players use it.
  172. 7:44>> But I, I don't use it because it's,
  173. 7:47it's not a good thing. It's common that
  174. 7:52Swedish footballers give it to foreign
  175. 7:54players. So it's really amazing that
  176. 7:59snus is traveling from Sweden to
  177. 8:02England, uh, Belgium.
  178. 8:08>> That's how nicotine pouches ended up in
  179. 8:10our country, with former Anderlecht
  180. 8:13goalkeeper Frank Boeckx, for example.
  181. 8:15He smoked, but top-level sports and
  182. 8:17cigarettes, those don't go well
  183. 8:19together, of course. The solution came
  184. 8:22from the north.
  185. 8:23>> A friend of mine went to play in
  186. 8:25Copenhagen and said, "Yeah, I, uh, then
  187. 8:27from my teammates, um, tried it once.
  188. 8:30Uh, you should try it sometime, too."
  189. 8:32It doesn't smoke, that's much better
  190. 8:33for your lungs and it's much better.
  191. 8:34Those Scandinavians swear by it. Yeah.
  192. 8:38>> Frank Boeckx traded his cigarettes for
  193. 8:41snus. He was one of the first and has
  194. 8:44seen its use increase enormously over
  195. 8:46the years.
  196. 8:48>> It helps you focus better. But if you
  197. 8:51use it after the match, for some reason
  198. 8:53, it's also something that helps you
  199. 8:55relax. I was the only one in the
  200. 8:57dressing room at first who had a little
  201. 8:59tin like that. Eventually, everyone had
  202. 9:01that tin lying in their locker.
  203. 9:02>> Yeah. Um, and I, I'm not lying when I
  204. 9:06say one in three footballers uses snus,
  205. 9:08and in some dressing rooms, that goes
  206. 9:11above 50%.
  207. 9:13>> When it rains at the pro clubs, it
  208. 9:15drips at the amateurs. As a supposedly
  209. 9:18healthy alternative to smoking,
  210. 9:20nicotine pouches are becoming
  211. 9:21increasingly popular among young
  212. 9:23athletes. Our students are noticing
  213. 9:25that too.
  214. 9:26>> When did you first hear about snus?
  215. 9:28Actually through my brother, uh, he
  216. 9:30plays soccer and apparently it's really
  217. 9:32a trend in the soccer world.
  218. 9:33>> Uh, actually, my whole soccer team,
  219. 9:35like, before training, during matches,
  220. 9:37really, really a lot, actually, if I,
  221. 9:38if I see it like that.
  222. 9:40>> Also during matches?
  223. 9:41>> Yes, in the pause.
  224. 9:43>> I have heard that many footballers use
  225. 9:45it before they go play soccer or
  226. 9:47something.
  227. 9:47>> During gym, especially moments where I
  228. 9:49need to concentrate.
  229. 9:51>> I've seen that myself at soccer too, on
  230. 9:53the pitch. And in the locker rooms,
  231. 9:55even the stars. The Barcelona
  232. 9:57goalkeeper does it and is open about it
  233. 9:59too.
  234. 10:03>> Giel, one of our three students, has no
  235. 10:06experience with nicotine, but he wants
  236. 10:09to try such a nicotine pouch.
  237. 10:11>> I have um Pablo here. That is one of
  238. 10:14the best-known brands among the youth.
  239. 10:16>> Giel takes a pouch with 24 mg of
  240. 10:18nicotine in it. Not an extremely high
  241. 10:21dose. And there is a nurse present.
  242. 10:23>> We also did research on that with our
  243. 10:25thesis. And I always said back then,
  244. 10:27once I’ve submitted my thesis, I’m
  245. 10:29going to try a nicotine pouch. But it
  246. 10:42feels, it burns quite a lot.
  247. 10:45>> Pain. Yes, it is painful. Starting to
  248. 10:50spin. Very dizzy, but it is quite
  249. 10:57intense. The, the room is going like
  250. 11:01I’m on a ride. I’m going to take it
  251. 11:04out now, I think. Heart rate of 110.
  252. 11:16>> I felt it too. I felt it. We are also
  253. 11:20hyperventilating.
  254. 11:21>> Spots in my head and, but I really
  255. 11:24don’t feel good. But that minors do
  256. 11:38this, that is really not okay. Giel
  257. 11:45stays lying down for a moment, but
  258. 11:47recovers. What he experienced, they see
  259. 11:53in schools everywhere in Flanders. A
  260. 11:55few times a year at the Atheneum in
  261. 11:58Lier, for example.
  262. 11:59>> The first time I had taken one too
  263. 12:01strong, so uh that was really hard.
  264. 12:03>> The world really starts spinning fast.
  265. 12:06Got really sick and it only went away
  266. 12:08after half an hour.
  267. 12:09>> Last year, I had it twice that a
  268. 12:10student actually just started throwing
  269. 12:12up during class from using snus. Uh,
  270. 12:14that he actually had to leave the
  271. 12:16classroom and was sick from it. So that
  272. 12:18is very problematic.
  273. 12:19>> We found this yesterday on the chair
  274. 12:21next to the heating. It had also been
  275. 12:23thrown through the classroom. And then
  276. 12:25afterwards, it fell out of his pants
  277. 12:26pocket.
  278. 12:27>> You can also see it in their behavior,
  279. 12:28right. That attitude they have. Their
  280. 12:31eyes. Um, that sluggish feeling they
  281. 12:33have in class. So you can pick them out
  282. 12:35. Yeah.
  283. 12:40>> The white pouches smell intensely of
  284. 12:43fruit, candy, or mint and look harmless
  285. 12:45. But our students hear very different
  286. 12:48stories.
  287. 12:51>> A few months ago, I was having a bit of
  288. 12:53trouble with my gums. That was very
  289. 12:55sensitive. And when I brushed my teeth,
  290. 12:57it would bleed a lot. So that gum
  291. 13:00starts to recede.
  292. 13:01>> There was all this skin coming loose
  293. 13:03and, yeah, that just really wasn't
  294. 13:05pretty anymore.
  295. 13:06>> Sometimes, when you took it out, your
  296. 13:08lip would really come with it. Like,
  297. 13:11your gums would just come along with
  298. 13:14that snus. Yes, just come right out of
  299. 13:16your mouth. You could literally take it
  300. 13:19out of your mouth. Literally pieces of
  301. 13:21gum, because it has such a burning
  302. 13:24effect that it comes loose.
  303. 13:27>> Dentists are also seeing the
  304. 13:29consequences in their practice. Because
  305. 13:32there is reduced blood flow due to the
  306. 13:34nicotine, you are less able to fight
  307. 13:36off infections. Furthermore, because
  308. 13:39that pouch is mechanically rubbing
  309. 13:41against the gums, there can be very
  310. 13:44localized gum recession, sometimes
  311. 13:46leaving the tooth roots exposed.
  312. 13:49>> Nicotine is also extremely harmful to
  313. 13:52the heart and blood vessels.
  314. 13:54>> Nicotine is poison.
  315. 13:56>> Nicotine is a cardiovascular toxic
  316. 13:59substance. It is poison for your blood
  317. 14:02vessels. What does nicotine actually do
  318. 14:05? It works on certain receptors in your
  319. 14:07body, which actually triggers a type of
  320. 14:09stress reaction. Blood pressure goes up
  321. 14:11, heart rate goes up, our blood vessels
  322. 14:14change and constrict as a result of
  323. 14:16nicotine. And we know that all those
  324. 14:18effects lead to hardening of the
  325. 14:19arteries in the long term, and
  326. 14:21hardening of the arteries leads to
  327. 14:22heart attacks. So, in that way, you are
  328. 14:25actually laying the foundation for
  329. 14:27heart attacks in 20 or 30 years. But
  330. 14:30Philip Morris mainly sees benefits for
  331. 14:32health.
  332. 14:34>> A product itself is not the silver
  333. 14:37bullet. It is not just by offering a
  334. 14:39product that everything is suddenly
  335. 14:42solved. But the big difference between
  336. 14:45what we are doing in Belgium and what
  337. 14:48Sweden has achieved is the embracing of
  338. 14:50harm reduction.
  339. 14:54>> Nicotine pouches as a way to limit the
  340. 14:57damage. Not everyone in Sweden is
  341. 14:59convinced of that by a long shot.
  342. 15:02Professor Rosario Galanti, for example.
  343. 15:05A doctor who has been researching
  344. 15:07tobacco and nicotine use among the
  345. 15:09Swedish population for years. Almost
  346. 15:13everything is less dangerous than
  347. 15:15smoking.
  348. 15:17>> Do you think that nicotine pouches can
  349. 15:19have a role in stopping smoking? From
  350. 15:27what we see from Sweden? No. Sweden has
  351. 15:30demonstrated the contrary. Smoking.
  352. 15:35Declining smoking. Resokers.
  353. 15:47>> The figures prove that the number of
  354. 15:49smokers in Sweden has been declining
  355. 15:52for decades, while the use of nicotine
  356. 15:54pouches is a recent phenomenon in
  357. 15:56Sweden as well. There is also another
  358. 16:02health problem, because nicotine is not
  359. 16:04only harmful to the body, it is also
  360. 16:07highly addictive. I was completely
  361. 16:09hooked on it. I couldn't go a day
  362. 16:12without it. I once tried to cut back by
  363. 16:15just saying I would buy the 12 mg ones
  364. 16:18and stick to those. But eventually, you
  365. 16:21take two at once. Your body is so used
  366. 16:23to it that, at a certain point, it
  367. 16:26actually craves it a bit. It might
  368. 16:28sound really stupid, but I know that if
  369. 16:31I stop snus now, I would go back to
  370. 16:33vaping or cigarettes.
  371. 16:34>> It is an addiction you can actually
  372. 16:36hide very easily because you're just
  373. 16:38functioning perfectly and acting normal
  374. 16:39while you have it. You'd rather not go
  375. 16:41outside; it's not that obvious. You're
  376. 16:44going to get higher concentrations even
  377. 16:45more easily. You're going to become
  378. 16:47even more dependent on nicotine.
  379. 16:49>> Frank Boek stopped using snus in April
  380. 16:52of this year. He also had a very hard
  381. 16:54time after 15 years of use.
  382. 16:57>> Three days of cold sweats, three days
  383. 16:59of, um, yeah, hot flashes. Feeling bad,
  384. 17:03cranky, and annoying toward my wife.
  385. 17:06Just like a heroin addict who isn't
  386. 17:08getting his fix.
  387. 17:09>> Now he doesn't use it anymore, or
  388. 17:11hardly at all. Look, I'm going to sneak
  389. 17:14one from you anyway. That's one that
  390. 17:18I'm eating. H Nicotine is actually
  391. 17:22among the most addictive drugs in the
  392. 17:24world. And that is because it falsely
  393. 17:27interferes with the nervous system.
  394. 17:30>> Tobacco prevention expert Philip Lardon
  395. 17:33says that nicotine causes a sharp rise
  396. 17:36in dopamine. A substance that creates a
  397. 17:38feeling of happiness. But of course, if
  398. 17:41a starting snus user takes relatively a
  399. 17:43lot of nicotine at first and then less
  400. 17:45later because they stop, the brain will
  401. 17:47actually say, "Yeah, but we want more
  402. 17:49nicotine back." And that is the craving
  403. 17:51that keeps growing for that nicotine.
  404. 17:53And it actually gets even worse if we
  405. 17:56do that with minors. If we influence
  406. 17:58nicotine and dopamine at that moment,
  407. 18:00then the reward center of those young
  408. 18:02people will be affected for the rest of
  409. 18:05their lives. So it doesn't just have an
  410. 18:08even stronger addictive effect on
  411. 18:10minors. It will also have even worse
  412. 18:13long-term consequences. That's a
  413. 18:16disaster, isn't it? We have seen the
  414. 18:19number of cigarettes smoked decrease
  415. 18:21for 20, 30 years. If we now get a whole
  416. 18:24generation of young people addicted to
  417. 18:26this product or similar products, they
  418. 18:29will have just as much trouble stopping
  419. 18:31later when they realize it might not be
  420. 18:33that healthy after all. And we know
  421. 18:36that all those who keep using it will
  422. 18:38unfortunately end up becoming clients
  423. 18:40of cardiologists.
  424. 18:41>> I think so, absolutely. So nicotine is
  425. 18:44addictive. Nicotine is certainly not
  426. 18:48risk-free. So if we focus on that adult
  427. 18:51smoker who needs to evolve away from
  428. 18:53the cigarette, then it is mainly the
  429. 18:56combustion that we want to avoid. So if
  430. 19:01that combustion can be eliminated and
  431. 19:04we let that adult smoker switch to
  432. 19:06something that is much less harmful,
  433. 19:08then we are making great progress in
  434. 19:10terms of smoke-related diseases. The
  435. 19:15target group for nicotine pouches is
  436. 19:17therefore older, long-term smokers. Not
  437. 19:20young people, says Philip Morris.
  438. 19:22>> We do not target young people. We do
  439. 19:25not target new nicotine users. We focus
  440. 19:28exclusively on the adult smoker whom we
  441. 19:31help make the switch.
  442. 19:33>> Sari de Grave finds that hard to
  443. 19:36believe. At Ghent University, she
  444. 19:39researches the normalization of
  445. 19:41unhealthy products among young people.
  446. 19:47We can't explicitly accuse the industry
  447. 19:50of targeting youth, but there are many
  448. 19:52implicit cues involved that attract
  449. 19:55them. And there is scientific evidence
  450. 19:59that these types of cues work. So, it
  451. 20:02is certainly no coincidence that these
  452. 20:04products look the way they do. It’s
  453. 20:06playful packaging, a modern font—
  454. 20:09things that attract young people.
  455. 20:11Bright colors, for instance, too. This
  456. 20:14is actually a good example of that. It
  457. 20:17is typical to make products pink to
  458. 20:20signal to ladies, you can use this too.
  459. 20:22Yes, this one, for example, I find is
  460. 20:25very clearly aimed at young people.
  461. 20:27That is also very, yes, that Pablo Esco
  462. 20:29one. It’s really that idea of, this
  463. 20:31is cool. It’s fun to take something
  464. 20:34like that. You’re taking a risk.
  465. 20:36You’re doing something that’s
  466. 20:38already a bit outside the lines. On
  467. 20:42social media, nicotine pouches are
  468. 20:44presented as performance-enhancing.
  469. 20:48>> Just look at Daddy Wellness.
  470. 20:52>> Oh my goodness.
  471. 20:54>> An American health guru with over 2
  472. 20:56million followers.
  473. 21:00>> That branding is also very often done
  474. 21:03on social media. More and more
  475. 21:06influencer marketing and just having a
  476. 21:09kind of fun online presence on
  477. 21:11Instagram. How old is he here?
  478. 21:16>> Those are people you want to be. So,
  479. 21:19really building a brand and not just
  480. 21:21presenting nicotine pouches and trying
  481. 21:24to sell them.
  482. 21:26>> The sale of nicotine pouches is
  483. 21:29prohibited in Belgium, there are checks
  484. 21:31, and yet you can get them everywhere.
  485. 21:34>> Most newsagents or night shops?
  486. 21:36>> Night shops. They sell that everywhere.
  487. 21:39>> Yes.
  488. 21:40>> Yes, in night shops for sure.
  489. 21:41>> Okay.
  490. 21:42>> Through dealers. People who buy in bulk
  491. 21:45and then resell to young people, or buy
  492. 21:48cheap, or some night shops sell them,
  493. 21:50or bookstores or something. So yes,
  494. 21:53it’s all illegal, but they always
  495. 21:55manage to get them. Our students '
  496. 22:00research shows that some users start
  497. 22:02dealing themselves. I started doing
  498. 22:06that purely because I wanted to earn an
  499. 22:08extra buck, and after a while, the
  500. 22:10money just kept coming. So I thought,
  501. 22:13I'll continue, and I've been doing it
  502. 22:16for about six months now. At first, I
  503. 22:18started on Insta. People would message
  504. 22:20me like, "Yo, do you have snus?" And
  505. 22:22then I’d send them, "Yes, which one
  506. 22:24and how much it costs." Yes, then I
  507. 22:26just had people add me on Snapchat,
  508. 22:28because word got around that I was the
  509. 22:30dealer. When I started, I was 17. So I
  510. 22:34had a friend who was already 18, and
  511. 22:37yeah, I had him buy me 20 tubs a week.
  512. 22:40And uh, it would arrive at his house.
  513. 22:43I’d pay him, and then I’d just
  514. 22:45resell them. It's about cash and bank
  515. 22:47transfers, because some people transfer
  516. 22:49the money since they don't have cash.
  517. 22:52And I find that risky, because my
  518. 22:54parents can see that. So I think I'm at
  519. 22:57about 1600 or so in total. So that’s
  520. 23:02a nice bit of extra money, I think.
  521. 23:05There is indeed money to be made with
  522. 23:07nicotine pouches, and Philip Morris is
  523. 23:10doing very well at it. Over the last 10
  524. 23:14years, revenue has grown by more than
  525. 23:17half to about 36 billion in 2025, with
  526. 23:20a net profit of over 8 billion euros.
  527. 23:25The number of smokers worldwide is
  528. 23:27falling. The rise in revenue is
  529. 23:29therefore mainly due to the growing
  530. 23:32share of smoke-free nicotine products.
  531. 23:34They now account for almost half of
  532. 23:37total revenue. Nicotine pouches in
  533. 23:40particular are seeing explosive growth.
  534. 23:43And not just at Philip Morris. Global
  535. 23:46sales have increased almost tenfold in
  536. 23:505 years. From 4 to 37 billion pouches.
  537. 23:55>> But maybe you just want to make money.
  538. 23:57>> We are a commercial company. I
  539. 23:59understand your question very well. We
  540. 24:02are a commercial company, and obviously
  541. 24:04, uh, all sorts of things are involved
  542. 24:06in that. Uh, being profitable is one
  543. 24:09thing, but uh, investing in innovation
  544. 24:11is another. Employing people is another
  545. 24:14. Paying taxes is part of that too. But
  546. 24:18I think what we are mainly focused on
  547. 24:21now is taking our responsibility to
  548. 24:23ensure that those, uh, billion smokers
  549. 24:26of today have a, uh, realistic
  550. 24:28alternative.
  551. 24:32>> Buying nicotine pouches is not legally
  552. 24:34allowed, yet they are very easy to
  553. 24:37order online. Our students try it.
  554. 24:40>> Which ones are we buying? A bit of
  555. 24:42everything, right? A bit of everything.
  556. 24:45>> A tin with 20 pouches costs about € 4
  557. 24:48on average. Order placed, then.
  558. 24:52>> The illegal order from our students is
  559. 24:54also counted in the tobacco industry's
  560. 24:56revenue. Because according to the
  561. 24:59Federal Public Service for Health, the
  562. 25:01nicotine pouches circulating in Belgium
  563. 25:03were produced for a legal market.
  564. 25:05>> Actually, I am curious.
  565. 25:07>> Yes. You have to smell it. This one
  566. 25:13smells like bubble water.
  567. 25:15>> Wintergreen watermelon.
  568. 25:20>> But yeah, it arrived without any
  569. 25:22problems, right?
  570. 25:23>> Yes. In our country, nicotine pouches
  571. 25:29may not be traded. The same applies to
  572. 25:32the Netherlands or Germany. In France,
  573. 25:34even the possession and use of nicotine
  574. 25:37pouches is a punishable offense. In
  575. 25:39many other European countries, such as
  576. 25:42Sweden, the Czech Republic, or Croatia,
  577. 25:44they are legal. This makes it very easy
  578. 25:48to bypass the law.
  579. 25:51>> If people go buy them across the border
  580. 25:53or while traveling, then we haven't
  581. 25:55achieved much, have we, if we have such
  582. 25:57a patchwork of differences between
  583. 25:58national member states. And it's also a
  584. 26:01rather internationally organized
  585. 26:03industry, which is why Europe is
  586. 26:05naturally stronger at providing an
  587. 26:07answer here than individual member
  588. 26:09states.
  589. 26:09>> Liesbeth Sommen sits in the European
  590. 26:12Parliament for the CD&V. She works in
  591. 26:15the Public Health Committee on new
  592. 26:17European legislation. Because nicotine
  593. 26:20pouches currently fall outside of
  594. 26:22tobacco legislation since they contain
  595. 26:24no tobacco. So, for nicotine pouches,
  596. 26:27there are no rules regarding packaging,
  597. 26:29advertising, or excise duties. And that
  598. 26:32must change, she says.
  599. 26:34>> So we actually need to evolve from a
  600. 26:36tobacco directive to a nicotine
  601. 26:38directive. And that is what will be
  602. 26:40presented at the end of this year. And
  603. 26:42the European Parliament will decide
  604. 26:44whether it's a good idea to adjust that
  605. 26:47or not. If the tobacco industry wants
  606. 26:53to stop or reverse that tightening, it
  607. 26:55has to convince politicians, and so the
  608. 26:58lobbying begins. We are here at one of
  609. 27:00our buildings. Why? Because we have
  610. 27:03Philip Morris and we have Hill&Knowlton
  611. 27:06, an international consultancy company.
  612. 27:08Hans van Scharen is leading a group of
  613. 27:10interested people around the European
  614. 27:12quarter in Brussels on a so-called
  615. 27:14lobby tour. Van Scharen knows the
  616. 27:17European Parliament very well. He
  617. 27:19worked there for 10 years as an
  618. 27:21assistant to Green MEP Bart Staes. Now
  619. 27:24he focuses on lobbying work in Brussels
  620. 27:26.
  621. 27:26>> Tobacco industry is very much back.
  622. 27:29They were a bit in the corner. The
  623. 27:30lobby sector in Brussels is
  624. 27:32gigantically large. Between 25,000 and
  625. 27:3430,000 people are employed in that
  626. 27:35sector here in Brussels. Amounts
  627. 27:37between 2 and 3 billion [euros] per
  628. 27:39year circulate in it. That happens
  629. 27:41through appointments. They call up or
  630. 27:43send an email and say: "Can we come by
  631. 27:45sometime?" But sometimes it also
  632. 27:47happens literally behind the scenes, in
  633. 27:49the hallways, or people knocking on
  634. 27:51your office door saying, "Oh, can I
  635. 27:53hand you something?" Yes, those people
  636. 27:56are glib, charming, polite, and have
  637. 27:59seemingly solid arguments.
  638. 28:03>> We are a company that is fully
  639. 28:05committed to innovation and fully
  640. 28:07committed to sustainability. We have
  641. 28:11been investing for years in research
  642. 28:14and development, and we continue to do
  643. 28:16research, and we feel it is our moral
  644. 28:18responsibility to continue sharing
  645. 28:21those research insights with
  646. 28:22policymakers so that those policymakers
  647. 28:25can make informed and scientifically
  648. 28:27sound decisions.
  649. 28:31>> That sounds self-evident, but it is not
  650. 28:34. Because scientists and governments
  651. 28:37have known for decades that tobacco
  652. 28:39products are extremely harmful. As a
  653. 28:41result, meetings between politicians
  654. 28:43and the tobacco industry are strictly
  655. 28:46limited. That is clear from the World
  656. 28:49Health Organization's Framework
  657. 28:51Convention on Tobacco Control, which
  658. 28:54was signed and ratified by our country
  659. 28:56and European institutions in 2005. That
  660. 29:00treaty aims to limit the influence of
  661. 29:03the tobacco lobby.
  662. 29:04>> We are talking about an industry that
  663. 29:07causes 7 million deaths per year and
  664. 29:10that has clearly been deceiving
  665. 29:12everyone for decades. It has
  666. 29:14manipulated the science and twisted the
  667. 29:17information. So, shouldn't you be a bit
  668. 29:20careful in your direct dealings with
  669. 29:22such an industry and its lobbyists? I
  670. 29:24think so. The treaty calls for keeping
  671. 29:27contacts with the tobacco industry to a
  672. 29:30minimum. Meetings are only allowed if
  673. 29:32you need technical information to
  674. 29:34create better regulations. What
  675. 29:37substances are exactly in such a pouch,
  676. 29:40for example? It must not be about
  677. 29:42employment, fiscal matters, or even
  678. 29:45health policy. And any contact must, in
  679. 29:48any case, take place in complete
  680. 29:51transparency.
  681. 29:52>> If you do it anyway, you must ensure it
  682. 29:54happens in a transparent manner. That
  683. 29:56other actors are invited as well. In
  684. 29:59particular, health experts or NGOs, or
  685. 30:01people who do not come from the tobacco
  686. 30:03sector. And you must publish the
  687. 30:06minutes.
  688. 30:07>> Do our politicians follow these
  689. 30:09recommendations? The European
  690. 30:12Parliament's transparency register
  691. 30:14shows that most of our Flemish Members
  692. 30:16of the European Parliament do not talk
  693. 30:19to the tobacco industry at all.
  694. 30:21>> I do not meet with them. I see little
  695. 30:23added value in it, because their
  696. 30:25message, for instance about nicotine
  697. 30:28pouches being a good aid for quitting
  698. 30:30smoking or healthier than cigarettes. I
  699. 30:32am not open to that message, so my door
  700. 30:35is closed to them. But a few MEPs do
  701. 30:38open their doors. There are 13 Flemish
  702. 30:41ones. Five of them have sat down with
  703. 30:44Philip Morris a few times. Johan Van
  704. 30:46Overtveldt and Chris Van Dijk from N-VA
  705. 30:49. Tom Vandendriessche and Barbara Bonte
  706. 30:51from Vlaams Belang, and Hilde Vautmans
  707. 30:54from Renew. We head to the European
  708. 30:57Parliament. Today is the State of the
  709. 30:59Union. But a resolution is also being
  710. 31:02voted on, which includes the subject of
  711. 31:04nicotine pouches. We ask our
  712. 31:07politicians for an interview regarding
  713. 31:09this. Hilde Vautmans gives a few TV
  714. 31:11interviews, but she does not want to
  715. 31:14talk about her meetings with Philip
  716. 31:16Morris on camera.
  717. 31:17>> No, I'm not going to do that. I will
  718. 31:19answer you, but I am not going to mix
  719. 31:21things. I am fully occupied with the
  720. 31:23State of the Union. But it is just one
  721. 31:25quick question about your tobacco
  722. 31:27meeting with Philip Morris.
  723. 31:30>> A bit later, off camera, she does give
  724. 31:32us some explanation. The conversation
  725. 31:35with Philip Morris was about jobs in
  726. 31:37her region, Limburg, she says, and
  727. 31:39about the strict European and Belgian
  728. 31:41legislation. Johan van Overveld and
  729. 31:45Chris van Dijk also refuse to appear on
  730. 31:47camera to explain. Via WhatsApp, they
  731. 31:50even claim that tobacco is not within
  732. 31:52their policy domain. The N-VA party
  733. 31:56spokesperson added that the discussions
  734. 31:58were about fiscal or health policy. We
  735. 32:01are not given any details. Not any
  736. 32:04notes either. These politicians'
  737. 32:07contacts therefore go against the WHO's
  738. 32:10recommendations. Barbara Bonte of
  739. 32:13Vlaams Belang also had similar contacts
  740. 32:15, but she is willing to speak openly
  741. 32:18about them.
  742. 32:18>> Well, I speak with everyone. I am very
  743. 32:21open about that. I also think, of
  744. 32:23course, that you have to, well, hear
  745. 32:25their arguments somewhere, right? If
  746. 32:27only to know how they think as well.
  747. 32:29And sometimes they have good arguments.
  748. 32:31Yes. When it comes, for example, to
  749. 32:34those so-called substitutes for
  750. 32:36cigarettes, yes, they will do
  751. 32:37everything they can to show that: it's
  752. 32:40good for public health, it will help
  753. 32:42people quit smoking, it's good for
  754. 32:44investments and the economy, a
  755. 32:46win-win-win-win situation, and it's
  756. 32:48good for the treasury, and so on and so
  757. 32:50forth. Long live the Swedish model.
  758. 32:55While all attention is on the State of
  759. 32:58the Union, the parliament is also
  760. 33:00voting on a resolution regarding
  761. 33:02cardiovascular diseases. In it, there
  762. 33:04is more focus on nicotine pouches.
  763. 33:11Union. It would be the first time they
  764. 33:15are mentioned in a European Parliament
  765. 33:17text. The parliament is asking to
  766. 33:21include nicotine pouches in the next
  767. 33:23tobacco directive.
  768. 33:24>> An important political moment.
  769. 33:27>> Certainly, because the European
  770. 33:29Commission is watching very closely
  771. 33:31what we do here. The European
  772. 33:32Parliament is responsible for that
  773. 33:35product directive. And so, if we were
  774. 33:38against it the moment the commission
  775. 33:40proposes it, then it naturally cannot
  776. 33:43get through that parliament. So, here
  777. 33:45the parliament will give a clear signal
  778. 33:48. Do we want that legislation to be
  779. 33:50adjusted or not?
  780. 33:51>> The vote is closed and it is adopted.
  781. 33:55>> The resolution is adopted. Almost
  782. 33:58everyone votes in favor. But Vlaams
  783. 34:01Belang abstains.
  784. 34:02>> We abstained because it also touches on
  785. 34:05prevention. That is, of course,
  786. 34:07primarily a competence of the member
  787. 34:09states. And that is the reason why we
  788. 34:12abstained.
  789. 34:12>> The tobacco industry's arguments do
  790. 34:15find a hearing with Vlaams Belang.
  791. 34:19>> I think that cigarettes should be
  792. 34:21regulated or treated differently than,
  793. 34:24for example, those nicotine pouches,
  794. 34:26which are actually less harmful. I'm
  795. 34:28not going to say they are harmless, but
  796. 34:31that they are less harmful. Than
  797. 34:33cigarettes, of course. Yes. If you look
  798. 34:36at all the substances you're taking in,
  799. 34:38that is, of course, a—well, quite a
  800. 34:40big difference. So I find that, in that
  801. 34:42resolution, there is, um, too little
  802. 34:45differentiation being made.
  803. 34:49>> There was also political lobbying
  804. 34:51during the recent federal government
  805. 34:53budget negotiations. Deputy Prime
  806. 34:56Minister David Clarinval of the MR is
  807. 34:58advocating for the legalization of
  808. 35:01nicotine pouches and other smoke-free
  809. 35:03products. Thanks to a collaboration
  810. 35:06with Knack, we were able to get our
  811. 35:08hands on the documents that the MR
  812. 35:10brought to the negotiating table. And
  813. 35:12those appear to have been drafted by
  814. 35:15Philip Morris itself. In the metadata,
  815. 35:18we find two names. Nicolas Stenier and
  816. 35:22Tom Janses. LinkedIn tells us that they
  817. 35:26are both external affairs managers at
  818. 35:28Philip Morris. No problem, they say
  819. 35:31there. All policymakers who are
  820. 35:35interested in this issue, we provide
  821. 35:37them with the information that is
  822. 35:39needed about the products, but also
  823. 35:41about the science and the impact.
  824. 35:45>> Clarinval's office sees no issue with
  825. 35:48this. Yes, we talk to the sector. They
  826. 35:51have the expertise to advise us.
  827. 35:53That’s what they tell us. In this way
  828. 35:56, the WHO's recommendations are being
  829. 35:58ignored once again. I am 15 and I’ve
  830. 36:00been vaping for 2 and a half years. Big
  831. 36:03business, isn't it?
  832. 36:04>> The lobby is also trying to influence
  833. 36:07the general public. Late last year, VRT
  834. 36:09received an offer to co-produce and
  835. 36:12broadcast the documentary "Just No
  836. 36:14Reason." It’s about illegal vapes and
  837. 36:17is offered by the communication agency
  838. 36:20Mind the View from Antwerp. In the
  839. 36:22documentary, Professor Philip Lardon,
  840. 36:24among others, is interviewed. It’s an
  841. 36:27eye-opener, I must say.
  842. 36:28>> The authority in tobacco prevention.
  843. 36:31You saw him here earlier. VRT did not
  844. 36:34accept the offer because Pano had
  845. 36:37previously made a critical report about
  846. 36:40vapes. The makers also went to talk to
  847. 36:43VTM. They wanted to work on it
  848. 36:45editorially. But Mind the View wasn't
  849. 36:48interested in that. Still, the film was
  850. 36:51completed. It appeared on YouTube in
  851. 36:53the spring. So, Mind the View found
  852. 36:56money elsewhere to make the report. We
  853. 36:59hear from a good source that it might
  854. 37:01have come from the tobacco industry.
  855. 37:04Call with David.
  856. 37:06>> We are calling David Akke, one of the
  857. 37:08creators of the documentary. Was BAT,
  858. 37:11British American Tobacco, indeed the
  859. 37:13commissioner or financier of that
  860. 37:16documentary?
  861. 37:17>> Together with journalist Camille
  862. 37:19Vermijlen from the weekly magazine
  863. 37:21Knack, we were able to uncover that
  864. 37:22there is money from the tobacco
  865. 37:24industry involved.
  866. 37:25>> The information we received suggests it
  867. 37:27concerns an amount in the neighborhood
  868. 37:29of € 40,000. Akke does not want to
  869. 37:33give an on-the-record interview, but
  870. 37:35our information is correct. What we
  871. 37:38also know is that the FOT public health
  872. 37:41department has launched an
  873. 37:42investigation and that those
  874. 37:44interviewed in the report were informed
  875. 37:47. Professor Lardon is shocked.
  876. 37:50>> I actually found it extremely upsetting
  877. 37:52that a documentary I had contributed to
  878. 37:54in good faith was sponsored by a
  879. 37:56tobacco giant. I found it extremely
  880. 37:59upsetting. Because, of course, I never
  881. 38:01want to be associated with the tobacco
  882. 38:03industry in any way. On the contrary,
  883. 38:06even if they want to sponsor a report
  884. 38:08on illegal vapes, they are obviously
  885. 38:11doing it to sanitize the image of their
  886. 38:13own legal, addictive nicotine products.
  887. 38:16While those actually come with an
  888. 38:18unimaginable amount of problems as well
  889. 38:20. Especially among young people. But I
  890. 38:23didn't know. I was only informed about
  891. 38:25it afterwards. I immediately asked the
  892. 38:27documentary makers to take everything
  893. 38:29offline. They have done so.
  894. 38:32>> In the conversation with the VRT, the
  895. 38:34makers never mentioned that British
  896. 38:36American Tobacco would be involved in
  897. 38:38the production. Nor was it mentioned to
  898. 38:42the interviewees in the report that we
  899. 38:44spoke to. We asked British American
  900. 38:48Tobacco if they paid Mindiew for the
  901. 38:50documentary. There is no response. That
  902. 38:57is the power of the tobacco industry,
  903. 38:59isn't it. I have even had offers to
  904. 39:02come to their headquarters in the US to
  905. 39:04see how well-intentioned they all are.
  906. 39:07Everything would be paid for. Yeah, I'm
  907. 39:10not doing that. I don't want that
  908. 39:12connection.
  909. 39:13>> Are nicotine pouches the cigarettes of
  910. 39:16today, experts wonder. only to find out
  911. 39:19in 30 years that we better hadn't
  912. 39:21started it. I think Swedish population
  913. 39:46to be nicotine users, 30%of them. I'm
  914. 39:50talking about nicotinism because
  915. 39:52smoking is on its way out. Stupid, not
  916. 40:00good, and expensive and addictive. Yes,
  917. 40:06I do think about that, too. people to
  918. 40:14access to
  919. 40:20>> I find it more normal than someone who
  920. 40:22smokes or vapes or something; this is
  921. 40:25like, yeah I don't know, a new way of
  922. 40:27smoking or something.
  923. 40:29>> It's really normalized, but it's
  924. 40:31actually not normal. Do you think there
  925. 40:34is enough awareness about that?
  926. 40:36>> No.
  927. 40:37>> Regarding nicotine?
  928. 40:38>> No. You have to have so much nicotine
  929. 40:40in your body. That will have had bad
  930. 40:42effects regardless. If you really do it
  931. 40:44for a long time, you can get damage to
  932. 40:46your brain. That is perhaps what I am
  933. 40:48most worried about. It is better to
  934. 40:51just quit now. Because the longer you
  935. 40:53stick with it, the harder it will be.
  936. 40:56>> I hope that in 30 years I am still not
  937. 40:58involved with those nicotine pouches.
  938. 41:00>> But every time I drive past the corner
  939. 41:03store, then or or, well, anyway.
  940. 41:05>> if you don't do that then it's boring
  941. 41:08or you're not fun. And that is so weird
  942. 41:11because why? That's unhealthy, right?

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