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Tobacco Harm Reduction Weekly Roundup: September 28 - October 04, 2026

·1621 words·8 mins·
K. Farsalinos, MD, MPH, PhD | Science & Public Health
Author
K. Farsalinos, MD, MPH, PhD | Science & Public Health
Table of Contents

Bottom line up front
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The week’s biggest story was the US FDA confirming (30 Sept) that it will pursue rulemaking to replace the 2021 PMTA framework. A GAO audit published days later showed why: 131,915 applications were still unresolved at the end of 2025, waiting an average of 1,266 days. In Europe, the UK’s vaping duty and duty-stamp scheme went live on 1 October, Germany’s four-year tax rise moved through parliament, and the EU Tobacco Products Directive revision drew more criticism over the evidence it relies on.

Coverage window: 27 September – 4 October 2026. Items outside the window were excluded.


United States
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FDA confirms it will pursue a new PMTA rulemaking (30 Sept)
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  • The FDA said it will “evaluate changes to the premarket tobacco product application regulatory framework, including initiating new rulemaking” that could replace the 2021 PMTA rule.
  • Stated reasons: experience administering the 2021 rule, growth of illicit and unregulated markets, the pace of new product introductions, and recent litigation.
  • Applications continue to be processed under current rules in the meantime.
  • CTP Director Bret Koplow said the agency is moving away from “one-size-fits-all” approaches and developing a supplemental PMTA pathway, so manufacturers can modify authorized products without restarting full reviews.
  • The announcement does not say what the replacement framework will look like.
  • Reason’s coverage reports roughly 130,000 pending applications as of March 2026, and cites a company whose flavored pouch applications took 321 days just to be accepted for review.

Earlier reports of faster flavored-vape and pouch reviews (1 Oct)
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It has been reported that the administration is preparing changes to speed reviews of flavored vapes and nicotine pouches. This rests on a 24 September Tobacco Reporter summary of Wall Street Journal coverage, which Reuters could not independently verify. An HHS spokesperson cited three goals: keeping nicotine from minors, removing counterfeit vapes, and giving adult smokers alternatives. The official FDA announcement of 30 September now confirms the direction of travel.

GAO audit: 131,915 applications pending, average wait 1,266 days (reported 3 Oct)
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  • GAO found 131,915 unresolved applications as of 31 December 2025, with an average wait of 1,266 days.
  • It also found that FDA “lacks the data needed to systematically determine whether scientific reviews meet applicable timelines.”
  • HHS agreed to upgrade tracking across all three premarket pathways.
  • Accelerated PMTA screening fell from 845 days (2022) to 156 days (2025).
  • Lessons from the nicotine pouch pilot have been applied to e-cigarette reviews since April 2026.
  • The legacy eSubmitter system is replaced by CTP Portal NextGen on 14 November 2026.

Litigation over the FDA’s enforcement policy (2 Oct)
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A company producing e-cigarette liquids is seeking to intervene in a lawsuit brought in July by public health groups, including the Campaign for Tobacco-Free Kids, the American Academy of Pediatrics and the American Cancer Society. The suit challenges the FDA’s 8 May guidance letting certain unauthorized vapes and nicotine pouches stay on the market while their PMTAs are pending. The groups argue the FDA has no authority to create such a “safe harbor.” Schwartz says overturning it could force its products off the market, even though it separately sued the FDA in November 2025 over review delays.

Other FDA items
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  • Transparency Roadmap (3 Oct): The FDA’s new roadmap does not commit to expanded disclosure of PMTA records, deficiency letters or marketing denial orders. It focuses mainly on drugs and biologics.
  • Registration form (29–30 Sept): The FDA introduced a redesigned, unified establishment registration and product listing form.

State rules: Pennsylvania and Virginia
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  • Pennsylvania (Act 57): Enforcement of the state vape directory starts 19 October. Unlisted products can be seized, with fines up to $1,500 per day per unlisted product. One retailer said 97% of its vapes are not on the list, and only about 39 e-cigarettes from a handful of brands qualify statewide.
  • Virginia: A retail permit requirement for vape sellers began on 1 October. More than 3,000 businesses applied in September alone. Fees are $300 or $400, and civil fines for selling unlisted products start at $5,000.

Market data: pouches growing as cigarettes decline (2–3 Oct)
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NACS research shows convenience-store cigarette dollar sales down 2.5% over 52 weeks. The “smokeless tobacco alternatives” subcategory, which includes nicotine pouches, rose 22.4% in dollar sales and 15.2% in units.


United Kingdom
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Vaping Products Duty and duty stamps began 1 October
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  • The duty is £2.20 per 10ml of vaping liquid, charged to manufacturers, importers and warehousekeepers. Whether the cost reaches consumers is a commercial decision.
  • Transitional (non-digital) stamps are allowed until 31 December 2026. Digital stamps are required on new products from 1 January 2027. A grace period for eligible unstamped stock runs to 31 March 2027.
  • Tobacco duty also rose by £2.20 per 100 cigarettes or 50g, which the government says preserves the incentive to switch to vaping.
  • Expected revenue is over £550 million a year by 2030–31, with an enforcement cost of £30 million a year through 2028–29.
  • China’s vape exports to the UK are reported to have reached $177 million in August 2026 (+51.4% year on year).
  • Treasury minister James Murray said the measures help “get illicit vapes off high streets.”. It will probably cause the exact opposite: an exacerbation of the illicit market.

European Union and Europe
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Germany: four-year tax rise advances (reported 2 Oct)
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After its first reading on 24 September, the Bundestag sent the bill to committee (Finance Committee leads). - Vape liquid: €0.32/mL now, rising by €0.01 a year to €0.36/mL in 2030. - Cigarettes: from about 20.27 to 28.77 cents per stick by 2030. - Heated tobacco: from 16.65 to 23.12 cents per stick. - The government projects an average 20-cigarette pack rising from €8.05 to about €11.36, and extra revenue of €756 million in 2027 rising to €3.59 billion a year by 2030.

Germany: €33 million vape tax-evasion case (28 Sept)
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Customs executed 13 arrest warrants over the alleged smuggling of more than 7.6 million disposable vapes from China (Jan 2024 – Mar 2025), involving about €33.3 million in unpaid excise tax. 23 suspects are named, and about 600,000 vapes were seized.

Belgium: illicit-market survey (30 Sept)
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An industry-commissioned survey of 2,800 discarded packs in 18 cities found 50.6% were foreign-market or counterfeit (46% foreign, 4.6% counterfeit), up from 44.4% in March 2026. Bulgaria was the largest source (30%). The survey cannot tell legal cross-border purchases from illicit trade, and it was commissioned by the industry.

EU Tobacco Products Directive revision: criticism over evidence (3 Oct)
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Euro Weekly News reports that more than 100 scientists and public-health experts wrote to Commission President von der Leyen claiming “131 relevant scientific studies had been left out of the analysis.” The revision targets e-cigarettes, heated tobacco and nicotine pouches. Harm-reduction advocates say combustion, not nicotine, causes most harm. Public-health groups counter that tighter rules are needed to limit youth uptake. The article also cites €12.8 million a year of EU funding to nine Brussels-based tobacco-control groups. Note: the letter’s own date was not confirmed; only the article date (3 Oct) is verified.


Asia and global advocacy
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  • 9th Summit on Tobacco Harm Reduction (virtual, 28–30 Sept): In coverage dated 4 Oct, experts including Dr Mohsin Wali and Prof. Neal Benowitz argued that smokers need clinical cessation support alongside policy, and that “nicotine and cigarette smoking should not be treated as synonymous.”
  • AFN26 announced (30 Sept): The Asia Forum on Nicotine takes place 16–17 October in Manila. The organizers state that eight of eleven ASEAN nations ban e-cigarettes or heated tobacco products.

What to watch next
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  • Details and timing of the FDA’s PMTA rulemaking and the supplemental PMTA pathway.
  • The outcome of the Schwartz intervention in the challenge to the FDA’s enforcement guidance.
  • Pennsylvania’s directory enforcement on 19 October.
  • AFN26 in Manila on 16–17 October.
  • UK stamp deadlines on 31 December 2026, 1 January 2027 and 31 March 2027.
  • German Finance Committee review of the tax bill.

Sources
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