Japan's medical practitioners have voiced concerns over the increasing consumption of oral tobacco. They point out that while these products are marketed as healthier alternatives to traditional smoking, they still expose users to significant health risks. Despite its popularity among certain groups, oral tobacco remains a controversial issue due to its addictive nature and the potential harm it can cause to users' health.

In Japan, smoking rates are declining in general; however, the use of alternatives like oral tobacco is rising, causing concern among health experts. The issue has ignited debate about how to balance the freedom of consumer choice against public health considerations. With health professionals raising alarms, there might be changes in the legal regulation or societal acceptance of such products.

In terms of regulations, countries in the EU have restrictions in place, with some banning oral tobacco outright. Meanwhile, in the U.S, the market is regulated but allowed. However, health advocacy groups in both regions echo Japan's health professionals' concerns about the potential health implications chewing tobacco may have.