Has Our Goal For a Tobacco-Free World Changed To a Nicotine-Free World?

E-cigarettes first entered the international markets in the early 2000s, with rapid product innovation and evolution since this time. Correspondingly, country-level policy around access to these devices has evolved, varying greatly around the world (https://gsthr.org/countries/). Some countries have been quick to embrace vapes as a reduced-harm product to help people who smoke tobacco switch to a “cleaner” source of nicotine. A question arises: once they have switched to vaping, should people then be supported to stop vaping (and avoid relapsing to smoking)? If so, what is the most effective support to offer to ensure success in this move, and when is the best time to offer it? A second question is: how can people who have never smoked (particularly youth) be persuaded to not start vaping? Third, if they do start vaping, is the vaping cessation support offered to them different to that offered to people who vape and have a history of smoking tobacco? Finally, are the key predictors of successfully quitting vaping similar to those identified for smoking cessation?