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Clearing the air: methods and challenges of smoking and vaping cessation

Vaping or quitting? SA’s smoking crisis persists—8 million smokers at risk, especially with TB and HIV rates.

South Africa has a particularly high prevalence of smoking compared to the rest of the world. In spite of the fact that smoking rates in South Africa have been declining since the implementation of tobacco control measures in 1993, there are still an estimated eight million smokers in the country. Smoking has been associated with detrimental health risks and related complications for decades, and such health issues are further compounded by the high incidence of tuberculosis and human immunodeficiency virus/acquired immune deficiency syndrome in the population. Vaping has been offered as an alternative for smoking. This article aims to provide an overview of the importance of smoking cessation, and the nonpharmacological and pharmacological measures aimed at ensuring quitting.

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NeoHealth® ID 37927 · updated 5/29/2025