While tobacco use is the most preventable cause of morbidity and mortality worldwide, estimates from 2020 still indicated that approximately 16 million American adults lived with a smoking-related disease while more than 700 000 Europeans succumbed to smoke-related diseases yearly2. Given that between 10 to 30% of all cardiovascular deaths worldwide are related to cigarette smoking2, the increase in smoking prevalence among South African adults (aged 15 years and over) from 19 % in 2017 to 24 % in 2021 is of particular...