In Your Car: People mostly smoke in cars while keeping the windows shut and as the smoke gets trapped in the car the foul smell irritates everyone
As the use of disposables has fallen there has been an increase in use of pod devices (15% in 2024, 25% in 2025 and 42% in 2026) likely due to disposable brands moving into these products
"What this survey shows is young adults who have never smoked are picking up electronic cigarettes in truly alarming numbers," says Matthew Myers, president of the Campaign for Tobacco-Free Kids
Clinical Tips : Use the 5As or Ask, Advise, Help model: Ask about tobacco and vaping at every visit Advise on risks and benefits of quitting Help with cessation plan, referrals, and follow-ups Address Barriers: Normalize relapse and provide non-judgmental support Consider co-existing mental health needs Offer carbon monoxide (CO) monitoring as a motivational tool Include family/partner in cessation plans when possible Behavioural Counseling and Brief Interventions Key Clinical Takeaways Behavioural counselling is first-line treatment for nicotine cessation in pregnancy
We also make subjective evaluations
However, the advent of HEPA Air Purifiers and MERV 13 HVAC Filters has turned the tide against the offensive haze
