I know firsthand that smoking is still a huge part of the social culture in all Balkan countries and even Italy to a lesser extent. OTOH, many studies show that it’s better than vaping. I’ve had some conversations with my pulmonologist and a friend of mine who’s a board certified (nearly retired) cardiologist who both confirm this and tell me that they see increasingly younger patients develop serious disease very quickly after starting vaping, including a 16-yo patient who developed emphysema.