Smoking cessation is an important component of prevention and treatment of COPD (5). There are well-established smoking cessation treatment guidelines, which suggest combination pharmacotherapy (nicotine replacement therapy plus medication) with behavioural counseling (6) as effective interventions. Conversely, there is a stark paucity of evidence related to interventions for vaping cessation, particularly in youth populations which needs to be addressed. Importantly, there is a lack of equitable access to smoking cessation or vaping care in BC, as services and initiatives are fragmented and do not adequately address the needs of those who are addicted to nicotine while living with other complex conditions, such as mental illness or additional substance use disorder.