Tobacco is the greatest threat to global health. The substance was responsible for the deaths of 100 million people in the 20th century and is projected to kill a further 1 billion in this century, most of whom will be living in low-income and middle-income countries. The increased popularity of vapes and e-cigarettes as an alternative to tobacco has now entered the public discourse as a potential solution to the smoking epidemic and a source of concern.

中文翻译：

---

电子尼古丁传送系统的兴起对精神卫生服务意味着什么？

烟草是对全球健康的最大威胁。该物质造成了20世纪1亿人的死亡，预计在本世纪将杀死10亿，其中大多数将生活在低收入和中等收入国家。如今，替代烟草的电子烟和电子烟日益普及，已经成为公众讨论烟瘾的一种潜在解决方案，并引起了人们的关注。