At regular intervals, Cochrane publishes meta-analyzes on different treatments. And since 2014, he has offered a systematic review on the effectiveness of electronic cigarettes to quit smoking. Each time, Cochrane has found a good efficacy of the vaping for smoking cessation. Cochrane is an independent UK organization offering the highest level of evidence.
Madagascar has all the potential to develop the vape and electronic cigarette industry. This would reduce smoking in a few years. But a lack of political will and a bad ideology mean that vaping in Madagascar is totally lagging behind.