Seeing the sidewalks / parks outside of the main train station in Prague covered in cigarette butts as an American tourist in 2019 was certainly something.
Last time I was in London I saw enough disposable vapes on the sidewalk to build a home-sized backup battery...
Vape fumes also smell far less bad and are almost not toxic to bystanders.
https://hsph.harvard.edu/news/u-s-smoking-rate-hits-an-all-t...
The article suggests that 18%+ are using some kind of nicotine product in general (zyn, chewing tobacco, vape, smoking)
In any case it has been mostly successfully purged from public spaces.
It leaves lithium ion batteries everywhere. There are even YouTube videos by people scavenging them to build small battery banks.
You use your healthcare insurance card to access the goods - whoever thought of this has quite the sense of humour.