Tobacco Package Health Warnings: International Developments and Best - PowerPoint PPT Presentation

Tobacco Package Health Warnings: International Developments and Best Practices Rob Cunningham UICC World Cancer Congress Aug. 30, 2012 Montreal, Canada

Conclusions • Use picture warnings • Size as large as achievable • Do not use tar/nicotine numbers • Ban “light”, “mild”, related terms • Consider innovative measures 2

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FCTC Art. 11 Obligations • 30% minimum, but should be 50% or more, of front and back • Pictures may be used • Must be rotated messages • Can include non-health messages • In language(s) of country • Applies to ALL tobacco products • 3 year deadline for each Party 4

FCTC Article 11 Guidelines Well-designed health warnings increase public awareness of the health effects and reduce tobacco consumption. (para. 3) 5

Canada - 2001 6

Canada - 2012

Canada - 2012

Australia 2012 9

Thailand (2010) 10

Venezuela, 2009 11

Panama (2009) 12

Singapore (2006) 13

Egypt 14

Uruguay, 2009 15

EU – 42 optional messages 16

Switzerland , 2010 17

Madagascar (2012) 18

Djibouti (2009) 19

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U.S. – 2012 21

Tobacco Advertising 22

France Indonesia Russia Russia 23 UK Belgium Armenia Germany

Germany Germany 2010 24

Packaging is key • Most cost-effective communications medium • Consumer may take out package 20 times/day; 7300 times/year 25

Pictorial warnings • They work! • Numerous studies • Incredible reach: smokers and non-smokers • Always working: 24/7 • Industry pays the cost 26

Pictorial warnings • A picture says a thousand words • Deals with illiteracy/low literacy • Immigrants/language • FCTC guidelines recognize pictures more effective than text-only (paras. 14-15) 27

Size - FCTC Guidelines • effectiveness of health warnings increases with their size (para. 12) • “Parties should consider […] more than 50%” and “aim to cover as much of the principal display areas as possible” (para. 12) 28

World’s Largest 82.5% Australia (75%, 90%) 80% Uruguay (80%, 80%) 75% Brunei (75%, 75%) 75% Canada (75%, 75%) 65% Madagascar (65%, 65%) 65% Mauritius (60%, 70%) 65% Mexico (30%, 100%) 60% Ecuador (60%, 60%) 60% New Zealand (30%, 90%) 60% Cook Islands (30%, 90%) 56% Belgium (48%, 63%) 56% Switzerland (48%, 63%) 56% Liechtenstein (48%, 63%) 55% Thailand (55%, 55%) 54% Turkey (65%, 43%) 29 (average of front/back)

World’s Largest - Front 80% Uruguay 75% Australia 75% Brunei 75% Canada 65% Madagascar 65% Turkey 60% Ecuador 60% Mauritius 55% Thailand 52% Kyrgyz Republic 50% Albania, Bolivia, Brunei, Cameroon, Canada, Chile, Djibouti, Egypt, Eritrea, Hong Kong, Iran, 30 Madagascar, Panama, Peru, Singapore

World’s Largest-Evolution 20% Canada, 1989 30% Poland, 1998 35% Canada, 1994 (including border) 50% Canada, 2001 56% Belgium, 2003 (including border) 60% Australia, 2006 65% Mauritius, June, 2009 80% Uruguay, Nov. 2009 82.5% Australia, Dec. 1, 2012 (average of front/back) 31

New Zealand Front Back Back Front 32

Canada 2001 2012

Location: Top, not bottom of display surface 34 Thailand Canada

Location: both front/back - front more important Brazil Brazil Venezuela Venezuela Front Back Front Back 35

Cartons Thailand Mauritius 36

China Smoking is harmful to your health Quit smoking reduces health risk Smoking is harmful to your health 37 Quit smoking early is good for your health

Content • Use range of messages – many health effects - different messages impact different people • Combine with cessation advice 38

UK public vote Most effective Least effective UK Dep’t of Health, 2007 39

Multiple Warnings/Rotation • Multiple warnings provide more information to the consumer, increase overall impact • Reduce “wear-out” effect • Canada set of 16; EU – 14 • Australia 2 sets of 7 40

India, Set #1 India, Set #2 Not Implemented Not Implemented 50% front/back 50% front/back 41

Kyrgyzstan -Round 1– cancelled -Round 2 (at right) - deregistered 42

Paraguay • Middle 60% for warnings adopted • Repealed under industry pressure 43

Current legal challenges • U.S., 50% - suspended • Philippines, 60% - suspended • Nepal, 75% - suspended • Uruguay, 80% - in place • Canada, 75% - in place 44

Emissions and constituents • Do NOT require tar, nicotine, carbon monoxide figures on the side of the package (Guidelines, para. 34) • These numbers are misleading 45

Use Descriptive Statements Australia Chile New Zealand Thailand – Left Side Thailand – Right Side Venezuela 46

Canada–side panel (2012) 47

Australia – side panel - 2012 48

Prohibit Deceptive Packaging • Use language in FCTC Art. 11.1(a) to prohibit packaging/labelling that is “false, misleading, deceptive or likely to create an erroneous impression about its characteristics, health effects, hazards or emissions, including any term, descriptor, trademark, figurative or any other sign that directly or indirectly creates the false impression that a particular tobacco product is less harmful than other tobacco products” 49

Prohibit Deceptive Packaging • Prohibit “light”, “mild”, terms (see FCTC, Art. 11.1a) – perhaps 75 countries have done so • Prohibit other terms, e.g. “extra” “ultra” and similar terms in any language that might mislead (Guidelines para. 43) • Prevent display of emission yield numbers by industry (Guidelines para. 44) 50

Industry uses ISO tar numbers on packages Canada Austria Romania Egypt 51

Russia Germany Australia Source: ASH Australia

Japan Switzerland

Canada

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Malaysia newspaper ads, Feb 2009 57

Health Minister Announcements Mauritius, Philippines, Feb. 12, 2009 May 24, 2010 Photo: Véronique le Clézio 58

Australian Health Canadian Health Minister Minister Nicola Roxon Leonna Aglukkaq announcing plain packs announcing new warnings Dec. 30, 2010 59

Inserts/interior messages Canada - 2001 Canada - 2012 60

Package Inserts (8) – Canada (2012) 61

Mexico – onserts voluntary, discontinued onsert onsert front back 62

Djibouti side panels (2009) • 5 rotated messages • French and Arabic English: Quit smoking and save your money ! 63

CARICOM Proposed Message Front Back 64

Gulf Cooperation Council - Water Pipe Tobacco (2012) 65

Package Warnings – Conclusions • Must do it – FCTC obligations • Might as well do best practices • Pictures more effective • Bigger is better • It is easier than you think • The best is yet to come 66

Thank you 67

For more information • www.tobaccolabels.org • www.smoke-free.ca/warnings • www.tobaccofreecenter.org/resources/ warning_labels • www.tobaccocontrollaws.com • http://blogsofbainbridge.typepad.com/ warnings • http://www.who.int/tobacco/ healthwarningsdatabase/en/index.html 68