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

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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

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Tobacco Package Health Warnings: International Developments and Best Practices

Rob Cunningham

UICC World Cancer Congress

Aug. 30, 2012

Montreal, Canada

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Conclusions

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

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FCTC Art. 11 Obligations

30% minimum, but should be 50%
r 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

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FCTC Article 11 Guidelines

Well-designed health warnings increase public awareness of the health effects and reduce tobacco

consumption. (para. 3)

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Canada - 2001

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Canada - 2012

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Canada - 2012

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Australia 2012

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Thailand (2010)

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Venezuela, 2009

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Panama (2009)

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Singapore (2006)

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Egypt

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Uruguay, 2009

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EU – 42 optional messages

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Switzerland , 2010

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Madagascar (2012)

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Djibouti (2009)

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U.S. – 2012

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Tobacco Advertising

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23 Russia UK Belgium Indonesia Armenia Russia Germany France

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Germany

Germany 2010

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Packaging is key

Most cost-effective

communications medium

Consumer may take out package

20 times/day; 7300 times/year

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Pictorial warnings

They work!
Numerous studies
Incredible reach: smokers and

non-smokers

Always working: 24/7
Industry pays the cost

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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)

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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)

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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%)

(average of front/back)

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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, Madagascar, Panama, Peru, Singapore

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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)

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New Zealand

Front Back Front Back

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2001 2012

Canada

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Location: Top, not bottom

f display surface

Thailand Canada

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Location: both front/back

front more important

Brazil Back Brazil Front Venezuela Back Venezuela Front

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36 Thailand

Cartons

Mauritius

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China

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

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Content

Use range of messages

– many health effects

different messages impact

different people

Combine with cessation advice

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UK public vote

Most effective Least effective UK Dep’t of Health, 2007

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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

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India, Set #1

Not Implemented 50% front/back

India, Set #2

Not Implemented 50% front/back

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Kyrgyzstan

Round 1– cancelled
Round 2 (at right)
deregistered

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Paraguay

Middle 60% for warnings adopted
Repealed under industry pressure

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Current legal challenges

U.S., 50% - suspended
Philippines, 60% - suspended
Nepal, 75% - suspended
Uruguay, 80% - in place
Canada, 75% - in place

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Emissions and constituents

Do NOT require tar, nicotine,

carbon monoxide figures on the side of the package (Guidelines,

para. 34)
These numbers are misleading

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Use Descriptive Statements

Chile Thailand – Left Side Thailand – Right Side Australia New Zealand Venezuela

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Canada–side panel (2012)

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Australia – side panel - 2012

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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

r any other sign that directly or

indirectly creates the false impression that a particular tobacco product is less harmful than other tobacco products”

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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)

Prohibit Deceptive Packaging

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Industry uses ISO tar numbers on packages

Canada Austria Romania Egypt

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Russia Australia

Source: ASH Australia

Germany

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Japan Switzerland

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Canada

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Malaysia newspaper ads, Feb 2009

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Health Minister Announcements

Photo: Véronique le Clézio

Mauritius,

Feb. 12, 2009

Philippines, May 24, 2010

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

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Inserts/interior messages

Canada - 2001 Canada - 2012

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Package Inserts (8) – Canada (2012)

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Mexico – onserts voluntary, discontinued

nsert

front

nsert

back

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Djibouti side panels (2009)

5 rotated messages
French and Arabic

Quit smoking and save your money !

English:

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CARICOM Proposed Message

Front Back

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Gulf Cooperation Council - Water Pipe Tobacco (2012)

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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

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Thank you

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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/