Today the U.S. Food and Drug Administration announced the new graphic health warnings that will appear on the top 50% of the front and back of each cigarette pack and the top 20% of each cigarette advertisement (by September, 2012). There are nine new pictorial warnings, each accompanying a specific text health warning and each one has the toll-free phone number for the national smoking cessation quitline (1-800-QUIT NOW), where smokers can receive smoking cessation counseling.
USA will join over 30 other countries in having large pictorial health warnings on cigarettes. Overall, although I feel that the new US warnings are not as strong as those in other countries, this is a very big positive step. I am glad that 1-800-QUITNOW is added to every pack and that most of the pictures are vivid and photographic in nature.
The only one I think is very weak is the one warning about smoking in pregnancy. This is the only one with a cartoon rather than a photograph. When I wrote to FDA to comment on the initial panel of 32 warnings I stated an opinion that the cartoons were less impactful and that some of the wording is overly cautious. For example, "Smoking during pregnancy can harm your baby." Can? Why not state the fact plainly? "Smoking during pregnancy harms your baby." I also recommended that the government's own smoking cessation website,
http://www.smokefree.gov, should be added to the warnings as a reliable source of information on quitting.
The new pictorial health warnings will be much more effective than the current small text-only warnings in conveying to smokers the real consequences of smoking cigarettes and will likely have the effect of prompting more smokers to try to quit. So I think this is a big step forward in the US. What do you think? You can access details and pictures of the new warnings
here.