Population-level impact & reach

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1 Population-level impact & reach 1

2 Lower prices? Plain packaging. will lead to an increase in lowpriced cigarettes. These consequences could actually lead to an increased consumption of tobacco products. Philip Morris International 12 2 Source:

3 ttp:// Contraband tobacco? the Second introduction level of generic packaging will stimulate both the demand and supply of illicit trade Philip Morris International 12 3

4 Health warnings 4

5 Health warnings reach non-smokers. 43% of never-smokers in the say that the health warnings have persuaded them not to start smoking. approximately 6% of non-smokers could recall a specific warning on packs. Source: European Commission. Eurobarometer: Survey on Tobacco (Analytical Report). March, 9 5

6 EU countries fall below international standards. Source: Environics Research Group. The Health effects of tobacco and health warning messages on cigarette packages Survey of youth: Wave 12 surveys. Prepared for Health ; January, 7. 6

7 Countries with pictorial warnings 7

8 Countries with pictorial warnings Latvia Mexico Mongolia Pakistan Switzerland Turkey France 11 Malta 11 Spain 11* Norway 11* Philippines 11* Urkraine 12* *Proposed implementation date at time of publication. 8

9 Health warnings reach young people. more than 9% of Canadian youth agreed that picture warnings provide information about the health effects and make smoking seem less attractive. Source: Environics Research Group. The Health effects of tobacco and health warning messages on cigarette packages Survey of youth: Wave 12 surveys. Prepared for Health ; January, 7. 9

10 Health warnings can reduce brand appeal.

11 Size 82% 8% Uruguay 75% 65% Madagascar 65% Mauritius 65% Mexico 6% Philippines 6% New Zealand 6% Cook Islands 56% Belgium Source: Cigarette health warnings: International status report. Canadian Cancer Society. October

12 Position Source: Cigarette health warnings: International status report. Canadian Cancer Society. October

13 Front vs. Back 13

14 14

15 Content must be refreshed

16 16

17 Content 17

18 Credibility 18

19 19

20 Message Content ~1,5 and 4, callers Fourth / month level Source: Dept. of Health. Consultation on the Introduction of Picture Warnings on Tobacco Packs. May, 6.

21 Message Content 21

22 Pictorial warnings promote cessation. 34% of smokers in say the warnings have helped them to try to quit. Source: Shanahan, P. and Elliott, D., 9, Evaluation of the Effectiveness of the Graphic Health Warnings on Tobacco Product Packaging 8, n Government Department of Health and Ageing, Canberra; 9. 22

23 Pictorial warnings and plain packaging are complimentary. 23

24 Summary Packaging policies cost-effective and sustainable. Plain packaging is an extension of advertising and marketing restrictions. Reductions in smoking behaviour highly likely. Health warnings must be revised to maintain or enhance impact.

25 Summary 25

26 26

27 Thank you. David Hammond PhD School of Public Health & Health Systems University of Waterloo Tel ext Web

28 Industry arguments Transaction time Plain packaging will increase transaction time at retail outlets and lead to general confusion. 28

29 29

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