More than 100 nations include graphic warnings on cigarette packs and tobacco products. Large, pictorial warnings have been shown to be effective in discouraging smoking and educating individuals about the harms of tobacco. Social workers should be aware that the World Health Organization endorses graphic warnings and notes that they have a particular impact to “reduce the number of children who begin smoking and increase the number of smokers who quit.”
In a recent report by the Canadian Cancer Society, the United States ranks the lowest among 205 countries evaluated in terms of the visibility of graphic warnings. Nepal, India, Thailand, Australia, Uruguay and Canada are among the top ten countries; tobacco packaging in these countries includes pictorial warning that cover at least 75 percent of the package on both the back and front.
In 2009, a law mandated that the United States include pictorial warnings on cigarettes, but in 2011 a U.S. Court of Appeals rejected images that were proposed by the U.S. Food and Drug Administration (FDA). Since that time, the FDA expressed intent to issue revised warnings, and has yet to do so. In October 2016, several national organizations and pediatricians filed suit in federal court against the FDA. The groups include the American Academy of Pediatrics, the American Heart Association, the American Cancer Society, and others. For more information, please visit the Campaign for Tobacco-Free Kids.
Social workers can impact the health of clients and families by promoting smoking cessation efforts. Additional resources are available at:
By NASW Senior Practice Associate Carrie Dorn, LMSW, MPA