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AV Flox is a Peruvian transplant living in Los Angeles. She is the editrix-in-command of Sex and the 405, a site that shows you what your newspaper w...
 
 
 
 

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Will Graphic Images on Cigarette Health Warnings Work?

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The carnival of horrors is coming to the United States at last and all smokers are invited.

On Wednesday, health officials unveiled their plans to replace the text-only warnings on cigarette packs with graphic image warnings, including pictures of diseased organs and corpses.


The Food and Drug Administration, exercising new powers approved by Congress last year, will select nine of the 36 proposed new images, after hosting a lively round of public discourse and doing some reading of the available scientific literature. Come October 22, 2012, any cigarette makers that don't have new warnings on their packaging will be restricted from selling their brands in the U.S.

"When the rule takes effect, the health consequences of smoking will be obvious every time someone picks up a pack of cigarettes," FDA Commissioner Margaret A. Hamburg said.


The U.S. is playing catch-up on its anti-smoking efforts, mostly untouched since 1984, when Congress enacted legislation requiring new warning labels for cigarettes. Some 30 countries already require graphic imagery on cigarette packaging, most notoriously among which is Canada, the first country to require these warnings a decade ago.

But as The Washington Post reported, many health activists find the measure inadequate in a country where one in five adults and teens smoke despite the fact that smoking is the leading cause of premature and preventable death.


As a smoker, I have encountered these warnings, usually when I perceived a change in the wording or when, while traveling in a different country, I encountered the warning in another language. I even collected the warnings, as a sort of travel memento. As far as contemplating my health, they seemed to have no effect.

It's possible that the drastic change from text to imagery will attract some attention, but when I initially contemplated the notion, I wasn't moved.


It reminded me of an incident that occurred at the premiere of National Geographic's Great Migarations in Beverly Hills a few weeks ago with my friend Jason Goldman, who blogged about it. The audience responded with loud dismay when the wildebeest herd lost a calf to hungry crocodiles during their dash across the Mara River. But a few minutes later, these same people stampeded over one another to gorge themselves on the sandwiches, pizza bites and sushi that had been made available at the reception.

There seems to be a disconnect between the world and ourselves, a strange sort of denial. Though we eat meat and fish, we are not predators like the crocodile. Though we run over one another eagerly to get at the last spicy tuna roll, we are not opportunistic eaters. Somehow, we're different.

Somehow, I'm different than the number on that billboard I see every time I take Santa Monica to get home. The number that tallies all the smoking deaths this year.

I think text ads, in their careful and inoffensive manner, do little to shake the denial. Or disconnect. Call it what you like.

Smoking may cause cancer.

I typed that with a cigarette resting between my index and middle finger. Would it give me pause if the package said “Smoking will kill you” instead? Or if the cigarette itself read “I am killing you” or “You're consuming your own life?” Or would that just make cigarettes cool again, somehow fuel a juvenile sense that I'm a consummate contrarian, subversive and invincible, sucking on death?

What about a graphic image? Would that help shake the denial?

I turned my attention to the available scientific literature addressing the use of images in cigarette health warnings.

A study by Michelle O’Hegarty and her team published in The American Journal of Preventive Medicine in 2006, which surveyed a panel of 763 smokers and former smokers between the ages of 18 and 24, found that warnings that made use of text and graphics were more effective in terms of prevention, motivation to quit, motivation not to start smoking, and heightened concern about health effects. Another study, this one lead by Constantine I. Vardavas and published in The European Journal of Public Health last year, found that the 574 teens

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KatysMOM 5 pts

I think the labels will target those who have not yet purchased their first pack. It may also help those who struggle with cessation. It won't work for everyone, but one life saved will be a success. We can't rid our country of tobacco, but we can save someone from becoming a smoker.

Katy's Mom

For more of my misadventures in parenting, please check out my blog www.iamkatysmom.blogspot.com ( http://www.iamkatysmom.blogspot.com )

"I'd like to be the ideal mother, but I'm too busy raising my kids."

theoutcast 5 pts

My influences for smoking was my mom because she stopped when I asked her to when I was young.

During a trip to Canada about 10 years ago I can remember the cigarettes my fellow classmates smoked stated very big and bold "These Can Kill You". I remember thinking this direct approach was better than the Surgeon General's warning. At the time I wished that was on our cigarettes in the U.S.

I think young people could be turned off and less willing to start smoking by seeing the graphic photos...but then do graphic photos of STDs stop teens from having sex? Any data available on that to make a comparison?

Heather blogs about Motherhood & Other Offensive Situations at http://www.ultimateoutcasts.com.

DanitaSparks 5 pts

No, I don't think the images would convince me to stop smoking... but the fact that my husband's 38 year old ex-wife, and the mother of my 16 year old stepson, is now dying of lung cancer? That was enough for me. Quit cold turkey 4 days ago.

~Danita Sparks
http://www.findingmyspark.com
Kickin' ass and takin' names, y'all

eveningstar1 5 pts

Twenty years ago my dad had an acute aortic aneurysm that was found and repaired before it exploded and was unquestionably due in part to his lifelong smoking addiction. Still, he could not stop smoking.

When my dad had part of his right lung removed 11 years ago at the Mayo Clinic, I was so disturbed by the gravitas of the pulmonary unit there that I wanted to pack my minivan with smokers and drag them up to see their future.

His recovery was long and painful and slow and, thankfully, that health episode did make him stop smoking. As the ALA says, when you can't breathe, nothing else matters.

Through his difficulties I've come to understand the profoundly addictive nature of smoking differently and feel far less judgmental. I just don't know how effective the images will be. I find them gross and disgusting, but would the average teenager looking for his or her slice of cool feel the same?

Mary

Flat Rock Creek Notebook: Memoirs of the Here and Now

http://flatrockcreeknotebook.com ( http://flatrockcreeknotebook.com/ )

JennaHatfield 10 pts

My husband rolled his eyes at the images. He attempted to stop smoking earlier this year but failed when we had three family deaths in a row. (He bailed on Chantix after suffering through a dream in which our youngest son died.) Maybe he's not the target for this campaign as he sees any number of horrors at his job. I don't know.

As someone who commented on Facebook said, back when I smoked (oh, yes, it's true), whenever someone would talk about NOT smoking, I would want to smoke. In fact, even today, when I see a commercial for Chantix or someone talks about not smoking on TV (those commercials for teens in specific)... I want to go light up. They make me anxious. When I'm anxious, I want to smoke. Cycle fail.

Contributing Editor Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )) blogs at Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ). She is a freelance writer and newspaper photographer.

myformerlife 5 pts

I'm divided on this issue. On the one hand, I've always felt that our warnings on cigarettes were not strong enough. Canadians have always had much more dire warnings on their cigarette packaging, and it has always been much more clear and obvious to read.

That being said, I've also seen first hand that an addict is an addict is an addict, and there is honestly no amount of human suffering that can sway an addict if they do not really want to quit smoking. My mother was year for a year with lung cancer and several people who witnessed the experience along with me are still hard core smokers. My own sister in law, who was not there but to whom I've described the experience while I have begged her to quit, is not swayed.

I think that we need stronger warnings, absolutely, but I am just not sure that they will make any difference to someone who is already deeply addicted to cigarettes. Perhaps the better thought as to their effectiveness is to prevent those who have not started yet from starting.

theoutcast 5 pts

I think what desensitizes people to these things is not experiencing life with someone who suffers from years of smoking. Being a caretaker for someone who smoked several years may make people realize they do not want be in the patient's position.

In place of doing that, I think these photos are a good idea. I realize people will continue to smoke nonetheless but hopefully it will be fewer of them clogging our medical system in 30 years with the health problems they are inflicting on themselves.

I think the photos give smokers -- who are clearly not afraid to die -- a second thought about living with the effects of this habit.

Heather blogs about Motherhood & Other Offensive Situations at http://www.ultimateoutcasts.com.