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Anvisa Informs

Brasilia, October 28, 2003 - 04:55 PM
Cigarette packs will display stronger images

The Ministry of Health introduced on Wednesday, October 22, the new warning images that shall be displayed on the cigarette packs, based on a resolution from Anvisa which shall be published on Friday, October 24.

The new illustrations, among which one of a man with his legs amputated, have a much stronger impact and will be accompanied by phrases alerting on the damages caused by the tobacco to the health of the smokers and even of children. The objective of the measure is to reduce the tobacco consumption, responsible for 200 thousand deaths per year in Brazil.

Among the new illustrations, the packs will also depict one mouth and one lung affected by the cancer, one fetus aborted, one necrosed leg, in addition to rats and cockroaches dead by arsenic and naphthalene, substances present in the cigarette. The resolution requires that the images have a black background.

The tobacco industry must comply with the resolutions within nine months. After such period, the commercialization of cigarettes whose packs are in disagreement with the resolution is strictly forbidden.

In addition to the illustrations, the packs shall contain the following warning: “This product contains more than 4,700 toxic substances and nicotine which causes physical or psychic dependence. No safe levels exist for the consumption of these substances”. It is forbidden the disclosure of nicotine levels, tar and carbon monoxide in association with the brand name of the cigarette.

Packs shall also contain the warning: “Sale is prohibited to minors under 18 years of age – Law 8069/1990 and Law 10702/2003”. The following phrases are prohibited: “Only for adults” and “Product for olders than 18 years of age”. Another determination is that the packs shall display the service number Stop Smoking Dial Service (0800 703 7033) on a more enlarged way, for easily visualization.

The resolution also applies to the cigarette’s publicity items. Restricted to the interior of sales points, they shall contain the same illustrations and the warning: “This product contains more than 4,700 toxic substances and nicotine which causes physical or psychic dependence. No safe levels exist for the consumption of these substances”.

Such alterations are fundamental since there is other information about the harms of the tobacco that the smoker and the general population need to know. Also because it is necessary to constantly perform renewals, since with the lapse of time this type of measure loses its impact.

Furthermore, according to a research made by Stop Smoking Dial Service, 79% of the 89,305 interviewed persons told that the warning pictures should have more impact than the current ones. Eighty per cent of the interviewed were smokers. The new illustrations were selected from another research, which interviewed in São Paulo and Porto Alegre young people, between 15 and 19 years of age, from the A, B and C classes, smokers and nonsmokers.

The requirement for the packs to display warning images entered into force on February 2002. In April of that same year a research made by the Datafolha Institute, involving 2,216 participants with more than 18 years of age in 126 municipalities, showed the following results:

  • Seventy-six percent of the interviewed persons approved the requirement of the images. The support to the use of the images was slightly greater among the nonsmokers (77%) that the group of smokers (73%). Among those holding a university or a senior high school degree, the support to the measure reached 83%. It is practically the same percentage found in the so-called “healthy generation” (“geração saúde”), the public between 18 and 24 years old. On that range, 82% supported the measure;

  • Fifty-four percent of the smokers interviewed changed their mind about the consequences caused by the tobacco consumption to the health after seeing the images;
  • Sixty-seven per cent of the smokers said they felt like quitting smoking after seeing the images;
  • Among those with an income up to five minimum wages (R$1,000.00), 73% said that they felt like quitting smoking when they saw the new packs. In the group of those who studied up to the junior high school, the percentage was 72%. Such percentage is also high among the youngest ones: 73% of those between 25 and 34 years of age said that they thought about quitting smoking when they saw the warning images. Between 18 to 24 years old, such percentage reached almost the same percentage -2%;
  • According to 70% of the interviewed, the warning images are very effective to prevent the initiation. Fifty-six per cent said that they believe the method is very efficient to induce the smoker to quit smoking. On the other hand, 30% believe that the image is not so efficient in the control of tobacco consumption.

See the
new images
:

Image Premature Births

Image Vascular Diseases

Image Mouth Cancer

Image Cancer in the Larynges

Image Sexual Impotence

Image Children

Image Spontaneous Abortion

Image Necrosis

Image Lung Cancer

Image Arsenic and Naphthalene


Main changes:

1) The obligatory printing of the phrase “Sale is prohibited to minors under 18 years of age – Law 8069/1990 and Law 10702/2003”. and the prohibition of the phrase: “Product for individuals older than 18 years of age”;

2) The obligatory printing of the following phrase: “This product contains more than 4,700 toxic substances and nicotine which causes physical or psychic dependence. No safe levels exist for the consumption of these substances”.

3) It is forbidden the disclosure of the nicotine, tar and carbon monoxide levels in association with the brand name of the product.

4) The background of the new images against tobacco shall be in black;

5) After the period of nine months, it is forbidden the commercialization of cigarettes whose packs are in disagreement with the Anvisa’s resolution;

6) The commercial propaganda of the products, such as posters, must contain one of the standard images printed without any alteration of the graphic characteristics and occupying an area of at least 10% of the item.

New phrases

Phrases replaced

- This necrosis was caused by tobacco consumption;

- Tobacco causes sexual impotence;

- Children living together with smokers have more asthma, pneumonia, sinusitis and allergy;

- Smoking causes spontaneous abortion;

- He is a victim of tobacco. Smoking causes vascular diseases which may lead to amputation;

- Smoking causes cancer in the larynges;

- Smoking causes mouth cancer and loss of teeth;

- Smoking during pregnancy causes premature births and the birth of underweighted babies;

- Smoking causes lung cancer;

- When smoking, you inhale arsenic and naphthalene, also used against rats and cockroaches;

- Smoking causes bad breath, the loss of teeth and mouth cancer;

- Smoking causes lung cancer;

- Smoking causes infarction;

- Smoking leaves you breathless

- Smoking during pregnancy hurts the baby;

- Smoking during pregnancy causes premature births and the birth of underweighted babies and easiness of developing asthma;

- Children start smoking when they watch adults smoking;

- Nicotine is a drug and causes addiction;

- Smoking causes sexual impotence.


Information provided by Agência Saúde
Press Advisory of the Ministry of Health
Tel.: (61) 315-2005/315-2784
Fax: (61) 225-7338
E-mail: imprensa@saude.gov.br

 
 
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Ombusdman Advisory Council