United States United States

The United States currently requires that one of four rotating text health warnings appear on the side panel of all cigarette packages and advertisements. Smokeless tobacco packages are also required to carry warning label statements that cover 30% of the two principal sides of the package. Tobacco companies are prohibited from making reduced harm claims like “light,” “low,” or “mild” unless authorized by the FDA.

In June 2009, the US Congress passed legislation under the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act) requiring new larger health warnings to appear on cigarette packages. In June 2011, the FDA published a final rule requiring that color graphics depicting the negative health consequences of smoking should accompany new textual warning statements. The health warnings were originally scheduled to appear on packages by September 2012, however, the final rule was challenged in court by several tobacco companies.  The United States Court of Appeals vacated the rule, and denied the government’s petition for panel rehearing. The government decided not to seek further review of the Court’s ruling.

Legislation and Regulations

United States’ Legislation Library

Health Warning Reports, Publications & Presentations

United States’ Health Warning Document Library

Plain Packaging Reports, Publications & Presentations

United States’ Plain Packaging Document Library

Tobacco Package Images

United States’ Cigarette Package Gallery

Health Warnings

1984 to Present**

USA 1984 Constituents - carbon monoxide, text
Emissions & Constituents
United States
1984
USA 1984 ETS baby - fetal injury, premature, low birth weight, text
ETS – Baby
United States
1984
USA 1984 Health Effects Other - lung cancer, heart disease, emphysema, pregnancy complications, text
Health Effects – Other
United States
1984
USA 1984 Quitting - Reduced risk, text
Quitting
United States
1984

Warnings Proposed by FDA in 2011

USA 2011 - Addiction - lived experience, tracheotomy
Addiction
United States
2011
USA 2011 ETS baby - lived experience, baby, targets pregnant women
ETS – Baby
United States
2011
USA 2011 ETS children - lived experience, targets parents
ETS – Child
United States
2011
USA 2011 ETS general - second hand smoke, lung disease, woman crying
ETS – General
United States
2011
USA 2011 Health Effects death - lived experience
Health Effects – Death
United States
2011
USA 2010 Health Effects lung - diseased organ, lung disease, gross
Health Effects – Lung
United States
2011
USA 2011 Health Effects mouth - lived experience, mouth cancer
Health Effects – Mouth
United States
2011
USA 2011 Health Effects other - stroke, heart disease, lived experience
 Health Effects – Other
United States
2011
USA 2011 Quitting - lived experience, efficacy, reduced risk
Quitting
United States
2011

Other Warnings Used in Testing and Development – November 10, 2010**

WARNING: Cigarettes are addictive.

USA 2010 Addiction - lived experience, tracheotomy
Addiction
United States
2010
USA 2010 Addiction - clever
Addiction
United States
2010
USA 2010 Addiction - puppet, clever
Addiction
United States
2010
USA 2010 Addiction - lived experience
Addiction
United States
2010

WARNING: Tobacco smoke can harm your children.

USA 2010 ETS children - lived experience, targets parents
ETS – Child
United States
2010
USA 2010 ETS children - lived experience, targets parents 2
ETS – Child
United States
2010
USA 2010 ETS children - lived experience, targets parents, animated
ETS – Child
United States
2010
USA 2010 ETS children - lived experience, targets parents, crying child
ETS – Child
United States
2010
USA 2010 ETS children - text warning, targets parents
ETS – Child
United States
2010
USA 2010 ETS children - lived experience, child with mask
ETS – Child
United States
2010

WARNING: Cigarettes cause fatal lung disease.

USA 2010 Health Effects lung - lived experience, lung cancer
Health Effects – Lung
United States
2010
USA 2010 Health Effects lung - lung disease, death, clever
Health Effects – Lung
United States
2010
USA 2010 Health Effects lung - diseased organ, lung disease, gross
Health Effects – Lung
United States
2010
USA 2010 Health Effects lung - internal image, lung disease
Health Effects – Other
United States
2010

WARNING: Cigarettes cause cancer.

USA 2010 Health Effects other - cancer, clever
Health Effects – Other
United States
2010
USA 2010 Health Effects lung - lung disease, lived experience, death
Health Effects – Lung
United States
2010
USA 2010 Health Effects mouth - lived experience, mouth cancer
Health Effects – Mouth
United States
2010
USA 2010 Health Effects other - throat, lung, mouth cancer
Health Effects – Other
United States
2010

WARNING: Cigarettes cause strokes and heart disease.

USA 2010 Health Effects other - stroke, heart disease, clever
Health Effects – Other
United States
2010
USA 2010 Health Effects other - stroke, heart disease, lived experience
Health Effects – Other
United States
2010
USA 2010 Health Effects other - stroke, heart disease, animated
Health Effects – Other
United States
2010
USA 2010 Health Effects other - stroke, heart disease, lived experience 2
Health Effects – Other
United States
2010

WARNING: Smoking during pregnancy can harm your baby.

USA 2010 ETS baby - lived experience, baby, targets pregnant women
ETS – Baby
United States
2010
USA 2010 ETS baby - lived experience, baby, targets parents
ETS – Baby
United States
2010

WARNING: Smoking can kill you.

USA 2010 Health Effects death - lived experience
Health Effects – Death
United States
2010
USA 2010 Health Effects death - female, animation
Health Effects – Death
United States
2010
USA 2010 Health Effects death - lived experience, coffin
Health Effects – Death
United States
2010
USA 2010 Health Effects death - grave image
Health Effects – Death
United States
2010

WARNING: Tobacco smoke causes fatal lung disease in nonsmokers.

USA 2010 ETS general - second hand smoke, lung disease, woman crying
ETS – General
United States
2010
USA 2010 ETS general - second hand smoke, lung disease, grave image
ETS – General
United States
2010
USA 2010 ETS general - second hand smoke, lung disease, man smoking
ETS – General
United States
2010
USA 2010 ETS general - second hand smoke, lung disease, woman smoking
ETS – General
United States
2010
USA 2010 ETS general - second hand smoke, lung disease
ETS – General
United States
2010

WARNING: Quitting smoking now greatly reduces serious risks to your health.

USA 2010 Quitting - lived experience, efficacy, reduced risk
Quitting
United States
2010
USA 2010 Quitting - reduced risk, flushing cigarettes, clever
Quitting
United States
2010
USA 2010 Quitting - reduced risk, bubble
Quitting
United States
2010

** The images contained in this gallery are subject to American copyright laws. Any duplication, reproduction, or use without the express consent of said party is prohibited. Countries should be contacted individually for usage of images.