A Picture Is Worth A Thousand Words

Tobacco packaging serves as the most cost-effective communication channel for governments to convey the health risks associated with tobacco use. Especially among those with low literacy levels, pictorial health warnings (PHWs) are an effective health promotion tool to increase awareness of tobacco’s harmful effects with no costs to the government.

As part of a growing global trend, at least 138 countries/jurisdictions have legislated PHWs to date in accordance with WHO FCTC Article 11 and its implementation guidelines, adopted at the third session of the FCTC Conference of Parties (COP 3) in 2008. In 2016, ASEAN became the first region in the world where all ten member states require PHWs on tobacco packages.

The Article 11 Guidelines recommend that health warnings be as large as possible and include pictures to effectively communicate the health harms of tobacco use. Thailand currently requires the world’s fourth largest PHWs (85% front and back of the pack) after Timor-Leste and Turkey (92.5%), Maldives, Nepal Vanuatu, Benin, and Mauritius (90%), and New Zealand (87.5%). Four other ASEAN countries (Brunei, Lao PDR, Myanmar, and Singapore) require PHW sizes that are considered international best practices (at least 75%).

The Article 11 Guidelines also recommend standardized (plain) packaging, which enhances the visibility of the PHWs and reduces the appeal of tobacco products. In 2012, Australia was the first country to implement plain tobacco packaging. Globally, there are at least 43 countries and territories moving forward with standardized tobacco packaging, with 26 countries having adopted the measure and at least 14 other countries that are in varying stages of introducing standardized packaging laws. With the World Trade Organization dispute panel decision upholding Australia’s right to require plain packaging, it is expected that even more countries will follow suit.

In ASEAN, Thailand, Singapore, Myanmar, and Lao PDR are the leading countries that have adopted standardized tobacco packaging, which eliminated all promotional aspects of packaging including brand colours, logos, and graphics on tobacco packages, effective on 10 September 2019, 1 July 2020, 31 December 2024 and 5 December 2024 respectively. Other ASEAN country (Philippines) is underway to adopt a similar measure.

Increasing number of countries requiring PHWs on cigarette packages (2001-2023)

Asean COUNTRY Year of PHWs rotation
Singapore (2004, 2006, 2013, 2020, 2020 - SP)
Thailand (2005, 2007, 2010, 2014, 2019 - SP, 2022)
Brunei (2008, 2012)
Malaysia (2009, 2014)
Vietnam (2013)
Indonesia (2014, 2018)
Philippines (2016, 2018, 2020, 2022, 2024)
Cambodia (2016, 2018, 2021, 2024)
Myanmar (2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024 - SP)
Lao PDR (2016, 2024 - SP)

*( ) Year of PHWs rotation. SP – Standardized packaging

Leaders of pack warning size

Five ASEAN countries among top 25 countries worldwide with the largest pictorial health warnings.

Country % Average PHW size % PHW size (front) % PHW size (back)
1 Timor-Leste 92.5 85 100
1 Turkey 92.5 85 100
2 Maldives 90 90 90
2 Nepal 90 90 90
2 Vanuatu 90 90 90
2 Benin 90 90 90
2 Mauritius 90 90 90
3 New Zealand 87.5 75 100
4 Hong Kong (S.A.R., China) 85 85 85
4 India 85 85 85
4 Thailand 85 85 85
5 Australia 82.5 75 90
5 Cook Islands 82.5 75 90
5 Niue 82.5 75 90
6 Gambia 81.5 81.5 81.5
7 Chad 80 80 80
7 Sri Lanka 80 80 80
7 Uruguay 80 80 80
8 Ethiopia 78 78 78
9 Brunei 75 75 75
9 Canada 75 75 75
9 Lao PDR 75 75 75
9 Myanmar 75 75 75
9 Singapore 75 75 75
9 Tajikistan 75 75 75

Thailand: Asia’s first standardized packaging (with 85% PHW)

In April 2013, Ministry of Public Health (MoPH) passed a regulation requiring pictorial health warnings to cover the upper 85% of front and back panels of packs; however, implementation was delayed due to a legal challenge by the tobacco industry, including Japan Tobacco International (JTI), Philip Morris (PM), and British American Tobacco (BAT), that led to an injunction being issued by the Central Administrative Court.

On 26 June 2014, the Supreme Administrative Court ruled in favor of the MoPH and cancelled the injunction, clearing the way for implementation of the larger 85% warnings. All tobacco products sold in Thailand were required to carry the new pictorial warnings within 90 days.

Thailand was the first Asian country to enforce standardized packaging for tobacco products. On 14 December 2018, Thailand’s Standardized Packaging Regulation was enacted with effect after nine (9) months (on 10 September 2019) with a 3-month full phase-out of old cigarette stocks by 8 December 2019. All cigarettes packaging must be sold in drab brown-colored packs with cigarette brand names printed in a standardized font type, size, color, and location, without brand colors or logos. The new standardized packaging complements Thailand’s pictorial health warnings, which occupy the upper 85% of the front and back panels of packs, currently the largest in ASEAN.

Pictogram

Thailand’s Tobacco Product Control Act enacted in 2017 authorises the Minister of Public Health to prescribe the standards for package size, colour, marks, labels, and display of trademarks, pictures, and messages on tobacco packages.

Among the world’s largest: Thailand, Brunei, Lao PDR, Myanmar and Singapore

Thailand (85% front and back)*

*These are 4 out of 10 new Thailand PHW images for the 6th rotation, effective 11 January 2022.

Brunei (75% front and back)*

*These are 2 out of 7 Brunei PHW images for the 2nd rotation, effective 1 September 2012.

Lao PDR (75% front and back)*

*These are 2 out of 10 Lao PDR PHW images for the 2nd rotation, effective 5 December 2024.

Myanmar (75% front and back)*

*These are 2 out of 10 new Myanmar PHW images for the 6th rotation, effective 10 April 2022.

Singapore (75% front and back)*

*These are 2 out of 6 Singapore PHW images for the 4th rotation, effective 1 July 2020.


Pictorial health warnings on cigarette packages in other ASEAN countries

Philippines (50% front and back)*

*These are 4 out of 10 new Philippines PHW images for the 5th rotation, effective March 2024.

Malaysia (50% front and 60% back)*

*These are 2 out of 12 Malaysia PHW images for the 2nd rotation, effective 1 January 2014.

Cambodia (55% front and back)*

*These are 2 new Cambodia PHW images for the 4th rotation, effective 1 May 2024.

Vietnam (50% front and back)*

*These are 2 out of 6 Vietnam PHW images for the first rotation, effective 8 August, 2013.

Indonesia (40% front and back)*

*These are 2 out of 5 Indonesia PHW images for the 2nd rotation, effective 11 January 2019.

ASEAN image bank of copyright-free pictorial health warnings

ASEAN image bank of copyright-free pictorial

In collaboration with ASEAN Focal Points on Tobacco Control (AFPTC), SEATCA established a sharing mechanism of copyright-free pictorial health warning images of ASEAN countries. SEATCA continues to:

  • Provide technical assistance to countries on development and implementation of PHWs and standardized tobacco packaging policies.
  • Facilitate access to high-resolution and copyright-free PHW images from ASEAN countries.
  • Provide sample cigarette packs from the ASEAN region and globally for advocacy purposes.

For more detailed information, please visit http://tobaccolabels.seatca.org/gallery/

Evolution of pictorial health warnings and standardized tobacco packaging in ASEAN

Country Years of Implementation and Rounds of Rotation Position, Size, and Location Language Number of Rotating Health Warnings Cessation Messages
Brunei 2008, 2012 Top 75% front and back Malay (front), English (back) 7
Cambodia 2016, 2018, 2021, 2024* Top 55% front and back Khmer 2
Indonesia 2014, 2018 Top 40% front and back Bahasa Indonesia 5 Layanan Berhenti Merokok (0800-177-6565)
Lao PDR 2016, 2024** Top 75% front and back Lao 10
Malaysia 2009, 2014 Top 50% front and 60% back Malay (front), English (back) 12 Infoline: 03-8883 4400
Myanmar 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024*** Top 75% front and back Myanmar 10 Quit tobacco
Philippines 2016, 2018, 2020, 2022, 2024**** Bottom 50% front and back Filipino (front), English (back) 12 Quit Smoking: Call DOH Quitline 1558 (formerly 165-364)
Singapore 2004, 2006, 2013, 2020***** Top 75% front and back English 6 YOU CAN QUIT and QUITLINE 1800 438 2000
Thailand 2005, 2007, 2010, 2014, 2019, 2022****** Top 85% front and back Thai 10 Quitline 1600
Vietnam 2013 Top 50% front and back Vietnamese 6

*The 4th rotation of Cambodia PHWs effective 1 May 2024.

**PHW implementation was delayed due to strong tobacco industry interference. The deadline for tobacco industry compliance was extended three times from 1 October 2016 to 1 January 2018 (a total of 19 months grace period). The Ministry of Health has issued a regulation on standardized tobacco packaging as mandated by the Tobacco Control Law 2021. Lao PDR is the fourth ASEAN country to require standardized tobacco packaging effective 5 December 2024.

***Myanmar was the third ASEAN country to require standardized packaging and 10 PHWs for smoked and smokeless tobacco products (5 PHWs each), effective 10 April 2022, however, implementation was delayed to 31 December 2024, a total of 38 months extension, due to tobacco industry interference.

****The 5th rotation of Philippines PHWs effective March 2024.

*****Singapore implemented standardized packaging and increased the pictorial warning size from 50% to 75% effective 1 July 2020.

******Thailand standardized packaging with a new set of 10 rotating pictorial health warnings effective 11 January 2022.


Ban on false or misleading descriptors in ASEAN

Year of implementation

2007 2009 2010 2012 2013 2015 2016
Thailand Malaysia Lao PDR Indonesia Singapore and Vietnam Cambodia Myanmar and Philippines

*Brunei: No ban.

Implementation timeline of the new rotation of pictorial health warnings and standardized tobacco packaging in ASEAN

Country Pictorial Health Warnings (Size: Front/Back) Standardized Packaging Date of Approval Transition Period for Tobacco Industry Date of Implementation Date of Implementation at Retail Level Phase-in Period
Brunei 75%/75% 22 February 2012 Less than 7 months 1 September 2012 1 September 2012 NA
Cambodia 55%/55% 20 April 2023 9 months 1 May 2024 1 May 2024 NA
Indonesia 40%/40% 13 December 2017 12 months 11 January 2019 11 January 2019 NA
Lao PDR 75%/75% 13 May 2024 6 months 5 December 2024* 5 December 2024 NA
Malaysia 50%/60% 11 June 2013 Less than 7 months 1 January 2014 1 January 2014 NA
Myanmar 75%/75% 12 October 2021 6 months 31 December 2024** 31 December 2024 90 days (1 January – 1 April 2025)
Philippines 50%/50% 19 July 2023 12 months after publication of PHW templates 4 March 2024 4 March 2024 8 months
Singapore 75%/75% 1 July 2019 12 months 1 July 2020*** 1 July 2020 3 months (1 April – 30 June 2020)
Thailand 85%/85% 14 July 2021 6 months 11 January 2022**** 10 April 2022 90 days (11 January – 10 April 2022)
Vietnam 50%/50% 8 February 2013 6–10 months 8 August 2013 (soft pack), 8 December 2013 (hard pack) 8 August 2013 (soft pack), 8 December 2013 (hard pack) NA

*Lao PDR ranked the fourth ASEAN country to require standardized packaging on tobacco products effective 5 December 2024.

**Myanmar was the third ASEAN country to require standardized packaging and 10 PHWs for smoked and smokeless tobacco products (5 PHWs each), effective 10 April 2022, however, implementation was delayed to 31 December 2024, a total of 38 months extension, due to tobacco industry interference.

***Singapore ranked second country in ASEAN to implement standardized packaging, effective 1 July 2020.

****Thailand was the first country in ASEAN to implement standardized packaging, effective 10 September 2019. The 6th rotation of Thailand PHWs effective 11 January 2022.

Canada

Canada: Global first to require health warnings on individual cigarettes

Canada led the world as the first country to require the printing of health messages on individual cigarette sticks. The warnings include, “Poison in every puff,” “Cigarettes cause impotence” and “Tobacco smoke harms children.” Tobacco product packages that feature the new health-related messages printed on every individual cigarette is sold in stores starting end of April 2024.

The individual warnings will be phased in, with king-sized cigarettes carrying the message by 31 July 2024, and regular-size cigarettes and cigarillos with tipping paper, and tubes, by 30 April 2025. This measure will provide a constant reminder to consumers on the health effects of tobacco use.

Pictogram

Photo credit: Canadian cigarette package warnings on individual cigarettes (CNW Group/Canadian Cancer Society) (left) and Canadian Department of Health (right).

All legal challenges brought by the tobacco industry against standardize/plain packaging laws have been dismissed by the courts and tribunals across the globe.

Standardized/plain tobacco packaging around the world

Globally, there are at least 43 countries and territories moving forward with standardized tobacco packaging, with 26 countries having adopted the measure following Australia’s lead (in 2012), 3 countries Monaco (from France), Cook Islands (from New Zealand), and Niue (from Australia) having it in practice and at least 14 other countries are in varying stages of introducing standardized packaging laws.

  • Retail Level
  • Manufacturer Level

Four ASEAN countries (Thailand, Singapore, Myanmar, and Lao PDR) are among the 26 countries worldwide who have adopted standardized tobacco packaging, the global standard for packaging and labelling of tobacco products.

COUNTRY Manufacturer Level Retail Level
United Kingdom 20 May 2016 20 May 2017
Canada 9 Nov 2019 7 Feb 2020
Ireland 30 Sept 2017 30 Sept 2018
Guernsey 31 July 2021 31 July 2022
Jersey 1 Jan 2022 31 July 2022
France 20 May 2016 1 Jan 2017
Slovenia 1 Jan 2020 1 Jan 2020
Hungary* 1 Jan 2022 1 Jan 2022
Uruguay 21 Dec 2019 21 Dec 2019
Belgium 1 Jan 2020 1 Jan 2021
Norway 1 July 2017 1 July 2018
Finland 1 May 2023 1 May 2023
Denmark 1 July 2021 1 Apr 2022
Netherlands 1 Oct 2020 1 Oct 2020
Georgia 31 July 2024 31 July 2024
Saudi Arabia 23 Aug 2019 1 Jan 2020
Oman 4 Apr 2024 4 July 2024
Mauritius 31 May 2023 31 May 2023
Israel 8 Jan 2020 8 Jan 2020
Turkey 5 Dec 2019 5 Jan 2020
Australia (2012) 1 Oct 2012 1 Dec 2012
New Zealand 14 Mar 2018 6 June 2018
Myanmar 31 Dec 2024 31 Mar 2025
Lao PDR 5 Dec 2024 5 Dec 2024
Thailand 10 Sept 2019 8 Dec 2019
Singapore 1 July 2020 1 July 2020

*In Hungary, pain/standardized packaging is required for new brands from 20 August 2016.


Thailand Singapore Myanmar Laos

Standardized tobacco packaging in ASEAN (Thailand, Singapore, Myanmar and Lao PDR)

Thailand, Singapore, Myanmar and Lao PDR are the first in Asia and among the 26 countries and territories that implement standardized packaging for tobacco products, eliminating all promotional aspects of packaging including brand colours, logos and graphics on tobacco packages. Singapore’s PHWs size on the package surface, increased to 75% from 50% (introduced since 2004) along with the standardized packaging regulation.

Disclosure of information on relevant constituents and emissions of tobacco products in ASEAN

Country Details
Brunei (2012) [1] This product contains nicotine and tar which cause addiction and is dangerous to health.
Produk ini mengandungi nikotina dan tar yang menyebabkan ketagihan dan membahayakan kesihatan

Printing requirements:
  • In the English language on one side panel of the pack and in the Malay language on the other side panel.
Indonesia (2012) [1] There is no safe limit! Contains more than 4,000 hazardous chemicals and more than 43 cancer-causing substances.
Tidak ada batas aman! Mengandungi lebih dari 4,000 zat kimia berbahaya, 43 zat penyebab kanker

Printing requirements:
  • On one side panel and in Bahasa Indonesia only.
Lao PDR (2024)* [10] Side panel A:
  • 1a. ຂາຍຢາສູບໃຫ້ເດັກ ເປັນການທໍາລາຍລູກຫຼານ
    Selling cigarettes to minors harms young generation.
  • 2a. ສູບຢາເຮັດໃຫ້ເສັ້ນເລືອດຕັນ
    Smoking causes atherosclerosis.
  • 3a. ສູບຢາທີ່ບ້ານ ອາດເຮັດໃຫ້ຄອບຄົວເປັນໂຣກ
    Smoking at home causes family risk to get diseases.
  • 4a. ສູບຢາເຮັດໃຫ້ໄຂມັນໃນເລືອດສູງ
    Smoking causes high LDL cholesterol.
  • 5a. ຄວາມດັນໂລຫິດສູງ ແລະສູບຢາ ທຳໃຫ້ຂາພິການ
    Hypertension and smoking lead to earlier paralysis.

Side panel B:
  • 1b. ເດັກ 7 ຄົນໃນ 10 ຄົນທີ່ຕິດຢາສູບ ບໍ່ສາມາດຫຼຸດລົງໄດ້
    7 in 10 kids addicted to cigarettes cannot quit.
  • 2b. ສູບຢາເຮັດໃຫ້ເປັນໂຣກຫົວໃຈວາຍ
    Smoking causes heart attack.
  • 3b. ສູບຢາທີ່ບ້ານ ສົ່ງຜົນໃຫ້ເດັກເຂົ້າສູ່ຄວາມຕິດຢາສູບ
    Smoking at home linked to children’s risk of addiction to cigarettes.
  • 4b. ສູບຢາເຮັດໃຫ້ເສັ້ນເລືອດຕັນ
    Smoking causes atherosclerosis.
  • 5b. ໂຣກເບົາຫວານ ແລະສູບຢາ ສົ່ງຜົນໃຫ້ເປັນໂຣກຊັບຊ້ອນໄວ
    Diabetes and smoking lead to earlier complications.

Printing requirements:
  • Paired qualitative statements on two side panels and in Lao language.
Malaysia (2009) [1] This product contains more than 4,000 chemicals including tar, nicotine and carbon monoxide that are dangerous to health
Produk ini mengandungi lebih 4,000 bahan kimia termasuk tar, nikotina dan karbon monoksida yang membahayakan kesihatan

Printing requirements:
  • On one side panel and in Malay language only.
Myanmar (2021)* [4] On cigarettes, cheroots and cigars (Say Pyinlate) and various kinds of cigars packaging

ဆေးရွက်ဘက်ရိပ်သားသည် ကျန်းမာရေးကို အဆိုးရွားစွာထိခိုက်စေသည်။ ဆေးရွက်မသောက်ပါ။
Smoking causes serious harm to your health. Quit smoking.

ဆေးရွက်ဘက်ရိပ်သားတွင် နီကိုတင်း၊ ကားဘွန်မိုနိုအောက်ဆိုဒ်၊ နှလုံးနှင့် အဆုတ်ရောဂါများ ဖြစ်စေသော ဓာတ်ပစ္စည်းများ ပါဝင်သည်။ ဆေးရွက်မသောက်ပါ။
Nicotine, tar and carbon monoxide contained in cigars can cause heart and lung diseases. Quit smoking.

ဆေးရွက်ဘက်ရိပ်သားတွင် ကင်ဆာဖြစ်စေသော ဓာတ်ပစ္စည်းများ၊ ဓာတုဗေဒပစ္စည်းများ ပါဝင်သည်။ ဆေးရွက်မသောက်ပါ။
Cigar contains cancer-causing compounds like nitrosamine, benzo(a)pyrene and others. Quit smoking.

Printing requirements:
  • "Smoking causes serious harm..." must be printed on the top panel.
  • "Nicotine, tar and carbon monoxide..." must be printed on the right side panel.
  • "Cigar contains cancer-causing compounds..." on the left side panel.
  • All texts in Myanmar language.
(Other tobacco products including compounded tobacco, pickled tobacco, and chewing tobacco are also required to print a different set of qualitative statements on the packaging.)

*This new requirements based on the 2021 order relating to standardized packaging of, and printing graphic for health warning images and texts on cigar and tobacco pproducts, effective on 31 December 2024.

[ ] Number of statements


Disclosure of information on relevant constituents and emissions of tobacco products in ASEAN

Country Details
Singapore (2012) [1] Smoking exposes you and those around you to more than 4,000 toxic chemicals, of which at least 60 can cause cancer.
The chemicals include tar, nicotine, carbon monoxide, formaldehyde, ammonia and benzene

Printing requirements:
  • On one side panel and in English language
Thailand (2021) [10] Side panel A:
  • 1a. สูบบุหรี่เพิ่มเสี่ยงเป็นวัณโรค
    Smoking increases the risk of tuberculosis.
  • 2a. สูบบุหรี่ในบ้านเลิกยาก
    Smoking at home is hard to quit.
  • 3a. สูบบุหรี่เป็นมะเร็งตายทรมาน
    Smoking causes cancer and painful death.
  • 4a. นิโคตินในบุหรี่เป็นสารพิษ
    Nicotine in cigarettes is a toxic substance.
  • 5a. สูบบุหรี่ทำให้ไขมันในเลือดสูง
    Smoking causes LDL cholesterol.

Side panel B:
  • 1b. เป็นวัณโรคแล้วสูบบุหรี่ตายเพิ่ม 3 เท่า
    With tuberculosis, the chance of dying from smoking increases 3 times
  • 2b. สูบบุหรี่ในบ้านลูกเสี่ยงติดบุหรี่
    Smoking at home is linked to children’s risk of addiction to cigarette
  • 3b. บุหรี่ทำให้เป็นมะเร็ง 20 ชนิด
    Cigarette causes 20 types of cancer.
  • 4b. นิโคตินเป็นพิษทำร้ายสมอง
    Nicotine toxicity harms brain.
  • 5b. สูบบุหรี่ทำให้หลอดเลือดตีบ
    Smoking causes atherosclerosis.

Printing requirements:
  • Paired qualitative statements on two side panels and in the Thai language.

Note: Only Brunei, Philippines, and Thailand prohibit the display of emission yields (tar, nicotine, and carbon monoxide) on packages.

[ ] Number of statements

For more detailed information, please visit https://tobaccolabels.seatca.org and refer SEATCA Tobacco Packaging and Labelling Index: Implementation of WHO Framework Convention on Tobacco Control Article 11 in ASEAN Countries (2022).

Tobacco advertising at point-of-sale (POS) in ASEAN

  • Ban
  • No ban
COUNTRY POS Advertising POS Pack Display
Myanmar No Ban No Ban
Philippines No Ban No Ban
Indonesia* No Ban No Ban
Lao PDR Ban Ban
Thailand Ban Ban
Brunei Ban Ban
Singapore Ban Ban
Vietnam Ban No Ban (Allowed display of only 1 pack or carton per brand, 2012)
Cambodia Ban No Ban (Allowed display of only 1 pack or carton per brand, 2012)
Malaysia Ban No Ban

*In Indonesia, there are 21 cities/districts that have banned cigarette display at point-of-sale (POS) by local ordinances (as of June 2023).

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