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In an interview with NPR, Matthew Myers, the president of the Campaign for Tobacco-Free Kids explained the language saying, " [it] is in fact the result of literally hundreds of hours of negotiation with the Department of Justice and the Campaign and other public health groups arguing that it's that the statements be stark, be accurate, and be detailed enough to have an impact when they're heard." In addition to the health warnings, one of the ads says, "Cigarette companies intentionally designed cigarettes with enough nicotine to create and sustain addiction." The ads are styled in a particular way that also draws attention to the message
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All cigarette packages are made in a colour known as drab brown and are devoid of all other colours and logos
These trends have also been reflected among adolescents: cigarette smoking (defined as smoking a cigarette in the past 30 days) decreased in this population from 15.8% in 2011 to 8.0% in 2016, and e-cig use increased from 1.5 to 11.3% in the same time frame ( Many researchers and clinicians have strongly advocated for transitioning asthmatic smokers to e-cigs to reduce the healthcare burden of smoking-induced asthma exacerbations [1719]
