Table 1 Textual health warnings and efficacy messages from the first and second Tobacco Products Directive (TPD) on the packet of tobacco products

Smoking causes blockage of the blood vessels, heart attacks, and strokes

Smoking clogs your arteries

Smoking causes heart attacks

Smoking causes strokes and disability

Smoking causes deadly lung cancer

Smoking causes 9 out of 10 lung cancers

Smoking damages your lungs

Tobacco smoke contains more than 70 substances that cause cancer^b

Quitting smoking reduces the risk of fatal heart and lung diseases

Smoking causes heart attacks

Smoking causes 9 out of 10 lung cancers

Smoking damages your lungs

Smoking during pregnancy is unhealthy for your baby

Smoking can kill your unborn child

Protect children: do not let them breathe your smoke

Smoking causes serious harm to you and others around you^a

Your smoke harms your children, family and friends

Smoking can reduce blood circulation and cause impotence

Smoking increases the risk of impotence

Smoking can damage the sperm and reduces fertility

Smoking reduces fertility

Smoking is deadly^a

Smoking is deadly – quit now^b

Smokers die younger

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Tobacco smoke contains benzene, nitrosamines, formaldehyde and hydrogen cyanide

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Smoking ages the skin

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Your doctor or pharmacist can help you quit smoking

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Smoking is very addictive; do not start

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Smoking can lead to a slow, painful death

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Smoking causes mouth and throat cancer

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Smoking damages your teeth and gums

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Smoking increases the risk of blindness

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Smokers’ children are more likely to start smoking

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Quit smoking – Stay alive for those close to you

 Find help to stop smoking: DEFACTO 0900–9390 (€ 0.10 / min) or www.stoppen-met-roken.nl or consult your doctor or pharmacist

Quit now! Go to www.ikstopnu.nl. Or call the quit line 0800–1995 (free)