2008, published in the Gazette of Pakistan dated 24 November 2008, to carry rotating health warnings from 1 July 2009. Each health warning is printed for a period of 6 months, covering at least 30% on both sides of the packet and must be printed in Urdu at the front and English at the back. The warnings in English currently in use are: Protect children, do not let them breathe your smoke – Ministry of Health Smoking causes mouth and throat cancer – Ministry of Health Quit smoking and live a longer life – Ministry of Health Smoking severely harms you and the people around you – Ministry of Health Panama In Panama, a variety of warnings with graphic, disturbing images of tobacco-related harms (including throat cancer and lung cancer) are placed prominently on cigarette packages. Paraguay In Paraguay, a variety of warnings with graphic, disturbing images of tobacco-related harms (including impotence and heart attack) are placed prominently on cigarette packages. Peru In Peru, a variety of warnings with graphic, disturbing images of tobacco-related harms (including abortions and asthma) are placed prominently on cigarette packages. Philippines All cigarette packaging sold in the Philippines are required to display a government warning label. The warnings include: Government Warning: Cigarette smoking is dangerous to your health. Government Warning: Cigarettes are addictive. Government Warning: Tobacco smoke can harm your children. Government Warning: Smoking kills. In July 2014, President Benigno Aquino III signed the Republic Act 10643, or "An Act to Effectively Instill Health Consciousness through Graphic Health Warnings on Tobacco Products", more known as the "Graphic Health Warning Act." This law requires tobacco product packaging to display pictures of the ill effects of smoking, occupying the bottom half of the display area in both front and the back side of the packaging. On 3 March 2016, Department of Health (DOH) secretary Janette Garin started the implementation of Republic Act 10643, requiring tobacco manufacturers to include graphic health warnings on newer cigarette packaging. With the Graphic Health Warning Act implemented, graphic health warnings are used on all newer cigarette packages and older packages using text-only warnings are required to be replaced by newer ones incorporating graphic warnings. The 12 new warnings, showing photos of negative effects of smoking, like mouth cancer, impotence and gangrene are rotated every month, and on 3 November 2016, all cigarette packaging without graphic health warning messages are banned from sale.