Tobacco package warning messages are warning messages that appear on the packaging of cigarettes and other tobacco products concerning their health effects. They have been implemented in an effort to enhance the public's awareness of the harmful effects of smoking. In general, warnings used in different countries try to emphasize the same messages. Warnings for some countries are listed below. Such warnings have been required in tobacco advertising for many years, with the earliest mandatory warning labels implemented in the United States in 1966. Implementing tobacco warning labels has been strongly opposed by the tobacco industry, most notably in Australia, following the implementation of plain packaging laws. The WHO Framework Convention on Tobacco Control, adopted in 2003, requires such warning messages to promote awareness against smoking. A 2009 review summarises that there is "clear evidence that tobacco package health warnings increase consumers' knowledge about the health consequences of tobacco use". The warning messages "contribute to changing consumers' attitudes towards tobacco use as well as changing consumers' behaviour". At the same time, such warning labels have been subject to criticism. 2007 meta-analyses indicated that communications emphasizing the severity of a threat are less effective than communications focusing on susceptibility and that warning labels may have no effect among smokers who are not confident that they can quit, which lead the authors to recommend exploring different, potentially more effective methods of behaviour change. In many countries, a variety of warnings with graphic, disturbing images of tobacco-related harms (including hematuria and diabetes) are placed prominently on cigarette packages. Albania Text-based warnings on cigarette packets are used in Albania. Pirja e duhanit mund të vrasë Smoking can kill Pirja e duhanit ju dëmton ju dhe të tjerët rreth jush Smoking harms you and others around you Duhanpirësit vdesin më të rinj Smokers die younger Duhanpirja bllokon arteriet dhe shkakton infarkt të zemrës ose hemorragji cerebrale Smoking blocks the arteries and causes heart attacks or cerebral hemorrhage Duhanpirja shkakton kancer në mushkëri Smoking causes lung cancer Duhanpirja gjatë shtatëzanisë dëmton fëmijën tuaj Smoking during pregnancy harms your baby Ruani fëmijët: mos i lini ata të thithin tymin tuaj Protect children, do not let them inhale your smoke Mjeku ose farmacisti juaj mund t'ju ndihmojë të lini duhanin Your doctor or pharmacist can help you stop smoking Duhanpirja shkakton varësi të fortë, mos e filloni atë Smoking causes a strong addiction, do not start Lënia e