From Australia to the world: a decade of plain packaging

Thursday 1 December, 2022

Plain packaging

Ten years ago today, Australia took a bold step and became the first country in the world to implement tobacco plain packaging. It saw landmark laws come into effect, which stopped the tobacco industry from using its slick packaging as a mobile billboard.

The evidence showed that it worked. The impact of plain packaging in Australia has been significant. Surveys undertaken by Cancer Council found a sizeable drop in cigarette brand appeal, greater impact of health warnings and likelihood of smokers making quit attempts. In the years between 2012-2015, a government study found a significant decline in smoking prevalence in Australia, about a quarter of which was attributable to plain packaging. An estimated 100,000 fewer Australians smoked just three years after full implementation.

But work supporting these laws, taking on the leading cause of preventable cancer death in Australia, had been ongoing for almost 20 years. The McCabe Centre for Law and Cancer’s founding partner, Cancer Council, recognised that banning marketing on tobacco packaging was an opportunity to save lives, and published a summary of evidence in 1993. Support for plain packaging drew on research from Cancer Council Victoria and overseas which indicated that removing all branding on cigarette packages would dramatically change the relationship between smokers and cigarettes. 

The tobacco industry went into overdrive to undermine draft plain packaging legislation, funding aggressive campaigns and presenting unfounded arguments in parliament, rightly fearing that Australia’s example would be followed in other countries and reduce their profits. While the laws were passed, and from 2012 all cigarettes and tobacco had to be sold in drab, brown packets, the legal challenges did not stop.

Amidst this battle, in February 2012, Cancer Council jointly established the McCabe Centre for Law and Cancer with the Union for International Cancer Control. The McCabe Centre, the first and only organisation of its type in the world, played, and continues to play, an important role in legal work and capacity-building, supporting tobacco plain packaging in Australia and beyond. 

Plain packaging
The McCabe Centre has helped law and policy makers from countries across the world to work towards plain packaging legislation

Meanwhile, the tobacco industry continued to level attacks on the legislation, including bringing a High Court challenge, launching a dispute under a bilateral investment agreement in Hong Kong, and supporting several countries to bring almost a decade-long dispute before the World Trade Organization. Australia overcame every one of those challenges, and in doing so won a significant victory for protecting public health and paved the way for more countries to protect their people from the deadly effects of smoking.

The world has taken notice of these innovations. By 2022, 24 countries, from the United Kingdom to Thailand, Türkiye to Canada, have introduced and adopted plain packaging laws, with Georgia and Mauritius being some of the most recent to issue regulations implementing plain packaging.

Both Cancer Council and the McCabe Centre for Law and Cancer continue to play an important role in supporting this change around the world, sharing Australia’s experience as a global leader in tobacco control and strengthening legal knowledge so countries can introduce effective health laws, such as tobacco plain packaging, and defend them when they are challenged. 

In 2013, the McCabe Centre was designated as the first Knowledge Hub to the World Health Organization Framework Convention on Tobacco Control, providing support on legal challenges to the Convention’s implementation. Of the 24 countries who have since introduced or adopted plain packaging laws, 18 have had representatives attend past McCabe Centre workshops on plain packaging or received other technical support to progress plain packaging laws and counter legal challenges, and participants from many other countries are progressing further laws.

As we face new challenges, such as the rise in e-cigarette use amongst young people, it is important to remember what has worked in the past to save lives. This includes having solid evidence, effective advocacy to policy-makers, a whole of government process in drafting and defending laws, strong leadership and a coordinated approach combining legal interventions with investment in cessation support and media campaigns.

As Australia seeks to reclaim its position as a world leader on tobacco control, with plans announced yesterday to introduce new legislation to bring down smoking rates and address e-cigarettes, it is timely to reflect on what worked.

This ten year milestone reminds us that other countries can follow suit with confidence about the legal status and impact of plain packaging as part of comprehensive tobacco control laws implementing the WHO Framework Convention on Tobacco Control.

 


Through its work as a WHO Framework Convention on Tobacco Control Knowledge Hub, the McCabe Centre for Law and Cancer supports countries to learn from Australia’s experience with plain packaging, to adopt tobacco control laws and to understand what trade and investment law mean for their work. You can access the Knowledge Hub and further materials here.

Recent Posts

SZ and RT at air pollution conf

Laws for clean air will save lives

Friday 11 April 2025
Reflections on the 2nd WHO Global Conference on Air Pollution and Health: There are few things more important to life than the air we breathe. Yet almost nobody on the planet has access to clean air - 99% of the world live somewhere where the air fails to meet the World Health Organization’s air quality standards, and air pollution kills more than 7 million people each year.
Law picture

Putting human rights at the heart of cancer prevention

Monday 7 April 2025
Human rights law recognises that cancer prevention protects and promotes our right to health. Suzanne Zhou, from the McCabe Centre for Law and Cancer and member of the WCRF Policy Advisory Group, explains how and why cancer prevention advocates must engage with this body of law to maximise the co-benefits of human rights and cancer prevention policies in this piece for World Cancer Research Fund.
woman power and cancer

Women, power and cancer - implementing the Lancet Commission's recommendations

Saturday 5 April 2025
How do gender dynamics shape cancer prevention, treatment, and care? UICC’s new 9-week online course explores this critical issue, offering insights from the Lancet Commission on women, power and cancer. This new course covers the influence of gender dynamics in cancer prevention, treatment, and care -and how to advocate for change.
Careers Image

Thank you Sondra Davoren: a tribute to her time at the McCabe Centre and Cancer Council Victoria

Tuesday 25 March 2025
After over 16 years of dedicated service to the McCabe Centre for Law and Cancer and Cancer Council Victoria, we extend our deepest gratitude to Sondra Davoren, as she leaves the McCabe Centre and takes up a new role as Senior Legal Counsel at Health New Zealand Te Whatu Ora.
Careers Image

Empowering legal change for noncommunicable diseases: the impact of our International Legal Training Program

Wednesday 19 March 2025
At the McCabe Centre for Law & Cancer, we’ve always believed in the power of the law and its effectiveness to prevent and control cancer. And for over a decade, our International Legal Training Program (ILTP) has been equipping legal and policy professionals with the skills to drive real change.