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Cigarettes are not only harmful to smokers, but everyone around them. It’s not a new message, but it will be delivered in a new way come September, if the Food and Drug Administration has its way.

Graphic warning labels are to cover the top 50 percent of cigarette packs, both front and back, and must also make up 20 percent of any cigarettes advertisement. They are required under the Family Smoking Prevention and Tobacco Control Act, which was passed in 2009 and gives the FDA the power to regulate the cheap cigarettes industry.

But four of the nation’s five top buy cigarettes firms have filed a lawsuit against the FDA claiming that the warnings violate their right to free speech. Philip Morris USA is the only company not participating in the litigation.

The nine images include blackened lungs, yellowed teeth, a man wearing an oxygen mask, another with smoke cigarettes coming out of the tracheotomy hole in his neck and a dead man with an autopsy scar over his chest.

“Consider this, a pack a day smoker will see these labels more than 7,000 times a year and kids who are under the impression that smoking cigarettes is cool or glamorous will be confronted by a very different reality when they are tempted to pick up a cigarette pack,” Margaret Hamburg, commissioner of the FDA, said in a video on the agency’s website.

Cigarette smoking cigarettes kills an estimated 443,000 Americans each year, according to the Centers for Disease Control and Prevention, and it is the leading cause of preventable death in the United States.

“For years the tobacco industry has promoted images suggesting use of their product will somehow bring you glamour, when tragically we know that the exact opposite is true,” Howard Koh, assistant secretary of health for the Department of Health and Human Services said in a video on the FDA’s website.

The cigarette health warnings were selected from a panel of 36 images that the FDA developed and put out for public comment. The agency also conducted its own research, the largest consumer study of cigarette warnings ever conducted, with some 18,000 participants.

City Councilwoman Karen Koslowitz (D-Forest Hills), a smoker for 47 years, started at age 14. She quit in 2002 and knows first-hand how addictive tobacco can be as well as the stigma associated with being an elected official who smokes.

“You don’t want others to see you smoke, because you know it’s not the right thing to do,” Koslowitz said. “I knew I should stop.”

The lawmaker even burned her hair on one occasion when she was trying to hide a lit cigarette from then-City Council Speaker Peter Vallone Sr., who she said was very “gung-ho about not smoking cigarettes.”

She also recalled how lighting up became a chore over the years, getting banned from numerous places including restaurants, parks and City Hall. “Smoking became bothersome,” Koslowitz said. “You couldn’t smoke cigarettes in places where you enjoyed cigarettes online most. It was just too annoying.”

The lawmaker’s family also had a hand in her decision to kick the habit. “My grandson used to see me smoking cigarettes — I wouldn’t smoke cigarettes near him — and he used to say, ‘Grandma you’re going to die,’” Koslowitz recalled. “That really got to me.”

Koslowitz was able to quit through the use of a nicotine patch and says she has not had the desire to light up again. She said she doesn’t think the new FDA warnings are necessary because she believes people are well aware of the negative side effects of smoking cigarettes. She thinks the government should focus more on raising awareness about the ills of excessive alcohol consumption. “Why don’t they put a picture of a car hitting a person on a bottle of liquor?” she asked.

Koslowitz also had some advice for those who continue to puff away. “If I could give up smoking cigarettes then anyone can do it,” she said. “I can’t see myself ever going back.”

Assemblyman Bill Scarborough (D-Jamaica) is also a former smoker, but he quit long before becoming an elected official. He started at the age of 10 and smoked for 20 years, before quitting cold turkey in 1981. The decision came after a close relative of Scarborough’s became sick with a smoking cigarettes-related illness.

“My advice to anyone who smokes is to quit,” Scarborough said. “It’s not good for your health. That’s beyond debate. If you tried to quit and were unsuccessful, keep trying. It’s worth it.”

The lawmaker said that he supports the new graphic warning labels and hopes they will cause more people to kick the habit. “They need to understand the consequences,” Scarborough said. “The measure of their potential effectiveness is demonstrated by the tobbacco company’s suing so they won’t use them.”

Scarborough said although there may be a stigma associated with being an elected official who smokes, he would not look down on anyone who decides to light up.

“Elected officials are looked at as meters and role models and we should be, but we have the same frailties, battles and issues as everyone else does,” Scarborough said. “I certainly would not judge someone who smokes.”

Taxpayer dollars are being used to creep us out - and that's just how state and city officials want it.

"When you are sitting there watching somebody gasping for air, that has a much more powerful effect than merely reading a cigarette label," said Blair Horner, vice president of the American Cancer Society.

The latest shock ad airing statewide - "Emphysema" - shows a man gasping for air. It was produced by the city's Health Department and broadcast by the state through August and September, courtesy of an $824,875 federal grant.

"We use graphic images because they have proven to be effective in getting people to change their behavior," said Jeffrey Gordon, a spokesman for the state Health Department.

Graphic anti-smoking cigarettes ads have become so instrumental that the federal Centers for Disease Control and Prevention has created a media library to help local governments and anti-smoking cigarettes organizations share each other's work - and reduce production costs.

"Unlike the cheap cigarettes industry, which keeps up a continuous flow of activity, these campaigns have been a challenge to maintain in the ebb and flow of state budget cycles," said Dr. Tim McAfee, the CDC's director of the Office on Smoking and Health.

Smokers, though, see the ads as yet another assault on their rights.

"They are using our money for speech against us," said Audrey Silk, founder of the Brooklyn-based group Citizens Lobbying Against Smoker Harassment.

The city Health Department spends nearly $8 million a year on anti buy cigarettes campaigns and its ads have been used in dozens of other states and countries, including Albania, China, India, Poland, Russia and Australia.

One city ad, titled "Cigarettes Are Eating You Alive," shows images of diseased lips, lungs and skin.

Another ad called "Heart Attack" shows an in-progress heart operation with the announcer stating "right now, you're a heart attack waiting to happen."

"The City of New York has been at the cutting edge for several years now of how to deal with these issues," said Horner.

Horner said the city's efforts have eased the blow of state cutbacks that have seen anti-smoking cigarettes spending drop from about $80 million to just over $41 million in three years.

City officials credit the ads with helping reduce smoking cigarettes rates by 27% from 2002 to 2009.

Gordon said that the state's smoking cigarettes hotline received 5,142 calls within a week of the debut of "Emphysema," a 75% increase from usual summer volume.

Richard Abelson, a 63-year-old Westchester County resident, said he decided to kick his 45-year smoking cigarettes habit after watching "Emphysema" repeatedly on television.

"I do have little emphysema and watching that ad - sometimes I can't even watch it is so powerful," said Abelson.

Funded by a grant of more than $2 million, the Just Breathe, Smoke Free Mobile County campaign on Monday unveiled a 60-second television spot about the dangers of second-hand smoke.

Produced by Lewis Communications, the TV ad will begin airing on major broadcast outlets beginning today and will run periodically until next August, said Meagan Newsom, a spokeswoman for the local health initiative, during a news conference in Mobile. A requirement of the grant was to spend more than $1 million on advertising, she said.

The TV spot, which will also air in shorter 30- and 15-second installments, features animated gray and white clouds blowing around in people’s faces while a narrator talks about the 7,000 toxic chemicals found in discount cigarettes smoke.

There are also symbols including a tombstone and a casket to illustrate the harm secondhand smoke cigarettes can cause. Eventually, hands begin to fan the smoke cigarettes away so that the people can "just breathe."

Last year, the Mobile County Health Department received a $2.25 million grant from the Centers for Disease Control and Prevention — and funded by the Alabama Department of Public Health — to be used during a two-year campaign to raise awareness about the risks and effects of secondhand smoke. Another goal of the campaign is to enact smoke-free ordinances in every municipality in Mobile County.

This summer, Saraland’s City Council passed such an ordinance, making it against the law for people to smoke cigarettes in enclosed public spaces, including restaurants and bars, and even near where children play outside in parks. Bayou La Batre and Citronelle also have laws on the books that ban smoking cigarettes in public places, as do most incorporated areas of Baldwin County.

One reason Mobile received such significant grant funding is because the county was identified as an "area of concern" by the CDC with nearly 25 percent of residents considered smokers, local health officials said.

Secondhand smoke, also known as environmental cheap cigarettes smoke, is a mixture of two forms of smoke cigarettes that come from burning cigarettes: sidestream smoke cigarettes that comes from the end of a lit cigarette, pipe, or cigar and mainstream smoke cigarettes exhaled by a smoker.

The sidestream smoke, according to the American Cancer Society, has higher concentrations of cancer-causing agents than the mainstream smoke. It also contains smaller particles than mainstream smoke, which make their way into a person’s cells more easily.

Second-hand smoke cigarettes is the third most preventable cause of death in the United States, causing at least 35,000 deaths each year from heart disease and 3,000 more from lung cancer, according to statistics from the American Cancer Society.

"We all deserve to breathe smoke-free air," said Joel Tate, the director of program services at the Mobile County Health Department.

Cities such as New York and Chicago prohibit smoking cigarettes in restaurants, bars and public places, as do at least 25 other states, local health officials have said.

The Utah Health Department is clarifying the indoor clean air act to include hookah and other cigarettes-related products. But one business owner says the state is overstepping its bounds.

On Sept. 12 the Utah Indoor Clean Air Act will include additional language that treats smoke cigarettes from hookah cheap cigarettes the same as smoke cigarettes from cigarettes, cigars, and pipe cigarettes.

The reason for the clarification, according to the health department, is that hookahs are a health hazard.

“Secondhand cigarettes smoke cigarettes is known to cause cancer in humans,” said Steve Hadden of the Utah Department of Health Tobacco Prevention and Control Program. “There is simply no safe level of exposure to cigarettes online smoke.”

But Nate Porter, owner of the Huka Bar and Grill in Murray, says the health department has no proof that hookahs give off secondhand smoke. “I would like to see Utah studies on hookah. If they want to say that hookah has secondhand smoke cigarettes qualities, I would like to see those studies.”

Porter said when people go to the Huka bar, they are deciding to be around hookas or to smoke cigarettes hookas.

Porter said he will take the state to court and his business will not be going away on Sept. 12. “We will continue to do business,” he said. “We are going to get a judge to file an injunction on this, and we are gonna fight this tooth and nail."

He said the state is overstepping its bounds by changing laws on an administrative level rather than a legislative level.

This rule applies to current and future products. “As the market emerges up the road and as new projects are introduced, it will help everyone understand what is and isn't covered by the Utah Indoor Clean Air Act,” Hadden explained.