This poster, created by the World Health Organization for Russian distribution, offers a striking image of a victim whose shoes extend from beneath a pile of cigarette butts. This symbolic representation of the dangers and deadliness of smoking warns the viewer, "Even the best cigarettes can be your tomb." The image incorporates a number of visual strategies common in anti-smoking campaigns, including an image of death (in this case entombment), an emphasis on the repulsive quality of cigarette butts themselves, the cumulative health effects of smoking cigarettes (in this case death), and the responsibility of the individual in the act of smoking.