The Institute for Global Tobacco Control (IGTC) at the Johns Hopkins Bloomberg School of Public Health developed the Tobacco Pack Surveillance System (TPackSS) project to systematically document the variety of cigarette packages available in the 14 low- and middle-income countries with the greatest number of people who smoke.

The goal of TPackSS is to monitor whether required health warnings on tobacco packages are being implemented as intended, and to identify pack design features and marketing appeals that might violate or detract from country tobacco packaging requirements in these countries.