“It's not pretty. It's quite ugly, actually, and you know what? That's the road that people may take if they're going to continue smoking. ”

Barbara died of lung cancer at age 42 in 2003, having spent the last years of her life as an anti-smoking activist. She was photographed on her deathbed by Edmonton Journal photographer Greg Southam who also believes she would be pleased with this use of her image. See more about the FDA’s proposed new cigarette warning labels here.