I see what they were going for, but I have to say – this is entirely too visceral. The message – smoking kills a ton of people – is good. The imagery, maybe not. This was published 9/11/07, BTW.
I will say, however, that the sheer fact that this ad was published puts a dent in the wingnut “all/most Muslims are terrorists or terrorist supporters” meme. It clearly presents 9/11 as a bad thing, and did so in a country that is 96% Muslim.