CONTENTS CHRONOLOGICAL LIST OF WITNESSES THURSDAY, MAY 5, 1983 Gorton, Hon. Slade, a U.S. Senator from the State of Washington Jackson, Hon. Henry M., a U.S. Senator from the State of Washington. Clark, Mrs. Barney, Des Moines, Wash.. Brandt, Edward N., Jr., M.D., Assistant Secretary for Health, Department of Health and Human Services, accompanied by Dr. Claude Lenfant, Director of the National Heart, Lung and Blood Institute, National Institutes of Health; Dr. Mortimer B. Lipsett, Director of the National Institute of Child Health and Human Development; Dr. William Pollin, Director of the Na- tional Institute on Drug Abuse; Dr. Jane Henney, Deputy Director of the National Cancer Institute; and Dr. Joann Luoto, Director of the Office of Ernster, Dr. Virginia, associate professor of epidemiology, University of Cali- Longo, Lawrence D., M.D., head of the division of perinatal biology, Loma Linda University School of Medicine, Loma, Calif.; representing the Ameri- can Academy of Pediatrics and the American College of Obstetricians and Sandhaus, Robert A., M.D., senior staff physician, National Jewish Hospital and Research Center/National Asthma Center, Denver, Colo....... Keeshan, Robert, executive producer of Robert Keeshan Associates (Captain Cahan, William., M.D., professor of surgery, Cornell University Medical Col- lege; attending surgeon, thoracic service, Memorial Hospital, the Memorial Sloan-Kettering Cancer Center, New York City, N.Y.; representing the Oates, John A., M.D., professor of medicine and pharmacology, Vanderbilt University, and chairman of the Subcommittee on Smoking of the Ameri- can Heart Association, representing the American Heart Association.............. Fisher, Edwin B., Jr., Ph.D., associate professor of psychology, Washington University, St. Louis, Mo.; representing the American Lung Association.......... Judge, Curtis H., president of Lorillard, and chairman of the executive com- mittee of the Tobacco Institute, New York, N.Y.; accompanied by Arthur J. Pa Fisher, Edwin R., M.D., professor of pathology, University of Pittsburgh, and 3 4 American Medical Association, prepared statement... American Newspaper Publishers Association, prepared statement Avaido, Domingo M., M.D., president, Atmospheric Health Sciences, Inc., prepared statement.. 513 539 258 Bing, Richard I., M.D., professor of medicine emeritus, University of Southern 279 Blackwell, Roger D., Ph. D., professor of marketing, Ohio State University, 230 Prepared statement 234 Blau, Theodore H., Dr., Independent Practice of Clinical Psychology, Tampa, Booker, Walter M., Ph.D., president, Walter M. Booker & Associates, Inc., Brandt, Edward N., Jr., M.D., Assistant Secretary for Health, Department of Prepared statement Buhler, Dr. Victor, pathologist, prepared statement Cahan, William, M.D., professor of surgery, Cornell University Medical Col- Prepared statement Clark, Mrs. Barney, Des Moines, Wash Prepared statement DeVita, Vincent T., Jr., M.D., Director, National Cancer Institute, National Ernster, Dr. Virginia, associate professor of epidemiology, University of Cali- Eysenck, Hans J., professor of psychology, Institute of Psychiatry, University of London. Farris, Matthews, M.D., associate dean, school of medicine and emeritus professor of surgery, University of California at San Diego, prepared state ment.. Fisher, Edwin B., Jr., Ph.D., associate professor of psychology, Washington Fisher, Edwin R., M.D., professor of pathology, University of Pittsburgh, and Prepared statement 397 Funk, Richard W., counsel, National Automatic Merchandising Association, prepared statement.. 526 Gorton, Hon. Slade, a U.S. Senator from the State of Washington. 23 Grassley, Hon. Charles M., a U.S. Senator from the State of Iowa, prepared statement. 38 Health Insurance Association of America, James L. Moorefield, president, prepared statement.... 951 Hickey, Richard J., senior research investigator, Department of Statistics of Hockett, Robert C., research director of the Council for Tobacco Research- Hutcheon, Duncan, M.D., professor of pharmacology and medicine at the Judge, Curtis H., president of Lorillard, and chairman of the executive com- Prepared statement ........... 320 328 340 24 25 198 212 Keeshan, Robert, executive producer of Robert Keeshan Associates (Captain Lenfant, Claude, M.D., Director, National Heart, Lung, and Blood Institute, Lipsett, Mortimer B., M.D., Director, National Institute of Child Health and Prepared statement Luoto, Joanne, M.D., M.P.H., Director, Office on Smoking and Health, pre- Macdonald, Eleanor J., professor emeritus of epidemiology, Department of Mendelsohn, Harold, Ph.D., University of Denver, prepared statement Page 134 79 87 120 123 112 344 531 360 153 155 Pollin, William, M.D., Director, National Institute on Drug Abuse, Alcohol, 98 370 507 384 Rigdon, Harrison, R., M.D., prepared statement Rothchild, Henry, Ph. D., professor of medicine and anatomy, School of Medi- Sandhaus, Robert A., M.D., senior staff physician, National Jewish Hospital Additive Adds Mystery to Risk of Smoking, by Ken Cummins, from the 4 Answers to the most asked questions about cigarettes. 205 12 Deer Tongue-Companies Deny Using Weed in Cigarettes, But Demand For Supply Was Fierce in 1982, by Ken Cummins, Times Union Washington Bureau, January 15, 1983.... 7 Flavorings Added to Cigarettes May Be Linked to Cancer, by Ken Cummins, Times-Union Washington Bureau. 10 Low Tar, High Risk, by Jim Mintz, February-March 1983. 15 Sex Hormone Linked to Heart Disease, New Study Finds, by Lawrence K. 179 Views on Health Warnings, by David Simpson, director, Action on Smoking and Health, June 2, 1983 68 Why People Smoke Cigarettes, by William Pollin, M.D., Director of the What's Been Added to Your Cigarette, by Walter S. Ross, staff writer, 18 41 Communications to: Dodd, Hon. Christopher J., a U.S. Senator from the State of Connecticut, from Rodger D. Blackwell, professor of marketing, Ohio State University, May 25, 1983 (with enclosure). 410 Communications to-Continued East, Hon. John P., a U.S. Senator from the State of North Carolina, from P.R.J. Burch, professor, Department of Medical Physics, the General Infirmary, Leeds, May 11, 1983 (with enclosures).... Page 420 Hatch, Hon. Orrin G., a U.S. Senator from the State of Utah, from Mary 523 SMOKING PREVENTION HEALTH AND EDUCATION ACT OF 1983 THURSDAY, MAY 5, 1983 U.S. SENATE, COMMITTEE ON LABOR AND HUMAN RESOURCES, Washington, D.C. The committee met, pursuant to notice, at 9:40 a.m., in room SD430, Dirksen Senate Office Building, Senator Orrin Hatch (chairman) presiding. Present: Senators Hatch, Hawkins, East, Grassley, Quayle, Riegle, and Pell. OPENING STATEMENT OF SENATOR HATCH The CHAIRMAN. Today we are holding full Labor and Human Resources Committee hearings on S. 772, the Smoking Prevention Health and Education Act of 1983. As chairman of this committee, I have had the opportunity to learn a great deal about the health needs of our citizens and, in turn, have learned that the health hazards associated with smoking are enormous. The legislation we are considering today represents a national public education effort designed to improve our citizens' awareness about what the Surgeon General has said is the No. 1 preventable cause of death, cigarette smoking. The issue at stake is not whether a person should or should not smoke or whether the Government should tell people how to live their lives; the issue is that anyone deciding whether to smoke or not should be able to make an informed choice. I am not in favor of Government regulations. However, I believe our Federal Government has a responsibility to provide health information and education to all Americans. The most recent Surgeon General's report, the Health Consequences of Smoking, focused on cancer, citing cigarette smoking as the major cause of cancer mortality in the United States. In spite of remarkable improvements in the survival rates for some cancer victims, lung cancer remains the largest single contributor to the total cancer death rates, and it is one of the most malignant and untreatable kinds of cancer. In fact, lung cancer accounts for one out of every four cancer deaths and 85 percent of these are related to smoking. Research has linked cigarette smoking not only to lung cancer, but also to cancer of the larynx, oral cavity, esophagus, bladder, pancreas, and kidney. Furthermore, smoking causes emphysema and chronic bronchitis, which are dreadful diseases of the lungs, (1) |