Smoking and Health

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Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service was a landmark report published on January 11, 1964, by the Surgeon General's Advisory Committee on Smoking and Health, chaired by Luther Terry, Surgeon General of the United States. It reported on the negative health effects of tobacco smoking, finding that it was linked to the occurrence of chronic bronchitis, emphysema, heart disease, and lung cancer. [1] [2] The release of the report was one of the top news stories of 1964, leading to policy such as the Cigarette Labeling and Advertising Act of 1965 and the Public Health Cigarette Smoking Act of 1969.

Contents

Background

The health effects of tobacco had been debated by users, medical experts, and governments alike since its introduction to European culture. [1] Hard evidence for the ill effects of smoking became apparent with the results of several long-term studies conducted in the early to middle twentieth century, such as the epidemiology studies of Richard Doll and pathology studies of Oscar Auerbach. On June 12, 1957, Surgeon General Leroy Burney "declared it the official position of the U.S. Public Health Service that the evidence pointed to a causal relationship between smoking and lung cancer". [1] A committee of the United Kingdom's Royal College of Physicians issued a report on March 7, 1962, [3] which "clearly indicted cigarette smoking as a cause of lung cancer and bronchitis" and argued that "it probably contributed to cardiovascular disease as well." [4] After pressure from the American Cancer Society, the American Heart Association, the National Tuberculosis Association, and the American Public Health Association, President John F. Kennedy authorized Surgeon General Terry's creation of the Advisory Committee. The committee met from November 1962 to January 1964 and analyzed over 7,000 scientific articles and papers.

Committee members

The Surgeon General's Advisory Committee on Smoking and Health: [1]

Findings

The report's conclusions were almost entirely focused on the negative health effects of cigarette smoking. It found:

In addition, it reported:

As did the World Health Organization during this period, but possibly influenced by the fact that they were all smokers themselves, [5] the Committee defined cigarette smoking as a "habituation" rather than an overpowering "addiction". [5] Committee members agreed that for most Americans, the smoking habit was often strong but still possible to break.

In the years that followed the Surgeon General's report, millions of Americans successfully chose to quit smoking, with two-thirds to three-quarters of ex-smokers quitting unaided by nicotine replacement methods. In addition, the "cold turkey" (or sudden-and-rapid-cessation) method has been found to be the most successful in terms of stopping smoking over long periods of time. [6] In 1989, a later Surgeon General, C. Everett Koop, called cigarette smoking "an addiction" rather than a habit. [7]

Effects

The report's publication had wide effects across the United States. It was deliberately published on a Saturday to minimize the negative effect on the American stock markets, while maximizing the coverage in Sunday newspapers. [1] The release of the report was one of the top news stories of 1964. It led to policy and public opinion changes such as the Federal Cigarette Labeling and Advertising Act of 1965 and the Public Health Cigarette Smoking Act of 1969, which mandated warning labels on cigarettes and instituted a ban on the broadcasting of cigarette advertisements on radio and/or television. [8]

See also

Related Research Articles

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References

  1. 1 2 3 4 5 6 Surgeon General of the United States (1964). Smoking and Health: Report of the Advisory Committee to the Surgeon General of the United States (PDF) (Report). Vol. Public Health Service Publication No. 1103. Department of Health, Education, and Welfare. Archived from the original on July 28, 2022.
  2. LeMaistre, M. D.; Shopland, Donald R.; Farber, M. D.; Guthrie, M. D.; Hamill, M. D. (March 19, 2024). Clearing the Air: The Untold Story of the 1964 Report on Smoking and Health. University of California Health Humanities Press. ISBN   979-8-9899229-2-5.
  3. Hughes, Dominic (March 6, 2012). "Smoking and health 50 years on from landmark report". BBC . Archived from the original on September 24, 2022.
  4. "Luther Leonidas Terry (1961–1965)". Department of Health and Human Services . Archived from the original on September 16, 2008.
  5. 1 2 Spitzer, Joel (December 27, 2010). The Surgeon General says ... WhyQuit.com via YouTube. Additional audio only link here
  6. Chapman, Simon; MacKenzie, Ross (February 9, 2010). "The Global Research Neglect of Unassisted Smoking Cessation: Causes and Consequences". PLOS Medicine . 7 (2): e1000216. doi: 10.1371/journal.pmed.1000216 . PMC   2817714 . PMID   20161722.
  7. Sullum, Jacob (1998). For Your Own Good : The Anti-Smoking Crusade and the Tyranny of Public Health (1st ed.). New York: Free Press. pp.  234–235. ISBN   9780684827360. OCLC   38206893.
  8. "History of the Surgeon General's Report on Smoking and Health". Centers for Disease Control and Prevention. Archived from the original on September 28, 2022. Retrieved July 11, 2019.