Tobacco Documents Online

SHOOK, HARDY 6, BACON October 15, 1981 J. Kendrick Wells III, Esq. ~'- Brown & Wi!liamscn Tobacco Corporation .:.._ 1600 West Hill Street ::.: ,.~ P. O. Box 35090 ........ Louisville, Kentucky 46232 i " In accordance with our telephone conversation today, : .. I am enclosing, for your confidential information, a copy of my "~;.. memo dated August 31, 1981, conce-~ning the proposed environmental .... 'C;- ' Eric. "J Federal Express Courier P~k

HARDY & BACON Office Memorandum To: FILE F~cm: DONALD K. HOEL Subiecs: ENVIRONMENTAL TOBACCO SMOKE F~FECTS ON THE NONSMOKER--II AUGUST 31, 1981 Dr. Rylander traveled to Kansas City arriving on Saturday evening, August 29. He and I met during ~he day on Sunday, August 30, and again during the morning of August 31 prior to his departure for return to Europe. On Friday, August 28, we had received his pre!imLnary thoughts on the make-up of the proposed seminar, suggested invitees, etc. I had ~he opportunity of reviewing Dr. Rylander's initial proposals wi~ Bill Thompson, Pat Sirridge and Bernie O'Neill. The following reflect ~he "highlights" of my discussions wi~h Dr. Rylander: I. Dr. Rylander prepared a brief memorandum "for internal use only" conce_~ing the workshop. His major point was that he ~id not feel i~that the workshop could or would be in a position to give environmental tobacco smoke a "clean bill of health." However, Dr. Rylander ~id believe that he could bring a healthy skepticism to the conference and some of the claims being made about environ- mental tobacco smoke. There are certain risks involved in any such undertaking but in view of all ~he circumstances he and I both felt that ~hese "risks" could be minimized. It is Dr. Ry!ander's intention to continue his work on a general ove-~view paper that would be used as the introduction to the conference. We will be able to work with Dr. Rylander on t~.is document once he has it in draft form. In addition, Dr. Rylander and I will work on review or discussion papers for each of the sessions of the proposed workshop. These will be distributed approximately a month or so prior to the scheduled workshop for review by all participants and the individual session chairmen. Following ~he conference, Dr. Rylander hopes to have ~he review papers in completed form together with ~he conclusions which he and the rappcrteur will prepare. We will have an oppor- tunity for inpuz into this doc'~ment also. The conference proceed- ings will be ~hen submitted tc an appropriate journal for publica- tion with'in two months following ~he close of the .conference and for publication as soon ~hereafter as possible.

(- Re: Environmental Tobacco Smoke Effects on the Nonsmoker--II August 31, 19SI Page 2 2. Organization of workshop. DAY i: Introduction and De!imeation of Considerations-- R. Rylander. Exposure Characteristics--Chairman, Review Paper - Concentrations in Enclc~ed Places - Physical and Chemical Characteristics - Differences Between Main and Sidestream Smoke - Measurement Problems Presentations Discussion of Review Document and Presentations Lung Cancer Risk---Chairman, Lung Cancer Risks Among Smokers - Epidemiological Studies of Lung Cancer Risk Among Smoking Discordant couples and O~her Nonsmokers Presentations Discussion of Review Document and Presentations DAY 2: Respirato~ Disease Amon~ Children--Chai~-man, Review Paper - Pulmonay] Disease Among Infants - Smoking and Nonsmoking Parents - Social Class Influences, Seasonal Variations, Diet and O~ner Confounding Factors Including~o~ Diseases Among Parents, Home Heating and C29 Ven~__at_on, Population Density, Etc. ~ Presentations ~'~ Discussion of Review Document and Presentations ~

0 Re: Environmental Tobacco Smoke Effects on the Nonsmoker--If August 31, 198! Page 3 Respi[ator~, Function--Chairman, B. Bake. Review Paper - Respiratory Function in Children and Adults - Acute and Chronic Alterations - Different Reference Groups and Selection - Environmental Effects Presentations Discassion of Review Document and Presentations DAY 3: General Conclusions--Chairman, Rapporteurs' Report (Gary H~%ber, ---) - General Risk Evaluation - Perspective of Risk for Populations - Special Populations - S~gestions for Further Research General Discussion Closure 3. Location of conference. If t/le University of Geneva is selected as ~he sponsoring ins{itution, then Dr. Rylander believes that it would be appropriate to have the workshop in Geneva or nearby. This would be considered as a neutral ground, especially for Americans. It would also be appropriate since there is no American co-organizer working wi~h him. The only negative aspect would be the possible increased travel costs for American partici- pants who presently comprise about 50% of the invitees. Other possibilities would include the United States (Tampa, Florida, Hilton Head, South Carolina, etc.). The advantages would be a possible savings in travel costs and ~he U.S. location for what- ever benefit that might be. Negative considerations would be that a U.S. workshop would de-emphasize ~he University of Geneva spon- sorship. It miqht also increase ~he attention given to the U.S. indus,! as being involved wi~h ~ne conference. Bermuda could be considered as a viable alternative as a repeat of the f.~st workshop, neutral in loca~ion and an attrac- tive place. We could not determine any real negative aspects of holding the conference in Bermuda. C~

Re: Environmental Tobacco Smoke Effects on the Nonsmcker--II August 31, 1981 Page 4 4. Timing. Approximately six months following ~he final "go-ahead." Target is March-April, 1982. However, if we await making final decision too long, it might postpone ~he conference until the fall of 1982 due to late spring and summer vacations for participants. 5. Budget. Will be determined by the location and number of participants. Rough budget at ~he present is $80,000 assuming a Geneva location and approximately 25 invitees. Further specific details can be developed once a final decision is made. 6- Acknowledged sponsor. Dr. Rylander believes ~hat CTR would be an appropriate sponsor. He did not feel that there would be any assumption of pre-commitment by CTR to any possible research proposals emanating from the workshop. Since CTR is a recognized independent research institution, he feels this source of funding would be much preferable to the Tobacco Institute. In addition, Dr. Rylander pointed out that in the various news articles surrounding ~he Hirayama article the Institute was referred to as the "lobbying arm" of ~he U.S. tobacco indus~-y. Therefore, Dr- Rylander felt that ~here might be, in some circles, some opinion that money coming from the Institute for such a conference was possibly "tainted." Dr. Rylanderalso felt that acknowledged sponsorship from individual supporting companies would be prefer- able to sponsorship by ~he Tobacco Institute. 7. Participants. The following list of participants was discussed: (!) Dr. Aviado (2) Dr. Bjorn Bake (3) Anthony Cosentino (4) Melvin First (5) Edwin Fisher (6) Lawrence Garfinkel (7) Susan Earlap (8) T~keshi Hirayama (9) "Gary Huber (i0) Michael Lebowitz (!l) Edward Liston (?) (12) Ka.~ne ~_h Mcser (13) Albert Niden (?) (14) Roy J. Shephard (15) Theodor Sterling (!6) D. Trichopoulos (17) Nicolas Wald (18) James R. White (inadvertently omitted from Dr. Ry!ander's list)

Re: Environmental Tobacco Smoke Effects on the Nonsmoker--If Auqust 31, 198! Page 5 Additional names now being considered by Dr. Rylander (!] Dietrich Hoffmanm~ (2) J. R. T. Col!ey (3) Helmut Valentin (4) Roger Guille-~m (5) H. P. Harke (6) Dr. Me!ia (7) Richard Schilling (Rylan~er will see him in a few weeks) We are also considering Dr. Kerrebijn. 8. Publication. The following journals appear to be appropriately under considera~ion: (!) C2) Suppleme.~t to the Scandinavian Journal of Work Environment and Healt~h European Journal of Respirato~ Diseases American Review of Respiratory Diseases (4] Journal of Environmental Hea!~h (5] Special Report of ~he university of Geneva Dr. Ry!ander knows ~hat a decision should be coming forth within the next week or so. He will continue with his work on ~his subject and would hope to have meetings with us once a decision is reached in order to finalize details, etc. DKH : sh