Statement of Katherine Mcdermott Herrold, M.D.
Date: 16 Mar 1982 (est.)
Length: 4 pages
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Length: 4 pages
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- Herrold, K.M.
- SPCH, SPEECH/PRESENTATION
- LEGAL DEPT FILE ROOM
- EXTR, EXTRA
- Named Organization
- Yale Medical School
- Yale New Haven Hospital
- Master ID
- 03607523-8364 Comprehensive Smoking Prevention Education Act of 810000 Hearing Before the Committee on Labor and Human Resources United States Senate Ninety-Seventh Congress Second Session on S. 1929
- 03607531-7540 97th Congress 1st Session S. 1929 to Amend the Public Health Service Act and the Federal Cigarette Labeling and Advertising Act to Increase the Availability to the American Public of Information on the Health Consequences of Smoking and Thereby Improve Informed Choice, and for Other Purposes.
- 03607587-7594 National Institute on Drug Abuse Technical Review on Cigarette Smoking As An Addiction
- 03607618-7620 Coaliion on Smoking or Health Seeks to Influence Legislators
- 03607621-7623 Coalition on Smoking or Health .. A Public Policy Project with the National Interagency Council on Smoking and Health
- 03607624-7626 Former Ftc Counsel to Staff Coalition on Smoking or Health
- 03607627-7629 Statement of the American Lung Association to the House Subcommittee on Health and the Environment on H.R. 5653, the Comprehensive Smoking Prevention Education Act
- 03607630-7636 the Importance of the Federal Government in the Prevention of Smoking Related Diseases Testimony in Support of H.R. 5653, A Revised Version of H.R. 4957 the Comprehensive Smoking Prevention Education Act by the American Lung Association
- 03607681-7692 Lung Cancer, Coronary Heart Disease and Smoking
- 03607717-7724 Statement on S. 1929 'comprehensive Smoking Prevention Education Act of 810000' of Dan G. Mcnamara, M.D., F.A.C.C. President to Honorable Orrin G. Hatch Chairman Committee on Labor and Human Resources
- 03607725-7726 File No. 792-3204
- 03607727-7730 Statement of the American Medical Association to the Labor and Human Resources Committee U.S. Senate Re: S. 1929 Comprehensive Smoking Prevention Education Act
- 03607731-7734 Statement on S. 1929 the Comprehensive Smoking Prevention Education Act of 810000 by John R. Walton, Rrt President
- 03607735-7740 Statement of the American College of Physicians on S. 1929, the 'comprehensive Smoking Prevention Education Act of 810000'
- 03607741-7749 Testimony of the American College of Chest Physicians Submitted by Thomas L Petty, M.D., F.C.C.P. President Regarding S. 1929 'the Comprehensive Smoking Prevention Education Act of 820000'
- 03607750-7751 Testimony of Action on Smoking and Health (Ash), by Its Executive Director and Chief Counsel, John F, Banzhaf III, Before the Senate Committee on Labor and Human Resources, Chaired by the Honorable Orrin G. Hatch, on the Comprehfnsive Smoking Prevention Education Act (S. 1929) Submitted 820402
- 03607752-7763 Federal Trade Commission Staff Report on the Cigarette Advertising Investigation
- 03607764-7770 Statement of the Bakery, Confectionery & Tobacco Workers International Union to the Senate Committee on Labor and Human Resources Re: S. 1929 'the Comprehensive Smoking Prevention Education Act of 820000
- 03607771-7790 Comments on H.R. 4957 - - Proposed 'comprehensive Smoking Prevention Education Act of 810000'
- 03607791-7793 Cigarette Smoking of Pregnant Women
- 03607794-7809 Peter L. Berger
- 03607810-7813 Gilgamesh on the Washington Shuttle
- 03607814-7848 Statement Rodger L. Bick, M.D.
- 03607849-7854 Statement of Theodore H. Blau Ph.D. Presented Before Subcommittee on Health and the Environment House of Representatives
- 03607855-7858 Statement of Walter M. Booker, Ph.D.
- 03607859-7864 Statment Smoking and Fetal Growth
- 03607865-7873 Curriculum Vitae Oliver Gilbert Brooke
- 03607874-7884 Statement of Barbara B. Brown, Ph.D.
- 03607885-7892 Statement of Dr. Victor Buhler
- 03607893-7896 Statement of Jack Matthews Farris, M.D.
- 03607897-7909 Statement of Sherwin J. Feinhandler, Ph.D.
- 03607910-7936 Statement of Edwin R. Fisher, M.D.
- 03607937-7945 Statement of H. Russell Fisher, M.D.
- 03607946-7979 Statement of Jean D. Gibbons
- 03607984-7997 Statement of Arthur Furst, Ph.D.
- 03607998-8015 Statement of Richard J, Hickey, Ph.D.
- 03608016-8021 Statement of Duncan Hutcheon, M.D., D.Phil. Departments of Pharmacology and Medicine 820312
- 03608022-8053 Statement of Leon O. Jacobson
- 03608054-8065 State Ment of Lawrence L, Kupper, Ph.D.
- 03608066-8085 Statement of Hiram Thomas Langston M.D. Clinical Professor of Surgery (Emeritus) Northwestern University Medical School
- 03608086-8091 the Alleged Cost of Cigarette Smoke
- 03608092-8121 Statement of Eleanor J. Macdonald Professor Emeritus of Epidemiology Department of Cancer Prevention University of Texas System Cancer Center M.D. Anderson Hospital and Tumor Institute, Houston, Texas
- 03608122-8129 Statement of John E. O'toole, Chairman, Foote, Cone & Belding Communications, Inc.
- 03608130-8166 Statement by L.G.S. Rao, Ph.D. Bellshill Maternity Hospital Bellshill, Scotland, U.K. Regarding H.R. 4957 S. 1929
- 03608170-8173 Statement of Henry Rothschild, M.D., Ph.D.
- 03608177-8190 Statement of Bernice C. Sachs, M.D., Seattle, Washington
- 03608191-8195 Concerning the 'comprehensive Smoking Prevention Act of 820000'
- 03608205-8236 Statement of Sheldon C. Sommers, M.D.
- 03608237-8246 Statement Professor T.D. Sterling
- 03608247-8275 Statement of Professor Yoram J. Wind for Submission to the Subcommittee on Health and the Environment
- 03608276-8277 for Use at 10 A.M. Tuesday, 820316
- 03608278-8287 Statement of Robert Casad Hockett
- 03608288-8317 Relationships Between Family Smoking Habits, Individual Differences in Personality, and the Smoking Behavior of College Students
- 03608318-8337 Personality and Smoking Behavior
- 03608338-8364 on the Relation Between Family Smoking Habits and the Smoking Behavior of College Students
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459 Statement of Katherine McDermott Herrold, M.D. My name is Katherine McDermott Herrold. I am a certified pathologist and am presently retired from my most recent position as medical director of the United States Public Health Service. I received my medical degree from Women's Medical College of Pennsylvania in Philadelphia in 1948. From 1948 through 1949 I interned at George Washington University Hospital in Washington, D.C. Between 1952 and 1955 I was the chief medical officer at the Federal Reformatory for Women in Alderson, Va. Between 1955 and 1957 I was a resident in clinical pathology, and be- tween 1957 and 1959 I was a resident in pathological anatomy, both of these positions being at the National institutes of Health in Bethesda. Between 1959 and 1971 I was a laboratory pathologist at the National Cancer Institute in Bethesda, Maryland. I am a member of numercus professional societies including the American Society of Clinical Pathologists, the College of American Pathologists, the International Academy of Pathology and the American Association for Cancer Research. I am a member of the honorary medical society of Alpha Omega Alpha. I have published papers in the scientific literature dealing with pathology and cancer research. 95-077 0-82-30
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460 Those who assert that cigarette smoking causes lung cancer rely on the data contained in several prospective studies, including one whose data was first presented by Dr. Harold F. Dorn in 1958. That study reported a statistical association between smoking and lung cancer. However, Dr. Dorn recognized the grave danger of relying upon death certificates for lung cancer diagnoses without pathological confirmation. It was my privilege to work with Dr. Dorn on this project in providing the clinical and pathological review of the data. The Dorn study involved a total of almost 300,000 U.S. veterans who were policyholders of O.S. Government life insurance. I reviewed the clinical and pathological materials available from the 2,241 patients with the diagnosis of lung cancer on their death certificates.. Histologic material was available for review in about 651 of those cases. Extremely important from a biological standpoint is the fact that only a small percentage of even heavy cigarette smokers develop lung cancer. The frequency of the histologic types of cancer was also established. Of the 472 patients who were "current cigarette smokers" at the time of their deaths, and for whom histologic sections were available for my review, I found no correlation between the various histologic types of lung cancer and the amount of tobacco smoked. Further, the age at death from lung cancer was 461 not related to the age at which smoking ste years smoking, or the number of cigarettes These findings were in agreement with tt some ten years earlier. Dr. Passey wrote t without hesitation that the age at death fr that which is associated with chemical carc findings, as well as those of Doll and Hill to mine - that the age of diagnosis of lung to the age at which the patient started to time smoking, or the amount smoked. Those who make claims against smoking ass, dose response relationship between smoking . is, the risk of developing lung cancer incrt cigarettes smoked and the earlier one begin: the risk. My findings, like those of Dr. Pe otherwise. In recent years, there have been reports "epidemic" of lung cancer, which some have a tobacco consumption. However, scientists ha apparent increase may well reflect changes i rather than in the actual incidence of the d diagnostic problem is exacerbated by reason among smokers, i.e., the fact that smokers u -2- V, i -3-
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461 not related to the age at which smoking started, the number of years smoking, or the number of cigarettes smoked per day. These findings were in agreement with those of R.D. Passey some ten years earlier. Dr. Passey wrote that it could be said without hesitation that the age at death from lung cancer is not that which is associated with chemical carginogenesis. Passey's findings, as well as those of Doll and Hill, were almost identical to mine - that the age of diagnosis of lung cancer is not related to the age at which the patient started to smoke, the length of time smoking, or the amount smoked. - Those who make claims against smoking assert that there is a dose response relationship between smoking and lung cancer; that is, the risk of developing lung cancer increases with the number of cigarettes smoked and the earlier one begins to smoke, the greater the risk. My findings, like those of Dr. Passey before me, suggest otherwise. In recent years, there have been reports of a so-called "epidemic" of lung cancer, which some have attributed to increased tobacco consumption. However, scientists have noted that this apparent increase may well reflect changes in the detection rate rather than in the actual incidence of the disease. The diagnostic problem is exacerbated by reason of "detection bias" among smokers, i.e., the fact that smokers undergo a more ?i
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462 rigorous examination for lung cancer than non-smokers. Studies reporting that lung cancer occurs more frequently in smokers than in non-smokers all assume that the non-smokers are studied with an equal frequency and intensity as the smokers. However, Professor Alvan Feinstein of the Yale Medical School- found this not to be the case at various institutions, including the Yale- New Haven Hospital. Hence, he concluded in 1974 that "cigarette smoking may contribute more to the diagnosis of lung cancer than it does to producing the disease itself." The various anomalies found my myself and others in the population studies combined with the problems associated with diagnosing lung cancer, lead me to the conclusion that more research is needed in this field before we can accept as proven the theory that smoking causes lung cancer. -4- To the Committee: IN£ This is my statement r Distingu NAR: SnN 415/6 463 UNIVERSITY OF S