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°s==== 1B=-Nov-81 11:27:10-EST.0000 1441;000000000000 Date= 18 Nov 1981 1125°EST- From: KWALSH - To: L ORILLARD cc: SCHILCOTE Sub.iect: URGENT MESSAGE URGENT MESSAGE FOR MR. JUDGE AND MR. STEVENS ^L CAREFUL MONITORING HAS ENABLED US TO OBTAIN THE TEXT OF HHS SECRETARY SCHWEIKER'S "KEYNOTE" SPEECH TO BE GIVEN AT 1-0 THIS MORNING AT THE AMERICAN CANCER -SOCIETY'S "SMOKING_ OR HEALTH" INVITATIONAL CONFERENCE IN NEW YORK. - WE HAVE A STAFF REPRESENTATIVE IN THE AUDIENCE AND HER TELEPHONE REPORT PLUS EVALUATION OF MEDIA- COVERAGE WILL HELP US JUDGE APPROPRIATE MEDIA RESPONS€. IF ANY. BY-THE INSTITUTE. WE HAVE GOOD REASON TO BELIEVE THAT THE SCHWEIKER SPEECH HAS BEEN TONED DOWN IN COMPARISON WITH THE INTENT OF THE WRITERS AT THE TIME WE FIRST LEARNED THAT IT WAS SCHEDULED. TEXT FOLLOWS. SAMUEL D. CHILCOTE. JR. Paae 2 ADDRESS TO NATIONAL CONFERENCE ON SMOKING OR HEALTH NEW YORK CiTY NOVEMBER 18. 1981 - - IT'S A PLEASURE TO BE HERE THIS MORNING. TO JOIN THE AMERICAN CANCER SOCIETY AND THE OTHER CO-SPONSORS OF THIS NATIONAL CONFERENCE ON-SMOKING OR HEALTH. I'VE WORKED WITH MANY OF YOU ON r1EALTH ISSUES -FOR A LONG TIME DURING MY 20 YEARS IN THE HOUSE AND SENATE. NOW. AS SECRETARY OF HEALTH AND HUMAN SERVICES. I'M GLAD TO CONTINUE WORKING WITH YOU. ESPECiALLY IN THE VITAL CAUSE THAT BRINGS US HERE TODAY. OF ALL THE HEALTH GOALS WE'VE WORKED FOR TOGETHER OVER THE YEARS. THE MOST IMPORTANT -IS HEALTH PROMOTION AND DISEASE PREVENTION. I'VE COME HERE THIS MORNING TO REAFFIRM THAT THE REAGAN ADMINISTRATION iS DETERMINED TO MAKE PROGRESS TOWARD THAT GOAL. HEALTH PROMOTION--KEEPING PEOPLE WELL--_SHOULD GUIDE OUR HEALTH POLICY. I CAN ASSURE YOU HERE AND NOW-THAT IT WILL. WHEN I CAME TO THE DEPARTMENT I PUT THE PRACTICE OF PREVENTIVE MEDICINE AT THE VERY TOP OF MY AGENDA FOR HEALTH. SINCE THEN, I'VE MADE IT CENTRAL TO ALL MY POLICIES. I THINK WE CAN AGREE. PREVENTION IS THE MOST LOGICAL-AND BEST STRATEGY FOR HEALTH CARE. ESPECIALLY IN TERMS OF SMOKING. - STUDIES SHOW THAT MOST PEOPLE MAKE DAILY DECISIONS THAT INFLUENCE THEIR HEALTH MORE THAN ALL OF TODAY'S MEDICI-NE-. ONE-OF THE MOST RENOWNED STUDIES WAS CONDUCTED BY DR. LESTER BRESLOW OF U.C.L.A.. WHO IS WITH US AT THIS CONFERENCE. IT TOOK PLACE IN ALAMEDA COUNTY. CALIFORNIA. LASTED SOME 10 YEARS AND INVOLVED A SCIENTIFIC_ SAMPLE OF MORE THAN 7.000 ADULT MEN AND WOMEN. - THE STUDY SHOWED-THAT BY TAKING A NUMBER OF SIMPLE STEPS-- BY EATING BREAKFAST. MAINTAINING PROPER WEIGHT. BY USING ALCOHOL ONLY IN MODERATION. BY NQL SMOKING AND BY GETTING THE PROPER AMOUNT OF SLEEP AND EXERCISE. A 45 YEAR-OLD MAN CAN EXPECT TO LIVE 10 TO 11 YEARS LONGER THAN A PERSON WHO DOESN'T-MAKE THESE CHOICES. A 45 YEAR-OLD WOMAN CAN EXPECT TO LIVE 6 TO 7 YEARS LONGER. C136`i ~6l~f. ~y'~ 5AS I SEE IT. ONE- OF OUR BIGGEST CHALLENGES IS TO PERSUADE AMERICANS -TO ADOPT PREVENTION INTO THEIR DAILY LIVES...TO HELP-THEM TAKE CONTROL OVER THEIR OWN HEALTH DESTI-NY- BY TAKING STEPS THAT STOP DISEASE BEEOBE IT STRIKES. - - WE'VE HEARD IT SAID THAT PREVENTION HAS BEEN A STEP-CHILD OF OUR HEALTH CARE SYSTEM. IN MANY WAYS IT HAS. AFTER ALL. OUR HEALTH PLANNING. HEALTH BUDGETS. AND HEALTH POLICIES HISTORICALLY HAVE FOCUSED ON ACUTE CARE. WE'VE PAID A LOT OF ATTENTION TO CURING ILLNESS. AND NOT NEARLY ENOUGH TO STOPPING-IT BEFORE IT STRIKES. IT'S

WITHIN MY_ DEPAf.IENT. WE'VE TRIED TO MDVE_L --SEVERAL FRONTS TO BOLSTER OUR PREVENTION EFFORTS. AS YOU CAN IMAGINE. IN A-TIME OF- BUDGET CU-T.BACK,S. THIS ISN'T-EASY. BETWEEN A ROCK AND A HARD PLACE IS A_ PRETTY GOOD ANALOGY IN THAT RESPECT. BUT I-STILL THINK THERE ARE- PLENTY OF INNOVATIVE IDEAS AND CREATIVE_ WAYS TO ELEVA-TE HEALTH PROMOTION AND DISEASE PREVENTION TO THE TOP PRIORITY THAT I BELIEVE IT Pase 3 DESERVES. I THINK WE CAN AGREE THAT A SOUND PREVENTION STRATEGY MUST HAVE ITS ROOTS IN MEDICAL--EDUCA-TION. IF WE'RE TO PLANT A STRONG PREVENTION ETHIC IN OUR COUNTRY'S HEALTH CARE SYSTEM. THEN TRAINING PHYSICIANS AND OTHER HEALTH PROFESSIONALS--IS OBVIOUSLY ONE PLACE TO START. AS YOU IN THIS ROOi1 WELL KNOW. A STRONG PREVENTIVE STRATEGY WILL ALSO REGUIRE COUNTINUED RESEARCH INTO THE CAUSES OF DISEASE. BUT PUTTING THAT KNOWLEDGE TO WORK-- PROMOTING HEALTH AMONG_ THE AMERICAN PEOPLE--ALSO MEANS STRONG SUPPORT_ FOR GETTING THE- FACTS.-..ABOUT _6P_OKINCLBMD OTHER HEALTH RISKS...OUT OF EVERY AMERICA - -,op.. - _ -=7.-. WaE - THROUGH PUBLIC AND PROFESSIONAL EDUCATION WE CAN --PUT PREVENTION UPPERMOST IN THE MINDS OF AMERICANS AND AT THE HEART OF ALL OUR HEALTH CARE EFFORTS. IT'LL RELIEVE THE GROWING PRESSURE ON OUR HOSPITALS. OUR HEALTH BUDGETS. AND ALL OF OUR HEALTH CARE RESOURCES. . WE'RE ALSO STEPPING UP OUR -OVERALL HHS HEALTH PROMOTION AND EDUCATION MEDIA CAMPAIGN. WE LAUNCHED THIS CAMPAIGN LAST SPRING THROUGH THE NATIONWIDE MEDIA. IN ADDITION TO TELEVISION. RADIO. AND NEWSPAPERS. WE'RE GETTING THE MESSAGE OUT THROUGH STATE. LOCAL AND VOLUNTARY AGENCIES ABOUT HOW PEOPLE-CAN CHANGE THEIR HABITS TO REDUCE HEALTH RISKS. IN FACT. MA1'BE SOME OF YOU ALREADY KNOW, THE AMERICAN RED CROSS HAS LAUNCHED ITS- NEXT- CENTURY WITH A NEW PREVENTION INITIATIVE. INVOLVING THE PRIVATE SECTOR AND VOLUNTEERS IN HEALTH EDUCATION._ AS FAR AS BLOOD -PRESSURE CONTROL. HEART RISK AND HEALTHY LIFESTYLE CHANGES ARE CONCERNED. IT HAS TEAMED UP WITHIN ONE OF THE MAJOf7 NETWORKS TO DEVELOP A HEALTH PREVENTION EDUCATION PROGRAM._ SO THERE IS A TREMENDOUS MOMENTUM GROWING IN THE PRIVATE SECTOR TO DO THESE THINGS. I BELIEVE-THAT WE IN GOVERNMENT HAVE A ROLE AS A CATALYST: AS WELL AS A ROLE IN PLANTING SEED MONEY AND IN -GIVING- PEOPLE ENCOURAGEMENT AND SUPPORT WHEN THEY TAKE STEPS TOWARD PREVENTION. ALONG THESE SAME LINES. WE'VE BEGUN A°HEALTHY MOTHERS" CAMPAIGN. WORKING CLOSELY_ WITH THE MARCH OF DIME-S AND SEVERAL NATIONAL VOLUNTEER ORGANIZATIONS. WE'RE REACHING OUT TO WOMEN THROUGH THE MASS MEDIA_. AND TELLING -THEM ABOUT THE IMPORTANCE OF REGULAR. PRENATAL CARE. WE'RE WARNING THEM ABOUT THE RISKS OF-ALCOHGL-. WjQLj116. AND POOR DIET. IN-_ PARTICULAR. WE'RE TRYING TO REACH HIGH-RISK GROUPS--TEENAGERS AND DISADVANTAGED WOMEN--TO STRESS THE IMPORTANCE OF GOOU HEALTH HABITS. - ALL OF THIS IS FULLY IN LINE WITH THE- MOST RECENT SURGEON GENERAL'S REPORT. 'OBJECTIVES- FOR THE NATION." WHICH IDENTIFIED SMOKING AND HEALTH AS ONE-OF THE 15 KEY PREVENTION AREAS THAT SHOULD BE GIVEN PRIORITY TREATMENT. SPEAKING OF PREVENTION AND THE IMPORTANCE OF PRIVATE SECTOR PARTNERSHIP. I WANT TO ESPECIALLY STRESS THE VALUE OF D WELLNESS INITIATIVES FOR THEIR EMPLOYEES. WHICH- OFTEN INCLUDE ENCOURAG ~$t!DAYt'.._ GETTING PEOPLE TO STAY HEALTHY HAS PROD D A WHOLE NEW MOVEMENT TOWARD PROMOTING HEALTHY PRACTICES AT 4tORK. 03646'726 Pase 4 ItlE dELI YOBK IItlES RECENTLY REPORTED THAT MORE THAN 400_COMPANIES NOW HAVE HEALTH PROMOTION PROGRAMS FOR THEIR EMPLOYEES TO SUPPLEMENT REGULAR MEDICAL BENEFITS. SOME COMPANIES- ARE EVEN PAYING THEIR WORKERS CASH B€NEFITS FOR STAYING FIT. EMP-LOYER WELLNESS-PROGRAMS ARE VOLUNTARY. THEY INCREASE PRODUCTIVITY. THEY LOWER HEALTH COSTS. AND THEY MAKE GOOD SENSE ALL AROUND. I FORESEE THEM AS BEING THE WAVE OF THE FUTURE IN THE PREVENTION AREA. THIS MONTH'S IItlE MAGAZINE RAN A COVER STORY ON FITNESS THAT PAINTS A DRAMATIC PICTURE INDEED. AMERICANS ARE SPENDING 65 BILLION ON HEALTH FOODS ANI1 VITAMINS. 650 MILLION ON DIET AND EXERCISE BOOKS. nu WCGiTH AND FITNESS CLUBS AND 48 BILLION FOR SPORTING

START--THE LIST G~' THROUGH SUCH -EKPENSES~ S 66 BILLION FOR DIET DRINKS AND $1 BILLI FOR BICYCLING EOUIPMENT. OBVIOUSLY AMERICANS WANT DESPERATELY TO BE FIT. THEY'LL WORK_AND PAY FOR IT. OUR JOB IS-TO KEEP THIS NEW AMERICAN SURGE TOWARD FITNESS ON COURSE...TO HARNESS IT INTO A SOUND NATIONAL HEALTH PROMOTION POLICY THAT INCLUDES EDUCATION ABQU_T 519pLC1NG,..____. -- THE-OFFICE ON SMOKING AND HEALTH HAS A CRITICAL ROLE TO PLAY IN_ PUBLIC INFORMATION AND EDUCATION. IN PROVIDING YOU-WITH TECHNICAL AND SCIENTIFIC INFORMATION AND BACK-UP.--.^,ND IN HELPING US ISSUE OUR ANNUAL REPORTS TG_ CONGRESS ON THE HEALTH CONSEOUENCES OF_SMOKING. WE WILL CONTINUE T0 CARRY OUT THESE FUNCTIONS. - THIS YEAR-'S ANNUAL REPORT OF THE SURGEON GENERAL ON THE HEALTH CONSEOUENCES OF SMOKING MARKS THE FIRST IN A-SERIES ON THE RELATIONSHIP BETWEEN SMOKING AND SPECIFIC DISEASES. THIS YEAR'S REPORT.- TO BE PUBLISHED -IN JANUARY, IS ON SMOKING AND CANCER. THE OFFICE OF SMOKING AND HEALTH- HAS BEEN WORKING WITH THE AMERICAN CANCER SOCIETY AND LEADING CANCER RESEARCHERS AROUND THE COUNTRY IN THE D€VELOPMENT OF THE_REPORT. - IN THE PAST.--VOLUNTARY AGENCIES AND THE FEDERAL GDVERNMENTs WORKING TOGETHER. HAVE ACCOMPLISHED A GREAT DEAL ALONG THESE- LINES. A GALLUP POLL THIS YEAR FOUND THAT THE PERCENTAGE OF SMOKERS IN THE UNITED STATES IS NOW THE LOWEST RECORDED IN THE 37 YEARS OF THE GALLUP POLLS.- NINETY PERCENT OF THE POPULATION AGREES THAT CIGARETTE SMOKING I S HARMFUL-. - SOME NEWS ABOUT SMOKING BY YOUNG PEOPLE IS ENCOURAGING. - THE PERCENTAGE OF BOYS WHO SMOKE IS LOWER THAN AT ANY TIME IN_THE LIFETIMES OF MOST OF US HERE. SMOKING BY GIRLS INCREASED DURING- THE - 1660S AND THE EARLY 1970S BUT THIS, TOO. IS NOW DECLINING. IN A-5979 SURVEY BY THE-NATIONAL INSTITUTE OF EDUCATI-ON. NINETY-SIX PERCENT -OF ALL YOUNG PEOPLE--E'JEN 91 PERCENT OF THOSE WHO SMOKE--SAID- THAT SMOKING IS HARMFUL TO HEALTH. BUT OUR NEED TO CONTINUE EDUCATING= YOUNG PEOPLE ABOUT THE HEALTH DANGERS OF SMOKING IS AS GR_EAT_AS EVER. THE JOB IS A NEVER-ENDING ONE. - - WE'_LL GET -0UR MESSAGE-THROUGH TO MORE AND MORE YOUNG PEOPLE IF WE SPREAD THE FACTS--FROM GOVERNMENT. FROM VOLUNTA_RY- AGENCIES. FROM TEACHERS.- FROM DOCTORS AND- NURSES. FROM NATIONAL GROUPS AND FROM Pa.e 3 NEIGHBORHOODS. INCREASI_NGL1'. I HOPE. YOUNG PEOPLE ARE HEARING THE FACTS FROM THEIR PARENTS AS WELL. - PUBLIC EDUCATION_IS VITAL. THE ANT-I-SMOKING ADS BEING RUN BY HHS ARE CONTINUING AND WE WANT TO MAKE_THEM AS EFFECTIVE AS POSSIBLE. EFFECTIVENESS IS_ THE KEY-. AS PROVEN BY THE DISTURBING FTC REPORT WHICH RECENTLY FOUND THAT THE ANTI-SMOKING WARNINGS OVER THE PAST YEARS_ HAVEN'T BEEN EFFECTIVE ENOUGH IN REACHING THE PUBLLC._ -- ~_ IN SEPTEMBER. WE HEARD PRESIDENT REAGAN DELIVER AN ELOOUENT CALL Ff7R A REVIVAL OF VOLUNTEERISM IN AMERICA... FOR A NEW PARTNERSHIP BETWEEN THE PUBLIC AND THE PRIVATE SECTORS. IT SEEMS TO ME THAT THE KIND OF RELATIONSHIP BETWEEN_ GOVERN_MENT_ AND- THE PRIVATE AGENCIES ASSEMBLED HERE CAN STAND AS A MODEL OF WHAT THE PRESIDENT WAS TALKING ABOUT. WE CAN DO GREAT THINGS TOGETHER. AS PARTNERS IN THE CAUSE OF GOOD HEALTH. - IT WAS THE AMERICAN CANCER SOCLETY. THE AMERICAN LUNG ASSOCIATIGN. THE AMERICAN HEART ASSOCIATION_ AND THE AMERICAN PUBLIC HEALTH ASSOCIATION WHICH-20 YEARS AGO URGED A SURGEON GENERAL'S REVIEW OF THE HAZARDS OF SMOKING. THE RESEARCH ON WHICH THIS REVI-EW WAS BASED CAME. IN PART. FROM THE_AMERICAN CANCER SDCIETY: SOME CAME FROM THE VETERANS ADMINISTRATION. SOME FROM THE NATIONAL INSTITUTES OF HEALTH. SOME FROM OTHER SOURCES. WHEN THE RESULTS WERE PUBLISHED. ALL THE HEALTH AND EDUCATIONAL AGENCIES OF THE COUNTRY -JOINED IN A NAT I ONAL EFFORT TO REDUCE SMOK I NG. 0•7.16,~ 67ar~ THIS COOPERATION. BETWEEN AGENCIES-AND BETWEEN THE PRIVATE AND PUBLIC SECTORS HAS CONTINUED EVER SINCE. --IT IS EVIDENT-HERE THIS MORNING. I AM THANKFUL FOR THAT. WITH YOUR SUPPORT. WE'LL CONTINUE OUR WORK ON BEHALF OF THE HEALTH OF ALL AMERICANS. - WARNING OUR NEIGHBORS ABOUT DANGER-HAS BEEN AN AMERICAN TRADITI SINCE PIONEER DAYS. FEW HEALTH DANGERS ARE AS SERIOUS_.AS_THOSE-CAU BY SMOKING. YOU IN. THIS ROOM HAVE DONE A SUPERB PUBLIC-= SERVICE BY FDUCATING THE AMERICAN PEOPLE ABOUT SMOKING AND DISEASE. IN DOING S0: - -. . . r n..rnrrnN UOLUNTEERISM AND

IN THE CAUSE OF BETTER HEALTH FOR ALL AMERICANS. REST ASSURED YOU HAVE MY SUPPORT AS SECRETARY OF HHS. WE'LL COMBINE THAT GOVERNMENT- SUPPORT WITH THE PROFESSIONAL EXPERTISE AND THE VOLUNTEER SPIRIT REPRESENTED IN THIS ROOM TODAY. WE'LL ENCOURAGE HEALTH PROMOTION CAMPAIGNS BY PRIVATE EMPLOYERS. WE'LL KEEP LEARNING MORE, AND GETTING THE FACTS OUT TO THE PUBLIC. TGGETHER. WE'LL REDUCE THE HEALTH DANGERS THAT ARE WITHIN OUR POWER TO CONTROL. -TOGETHER, WITH YOUR HELP. WE'LL BUILD A HEALTHIER NATION. THANK- YOU VERY MUCH.

RLC:I;IV1:U NOV A J STEVENS