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p ~ U. S. DEPARTMSEWT OF HEALTH; EDUCATION. AND WELFARE v TEXT OE REMARKS BY J~JSEPH A. CAL I FhI~O, .1 , AT THE A:h'EP, I CaN' CANCER SOC I ETY NEV YORK, rIEW Y9R K I NOVEMBER 29, 1978

r c . THANK YOU, DR. LE•FFALL, MR. CARTER, MINNIE RIPERTON, FRIENDS AND VOLUNTEERS OF THE CANCER SOCIETY: I AM DEEPLY GRATEFUL TO YOU FOR THIS AWARD. I HAVE THE GREATEST RESPECT AND AFFECTION FOR do • THE TWO PEOPLE WHO HAVE RECEIVED IT PREVIOUSLY-- * • PAUL ROGERS AND BETTY FORD. SO I DOUBLY TREASURE YOUR KINDNESS TO ME TODAY, A SECRETARY OF HEALTH, EDUCATION, AND WELFARE FEELS AT HOME BEFORE AN AUDI!ENCE OF AMERICAN CANCER SOCIETY VOLUNTEERS AND STAFF, FOR THE SOCIETY AND OUR nEPARTMENT HAVE BEEN PARTNERS NOW FOR A GOOD MANY YEARS--COMRADES-IN-ARMS, FIGHTING NEEDLESS ILLNESS AND DEATH; FIGHTING THE ECONOMIC AND HUMAN TOLL THAT CANCER EXACTS.

i 5 ~ BOTH YOUR CU'~ii-'IISS I ON AND OUR TASK FORCE LOOKED WI'TH DiS'~lAY AT THE PERSISTENTLY HIGH' LEVEL OF CIG.".;:L:TTE CG; J~ U,". P'Ti0„', E'UT Zi'-iLY FOUND SG1-'.E- ENCOUr,AGIItiG TFE;;~~; PE R' CAP I TA C I GAR'E T TE COIJS:UI•iPT J Oi! I S DOWN, FOR E XAMP; F, A~NhI HA~S~ BEt_N ~ GOING DJ'rJ~; FOR SEV~LRA~L YEA~R~S,. THE USE OF LOW-TAR AND MORE RECENTLY L0V1-L0~-,'TAR C I GARETTES I S I NCREAS I NG . AND THE NU!•1BER OF FOR;IER' CIGAr^-ETTE IN OUR P'OPULAT7O.N1 WHO HAVE QUIT St'0',:: NG Sj'!Er,;I)1 LY R I SES; I T N01'r STANDS AT t1GRE THA?7' 30 MILLi'U;•: A;'::=RIC.yNS, BUT MiGi~G S01;E G ZGUr S-ESF^'EC I ALLY CH'I LDFc'EN--TH'F NE1-JS IS NOT SO GOOD, DESPITE THE EFFORTS OF SCHOOLS, OF 1'OLUNTARY l;GEn;CI ES, AND PUBL I C HEALTH DEPARTf-':EI7TS; DESPITE THE EFFORTS OF PHYSICIANS AND NURSES, PARENTS AND TEACHERS, SMOK I fIG AIMONG BOYS HAS SCARCELY CHAN'CLD SINCE THE ORIGINAL SURGEON GENERAL'S REPORT WAS PUBL I SHED' I N 1'961'+ , AND Sf,"1OK I NG AMONG YOUNG WON-EN HAS NOT ONLY I NCREA'SED; I T HAS ACTUALLY DOUr.'LED ,

a. . -8- r o 14E ARE DEVELOPING A NEW SURGEON GENERAL'S REPORT 0T Sk'YJKIN1 AND f!El11_TiH V~,ICH t;1LL BE PE!~:EaSEl ~ON! .jANUAR'i il. 1 T t't'I LL BE PfJ 'i. T H,'+,"I F'ACES IN LENGTH -- THE NIOST CO,"-1°LETE AND CO:-?1;E:H„i:;SIVE DOCUMENT ON SMOKINC EVER ASSENBLED, A DCrC,U•'1cNT 1nHICH t1LII. SERVE AS A VITAL RESOURCE FOR RESEA'".Cf", Ar~D EDUL/1T I CiJ, THROUGdOUT THE t~-)RLL, I fJ' THE YEARS TO CO;'E. OUR' CHIEF EFFORT, OF COURSE, HAS BEEN TO INFOPS-1 FE OPLE, ESPCCIAL LY YOUNG PEOPLE, ABOUT S1r1CiKIPlG AND, HEJ'tLTH' -- NOT TO INTERFEIRE FORCIBLY 1-41TH THEI R CHOICES A~iD H,1I3ITS. 1+IE INrftIND TO BE PRO-HEALTHi-- NOT PROHIBITIONIST. nUBL 1 C ATTEt•1T I ON I S A CR I T I CAL WEAPON d I N' THE WAR Otd C IiGh~ ET i E SMOKINC, FOR 80 PER CENT OF THOSE WO SMJKF WANT T0 dUIT -- At+D THE NIORE OFTEN THEY ARE f:D1I r,DED TI AT C I GARETTE &M0K I 1;G I S SLO+l- ~10TI~O'd SUI'~CIDE, !HE VIORE LIKELY THEY ARE TO TRY TO QUIT.

~ - . . . . . . . . ~ . . .. ~ . . . . .. 9 INDEED, EVERY TIME THERE HAS BEEN AN INCREASE I N EDUCAT I OINAL E FFCZTS O1I' St'Oh: I tilG AND HEALTHi EVERY T l f:E ~~ L I C .r ,~. ~iI E C ~ S h ~;r ,5 L' E r~i ~ ~ H E ta 1 " ~ E i',E~ D . R.,'1 ,.:~.. ~ r. ~; r,V T , i~r ~ TE S .r P'Uij li. _ GONE DOh-1N. IN THE PAST YEAR, PUBLIC Al-iAFENESS HAS BEEN .HEIGHTENED, AND I CAN ASSURE YOiJ: IN THE COMING YEAR, IT WILL BE HEI1GHTENED EVEN MORE. CERTAINLY WE HAVE OUR WORK CUT OUT FOR US, FOi; hE FACE PO'-'ERr=UL GESiAC.LES IN 00 EFFORTS TO TELL THE FACTS APGl1T S"iOI:DNG -AN'D HEALTH. ONE OF THOSE OBSTACLES I S THE t.~IJLTIMILLION- T;OLLAR p:DVE RT I S I NG hU,'?Gf TS OF THE C I GARETTE I NDUSTRY . LAST YEAR THE I NDUSTRY SPENT SOME $500 MI LLI1ON T0, PERSUADE PEOPLE--t•iOSTLY YOUNG PEOPLE--THAT SMOKING IS GLAMOROUS AND SATISFYIN!G. WE MUST SEE THAT ADVERTISING FOR WHAT IT IS: A SEDUCTIVE, L•iULTIiriILl_ION-DOLL'AR MASK DESIGNED TO KEE Fr,i'~

c AMERICA'S CHILDREN AND TEENAGERS THE SKULL AND CROSS BONES THAT LURKS IN EVERY PACK OF CIGARETTES, WHAT IS SO SINISTER ABOUT CIGARETTE ADVERTISING IS ITS TARGET: OUR CHILDREN AND OUR.TEENAGERS, FOR THE CIGARETTE COMPANIES, WITH THEIR SOPHISTICATED MARKET RESEARCH AND SELLIN'G TECHNI(JUES PREY ON THESE DISTURBING FACTS: ° 7 5 PERCE::T OF THE ADULTS WHO SMOKE BEGIN TO SMOKE AND ACQUIRE ITS ~ABIT Bf FORE THEY 'ARE 21. ~ 100,000 CHILDREN -- 13 YEARS OF AGE AND YOUNGER -- ARE REGULAR CIGARETTE SMOKERS. • 4,000 CHILDREN BECOME CIGARETTE SMOKERS EACH DAY,

u1 F;TU.~LLY NO C`:lE EEt; i NS TO St 10KE C I rARETTES AFTER THEY REAC'ri 3t)' YEARS OF H~)E Ti;'JS, TI :E LEC I S I G''; 1-0 St'N1 " I S NOT BY ADULTS AF1ER D'Jc CG~,lSID:-:^J'.TION QF THc INCREASED RI'SL OF , . CANCER, HEART PISEASE. FJ1~, Ei',}'NYSE'r'A, N'0 ')nu' YEAR OLD BEGINS TO Si•1Ji:F AFTER 1 r' I GIFI I i;G THE Fr";CT THAT A 11,,0-Fr?,Cf'.-A.-DAY SMKER AT ~~ l`tI LL LI VE °,1 YEARS LESS THAN A f:0N-•SIVrJKER, THE C I(w^-+-l%'ET T E CO'r1PP;,I I ES Kt0,1 TNM: . 7Mc DEC I S I CN! TO SMCKE I S MADE BY CHI LDZEN l"~N'D TEEta;GEF;S, THAT I S I;i' {Y TY,E TOBACCO C0+' IL°AN!tES DI F?ECT THE I R ADVERTI SI NS To YOUiNKI f'EGPLE, AND THAT I S MY THE MA:J02 FOCUS OF C'; 'S ANTI -SN10KI Nr EFFORT WI LL 3E DI RECTED AT CH I LDREN 90 TEENA(,ER.S , ANOT}fER TARGET OF OUR ANTII-SMdKIiNC CAt•iPAIGIN 1S THE WJRKPLACE.

NONy SMOKERS NOT EXPOSED T0 THESE DECI'c,' PRODUCTS OF RADON. EXPOSURE OF RUBBER WORKERS TO Thl-C, I i= C('; ~- BINED WITH SMOKING, INCREASES THE R',I S1: OF CMP01-lI'C LUl1'G. DISEASE BY NEARLY 4 TIMES, FOR WOR'ICL=RS EXPOSED TO POLYTETRAFtU0R0ETH'(LENE, IT I S PRI MIARI LY SMOKERS WHO BECOME SICK WITH POLY."iER-FUf•iE Fr=VER. *11 ~'!E ARE DEEFLY CONCERNI',ED Ai OUT 7li I S ACCUlT1ULATI NG EVI DEI:CE OF THE D/`.IJGEr;S 0'F SM1J,".INC COt,L'. I NED 1>1I TH I N- DUSTRIAL. HhZAR'DS. I AM TODAY DIRECTI(;(: TFiE CEI-'IER' F0R D'1SEASE COI:T;Z&L AIiJD' THE NATIONAL I~JSIITUTE OF OCCUF'AT?(~':;-L SAFETY AIND HEALTH TO tiqORK WITH THE DEFAR'T;,E(:T TG DEVELOP, ON AN URGENT BAS I S, GCCUPP;T I'Gi: ,L SAFETY STANDA~'~il;; THAT TAKE IPITO ACCOUNT THIE INCRE.^,SEIi F:I`~F: TO k:ORKERS THAT SMOKING ADDS TO INDUSTRIAL filAZr<R'';°, I'JE CAdv BE CON!F I DE 1dT, I BE L I EVE, THAT OUR E FFORTS 'f:i EDUCATE PEOPLt--EXPECIA'LLY YOUNG PtOPLE--I-,1IILL HAVE NOT ONLY LI FE-SAVI NG, BUT LI FE-ENHANC I NG V.`1LUF. 7 INDEED, I AM HEARTENED BY THE RESF'ONSE OF YOUNG PEOPLE AND TEACyERS NATIONwIDE TO OUR EFFORTS SO Fl1R, ~ WHEN' I CALLED LAST SPRING FOR LETTERS AND, POSTERS FROM THE iVATION`S STUDENTS AND ADVICE FROr-1 THEIR TEACHERS, *-I ~ . , i\' ..: . .~ .,. ~ 7 , ~t 'L'0' 1 Ei~i:~'i. :;J ~

4 C . THIS FA[~_L. I WROTE TO EACN OF THE 16,000 SEVEINTH GR,'ti~!E TE;•C,"Ef~ :SEf:S I:. OU'? t~~,TIO~~I, I ASKED T~~EI~i TO H'OLD HEALTH AND, S!y';0':1NG fSSAY AND POSTER CONTESTS, ANDlT0 I SFND US THE BEST, WE WI L.L AW'HRD CER T I!FICATES Af;D, 'r;E W'I LL •PUB'LI SH THEM I N AN I SSUE OF WERIICAN EDUCATI O„ , THE RESPO;:SE HAS BFEiJ PHEr:OXEP+l1L -- THnI!!zAi~'pS OF ESSAYS Ail{ij POSTERS HAVE BEEN RF_CEIlVED. SO WE A;;E OFF TO A GOOD START. WHEN P,-lJEFFALL INTRODUCED ME A i-Ct+' MINUTES AGO, HE USED THE WG;'.D "COURAGE . THAT IS A FLATTERING 'rrCRD, l',P;D I AM GRATE FUL , BUT I N TRUTH, I DO NOT CONS I DER WHAT I HAVE DONE A I'I`;TTER OF COURAGE. I COI`;S I DER IT T0 BE ONE OF THE PLAIN'. DUTIES OF MY OFFICE. I CONSIDEn IT THE DUTY OF THE CHIEF HEALTH AGENCY OF THE UNITED STATES AND ITS LEADERS TO FI'GiAT THE CHIEF PREVENTABLE CAUSE OF DEATH IN'THIS NATION,