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Antismoking Initiatives of the Department of Health, Education, and Welfare Hearing Before the Subcommittee on Health and the Environment of the Committee on Interstate and Foreign Commerce House of Representatives Ninety Fifth Congress

Date: 19780215/P
Length: 377 pages
03745450-03745826
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03745450/03745826
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N14
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R1-004
R1-037
Named Person
Ain, R.D.
Andersson
Aviado, D.
Banzhaf, J.F. III
Best
Bourne, P.
Bridge
Brown, C.J.
Broyhill, J.T.
Burgland
Burns, W.L.
Califano, J.A.
Carney, C.J.
Carter
Carter, T.L.
Colley
Collins, J.M.
Conn
Connolly, S.J.
Cooper, T.
Corn
Corr, W.V.
Cowan, J.S.
Crane, R.M.
Dalhamn, T.
Dalrymple, D.W.
Devine, S.L.
Dingell, J.D.
Dinkins, E.A.
Dixon, W.
Dolan
Dorn
Dunne, C.E.
Ebersol, C.R.
Eckhardt, R.
Effenberger
Evans, B.L.
First, M.
Fishbein
Fisher, E.B., J.R.
Fletcher
Flood
Florio, J.J.
Foote, E.
Frey, L., J.R.
Gammage, R.
Ginn, B.
Glisson, J.A.
Gore, A., J.R.
Gori, G.B.
Hammer
Hammond, E.C.
Harke
Harlan, W.R., J.R.
Harmson
Harrison, E.
Hart, G.
Higginson
Hill
Hinds, W.
Horn
Huber
Kitzmiller, W.M.
Kornegay, H.R.
Krueger, R.
Lawton, S.E.
Lent, N.F.
Levy, R.
Lloyd, D.S.
Luken, T.A.
Madigan, E.R.
Maguire, A.
Maher, R.W.
Markey, E.J.
Marks, M.L.
Metcalfe, R.H.
Mikulski, B.A.
Moffett, A.J.
Moir, B.R.
Moore, W.H.
Moorhead, C.J.
Moss, J.E.
Murphy, J.M.
Nelson, K.F.
Ottinger, R.L.
Painter, K.J.
Perkins, C.
Peyster, F.
Preyer, R.
Raabe, M.J.
Rhoads, J.
Richmond, J.B.
Rinaldo, M.J.
Rogers, P.G.
Rooney, F.B.
Russo, M.
Ryan, T.M.
Rylander
Santini, J.
Satterfield, D.E. III
Scheuer, J.H.
Schievelbein, H.
Schmeltz, I.
Schneiderman, M.
Schwartz, J.H.
Sharp, P.R.
Skubitz
Skubitz, J.
Sledge
Snore, J.T.
Soloman
Staggers, H.O.
Stallones, R.
Stockman, D.
Surgeon General
Twain, M.
Upton, A.C.
Vandeerlin, L.
Walgren, D.
Waxman, H.A.
Williamson, W.E.
Wirth, T.E.
Wynder, E.
Zimmerman, B.
Date Loaded
05 Jun 1998
Document File
03745448/03745915/Hew's Anti Smoking Campaign Vol 2 790524.
Named Organization
Action on Smoking + Health
Administration for Alcohol Drugs M
Ahf, American Health Foundation
American Airlines
American Cancer Society
American Council of Life Insurance
American Heart Assn
Appropriations Comm
Assn of State + Territorial Health
Berkeley
British Medical Journal
Bureau of Health Education
Cdc
Cival Aeronautics Board
Clearinghouse on Coporate Social Re
Comm on Interstate + Foreign Commer
Comm on Smoking - Cardiovascular Di
Consumer Product Safety Commission
Ctr, Council for Tobacco Research
Defense Dept
Dept of Agriculture
Dept of Natl Health + Welfare
Epa, Environmental Protection Agency
Farm Bureau
FDA, Food and Drug Administration
Federal Aviation Administration
Federal Communication Commission
Ftc, Federal Trade Commission
Gao
General Services Administration
German Heart Centre
Harvard
Health Insurance Assn of America
Heart + Lung Inst
Hew, Dept of Health Education and Welfare
House Commerce Comm
Interstate Commerce Commission
Journal of American Medical Assn
Natl Assn of Broadcasters
Natl Clearing House on Smoking + He
Natl Commission on Smoking + Public
Natl Heart Lung + Blood Institute
Natl Institute of Child Health + Hu
Natl Inst of Child Health + Develop
Natl Interagency Comm on Smoking +
Natl Interagency on Smokiking + Hea
NCI, Natl Cancer Inst
New England Journal of Medicine
New Yorker
NIH, Natl Inst of Health
Niosh, Natl Inst for Occupational Safety & Health
Office of Education
Office of Health Information + Prom
Office of Smoking + Health
OSHA, Occupational Safety & Health Administration
Prudential Insurance Co of America
Public Health Service
Readers Digest
Royal College of Physicians
Scientific Advisory Board
Senate Commerce Comm
Senate Subcomm on Health
Sgac
State Dept
State Mutual Life Assurance Co of A
Subcomm on Health + the Environment
Subcomm on Labor-Hew Appropriations
Subcomm on Tobacco of the Agricultu
the Public Health Coucil of Nj
TI, Tobacco Inst
Treas, Dept of the Treasury
Ucla
United Airlines
University of Pa
Univ of Mi
Washington Univ
Wa Star
Characteristic
UNCO, UNCODED LIST
Litigation
Stmn/Produced
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03745010/5826
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15 B~ Theseprovisionsare.also applicable toHE~- elements occupying.Government owned and~leased space w}iich.i'~s assigned by.6SA, and space obtained on a use permit, or nominal rental or rent-free basis. Inisuchcases,, the. Department policy will apply within the confines of the assigned'space over which~HEW has exc.lusivee custody and controD.. A.. The Heads of POCs.(fortbeirheadquart~ers, regional and field components); 2ROs (Porthe organizational elements under their direct control); and Drrector,.Office, of Management Services, OS (for the Office.of the Secretary at tieadquarters),; areresponsiblee and accountable for implementing the provisions of this chapter... They will: (1) Prepare am.implementatiom plan setting fortlithe provisions of~this .chapterand methods to insure compliance within 60 days of itss effect.ivedate. A copy, of the plan willi be submitted to the Assistant Secretaryfor, ManagQment andSudget for review. a.. In Government owned!HEWoccupied buildings and;facilities,, the senior HEW'offieial has theresponsibi'lityfor implementing theSecretary'spoli'cy as it relates to space under his orherjuris.diction and control as implemented by his or her appropriate head- quarters.. Where two or more HEW organizational elements occupy the same building orfaeilityr and theof~ficials are of the same rank, these officials will sharee implementing.responsibility and issue a single directive covering HEW employeess occupying!thee building or facility. b.. In~buildings that are controlled by other Government Agencies, such as GSA or non- Government organizations or individuals, the3ecretary's policy will beapplied; when the space is being utilized exclusively for HEPi'activities. If an agreement with the occupant, owner, or lessor can bee reachedion the control of smoking, officials are authorized to jointly issue implementing directives.. - 1 i,6~ . ~;k;t_
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vocal ident goal other oking lith of s con- P it is ver, a other- social esent arter 0 rgia g in as a ased and trict Mr. the last d of ts. tion, out the light of my flimsy evidence now at hand regarding the effects of cigarette smoke in public places. Please do not misunderstand me, Mr. Chairman, I feell that the health and welfare of all our citizens is the concern of this govern- ment, and I believe that the Congress has sufficiently funded' Federal programs and research activities to determine the effects of smoking on human health,, and most of the data and conclusions from those studies have been publicized for public consumption. No one has been ignored or misled as to what researchers and phy- sicians say about smoking, but I believe that it is fundamental' in our society to allow people to make their own decisions in personal matters of this nature. Those people resent the Government telling them what they can and cannot do. I know that I resent Mr. Calif ano trying to govern my life in this fashion, and I trust that in consider- ing this proposal that this subcommittee will reflect on this govern- ment• intrusion in our lives. Finally, Mr. Chairman,, permit me to say that in spite of what I feel' are sound economic figures and factors of questionable govern, ment interference which shouLd preclude the implementation of this proposal, I believe there is a strong lack of support among the Amer- ican people for action of this nature. The American people are de- manding less government, not more government,, and the polls that I have seen indicate that even among nonsmokers this plan is deemed inadvisable and inappropriate. Mr. Chairman, my constituents are tired of the Government's en- croachment on individual freedom, and I hope that we can show them that Congress intent is not to encourage that encroachment at the whim of one Secretary of Health, Education, and Welfare and at the immense expense of a healthy and viable industry. Mr. Roor•.RS. Our first witness this morning willi be the Hon. Joseph A. Califano, the Secretary of the Department of Health, Educationy and welfare, accompanied by Dr. Julius B. Richmond, who is As- sistant' Secretary for Health, Dr. Arthur C. Tlpton; who is Director of the National Cancer Institute; an& Dr. Robert Levy, who is Di- rector of the National Heart, Lung, and Bloo& Institute. We welcome alI of you. We are pleased to have you before the committee. Your statement will be made a part of the record in full, without objection, and you may proceed as you desire. STATEMENT OF' HON. JOSEPH A. CALIFANO, JR., SECRETARY, DE- PARTMENT OF HEALTH EDUCATION, AND WELFARE, ACCOM- PANIED BY JULIUS B. RICHMOND, M.D., ASSISTANT SECRETARY FOR HEALTH, PUBLIC HEALTH SERVICE; ARTHUR C: UPTON, M.D., DIRECTOR, NATIONAL CANCER INSTITUTE, NATIONAL INSTI- TUTES OF HEALTH, PUBLIC HEALTH SERVICE; AND ROBERT L LEVY, M.D., DIRECTOR, NATIONAL HEART, LUNG, AND BLOOD INSTITUTE, NATIONAL INSTITUTES OF'HEALTH, PUBLIC HEALTH SERVICE Secretarv CnraraNo. Thank you. Mr. Chairman. I would like to read the bulk of my statement if I may. ~ Y l~' Stl'2S' ~ .ff . .:~ .n.- . - . ._ . . . - , • . .y . ~, •
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1 12 Thus, 28 States have adopted "Clean Indoor Air Acts" and many more States and municipalities are considering such legislation. These bills govern smoking in publhc places and certain facilities such as hospitals and nursing homes. We are encouraging other States, and indeed government agencies,, to consider the appropriateness of these provisions as they mount their own efforts to discourage smoking and protect the rights of nonsmokers. As you know, most Federal offices currently have no policy protecting nonsmokers. In short, the program I set forth in~ my speech last month does not go nearly as far as programs some have urged, some jurisdictions have enactea, and programs some foreign countries have adopted. I believe our antismoking initiative will succeed. People are ready to quit. And the most significant drop in smoking occurred during an- other period of widespread public debate and concern when the highly visible counteradvertisements appeared on television and radio from 1968 to 1970. Finally, our greatest concern is to reach children. I know of no responsible parent who would encourage a child to smoke, ryet we have not been able to reverse the trend of smoking startup in this vul- nerable group of teenagers and subteenagers. I am~ convinced that we can, but it will take a concerted effort not only by this Department, but by parents, teachers, employers,, physicians, health agencies, vol- untary associations, and State and local governments. It is clear that' an important measure of the success of the program~ will' be a reduc- tion in the number of teenagers and preteens who start smoking. The antismoking init'iative is a sound investment that can realize a priceless dividend-a healthier future for the Nation. Thank vou very much. Mr. Ro4nRS. Thank you very much, Mr. Secretary. I want to com- mend you for the thrust of your statement geared mainly to young people and' supporting basic education on the problems with smok- ing. I think the committee is pleased that you are activating the pro- gram under a law developed by the committee, for the health and education of the American people. I would also commend you for placing the emphasis as we start on young people and those smokers at special risk. I wondered, with respect' to the protection of nonsmokers in~ Fed- eral buildinffs. could this be effectuated without legislative act'ion by a directive of' the President orr by action~ by the General Services Administration? Secretary Car.IFAxo. Mr. Chairman, this could be done by the Gen- eral Services Administration. it can be done to a large degree by each individual departmental head. The Defense Depart'ment, for example, until we put in our rem.ila- tion, had the strongest protective policies for nonsmokers. We have asked the General Services Administration to use our policies as their policies thrcuLrhout Federal buildings. There are 10;000 Federal buildings all over this country, and it could have a subst,antial impact, but no legislation is necessary. Mr. ROGERS. I wonder if we could have for the record the actions taken by the various departments? Could that be furnished? c Sel thB I anc I r GQ .`
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20 A. Notices to Employees. Officials responsible for im- plementing requirements of this chapter shall inform- employees under their jurisdiction in writing of the provisions applicable to them. B. Signs. (1i)~ Suitable "No Smoking" signs shall be mounted in all rooms and areas where the no-smoking policyappliies. Where common or public smoking areas are established, a card or other device will give directions to the nearest area. Thesee directional signs will be placed'adjacent to the "No Smoking" sign whenever possible. ... (2) The numbers of signs to be posted or displayed will depend on the size of the room or area. Generally, two should be sufficient for small rooms and four for large rooms. (3) Signeplaced:in designated no smoking areas (in- cluding rooms)) will bear the message "No~Smoking". Generally, the size of lettering should bee one inch high for small rooms or areas and two inches high for large rooms and areas. (4)'fhe accepted international.symbolifornosmoking, may be used on doors or appropriately displayed . in.no smoking areas, in addition to theaignsindicated:above. 1-60-80 Referral of Questions Technical questions concerning smoking and health, educa- tional materials, or suggested methods of discouragingg cigarette smoking,in Government buildings, should be referred.t~o the Office on Smoking and Health, Office of the. Assistant Secretary for Health, Department of Healt~h „ Education, and Welf~are, Washington~ D.C.. 20201. H
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Page 21 90 80 110 73 310 290 195 192 287 200 ANTISMOKING INITIATIVES OF THE DEPARTbiEN!T OF HEALTH, EDUCATION, AND WELFARE WEDNESDAY, FEBRUARY 15, 1978 HOUSE OF REPRESENTATIVES, SUBCOMMIITEE ON HEALTH AND THE'ENVIRONMENT, COM3fITTEE' ON INTERSTATE AND I~' OREIGN C03i3iERCE, Washington, D.C. The subcommittee met at 10 a.m., pursuant to notice, in room 2123, Rayburn House Office Building, Hon. Paul G. Rogers; chairman, presiding. Mr. ROGERS. The subcommittee will come to order, please. On January 11, 1978, at a meeting of the National Interagency on Smoking and Health, HEW Secretary Califano announced the details of the Department's new antismoking initiative. All' of us are familiar with the 1964 Surgeon General's report on smoking and health which first presented a link between smoking and lung cancer. In the intervening years, we have seen reports citingtheg relationship of smoking and other cancers, heart disease, lung disease; possible synergistic effects between smoking and occupational ex- posures and smoking and drug use, including oral' contraceptives; and even developmentall problems of the newborn whose mothers are heavy smokers. . It is encouraging to note that recent statistics demonstrate that smoking habits of adult Americans have begun to change. Only 39 percent of adult males are classified as smokers today, compared with more than half that population only 14 years ago. Unfortunately, however, during the same time period, the percentage of teenagers who smoke has increased greatly, with an almost doubling in the percent of young women between the ages of 13 and 19 years who are smokers. The Secretary has proposed initiatives in four major areas: Educa- tion. regulation, incentives, and research. His proposals became the immediate target of both criticism and praise; some arguing that he was advocating measures far too severe for the magnitude of the problem; others maintaining that the De- partment was taking long overdue action in addressin, a very sig- nificant public health hazard. Even among those who applauded the . proposals; many expressed a hope for more vigorous and compre- hensive action. Todav, the Subcommittee on Health and the Environment is meet- ing to hear directly from the Secretarv, as well as representative groups both supporting and oppopzin~r his announce& plans, so thatt we may have the full benefit of all views in this area. (1) ,
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CHAPTER 1-60POLICY'ONSMOKING IN HEWCK'QUPIED BUILDINGS AND FACILITIES 1-60'-00 Purpose •. 10 Policy 20 Applicability and Scope ~ 30 Responsibilities 40 Implementation,Direetives 50 Education and;Training~ 60 Complaint Procedure 70 Notices and'Signs&0 ReferraliofQuestions The purpose of this chapter iss to provide aDepartmentwide:poiicy. on smoking~.in HEW-occupied;bui'Sdingsand facilities. It supersedes General Addministration Manual Circular 72.1, dated February 7', 1972, "Poliicyon,Smoking!in HEW-Occupied Buildings". A. It is the policyy of the Department to protect theriqhts of nonsmokers (both Federal employees and the public)) byy re- stricting smoking in certain areas of HEW-occupied buildings and faci~liities. The Department also recognizes the rights of individuals to~smoke, provided~such action.does not endanger life or property,,, cause discomfort or unreasonable annoyance to nonsmokers or infringe upon thei'rrights. B: Inrecognition~of,the fact that smoking is dangerous to the health of smokers; that tobacco smoke in a confined area _ ,create.s a health hazard to nonsmokers suffering.from.hear~G disease, respiratory diseases or allergies related to tobacco smoke; and that smoke in a confined area may beir~ritating and annoying to~nonsmokers and violates their privilege of breathing air relatively.free from tobacco smokecontaminatlion, every effort will be made to pro- vide an environment reasonably free of such contaminants. A. The provisions.of~ thisdirectiveapply toallorgdnizational elements: of HEW'that.occupy.Government.owned and leased HEW buildings and facilities. . HEW 1N-7.8.2~ (1/18 J8)iSuper~.sedes~~Cir~cular 72:.1i,.d'ated 2~~7172~
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,ts CO_MMITTEE' ON INTERSTATE AND FOREIGN COMMERCE HARLEY O. STAGGERS, West Virginia, Chairman JOHN E. MOSS, California SAMUEL L. DEVINE, Ohio JOHN D. DINGELL, Michigan JAMES T. BROYHILL, North Carolina PAIIL G: ROGERS, Florida TIM LEE CARTER„Bentucky LIONEL VAN'DEERLIN„CaliPornia CLARENCE J. BROWN, Ohio FRED B. ROONEY, Pennsylvania JOE'SSUBITZ, Kansas ' JOHN M. MURPHY, New York JAN fES ML COLLINS; Tesas. DAVID E. SATTERFIELD III, Virginia LOUIS FREY, JB., Florida BOB ECgHARDT„Tezas NORMAN F. LENT, New York RICHARDSON PREYER, North Carolina EDWARD R. MADIGAN, Illinois CHARLES J. CARNEY, Ohio CARLOS J. MOORHEAD, California RALPH H. METCALFE„Illinois MATTHEW J. RINALDO, New Jersey JAMES H. SCHEUER, New York W. HENSON MOORE, Louisiana RICHARD L. OTTINGER„New York ~ DAVE STOCgMAN;,Michigan HENRY A. WAXMAN, California MARC L. MARKS, Pennsylvania ROBERT (BOB) KRUEGER, Texas ' TIMOTHY E. WIRTH, Colorado PHILIP R. SHARP,,Indiana JAMES J. FLORIO, New Jersey ANTHONY TOBY MOFFETT, Connecticut' JIM SANTINI, Nevada ANDREW MAGUIRE, New Jersey MARTY RUSSO, Illinois EDWARD J. MARKEY, Massachusetts THOMAS,A. LUKEN, Ohio DOUG'WALGREN„Pennsylvanis ` ' BOB GAMMAGE, Texas ALBERT GORE, Ja:, Tennessee y._ BARBARA A. MIgIILSHI„Maryland , W. E: WILLIAMSON, Chief Clerk andlStafl Director gExxETH J. PAINTER, Firat Assistant Clerk ELEANOEA..DINgINS, AAaiBtantCler.'.. WILLIAM Lc BURNS, Printing Editor _ PROFESSIONAL STiAP'FELIZABETH HARRI&ON. CHRISTOPHER E. DUNNE JEFFREY.H. SCHWARTZ. .. WILLIAMM..gITZMILLEBBRIAN R. MOIR MARS J. RAABE $ABExF.NELSOx..-, •THOMAaM..RYAN ' . • Ross D. AIN JAMES S. COWEN . . ROBERT HENLEY LAMB, Associate Minoritx. Counsel 19 c . i t SIIBCCMMITTEE ON', HEALTH AND THE ENVIRONMENT PAUL G. ROGERS; Florida. Chairman DAVID E; SATTERFIELD:III, Virginia TIM LEE'CARTER, Kentucky RICHARDSON PREYER, North Carolina JAMES T. BROYHILL, North Carolina JAMES H. SCHEUEB, New York EDWARD R.,MADIGAN, Illinois. HENRY A. WAXMAN, California JOE SKUBITZ, Kansas JAMES J. FLORIO, New Jersey SAMUEL L. DEVINE, Ohio (Ex Officio). ANDREW MAGUIRE, New Jersey EDWARD J. MARKEY, Massachusetts RICHARD L. OTTINGER, New York DOUG WALGRE'N, Pennsylvania HARLEY O. STAGGERS„West Virginia (Ex Officio) STEPHAN E. LAWTON„Counael ROBERT W. MAHER, Director of Research and Planninp Jo ANNE GLissoN, Senior Staff Associate DONALD W. DALRYMPLS, Asaiatant Counsel STEPHENJL CONNOLLY, Senior Staff Associate BUSSE ZIMMERMAN, Research Associate ROBERT M. CRANE, Senior Staff Associate WILLIAM V. CoaR, Aasiatant Counsel FRANCES DE PEYaTES, Minority Staff Associate a~i! a
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conceptual than empirical im nature and we deal primarily with the agricultural sector, viz., tobacco prices and production, farmland values, and certain facets of farm structure and income. The empiricism is based largely on results from other studies. Thus, the paper is "new" to the extent that it provides a synthesis of the possible effects of this potential radical change in agricultural policy. Long-Run Price and Output Changes Estimation of the effects of any proposed policy change requires some knowledge of the free market demand and supply curves upon which the proposed change would be superimposed. The domestic market for non-processed tobacco has not been free to determine prices and quantities since the 1930's. Thus, the market has generated little in the way of data useful as a basis for supply and demand estimates. Our only recourse in this situation was to reason as best we could on the basis of the bits of data which were available. Factors Affecting Supply. On the supply side, which surprisingly seems to be the easiest one, the fact that an acreage allotment has been necessary for profitable production has given rise to a market in "licenses to produce tobacco." These licenses have taken~ on value commensurate with the extent to which actual prices exceeded what free market price levels would have been, subject to the uncertainty ' Sec J. C. Williamson, Jr. and W. D. Toussaint, "Parity and Support Prices for Flue-Cure& Tobacco", Journal of'Farm Economics, 43: 1, 1961, pp. 13-26, for details on the legislative history pertaining to tobacco price-support legislation. ' Major contributions in this area are: L. M. Hartman and G. S. Tolley, Effects of Federal Acreage Controls on Costs and Techniques of Producing Flue-Cured Tobacco, Technical Bulletin No. 146, North Carolina Agricultural~ Experiment Station, Raleigh; F. H. Maier, et aL, The Sale Value of Flue-Cured' Tobacco Allotment, Tcchnical Bulletin No. 148, Southeast Land Tenure Research Commit- tee, Virginia Polytechnic Institute, Blacksburg, Virginia, 1969; J. A. Seagraves, "Capitalized Values of Tobacco Allotments and the Rate of Return to Allotment Owners" American Journal of Agricultural Economics, 51:2, 1969, pp. 320-335;, V. N. Grise, et al:, An Analysis of the Effect of Selected Economic Variables on the Optimum Location of Burley Tobacco Production Within the Burley Belt, Research Report 8, Department of Agricultural Economics, University of Ken- tucky; D. M. Shuffett and Josiah Hoskins, "Capitalization of Burley Tobacco Allotment Rights into Farmland Values", American Journal of Agricultural Economics, 51(2), 1969, pp. 471-474, and; R. Charles Brooks and J. C. William- son Jr., Flue•Cured Tobacco Programs, 1933-1958, A. E. Information Series No. 66, Department of Agricultural Economics, N.C. State University. ~.
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23 .Di ector ration Mr. RooExs. Now, I know you~mentioned'that there had been some reaction from the counteradvertisement:s on radio and TV during the period 1968 to 1970. What would be necessary to reinstitute that type of activity? Secretary CnLTrAro. Mr. Chairman, there are counteradvertise- ments, they are the only advertisements, there are health advertise- ments related to smoking, on television. Too many of them we feeli are on very late at night, when people are not watching. That pres- ently is up to the networks and local stations. I wrote to the three networks and I wrote to the National Associa- tion of Broadcasters and asked them if they would run~ more of these. Al§o, we intend to join with~ the Federal Trade Commissiom in an appeal to the Federall Communications Commission to require that public service announcements generally be spread over a moree prime-time viewing part of the day, but that is a matter basically within the control of the networks and local broadcasters. I noticed one of the Washington TV channels-and I canrt re- member which one-has begun to run more smoking and health items during, prime-time hours. hfr. RocExs. Well', of course, this is a controversiall matter, as you pointed out, and particularly for areas where tobacco is grown, be- cause of the dependency on t'he economic benefits to that particular area. But I must say, I donTt know how anyone could really oppose trying to educate young people not to smoke when we know the health effects: So I am pleased that you have been willing, to face up to the issue in spite of some of the remarks that may be made about you. Maybe a little bnrning, in effigy now and then, but I guess we all go through that when we face up to problems that are controversial. So I think your statement is reasonable, I think it is a good ap- proach, and I am delighted you have embarked on this. Secretary Cnr.rFnso. Thank you, Mr. Chairman, I just underline the fact that I think the statute, the education and health promotion statute that you sponsored and this commitee recommended to the House, and it was passed, is really a key to a lot of other efforts as well ini the preventioni area and does provide us with the authority to establish this office. Mr. RooExs. And I hope the Department will fully develop the potential of that law, because until we get into health education across the board, we are not going to change the patterns which bring about bad health in the Nation. Secretary Cnr,rFnXo. It is one of the major objectives of the Sur- geon GeneraI and of myself. Mr. RncEits: That is excellent and we commend youL Dr. Carter. Mr. CARTER. Thank you, Mr. Chairman. Mr. Secretarv, in vouraddress onJanuarv, 11, you announced! creation of a new Ofl'ice of Smoking and Health which is to begin operations in fiscal year 1978 with, I quote, "Several million dollars of reprogramed funds." Can you name those programs from which funds will he diverted to this new Office on Smoking and Health and explain your reasons 4+i-r 4
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p 19 E. Corridors, Lobbies and Restrooms. Normally, smoking Sn corridors, lobbies and,restroons of HEW-cont.rolled; buildings will be permitted,, except as follows:. (1) Largee lobbies or entrancesthat are used for waiting rooms, etc:,, will be divided~into smoking and non- supok}ng areas. These areas will be properlyposted to assure that.all persons can easily detenminewheresqoking,ispermitted. Inaddi2ion, there.will be no ashtrays or receptaclesin~the designated no-smoking area. (7.)If lobbies or hallways are utilized by.smokers to a degree that results inemployeecomplaints., the official in charge is responsible for evaluating th@ conditions and, if necessary>, establishing them in a.dhole or part as no-smoking areas. (3) x t is determined that the air changes are not suf- ficie¢tt to assure reasonably clean air. fd~aeqtion,acgd„Training hylv+ Pf the d'angers to health caused by smoking,.sup,er:- vSAQjra and employees will be gi'ven training on the dangers @f i%9ki.ng.,met$oda of breaking the smokinghabit., and the prQVjefop's of the chapter. The Assistant Secretaryforf@{6oqnel AdmSnist,ration wiLlprovide for such training in aNperyisqr's trainin,g programs and employee orientation 4ee91ogq.. In addition, within applicable regulations,. 6qployees..will be provided with reasonable time off during YQFking tlour8to attend established training programs that }iFlat'iq breaking the smokinghabit.to.the extent that LheRfificfepcy of work units will not be impaired. The A2P1nant.SecretaryforPersonnel Administrationwilliissue D@p6FS91eRt guidance covering.such training. 1+~B-b0 nee L# . q$.a;o.lp}oyee feels that the provisions of this policy are--ppp.bejng implemented the employee is entitled to utilize Fdf.4gr ;QXe HEW.agencygrievance procedure, or a negotiated gtieyance procedur~e„ whichever isappliicable. Employees whof1'1e agrfevance under these procedures will not be subjected ;preetreint, interference.,,coercion, discrimination or ;eptisal by virtue of having filed such a grievance. 4:.

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