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pPR 1'~ 1973
In This Issue: - Pages
New AHF Research Center ......
.. , .
Annual Awards Luncheon .......
New Cha, rman of AHF Trustees ...
Nutrition Clinic Services .......
Smoking Clinic Services .......
The American Health
- Foundation Newsletter
Vol 5/No: 1 Published for the Advancement of Preventive Medicine April 1973
National Cancer Institute Awards Initial Grant
For Construction of AHF Research Facility
~
Dr. Frank J. Rauscher, Jr., director of the national can-
cer program, National Cancer Institute, NIH, has an-
nounced the award of a contract providing initial two-
year support totaling 52-.1-million to The American
Health Foundation to assist in construction of a new
Health Research Institute.
AHF officials estimate that additional support from
other sources will total approximately $4-million. The
new Institute (see Page 6 for illustrations) is to be
planned and built by AHF, and will be located in West-
chester, County, near New York City. This facility will
focus largely on cancer prevention research_for NCI's
national cancer program. -
Research at the new Inslitute will also be devoted to
encironmental causes of cancer, which are believed re-
sponsible for nearly 90% of all cancers. For-example,
studies of the frequency and distribution of various
kinds of cancer among various population groups will
pinpoint environmental factors common to cancer pa-
tients that may be responsible for their disease. Chemical
and other agents found to be common factors are then
studied in the laboratory to ascertain whether they are
indeed able to cause cancer.
Other Studies: Special investigations are planned of the
influence of diet, hormones, air pollution, and other
environmental factors contributing to the onset and
development of cancer. A major project on smoking and
health is now underway at AHF to develop and monitor
- - - (C'ontinued P 6/
AHF's new research center will be called the Naylor Dana Institute for Disease Preuention. Financial
assistance is urgently needed before this $6,000,000 facility can open its doors. Suggested
categories for
grants or pledges are described in a brochure available on request to AHF headquarters.
r-

The American Health Foundation Newsletter
The American
Health Foundation, Inc.
1370 Avenue of the Americ
New York. N.Y. 10019
(212) 489-8700
EDITORIAL BOARD
' Dav,d L D-ea
ExecuGve V¢e Prevdent
DetbenJOnes. Edrtw
OFFICERS AND BOARD OF TRUSTEES.
Presrdent Ernest L Wynder M 0
cha rman
Jonn E Mat~n -
Cna,r~a~ at tne E.eut- Co.n,-ee
D.na Corporal.on -
SeCr tay
H~goeJ Ge~arO~n
Part, r
Loeb R1waGes a Co
ViceCna,man -'
G W"l- Moore
Bxra Cna rman
Freldcrest Miis Ir>t
Tressuer-
warner G Cosqrve. Jr
Vice Presiden!-D. ~ec-
shielda & Company
Past t}-rTan wn,arn J . Leviv -
Feunde e'c 6oad Cha,rroan
. Le.nf and sons Inc.
- -HOnyaryCnarmar D-aJ Manoney -'-" '
Cnar-rwn ano Pres,aenf Nonon S,- Inc
TRUSTEES
L- V Arorson. II
Prevhe^t
Rorson CpDOa1on
Jui-Canr -
P.scert
Fam.,, rea-n Comm.,.r-t-s
Mrs Cnar.esA Dana
Raicr' , arcau Sc D
Presiee^t
Ha'cun ~nlernat.Mal Irt~
Ea.ar^ H Meyer
P esuen
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Jonr N M ~r_hell
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M- iM Pabb
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- . Slan.'.ey M R,.r.D-^yn, Jr
BOARD OF SC~ENTIFIC CONS'~LTANTS
Cha:mar
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Hea;rn Sc ences Cenre,
$!a'e Jn.erstr o1 New Vork
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Profess.~r
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Cn,e1 D.s.r .;f Me~ca. Syste~-'s
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Cnef Eace^',,,-~oqr D.'son
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Ar.n,.r I N:IIeD. M D
Sen~o Vice Pres.de~t
1pr Me~.cai At/a~rs a Reseach
Amrrr,car Ca^cer Socety. Inc
Gonnara Schemer M D
Professor of Mec cne
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Memor a. Hos;,- for Carc _
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for Research n Carcer
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Cna~.^~an DecanmenlofN..t_nt~or.
Har ara Un~vesty
Scfroo of Pud~C Health
Theooore B Van itali~e M D
Drector of Meo -e
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Editorial: Reflections on "A Higher Calling,"
An Unpublished Ms. by Merlin K. Duval, M.D.
One of the fringe benefits this Newsletter enjoys is that
manuscripts submitted to Preventive Medicine, official
journal of AHF, occasionally reach our department be
fore publication in PM. It happened this way again
recently, with an article titled "A Higher Calling" by
Merlin -K. Duval, M.D., former assistant secretary for
health and scientific affairs, L'.S. Dept. of Health, Educa
tion, and k'elfare. We are pleased to share some of its
finest passages with you.... -
Service to Society: -"The medical profession uses a high-
ly developed technology to treat and prevent disease.
But the overall goal of the profession, its raison d'etre, is
to improve or maintain the health of the society it
serves. Today's physician often loses sight of that mis-
sion in his zeal to meet the immediate, acute needs of an
increasing number of patients." -
The Missing Links: "Thus, we are faced with a paradox.
This nation possesses the greatest medical empire the
world has ever known. N'e've got all the gadgets, all the
hardware, all the computers - the biggest and the bcst.
Yet, too many of our patients leave our offices empty, a
prescription in hand for a tranquilizer to ease anxiety,
perhaps, but without the counseling and compassion of
the physician necessary to cope with the source of the
problem. Nationally, our infant mortality and life expee-
tancy statistics still lag behind many other nations."
Taking the Easy Way: "It is tempting to take the easy
way out, and blame factors outside of the health care
system - housing, nutrition, education, employment,
and environmental pollution - for these low ratings.
. But because the problems or housing, nutrition,
and the like, are beyond the control of the health care
_ delivery system, they must not be beyond the concern
of the physician - not if his goal is ultimately the healtit=
of the community as well as the health of his individual
-
patients." -
The Role of Physicians: °I would submit that physi-
cians, collectively, represent the most powerful force
this nation has to improve the health and welfare of its
people. Physicians must use that power, politically and
socially, especially at the local level, to upgrade the
health of the community they serve and from which
they derive their income --wherever the needs areiound
- in the finance and delivery of health service, in hous-
ing, in nutrition, in employment, in occupation and en-
vironmental health."
Consider the Alternative: "I believe that time may be
running out. If the medical profession is to continue to
enjoy the priviiege of self-determination which it has
been granted by society, then it must hve up to the
responsibilities which society has placed upon it. If
physicians fail to accept this responsibility, the govem-
ment will accept it for us on behalf of society, and prob-
ably in a way not to our liking."
t`_ _

Dr. John H. Weisburger in Newly Created Post,
Has Joined AHF as Vice President for Research
John H. Weisburger, Ph.D., former research scientist and
official of the National Cancer Institute in Bethesda,
Maryland, has joined the AHF professional staff as vice
president for research. The position is a newly created
Dr. Weisburger
one, and Dr. Weisburger will be
responsible for a wide range of
research activities dealing with the
prevention of cancer and other
chronic diseases. Dr. Weisburger
began what became more than
two decades of service with NCI
in 1949, beginning as a post-doc-
torate felf'ow. He was then ap-
pointed to the active regular offi-
cer corps of the U.S. Public
Health Service, achieving eventually the rank of scientist
director (colonel). His earliest NCI assignments
(1950-1961) were in the Laboratory of Biochemistry.
Later (1961-1972) he was named head of the Carcinogen
Screening Section, Experimental Pathology Branch.
Most recently (1971-1972), he was also the director of
Bioassay Segment, Carcinogenesis Programs, Division of
Cause and Prevention. His bibliography includes over
150 titles, including major crtical reviews of key topics
in cancer research.
Professional affiliations: Dr. Weisburger is a member of
such distinguished professional societies as American
Association for Cancer Research. American Society of
Biological Chemists, American Society of Pharmacology
and Experimental Therapeutics, American Chemical
Society, Society of Experimental Biology and Medicine,
Society of Toxicology (member of Council), and others.
On two occasions, he has been awarded honorary service
medals by the U.S. Department of Health, Education,
and Welfare, and he has been a member or chairman of
numerous professional committees, advisory groups, and
national research projects. He has often served as associ-
ate editor or on the editorial advisory board of various
scientific journals, and is currently acting in these capaci-
ties for several professional publications.
Dr. Weisburger was born in Stuttgart, Germany, and
attended secondary schools in Brussels, Belgium. After
further education at the Universities of Brussels and
Havana,_Dr. Weisburger earned his academic degrees -
A.B. in chemistry, M.S. in organic chemistry, and a
Ph.D. in organic chemistry -at the University of Cincin-
nati, Ohio.
New Chairman Named for Board of Trustees,
William J. Levitt Succeeded by John E. Martin
John E. Martin, prominent industrialist and civic leader,
has accepted appointment as chairman of AHF's Board
of Trustees. He succeeds William J. Levitt, retiring as
board chairman after a two-year term in which his many
contributions to AHF's growth and good management
have set a high standard for leadership.
Mr. Martin has been associated with the Dana Corpora-
tion in Toledo, Ohio, since 1952. He retired as the presi
dent and board chairman last December, but continues
as a member of Dana's board of directors and chairman
Mr. Levitt
Mr. Martin
of its executive committee. He also serves as trustee of
numerous public service organizations, including Toledo
Hospital. .
Mr. Martin has been awarded severl honorary degrees,
and in 1967 received the Annual Pacemaker Award from
the University of Toledo. He is a native of Covington,
Georgia, and served as deputy chief of the Army Ord-
nance Department's Artillery Division from 1942 to
1945.
AHF Holds Annual Awards Luncheon in April To Honor Achievements in Preventive Medicine
Some 300 guests - mostly from industry, government,
and the medical profession - are expected to attend The
American Health Foundation's annual awards luncheon,
now scheduled for April 27 at the St. Regis-Sheraton
Roof in New York City. Invitations have been mailed,
and a special gourrnetmenu of low calorie, low choles-
terol dishes has been planned by the arrangements com-
mittee of which Mrs. Averill Dailitz is chairman.
Highlight of the luncheon will again be presentation of
the Eleanor Naylor Dana Award, carrying an award of
$5,000. AHF itself sponsors the Life Line Award, as a
further means of honoring individuals and organizations
making significant contributions to the practice of pre-
ventive medicine. Winners of both awards for 1973 will,
of course, be announced at the luncheon.
Last year the Naylor Dana Award was presented to Dr.
Thomas R. Dawber and Dr. William B. Kannel, director
and deputy director respectively of the renowned Fram-
ingham Heart Study. The Life Line Award for 1972
went to the National Football League, for participation
by its players in a national T%' campaign to curb drug
abuse among youngsters.
3
J

AHF Nutrition Clinic Pioneering New Services
It is a rare cookbook that gets published these days with-
out quoting what the wise and witty Dr. Samuel John-
son once said to his 18th century colleagues: "He who
does not mind his belly will hardly mind anything else."
Apparently, man and his eating habits have not changed
for the better since that time, for today nutrition au-
thorities are calling for intensive programs in diet educa--
tion which could cost the U.S. more than $100-million
annually.
While national nutrition programsare clearly needed,
much pioneering in new feeding habits for individuals
and small groups also remains to be done. One place
where this is already happening is the Nutrition Clinic
opened by The American Health Foundation last sum-
mer. Its twin objectives are to provide services for weight
reduction and control, and treatment for hyperlip-
idemias - elevated blood cholesterol and triglycerides -
those fatty substances in-arteries which increase the risk
of heart attacks.
Off to Good Start: Because the AHF Nutrition Clinic
has only been in operation a short time, results cannot
yet be properly evaluated. But the initial response of
patients has been extremely good, and plans are being
implemented now for an,expanding range of services and
facilities.
Classes in nutrition education and food preparation are
soon to be offered. Low calorie, low cholesterol lunch-
eons are already part of the educational program. Vari-
ous activities related to practical aspects of weight reduc-
tion and control are now being conducted in the clinic's
kitchen and conference -room. And when it all comes
together, the clinic is expected to serve as a prototype
for similar diet education centers in other areas.
Begins in Childhood: Chief nutritionist and-director of
the AHF Nutrition Clinic is Jane-Baldwin, who holds
an M.S. degree in nutrition and public health. Mrs.
Baldwin tells her "patients" and staff: "Ideally, good
nutrition as a preventive measure must be practiced from
childhood. Our clinic and the Foundation itself will
increasingly be involved in nutrition education for par-
ents of young children, so that good patterns of eating
are developed early in life."
When asked about day-to-day operations of the clinic as
now organized, Mrs. Baldwin gave the following answers
about what can be expected....
Question: What type of help would I receive at the clin-
ic - for weight reduction?
Answer: It is the opinion of most nutrition experts that
there are multiple causes of overweight, and that no one
method of weight reduction works well for everyone.
For this reason, the nutrition program uses various meth-
ods and types of nutritionally adequate diets that are
planned to meet your individual needs. Unbalanced
"fad" diets are not used, because they are medically
unsound. Treatment is offered through individual coun-
seling and weight reduction groups or both.
Question: How will my method of treatment be deter-
mined in the beginning?
Answer: Through the evaluation of nutrition question-
naires, medical and social data.. and the pre!iminan'
interview, the appropnate method of treatment is re-
commended. Both methods of treatment (individual and
group) will invok'e nutrition education. behavior modification techniques, and physical fitness
evaluation.
Individual counseling may also include sessions with a
member of the psychological staff of AHF. Group treatmenl will vary according to the needs of the
group, but
peer support and pressure, information exchange, and
insight development may be uti!i'rxd in these sessions.
Question: What type of help would I receice at the clin-
ic - for hyperlipidem as /cholesterol and trig!yceridesl?
Answer: Most e!evated le%e!s of cho!etterol and trig!c-
cerides can be reduced through your diet. Your type of
hyper!ipidemia will be determined through blood tests
and the diet necessan for control will be prescribed and
_
taught to you: You will receive information on buying.
food preparation, restaurant eating, and food selection.
Some types of blood lipids elevation require medicaticm_
for reduction, and the clinic physician will prescribe this -
treatment when necessan'.
Question: What kind of people will be treating me?
Answer: The clinic is conducted by graduate nutrition-
ists with training and experience in all phases of nutri-
tion and diet therapy. The staff includes the senices of a
clinic physician and a registered nurse, among others.
Question: What procedures do I follow?
Answer: Our intake personnel will explain the nutrition
program, answer questions, and ask you to complete
nutrition questionnaires. An appointment is then made
for you to return after fasting (for 12 hours) for blood
tests to measure cholesterol and triglycrrides. Blood lip-
id measurement is done for all persons who use the
nutrition clinic services. If blood lipid: are e!ecated beyond the levels conducive to good health,
a second meas-
urement will be made. After these tests, the nutritionist
will evaluate your lipid values and questionnaires, and
plan a dietary regimen for you.
Question: What happens if a problem is detected?
Answer: Patients with lipid prob!ems then return at
monthly intervals for lipid measurement to determine
the effectiveness of the diet. When the desired reduction
is achieved, follow-up visits are scheduled at three to six
month intervals.
4
VI
-=

If you are participating in weight reduction and control,
you follow the same procedures initially. You will also
be asked to keep-a seven-day food record which will be
used in planning your program.
Question: What other tests are required?-
Answer: After the first appointment with the nutrition-
ist, you will be scheduled for medical and physical fit-
ness evaluation by the clinlc doctor. This may include a
supervised exercise test. You will then be assigned to
return for individual counseling or a weight reduction
group.
Individual counseling requires a minimum of four week-
ly visits initially, and additional %dsits as needed for
achievement of weight reduction goals. Group treatment -
~s.
t# 4 ,~ .
r
..
'!V -
'«
U
Question: What are the major benefits of the nutrition
clinic program?
Answer: There is abundant evidence from insurance sta-
tistics and medical literature that even a moderate degree
of obesit} is related to a shortened life span and in-
creased incidence of chronic diseases. Excess weight is an
increased hazard in pregnancy and in surgery. It compli-
cates respiratory ailments, arthritis, and recovery from
fractures, and frequently places limitations on physical
activ ty.
The change to eating patterns that promote gradual
weight loss and maintenance can reduce your risk in
relation to these diseases. At the same time, you will
experience a new sense of physical and mental well
being.
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Architectural rendering aboee shows section ojnem Naylor Dana lnstilute for Disease Prevention where
AHFs Dicision o/.Nulrition, Lipid & Endocrine Metabolism will be located after conatruction is
completed
in the Fall of 1974. - - .
will last from 10 to 20 weeks, with additional follow-up
sessions as determined by the clinic staff.
Question: What happens after the clinic program is
completed?
Answer: The nutrition clinic emphasizes the importance
of maintaining desirable weight and lipid le%els, as well
as achieving them. For this reason, you will be scheduled
to return at three to six month intervals after treatment
to find out if you are continuing with your maintenance,
or are finding any problems in doing so.
Question: Are there any special senices at the clinic I
should know about?
Answer: Classes in purchase and preparation of low cal-
orie, cholesterol lowering foods and menus are scheduled
from time to time in the nutrition conference room.
You can receive a schedule of these events. Recipes,
menus, and eating-out guides are also available. Anyone
interested in obtaining these materials, or attending the
AHF Nutrition Clinic for treatment may telphone (212)
489-8700, or write to The American Health Foundation,
1370 Avenue of the Americas, New York, N.Y. 10019.
6
/

Rendering o j entrance court to-new AHF research
facility is shown aboce.
Directional map and simulated aerial view aboue show
where the new Naylor Dana Institute for Disease Preuem
tion wilt be located in Westchester County, Iv".Y., near
Research Facility (Cont.)
the effectiveness of a less hazardous cigarette, and it will
be continued.
Dr. Ernest L. Wynder, as president and medical director
of AHF, will head the research projects aimed primarily
at the prevention of cancer by identifying causative fac-
tors and then reducing human exposure to them. Dr. Gio
B. Gori, associate scientific director for tiCI's Division of
6
White Plains and close to The Basic Science Laboratories
of the S'estchester.Nedical Center
Cancer Cause and Prevention, will be the project officer
for the Institute on the new contract.
Ground-breaking for the new research facility will begin
this Spring, with completion of construction forecast for
autumn of 1974. The new Institute will more than dou-
ble the existing laboratory space, and will enable AHF to
greatly expand its studies in the prevention of disease.
-Tt

r
Smoking Withdrawal Clinic Now in Full Swing
-And Here's What Happens When You Get There
Opened less than a year ago, the AHF Smoking With-
drawal Clinic has already proven itself to be one of the
Foundation's most effective public services, and the
number of visitors - patients, if you will - continues to
increase each month. For those who may not be familiar
with its good health goals, and for those who may need
its senices urgently, here is a helpful question-and-
answer summary of what this remarkable new clinic is all
about.-.. -
Question: What type of help would I receive?
s
Answer: It is the opinion of the smoking clinic staff
that there are different types of smokers who smoke for
different reasons and under different circumstances. Our
own evaluation of other smoking withdrawal programs
indicates that all smokers cannot be treated equally well
be the same method.
It is for this reason that we are currently offering two
treatment techniques: group therapy and individual
counselling. Within each of these formats the particular
direction taken is reflective of the needs of the smoker.
Through a series of tests and a preliminary diagnostic
screening, the individual's smoking behavior habits are
studied and an appropriate form of therapy is suggested.
Group treatments will eary according to the composition
of the group, but peer support and pressure, information
exchange, and role playing may be utilized in these
sessions.
Individual counselling might include the use of the self-
affirmation technique (hypnotic induction); providing
support for the person-who has no faith in his or her
ability to stop; a series of discussions dealing with the
obstacles an individual faces in the attempt to stop
smoking, and possible means of overcoming these obsta-
des; or whatever meets the identifiable needs of the indi-
vidual smoker. - -
Question: What kind of people will be treating me?
Answer: The smoking cessation program is headed by
psychologists. The staff also includes allied health pro-
fessionals and specially trained group leaders who are
well versed and experienced in the field of smoking ces-
sation and the problems which accompany the process.
The services of a registered nurse and physician are also
available.
Question: What procedures do I have to go through to
stop smoking?
Answer: As a participant, you will first speak with our
intake officer who will explain the program to you and
ask you to fill out a questionnaire. At this time it will be
decided whether a screening inteniew with a therapist
would be advantageous in choosing the proper form of
treatment for you. The screening session lasts from 20
minutes to one half hour, and enables you to discuss
your own particular problems with smoking withdrawal.
After this session is finished an appointment will be set
BELIEVE IT OR NOT, as Mr Ripley used to say, the
provocative paintingshown above nomdecorates the wags
oJAHF's administratiue headquarters It's aptly titled
"A Cigarette Smohing.Man,"and it make a timely and
memorable protest against one of the nation's most des-
tructiueto-health practices: cigarette smoking Photo
prints are being made available to contributors to our
Smoking Withdrawal Clinic and to other donors. Re-
quests for copies should be addressed to Mrs. Jean .4f.
Hichey, The American Health Foundation, 1370 Auenue o/the Americas, New York, N.Y. 10019 '
up for the course of treatment chosen for you. Most
treatments run from one to six weeks.
Question: What kind of follow-upmeasures are taken by
the Clinic?
Answer: As a one-time participant in our Smoking With-
drawal Clinic, you can expect to be followedup at vari-
ous intervals in the 12 months following the end of your
therapy. By this we mean that the intake officer will be
writing or phoning you to find out how you are doing,
and whether you have encountered any obstacles in your
smoking cessation. AHF is not only concerned with your
giving up smoking, but also with making sure that once
you have quit, you do not retum to the habit.
t(ontinurd FCM)
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Question: What are the benefits of quitting smoking?
Answer: There are many benefAts to be realized when -
one quits smoking. Aside from the expense of cigarettes,
we would like to emphasize your good health dividends.
For almost all of those who have quit, it has been found
that:
1) The risk of heart attacks significantly declines. Heart
disease occurs 2'h times more frequently among heavy
cigarette smokers than among non-smokers.
2) "Smoker's cough" decreases or"completely disap-
pears within four weeks of quitting.
3) Lung cancer risk declines after four years, even
though the indioidual may haue smoked for many yeara
4) Circulatory . ailments and discomforts are also allevi-
ated by the absence of the effect of nicotine and tobac-
co smoke on the body.
Question: What kind of Special Services are available
from the clinic?
Answer:- Many smokers are concerned that they will
gain weight after they stop smoking. Because of this
concern, and because it can happen, the AHF staff will
provide assistance to anyone who may need or request
weight control guidance. In fact, the AHF is committed
to providing any additional support any individual may
require to refrain from smoking.
Question: What must I do to become a participant in
the Smoking Withdrawal Clinic?
Answer: Appointments can be arranged by telephoning
AHF headquarters at (212) 489-8700, or by writing to
The American Health Foundation, 1370 Avenue of the
Americas, New York, N.Y. 10019. Our offices are on the
21st floor at this address, so stop in for a get-acquainted
visit if you happen to be nearby.
The American
Health Foundation, Inc.
1370 Avenue of the Americas
Now York, N.Y. 10019
AHF Awarded Research Grant by Cancer Society
The American Health Foundation has been awarded an
$85,000 grant by the American Cancer-Society. The
funding is for a program entitled "Epidemiological Re-
search in Cancer," and covers the penod of 1;1;73
through 12/31j73. Because of lhe "exceptionally high
priority" given to this research program, ACS has taken
the unusual step of also assuring AHF ofats equi~alent
support for the year 1974.
Among studies to be continued or initiated under this
program are: investigations- into the epidemiology of
cancer of the kidney, pancreas, breast, prostate (among
negroes), rare cancers, papillomas of the bladder, polyps
of the large bowel, breast and gynecological cancers in
relation to oral contraceptives and other sex hormones,
and a comparison of diseases in Japan and -the United
Sta'i+y - - -
New AHF Journal Makes R'elcome Gift for A1.1)-'s
If there's a doctor in your house, among your friends, or
just one to whom you would like to send an unexpected
gift, why not give him a one-year subscription to P.eoentioe Medicine, the official journal of AHF?
Still in its
first year,Prerentive bfedicine is alreadN one of the most
respected publications in the health maintenance field.
Gift subscriptions to PrecenNoe Med-ne helped one of
AHF's young science writers, Diane Christensen, solve
her Christmas shopping problem last Yuletide. She sent
half a dozen to physician friends. So Lry it, you'll like it.
Phone or write to AHF headquarters in New York City
for forms or information.
A1oz 4. Spears, Ph.D.
P. Lorillard Coaprlny
2525 East :'zriet St.
Creensboro, N. Car.
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NonProfn Org
U. S Posiege
PAID
New Vork, N V
Perm,t No 5292
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