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Y r~- MAYZOrq» New Officers for D. C. Division ........:.............................2 In Memoriam: George James .................... 3 AHF Opens Four New Clinics ...:...........................:......4 First Issue of "Preventrve Medicine" ............................8 The>American Health Foundation-Newsletter Vol. 4/No. 1• Published for the Advancement of Preventive Medicine • April/May 1972 Dr. Ahh, The Healthy Peopla Doctor. R'ill Join AHF as Resident Guru for High-Risk Practices Just a bit gruff and seemingly impatient, but always kindly and wise in the ways of what it takes to live younger, longer-that's how Dr. Ahh is expected to impress most people. When he actively joins the AHF staff later this year, however, there's also a very good chance that his life's work as "The Healthy People Doctor" will often be compared to that of Smokey the Bear or Jiminy Cricket. - - For the good Dr. Ahh has been assigned the task of convincing youngsters (toddlers to teen-agersl that good health habits are important. Dedicated to the proposition that "an ounce of prevention is worth a pound of care," he goes around saying things like: "Healthy is exercise."-or "Nobody can take better care of you than you." Starting with TV: Arrangements are now being made for Dr. Ahh's first public appearance, as guest star of a 60-second TV cartoon (see storyboard on P.7) in which he explains, "Your heart is a superdooper bright red muscle" and it needs exercise like all muscles do. Other public service cartoons for TV will be developed, too, so that Dr. Ahh can comment on many different aspects of health maintenance, while building greater national awareness of his timely tips about high-risk health practices. Dr. Ahh, The Healthy People Doctor Coprr,aht O 1972. All r,Qhts reserved TM Anyric.n Heaith Foundat,on. Inc. IRS Offering Tax Relief for AHF Contributors, Raises Annual Deduction Base from-2U"" to 50% Under a recent ruling-by the U.S. Internal Revenue Service, any new contributions made by individuals to The American Health Foundation will be tax deduct- ible "to the extent that the aggregate of such con tributions does not exceed 50%, of the taxpayer's contri- bution base for the taxable year." - Prior to this ruling. IRS had identified AHF as a"pri vate foundation," a category in which the allowable tax deduction for contributions is limited to 2017, of the taxpayer's annual contribution base. "By qualifying for the 50% category," said David L. Davies, executive vice president of AHF, "we have ob tained a substantial amount of tax relief for our con tributors. Much of our financial support now comes from the general public, and this ruling will enable us to receive larger contributions than in the past-and possibly to attract a broader range of patrons as well." Further clarification of the new ruling is available in Section 509 (a) 111 and Section 170 Ibl (Al (1) of the Internal Revenue Code. Specific questions about var- ious types of gifts, grants, or contributions to AHF should be addressed to Mr. Davies at our headquarters in New York City. NCI RenewsAHFTobacco/'.Narijuana Study Grant Continuation of The American Health Foundation's research program in tobacco carcinogenesis for another year is now assured, as the result of a new grant for $482,300 awarded by the National Cancer Institute. Initiated two years ago, this project is now funded for the period 2/24/72 through 2/23/73, and is under the direction of Ernest L. Wynder, M.D., and Dietrich K. Hoffmann, Ph.D. The primary objective of_this program is to evaluate carcinogenic agents found in cigarette smoke and mari- juana. The research underway involves chemical stud- ies, as well as biological assays on laboratory animals ~ and human investigations. One phase of the human studies is aimed at determining whether the smoking of different types of cigarettes-i.e., filter, non-filter, or different brands-can be shown to result in specific risks for a variety of cancers and other chronic diseases. IContinued P. 7)

I The Amerlcan Health Foundatlon Neylfsietter The American Health Foundation, Inc. - EDITORIAL BOARD 1370 Avenue of the Americas New York. N.Y. 10019 (212) 489-8700 Gllbert Cant. Ct-man. Delbert Jonee. Ed,tor OFFICERS AND BOARD OF TRUSTEES- ' Pres,0en1 Eaetutlve Vice.Pres,dent Ernest L WyrWer. M 0 Dav,d L Deyiea Secretary Treasurer Hugo J Gelartlm Y2rner G Cosgro+c Jr V,ce Presidenl Manaq,ng Partne. Loeb Rhoades a Co Sh~elds & Company Horwrary Chairman Davitl J Mahoney Prevaent Norton S,mon. Inc TRUSTEES Cha~rm V,ceCharman Wil; iam J Lev~tt -- G Wi~iiam Moore Gta,rman. Board of Dvectorl - Pras,tleM Levin 3nC SOns.inc F,elaGrest WIs.Inc Loui<_ V Arpnspn. II Presdent Ronson Corlaorahon Juhus Cann Pres oent Fam,!y Health Commumcanons Mrs Cnarles A Dana Dr Raion LanQau Resaent - Halcor ~nternanonal, Int John H Mitche!I Pres,ent Screen Gems Robert P Pauley V,ce Presdent E F H,.rton a Co Joseon M Murtha Preso-t Sandgren a Murtha Inc EawarJ H Meyer Mazwell M Rabb Pres,aent d Chef E.ec Ofhcer Panner Grey At)ve,sinq Inc StroOCk & Stroock & Lavan BOARD OF SCIENTIFIC CONSULTANTS Charman Georqe James. M D. M P H Dean Mount Sina School of Med,Gn9 Sol R Baker M 0 Assoc~ate Chn,cat Profeaeor of Rad~doqy Unrven,ty of Ca!dornia at Lae Ang- Lawrence Bergner L/ D Ass' stant Comm,-ner N Y C,ty Dept of Health Lester Breslow. M D M P H Cha,rman Dept ot PrevenUVe ana Soc,al M-c,ne School of Med.c~ne Unwer ry of Ca~rorn,a - at Loe Angees . GIben Cant Mea,cal Edrto. & Coneuttant T,me Inc JoM Ca.ssel M D. M P H P'ofessor and Heaa - Department of Ep,dem,doqy Uruvers,ty d North Cardina Jerome Cqrnheld B S Researcn Professor m Bloetahatica Graduate SChool of Publ,c Hea/th Un,vervN of P,ttsburqh Ren€ J Duboe, Ph D Professor The Rpckefeller UniveratN wlhan L Evens. Ph D Consultant fa Un,vers.N Resourcea Alvm Fre,mart M 0 Ch,e}. 0, of Medica/ Syste^u Memona! Hospta~ for Cancer anG All,ed Dseases Takeshi H,rayama M D Chiet o) Ep-,dogy D,vi3iOrt Nahonal Can<er Center ;Japan: Marv,n Kuschner. M D Professor and Charm.an Departmenl ol Patholog v State Un,vers,ry of New .ork al Stony Brook G. E L,v,ngston Ph D Professor ano D-tor Insh/ute of Human NNnhon Columb,a Um Rrs,ty Fretlerck C Robbns M D Dea, Scnool of Meo~c~ne- Case xestern Reserve Umversny Gotthard Scheh!er. M D Professor of Me4-ne Umvers,ry of He,delberg ~Germany; Morton K Schwartz Ph D Cha-an. Dept of B,ochemistry MemWial Hosptal for Cancer ana aned Diseases Fretlenck J Stare M D. Ph D Professor and Cha,rman Department of Nutrihon Harvara umvers,ty Sctqd of Pubuc Health Theo4ore B Van Itallie. M D D,rector ot Meoiane St Luke s HoSPtal Center Publ,sheO by The Amer,can Hearth Foundat- Inc a npn-proht taz e~empt Corporation Ed,ted lor nau5tnal educat.onal. Communica- hOn! qOVernment and med-cal leaoers concerned with hea'th care Med, are irvnea to rea~nt from 1Ma news!etter heely w~m cued,t ta Ihe Fourbation Please rorwart) aOrtresa changes to The Amencan Heanh FounOahon 1370 Avenue of the AmenUs New york N y 10019 Dr. HaroW G. Quase, le(t, and Frnnk A. Gunther. Election of Officers and Executive Tw>,mmittee Announced by AHF•e Qashington D.C. Di.i+,ion As its first step toward a more formalized management structure, the Greater Washington Arec•Division of The American Health Foundation recently elected a presi- dent and treasurer and completed the formation of a 10-member executive committee. Administration of the Division's day-to-day affairs continues under Evans W. North, executive director. The operating committees established to develop vari. ous educational and health care programs will also continue as previously organized. New-Officers: Dr. Harold G. Quase was elected presi dent, and Frank A. Gunther was named treasurer. Dr. Quase is president of Underwater Storage Inc., and has been active in many public service organizations, including UNICEF, Big Brothers, and the Multiple Sclerosis Society (past president). Mr. Gunther is board chairman and chief executive officer of Security !tiation al Bank. Among the other organizations he holds offi cial positions with are the D.C. Bankers Association, The Better Business Bureau of Metropolitan Wash ington, and the American Trucking Association. Executive Committee: In addition to Dr. Quase and Mr. Gunther, the new members of the Division's executive committee are: Clarence G. Adamy, president of the National Association of Food Chains; Julius Cahn, president of Family Health Communications: Dr. Paul B. Comely, formerly chairman, Dept. of Com- munity Health Practice, Howard University College of Medicine, and now a medical executive of the United Mine Workers: Charles Lockyer, president of Publishers Company Inc.; Dr. Jack Millar, chairman and professor, Dept. of Epidemiology and Environmental Health, George Washington School of Medicine; Captain J.J. O'Donnell, president of the Air Line Pilots Association and a line captain for Eastern Airlines; Vincent Pepper, senior partner of Smith and Pepper, attorneys at law; Tait C. Trussell, director of public relations, Invest- ment Company Institute; and Frank Wall, IBM man. ager of community relations, Metropolitan Washington Area.

I i i \ In Memoriam: George James, M.D., Dean, Friend; Urged AHF be Conscience of Preventive Medicine- We will leave it to others to recite his credentials and his achievements. They were many, indeed, and they deserve to be remembered by us all. What we remember best about him now, however, are some of the things he was "dissatisfied" with-and some others that he called "unacceptable." It was just two years ago, speaking as chairman of our Board of Scientific Consultants, that he wrote in this newsletter: , "I would say the foremost priority of The American Health Foundation is to make the population of this country dissatisfied with the current neglect of pre- ventive medicine. We must also admit among ourselves that the best preventive medicine we can offer today, which means the best that American minds can devise today, is woefully inadequate. Therefore we have to come up with better answers. It is not enough for us to urge other people to do it. We have to be involved our- selves. "When I say we must make the population of the nation dissatisfied with preventive medicine, I mean that across the board-dissatisfied with our willingness to exist with such small knowledge of the field, and dissatisfied with our willingness to not support- research in it to a greater extent. How can people go through medical school without getting interested in the sub- ject^. R'hy are there not more doctors like ourselves meeting to discuss this problem? How can there be meetings in all of the large professional medical socie- ties without a whole section devoted to this highly important problem? "When you consider that practically every disease that has ever been controlled by society-has been attacked before its symptoms have occurred, you realize that at least history is on our side - and that our dissatis- faction with the current neglect of preventive med- icine should be one of the most highly relevant and explosive issues placed before the public. "Most people are quite willing to ignore preventive medicine, except for the very obvious things like polio shots, measles-shots, and so on. 14'hen they go to a doctor, they go because they have symptoms and they are sick. When they think of medicine, they think of sickness and symptoms. Moreover, Medicaid and Medi- care have just about made preventive medicine illegal. You have to be sick, otherwise doctors are not supposed to treat you, prepaid, under Medicaid. You have to wait until you are sick before you can go. Calling for a Conscience: "One reason that a group of laymen and a group of scientists gather together to show and express and reinforce their interest in pre- ventive medicine is simply this-it's to get more people interested, more people concerned, more ferment of activity in this field, more research, more programs. more evaluation, and more critical work underway. Having said this-which I think should be our overall mission-The American Health Foundation must be- come, in essence, the conscience of the public in pre- ventive medicine. - "We all belong to many organizations. We are in favor of better civil rights, protecting the ecology, no poverty, and one thing or another. But in the time we devote to this Foundation, we must act as the conscience for preventive medicine, and we must construct an organi- zation that will plug away for preventive medicine as the National Tuberculosis Association has done for tuberculosis. "Medical costs are going higher and higher. Therefore, prevention has to be the only answer. Sooner or later everybody will wake up to that fact. The question is, how do-we help hasten that day?" - CHD, The Cnacceptable: Again, only a few months ago, he told the readers of this newsletter: "Our job at The American Health Foundation, since we do deal with the general public and we do deal with scientists and prac- titioners in medicine, is to make coronary heart disease unacceptable. If it is really unacceptable, and if from that we go to certain risk factors and start making them unacceptable, then the pressures wtll build up. "If the general public at least demanded a choice, then there would be progress. Why can you not go to a res- taurant and ask for margarine, or a specific kind of P-S ratio of margarine? Why is it that in many hotels you can't even get skimmed milk with your cereal in the morning? R'hy is it that when you go to a restaurant and order fish you often get a heavy cream sauce on top, and it is difficult to stop them from putting it on, and you don't know what is in the menu, and you don't IContinued P. 61 ~

AHF Opens Four New Health Maintenance Clinics For those not familiar with the history and objectives of preventive medicine, the official opening of our four new clinics on April 14- and the announcement of auto- mated health testing facilities soon to follow-may have suggested only that The American Health Foundation has a capability for growth and expansion of services which is now becoming apparent to laymen and health professionals alike. If this capability is to be fully understood, however, it must be related to the following chain of events: • AHF was incorporated in the State of New York in April. 1968. as the first nonprofit organization devoted solely to preventive medicine. From its first days, the Foundation has concentrated on three major areas: health research, health education, and health mainte- nance. The major emphasis in all AHF programs is on primary prevention (early identification of factors that contribute to illness and their subsequent modification or removal ) and health maintenance, as the most effec- tive means of improving-the quality of life. • Investigations into the cause of cancer, heart disease, and other chronic illnesses are carried out at AHF's Health Research Institute at 2 East End Ave. in New York City, where until recently the Foundation's admin- istrative headquarters were also located. This research is being conducted in five basic areas: epidemiology, environmental carcinogenesis, nutrition, experimental pathology, and cell biology. Plans are now underway for a new and expanded research facility to be built in the near future. • In January of this year, AHF's continuing growth re- quired the relocation of its administrative staff to new and larger headquarters at 1370 Avenue of the Amer- icas, New York City. On the same floor of the same building, AHF has also located a new public service facility called The Health Maintenance Institute (HMI ) which is organized into the four intervention clinics (for MORTALITY RATIOS FROM CORONARY HEART DISEASE tf jt0 i ))llis tt tI ACCORDING TO CIGARETTE SMOKING STATUS I MM.. Ap9y 40. 791' I i I I U a- "'1itals d- Srt10iUI10 Ce1pY a1B OBW(bMlq Ot InB Obe6IYaiKK1 pB-d d Te St,Xry Fq s - A Cqt YN CD ~•I~rT N © v , M r wmmma t Larnneel. taav Tras M1pne snows mar c-ary teart 6sease ~s 2t,t, hmes mne frequerry amwp neavr cqarene srnokers tltan ror*strswterss and rnat tne nsk decanes the /o.ger an swoua/ srom snsdunp .. smoking withdrawal, nutrition, hypertension, and phys- ical fitness) opened on April 14. • To hasten the pace of changes urgently needed, AHF decided very early in its history to collaborate with pri vate industry. Since our health maintenance objectives are so diverse, and the task is so large, a new organiza. tion-The American Health Corporation-was formed last year to develop plans and construct a demonstra- tion clinic for periodic health testing and preventive medicine techniques. The corporation is now assisting AHF in conducting another new facility called The Health Maintenance Center IH-MC1 which is located on an adjacent floor of AHF's new headquarters building. While the Corporation is a private venture whose par ticipants are Control Data Corp., Eastman Kodak Co., The Northwestern Mutual Life Insurance Co., Norton Simon Inc., Time Inc., and Bradford Computer & Sys. tems Inc., the medical activities of HMC are to be directed and operated by AHF personnel. The HMI Clinics: When the formal opening of the HMI clinics was being celebrated on April 14, officials of AHF made it clear that our new public service facility will quickly become an example to others of how disease prevention can best be practiced. What they had in mind, however, was not a new line of miracle drugs, but a new combination of-health maintenance practices- designed to help eliminate many of the most common hazards to good health. To begin with, HMI is structured to identify and help reduce high-risk factors (see charrs) known to contribute to cardiovascular diseases and several types of cancer. Taken together these diseases account for about 7017, of all deaths in the U.S., and numerous other disorders as well. It was against this epidemic-like background that _HMI was first conceived as a facility where individuals can come to learn how to stop smoking, reduce and con- trol weight and hyperlipidemia, reduce and control hypertension (high blood pressure), and promote gen- CHANGE IN COUGH AFTER STOPPING SMOKING - EX-CIGARETTE SMOKERS FROM VARIOUS FIRMS AND HOSPITALS, NEW YORK CITY• Fp 2 Ths fiptire ahows tnar aRei sroppnq smderngcgerertes to. ,pu tna~ lavr ..yea 507t d frte g1ouP tx rg stuOEO re0nred a dec•easE a dsepoea~arce d srrqYe~s crw9f. tcnrwvc ormc7,na1 A/le. tn.ee r+q.Yn3. nearN e.eryo.e nao nueo,m[ro.Emen cY compbre cessaoon d cne,r usyn J

1 CUMULATIVE INCIDENCE• OF CARDIOVASCULAR EVENTS IN 380 TREATED AND UNTREATED HYPERTENSIVEt U.S. MALES O- 0 r 5 a 5 Ywsrnmer.rrM , '4ku1}eE Of l4 IA/t Me11ME -- •Dunolc Ir O- 114 nM/q Fp 3 N.A. C9w1wt Sluas G.9uy. [WOi rW5 A9uT ShOMS rBtll/]IM Of 7/fe ,/%de/lCb O/ CaR}p•a5CV1a-/Ys alTOlg a J/OVD d -en VexaU lor nypenenven a~0 cornpared wrrn an urvrQaed cwurd group - eral physical fitness. Activities of the various HMI clin- ics are closely correlated. If an individual has more than one high-risk factor requiring intervention, that person may be treated in several of the appropriate clinics simultaneously. Automated Health Testing: While a definite date for opening The Health Maintenance Center has not yet been announced, this joint facility of AHF and The American Health Corporation is now in an advanced stage of development. It is expected to serve as a proto- type for automated multiphasic health testing IASfHTI programs in other locations, and similar organizations may soon become an integral part of the general medical care delivery system for the entire nation. ASf HT is a means of obtaining large quantities of mean- ingful medical information at low cost, with a very high degree of accuracy and reliability. And it is more effi- cient than routine physical examinations generally available today. By assigning to skilled paramedical personnel those routine tasks and procedures they are fully qualified to perform, the multiphasic testing pro- gram makes it possible _for attending physicians to spend more meaningful time with individual patients. All in all. more than 75 tests and measurements are performed. Included are multiple blood and urine test- ing. audiometry, chest X-ray, visual acuity, tonometry (glaucoma test), mammography (breast Y-rayl and Pap (for cervical cancerl. electrocardiogram, blood pressure, spirometry (breathing test) and many others. R'hen follow-up treatment is indicated and agreed to by the patient's private physician, the patient may be re- ferred to one of the HMI clinics where indi, idual help is available. The HMI clinics are also available to indi- viduals who do not go through the screening program. Smoking R"ithdrawal Clinic: The harmful effects of smoking are well known. What is not so well known are RISK OF DEVELOPING CHD IN 14 YRS. ACCORDING TO SERUM CHOLESTEROL LEVELS ' (Al A E• en.yes 40 59-rvry) ~ ~ s 0 kr. Crsles. All Cno a6 <7pp ]Op 7?a 4 t25 7/9 750 774 775-799 300 Numper 1329 263 e 275 12 312 to 252 a 17i a W Agt 49 'SUmler q al, I%6 49 5o 50 49 - 51 50 Fq 4 rfi" /gure SIIONS II~Q ~sk d OP~Yicp~~ c ryonary Iieari dsEasr (wCr a/< Wer pC~~n1 amcXl{j b 9-0 d - Dy St~u~/ cn~sle~p leW~ the benefits to good health when intervention takes place. Among those who ha.e renounced cigarettes. it has been found that the risk of coronary heart disease significantly declines after giving up smoking In addi tion, chronic bronchitis or smoker s cough has been shown to decrease or disappear completely within four weeks of smoking cessation. Lung cancer risk declines after four years, even though the individual has smoked heavily for many years. And many other respiratory ai6 ments and discomforts are also alleviated by the absence of the effect of tobacco smoke on the body systems. The professional staff of HMI's smoking withdrawal clinic, consequently, has developed an inno5ative pro- gram which utilizes a wide variety of new techniques for helping people to refrain from smoking. During the first visit, each individual's smoking pattern is carefully diagnosed before the course of treatment to be under- taken is determined. Then an indi.iduali7A•d approach is followed which permits smokers to be matched with the specific methods of cessation best suited to his or her situation. Many smokers, of course, are concerned that they will gain weight after they stop smoking. Because of this concern, and because it can happen. the HMI staff will provide advice and assistance to anyone who ho may need or request weight control guidance. In fact, HMI is committed to providing any additional support that an individual may require to refrain from smoking. Nutrition Clinic: At this clinic. HMI will provide ser vices in two major areas of preventive medicine: weight reduction and treatment of hyperlipidemias. those fatty substances which clog coronary arteries and increase the risk of a heart attack. Two basic principles will be followed. These are 11) long- term weight control requires a permanent change in eat ing habits, and 121 the diet during and after weight loss must be nutritionally adequate, as well as reduced in ~

1 t I f AHF Researchers Join R'ith Johns Hopkins Group In Conducting Two Year Study of Rare Cancers Arrangements were recently_ completed between The American Health Foundation and officials from Johns Hopkins University School of Hygiene and Public Health to jointly conduct an epidemiological study of rare cancers. This cooperative undertaking is supported financially by sharing a grant from the National Cancer Institute to review findings of the Third National Can- cer Survey, presently underway in a number of Ameri- can cities. • ,. TNCS studies such as this one, of course, provide a unique opportunity to investigate a greater number of rare cancers than can adequately be studied through the facilities and available staff of any one institution or community. The AHF/Johns Hopkins researchers are expected to determine the epidemiological char- acteristics of individuals with cancers of ihe following sites: liver, gallbladder, biliary ducts, islet cell tumors of the panaeas, renal pelvis,- nasopharynx, adrenal gland. male breast, penis, scrotum, vagina, and vulva. Rebecca C. Gantt. who joined AHF early in January as Research Assistant, w-ill supervise this study for the Foundation. The project is expected to be completed in two years. Nem Clinics /Cunt.) txlories. The Nutrition Clinic will also emphasize both attainment and maintenance of desirable weight levels. since loss of weight without subsequent weight control _ is useless and possibly harmful. The Nutrition Clinic will also offer classes in planning fat-controlled diets which emphasize and demonstrate the foods that can be used for this purpose. Lists of suitable products, label analysis, menus, and recipes will be pro%ided. Frequently, weight reduction will also be an important element in the treatment of hyperlipid- emia-and, when indicated, the two approaches will be offered together. To determine the most appropriate type of intervention, the patient's problem will be evaluated by means of questionnaire and personal interview. Methods to be used, singly or in various combinations, will include individual counseling, self-instruction, classes in eating behavior modification, food selection, preparation of low-calorie foods. husband-wife groups, and group ther- apy. All patients will be interviewed on a weekly basis at the outset, and at regular intervals thereafter-until reduction is accomplished and maintenance fully estab- lished. Hypertension Clinic: In performing its three major func- tions-diagnosis. therapy, and the monitoring of high blood pressure-this clinic covers a broad spectrum of the general population. Individuals with severe hyper- tension or associated disease processes, however, are encouraged to obtain treatment from their own physi- 6 cian or company' medical director. -Anyone with mild uncomplicated hypertension may elect to be treated by either their own physician or by the Hypertension Clinic of HMI. - Among thoseadmitted for treatment at HSI1, a few will have high blood pressure related to an underlying dis- ease process, some will have labile hypertension. but the majority will have primary or benign essential hyper- tensior.. Before committing- anyone to lifelong therapy, each individual coming into the clinic is evaluated for curable forms of hypertension. In addition, classifica tions are made according to the severity of hyperten- sion, which depends on persistence and degree of blood pressure elevation and organ damage. In all cases, HMI provides for monitoring of blood pres sure whether the patient receives his or her therapy at our clinic or-through a private physician. Close communication betwcen clinic and private physician is maintained, in fact, regardless of the type or source of treatment. - Physical Fitness Clinic: In addition to improving your general physical condition, this clinic also evaluates cardiovascular and muscular fitness. And, as a long term goal, it seeks to determine whether enhanced phys ical fitness improves morbidity and mortality statistics when comparisons are made with the general populati,in. Prior to the testing procedures, the Physical Fitness Clinic requires all individuals to have a medical chtrkup. After cardiovascular and muscular tone has been eval- uated, a continuing program of exercises is recommended. As an alternative, the individual may elect to join a group exercise program such as that offered by the YMCA or local athletic clubs. At periodic intervals after the physical reconditioning program begins, car diovascular and muscular function will be reassessed at the HMI clinic. Dr. George James (Cont. ) know if your fried food is_made with fats which have become heavily saturated from being in the same vat for three months? "These are the kinds of things that we have to make somewhat unacceptable to the general public. We have to do that not by being anogant, but by being factual; not by pretending to know more than we know, but by telling what we know. We have got to get people to real- ize there is an epidemic of coronary heart disease. We have got to get them to realize that risk factors are, to the best of our current knowledge, undesirable- and unacceptable." George James: Ironically, at age 56, he died -of cor- onary heart disease. On that day 13/19/72) one of his associates at The Mount Sinai School of Medicine called him: "The closest to the indispensable man I have ever met." He was, of course, just that-as a doctor, edu- cator, health commissioner, and lifelong public servant. I . . J a-T

i VOICE: How do you do out there? I'm Doctor Ahh..h put your hand on your hurt... Remember? Doctor Ahh. the healthy people Doctor. That's me! What do you feel? (SFX) then go out and run around the block... ...... .~.~;.~.a i...,,r._ _.. . .. And when you skip rope, Exrcise your super do It a hundred and fifty - duper bright red muscle. two times. In the months ahead, it is also possibte that Dr. Ahh witt begin appearing in media other than TV. News- papers, magazines, brochures, motion pictures, and merchandising programs are among the communica- tions outlets already being considered. Today, heatthy is exerc tse...(S F X) Now what do you feel? (S F X) So, when you run, really run. (MUSIC) Now, while you're lying on your tummy watching television, You think exereke is just for muscles? Ha! Ha! You're right! ~ / ...._.~t'd When you're on your bika, go up hills as fast as you can. Nobody can take bettr care of you than yout The American Health Foundation has established its copyright for Dr. Ahh, and all rights are reserved. Grey Advertising Inc., the agency that created Dr. Ahh at AHF's request. has been investigating various pro- motional or licensing arrangements, and will continue to represent the Foundation in any new ventures in- volving our bewhiskered spokesman. - 7 on ~ IPA ~- ~ ~ ~ IPA G^

"Pre.entise Medicine" Expected to Debut soon, First Issue of New AHF Journal Now on Presses Now at the printer's-and ready, hopefully, to take its place among the major medical journals of today- is the first edition of Preventive Medicine. Publication of what will be the official journal of this Foundation, and the first international medium for original manu- scripts dealing exclusively with all aspects of disease prevention, is expected either before or shortly after- this issue of the AHF Newsletter reaches our readers. While its debut was originally scheduled for January ' ance. Answers will be provided by a-panel of experts. I 5972, the planning of special features and initiating of manuscripts to publish Preventire Medicine on a reg- ular quarterly basis has taken longer than anticipated. Indications are, however, the incubation period was well worth all the extra effort. For among the topics and contributors to be presented in the first edition are.... tritional Factors in Prevention of CHD" by William E. Connor and Sonja L. Connor; "Smoking and Ischaemic Heart Disease Prevention: Problems and Potential" by Donald D. Reid; and "Physical Activity and the Prevention of CHD" by Samuel M. Fox, III, and John P. Naughton. Answers to Questions: To stimulate a professional in- terchange of ideas and information, each issue of Pre- oentive Medicine will have a"Questions and Answers" section. Readers may submit questions dealing with any aspect of disease prevention or health mainteo- Position Statement: Finally, and as it will do on major issues in the future, Preventive Medicine is publishing for the first time the full text of AHF s"Positkut State- ment on Diet and Coronary Heart Disease." This is the same diet-heart "white paper" that AHF officials pre b d i l t N d C i l h oV er an , ongress ear ngs as .em te at ona ~~.~Sequently, to the National Academy of Sciences/ Guest Editorials: "Preventive-Medicine: Managemi d,ag r~t of the Disease Process" by George James: "Preventi.! National Research Council-where its recommenda Medicine: The Long-Term Solution" by Jesse Steinfeld: r x,: tions for modifications in the "average American diet" "An Enlarging Emphasis on Prevention in Future are now being evaluated. Health Developments" by Carl Baker: "Preventive Medicine: The Approximation of Paradise°." by Theo- dore Cooper and Sheila C. Mitchell; "The Prevention of Dental Diseases" by Seymour J. Kreshover; "A New Road for Preventive Medicine" by Hollis S. Ingraham. Feature Articles: "The Health of Israel: Preventive Medicine in a Developing Society" by A. Michael Davies: "Problems in Interpretation of Serum Choles- terol Values" by Morton K. Schwartz and Peter Hill; "Health Behavior Change: A Political Model" by Earl Ubell; "W'ill Improved Nutrition Help to Prevent Men- tal Retardation" by L. Francisco Cobos, Michael C. Latham, and Frederick J. Stare. CHD Prevention Forum: "Coronary Heart Disease: Risk Factors as Guides to Preventive Action" by Jere- miah Stamler and F.H. Epstein; "The Key Role of Nu- The American Health Foundation, Inc. 1370 Avenue ot the Americas New York, N.Y. 10019 Alex W. Spears, Ph.D. - P. Lorillard Company 2525 East Yarket St. Grecnahcro, 21. Car. 27420 Editorial Boards: Serving as editorinchief of Preven- tice Medicine is Ernest L. Wynder, M.D., president of AHF. Dr. Wynder is supported in planning the editor ial contents of each issue by an B member advisory board and a 22 member editorial board, all distinguished medical practitioners or scientists, and many drawn from various countries to assure an international view- point and expertise is reflected in the new journal. Subscription Sources: Publication and distribution of Preventive Medicine is being handled by Academic Press, 111 Fifth Ave., New York, N.Y. 10003. Subscrip- tions may be ordered from the publisher's offices or from AHF headquarters in New York City. Personal one-year subscriptions are E20.00; and institutional one-year subscriptions are $35.00. Sample issues are available on-request to Academic Press. NonProt,l 0,9 U. S Po"age PAID New Vo,k, N.V. Permn No 5292