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I I I f ( i I I i I CITI:EENS' P.-V\EL CN S:,:GKI`;G .k\'D f-:EU;H M I\UTES* Conference Room 3A Baker-Olin West Building Michigan Lepart^.ent of Public f:ealth Thursday, November 6, 1980 1:00 - 4:00 p.m. MEMBERS PRE=: Ben D. Barker, D.D.S. Chairperson Donald Breckon, Ph.D. Terry Gerald (representing Rep. Raymond Hood) James P. Howard Virginia Kjolhede Walter P. Maner III Michael A. Mortir;ore Robert T. Ortwein 'orbert Reinstein Honorable William A. Sederburg James C. Terrian, M.D. Douglas Vilnius lENBERS AB.,,T: Eleanor Barber Scott Simonds, Ph.D., Vice-Chairperson Margaret Lee Thomas Hunter Janice ~,ieadowcroft George B. Watts Charles H. Ntitchner . :krthur Weaver, M.D. STAFF PRES~T: Kenneth E. Warner, Ph.D., Project Director Sunny Sun Nai Fcng, Chief, Office of Health Education Rhonda Rush Runner, Student Assistant, Office of Health Education Maxwell Alderson, Buseau of Personal Health Services Russell Holmes, M.D., Bureau of Disease Control and Laboratory Services Marion Vaughan, Office of Corrammication Serrices GiJESTS : Theodore Beiderwieden, .american Lung Association Nancy Dingman, Veterans Administration Hospital Mary Ci^rein Michael Spaniola, Michigan Tobacco and Candy Distributors Association *Since this was the last meeting of the Panel, the :ainutes were not for:r.ally reviewed and adopted. -59- ~ ~

I I. Call to Order ihe ,meeting was called to order at 1:13 p.m. I I . Aooroval of ~tinutes The minutes of the October 8 meeting ~ere unani.meusly adcpted. III. Introduction of Visitors IV. Review of Final Renort The letter of transmittal will include: 1) a statement asking the Governor to meet with the Panel to discuss the irtpleTentation of the State's mnoicing and health program; and, 2) a statement that the Panel has accepted the tenet that smoking is the greatest single preventable cause of death in America today, docwrented by evidence that has . acctum.ilated since the 1964 Surgeon General's report. Recommendation #7 should state " . . . enforcement efforts, and capabilities". Recorr,rnendation #10 will be mcdified to state "... that the program plans of local health departments include a wide variety of ,+,oking and health activities". It was agreed that the rationale for recon~nendation 410 shculd recognize the i.^portance of the hospital's role in smoking and health education activities. Reccmmendations nos. 15, 18, and 19 should indicate afLmding m.echanism. Therefore, recommendation 415 will state ". . . that Lhe Department of Public Health be provided the authority and funding to develop a program to fund research and demonstration projects . . . ". Recemanendation 418 will state ". . that the Governor appoint and provide resources for an ongoing citizens' comnittee ...". Reconmiendation #19 will in- clude " . . . that the Department of Public Health be assigned responsi- bility and resources for the overall coordinatiern of the State's smoking and health program". The Panel's report should list the various subcortmtittees and their members. Norbert Reinstein's title will be corrected to "Public Health Ccnsultant". It was discussed that the minority report which was submitted to the Office of Health Education on October 30 was much renger than the 2-page limit that was set by the Panel in its October 3 meeting. :kfter receiv- ing the report, the staff and chairperson cerrJmuiicated to the :ninority on October 31 that the report's for.rat was inacceptable. At that time, several options were presented: 1) a two-page minority report could be submitted by the November 6 meeting to replace the present one; or, 2) a notation could be made in the full reoort'that the ;ninoritv report was not included because of its length, but that the report wculd be cn file at the Office of Health Education for anyone who wishes to obtain it. It was also stated that other options could be explored at the .November 6 meeting. i I I I i S I i I I I ~ -60-

I I A disc•assien ensued on whether or not to include the ~inorit,~ report as submitted. A Panel member felt that since cnly one :nir.orit;: report ~as been submitted, it should be i.^cluded without regard to length. It ::as believed the minority should not be deprived of the right te e.raress his opinions. There was concern among several Panel members that .he minority report which is 16 pages in length would be gi-en undue weight as the majority report is only 10 pages long. Background materials sub- rnitted by the minority in the course of the Panel's deliberations will be included in the appendices. A motion was raised to include the entire minority report as submitted on October 30 to the Office of Health Education. Three members voted affirmatively; the rest were opposed. The motion did not carry, thus reaffirming the decision of a 2-page limitation on minority reports. The minority stated he would not be willing to submit a 2-page report if the deadline for the submission of minority reports were to be extended. The staff will make a notation in the full report that the minority report will be on file at the Office of Health Education. Adootion of the Final Reoort A formal vote was taken on the adoption of the final report. Of those present, one Panel member voted against the report's adopticn; all others voted to adopt the final report as reviewed and modified. VI. New Busi.ness I I r } ~ A. . Meeting with the Governor's office. The final report will be transmitted to the Governor with.in two weeks. The staff has arranged a meeting with Jan Bocskay, the Governor's Special Assistant, on November 25 at 9:30 a.m. The Chairperson will attend the meeting to represent the vzeti:s of the Panel. The primary task of the meeting will be to brief the Governor's Assistant on the report's development. All Panel members are invited to attend the meeting. The Panel asked that the staff further clarify the purpose of the meeting. Correspondence There were twelve Panel members who submitted formal reactions to the final draft of the report. These responses were solicited by the staff. Of the twelve responses, no one indicated a desire to i submit a minority report. ihe receipt of eight position papers were ac}ozowledged. Tl:ey are: t ~ 1. Theodore Beiderwieden, kmerican Lung Association 2. John C. Howell, Ph.D., President, Arriericaz Lung Association 3. Dick and Louanne Soczek, St. Ignace. 4. Thomas Logan, Director of Planning, West Mic.h_igan HS-\ 5. Dr. J. Byron Walthall, Michigan Academy of Family Physicians 6. Mark SciclLma, President, Red:ord Township Chamber or Comne:-ce ~ 7. Dr. Rasmu.ssen, Grand Rapids 8. Susan Hansen, Kalamazoo -61- `

It was ac?ciowlec'ged that Walter Nfaner III wrote a letter tc the Project Director. There was a motion that the G".airYerson apprcoriately reccgnice the staff's contribution to the Citizen's Panel and that this 1,e conveyed to the relevant supervisors. All were in :avor of adcDt:ng this motion. C. Evaluation The Panel members were asked to complete an evaluation fcrm on the performance of the Panel and staff. VII. Adjournment The meeting was adjourned at 2:30 p.m. t i 1 i I I I I I I r 1 6 `

I I I I U I F I I ~ ~ I i t r} l t ~ SUBCOM~fITT"~:.S Economic Subca.:r-.uttee Ben D. Barker, D.D.S. Charles H. LKlitc'rlner Kenne th E. ltiarner, Ph. D. Education/Media/Publicity Subcomnittee Donald Breckon, Ph.D. Janice Meadoucroft Norbert Reinstein Legal Subcormittee Terry Gerald (representing Honorable Ray,,.or.d W. Hood) Scott K. Simonds, Dr. P.H. Douglas Vilnius ReDort Review Subco.-mttee Ben D. Barker, D.D.S. Scott K. Simonds, Dr. P.H. Douglas Vilnius -63-