Tobacco Documents Online

T he Cigarette, the Soldier, and the Physician They 'should know the problems of military training, as well as those of military service. The use of cigaret'tes has in- creased eleven 'times since the begin- ning of the world war. It is still in- > creasing. Soldiers smoke more than 'civilians. This will probably lead to an even larger per capita consumption of y rettes to neuro-circulatory invalids in icity potential of smoking is a matter riDraft board medicali tests cannot cigarettes in the near future. "l he tox- , hospitals. ~. import'ant to the physician, both milr- , completely reveal tendencies to "so1- tary and civilian. ..(2) The physician must recognize smoking as a general human phe- nomenon. He must be understanding and deal with the problem accordingly. when modifying his patients' smoking, soldiers showing signs of nervousness, rette butts, (d) avoidance of closed- room smoking, (e) wider time inter- ; vals between cigarettes. _.=We should recognize the fact that men vary in sensitivity to tobacco. Soldiers showing signs of sensitivity to nicobine should be discoveredy in- , structed, and~ otherwise safeguarded. We should question the practice of al- -lowing an unlimited number of ciga- dier's heart." The best test of the soldier's heart is the day's work of the soldier. That gives a differential diag- riosis between a weak heart and a neuro- sis. It might be possible for intelligent The physician who expects co-operation non-commissioned officers to select must consider the "pleasure factor." lt and report them to the medical officer reasonable, scientific, and above all, pied. to be formulated, and it should be ment shouU be kept vigorously occu- (3) General prohibitions are not in- give the man~ a man's work to do. His dicated. A final complete answer is yet `Inental,, emotional, and cardiac equip- hygienic purposes, or due to a defi- become epidemic in any outfit. Besides, ciency in inherent quality. most of these cases do better whm you either because of special processing, for for the malingerer, and could quickly is also ~ evident that, smokers cannot be_^may still! make some of them into good diverted to any great extent' to ciga- .°soldiers. This segregation must be rettes which are lacking in this respect, "made with care. It is an easy way out is important not to lose sight of the fact for special examination and disposition. that people smoke for enjoyment. It When we know their weaknesses, we . human-wise. The following, derived . This might be a step which would from our presented data, may be ven- aid army efficiency, individual welfare ' slower burning, (c) discarding of' ciga- der medical care and observation. This made to reduce nicotine absorption by to relieve post~war hospitalization and the procedures indicated, Le., (a) low pension burdens. A large and important nicotine content in cigarette smoke, (b) section of our population is coming un- Every reasonable effort should be downs from any cause. It would tend tured as factors in our advice. ._' and prevent neuro-circulatory break- ''

.~1 W, c i t 12 The Military Surgeon-July, 1941 ,+ `'' also provides an opportunity for impor ` chemie, Zweite Arbt, Sec. z, Vol. ss9>' tant -and practical research on many vital problems, not the least of' which =, is the soldier's consumption, of tobacco. The matter should not be neglected. i 19391 '° Haberman & Ehrenfeld: after Handb: ex perimentellen Pharmakologie, Berlin, 1924, VoL z, p t• z, p• 6 8 8. { 4`; "Popp,, M. & Contzen, J.: Chem. Ztg:, 46c 1001, 1922. . Merchants Assn• N•Y•C: r~ zI:35, I9a3 ~-,` Bastedo, W. A.: Medical Record, 141 •585, "Dixon, W. E. & Lee: Quarterly 1. Exper~ L= 553, r935 4 y "Physio•1 5 373, 1912. 'Dixon, W E: Brrt Med J., Och zs, "Wenusch, A. & Scholler, R.: Ztschr. '.American Industry During the War. War f° Paltnan after Raphaeli Am 1 Physsol Industries Board, Washington. igzi. 52 i~ z, igzo ,-' Bogen, E.: J•A.M.A., 9 3:r 1 r 0, Oct t z, Wenusch, A.: Ztschr. Untersuch Leben rglg a:r ; ; rr w`•sy t~ 6tnltty 73:176, 1937- : a't$ it `Tobacco Barometer, Supplements Tobacco ,°'Baumberger. J. Pharm Exper Thera;fnr;j': a r~ ' 'T'Dixon, W E• : Practitioner, : r 8•zo, 1927. REFERENCES "" 3_LL .Dunlap & Carver J. Comparat Psych., '. Fortunt Magazine, Jan. 193I,iP 47. :" z;z79i rgsz. ';r +C?.;` 'r9z7• = Unterruch, d. Lebensmitt:, 7S 346r I9;8 2 ' Mulinos, M. G. & Osborne, R. L. • Proc `-" Dixon, W. E.: Handb. experdmentellen ,.Soc. Exter• Biol. & Med., 3'i:z4i, 1934- Pharmakologie, z:656, 192 4- `-' ' " H H B J Lb & Cli Md .aag,..:.a.n.e., zz:rucner,•:oceeer Tabaks, Bk H Die Bihmi d 141) e 1937. ~ Berliny r936r P• 323• ` T ' Flinn, F. B.: Laryngoscope, 45 :I49i I93S• ~ "Schmuck, A. A.: Tobacco & Tobacco' '10Flinn, F. B.: Laryngoscope, 47:58, 1937. Products, 1933, Krasnodar Publ., UIS.S.R. "Mulinos, M. G. & Osborne, R. L.: New s' Unpublished reporty privately submitted. York State J. of Med., 35:iy ig35. Koenig, P.: Handb. der Lebensmitt 6:aqg ' ( .~; .a ' s 115, r93q; Tr. Am• Laryng. Atsn., 6o:z89, "Weatherby,,J. H.: Proc. Soe• Exper• Biol ry~_ "Sharlit, H•: New York State J: of Med:, 1934. , ..`' ~ 35 :i I59, 1935- Houben, J.: Fortschritte Heilstoffchemte, "Ballenger, H. C. & Johnsony H.: Arch Zweite Arbt., Sec. 2, Vol• 3, Berlin, 1939. " ' Otolaryng., z5 :75, 1937- `0 Haag, H. B.: Merck Retorty 44:z5, Oct. '*,Ballenger, H. C.: Arch. Otolaryng• z9 •! 194io• ~^ 1938. & Med., 4z:593, 1939- ,.:} '° Holck, M G. O. & Carl$oni A. J.: Proc "Webb, G. B.: MILITARY SURGEON, 4z •? Soc• Exper. Biol: & Med•, , 36:3oz i ~ __ r 937. No. 4, APr. iqc8. "Proetz, A. W.: Tr. Am, Acad. Ot'hth• & ° Grollman, A.: Cardiac Outputrof Man :n 4 r938; J: Invest. Dermat:,,z:z57, 1939- drome, 1940, znd edition, London. '"Rolleston, J. D.: Lancet, 1:961, 1926; '~ Fraser, F. R.: Lancet, s i755, I44o, •a "Harkavy, J.: J. AZlergy, 9:475, July, "Lewis, T.: Soldier's Heart & EJfort Syn- ~ ` OtolarYng.r 44 :z43r 1939- ; Health and Disease i , g3z, Philadelphia ;, Brit. 1: InebreitY, 30:1, 1932. Edinburgh Med. J., 47:451, July, 1,940. "McNally, W. D.: Am. J. Cancer, i 6•r 505, ''° Parkinson, J. & Koefed H.: Lancet, s:z3z, r^'n_ _w 1932. 1917. '0 Chapman, D. G.: Virginia Med. Mo., 64 ':" Soley & Shock: Am. J. Med. Ses., 'ig6 ~ 454, r937r .: --84oyi938• ;' a Crampton, C. W.: Am• J: Med: Sct, Sargent: Lancet, t•3r4, rq4o. 16oc7zr, 1920. 'sLian, P.: Presse Medicale, z6`385, 1940. "Hines, E. A. & Roth, G. M.: Proc. Staff Wenusch; A.: Fachl. Mitt. Osterr. Tabak- Meeting, Mayo Clinic, :3:5z4, Aug. 17, 1938. regie, 28:7, rqz7• •"Haag, H. B.: J. Lab. & Clin• Med., "Kavalenko, P.: Krasnodar Publ. U.S.S.R. z5:6noi,Mar. 1940. -Bull•, 81:77, i93i; Chem. Abst., z6:6o66~ Straub, H.: Fortschritte der Heilstoff- 1932. y ., 0 -fi ., 5 © 5 ..,..~ -ii'-~, ~.:_~tia-r+9C