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E7750 CQEGRESSIONAL RECOhl]-Ex•:ensions of Remar]cs 8-14-7U ~ LDy ON FJO:S R ND SMOICTNG ~ HO::. TIFI LEE Cf I:TER .. or s~„vctcr - to ttie.Edttorof th Journal'n/ ff e American The nrtleles d scrlbe:lhe resull•ot a?• _1 J.r:rcal D.FCin tr'.r ' pnp- y[•ar -Ic :tnrnt or9i p recd t<. Ie •^s 1Ic1ycotltalBetcdDr Se.,r.cr'Sirte(reatl0n tb'ttwrs,ecarled'o.,tbytwo:en::.t t of ttir.t drt,. 1ou mtshtelso c+ ns.s. t7:.. Amcriturc C..ncer Soc. tr l.ss eountoftl,efoc.ttnntDr.Yerr Isemployed ,cla[mrd lhat.the.expe:introt~wae,s ~.:lcspi by thelieicrans::.drrlnfstrr,tt n w'h!ch css'a 1n at lenatt'xo vs'%e::Itproducedlt_.: e:n. eo-sponeorcf.lhe:YuorFacti.Itnr.:mo-tdr:t:Cy,. 'cerasaresalto'cl_•arcts::no'AingIna.eL7n11- In vre:wtf tlia.ctacls,.I tnfuk you wlll nareet, f'T!7177F 7IOUSE OIa RITREGE\TATIYE.S -t', to g11JF'the TClatlcn511ip bChV2en' ofthc'studyf ar.d the'"reput tron,' <f theI• acetcrto:r rs D~eace ~ Inrestlgn,orsareltot.propercri crlaYonJudo- t.o-,ingar:d hca]th Dt. Hu,^,:h II Husscy, editor of ihca,.edlcal Ing t'alidilg' T hc Aure-ICnn Cancrr5ocht9' o s Z1tA.of a Str.nl:Tt:g dogStitdy. in an 1-I' eouslderatlonsns thc,'°emtnent r-ponrorsh!p" Ithcw to4pnale tohacco smo;:e, zcsncr w^as prou- „. ••••• ^,.••,." },u, CAR,TER- 2tSr. Speaker,. reecntly, ! ~ ab1g.lll+earisca;. _ marked tJle flts ttrtc that canccr bad.been , I=j_ AaerUnCh 6adHlunmond Yeported-• ' I think you ml(-htalsot ncrca thnt euch Inducc'dfn la.a,,..o:yy an!ma15 by causing f- Fric'ay. Atlgust 14, 1970 ' Tllc scicnt•; c vtethods t>_~ed Sn this ' tud> harc been qaest ouled The A.meri- " an lteoicat' Assoeint''nn tnn the new p U :1 Iand' burna7of Ated ci: e' rejected'~ of marl)unna. hatc bceurcturne,l to their authoa,'ae sa:d. Ttoreover, thee ttco Incestlgators lnst Febru- ~ i.e 7C~c3ICh p1YpCiS O irr'._11L. . fp- 'cstenstt~e'.rt•t'Is1hn."t nof 8 1CttAr tU Dr:.Je_seary_ rclcn ed tnc:r nndmgs to tite pepulsr r The tw'o sclrntis.ts ••che ca.•rled cutthees- I B)1C-OL^ e~- r . prasti¢forcs pr s,.nttn ~. titem too thc~: ,cl- ~ StCinfCld for c.~ur~ pCPlIS31: pcriment.sTe Dt 1..Cuplcr lltm-r~ d ttoee entlGC c~ Iet ue ; 5a pr cedure Wh!eh E.COII-C4L of U e A t er.[an Q ncer ~<'I :y„ 4" $•J35to,rRF?ISESC3•PTATr'£5 1'sldrredhl hly Smprope a•uor clentyfere-pr Washinc:en_ D.C..Apgust 111 1970. : seaachers I t frct, their ac[ion caused the. and Dr. Oscar Purrbach.enla m°d'caU ln- Z1l- Jcsss l., Srtrararsm, ~ i authonitetl eha.c" F.r,gland Jor<r «f of licdt - t~rs 1~toc for t1 e Veternns Adlninrsttai:oa~ S8e S:+rgeon Gcne~el, A.S• Pubite Health crr.e to relc-t thc res vch papers outr.;ht F Ilos it^Ii,East O nge, N.J. Srnse, Dn .r_'saest of llca!tn/ Educa-. thtnk you might hasecous.de ed these lcets ~In tolephouee lhthz.+c-rss ye~terw,•, both[on,endl'e'fere,l:'ashtnyfou.DC . tnnssessln.the'reputattons:'ofti:e.orga- ~Drlfn^.t:nond•,ndDr,AVCrbvcp:d.-hnrd, to r 7)saa Jrssc-S nare rceehed cour Jv+Y 70th, p1-a[ion a.d pecrlo Imn!ced, jcn e1 e'ttre. mculc.d Jour al for re.urni~g '9Ct:cr t~ POU Of Sj1~ cOnRrU•' "• -- --- ItIrC!Y ar["ics. 1~c s nt the a.tih:rs i• tGcm C ' r O m} zep ~r} ~g the A_c:•x:ch-Iia^rmep . s.:o 1r(, ce, a¢y. As you c-n ls~tae I ato,; shocl.e mr:d ca;rpolnted toI ua that 1n: Sou le te:' Y June 12to.the ~aerican Csrcer Soc. tc jou ~}'e ttn t.rtr•,t.a-1`:ed endo,_ea:'c.,L tothe ~iditp.of the atud-r, based~on,.nai!ilnc more Z nbe han hra- aS~ re~ort_~.o the Lnntpe:a~~ ~d }» oc'a'. fce tn s aoout s nS' !.t<d e'1 th. s t`~t:15~. to h]tC . ~~^tn an 1rre- -=wns_b,e eot on e~ur part az` . na Ir en- ~ _'-t-g G'ah tnc s~e3t1•~c oS e :'.c r,.:"ch ~' ~ou1d r'ayL.pa=.5~.nur hlgit~e!'ce: As.}vu aur :ai!ed• the new ' b 3-ea~u , .+ i-,,,r aclete. n o p'ay. :I ' ?lezeA snmr lr_ t_ to t11E press In a~r af- . ~er t to n,,:ster ane.r pw ,.,a wa.... .:•_ „~-r, e t e ofTour c~.M. t rof 'my1 ¢rt u.• a le l I d .ro.r o m (( s . / rues 1'tt E'_so.rt ~- cn ditgottls stu4,r ~nd b^en t^-=cd by aC rwi hedI" ~.ol. / ll . ~. t .t0.e. 1e:iK 1 fo,^+.•,raed to cG.r.. lOU 1. aiv.br no:o haze se.n ihe enc:o°-ed nrilcle Srnm thr Strrr.: Jolrrtct of JW y fi:.T~ne cr 1:e]e:cYru t:.3: the Joun:al of the An:cri- eaa 1ed'.ciAssee:airon Lns decldcd not to utblsh t:_e At!e--bxh-Hs_-r,:r,ond p ncrs ou SSe b>>!s ~+' reciz', ny twe,se Inde~x.tdcnt au:SorlCr;_ T.,e az'tic'.e. -•Mn:cd ou that 1he nt ~-r off re~et:ers e_s'gned 10t4e Auczlr,rh-H_,;ruzond~ds!aw'as much 1'eatcr. Lan usaml..tti~esse of ttie'con!ra'rersnr.l'ue- 7lure otthe t4 hene.;ma.r-~ent. hen I~a*:ecdrd the maNtr,gof the 1Vncr.~ 1c.an 1'cdlcsl Assxi~tion Sn~C~•:cagoo:r Jtme 71• 1 lcarr.c4 :^at ihe Prc•siiiecttof the A"-4„ Dr G ra 1DOri. hcd t'cttrmlh d fr.•nr aeo»er a 1o:r v3 ss the'Lditcr ofthe J trncl' of 11 e.i,-e-ic,.r. ~fcr:re,tt A-..o.iafion thts'the lhde;te.^.~e.~[ rccfe-:crs had ur,anitnous-1; rcc- 'pu^!!ra:lon, den!ed hr nn L•,tenlb~ e ret tne • )auqro sb}h.ss;onao caanttmok+ nrtlcl^s hadbcan [cJccted;for pu :.caticn. Ing comn c cfais.fcntt rlng a,n o,tc. stnr:who ~ly"hc)^areatot'ary c{ :arile tos pub'Itat:on In l ' tcasrecent ; eom3cecd o: flle 1 pos<csslon -thelb :esent form ' he' sald. The srtlcles nounced Lhe Irtct-rl T of }oat o re'rC ;u'Ses C plcdical AssocL,NOn aL-o ncts SiL'.gOic. :attb,l" )ou to mse erery e,:ort to d. cln,..ie what saldDr:Auerbtch. - crit•aistns the Journal ofthAmrrrcaa hcfther Dr..Hu. ~ec nor thetwo:res archers IScd,eal Assocfciion- re.?eivers mrde c1 t1•e :wotkld disclos,• dotailss of the ug+es;Ed study and to anteud the cor.?mcntswhich' ohar.res: AutD•. Hzmmondisald sova.ot the you made to the f.mencan Cauc.^r S~-ciety. -ob;ections.eentered on pbotoe:a,^;ls aocc.^.t- tn your le ter of June 12 m,3to correct pant,nr, . the %"There T,ere cocr a:-ta the.enonen ts Sr^~r .Sio31 your lE ter has left -that the pittnres t.eTe out't of :c..15 Ill:t f.'SthllieAA-nori nn.pub:c: ahtts to I_ cnie_ted,slace t ez:1~ s ori•-~- Asyou ps.n[ jbut7n }-ourlet cr )ottr.De- -lc yw-ere /uct bc h a: to b or' ed paY.men. 1 vs t.e 5.,._ulo:j' rc tio.. 'itsaity.of 1n b,ar.k . rvrd wYdlc (bccau-se) thc ._„v.cc tepor[Ingtb.theCOn~rea;pe:lcd;caaycnttieo cons:ders co:or I.b:ures too e:pEas:re;' be state of a.tcnC cre?d•ch c nce' n~ cdo- said. - ---.--.^ ,i h.olrh T f r}a .YO,1T {,t{-n:~ALRSCSUL'D r.`~"8 ...,_..,_ . .-__ t. ;;; t . Cor.istentedDr: Auerbe.eb: -The r^tiewers. daesr.; t.._d.-nu sc.n c. ~¢e:e.as]atrast tho~__nt'he~T.co,hl'NM.I ]ou:nai, 1 z e er: reCection d tcea >•: Fl_i n:aynot,t.ree vh th v.e=', but IL's eL': psa of and bf25ed trs ner iu ah;cn ~tl e In tJatlon the (• cnd ta 'e ' which.EO s ir ta t.osc.reaorta fs E e. usted. I t,lic.t thc'a t c:hs'wfll nppcsr Snprtnt is aL.o.lieiteve.thao your.actlon in th•s.tnatte: uCCPCfd,d;.Da H~~seys._=d t1cs jonrncl cilU CeS".5 Ser10 IS'. d01L1 Ln9n the 1nLCy a.11d reeo:tSder tile' a tl'as' I: -heCy r_r' rc,iL'll- aut`.loatbof I:L'o:nlaaon':iizuin~,from then,tiL~dwath ti,e'rel"isEo^s. O.,"he.tS[d, t5ePubliclf^-a!tb Se:rlcefn reCsr:: to the n-lth authors maadcc(de to.submit t:len: toan- oonsequencesofsm 'ing, nndlthat nc cul+ oth^.r.pubhcatlon. . leagces and the Ame iean pcopleshould.be qmeLro-resca;chersssla,they hsten't de- aoadcls^d, - 1I,elded ahich to.tr cthcy, wLl L je:, TheCc^~:ess.ls lnereasingly eal)ed upon i to~maEe p.:blfo pol!Cy Sn the l+ct of Dr, Ii..ssey rrJqte_3 e:,tsu 9es!:on of p:es- tf"e p:o- Ilferatton heslth controt•c:aess chi:haro !~surconthem:,gailne.eiti:'erL..~ma1•etr.bsccoeunfrontinSthe. Amerdcan 1x'os1e: \t'.r: must ;?ochlstr er the 5s -ican MCd:cal ts.xlstton bcse oliJpctdreScicntis;s. to. [:uide <ue es- -not to pub6iso thee rcno ts °Tneree t•a 5 no tfo:ts:, TheAn:cr,can pwple st6:sd tole,;e "pre>sure.c;ha:u,e:r,;'t,e.-cid• mucn more than thee rfgi,tt to~ s:no':e Ci- " EIr=r.7s eoNsms:.n - aretteslf tcicntlfir,Jr,dgments are:madc on- '- The dCcision not.to pu5ash t'ae.artlcles,e suchnctt:icrousbacfs. ' LDr. Husx'y,snldlF lu.dcat efinslsofre- I would be mc3t plt-sed to. )savee yotU r Nfcs by ebout ]!r ,•: enc.en .r•.•tt*.orlues. cor,tment.ss on the observatlonsI havce n:eSeI Tho,., l.tclu.dcd.cu c. r. e_ se.ennnr~ r:ird- In this Icttcr. f I I lol tc ) attio u} en c.-rt In p m ry ni- omr eded re 2 -oz of the~s-tlcle I" u_llevc; Sincercly yours, ' senu rnd e 1 p lt~ c s a T rc ntu .ter ti:u ~.llt Dcnran Fnultl con r:u ths ~ 1n1or- ~ 7Yu Lis'. C-ucTar. ~~ J e•f reUra r.. 1 c r ~ i t ns ~rr rc r p c cer than ait lo7 1f yau t,Erc~.o lnr•u t' '. /~ -- I, Is U Lta. fu, n 1 e .1 ~. u tl c..~-pt i',:ca- A•nor.2 the t it.,ms tna[. Isrtleul ..ly dl<- )FYom the Y,'aIl Street Jounlal, J',4'.y.8. 1970] tlnn In.thc n_ ,.eca.ce~o: the -~~reat turb t:rc„rs s pl.;strtan, aLOut.your~ 1GLCr to ~ thc.J~ ncr!cnn Cuscr . ~ : h',LS Jour;;An.Dretnrs To 1'•1Tnr oto nrrocrs : atnunnt ot pubit t} nnlfcJ"' S,:cte;p 1s your Snst.<t- nv DSCS~. e. n. S or c~ Co t ~Lrrsis Thr c(t ttu c tt r ,d ba, t~or t e~ ao- ~ enc tn ~.t no~ f. >t'~ r"erv is ncc i to ~ 'lYSTS rn r-nt e C u - C cra.;', Tarr : prot ,1 of t}:e t t. <c . C u•..I wl ro- ea e'I'h t*r.t tl ~ot st•tdy Itr s sc~~e: ~ ; tav-.rr.e Strs~ Arr cx.tr~~ `;rr P,v ~rsro . ~ cc rtir ' ld )t t 't c. -b e (n).f c t.r:c ior.lrr (b)ithc aptte- ~ ua-t <f t,e. I cc tl::a!ers~ e d~.(e) t t t cl Cntesco c. J ur 1 of tl c A r,[rlcin ~ fhn i 1 r slea of 1tc esp n_n.':nt.'tu e..t~1„l...t t11at~.l~ J•Cirntl.lc ln ro'c n Y^nL~S rti e~1 ;d' 1"C..1*21 ( 'J 1~.l An 1 S 4 r(; -d I Co pU ' -~ fT1 d1ty' thc o•+p .tuu c~tuact~lc tLC U:,tn r r'11•L tlso cU .} rn cu t -rt o t r• ,. :9 c~svr c.on f r r al r Q In r 1 t u to Dr. parrllt,y r,:;rce.I s~.,lti~~ t ~. Ie?'l et. ft-id 't('i. con'r,rcrs 1. x,t~.tt d c' tl::. 1~: .. At hr b. ch th -I 1 E es 'i c c Is. A5 tn t~hc~ h-; pa:.•,t, 1, t s y'ou 1_~+C RJry?ose~ 1o hntL G1,,1[CL S:n•:I,ill~, 1:1.t1 )L nr tlar,.,lci ..Ltn .. lur ~ c..r, CT~. hi.c~LeCti~ a La ~ r t. Lad e.dc:ce. At.t'.e~Ume y~u t,rn e.~~ )+ d•S uter d~ ill t:.e lunf,t. o uP'. C peS. 1 t0 c i d iuvlew of t'.te] _nt sc t hzr.~ pro- 1n ood faith' rnd we:bclieve tbe: / aertcan t sc t . - 1- i.. r To rkt ..r, o^e oil t!ic. s at,:olog ts v'r_o 13ut tl c mztnc, tthtd, ! p br,blg tr,cae e;'! '. rt eare•trd on• Dr. lt..tmn id 'Ycr cr Ito . wrC !e r:-. t,;:: 1.I!J t: I t- tiec L. ., fm'. 1 c .. t• r r ct 1 h Ur. ".cN o:t c.\ cre.as AJ:,,In:.t 0 1, d't ic cic ir .t.:a t Lt[ -rtl Ic. )'c•, cU:-•t rc]rc i'c;.. J'-'l 11, 1; :I;I *r -i : st.t t C1, b:.c •.r ;n^.rcnter o!.eor:tr.ure:src.lu ec•,.,et- outr:,;Lt.L,tt_:.,tl ;yr_.ur.r.o for ret'?len; I.1r f:cr, t!e.t :.~I1ht.:,zat.er rr.(: rch c.udy,rrl~tlr.;;tb: Tiletc; ~rL l.!.cc Lern crr.,•IU^ crir:trover.rr::x+.-Is,te.pmt . oof:ps;;rolo_y at. Y.r1eli:.1+ ", tcr Itt:;ctioul v ,liriuc, c;- r:cI: rac:,ns tl.ct nt naicutcr.l ,. 5!nre o2r f t'.,•;, t 1 tlie'ii1~ „-n I.SIItLIc, ta 1r .. ))r:Ye:ur-r to,:. thc llLCrcy ct 1 t- ,., lholndUtn'se trnde r.-rt-,licr er unccd Ilt Juerh:.^ aIJ .t-.t11 o nWotl Iaei..,,, ecrto,:1 ua[a f:ont an u:,p,O:i,llcd, It w'es n,v, nl,ur; n m,lJyr alt uu.ttt.o ~ renlcs..cr,, dicir t c!.p.ac t te c,n•,n t,.,•tneetu•.} c:!-1nn:e.l Lv llr. Llcr:n Fc:r^'rln,ot - salldltyo'the roscarehcrat IdnufuSl. . ~ lbmin ftlnd''1n t1;eF:cre o:'.Ifuau,', 1e![.6s rnu wii ree frurn tlks cnelosc:l l-ctter ~ - ~

Mracr tr.AS rphrc.tisr V7hcn tDe re_r,:l*.s of the cxprl:nrnt were ilrst repo=Led Lt a meeting of the Aatrr:con Cancer Sotsietq la.t Febrt:ary, a s:,clet.y spol:esman ssid the ezperiment "should have a sl!~nfic3at lrnpact on the sr nol:tnr of ctrs_ rets In this country and will probab;y lead to a reas~sment of adrert:sing claims and ' .~ polices of the cigaret industry: t A few ev.,cls later the Tobacco Institute replied by ehalleu,,;ng the C1-tcer Soclety to release the unpublished data >n lun, cancer !a dogs fer further scrutiny b,• "men of out- staindlnd competence nnd tnto grtty:' An lnstitvte spol_esmuu sz'.d the "Tobacco 7n5tttute <ioes not, and the public should : not, aocept at a face value the findinZs of this • study: " ~ - 111t' - [Frorn JA.~f_9„ July G, l19701 - {: - S~loL27cc a:.n CANcES 11IOEP2iO:..OGY ! To the F-.,ditor. IiP.ing initlated the ;udyt; ~ of cigaretie smoklha and hts'co:ooic ntor pholr I = ogy in pn'.ients with lung cancer that was ~. • «d- i T J (: ]12CC 1D7() J' reporte;nraEoUsKA[:1,J., ; I regret I'e premature publicstion In your ; bieorcAL A'EVa sec.ion. M i• Y our rmport was based on m tterla?'nresent- ) cd at tl:e recent rnecting of the 4ser:can : Asvxiatiam of Pathoiogtsts [ ad I3acteriolo- • etsts by 3r. Pa=ni•-,Iid lesne who co'.i:+.bo- rated' 1n this pro,rect and recordad ma^y o,'- the h7;'1v xtc,Gndinas. Tne results presented : at that nnien-eting were bxsed on a preL'uuna.ry ' analysis w the d:~',a, and they canl_a!n only D:. Tesn4's L.tr:pretatio.zs o*_ thc- da,.a. The fnall report may s`:oa- dLfferenccs 1n . : the percF~;c,rs because new statisticel tab- ulat",ons h±:e teen necessitated by a recent chaaZ;e h=1e criteaa used for cor,s-2 idat:on of hlsi.oloa:c G.te,-or5e;. Even If the l.crcent- l.ges rer,-'=n uncha.:.ged, howe: er. I d!<ugree with the vater-pretr.Lic,n t:.zt hearier satoi:- ..:.ln~. -CSLL-ca: LIw:.cl . v .......p...._.•.~ . ~ in 1un~ ~.cer i ce oase nopu!at:on :n this caad: cos!s'cd not of - genera? g:oup of and norsrzokers, but of people who al-rc_2y hs-± luag c.,L-ncer. Gar~euently, .- no cztLSU` i-tforeuces can be drawn nbout the I ; role of c;o4-.ing and creat!-,:g either lung ~ cancer or different ccll tcres of csncer in a 1 : general popula_ion of Srnones ar-d nonsrnok- ~ : ers. FurL:earmce rltliou2`h incrc~-_sed rates , .: ~ of smo.yr.g were rs:.ociated with Ihcrersed : rates of T_-ndiHz: entiated srn.:ll cell cancers. j: ~!I I such c2rrsrs were not found to be the most ; <.::n1csT1v "nialiguant" tumors In the patients , ~ te e studazd. t! 1fp or.n inl_-rpre t:.tion of he prclitn!na.ry 1 ; Cita is tl,: t they contrad3ct i long-s'auri.ino i ;, belief thz pa*ho~;cncas of ].ing cancer. Al- though cpiders:c!d carcinoma ls geiierally re- t garded rz, e: c ts;. elv s"c:aereL:a snto~er'c 1 i cancer, - -ottr of the 42 people currently cins- I ttr_ of 1 = si[ied In os:r cart"ey as this ' cancer 7~~tl not e:noEd c!r-arettrc, and the ! rr.ta of ep!derr.inid Uur-.ino. t: did': not EhOt;, i. an Sncrzase In a~rxll~ion with increased ;" ~_- alnoilnts oi~ i:'Bo)dL-g ~ In the '1.47' p3tleal5~ we ' studied- kao sssumed I d t ? crs o any rca apo ze __ I I bad Fp-2rored the oQntcnts of your rehort I because s,hcs7 saw my naaTe tbere, r: d I: urge t2~e~n to await forznxl publiaatlon of , . the cornsplete results b^_for3 drwir.g any ~ - ~ cAnclt~~•'+~+¢~ a . ". ALCASiP.. F~1 1:.5fL1Y„ 7M.D. 0~ (