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Philip Morris

President's Commission on Heart Disease, Cancer, and Stroke Progress 640615

Date: 15 Jun 1964
Length: 21 pages
1005099202-1005099222
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REPT, OTHER REPORT
LIST, LIST
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LEGAL DEPT/CARLSTADT QRSA
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N28
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MARG, MARGINALIA
UNCO, UNCODED LIST
Document File
1005099199/1005099222/1016 Report to the President 64. 50-2f
Master ID
1005099199/9222
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Litigation
Stmn/Produced
Named Person
Ackerman, S.J.
Anderson, O.
Andrus, E.C.
Baker, A.B.
Borhani, N.O.
Brand, D.
Carrese, L.
Cole, C.
Cumley, R.W.
Day, E.
Dempsey, E.
Dennybrown, D.
Diehl, H.S.
Ellwood, P.
Endicott, K.
Farber, S.
Fisher, C.M.
Foote, E.
Ganz, A.
Gorman, M.
Guthrie, E.
Handler, P.
Hanish, A.
Henderson, M.
Heyman, A.
Hoge, V.
Huggins, C.
Kane, C.
Kissick, W.L.
Knutti, R.
Kotin, P.
Kowalewski
Lee, L.E.
Leiter, J.
Levin, M.L.
Liethman, H.
Lilienfeld, A.M.
Locksley, H.
Lyons, C.
Martin, L.E.
Merritt, H.H.
Meyer, J.
Moore, G.E.
Morrison, B.
Ogden, H.G.
Oleary, J.
Page, I.
Paul, O.
Peterson, P.Q.
Phillips, H.T.
Powers, L.
Putnam, J.J.
Ravdin, I.S.
Rosenberg, H.
Rusk, H.A.
Sadusk, J.
Sahs, A.L.
Schnaper, H.W.
Schottenfeld, D.
Shannon, J.
Shear, M.J.
Sherman, J.F.
Shimkin, M.B.
Shira, R.
Siekert, R.
Sohnson, L.B.
Taylor, A.N.
Troupin, J.L.
Turner, J.D.
Waalkes, T.P.
Warren, S.
West, M.
Wilkins, R.W.
Wright, I.
Zamecnick, P.
Zubrod, C.G.
Zwick, D.
Zworykin, V.
Request
Stmn/R1-004
Stmn/R1-037
Stmn/R1-133
Named Organization
Ama
American Academy of General Practis
American Cancer Society
American Hospital Assn
American Public Health Assn
Assn of American Medical Colleges
Ben May Lab for Cancer Research
Boston Univ
Bureau of Chronic Diseases
Bureau of Medicine
Bureau of State Services
Cancer Chemotherapy Natl Service Ce
Cancer Research Inst
Cancer Subcomm
Ca Dept of Public Health
Cleveland Clinic
Columbia Univ
Commission on Heart Disease Cancer
Commission on Environmental Medicin
Communications Subcomm
Comm of Medical Consultants
Congress
Cp Huntington Hospital
Dept of Medical Education
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Division of Chronic Diseases
Duke Univ
Extra Va Research Division
Facilities Subcomm
FDA, Food and Drug Administration
Govt Operations Comm
Harvard Univ
Heart Disease Subcomm
Heart Disease Control Branch
Hew, Dept of Health Education and Welfare
Hri, Health Research Inst, Roswell Park
Johns Hopkins Univ
John Collins Warren Laboratories
Leukemia Society
Manpower Subcomm
Mayo Clinic
Ma Dept of Public Health
Ma General Hospital
Medical Arts Publishing Foundation
Memorial Hospital
Nas, Natl Academy of Sciences
Natl Aeronautics + Space Administra
Natl Cancer Inst
Natl Comm Against Mental Illness
Natl Heart Inst
Natl Inst of Arthritis + Metabolic
Natl Inst of General Medical Scienc
NCI, Natl Cancer Inst
NIH, Natl Inst of Health
Northwestern Univ
Office of Program Planning
Office of the Director
Public Health Service
Rca Lab
Rehabilitation Subcomm
Reorganization + Intl Organizations
Research Career Section
Research Subcomm
Resources Analysis Branch
Secret Service
Sister Elizabeth Kenny Foundation
Social Security
State Univ of Ia
Strang Clinic
Stroke Subcomm
Temple Univ
Univ of Al
Univ of Buffalo
Univ of Chicago
Univ of Ia
Univ of Md
Univ of Mn
Univ of Pa
US Senate
Veterans Administration
Walter Reed Army Medical Center
Wa Univ
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05 Jun 1998
UCSF Legacy ID
une54e00

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stubbornly remain the leading causes of death in the United States. PROGRESS REPORT June 15, 1964 PRESIDENT'S COMMSSION ON HEART DISEASE, CANC In his Health Message to Congress, early in 1964, President Lyndon B. Johnson indicated that "Cancer, heart disease, and strokes They now afflict 15 million Americans--txo-thirds of all Americans now living will ultimately suffer or die from one of them. through new knowledge and more complete utilization of the medical I am establishing a Comtnission on Heart Disease, Cancer, and Strokes to recommend steps to reduce the incidence of these diseases study by the'end of this year and submit recommendations for action." prominent in medicine and public affairs.. I expect it to complete its knowledge we already have. The Commission will be made up of persons On March 7, the President announced the names of the members of, this Comnission=as follows: Dr. Michael DeBakey, Professor and Chairman, Department of Surgery, Baylor University College of Medicine, Houston, Texas Members Chairman Dr. Samuel Bellet, Professor of Clinical Cardiology, Graduate School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Mr. Barry Bingham; Editor and Publisher, Louisville Courier- Journal, Louisv3lle, Kentucky
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Mr. John M. Carter, Editor, McCall's Magazine, New York, New York Teacad . _ ~ . , . . of Texas M. D. Anderson Hospital and Tumor Institute, Houston, Dr. R. Lee Clark, Director and Surgeon-in-Chief, The University University, St. Louis, Missouri Dr. Edward W. Dempsey, Dean, School of Medicine, Washington Boston, Massachusetts Research Foundation and ProYessor, Harvard Medical School, Dr. Sidney Farber, Director of Research, Children's Cancer _ Medical College of Pennsylvania, Philadelphia, Pennsylvania Dr. Marion S. Fay, Former President and Dean, The Women's Education, and Welfare New York, Former Secretary of the U. S. Department of Health, Mr. Marion B. Folsom, Director, Eastman Kodak Company, Rochester, New York, New York Mr. Emerson Foote, Chairman of the Board, McCann-Erickson, Inc National Red Cross, Washington, D. C. General Alfred M, Gruenther, Immediate Past President, American Duke University Medical Center, Durham, North Carolina Dr. Philip Handler, Professor and Chairman, Biochemistry Depa.rtmentt Mr. Arthur 0. Hanisch, President, Stuart Company, Pasadena, California Institute for Cancer Research, New York, New York Dr. Frank Horsfall, Jr., President and Director, Sloan-Kettering Dr. J. Willis Hurst, Professor and Chairman, Department of Internal Medicine, Emory University School of Medicine, Atlanta, Georgia Dr. Hugh H. Hussey, Director, Division of Scientific Activities, ® American Medical Association, Chicago, Illinois Mrs. Florence Mahoney, Co-Chairman, National Committee Against ~ Mental Illness, Washington, D. C. Dr. Charles W. Mayo, Emeritus Staff Surgeon, Mayo Clinic, Rochester, Minnesota Dr. John S. Meyer, Professor and Chairman, Department of Neurology, Wayne State University College of A~radicina, Detroit, Michigan
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Mr: James F. Oates, Chairzran of the Board, Equitable Life of America, New York, New York General David Sarnoff, Chairman of the Board, Radio Corporation Medical Center, New York, New York Dr.'Paul W. Sanger, Surgeon, Charlotte, North Carolina Assurance Society, New York, New York Dr. E. M. Papper, Professor and~ Chairman, Department of Anesthesiology,-College of Physicians and Surgeons, Columbia University, New Yorkp New York . Dr. Howard A. Rusk, Professor and Chairman, Department of Physical Medicine and Rehabilitation, New York University Dr. Helen B. Taussig, Emeritus "Professor of Pediatrics, Hopkins University, Baltimore, Maryland • Mrs. Harry S. Truman, Independ'ence, Missouri - University Medical College, New.York, New York Dr. Irving S. Wright, Professor of Clinical Medicine, Cornell Surgery, New York University Medical School, New York,_New York Dr. Jane C. Wright; Adjunct Associate Professor of Research The Commission's Assignm.ent White On April 17, 1964, the Conmission held its first meeting in the House. The President addressed the Commission as follows: take time for a brisk walk outside this morning. I am a subscriber to the view once expressed that if you want to know if your brain is flabby, you better feel your legs. Ladies and Gentlemen: On beautiful days like this, the President and school boys have a hard time staying indoors. I think we would set a good example for the Nation, and we would advance the cause that brings us together, if we would
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. Health is something that we treasure in this house where you are gathered this morning, and I know it is treasured in every houne throughout our land and around the world. It was said several centuries ago, health is 11 the greatest of all possessions. A pale cobbler is better than a sick king. The work that you have begun today is work in which I have the keenest and the greatest and the most personal interest. You are here to begin mapping an~attack by this often fatal. Every two minutes cancer strikes a man or a a year are struck down in the prime of-life by heart attacks, knowledge and give us guidelines on overcoming those obstacles. To this group I do not think I need to tel].. you how vital this is. Unless we do better, two-thirds of-'all Americans now living will suffer or die from cancer, heart disease, or stroke. I expect you to do somothing about it. Five million Americans for acquiring new knowledge that we already have; third, to identify the obstacles which stand in the way of advancing majority of deaths and much of the serious disability which strikes our people every year. I have asked you to undertake these three objectives: First, to measure the full magnitude of the impact of these diseases upon the Nation; second, to evaluate our resources heart, cancer, and stroke disease. These three account for the Nation upon the three great killers, the three great cripplers-
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woman or a child in this country. Every year strokes leave 200,000 Americans dead and another 2 million incapacitated. I want us to put our great resources--and they are unlimited--to work to overcome this. We can, and because of the work you will do, I believe we will. So let me say this: I know there are some differing viewpoints about the prospects for success in these fields, but from what some of you on this commission have reported to me, and from some other sources that I believe in, I think our goals are in sight. It is well within the range of reasonable expectation that work being done now in regard to controlling growth of cells in the human body will bring decisive victories over heart disease and'cancer . and strokes. The point is, we must conquer heart disease, we must conquer cancer, we must conquer strokes. This Nation and the whole world cries out for this victory. I am firmly convinced that the acewmulated brains and'determinatioaof this coa~uission and of the scientific community of the world will, before the end of this decade, com° forward with some answers and cures that we need so very much. When this occurs--not "if," but "when," and I emphasize "when" --we will face a new challenge and that will be what to do within our economy to adjust ourselves to a life span and a work spa.n for the avarage man or woman of 1Q0 years.
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Knowing Government as I do, I am sure some President some day will be appointing a comnission to study tfiat very graat problcm, and I would be ploaaed to be that Px©aidont. If you do your work well and if you do your work with dispatch, maybe I will have that privilege. I have often been reminded myself of Shakespeare's.line, "A good heart is worth gold." I am glad mine is good now, and if the doctors and the Secret Service and my guardians in the press will just permit me to get my exercise, I intend to keep it that way. I want to thank you very much for beginning the work that I think will ultimately win the hardest fight that we have ever fought, and I would suspect that just as we look back on Lincoln's proclamation a hundred years ago, when he took the chains off the slaves, I would suspect that some day your grandchildren and great, great grandchildren will be ,looking at this picture made this morning in this beautiful rose garden, all the thorns are inside, and see the leadership of 50 States who are willing to give their talents and their energies and their imaginations, and stay awake at•night and roll over and go get a glass of water and come back and think soxe more on how to get the results that we know are within our reach. In My Judgwnt, there is nothing that you will ever do that will keep your name glorified longer, and that will mako
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your descendants prouder than this unselfish task that you have today undertaken to get rid of the causes of heart and cancer and stroke in this land and around~the world. What can be more satisfying than to feel that you have preserved not a life, but millions of them, for decades. I am here to say to you that while we are interested in the food stamp plan, we are interested in medicare for the aged under Social Security, we.are.interested in the civil rights bill that we consider most essential to our leadership in this country and in the world, we are interested in the pay bill that will keep our good civil servants here, we are interested in the iuunigration'bill that will permit families to join each other, and we are interested in the poverty bill that will take our boys out of the pool halls and out of the slums and out of the juvenile delinquency centers of the Nation--we are interested in all of those things. There is nothing that really offers more and greater hbpe to all humanity and to preserving humanity than the challenge in the task that you have undertaken. You have among you some of the great doctors, some of the great public servants of-our time. Som.ehow, some way, some timse, you are going to find the answers, and I hope it will be soon. Thank you.
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The Cocunission accepted the assignment, as follows: We accept the President's challenge with a deep sense of responsibility and a high dogreQ of enthucicanm. Wo havc been gzvon an unparalleled opportunity to alleviate suffering and prevent needless death. During the past decade and a half, an unprecedented program of medical research has been instituted on a nationwide scale. Through cooperative endeavors of public and private organizations--voluntary health agencies, universities, research institutions, medical scientific co=uunities, individual philanthropists, and Fed'eral, State, and local governments, this program has already proved its worth. Indeed, greater advances have been made in these fields of endeavor than through all the previous years of recorded history. N'.any types of diseases, which only a decade ago were considered hopeless, are now completely curable. In many respects, we are in the midst of an exciting biomedical revolution. In fulfilling the historic mission assigned to us by the„President, , we have agreed to consider the following areas of interest: 1. THE MAGNITUDE OF THE PROBLEM This will include not only a reassessment of present mortality and disability statistics, but a new appraisal of the costs of these long-term illnesses to our nation. . C~ Yet so much remains to be done. Areas of Interest Is our network of collecting statistics adequate for obtaining CO ., N the information necessary for the planning of programs to accomplish 0 PA
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9 our goal? If not, what means must be found to provide the required information? Is there a need for carrying out special surveys of the prevalence of these diseases on a national scale? Studies of mortality indicate that: different parts of the country have diffe'rent death rates from some forms of these diseases. Does this indicate differences'in prevalence of these diseases? If so, what are the reasons? Do they indicate that different ways of life influence the prevalence? • 2. WHAT IS THE PRESENT STATE OF THE ART? What body of research knowledge db we now possess in the diagnosis, stroke? Is there a national scientific consensus of what are the most effective measures in the current treatmwnt of these diseases?. We are aware of the fact that the msdical literature is replete with claims for one mode of treatment as compared to another. Is there not a need for mass evaluations and field trials of existing therapies to test their efficacy - - analagous in nature to the field trials which proved'the effectiveness of virus vaccines against poliozqelitis? 3. UTILIZATIOid OF KNUWLEI'iGE Are we fully utilizing the research knowledge which we are currently developing in our universities andresearchinstitutions throughout the country? What are the barriers that delay public acceptance and utilization of the results of medical research?
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10 T'nere is a strong preliminary evidence to the effect that much of this information is not sifting down to the average doctor in vrivata ptdo%3ae. For exaample, the American Cancer Society has repeatedly noted that we could save the lives of 50% of all victims of cancer if our doctors in private practice had available the-latest diagnostic tools'developed by research. Early detection of stroke could lead, in many cases, to .successful surgical intervention and, in many others, to considerable amelioration and rehabilitation if the necessary diagnostic procedures were available to the majority of American doctors. In the case of all three of these diseases, why are these diagnostic procedures not widely disseminated? 4. RESEARCH What are the obstacles to the acquisition of the new research;, knowledge so obviously needed to cut down.what President Johnson ha referred to as "the burden and incidence of these diseases"? - To what degree is the problem a financial one -- a 2.ack of adequate public and private support, preventing the necessary acceleration of our national medical research endeavor. We are mindftial of•the fact that our medical research effort started from o,Imost ground zero at the close of World War II. The developments since then indicate that the.American people have a strong desire to mount a research offensive against the major diseases. .~ O Q1 O CD CD N .• .
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^ A-recent report of the Public Health Service dates the real beginning medical research will be staffed only as a result of a steadily expanding pressing in the fields of heart disease, cancer and stroke. In "NSanpower for N'.edical Research", a 1962 report issued by the National Institutes of Health at the specific request of Congress, the Director of the NIfi:estir.ated that we would have to double our medical research manpower by 1970 if we are to continue the progress made during the previous decade. The NIH report noted that "the future expansion of reports from the Executive branch of our government, from the Congress and from distinguished.scientific organizations such as'the National Academy of Sciences emphasizing the point that severe shortages of research and clinical manpower plague medical research generally, and are particularly is less than the budget of the National Aeronautics and Space Administration for the current year. Is medical research, then, getting an equitable share of our total national research and development expenditures? 5. Ka.rT oW ER Over the past decade, we have been deluged with impressively documented for all federally supported research and development. Put another way, this total 17-year medical research expenditure That same report notes that all,federal medical and health-related of our national government's effort in medical research to 1947, when federal expenditures for medical research approximated $27 million. research expenditures from 1947 through 1963 totaled only $5 billion, or roughly six percent of the $80 billion made available over the same.period
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,national effort, combining private and public resources, to train manpower research effort was taking its first halting steps, the shortage of adequate research facilities was a ma3or, if not the ma3or, obstacle to an expansion of our research effort in the fields of heart disease, cancer and stroke. Voluminous hearings were held by Congressional committees on this aub3ect over a period of four years, resulting in 1956 in the passage of the Xcalth Research Facilities Act. and schools of the health professions? How can we attract more young people into medical and related scientific careers? How adequate are our present stipend and.fellowship programs for the training of young people in these fields? 6. FACZLITIES. During the.period from 1945 to 1955, when our national medical How much must we increase the training capacities of our universities to the people? workers who will bring as expeditiously as possible the results of research specifically for medical research." How are we to achieve these widely accepted manpower goals? How adequate is our corps of professional and supporting health Under the aegis of this legislation, the federal govern=ent has 1-A .provided several hundredmillion dollars in matching aid over the past . C11 eight years for both the construction of new research facilities and the . Cd remodeling of existing ones.
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, 9: f s However, this legislation has always imposed a rigid ceiling on the amount of federal aid. Because of the present ceiling of $50 million a year, the Congrooo, although acoply awaro of the ahortago of r•oocicd institutiona of letarning; that we are negloctin;3 many small but highly competent institutions with excellent scientific credentials, but which do not possess the finances necessary to m--et the rigid'federal matching requirement. facilities, is unable to appropriate sufficient monies to have any appreciable impact upon the present backlog of close to $200 milliion in scientifically arrproved applications for research construction from universities, hospitals and non-profit foundations throughout the country: In every case, the construction application is accorapanied by detailed assurance that the local institution will provide 50% of the total ,,. construction money. In past years, local and private support under this program has exceeded the federal investment by a ratio of better than two to one. Is there a need to amend the Health Research Facilities Act? As far back as 1959, the Committee of Medical Consultants appointed by the U. S. Senate reported that the requirement of 50% matching from local institutions was unduly severe. The Committee of Consultants contended that only the wealthier states and the largcxuniversities could participate to a significant degree in~this program. As a result, there have been salvos of criticism from Congressional and other sources to the effect that our national medical research effort is increasingly concentrated in our larger
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6, . 14 7. CO:2,1IVICATIOTdS gap between the research investigator in the laboratory and the physician treating patients in the field. Over and above the problem of better co=nunications between,the ;rosQarch invcctigator and the practicing doctoro there is the vaat problem of providing better coannumications between the entire medical rapidly as possible. It has also called for the more imaginative use of closed circuit television and medical films in closing the commuzications The Reorganization and International Organizations Subcommittee of the Senate Government Operations Coum-ittee,'in many hearings and reports, has highlighted the problems created by our rapid accumul.ation of new research knowledge. It has focused particularly upon the extra- ordinary challenges created by the entrance onto the market of several hundred new drugs each year. .It has cal.led for a network of regional centers, using mo4ern computer and other techniques, to bring new information on drugs and other medications to the family physician as In recent years, the whole problem of better comnunications from the medical research co=unity to the private physician, and to the general public, has come to the fore. research com unity and the American people.
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ti'~ ,-•;.~ r 15 with the following Chairmen: Heart Disease - Dr. Irving Wright Cancer - Dr. Sidney Farber Stroke - Dr. John Meyer Research - Dr..Philip Handler , Manpower - Dr. Edward Dempsey Communications - Mr. EmersonFoote Facilities - Mr. Arthur Hanisch Rehabilitation - Dr. Howard A. Rusk Or g, nization and Activities of the CoirL*nission The Commission organized itself into the following SubconIInittees The Commission established the following methods of operation: 1. The collection of information from all agencies and gro4s concerned with these diseases through letters, staff visits, etc. 2. The holding of hearings at which expert witnesses from the widest possible range of interests, both public and private, present their views and discuss the issues involved. 3. The preparation of the report and its recommendations and their submission to the President. . As of the date of.this report, the Subcommittees have held fifteen days of uieetings.''Among those who have met with one or more of these - Subcomn.ittees are: Dr. E. Cowles Andrus, Professor Enieritus, Johns Hopkins University School of Medicine, Baltimore, Maryland Dr. Otis Andexson, American Medical Association, Washington, D. C. Dr. A. B. Baker, Profeeaor and Chairmn, Departmcnt of NBuroiogy, University of Minnesota, Minneapolis, Minnesota Dr. David Brand, Chief, Heart Disease Control Branch, Division of Chronic Diseases, Public Health Service, Washington, D. C. Q11 ~ Cd . . CL~ . . N
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:. 16 4 Foundation) Houston, Texas , Dr. Clifford Cole, Chief, Neurological andSensory Disease Service Program, Division of Chronic Diseases, Public Health Service, Washington, D. C. Dr. Russel W. Cumley, Executive Director, Medical Arts Publishirig Dr. L4cerson Day, Director, Strang Clinic, New York, New York Dr. D. Denny-Brown, Jarr.es Jackson Putnam, Professor of Neurology, Harvard Medical School, Harvard University, Bo$ton, Massachusetts Dr. Harold S. Diehl, Senior Vice President for Medical Research and Medical Affairs, American Cancer Society, New York, New York Dr. Paul Ellwood, Executive Director, Sister Elizabeth Kenny Foundation, Minneapolis, Minnesota Dr. Kenneth„Endicott, Director, National Cancer Institute, Bethesda,,Maryland _ Dr. C. Miller Fisher, Associate Clinical Professor of Neurology, Harvard Medical School, Boston, Massachusetts Dr. Aaron'Ganz, Head, Research.Ca-reer Section, National Institute of General Medical Sciences, National Institutes of Health, Bethesda, Maryland Dr. Eugene Guthrie, Chief, Division of Chronic Diseases,-Public Health Service, Washington, D. C:. Dr. Albert Heyman, Professor of Neurology, Duke U2liversity School of Medicine, Durham, North Carolina - Dr. Vane Hoge,-American Hospital Association, Washington, D.. C. Dr. Charles Huggins, Ben May Laboratory for Cancer Research, University of Chicago, Chicago, Illinois Dr. Charles Kane, Professor of Neurology, Boston University School of N.edicine, Boston, Massachusetts • Dr. Ralph Knutti, Director, National Heart Institute, Bethesda, Maryland Dr. Paul Kotiny Associate Director for Field Studies, National Cancer Institute, Bethesda, Maryland Dr. Edward J. Kowalewski, Chairza.n, Cozcmission on Environmental Medicine, American Acad.emy of General Practice, Kansas City, Missouri
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v • "V ~.O. V 17 Dr. Lyndon E. Lee, Jr., Chief, Extra-VA Research Division, Department of Medicine and Surgery, Veterans Adrilnistration, Washington, D. C. Dr. Joseph Leiter, Chief, Cancer Chemotherapy National Service Center, National Cancer Institute, Bethesda, Maryland Dr: Herbert Licthman, Medical and Research Director, Leukemia Society, Inc., New York, New York Dr. Herbert Locksley, Department of Neurosurgery, University of Iowa School of Medicine,.Iowa City, Iowa Dr. Char^p Lyons, Professor of Surgery, University of Alabama School of N:edicine, Birmingham, Alabama Dr. H'. Houston Merritt, Dean, Columbia University College of Physicians and Surgeons, New York, New York Dr. George E. Moore, Director, Roswell Park Memorial Institute, Buffalo, New York Dr. James 0'Leary, Professor and Chairman, Department of Neurology, Washington University, St. Louis, Missouri Dr. Irvine Page, Director, Research Divisiony Cleveland Clinic, Cleveland, Ohio Dr. Oglesby Paul, Professor of Medicine, Northwestern University School of.Medicine, Chicago, Illinois Dr. Paul Q.,Peterson, Associate Chief.for Operations, Bureau of State Services, Public Health Service, Washington, D. C. Dr. Harry T. Ph~J.lips, Director of the Division of Chronic DicGases, N';acsuchusetts Dci art=nt of Fublic Hoalth, Boaton, t+fab~acp.uset ta Dr. Lee Powers, Associate Director, Association of American Medical Colleges, Evanston, Illinois Dr. I. S. Ravdin, Vice President for Medical Affairs, University of Pennsylvania, Philadelphia, Pennsylvania Dr. Herbert Rosenberg, Chief, Resources Analysis Branch, Office of Program Planning, Office of the Director, National Institutes of Health, Bethesda, Maryland Dr. Joseph Sadusk, Medical Director, Bureau of Medicine, Food and Drug Administration, Washington, D. C.
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18 - Dr. A. L. Sahs, Professor of Neurology, State University of Iowa, Ames, Iowa Dr. ITarold W. Schnaper, Chief, Research in Internal 2~,~d'icine, 'Veterans Administration, Washington, D. C. D'.. Ja:nois Stitsnnori, D9.~.4%rsr, Ncitia:~l Inpt3tutoo of ~Ioalth, $ethesda, Maryland Dr. Murray J. Shear, Special Advisor, Intramural Research, National Cancer Institute, Bethesda, Maryland Dr. John F. Sherman, Associate Director, Extramural Programs, National Institute of Arthritis and Metabolic Diseases, Bethesda, Maryland Dr. M. B. Shir:~tin, Professor of Medicine, TenroLe University, School of Medicine, Philadelphia, Pennsylvania Col. Robert Shira, MC, USA, Chief of Dental Service, Walter Reed Arn;f Medical Center, Washington, D. C. Dr. Robert Siekert, Mayo Clinic, Rochester, Minnesota Dr. A. N. Taylor, Derart:r:ent of ::edica7l Education, American Medical Association, Chicago, Illinois .j Dr. James L. Troupin, Director of Professional Education, American Pub3iic Hea];.th Association, Nev York, New York Dr. T. Philip Waalkes, Associate Director for Collaborative Research, Natiora1 Cancer Institute, Bethesda, Maryland Dr. Shields Warren, Professor, Cancer Research Institute, Boston, Massachusetts N'.ra,. Margaret West, Assis',,ant Chief, Public Health Methods, Public Health Service, Washington, D. C. Dr. Robert W. Wilkins, Professor and Chzirman, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts Dr. Paul Ze.necnicR., Director, John Collins Warren Laboratories of C. P. Huntington Hospital of Harvard'University at Massachusetts General H'ospital, Boston, N':assachusetts Dr. Charles Gordon Zubrod, Director of Intramural Research, National Cancer Institute, Bethesda, Maryland Dr. Vladimir Zworykin, RCA I,3,bo3'atories,, Princeton, New Jersey
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Staff To support the.work of the Comuission the following staff was recruited: Stn#'f DirnGtar Dr. Abraham M. Lilienfeld, Professor and Chairman, Department of Chronic Diseases, Johns Hopkins University School of Hygiene, Baltimore, Maryland Executive Secretary Mr. Stephen J. Ackerman, Associate Chief for Planning and Analysis, Bureau of State Services (Commun3:ty Health), Public Health Service, U. S. Department of Health, Education, and Welfare Staff Associate Dr. John D. I T;irner, Office of the Director, National Heart Institute, Public Health Service, U. S. Department of xealth, Education, and Welfare Staff Assistants Dr. Nemat 0., Borhani, Head, Heart Disease Control Program, Bureau of Chroriic Diseases, California Department of Public Health, Berkeley, California Mr. Louis Carrese, Program~Planning Officer, Office of the Director, National Cancer Institute, Puolic Health Service, U. S. Department of Health, Education, and Welfare Dr. Naureen'Henderson, Associate Professor of Preventive Medicine and 14ar'1cI.e Scholar, University of Maryland School of Medicir.e, Baltimore, Maryland Dr. William L. Kissick, Assistant to the Special Assistant to the Secretary (Health and Xled3.ca]. Affairs), U. S. Department of Health, Education, and Wclfara Mr. Lealon E. tdartin, xnformatioa Officer, National. Heart Institute, Public Health Service, U. S. Department of Health, Education, and Welfare Dr. Bayard Morrison, Clinical Branch, Collaborative Research,'. National Cancer Institute, Public Health Service, U. S. 0 Department of Health, Education, and Welfare . .r~ ~ N~ N' O
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Mr. Horace G. Ogden, Information Officer, Bureau of State Services (Coumunity Health), Public Health Service, U. S.* Department of Health, Education, and Welfare ! Mr. Daniel Zwick, Office of Chief, Bureau of Medical Services, Public H'ealth Service, U. S. Department of Health, Education, and Welfare Dr. David Schottenfeld, Associate Director, Admitting and Diagnostic Clinic, Memorial Hospital, Now York, New York Staff Consultant Dr.'Morton L. Levin, Professor of Cancer Epidemiology, University of Buffalo School of Medicine, Buffalo, New York, SDecial Consultant Mr. Mike Gorman, Executive Director, National Committee Against~ Mantal Illness, Washington, D. C. 20
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PRESIDE.*1;1S CQ~*SISSI3h- ON F~",:.AttT DISUS,~',,' CANC.2.11 M STROK--'. + . Dr. Irving S. Wright (Chair~^...aa) Dr. Philip M. Handler (Chairman Dr. Paul Sanger Yr. J=os F. Oates Dr. J. Willis Hurst Gen. David Ssraotf Dr. Samue2 Bellot Dr. Fran:c HGrsta7l Dr. Helen Taussig Dr. R. Lee Clark Dr. HuZh fiussey Dr. Frank Horsfall Dr. Marion Fap Dr. Jano Wright Yx. M;sion Folson Dr. Charles Mayo Gen. Alflrcd Cz^aesither Gen. David Sarno.'f Dr. Sydney Farber (Chaizti=) Dr. Fdtiard Dcwpsey (Chairnan) Stroke Fr'.cilSti43 Dr. John S. Meyer (Chair~.o) . Mr. Arrt~,ur Fs.-iiach (Chairm.an Dr. Howard RusY ..Mr3. Floreace Mshoney Dr. E. M. Parper Dr. Howard Ru: k (C'•.«:ir-,.~a) Mr. Marion Folscm Mrs. Harry 'k-.=:.a G ~; •~~. x -r ~-t~''k,. :j :.; ~: _:.?

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