Tobacco Documents Online

0 • Profile of Dr. John Slade CAREER Current: • Professor of Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, in New Brunswick • Founder and current Chair, Committee on Nicotine Dependence of the American Society of Addiction Medicine (ASAM) , Fellow, ASAM and, since 1988, has assisted ASAM with its annual Clinical Conference on Nicotine • Associate Editor, Tobacco Control Former: • Professor and Internist, St. Pefer's Medical Center, New Jersey • Professor, Rutgers University, New Jersey • President, Stop Teenage Addiction to Tobacco • Chairman, New Jersey Commission on Smoking OR Health In addition: Dr. Slade has also established a lending library of tobacco company promotions for use by public health authorities and members of the media. ISSUES OF INTEREST FDA regulation of all products containing nicotine Addiction Smoking cessation Prohibition/regulation of cigarette advertising Youth smoking Advertising of and youth/minority consumption of beer N O W • 6WY ~ N .P W -1-

, SELECTED MAJOR PUBLICATIONS . 1. "Tobacco Product Regulation: Context and Issues" Food Drug Law Tournal Supplement. Co-authored with Jack Henningfield (1988) "Provides an overview of the practical implications of past and current regulatory approaches to tobacco products and highlights some of the questions, issues and alternative strategies that policymakers in this areas face." The report recommends FDA regulation of all products containing nicotine. 2. Smoking and Tobacco Control Monograph #9: Cigars Chapter 7: Marketing and Promotion of Cigars (April 1998) Examines the recent commercial history of cigars in the US. Also examines sales patterns, advertising and promotional activities. - 3. "Reducing the Addictiveness of Cigarettes" Tobacco Control Volume 7. Co- authored with Jack Henningfield, et al. (1998) "Addresses the feasibility of reducing tobacco-caused disease by gradually removing nicotine from cigarettes until they would not be effective causes of nicotine addiction." The report makes recommendations that were adopted by the AMA as policy, including FDA regulation of products containing nicotine and expanded access to smoking cessation treatment. 4. The Cigarette Papers Co-authored with Stanton Glantz, et al. (1995) Authors examine secret internal industry documents plus documents subpoenaed by Congress in an attempt to support claim that B&W and the industry concealed the truth regarding the health hazards of tobacco products. 5. Nicotine Addiction: Principles and Management Co-edited with C. Tracy Orleans (1993) Presents an overview of the biological, psychological and social factors that contribute to nicotine dependence including such topics as a description of nicotine delivery systems, psychopharmacology, economics, natural history and epidemiology, mortality, morbidity, and environmental tobacco smoke exposure. Also offers practical guidelines and tools for treating nicotine dependence and N describes a stepped-care treatment model with brief interventions that can be easily Q 00 integrated into routine medical practice. -i w rn =- ~ N ~ .p -2-

• SELECTED QUOTES FROM VARIOUS MEDIA 1. Slade, a former smoker, also signed forms with his own name and the names of friends, relatives and fictional people in order to get on tobacco company mailing lists, he said. "I realized as I looked at the tobacco problem that advertising was a big part of the problem," Slade told the judge. "Joe Camel materials are more abundant in my collection than other brands because there has been more of an outpouring of those items."1(The Associated Press, November 10, 1998) 2. "This [Accord] is a high-tech gizmo that looks a little like a toy. It may cost a few dollars to get involved, but kids buy higher-priced sneakers. And it has some advantages that regular cigarettes dori t. It might well be easier to smoke this in the bathroom and not get found out.iz (The Today Show, October 23,1997) 3. "You can't ever make tobacco smoke totally harmless, but you can make it less harmful. There are technologies that will reduce the poisons in smoke.i3 Qe Florida Times-Union, July 6, 1997) 4. "I think the industry would like to turn over a new leaf, but I don't think they know how to escape the past," said Slade. "That's why we need a statement of responsibility, not for the emotional satisfaction but because we need to have a new • relationship with each other and we can only build that if we are honest with each other."' (The Washington Post, April 27,1997) 5. "You could set ceilings for permissible levels of toxins," Slade says. In the case of soot, (Slade prefers this term to "tar," which technically includes some ingredients, like glycerin; that don't seem especially harmful.) the ideal level would be zero. A less draconian (and probably less effective) alternative would be the "market approach" now in vogue with regulators. "Government," Slade says, "could impose heavier taxes on sootier cigarettes than on less sooty cigarettes.i5 (US News and World Report, December 30, 1996) "Tobacco companies have never had much incentive to develop products that have low toxicity because smokers prefer the taste of sooty cigarettes. But the companies would if government were to demand fewer toxins. Auto companies came up with new technologies for cleaner-running cars only after the government set tight auto emissions standards. If General Motors can build electric cars, Philip Morris ought to be able to come up with a decent-tasting, nonlethal cigarette."5 (US News and World Report, December 30, 1996) 6. Dr. John Slade conducted a nationwide survey of youths between the ages of 12 and 17. His findings, reported last year by Consumer Reports, said 11 percent of the • youths surveyed owned at least one promotional item from a tobacco company. Based on those results, Slade estimated there are 1.6 million teen-agers getting goods -3-

0 • • from Reynolds, Philip Morris USA and other tobacco companies 6(The Richmond Times Dispatch, Apri113,1996) 7. "Young people who are already regular users have been largely ignored by the tobacco-control movement," " said Slade, a nicotine addiction expert, who has long argued the inconsistency of treating nicotine addiction as an adult disease, since 91.3 percent of adult smokers admit they tried cigarettes before age 20, and 77 percent say they were daily smokers by then. "Thus, even though most of the severe consequences appear only after.decades of use, addiction to nicotine is, at its core, a pediatric disease," Slade wrote in the journal Adolescent Medicine in June 1993.' St. Louis Post-Dispatch, March 20,1995) 8. Mr. Unger had the children examined by John Slade, M.D., an Associate Professor of Clinical Medicine at the University of Medicine and Dentistry of New Jersey. For seven years, his interest has been addiction problems, especially alcohol and tobacco. Dr. Slade reported that his examination of C.W. revealed a chronic, persistent, productive cough, which suggests a chronic bronchitis. He stated to a reasonable degree of medical certainty that tobacco smoke had contributed to this problem. Dr. Slade testified, relying on a report issued by the United States Environmental Protection Agency (EPA) in December, 1992, Respiratory Health Effects of Passive Smoking: Lung Cancer and Other Disorders. Dr. Slade found that C.W. had had 27 visits to doctors dealing with respiratory problems. He found that B.B. had had 38 visits to doctors for respiratory complaints. He concluded that ETS was a factor in the health problems of both children. Dr. Slade further testified that ventilating systems, such as the purifier Mrs. Unger had in place do not completely eliminate the dangers of ETS, and that smoke dissipates within eight to ten hours in an ordinarily ventilated area. He recommended that the home and car be smoke free at all times B(New Jersey Law ournal July 25,1994) 9. "The regular use of alcohol in our culture leads to addiction about 10 percent of the time, while the regular use of nicotine leads to addiction in the range of 70 percent of the time."' (National Public Radio Morning Edition, May 9,1994) "When the American soldiers who had become addicted to opiates in Vietnam returned back to the U.S., many of them spontaneously stopped using heroin. And my understanding is that the rate of recovery without any formal treatment was about 30 percent a year. Compare this with one or two percent a year of people who -4-

! are able to stop smoking. It's a settled issue. Nicotine is an addicting drug."9 (National Public Radio Morning Edition, May 9,1994) 10. "Cigarette manufacturers imply their products are safe by reducing tar and making other minor alterations. But these are not public health efforts to ensure the product is genuinely safe in the same sense the Consumer Product Safety Commission or the Food and Drug Administration insists products be safe," noted Slade. He added, "as long as the product remains essentially unregulated, the industry is free to make little modifications to make it less offensive and more appealing, competing, not so much with other brands of cigarettes, but with quitting smoking or not smoking at all.i10 (Alcoholism and Drug Abuse Week September 25,1991) 11. "If Philip Morris really wanted to act responsibly, it would not advertise to children, and it would give all the money it has made on illegal, underage, dangerous, addicting drugs to the Department of Health. For Philip Morris, the Bill of Rights is a scoundrel's refuge."" (PR Newswire, December 12, 1990) 12. Dr. John Slade reported at the 1989 National Conference on Nicotine Dependence in San Diego, California, that tobacco smoking teaches drug acquisition skills to the youth. He said, "For the most part, they're illegal for kids to buy. In addition, kids who smoke get firsthand experience in using a substance to adjust emotional states." ~ Slade reports that tobacco use teaches drug-taking skills and that tobacco use promotes an attitude that fosters other drug taking behaviors.1z (The San-Diego Tribune, September 8,1990) N O ~ W • O 0) 4 N ~ 4 -5-

0 • References 1. Burrell, Cassandra. "FTC judge considers effects of Joe Camel advertising." The Associated Press 10 November,1998. 2. "Philip Morris to begin testing new cigarette on consumers " Reporter. Bob Kur. The Today Show NBC. New York City. 23 October, 1997. 3. "Tobacco industry regulation may lead to safer cigarettes." The Florida Times-Union 6 July, 1997. 4. Frankel, Glenn. "Money Is Tipping Big Tobacco's Scales; Weighing Cash Now for Profit Later." The Washington Post 27 Apri1,1997. 5. Noah, Timothy. "How to reduce deaths from tobacco? Duh. Take the toxic stuff out of cigarettes." US News and World Report 30 December, 1996. 6. Jones, Chip. "Free camels mailed to youth; parents find it tough to get son off list." The Richmond Times Dispatch 13April,1996. 7. Hearn, Wayne. "Never too young; stop-smoking campaigns have largely ignored kids who are addicted." St. Louis Post-Dispatch 20 March, 1995. 8. Chenoweth, P.R. "CUSTODY -- Cigarettes -- Matrimonial Law - Smoking" New Tersey Law Journal 25 July, 1994. 9. "Defining Addiction When Nicotine's the Drug in Question." Host. Richard Harris. National Public Radio Morning Edition 9 May, 1994. 10. "Tobacco industry a'disease,' says conference speaker; Fourth National Conference on Nicotine Dependence, Raleigh, NC, September 13-15,1991." Alcoholism and Drug Abuse Week 25 September, 1991. 11. "Nonprofit health agencies, public figures speak out against Philip Morris tour." PR Newswire 12 December, 1990. 12. Fitzsimmons, Barbara. "Cigarettes are seen as gateway for kids to more potent drugs." The San-Diego Tribune 8 September, 1990. h1 ~ 0 O i - W ~ V N -Ph - 6 - oo