Philip Morris
Observations on the Fifth World Conference on Smoking and Health by A Consultant Winnipeg, 830700
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- Attachment
- 2501021486/2501021725
- Type
- SPCH, SPEECH, PRESENTATION
- Area
- CORPORATE AFFAIRS/EU ARCHIVE
- Litigation
- Stmn/Produced
- Site
- E26
- Master ID
- 2501021486/1725
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- Named Organization
- 5th World Conference
- American Cancer Society
- Ash, Action on Smoking & Health
- Fao, Food and Agriculture Org
- Mormons
- Ms Magazine
- Sida
- Stockholm Conference
- Un, United Nations
- Unctad
- Who, World Health Org
- Winnipeg Conference
- World Council of Churches
- American Cancer Society
- Request
- Stmn/Rl-003
- Stmn/R1-093
- Named Person
- Aghi, M.B.
- Bjartveit, K.
- Bulka, R.P.
- Califano, J.
- Chapman, S.
- Claimonte, F.
- Daube, M.
- Eide, I.
- Godber, G.
- Haggart, A.
- Jacobson, R.
- Lewis
- Ramstrom, L.
- Sherif, O.
- Soper, F.A.
- Vincent, R.
- White, P.
- Young, G.
- Bjartveit, K.
- Date Loaded
- 05 Jun 1998
- UCSF Legacy ID
- nex19e00
Document Images
- 11 -
tant lifestyles, promoted by middle-class professions,
bureaucrats and assorted do-gooders. Politically, working-
class voting patterns in several Western democracies
(notably the United States, Britain and West Germany)
demonstrate this resistance. It is at least possible that
working-class culture will also continue to resist the
imposition of a non-smoking lifestyle by upper-middle-class
professionals and government bureaucrats.
The religion theme :
The session devoted to this ("Smoking and Religion") was
chaired by a Dr. Omar Sherif (sic) , an Egyptian cancer
surgeon. There was only a handful of people attending.
This evident lack of interest may lead one to dismiss the
theme as a non-starter; this may be premature, if the theme
is taken up again and pushed by those in charge of anti-
smoking activities; more on this below.
Be this as it may, the session in itself was fairly
grotesque. Sherif, correctly enough, opened the session by
saying that this was the first time that religion was
discussed in an international conference on smoking.
He expressed the belief that this could initiate "a
new avenue to reach the masses" in the

anti-smoking cause. He then discussed Islam in relation to smok-
ing. He argued, with reference to some (to my knowledge, marginal)
authorities on Islamic law, that smoking was contrary to Islam
because it is an intoxicant harmful to health (thus, by analogy,
falling under the Quranic prohibition of alcohol). He made refer-
ence to a meeting on the topic recently held in Medina (no less);
he was a member of this group, which, according to him, concluded
that smoking was indeed to be proscribed.
Sherif was followed by one R. P. Bulka, a Canadian
rabbi, whose argument was very similar. While traditional Jewish
law did not mention smoking, one could reason by analogy: Harming
innocent others and committing suicide were both contrary to
Jewish law, and smoking could be subsumed under both these behav-
ioral categories. This argument was buttressed by various tradi-
tional citations. Bulka admitted that his position was not at
all common among rabbis, but expressed the hope that it would
gain credence as the harmful effects of smoking became more gener-
ally known or acknowledged within the rabbinical community.
Christianity was represented in this anti-smoking ecumen-
ical troika by three speakers - F. A. Soper, director of the
Seventh-Day Adventist "5-day plan to stop smoking"; R. Vincent, a
Mormon physician; and A. Haggart, an Anglican bishop from Scotland.
Both Soper and Vincent reiterated the theological/ethical position
on smoking long held in their respective denominations, as a
violation of the body created in the image of God. Soper
Z501021696

emphasized that, quite apart from practical health reasons, abstin-
ence from smoking was a spiritual goal. Vincent spent the bulk
of his time presenting data on the superior health of Mormons (to
my knowledge, these data are correct), which he attributed not
only to non-smoking but to various other health-producing aspects
of the Mormon way of life.
Haggart's presentation was rambling, very poorly organ-
ized (he was actually supposed to be a discussant of the preceding
four papers, but, as an Anglican, had little to say about them).
He regretfully reported that smoking was hardly an issue in the
mainline Protestant and Catholic churches. He ended with a "con-
fession of guilt and promise of amendment", and with the not very
confident intent to push the anti-smoking agenda in church circles
(such as the forthcoming assembly of the World Council of Churches).
Taken by itself, this session would lead one to the
conclusion that nothing much is to be expected by way of anti-
smoking activities by religious groups. Both Sherif and Bulka
represent minority viewpoints within their own communions (in the
case of Bulka, this minority is very small indeed). The anti-
smoking positions of Adventists and Mormons are long-standing and
well-known, and are very unlikely to influence anyone outside
these denominations. And Haggart hardly appeared as a herald of
a new wave of concern among mainline Christians.
For the moment, this may well be a correct conclusion.
However, I would suggest some caution, for two reasons. One (and

by far the more important one): Sherif may still represent a
minority viewpoint within the Muslim world. However, as was
pointed out both by himself and by a member of the audience (an-
other Egyptian physician), there are data showing that non-smoking
is strongly correlated with strong adherence to Islam, especially
among young people (the data mentioned are from Egypt). I know
from other sources that abstinence from smoking is part of the
lifestyle urged on their members by fundamentalist Muslim groups
in several countries (for example, Pakistan and Malaysia). It
follows, therefore, that Sherif may be quite correct in surmising
that the anti-smoking cause could have considerable appeal to the
Muslim "masses" - or, more precisely, to fundamentalist Muslim
groups. Since such groups are a very powerful presence in most
Muslim countries, the little gathering at Winnipeg could con-
ceivably be the beginning of a much more serious development. In
that context, it could be significant that the session was chaired
by a Muslim.
Two (and this is the less important reason): Mainline
Christianity, both Protestant and Catholic, has become very sus-
ceptible to rhetoric attacking multinationals and endorsing the
interests of the Third World. It is at least possible, if efforts
are mounted to this end, that anti-smoking could become incorpor-
ated within the general anti-capitalist/Third-Worldist agenda of
various Christian organizations. At the moment, this does not
seem terribly likely; these organizations are preoccupied with

other concerns ("peace", "social justice",
"equality", and so
on). But the possibility of anti-smoking creeping into their
agendas cannot be summarily dismissed.
The feminism theme: The session devoted to this theme
("Smoking and Feminism") was very well attended (a majority of
women, but considerable male attendance as well). It was chaired
by Bobbie Jacobson (a British physician, active in both feminist
and anti-smoking activities, and author of The Lady-Killers, a
little book that was for sale at the conference). Jacobson (an
evidently self-satisfied individual, bursting with energy) ran a
brisk meeting, introducing speakers (all women) by their first
names (standard feminist etiquette) and injecting forceful com-
ments of her own. In ringing tones, she began by declaring that
the anti-smoking movement must no longer be run by "middle-class,
middle-aged, white men"; instead, the session was run by middle-
class, middle-aged and (with one exception) white women.
The most interesting problem of this session was one of
(so to speak) ideological dissonance: The data about smoking
women would seem to indicate that smoking is correlated with
emancipation; if so, here is something that feminists generally
applaud; it is, therefore, necessary to dispute the notion (appar-
ently expressed by some) that feminism is to be blamed for women
smoking so much. The basic ideological thrust of the session was
to argue that, on the contrary, women's smoking is an additional

oppression (presumably foisted upon them by men) , and not to be
confused with genuine liberation.
Jacobson initiated this thrust by referring to the
three groups singled out by the conference - women, children and
Third World people - as "the three most underprivileged groups in
the world". She insisted that there was no evidence that women
smoke in order to relate to the world in a masculine way; on the
contrary, "women smoke like women and die like.women"; this sen-
timent was much applauded by the audience (most of which was very
much in tune with Jacobson's fervor).
Then came several presentations. Ingrid Eide (a Norwe-
gian sociologist and former government official) presented data
on women and smoking, from a Norwegian study. Based on criteria
of age, education, location and occupation, Eide had constructed
an "index of emancipation", on the basis of which she concluded
that the most "emancipated" women were not over-represented among
heavy smokers. She also reported on another study, which
supposedly shows that feminists are under-represented among daily
smokers but ("unfortunately") over-represented among overall
smokers. Eide concluded that her data show that feminism cannot
be blamed for increased smoking among women.
It is difficult to evaluate these data without more
knowledge about them. But in my opinion the "index of emancipa-
tion" is not very convincing; as to the data, I suspect that they
simply reflect the class bifurcation in the smoking population -
2501021700

since feminists tend to be upper-income individuals, they will
naturally smoke less than lower-income individuals. This would
mean that Jacobson and Eide are quite right that feminism per se
cannot be "blamed" for women's smoking; this, though, is rather
besides the point; the point is that women, and especially working-
class women, smoke more as they enter the labor force - and that
has been one of the goals of the feminist movement.
There was a purely factual report on smoking and women
in India, by M. B. Aghi (of the Tata Institute, Bombay). Virginia
Ernster (a professor of public health from UCLA) gave a witty
presentation, with slides, of changing images of women in tobacco
advertising - the main point being, of course, that women were
"exploited" in a sexist mode in this advertising. Pattie White
(an ASH activist from Britain) argued that smoking represented
women's place in society - again, of course, a place of under-
privilege/exploitation. She related (convincingly) data on smok-
ing to the desire of women to remain thin. She attacked "male
bias" in research on smoking and women, though it was not very
clear in what that bias consisted. She also confirmed that smok-
ing was higher among women in the labor force.
The discussion was spirited, with an obviously engaged
and concerned audience. The data on women and work were obviously
disturbing, from a feminist point of view, and there was the
evident need to "explain" these data in feminist terms - a not
very easy undertaking. Eide took a leading role in these efforts.

There were complaints that the feminist movement has
generally been indifferent to the smoking issue. For
example, it was reported that attempts to get Ms. Magazine
to drop its (allegedly) pro-smoking slant have been
unsuccessful. There was applause, though, when one member
of the audience reported that the forthcoming new edition of
the feminist health-bible, Our Bodies, our Selves, will
include a chapter on smoking. After the discussion, the
session broke up into workshops that mainly dealt with "how
to" questions of organisation and propaganda.
I'm not sure what to make of all this. As several speakers
themselves stated, anti-smoking is not a prominent issue
within the feminist movement either in North America or in
Europe. I could well imagine though, that it could become
more important. The class location and the general
ideological posture of the movement makes it natural "soil"
for anti-smoking sentiments. There are themes with an
affinity to anti-smoking already strong in the movement - a
generalized sentiment of being put upon by male-dominated
institutions, and thus a readiness to identify with other
categories of alleged "victims" (I would suggest the concept
of victimological amalgamation for this); ergo, a tendency
to come out on the Left on miscellaneous political issues
(for example, the "gender gap" on economic and defense
issues in the U.S.); this would lead to a perception of the
tobacco industry as one more case of predatory capitalism,
which is supposedly a key cause for the oppression of women.

My guess would be, though, that it would be on the positive
rather than the negative side that feminists would come out
on in terms of anti-smoking. That is, feminism would be
perceived as linked to a non-smoking lifestyle - with the
implications discussed above.
In this connection, I will allow myself a general
sociological hypothesis here: The anti-smoking cause is part
of a much larger ideological configuration, which is marked
by a tendency toward hypochondriacal and paranoid
perceptions of the world. Therefore, the readiness of
groups to adopt the anti-smoking cause may be predicted by
the degree of proclivity toward such perceptions (no matter
with what specific contents) that a group already has.
So much for religion and feminism. There was one other new
ideological theme, that of smoking among minorities. The
session devoted to this theme was not only very sparsely
attended, but the papers supplied straightforward
information (such as on smoking rates among American blacks)
with very little ideological payoff. I can only guess why
this theme was included in the program - either for token
reasons, or as yet another attempt
to expand the
anti-smoking constituency by the strategy of what I have ~
just baptized as "victimological amalgamation". If the ~
Q
latter was the intention, it flopped. ~
~
C
Lh?

- 20 -
In my observations of Stockholm, I had spent some time
discussing ideological linkages of the anti-smoking cause -
such as Third Worldism, anti-capitalism, environmentalism
and consumer protection. All these linkages continue to be
visible, thus placing the anti-smoking cause broadly
Left-of-center in terms of conventional Western politics.
However, the emphasis on health is so overriding and the
explicit Marxist or even quasi-Marxist themes so muted that
most Right-of-center people would have little difficulty
affiliating with the cause, as long as they were persuaded
of its cognitive assumptions concerning the health efforts
of smoking. To put it crudely, being against lung cancer is
not necessarily a Leftist position. The healthful/youthful/
with-it lifestyle that is now intended to incorporate
non-smoking as one of its features could also go quite
comfortably with Right-of-center politics (Republicans do
jog, eat health foods, and - sad to say - have been known to
be both hypochondriacal and paranoid); an older American
movement, the campaign against fluoridation, may serve as an
example of such linkage between health cultism and Right-
leaning politics. I do suppose that Right-of-center
adherents of the cause would be less enthusiastic about the
role of government in controlling smoking and more inclined
toward voluntarism in this area; take that as a hypothesis.
Institutionally, the linkage with consumer protection
appears to have been strengthened (thus a number of papers
mentioned anti-smoking actions by consumer groups - for
example, in Malaysia).
