Tobacco Institute
Remarks by Charles a. Lemaistre, M.D.
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Annotations
- 1. American Cancer Society Author
- Affiliation:
American Cancer Society
- Affiliation:
- 2. Lemaistre, C. Author
- Affiliation:
Coalition Smoking Health
- Affiliation:
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REMARKS BY CHARLES A. LeMAISTRE, M.D.
TUESDAY, MAY 29, 1984
NEW 3
SERVICE
Good morning. On behalf of the Coalition on Smoking OR
Health, I thank you for attending this news conference. I am
Charles LeMaistre, a physician, and president of the University
of Texas System Cancer Center in Houston, Texas. I've been
asked by the Coalition to present the response of the American
Heart Association, the American Lung Association, and the
American Cancer Society to the welcomed challenge from the
Surgeon General of the United States.
On May 20th Dr. C. Everett Koop announced a goal for all
Americans - a "smoke-free society" by the year 2000. Dr. Koop
then called upon the Coalition to be the first to join him and
take up this challenge.
Today, the member volunteer health agencies of the Coali-
tion on Smoking OR Health announce their unity and their deter-
mination to assist Dr. Koop and rid America of the single most
preventable cause of illness -- and the greatest threat to
American health -- cigarette smoking.
One third of all cancers, more than 80% of chronic lung
disease, and a significant segment of coronary heart disease
would disappear in a smoke-free society. The unnecessary loss
of the lives of 1,000 men and women each day -- lost because
of cigarette smoking, can be prevented by action now - action
to inform those who have yet to decide.
Over twenty years ago, I was privileged to serve on the
Surgeon General's Advisory Committee which presented to Dr.
Luther Terry the first Report on Smoking and Health. Not one
conclusinn has been refuted; indeed all of the conclusions have
been rearzir:ned and enhanced in the last twenty years; yet we
do not have a smoke-free generation of Americans.
The National Conference on Smoking OR Health in 1981
forged a major commitment to political and social action on
smoking. The Conference called on the country's three largest
voluntary health agencies - whose representatives are here
today - and asked them to take leadership in establishing a
.._=tiona'_ coalition, based in lrashinator., to work together on
legislation and regulation regarding smoking and public policy.
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That Coalition was formed. It has been most effective in
achieving landmark legislation regarding cigarette smoking and
today adds to its mission the role of mobilizing these three
organizations of volunteers to achieve a "smoke-free young
America" by the end of this'century.
The ACS, ALA and the AHA have committed to develop and
coordinate the most powerful education programs to inform young
Americans. We will seek the help of schools, churches, PTAs,
family physicians, family units and the nation's largest youth
groups in this effort.
An example of this coordinated approach is the joint spon-
sorship of a November 15th Public Broadcasting System national
television special on smoking called "Breathing Easy," directed
to teens and their families.
The past educational programs of the three agencies pre-
sented individually, have been, in large part, responsible for
the overall decrease in the teenage smoking rate. We expect
our unified approach can accelerate the decline and help reduce
the teenage rate to near zero by the year 2000.
Learning to smoke takes place in childhood or adolescence.
The matter is largely settled by the teens.
Our strategy will be directed to convincing young people
not to smoke. We will seek to change the behavioral factors
that lead young people to cigarette addiction. Discouraging
young people - yes, even children - from smoking is essential
to our strategy. Success will be dependent upon our ability
to continue to convince parents, teachers, public figures and
health professionals that their example as non-smokers is
important to ward off the seductive enticements of cigarette
industry promotions that produce the peer pressure.
Social conscience rather than legislation will be the
single most important determinant of our ability to achieve
a smoke-free society. Our announcement today of the commitment
to coordinated, expanded action to bring about America's first
smoke-free generation envisages several specific actions.
Among these are:
1. Comprehensive health education, kindergarten through
grade 12, to provide young people with the established facts
of the health consequences from smoking cigarettes;is of para-
mount importance in the educational program.
2. We must eliminate the use of models in cigarette adver-
tising. Ca_^_ trere be any doub". that the psychological and
social needs exploited by these ads showing attractiveness,
social acceptability, virility, athletic prowess, economic
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achievement, and... in a more covert way, sexual success, are
deliberate attempts to lure teenage smokers?
3. We must put an end to the sponsorship of sports, music,
and cultural programs by cigarette companies. Tie-ins with
these events surround young people with images of smoking.
Tobacco company logos are on all promotional materials. Ads
for cigarettes on huge billboards are visible in televised
sports events.
4. We must call a halt to the inclusion of unnecessary
smoking scenes in programs on television. The presentation of
smoking as an innocuous and acceptable part of normal lives is
not consistent with the truth, and is particularly confusing
to the young. .
5. We must put an end to smoking in the nation's schools.
Community acceptance, especially by educators, of teenage smok-
ing as normal and not as antisocial behavior defeats the credi-
bility of school health education programs and turns existing
regulations into futile gestures.
6. We must put an end to cigarette sampling. This industry
practice of enticing the smoking habit by giving out free cig-
arettes in the streets, at sports events, state fairs, rock
concerts and through direct mail offers must cease.
7. We must insist on stronger warnings for cigarette
packages and ads. The case for stronger warnings is strength-
ened by misleading tobacco advertising campaigns, denying the
overwhelming medical evidence and diverting attention from
the established causal relationship linking smoking to disease.
Passage of the proposals now before Congress is an important
first step.
8. We must put an end to widespread sales of cigarettes to
minors. Despite the regulations restricting such sales,
adolescents have little trouble buying cigarettes in most
retail outlets - or - they can easily buy them in vending
machines.
Cigarette marketing strategies promote social acceptability
of smoking. And these strategies attempt to make smoking re-
spectable.
These.images being planted in the minds of young people
must be contested by the known facts and by de-glamourizing
smoking and the smoker. Smoking as an expression of identity
is not longer tolerable in our society.
Dr. Koop is a leader of this country's great scientists
and physicians whose diliqent labors have unmasked the role of
smoking in disease. The Coalition on Smoking OR Health is
delighted that he has taken on this additional leadership role
and eagerly joins his campaign.
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