Tobacco Documents Online

TgMIS 449694

"The purpose of the 3rd World Conference on Smoking and Health is: to assess the trends in smoking around the world; to assess the meas- ures which have been employed to curb smok- ing and safeguard the health of the population from the hazards of smoking; and, then, to pro- pose ways to advance the effectiveness of these measures to the highest levels possible." 3rd World Conference on Smoking and Health Planning Committee September 27, 1973 TIMN 449695

3rd World Conference on Smoking and Health Sponsored by American Cancer Society National Cancer Institute (U.S.A.) In cooperation with: American Heart Association American Lung Association American Medical Association Health Education Council (UK) International Union Against Cancer National Cancer Institute of Canada National Clearinghouse for Smoking and Health (USA ) National Heart and Lung Institute ( USA ) National Interagency Council on Smoking and Health ( USA ) Pan American Health Organization World Health Organization Waldorf-Astoria Hotel New York City June 2-5,1975 TIMN 449696

3rd World Conference on Smoking and Health Chairman: Sir George E. Godber, G.C.B., D.M., F.R.C.P. Planning Committee Dr. David T. Carr, Chairman Dr. Mikhail A. Akhmeteli Dr. Stephen M. Ayres Dr. Sol R. Baker Dr. William Carlyon Dr. Charles M. Fletcher Mr. Emerson Foote Dr. Donald T. Fredrickson Dr. Gio B. Gori Dr. E. Cuyler Hammond Dr. Daniel Horn Mr. Walter G. James Dr. Daniel J. Joly Mr. Harry Milt, Coordinator Dr. Donald C. Kent Dr. Claude Lenfant Mr. Sol S. Lifson Dr. A. Helen Martikainen Dr. Alton Ochsner, Jr. Mr. Clifton Read Mr. Irving I. Rimer Mr. Roger W. Schmidt Dr. Jesse L. Steinfeld Dr. Robert M. Taylor Dr. Luther L. Terry Dr. A. P. Woudenberg Dr. Ernst L. Wynder 2

Conference Format The conference will begin 9:30 Monday morning, June 2, and end at noon Thursday, June 5. All sessions and functions will be held in the Waldorf Astoria Hotel. The conference will open in a plenary session for all par- ticipants, Monday morning, June 2. Monday afternoon, the conference will break into five separate sections, running concurrently and independ- ently, through Wednesday afternoon, June 4.: Section I-liealth Consequences of Smoking (p. 6) Section II -Modifying the Risk (p. 9) Section III-Education on Smoking (p. 12) Section IV-Cessation Programs (p. 16) Section V -Governmental and Social Action (p. 19) Thursday morning, June 5, the five sections will disband, and all participants will come together for the closing plenary session. Each participant has been asked to designate the section to which he or she would prefer to be assigned; also, to list second choices. In all but a very few cases, the first choice has been honored. TO AVOID CONFUSION AND DISORGANIZATION, CONFEREES ARE URGED TO REMAIN WITH THE SECTION TO WHICH THEY HAVE BEEN ASSIGNED: . In addition to the working sessions, there will also be two general functions: An informal reception, Monday evening, June 2. A luncheon Tuesday, June 3, at which the special guests will be the Advisory Committee to the Surgeon General, U.S. Public Health Service, and the Surgeon General, authors and sponsor of the historic report in 1964, SMOKING AND HEALTH. 3 TIMN 449698

3rd World Conference on Smoking and Health Opening Plenary Session 9:30 a.m., June 2 The Grand Ballroom Chairman: Sir George E. Godber, G.C.B., D.M., F.R.C.P. Call to order Opening address David T. Carr, M.D. Theodore Cooper, M.D. Assistant Secretary for Health, Department of Health, Education and Welfare Greetings Greetings Response Introduction of Cooperating Organizations Address: The Hazards of Smok- ing; The Benefits of Stopping- The Scientific Evidence to Date. Address: The Worldwide Cam- paign Against Smoking Address: Smoking and Health Conference Procedure Guy R. Newell, M.D. Deputy Director National Cancer Institute Lane W. Adams Executive Vice President American Cancer Society Alton Ochsner, M.D. By the Chairman Jesse L. Steinfeld, M.D. Sir George E. Godber Thomas Nesbitt, M.D. Speaker, House of Delegates American Medical Association David T. Carr, M.D. 5 TIMN 449699

Section I Health Consequences of Smoking This section will open with a general session Monday afternoon, June 2, in which review papers will be given on the effects of smoking in relation to cancer, pulmo- nary disease, cardiovascular disease, pregnancy, the pas- sive smoker, and the benefits of stopping. Tuesday morning, June 3, this section will divide into sub-sections. The sub-section on Smoking and Cancer will have ses- sions Tuesday morning and afternoon, June 3, and Wednesday morning, June 4. The sub-section on Smoking and Pulmonary Disease will have sessions Tuesday morning and Tuesday afternoon, June 3. The sub-section on Smoking and Cardiovascular Disease will have one session Wednesday morning, June 4. The sub-section on Smoking and Pregnancy will have one session Wednesday morning, June 4. There will be no separate sessions on the Benefits of Stopping or on the Passive Smoker. On Wednesday afternoon, June 4, the entire section on Health Consequences of Smoking will reconvene for evaluation, summary and recommendations. Thursday morning, June 5, all sections will come to- gether for the closing plenary session of the entire conference. Monday June 2 General Session: REVIEW OF RESEARCH 1:30 to 5:00 Chairman: Jesse L. Steinfeld Hilton Room 6 1. Consequences of Smoking: Cancer. E. Cuyler Ham- mond 2. Consequences of Smoking: Pulmonary Disease. Charles M. Fletcher 3. Consequences of Smoking: Cardiovascular Disease. Jeremiah Stamler 4. Consequences of Smoking: Pregnancy. Neville R. Butler 5. Consequences of Smoking: The Passive Smoker. David M. Burns 6. Benefits of Stopping: Daniel Horn TIMN 449700

TuesdayJune3 Sub-Section A: SMOKING AND CANCER 9:00 to 12:00 Chairman: E. Cuyler Hammond Hilton Room Studies on the Lung 1. Overview: Impact of smoking on the occurrence of " cancer. E. Cuyler Hammond 2. Japanese study: Smoking in relation to death rates from cancer. Takeshi Hirayama 3. Epidemiological evidence on relation between smok- ing habits and lung cancer. Marvin A. Schneiderman 4. Smoking in relation to histologic changes in bronchial epithelium. Oscar Auerbach 2:30 to 5:30 5. Cytological changes in relation to smoking. Geno Hilton Room Saccomanno • 6. Discussion of evidence on smoking and lung cancer. N. N. Napalkov Sites Other Than Lung 1. Smoking in relation to cancer of the mouth, tongue and lip. Condict Moore 2. Smoking in relation to cancer of pharynx, larynx, esophagus, bladder and other sites, except lung. Ernst L. Wynder Wednesday June 4 General and Theoretical 9:00 to 12:00 1. Multiple factor interaction. Irving J. Selikoff Hilton Room 2. Dosage factor (age began, amount, inhalation). E. Cuyler Hammond 3. Effects of giving up smoking. Lawre:pce Garfinkel 4. What additional information would., be useful. Panel: Gio B. Gori, Chairman TuesdayJune 3 Sub-Section B: SMOKING AND PULMONARY 9:00 to 12:00 DISEASE Basildon Room Chairman: Charles M. Fletcher 1. Smoking and lung function: epidemiological evidence. Benjamin G. Ferris 2. Smoking and lung function: laboratory evidence. D. V. Bates 3. Smoking and bronchial clearance. Michael T. New- house 2:30 to 5:30 Chairman: Oscar Auerbach Basildon Room 4. Experimental and human pathology (pulmonary) in relation to smoking. Oscar Auerbach 5. Acute and chronic smoking inhalation studies in rats. Paul Nettesheim 6. Evidence for pre-clinical lesions in lungs of early smokers. Jerome I. Kleinerman 7 TIMN 449701

Wednesday June 4 9:00 to 12:00 Starlight Roof North Terrace Wednesday June 4 9:00 to 12:00 Starlight Roof South Terrace Sub-Section C: SMOKING AND CARDIOVASCULAR DISEASE Chairman: Jeremiah Stamler 1. Epidemiological studies in the United States on smok- ing and coronary heart disease. Jeremiah Stamler 2. Epidemiological studies in the United Kingdom on smoking and coronary heart disease. Donald D. Reid 3. Studies in Scandinavia and Western European coun- tries. Lars Wilhelmsen 4. Studies in Poland and other Eastern European coun- tries. Kornel Gibinski 5. Studies in Japan. Noboru Kimura 6. Epidemiological studies on smoking and cerebral vas- cular and peripheral disease. William B. Kannel 7. Studies on carbon monoxide, thiocyanide and nico- tine. Poul Astrup Sub-Section D: SMOKING AND PREGNANCY Chairman: Neville R. Butler 1. Epidemiological considerations. Neville R. Butler 2. Intrauterine studies-effect on fetal breathing. Geof- frey S. Dawes 3. Statistical aspects. Harvey Goldstein 4. Physiological studies. Lawrence D. Longo Wednesday June 4 General Session, Section 1: EVALUATION AND 2:00 to 5:00 SUMMARY Chairman: Jesse L. Steinfeld Thursday June 5 9:00 to 12:00 Empire Room 8 1. Benefits of stopping. Leonard M. Schuman 2. Health consequences: cancer. E. Cuyler Hammond 3. Health consequences: pulmonary. Charles M. Fletcher 4. Health consequences: cardiovascular. Jeremiah Stam- ler 5. Health consequences: pregnancy. Neville R. Butler Closing Plenary Session for the Entire Conference Chairman: Sir George E. Godber Report of recommendation from each of the five sections and adoption of recommendations. , TIMN 449702

Section tl Modifying The Risk To The Smoker This section will open with a general session on Monday afternoon, June 2 in which there will be reports and dis- cussion of general problems and opportunities related to the less harmful cigarette. Tuesday morning and afternoon, June 3, there will be three sub-sections running concurrently, with reports and discussion on the ways in which the particular ingredients of tobacco smoke are related to disease in different or- gans and systems: cancer, cardiovascular disease, and chronic pulmonary disease. Wednesday morning, June 4, the section will reassemble in general session for reports and discussion on the tech- nolbgical aspects of our ability to reduce specific com- ponents of cigarette smoke; also the factor of public acceptance of these reductions. Wednesday afternoon, June 4, the section will meet again in general session to hear and discuss recommendations on modifying the risk. Thursday morning, June 5, all sections will come together for the closing plenary session of the entire conference. Monday June 2 General Session: PROBLEMS AND 1:30 to 5:30 OPPORTUNITIES Jade Room Chairman: Ernst L. Wynder 1. Relative risks of cigarette-related disease by type of cigarette smoked. Ernst L. Wynder 2. The physiochemical nature of tobacco smoke. Irwin Schmeltz 3. Methods for reduction of tar and nicotine levels in tobacco and in cigarettes. a. Agricultural techniques. T. C. Tso b. Filtration techniques. Charles M. Keith c. Tobacco modifications. Howard M. Halter d. Tobacco modifications. Bryan F. Zilkey e. Particle size. Friedlieb Seehofer. f. Reconstituted sheets. William A. Selke 4. Reduction of tar and nicotine levels in different coun- tries during the last two decades. a. U.S.A. Thomas B. Owen b. United Kingdom. Donald D. Reid c. Germany. Dietrich Schmahl d. Austria. Hans Kuhn e. Sweden. Lasse O. Hjern f. Canada. Winston H. Cherry 5. Less harmful ways of smoking. (Risk related to cigar/ pipe smoking, inhalation, butt end, etc.). a. Epidemiological data. Irwin D. Bross 9 TIMN 449703