If we want more evidence-based practice, we need more practice-based evidence.*

 


Chapter 12 - Archives of Headlines
Lifestyle, Population Health, and Community Health Promotion


Wider use of methadone urged. WASHINGTON (AP, Dec. 9, 1998) - The administration's push to expand the use of methadone treatment is getting a boost from a panel of scientists who say the synthetic narcotic helps decrease drug use and criminal activity among heroin addicts. The 12 scientists convened by the National Institutes of Health acknowledge that methadone is not a panacea for substance abuse. But in a report published Wednesday in the Journal of the American Medical Association, the panel finds that heroin addiction is a treatable disease and urges the government to expand the availability of methadone programs. JAMA, Dec. 9, 1998.

Health Claims on Labels   The U.S. Supreme Court earlier this week refused to hear a challenge to the government's practice of barring health claims on labels of dietary supplements unless the Food and Drug Administration (FDA) finds there is "significant scientific agreement'' they are valid. Under a 1990 federal law (Nutrition Labeling and Education Act) that gives the FDA authority over health claims on dietary supplement products such as medicinal herbs and vitamins sold over the counter, the agency issued regulations that imposed "significant scientific agreement" as the standard for deciding whether a particular health claim could be made on a label. A group of manufacturers and retailers of dietary supplements calling itself The Nutritional Health Alliance sued over the FDA regulations (along with a health food store, New Nutrisserie). They contended that the labeling restriction amounts to an unlawful prior restraint of truthful commercial speech.

MAJOR NEW TOBACCO RESEARCH FUNDS (US DHHS press release, Dec. 4, 1998). Vice President Gore has announced major new tobacco research funding initiatives that, in the words of an NCI statement, "will alter the way tobacco control research has been traditionally conducted." This infusion, combined with new research funds from the tobacco settlement, could set the stage for major advances. The funding efforts are based on recommendations from the National Cancer Institute's (NCI) Tobacco Research Implementation Group (TRIG), which recommended "nine unique, overarching research opportunities" that need "immediate implementation."

NCI is working to implement the recommendations quickly. "As the first step in following the plan, we are launching two major research initiatives that will be funded at $142 million over five years," says NCI Director Richard Klausner. These are...

TRANSDISCIPLINARY TOBACCO RESEARCH CENTERS PROGRAM. The program is co-funded by NCI ($50 million) and the National Institute on Drug Abuse (NIDA, $20 million). NIH states that "advances in molecular biology, genetics, and behavioral science now provide unparalleled opportunities to study the tobacco problem in ways that will integrate biological and psychosocial models of tobacco and addiction." The Research Centers program will address questions such as: "Why do children start smoking? How can people be helped to quit smoking? Are there genes that predispose people to tobacco addiction?"

STATE AND COMMUNITY TOBACCO CONTROL INTERVENTION RESEARCH.
Funded at $72 million by NCI, the program will evaluate state and community tobacco control interventions with an emphasis on mass media and policy interventions aimed at prevention and cessation.

The other seven research opportunities identified by TRIG: * Basic bio-behavioral research on the multidisciplinary factors that influence tobacco use initiation, progression, and cessation; * How best to tailor tobacco cessation interventions to specific subgroups; * The best dissemination mechanisms for proven prevention and treatment interventions;   * Impact of various tobacco control policies;  * Basic biological research on biomarkers of tobacco exposure and on tobacco-induced cellular events linked with stages of carcinogenesis;  * Genetic and environmental interactions in susceptibility to tobacco-related cancers;
* Expanded surveillance systems to monitor behaviors and tobacco-related interventions.

==> TRIG Plan and general information:  http://rex.nci.nih.gov/massmedia/pressreleases/tobacco.htm.
==> Transdisciplinary Tobacco Use Research Centers information:
http://deainfo.nci.nih.gov/concepts/TobaccoCentersRFA.htm.
==> Research in State and Community Tobacco Control Interventions
information: http://deainfo.nci.nih.gov/concepts/TobaccoComRFA.htm

TOBACCO SETTLEMENT (US DHHS Press release, Dec. 4, 1998). The recent multi-state tobacco settlement, while falling short in important areas, includes provisions that could dramatically increase funding for tobacco related research and interventions. Most important is the National Public Education Fund.

The Fund's purposes "will be to support (1) the study of and programs to reduce youth tobacco product usage and youth substance abuse in the states; and (2) the study of and educational programs to prevent
diseases associated with the use of tobacco products in the states," according to the settlement. Among the Fund's multiple responsibilities:
* Commission studies, fund research, and publish reports on factors that influence youth smoking and substance abuse.  * Track and monitor youth smoking and substance abuse with a focus on
the reasons for increased or failure to decrease tobacco and substance use rates. * Develop, disseminate, and test the effectiveness of counter advertising campaigns.  * Carry out a nationwide, sustained advertising and education program to counter youth tobacco use and educate consumers about the cause and prevention of diseases associated with tobacco use.

The Fund will be established by the National Association of Attorneys General, and will be funded by annual $25 million contributions from the tobacco industry.

Some questions remain: Will the money come through? Will it be allocated according to the needs of public health? Advocates encourage concerned individuals to get involved at the state level to ensure settlement funds are available and well spent. Even if funds are well spent, many — both in the advocacy community and in the general public; feel that the settlement is insufficient. A new Center for Tobacco Free Kids survey found that the majority of Americans "believe it is important for the new Congress to pass comprehensive legislation to implement additional tobacco control measures not included in the settlement."

TAKE ACTION
==> Read the settlement legislation: http://www.naag.org/issues/tobacco/index.php?smod=399  
==> Contact your state's Attorney General to request that settlement funds be spent on tobacco and other public health programs:  http://www.naag.org.
==> Join the Campaign for Tobacco Free Kids national action network:  http://www.tobaccofreekids.com/.  


AGENCY FOR HEALTH CARE POLICY & RESEARCH
The banner headline on the Agency for Health Care Policy and Research's (AHCPR) website reads, "Attention Researchers: Grant Money Available!" The website continues, "AHCPRs Fiscal Year 1999 budget of
$171.055 million will allow the Agency to double the amount it awarded last year for investigator-initiated grants and to pursue critical national priorities, including research on quality and outcomes."

Currently, there are scant data on such issues as behavioral and social intervention cost, cost effectiveness, and patient satisfaction. Lack of data is a barrier to integrating interventions into the mainstream of health care. The time is ripe for initiating more collaborative projects between health and behavior researchers and health services researchers, and for using AHCPR grants to train more health and behavior researchers in health services research.

AHCPR has particular interest in proposals that advance the following priorities: outcomes for the elderly and chronically ill; clinical preventive services; centers for education and research's therapeutics; improving the quality of children’s health; pharmaceutical outcomes research; evidence-based practice; primary care research; shared decision-making; consumer decision-making; costs, quality, and outcomes; quality measurement and improvement. Proposals that place extra focus on vulnerable populations, and that promote partnerships with potential users of the findings will be favored.
==> AHCPR website: http://www.ahcpr.gov

BEHAVIORAL RESEARCH IN DIABETES The NIH's National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) currently receives a relatively small number of grant applications related to behavioral science in diabetes, according to Sanford Garfield, PhD, Senior Advisor for Biometry and Behavioral Research in NIDDK's Division of Diabetes Endocrinology and Metabolism.  Garfield emphasizes that "type 2 diabetes is a disease that requires behavioral intervention," and urges behavioral scientists and trainees to submit high quality applications.

What sort of proposals does NIDDK want? Garfield describes NIDDK's diabetes/ behavior research priorities as "fairly broad," including psychosocial aspects of diabetes, the psychological implications of diabetes and their effects on control of diabetes or on physical outcomes, translational research, screening, diagnosis, and self-awareness of diabetes. He notes that NIDDK is working on an outline of priorities in preparation for a Fall 1999 conference on diabetes and behavior. The Health and Behavior Alliance has also  given Garfield a copy of its list of "extraordinary research opportunities" in diabetes, which it recently sent to the congressionally-mandated Diabetes Research Working Group.

==> For information about NIDDK and its grants and activities:
http://www.niddk.nih.gov/fund/divisions/DEA/Council/coundesc.htm.
==> To discuss a research idea: Sanford Garfield, Senior Advisor for Biometry and Behavioral Research, garfields@ep.niddk.nih.gov.
 

"Amphetamines, Cocaine Use Rise in EU, Report Says" Reuters (12/18/98) The 1998 annual report of the European Monitoring Center for Drugs and Drug Addiction indicates that the number of AIDS cases is decreasing on the continent due to progression-delaying drugs. The agency noted that AIDS is now more of an indicator of treatment uptake and less of an indicator of HIV infection. According to the report, HIV prevalence is stable or declining in most countries in Europe. The agency also reported that amphetamine and cocaine use was increasing in Europe, with drug

Doctors weigh pros, cons of online medicine. DURHAM, N.C. (Reuters, Oct. 20, 1998) - Diagnosing illnesses in cyberspace may be a distant reality, but more physicians should take advantage of the Internet and e-mail to inform and communicate with patients, researchers said Tuesday. "E-mail has become a ubiquitous tool for communicating with business associates, friends and family. So there should be little surprise that Net-savvy patients would like greater digital access to their physicians," said Tom Ferguson, the author of an editorial in a special edition of the Journal of the American Medical Association devoted to the subject. Only 1-2% of U.S. physicians offer patients the option of contacting them online, he said.

NICOTINE ADDICTION SCIENCE: FROM CELLS TO SOCIETY
Vice President Al Gore told a two-day conference on nicotine addiction that, "President Clinton and I see tobacco research not just as a policy priority, but as a moral obligation." Gore listed five areas where he felt tobacco research should be focused: causes of addiction, progression from experimentation to addiction, and successful components of prevention programs, cessation programs, and youth cessation programs.

The conference, "Addicted to Nicotine," was sponsored by the National Institute of Drug Abuse in conjunction with the Robert Wood Johnson Foundation (RWJF). Nancy Kaufman, PhD, Vice President of RWJF, called
it "the first ever assemblage and review of nicotine addiction science from cells to society, or the bench to the trench."

Leading researchers outlined the state of research on topics from genetics to neurology to ethnic and social factors in smoking. Among key questions they identified as still needing answers:
- How do youth cope with negative moods?
- What are the effects of certain psychopathologies on tobacco use?
- What compensating behaviors would arise in response to increasing the price of tobacco products or further restricting youth access to products?
- What beneficial or detrimental effects do tobacco prevention programs and/or drug prevention programs have on youth?
- What are the effects of nicotine on learning ability? How does this vary with age and level of exposure?
- What factors, such as marketing of "light" cigarettes, reinforce tobacco use?
- What is the function of stress in initiating and maintaining nicotine use behavior?
- What are the social, biological, and behavioral bases of gender differences in patterns of use and cessation?
- How can we increase motivation toward cessation? What is the ideal combination of interventions?

Kaufman noted that these and other questions are important because they show the broadening perspective of researchers resulting from sharing information, and they provide a useful "roadmap" for funders of
research.

==> The "Addicted to Nicotine" website has summaries of talks, speaker biographies, and live video of each lecture. http://www.nida.nih.gov/MeetSum/Nicotine/NicotineAgenda.html.
==> Conference papers will be published in a special issue of "Nicotine and Tobacco Research," the new journal of the Society for Research on Nicotine and Tobacco.

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Impotence warning on cigarettes worries Thai women. BANGKOK (Reuters, Nov. 5, 1998) - A doctor spearheading Thailand's anti-smoking drive said cigarette packs labeled "smoking causes impotence" that went on sale Thursday had prompted a torrent of queries, mostly from worried women married to smokers. Dr. Prakit Vateesatogkit, secretary of the Action on Smoking and Health Foundation, said his office had been inundated with calls from women seeking suggestions as to how they can get their husbands to quit. "They want their husbands to stop smoking," he said. "If smoking affects their husband's sex life, then maybe they will convince them to stop," he said.

Vote limbo looms for cigarette tax. SACRAMENTO, Nov. 4 (UPI)- It may be too early to declare certain victory for California's 50-cent-a-pack tax on cigarettes until  all absentee votes are counted. 
Proposition 10 held a narrow lead today based on complete  returns from general election precincts, but the victory margin was only 13,214 votes out of more than 7 million reported.
Spokeswoman Shirley Washington of the secretary of state's office says counties have 29 days to report the latest absentee votes, and the total number is undetermined.
Proposition 10 claims 50.1 percent of the present vote to 49.9 percent in opposition, or 3.550 million votes to 3.537 million against.
Election officials projected a statewide turnout of 9.3 million voters, and 25 percent were expected to use absentee ballots with the likelihood that most would be counted Tuesday.
The measure by actor-director Rob Reiner proposes to raise some $700 million a year for smoking prevention and early childhood development programs.
It also would raise California's tax on tobacco products to the third-highest rate in the nation.
California's present cigarette tax is 37 cents per pack, which includes a 25-cent tax approved by voters in 1988
to raise money for public health programs and anti-smoking efforts.
According to the California Secretary of State, Proposition 10 is winning with 3,550,483 (50.1%) votes in favor and 3,537,269 (49.9%) votes opposed with all precincts counted.   http://vote98.ss.ca.gov/Returns/prop/
The initiative is ahead in 14 of California's 58 counties including the greater San Francisco Bay Area and Los Angeles and proximal coastal counties.  http://vote98.ss.ca.gov/Returns/prop/mapR010.htm
At last count the tobacco industry spent $28.69 million  in their campaign to stop Prop 10 as compared to $7.00 million spent by the proponents http://vote98.ss.ca.gov/lcrV98/c/971981.htm.
The full text of the initiative is available at  http://vote98.ss.ca.gov/VoterGuide/Propositions/10.htm

Proposition 10  would raise California's cigarette excise tax by 50 cents per pack and dedicate the proceeds to early childhood development, health care, and smoking prevention.
Medical treatment for diseases caused by tobacco currently costs California taxpayers billions of dollars each year. This is much more than the amount collected each year in cigarette excise taxes. We feel that the price of cigarettes should more closely reflect the cost of smoking to society (approximately $2 per pack).
The only opposition to Proposition 10 comes from the tobacco cartel and its front groups. No one other than
the tobacco cartel has contributed money against Proposition 10. The tobacco cartel is expected to set a record for the most money ever spent against an initiative in the four weeks prior to a vote.
So far, the tobacco cartel has spent more than $28,000,000 trying to defeat Prop 10. Individual members of the tobacco cartel have contributed as follows: Philip Morris $20,239,057; Brown and Williamson $4,809,056;  Lorillard Tobacco $2,635,489; RJ Reynolds $688,024; Tobacco Institute $116,899; US Tobacco $17,872
If Prop 10 wins, the price of cigarettes will more accurately reflect the cost of smoking to society. Children will get a better start in life. If Prop 10 fails, California taxpayers will continue subsidizing health care for people who choose to use tobacco products but can't afford the consequences.  SmokeFree Educational Services, Inc. http://www.smokefree.org

Federal Health Minister and B.C. Health Minister Announce Co-signing of Tobacco Enforcement Agreement (Health Canada, 15 October 1998)- Health Minister Allan Rock and Health Minister Penny Priddy announced  that the federal government and British Columbia have signed a contribution agreement to jointly fund the enforcement of federal and provincial tobacco legislation. Under the terms of the agreement, the federal and provincial governments will each contribute $600,000 in the 1998-99 fiscal year to a collaborative tobacco enforcement program. The objective is to reduce youth access to tobacco by promoting retailer awareness of, and compliance with, federal and provincial tobacco legislation.

Availability key to addiction, study finds.
WASHINGTON (Reuters, Oct. 9, 1998) - Access to a drug may be just as important to whether someone becomes a heavy user as other factors, researchers reported Thursday. They said rats that had constant access to cocaine used more than rats given limited access. If the findings translate to humans, it could explain why some people become worse abusers of drugs than others. George Koob and S.H. Ahmed of the Scripps Research Institute in La Jolla, Calif., tested rats in special cages that let them push a lever and dose themselves with cocaine. Rats are avid fans of cocaine. Koob's team found the longer the rats had access to cocaine, the more they used.

August 10, 1998: How are people in your state behaving? The state Behavioral Risk Factor Survey (BRFSS) data are now available online. You can view the statistics for the U.S. or any state on any of the items in the survey.

Tobacco Companies Win in MASS Court. In a stunning victory for the tobacco industry and a stunning defeat for the anti-tobacco forcesa federal appeals court ruled on August 14, 1998, that the U.S. Food and Drug Administration has no power to regulate the manufacture and sale of tobacco. In a 2-1 decision, the U.S. Court of Appeals for the Fourth Circuit in Richmond, VA, said that tobacco control was the business of Congress, not the executive branch. The judges accused the FDA of trying to create a national tobacco policy behind the backs of lawmakers.
In response, President Bill Clinton moved to have the case  retried before the entire appeals court in Richmond, which is one level below the U.S. Supreme Court. This move leaves the FDA rules in effect until the case is re-heard.
The decision left the tobacco industry in a surprisingly strong position as it seeks to settle 37 lawsuits filed by state attorneys general demanding reimbursement for the Medicaid costs of treating smokers. Thus, they are better able to resist demands for public health concessions, such as limits on where and how they can market their products. At the end of August, three of the five major tobacco companies R.J. Reynolds Tobacco Co., Brown & Williamson Tobacco Co., and U.S. Tobacco pulled out of negotiations with the states. Those close to the negotiations  said they were dissatisfied with the marketing and advertising restrictions, but that they may eventually return to the negotiating table. R.J. Reynolds and Brown & Williamson both indicated that they may not be bound by any agreement reached in their absence.
Shortly thereafter, Massachusetts withdrew from the negotiations to focus on its Medicaid suit against the tobacco industry, which is scheduled to go to trial in February. Massachusetts Attorney General Scott Harshbarger said he withdrew because he believed the industry is reneging on its earlier commitments to curb teen smoking by reducing its advertising and promotion.
In the meantime, the attorneys general continue to negotiate with Philip Morris and Lorillard. They may settle with these companies and then take the remaining firms to court. There is hope that an agreement can be reached by mid-September, before Washington's suit goes to trial on September 14. Several state attorneys
general reportedly expressed concern that State of Washington Attorney General Christine Gregoire is too willing to settle with the industry.

Smoking could kill up to 100 million Chinese men - WHO. MANILA (Reuters, Sept. 14, 1998) - The health threat from tobacco is growing in several Asian and Pacific countries and up to 100 million men now aged below 29 may die of smoking in China alone, the World Health Organization said Monday. Top WHO officials, opening a 5-day Western Pacific regional meeting, also voiced concern at the impact of Asia's economic crises on the health programs of member states. Regional director Sang Tae Han, of South Korea, singled out tobacco as one of the greatest contributing factors to the growth of non-communicable diseases in the Western Pacific. In 1994 an estimated 50% of men and 5-7% of women in the region smoked. Figures for 1997 showed that 60% of men smoked and 8% of women.

Marijuana, crack smoking linked to lung cancer. August 19, 1998. Smoking marijuana or crack cocaine may increase a person's chance of developing lung cancer, researchers announced. "Our study suggests for the first time that we should think differently about marijuana and crack cocaine," said Dr. Sanford Barsky, co-author of a new study which appeared in the Journal of the National Cancer Institute. "We often think of these as mood-altering drugs, but they are taken through the respiratory tract," he said. "Therefore the finding of pre-cancerous changes leads to the hypothesis that they might raise the possibility the subjects will go on to develop lung cancer," said Barsky, a professor of pathology at UCLA. The study shows that habitual smoking of more than one substance -- marijuana or crack cocaine -- induces more potentially cancerous molecular alterations.

Three Tobacco Control Acts Passed by BC Parliament

British Columbia, with an adult smoking prevalence rate of 25% (the lowest in Canada), passed three pieces of legislation on July 30, 1998:

The Tobacco Fee Act
This imposes a licensing fee of $20 million (Canadian), to be collected from Canada's three major tobacco firms in proportion to their market share. This fee is to be spent on anti-smoking and smoking-cessation programs. A price-control mechanism prohibits tobacco companies from passing this cost on to consumers. While high prices are generally seen as a deterrent to smoking, the government of B.C. wants the cost of these programs to be paid by the industry and its shareholders, not by smokers. British Columbia already has virtually the highest cigarette taxes in Canada ($5 Canadian per pack of 20; minimum wage for one hour's work in B.C. is about $7.00). The $20 million represents approximately the costs of tobacco industry promotion in the province.

The Tobacco Damages Recovery Amendment Act
This legislation improves the bill passed last year which paves the way for the province to sue tobacco companies for past damages. The law has been improved with new reverse onus of proof provisions, and clarification on aggregate claims.

The Tobacco Sales Amendment Act
This bill clarifies that the government has the right to require testing and reporting of cigarette ingredients, and to require new warning messages on packages and at retail. Regulations have already been circulated which now come into effect, and which will require the companies to test their products for the presence of 41 toxic compounds in addition to nicotine, tar and carbon monoxide (these chemicals include formaldehyde, arsenic, etc). All ingredients in cigarettes must be reported by September 15th; reports on chemicals in smoke must be filed beginning October 31st, 1998. The government is planning to introduce new packaging requirements at the beginning of winter.

The legislative language of the three bills can be found (Bills 28, 29 and 30) on the legislative assembly web-site
http://www.legis.gov.bc.ca/

The provisions are summarized in government news-releases: http://www.legis.gov.bc.ca/1998-99/1st_read/gob28-1.htm
http://www.hlth.gov.bc.ca/cpa/newsrel/1998/113.html
http://www.hlth.gov.bc.ca/cpa/newsrel/1998/068.html

Canada's Drug Strategy document   (June 18, 1998)
Health Canada has released a document which presents a snapshot of Canada's current strategy on alcohol and other drugs. Canada began a concerted effort to address substance abuse problems in 1987, launching two consecutive five-year strategies. The long-term goal of Canada's drug strategy is to reduce the harm associated with alcohol and other drugs to individuals, families and communities, through the following means:
* reduce the demand for drugs
* reduce drug-related mortality and morbidity
* improve the effectiveness of and accessibility to substance abuse information and interventions
* restrict the supply of illicit drugs and reduce the profitability of illicit drug trafficking
* reduce the costs of substance abuse to Canadian society
To download the document, visit http://www.hc-sc.gc.ca/hppb/alcohol-otherdrugs/pdf/englishstrategy.pdf

Health Minister announces complete ban on promotion of tobacco sponsorship following transition period  (June 3, 1998)
Health Minister Allan Rock introduced an amendment to the Tobacco Act in the House of Commons which toughens the Tobacco Act passed in 1997 and will completely ban the promotion of tobacco sponsorships. The full ban will come into effect in stages during a five year transition period. Highlights of the announcement include:
* A complete ban on the promotion of tobacco sponsorship.
* A five-year transition period.
* Proposed regulations which will impose on tobacco companies the most stringent reporting requirements in the world.
* The tabling of "access and seizure "regulations which confirm retail restrictions on sales to minors.
* A reaffirmation of the government's commitment to spend $100 million on initiatives to reduce tobacco use.
For more information, visit http://www.hc-sc.gc.ca/english/media/releases/1998/98_34e.htm.

 

The 11th World Conference, aimed at strengthening global leadership dedicated to the prevention and control of tobacco use, has been set for August 6-10, 2000 in Chicago, Illinois. The last conference took place in Beijing, China in 1997.

David Rosenthal, M.D. President of the American Cancer Society, Inc. announced this historic conference date.
The American Cancer Society has co-sponsored and participated in the planning of all previous World Conferences on Tobacco OR Health, and served as the Secretariat for the first conference in 1967, and those in 1975 and 1991.

The ACS will act as an official host for the millennium event, along with the American Medical Association (AMA) and The Robert Wood Johnson Foundation. Randolph Smoak, M.D., Board Chair of the AMA said, "This will mark the 33rd anniversary year of this important conference. With an estimated 1.1 billion smokers in the world we feel it is critical for leaders in the anti-tobacco community to join together and to develop strategies and initiatives to combat the addiction, morbidity and mortality resulting from tobacco use."  "Nearly half the world's smokers will be killed by tobacco, and half of them will die in middle age," added Smoak. Co-sponsoring the event are the American Heart Association, the American Lung Association, the Centers for Disease Control and Prevention and the (United States) National Cancer Institute. The World Health Organization (WHO) and a number of other international and national health groups will serve as collaborating partners in the effort.

The conference program, being developed under the direction of Nancy Kaufman, Vice President of The Robert Wood Johnson Foundation will focus on three themes:
1.    To celebrate past successes in preventing/controlling the tobacco epidemic:
2.    To explore all aspects of nicotine: and
3.    To consider the role of "advocacy" in moving the tobacco prevention and control agenda forward internationally.

"We hope the world tobacco control community will find this a useful forum to share successful strategies and nurture worldwide networks aimed at stemming the growing epidemic of tobacco use," said Steven Schroeder, M.D., President of The Robert Wood Johnson Foundation.

"The year 2000 will be an important year to health and tobacco control," commented Rosenthal. "Some of the largest public and private research and demonstration projects in tobacco control will just have been completed, and outcomes will likely be ready for presentation."

These projects include ASSIST of the National Cancer Institute and the American Cancer Society and the Smokeless States initiative sponsored by The Robert Wood Johnson Foundation and the American Medical Association.
The conference objectives are:
1.    To present new knowledge about the effects of tobacco on health, the environment and society;
2.    To share successful prevention and control strategies from around the world;
3.    To focus attention on the impact of tobacco advertising, marketing and promotion as it relates to newly targeted populations and countries;
4.    To stimulate the formulation of tobacco prevention and control goals and strategies for both developed and developing countries: and
5.    To continue to develop networks and participant capabilities to implement national and regional tobacco control plans.

One of the key functions of the conference is to share intelligence on worldwide strategies of the transnational tobacco companies, examine the impact of various government policies on tobacco, and to share common insights and lessons.

Co-chairs of the event are Allan Erickson, Senior Consultant to the CEO of the American Cancer Society and Thomas Houston, M.D. Director of the Department of Preventive Medicine at the American Medical Association.

In addition to Erickson, Houston and Kaufman, the Conference Executive Committee includes Michele Chang and Michael Eriksen of the Centers for Disease Control and Prevention; Allen Rubin of the American Lung Association; Marc Manley, M.D. of the National Cancer Institute; and Brigid McHugh Sanner of the American Heart Association.
Source: American Heart Association
Contact: Anne Jenkins, 312-464-5159, or Brigid McHugh Sanner, 214-706-1381, both of American Heart Association (c) 1997, PR Newswire


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