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Canadian physicians themselves
prove that point. With aniple
cigarette smoking ..to cardiovas-
cigarette smoking to eacrdlovas-
unbar and broncelopulmonary
that though the proportion or
doctors smoking was 'oh the de-
d iris. 1.15,1 percent. still striok.ed
Cigarettes regularly. This compar-
ed favourably with the fact. that
65,3 percent or the profession re-
ported that they had smoked Peg-
ttlarly, At that, time 53.6 percent or
All adult Canadian males had the
siooking habit.)
The Drier makes it clear that
itt the view e; the Canadian Med-
teal profession there is no longer
any scientific controversary about
the risk created by cigarette
smoking, and recommended
II. The 'Federal Government
enact legislation to eliminate the
advertising of cigarettes in all
media, and at the point of sale,
2. The Federal Government enact
legislation requiring that nil cig,
arette packaging be effectively
labelled so as, to indicate clearly
that cigarette smoking is a health
hazard,
(Failing the above, the Federal
GOvernment, should provide legis-
lation requiring the effective
of cigarette packaging and
advertising of all types. indicating
that cigarette smoking is a health
hazard. Stich labelling- should in-
clude the tar and nicotine content.
and other toxic Agents as they are
identified - as determined by ap-
prioately designed governamental
agencies,)
of lung
early
on :Public Health was expressing
concern about a growi ng btf-
pression throughout the medical.
profession thotigh. Eis yet (19(101
poorly documented, that a relation-
shipship exists between tnbacco
smoking and bronchitiis, nronch
itictasis, einpllyserna and coronary
difiellSOP
iri 1961 the Association expres-
sed publicly for the first time its
belief that n. direct, relationship
nxiHivii btitween 04004 alla
lung cancer. The Committee on
Cancer was direeted to study how
the physician as art individual, and
the. Association could effectively
educate the profession and the
nublie on smoking-cancer link.
A .wideapread profe$Sional .
fniblic education prograM. Was
launched by Dr. 111,
Charles, then president of the .
Association, in an Open letter to.
all physicians on March' 116', 19.03,.
Dr. MacCharles made. an Unpreeed-
ened move: He called for all Can-
adian doctors to set, an approp-
riate public example. For those
physicians who felt. unable to break
with the habit he asked them to
abstain when exercising profes-
sional duties - - especially in „. -
offices and in hospitals,"
The position of the profession
on smoking and health as it stood
at that. time was clearly .stated in
a Brief submitted to the National .
Conference on Smoking and.Health
on November t.>5-26, 1963. 'rho
main recommendations of that
brief were: the Federal Govern-
ment should provide the stimulus
for an extensive public education
prograth: intensified. research on
the nature of tobacco habituation
was needed; tar and nicotine .con-
tent of cigarettes should be marked
clearly on packages; the Depart+ .
ment of National Health and. Wel-
fareshmild make educational mat-
orial on the smoking
dangers; the content of advertis,
ing should he altered to •promote
moderation and:. to discourage. the
use of the product. by children.and.
young adults; certain provisions
of the •Tobacco 'Restraint Act
should he enforced; ways and .
means of encouraging the use of
less dangerous forms of tobacco
needed exploring.
The 1969 Brier.goes much farth-
er than its predecessor. That's
largely 'because continuous study
.01' extensive scientific evidence In
the interim has revealed much
more of the debilitating main's of
the smoking habit. Since 1963
the Association • has been intim-
ately involved with the matter of
cause and effect of smoking. As an
instance: an Assoelation repre-
,sentative. Dr. N. C. Delarne, join
ed the Department of National
Health and Welfare's TechniCat
Advisory ' Committee. -on Smoking
--and 1' earth.
Rere's how the current Brief
delineates the. variety of physical
damaging that cigarette smoking
and have caused:
Chronic Bronchitit
And Emphysema
While these diseases aPpear iii
both smoker's and non-smokers.
the Mere severe lung-crippling
cases am invariably fotind nmotg
smokers. Emphysetna is so clos-
ely related to smoking that it is
frequently referred to by physic-
ians as the "smokers' disease".
Recognizing the rapid increase in
these conditions and their chronic
nature teMphysenta is second only
in heart, disease as a 'eartse of
disability), it is conceivable that
they will proVe to be the Most
ostly medical cOnsermences of
cigarette smoking, These Conse-
gironeos will be in terms of (Ma-
!linty, premature loss of lire in the
productive- year's. and hospital and
Medical ease. In 1950, the death
rate per 100,000 population due to
emphysema' was 2,0. By 1055 the
.01.11 1
figure had climbed to 3.6.. In 1960
it was up to 7.2 and to 12,7 by 1965
In 1967 the figure stood at 1.4.6
and this condition not tradition-
ally c'osidered a major cause of
death in Canada. Concludes the
11'1.ief: "There is no doubt that the
increasing number of people suf-
fering from chronic bronchitis
and emphysema is an additional
factor in onr increasing heart
disease death rate."
Lung Cancer.
Over 4400 Canadians died front
the disease in 1967, • "Suffice it to
say that we 110W recognize that
there is a definite relationship be-
tween the probability of your dying
from lung cancer and the degree
of smoking exposure. The earlier'
one begins smoking, the more one
smokes, the more one inhales and
the longer one smokes, the greater
the risk."
Other Types of Cancer
• The incidence of cancer of the
mouth, throat' and bladder is in-
(Teased by cigarette smoking. The
obvious direct exposure to smoke
incroases• the risk of death from
cancer of the mouth and throat by
:;00 percent.
to give up the habit,
"'I'llese people are fundamentally
ill-at-ease with society and their
particular' role in society - - mill ~-
lug cigarette smoking as a release
from their basic tension, it is this
grotto that ore' most suscepbile to
the insidious' timulus of cigarette
advertising and who most need
C011011110 (1 rPinfarcement if they are
to be successful in their efforts to
give up cigarettes, For the psycho,
logically habituated smoker ,,
the habit has become more
portant than the stress which led
to his habit in the first place."
The Ilrief dismisses the popular
notion that the breaking of the
ha hit causes a greater health haz-
ard than the habit itself,
There is no scientific' evidence
to support this supposition, The
weight increase experienced by
many who give lip smoking can.
Constitute an obesity or personal
appearanee probleth in some oases.
However, for the normal individ-
ual. tlie health hazard from this
weight icrease iS miniscule com-:
oared to the dangers of smoking-.
Neither is there evidence that
the stress au individual undergoes
while giving up cigarettes is of
long term. nor creates any major
health hazard.
Summary: Illness, Disability
And Premature Death
Cigarette smoking has a negro
tive effect on the qualify and
quantity of life. The average 25
'ear'-old man who smokes two
packs a day will give up 8.2 years
or his life to do so. Another vcay.,
if will cost hint 7.4minntes of life
for every cigarette he lights. He
will enjoy less pleasurable, pro-
ductive living due to a one-third
increase in loss of gainful employ-
MOILL time, and a reduced income
accordingly. And the negative
effects start early - - even in teen-
age hildren, severe respiratory in-
roc-bons occur nine times as fre-
onently in regular smokers,
The cost to the community and
country is also significant, Says
the Brief; "The cost of lost pro-
ductive life and premature death,„
the unnecessary expenditures re-
(Mired to provide hosnitalitatiOtt
and medical care is staggering to
m m n ti
The Brief was presented by a
delegatien horded by Dr.
It. Al. Alatihews, President, Other
delegates w ere;Dr. N. C. Delarue.
Assisilitt Professor (Surgery),
l -niversily or Toronto: Pr.
Pales, 'Physician. 'Royal Victoria
Hospital, 'Aloatrool; Dr. W. A.
Macl,ean. General Surgeon. Act-
ive Store (loyal Alexandra line
Mdmonton: Dr. R. 711, Lane,
Victoria Island Health Centre,;
P.r. Ti, Morin, Cardiologist, Insti-
tut de Cardiologie de Quebec: Dr,
A. F. W. Pea.rt..(l'eneral Secretary,
'Air. D. A, Geokie, Secre-
tary, CoMmunications and Infor-
Mation,
OVER SEVEN MINUTES OF
LIFE LOST FOR EVERY
CIGARETTE SMOKED
The current and entirely jnsfi-
iable Concern over the problem et
misuse of drugs ono have the
anfortunate side effect of &Wish
ing in people's minds the. import
once of reducing cigarette smok
leg or, better, giving up eigarettc-rs
altogether.
In the School Health Service of
Huron County Health Unit another
programnie of health education
with regard to the clangors of
smoking is being carried out this
week and next week. bet, course,
it is not only to students that
such information is available, and
the main points front the Brief on
Smoking and Health submitted to
the House of Commons Standing
Committee on ,ilealth Welfare and
Social Affairs provide a factual
and unemotional, but none the less
disturbing, appraisal of the pre-
sent situation and sortie sug-
gestions for dealing With it. The
excerpts from the Brief are as
folloWs:
The simple disseMination or in-
fortinktiOn oh the health hazards
involved alone will not signifi-
cantly affect Snicking habits,
What is needed is the enforce-
uncut of tough Federal Govern-
ment legislation, says the Brief,
3, The Tobacco Restraint Act he
supported, strengthened and en•
forced to effectively reduce the
sale of hazardous products to min-
ors.
4. Governments at all levels be
encouraged to discontinue financ-
ial supnort and other subsidy or
the tobacco indtistry.
5. Governments at all levels and
health agencies involved in public
education programs be cot-attend-
ed for their efforts and emir-ming-
ed to increase their snnport atid
activity in the field,
The dangers of eigarette smok-
ing have been tinder almost con-
tinnon8 scrutiny by the C.M.A.
disease, one-third of all doctors ill ' since 1969. Original concern was
the country continue to smoke., (A centred on the incidence
Stiffly intblished, in the C.M.A. cancer in smokers. But. as
Sournal, November 16, 1963 showed 1950, the Association's committee
Heart Disease
Mortality rate in the ,so-54 age
group from coronary heart disease
in cigarette smokers is. 5-10 times
higher than for the comparable
,ago group in non-smoker's For the
individual suffering high blood
pressure, the risk of dying from.
heart disease created by smoking
is increased, by 70 percent in cig-
arette smokers.
Other Conditions
While the relationship to 'smok-
inghas not been clearly establish e o
there is an increased rate or sinus-
itis peptic, gastric ulcers. and core-
brovasemlar accidents among smok-
ers. A 10(1 percent increase in po-
maturebirths (and the resulting
risks to both infant and mother)
atilrmg women Who Smoke is Well
documented.
The .Rrier recognizes that there
is no easy way to give nil cigareti
to smoking. which is one, reason
why its recommendations .stress
governmental action to legislate
curbs on the promotion and sale
of tobacco.
What makes the job of the anti-
smoking clinic's oven more dif-
ficult is the range of motivation
among smokers. There are many
dirk.?rent types or cigarette smok-
ers. They have different reasons
for the habit and so encounter
different degrees or difficulty in
discontinuing the habit,
whet "pleasure sitelker" is most
readily persuaded to mok,, tin'
atiompt, it is from this '..e.oup that
the highest success rate has been
obtained in Helios. The "negative-
arreet smoker" rinds cigarette
smoking a release from stress and
is the most hesitant to even try