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- <text id=94TT0423>
- <title>
- Apr. 18, 1994: A Health Debate That Won't Die
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1994
- Apr. 18, 1994 Is It All Over for Smokers?
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- COVER, Page 61
- A Health Debate That Won't Die
- </hdr>
- <body>
- <p>By Anastasia Toufexis--Reported by Deborah Fowler/Houston and Dick Thompson/Washington
- </p>
- <p> The fact that puffing on a cigarette is an unhealthy activity
- is no longer seriously disputed, even by the tobacco industry.
- Much of the current medical debate has shifted to two related
- questions: Is nicotine addictive? And how dangerous is environmental
- tobacco smoke?
- </p>
- <p> Tobacco companies insist that nicotine, which is contained in
- varying amounts in all cigarettes, does not create a habit so
- powerful that it impairs a person's ability to quit. But the
- overwhelming consensus in the scientific community is that nicotine
- is an addictive substance. A Surgeon General's report has concluded
- it is as addictive as heroin or cocaine.
- </p>
- <p> There is evidence that some cigarette-company researchers have
- long known that it is the nicotine that appeals to smokers.
- A 1972 internal memo by a Philip Morris scientist contended
- that "no one has ever become a cigarette smoker by smoking cigarettes
- without nicotine." That was proved again a few years ago, when
- the company introduced the nearly nicotine-free Next. The public
- wasn't interested. The industry claims smokers turn away from
- such cigarettes because they lack "taste" or "flavor." But researchers
- maintain that these cigarettes taste no different; they lack
- the kick nicotine provides. A 1992 study found that people who
- puffed Next cigarettes didn't show the brain-wave changes that
- smokers ordinarily exhibit.
- </p>
- <p> Tobacco companies have heavier artillery when it comes to challenging
- the EPA's 1993 report that labeled environmental tobacco smoke,
- or ETS, a carcinogen. They charge that the report--a review
- of 30 epidemiological, animal and laboratory studies conducted
- during the past two decades--is fundamentally flawed. The
- Congressional Research Service and some independent scientists
- have also criticized the report.
- </p>
- <p> The EPA found that fumes rising from the tips of lighted cigarettes
- (as opposed to the smoke that users exhale) is the most hazardous,
- with high concentrations of 17 carcinogens. The agency also
- concluded that environmental smoke produces serious respiratory
- illness in young children.
- </p>
- <p> Critics note, however, that the EPA didn't consider a threshold
- level for smoking damage. Scientists know cells have the ability
- to repair damage to their DNA. Can cells fix tobacco-induced
- changes, and at what level of pollution does the repair mechanism
- become overwhelmed? The agency regarded all smoke exposure as
- dangerous and the effects as cumulative. EPA scientists admit
- that the danger of getting a whiff of tobacco at the baseball
- stadium is generally not the same as driving in an enclosed
- car with a chain smoker. "I'd expect the ballpark risk to be
- minimal," concedes a researcher.
- </p>
- <p> The agency also neglected the possibility that other factors
- besides ETS might have played the major role in inducing lung
- cancers and respiratory illness. Even if one accepts the agency's
- assessment, say critics, the risk of developing lung cancer
- from ETS is only about the same as the chance of dying in a
- bicycle accident.
- </p>
- <p> EPA supporters respond that several comprehensive reviews of
- ETS--by the Surgeon General, the National Academy of Sciences,
- and the National Institute for Occupational Safety and Health--support the report's conclusions. More corroborating studies
- have come since the report's release, including one that firmly
- links ETS to heart disease. The question, as always, is at what
- level the danger of exposure becomes a cause for action.
- </p>
-
- </body>
- </article>
- </text>
-
-