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A Review of Tobacco Harm Reduction Hearing Committee on Energy and Commerce House of Representatives CAN TOBACCO CURE SMOKING? A REVIEW OF TOBACCO HARM REDUCTION HEARING BEFORE THE SUBCOMMITTEE ON COMMERCE, TRADE, AND CONSUMER PROTECTION OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED EIGHTH CONGRESS FIRST SESSION JUNE 3, 2003 Serial No. 108–31 Printed for the use of the Committee on Energy and Commerce ( Available via the World Wide Web: http://www.access.gpo.gov/congress/house VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00001 Fmt 6011 Sfmt 6011 87489.TXT HCOM1 PsN: HCOM1 VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00002 Fmt 6011 Sfmt 6011 87489.TXT HCOM1 PsN: HCOM1 CAN TOBACCO CURE SMOKING? A REVIEW OF TOBACCO HARM REDUCTION VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00003 Fmt 6019 Sfmt 6019 87489.TXT HCOM1 PsN: HCOM1 VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00004 Fmt 6019 Sfmt 6019 87489.TXT HCOM1 PsN: HCOM1 CAN TOBACCO CURE SMOKING? A REVIEW OF TOBACCO HARM REDUCTION HEARING BEFORE THE SUBCOMMITTEE ON COMMERCE, TRADE, AND CONSUMER PROTECTION OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED EIGHTH CONGRESS FIRST SESSION JUNE 3, 2003 Serial No. 108–31 Printed for the use of the Committee on Energy and Commerce ( Available via the World Wide Web: http://www.access.gpo.gov/congress/house U.S. GOVERNMENT PRINTING OFFICE 87–489PDF WASHINGTON : 2003 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2250 Mail: Stop SSOP, Washington, DC 20402–0001 VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00005 Fmt 5011 Sfmt 5011 87489.TXT HCOM1 PsN: HCOM1 VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00006 Fmt 5011 Sfmt 5011 87489.TXT HCOM1 PsN: HCOM1 COMMITTEE ON ENERGY AND COMMERCE W.J. ‘‘BILLY’’ TAUZIN, Louisiana, Chairman MICHAEL BILIRAKIS, Florida JOHN D. DINGELL, Michigan JOE BARTON, Texas Ranking Member FRED UPTON, Michigan HENRY A. WAXMAN, California CLIFF STEARNS, Florida EDWARD J. MARKEY, Massachusetts PAUL E. GILLMOR, Ohio RALPH M. HALL, Texas JAMES C. GREENWOOD, Pennsylvania RICK BOUCHER, Virginia CHRISTOPHER COX, California EDOLPHUS TOWNS, New York NATHAN DEAL, Georgia FRANK PALLONE, Jr., New Jersey RICHARD BURR, North Carolina SHERROD BROWN, Ohio Vice Chairman BART GORDON, Tennessee ED WHITFIELD, Kentucky PETER DEUTSCH, Florida CHARLIE NORWOOD, Georgia BOBBY L. RUSH, Illinois BARBARA CUBIN, Wyoming ANNA G. ESHOO, California JOHN SHIMKUS, Illinois BART STUPAK, Michigan HEATHER WILSON, New Mexico ELIOT L. ENGEL, New York JOHN B. SHADEGG, Arizona ALBERT R. WYNN, Maryland CHARLES W. ‘‘CHIP’’ PICKERING, GENE GREEN, Texas Mississippi KAREN MCCARTHY, Missouri VITO FOSSELLA, New York TED STRICKLAND, Ohio ROY BLUNT, Missouri DIANA DEGETTE, Colorado STEVE BUYER, Indiana LOIS CAPPS, California GEORGE RADANOVICH, California MICHAEL F. DOYLE, Pennsylvania CHARLES F. BASS, New Hampshire CHRISTOPHER JOHN, Louisiana JOSEPH R. PITTS, Pennsylvania TOM ALLEN, Maine MARY BONO, California JIM DAVIS, Florida GREG WALDEN, Oregon JAN SCHAKOWSKY, Illinois LEE TERRY, Nebraska HILDA L. SOLIS, California ERNIE FLETCHER, Kentucky MIKE FERGUSON, New Jersey MIKE ROGERS, Michigan DARRELL E. ISSA, California C.L. ‘‘BUTCH’’ OTTER, Idaho DAN R. BROUILLETTE, Staff Director JAMES D. BARNETTE, General Counsel REID P.F. STUNTZ, Minority Staff Director and Chief Counsel SUBCOMMITTEE ON COMMERCE, TRADE, AND CONSUMER PROTECTION CLIFF STEARNS, Florida, Chairman FRED UPTON, Michigan JAN SCHAKOWSKY, Illinois BARBARA CUBIN, Wyoming Ranking Member JOHN SHIMKUS, Illinois HILDA L. SOLIS, California JOHN B. SHADEGG, Arizona EDWARD J. MARKEY, Massachusetts Vice Chairman EDOLPHUS TOWNS, New York GEORGE RADANOVICH, California SHERROD BROWN, Ohio CHARLES F. BASS, New Hampshire JIM DAVIS, Florida JOSEPH R. PITTS, Pennsylvania PETER DEUTSCH, Florida MARY BONO, California BART STUPAK, Michigan LEE TERRY, Nebraska GENE GREEN, Texas ERNIE FLETCHER, Kentucky KAREN MCCARTHY, Missouri MIKE FERGUSON, New Jersey TED STRICKLAND, Ohio DARRELL E. ISSA, California DIANA DEGETTE, Colorado C.L. ‘‘BUTCH’’ OTTER, Idaho JOHN D. DINGELL, Michigan, W.J. ‘‘BILLY’’ TAUZIN, Louisiana (Ex Officio) (Ex Officio) (II) VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00007 Fmt 6011 Sfmt 0486 87489.TXT HCOM1 PsN: HCOM1 C O N T E N T S Page Testimony of: Burton, Steven L., Vice President, Smoking Controls Strategic Develop- ment and Switch, Glaxo SmithKline Consumer Health Care ................... 96 Carmona, Vice Admiral Richard H., U.S. Surgeon General, Public Health Service, Department of Health and Human Services ................................ 40 Muris, Hon. Timothy, Chairman, Federal Trade Commission ..................... 34 Myers, Matthew L., President and CEO, National Center for Tobacco Free Kids ....................................................................................................... 116 Rodu, Brad, Professor, Department of Pathology, University of Alabama at Birmingham .............................................................................................. 86 Sweanor, David T., Counsel, Non-Smokers Rights Association .................... 122 Tomar, Scott L., Editor, Journal of Public Health Dentistry, University of Florida College of Dentistry, Division of Public Health Services and Research ........................................................................................................ 81 Verheij, Richard H., Executive Vice President, U.S. Smokeless Tobacco Company ........................................................................................................ 103 Wallace, Robert B., Vice Chairman, Committee to Assess the Science Base for Tobacco Harm Reduction, Institute of Medicine ......................... 78 Additional material submitted for the record: Alliance for Health Economic and Agriculture Development, prepared statement of ................................................................................................... 157 Eisele, David W., prepared statement of ........................................................ 167 Healton, Cheryl G., President and CEO, American Legacy Foundation, letter dated June 10, 2003 ........................................................................... 155 Landrith, George, President, Frontiers of Freedom, letter dated May 29, 2003 ................................................................................................................ 156 Marzulla, Nancie G., prepared statement on behalf of Defenders of Prop- erty Rights ..................................................................................................... 159 Myers, Matthew L., President and CEO, National Center for Tobacco Free Kids, letter dated June 20, 2003, enclosing response for the record ............................................................................................................. 168 Phillips, Carl V., Assistant Professor, University of Texas School of Public Health, prepared statement of ..................................................................... 163 (III) VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00008 Fmt 0486 Sfmt 0486 87489.TXT HCOM1 PsN: HCOM1 CAN TOBACCO CURE SMOKING? A REVIEW OF TOBACCO HARM REDUCTION TUESDAY, JUNE 3, 2003 HOUSE OF REPRESENTATIVES, COMMITTEE ON ENERGY AND COMMERCE, SUBCOMMITTEE ON COMMERCE, TRADE, AND CONSUMER PROTECTION Washington, DC. The subcommittee met, pursuant to notice, at 10 a.m., in room 2123, Rayburn House Office Building, the Hon. Cliff Stearns (chair- man) presiding. Members present: Representatives Stearns, Whitfield, Cubin, Shimkus, Shadegg, Bass, Terry, Fletcher, Ferguson, Issa, Otter, Tauzin (ex officio), Schakowsky, Solis, Markey, Brown, Davis, Stu- pak, Green, McCarthy, and Strickland. Also present: Representative Waxman. Staff present: Kelly Zerzan, majority counsel; Ramsen Betfarhad, majority counsel; Jon Tripp, deputy communications director; Jill Latham, legislative clerk; and Jonathan J. Cordone, minority coun- sel. Mr. STEARNS. Good morning. The subcommittee will come to order. Without objection, the subcommittee will proceed pursuant to Committee Rule 4(e). So ordered. The Chair recognizes himself for an opening statement. I am pleased to welcome all of you to the Commerce, Trade, and Consumer Protection Subcommittee hearing on tobacco harm re- duction. No one disputes the harm to human health from cigarette smok- ing. Smokers are at a 16-fold increased risk of lung cancer, 12-fold increased risk of chronic obstructive pulmonary disease, and a two- fold increased risk of mild cardio-infarction. Oncologists estimate that smoking related illnesses were responsible for 100 million deaths in the 20th century. Those ilnesses killed some 400,000 Americans every year. Over the last few decades this country has invested substantial public and private resources to encourage smokers to quit using to- bacco. That investment has paid off. We have made great gains in reducing the use of cigarettes. While in 1965, 42 percent of Americans smoked cigarettes, today only 26 percent of men and 22 percent of women are smokers. While this is the good news, as noted in the Institute of Medicine report, ‘‘Clearing the Smoke,’’ the decline in the rates of smoking among adults has leveled off during the 1990’s. (1) VerDate 11-MAY-2000 10:52 Sep 04, 2003 Jkt 000000 PO 00000 Frm 00009 Fmt 6633 Sfmt 6633 87489.TXT HCOM1 PsN: HCOM1 2 So where do we
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