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LETTER |
Correspondence: Requests for reprint should be sent to Mark Parascandola, PhD, Office of Preventive Oncology, Division of Cancer Prevention, National Cancer Institute, Executive Plaza South, Suite T-41, Bethesda, MD 20892 (e-mail: mparasca{at}erols.com).
Dr Bergner's comments are right on target. Although the 1964 surgeon general's report1 did not present new evidence, it was significant for other reasons. As I noted in my conclusion, Surgeon General Leroy Burney's earlier statements were presented as "opinions" of the Public Health Service.2 In contrast, under Burney's successor, Luther Terry, the 1964 report was intended to represent the informed judgment of a panel of objective scientists following predetermined rules of inference, and the 5 causal criteria were central to that aim.
References
1. Advisory Committee to the Surgeon General. Smoking and Health. Washington, DC: US Public Health Service; 1964.
2. Parascandola M. Cigarettes and the US Public Health Service in the 1950s. Am J Public Health.2001;91:196205.[Abstract]
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