Statement on cancer of the lung
In response to the alarming increase in lung cancer cases, CHEST publishes a statement in CHEST359, the official journal of the College, emphasizing the need to find the causative agents of lung cancer. Smoking is cited as a probable cause.
Resolution relating cigarette smoking and cancer
After several years of studying the effect of cigarette smoking on the respiratory and cardiovascular systems, the Committee on Lung Cancer of CHEST passes a resolution regarding the harmful effects of cigarette smoking. The US Surgeon General presents the resolution to a national advisory committee appointed to study the health aspects of smoking.
Passage of the Labeling Act
Prompted by CHEST and other medical society efforts to provide conclusive medical evidence on the harmful effects of cigarette smoking, the US Congress passes the bill requiring the Surgeon General’s warning label to be printed on all cigarette packages.
Worldwide smoking awareness campaign
CHEST develops smoking-awareness signs for display in reception rooms of physician offices. The signs are distributed free of charge to physicians throughout the world and read: “Smoking can be a serious health hazard. Please do not smoke in the reception room-it may affect other patients.”
Deliberations with the United States Public Health Service
CHEST and the United States Public Health Service join forces to evaluate the role of the physician in the office management of smoking problems. The groups discuss physicians’ attitudes toward smoking, the relationship of smoking to disease, how to help patients stop smoking, and approaches to office management of smoking. Consensus reports are published in CHEST.360
Special report on cigarette smoking
A two-part report, “Cigarette Smoking: Questions Patients Ask Doctors,” is published in CHEST362,361. The report, written in response to the challenging inquiries patients are making about smoking cessation, outlines responses to commonly asked questions.
Symposium on cigarette smoking
The College holds a symposium, “Cigarette Smoking: The Physician’s Role and Benefits of Cessation.” The group discusses information regarding cigarette smoking and how physicians can use this information in guiding patients toward smoking cessation. The results, including a plan of action, are published in CHEST363.
Adoption of “no smoking” policy
CHEST attracts the attention of the national media when it limits smoking to a specially designated area of the assembly hall at its annual meeting.
Program for team approach to smoking cessation
Under a federal contract with the National Clearinghouse for Smoking and Health, CHEST works with other health organizations to outline a program for a team approach to smoking cessation. The plan involves a cooperative effort among physicians, nurses, and other allied health professionals caring for patients.
“As a fellow of the American College of Chest Physicians and a leader in the most important struggle faced by health-care professionals, the prevention and control of our major health problems of lung cancer and cardiovascular and chronic pulmonary disease, I shall make a special personal effort to control tobacco use and to eliminate this hazard from my office, clinic, and hospital. I shall ask all my patients about their use of tobacco, and I shall assist the tobacco user in eliminating this deadly habit. I make this pledge to my patients and to society.”
Management of smoking in the physician’s workshop project
Recognizing the importance of the physician assuming a leadership role in smoking cessation, the CHEST Committee on Smoking and Health campaigns to eliminate smoking in physician offices. The Committee publishes procedural guidelines for smoking management in CHEST.364
Monograph identifying the physician’s role in smoking cessation
The College prepares and publishes for distribution a monograph identifying the responsibility of chest physicians to ask all patients about their smoking habits and to assist patients in smoking cessation.
The Smoking Prevention, Health Education Act of 1983
CHEST supports this bill, which would promote public awareness of the hazards of smoking through labeling and advertising.
Cigarette excise tax
CHEST joins with the Coalition on Smoking OR Health and 37 national organizations in the formation of the Ad Hoc Group to increase the cigarette excise tax from 16¢ to 32¢ a pack.
Development of Alton Ochsner Award Relating Smoking and Health
CHEST and the Ochsner Medical Institutions combine to develop the Alton Ochsner Award for Relating Smoking and Health. The award is presented for outstanding scientific work that provides insight into the mechanisms and potential early treatment of lung cancer related to smoking. The award is presented during CHEST’s Convocation Ceremony at the annual meeting and will be presented on an annual basis at subsequent Convocation Ceremonies.
Cigarette excise tax
As the first initiative to raise the cigarette excise tax (1985) did not pass, CHEST continues its work with the Coalition on Smoking OR Health and other member-groups to raise the cigarette excise tax from 16¢ to 24¢ a pack.
Campaign for smoke-free society by 2000
The CHEST Government Liaison Committee develops a plan to achieve a smoke-free society by the year 2000. The plan focuses on:
- Reducing or banning cigarette advertising<
- Raising taxes on cigarettes
- Limiting tobacco sales throughout the nation
Smoking ban on domestic flights
The College plays a key role in the passage of federal legislation on February 25, 1990, banning smoking on domestic flights within the continental US, Puerto Rico, and the Virgin Islands. CHEST involvement includes:
- Educating Congress during the deliberation of the original bill
- Working with the US House members of the committee to support a stronger version of the bill
- Working with other organizations, such as airline pilots, who also support the ban
The Tobacco Product Education and Health Protection Act
CHEST is one of 64 national organizations to endorse the bill establishing a Center for Tobacco Products at the US Centers for Disease Control and Prevention to administer such programs as:
- National information program
- Model state leadership incentive grants
- Antitobacco use education programs in the workplace
- Regulatory provision on additives in cigarettes
- Education provisions
Cipollone v Liggett Group, Inc.
The College files an amicus curiae brief in the US Supreme Court in support of Rose Cipollone in Cipollone v Liggett Group, Inc. The brief is unique in that it:
- Deals exclusively with the medical evidence of the health hazards of smoking
- Addresses the addictive nature of nicotine
In a landmark decision, the court rules in favor of Cipollone, sending the case back to the lower courts to determine whether the cigarette manufacturers misrepresented the health hazards of their product through their labeling practices.
Veterans Health Care Act of 1992 Amendment
The CHEST Government Liaison Committee initiates a letter-writing campaign to express opposition to an amendment to the Veterans Health Care Act of 1992. Rather than require the VA medical centers to be smoke-free, this amendment requires the Department of Veterans Affairs to make available separate ventilated indoor smoking areas available in VA medical centers and to make tobacco products available for purchase in VA canteens. As tobacco use is one of the leading causes of disease among VA medical center patients, CHEST members send letters of opposition to their respective US Senators.
The Tobacco Consumption Reduction and Health Improvement Act of 1993
The CHEST Government Liaison Committee initiates a letter-writing campaign in support of this bill to increase the excise tax on cigarettes from 24¢ to $1 a pack. Over 80% of the revenue from tax dollars collected is to be used to provide health-care access.
The College also creates a coalition with 26 national organizations to support the bill. A coalition letter is sent to all members of the US House Ways and Means Committee and the Senate Finance Committee.
Harkin Bill, S.609
CHEST supports the Harkin Bill to reduce the tax deductions for tobacco advertising from 100% to 50%. According to the Joint Committee on Taxation, this would raise $1.9 billion over the next 5 years; 40% of the resultant revenue would finance antismoking advertising.
CHEST serves on the Legislative Advisory Council of the Coalition on Smoking OR Health during deliberation of the Synar Bill, legislation requiring the US Food and Drug Administration to regulate tobacco products. CHEST is one of three medical societies to issue news releases in support of the bill.
Congressional Record article
The College is commended in an October 19, 1993, Congressional Record statement by the Honorable Richard J. Durbin (D-IL) for its longstanding antismoking efforts. College members are also recognized for the nonsmoking pledge they make to society.
International Committee on Smoking and Health
CHEST, American Thoracic Society, European Respiratory Society, Asia-Pacific Respiratory Society, and International Union Against Tuberculosis and Lung Disease join forces to form an international Committee on Smoking and Health. The Committee begins work to produce a consensus statement, for release in 1995, representing an international agreement relating to:
- The addictive nature of smoking
- The relationship between smoking and disease
- The role of physicians relating to smoking
- The need to oppose expansion of the international tobacco market
Mississippi v. The American Tobacco Company et al.
CHEST takes the leading educational role in this case, planning to provide to the courts medical evidence of the addictive nature of tobacco and the adverse health effects of smoking. In addition, CHEST plans to file an amicus curiae brief with the court to formally outline this evidence. To broaden physician support for Mississippi in this case, CHEST launches a public awareness campaign focusing on physicians in the state and surrounding area. The College also initiates a coalition of other medical societies to collectively serve as expert advisors.
Minnesota and Blue Cross/Blue Shield of Minnesota v Philip Morris Incorporated et al.
Again, CHEST takes the leading educational role in this case, acting as a medical resource for the state through the development of expert testimony on the addictive nature of nicotine and the severe health hazards of smoking.
Cigarette excise tax
The CHEST Government Liaison Committee initiates a letter-writing campaign among its membership to encourage the House Ways and Means Committee to set the excise tax on cigarettes at $2 a pack. CHEST supports such an increase, so generated revenue will be sufficient enough to cover the health-care costs associated with smoking.
Delta Air Lines award
CHEST honors Delta Air Lines with a corporate award at the CHEST President’s International Reception and Awards Ceremony for implementing an unprecedented smoking ban on transatlantic, intra-Europe, and New York/JFK to Mexico flights.
Partnering for World Health Award
Presented to Mayor Rudolph Giuliani of New York City
CHEST 1995 ANNUAL MEETING
General Session: Tobacco Control: Not Just Blowing Smoke: A Report From the Trenches on the Tobacco Wars:
Joe Cherner, New York, NY
Ronald M. Davis, MD, Lansing, MI
Christopher Buckley, New York, NY
Alan Blum, MD, Houston, TX
International No Smoking Statement
A Statement of the Joint Committee on Smoking and Health by the American College of Chest Physicians, American Thoracic Society, Asia Pacific Society of Respirology, Canadian Thoracic Society, European Respiratory Society, and International Union Against Tuberculosis and Lung Disease
Continued work with Minnesota and Mississippi tobacco lawsuits
Supported 8th graders in fight for passage for local ordinance
Eighth grade students in Highland Park, IL, conduct a project on how tobacco affects health. CHEST became aware of this project and lends educational support to this group of students. As a result of this project, two ordinances are passed by the Highland Park City Council. The first ordinance requires merchants selling tobacco products in the city to buy a $50 license. The second ordinance prohibits minors from possessing tobacco in the city. Those found with tobacco products would be issued a ticket similar to a parking ticket. This ordinance also prohibits cigarette vending machines in the city.
CHEST initiates coalition letter
The College organizes a coalition with 13 national medical organizations who request by letter that the US House of Representatives support further investigations of the truthfulness of allegations that Mr. Thomas E. Sandefur, former Chair of the Brown & Williamson Tobacco Corp, lied under oath to Congress about his views on nicotine addiction. This coalition letter is sent to Speaker of the US House of Representatives and the Minority Leader of the US House of Representatives stating that the American public has a right to know the truth on this matter.
Amicus Curiae Brief for the state of Mississippi tobacco litigation
CHEST submits an amicus curiae brief (friend of the court brief) to the Supreme Court of the state of Mississippi. This brief is accepted by the US Supreme Court.
CHEST 1996 ANNUAL MEETING
- The Ultimate Challenge: Facing the Tobacco Industry
- The Honorable Mike Moore, Attorney General, State of Mississippi
- The Honorable Skip Humphrey, Attorney General, State of Minnesota
- The Honorable Drew Edmundson, Attorney General, State of Oklahoma
- The Honorable Grant Woods, Attorney General, State of Arizona
Partnering for World Health Award
- Presented to The Honorable Mike Moore, Attorney General for the State of Mississippi
- The Honorable Skip Humphrey, Attorney General, State of Minnesota
- The Honorable Drew Edmundson, Attorney General, State of Oklahoma
- The Honorable Grant Woods, Attorney General, State of Arizona.
Presented to His Majesty, the King of Thailand, Bhumibol Adulyadej, Rama IX by Deborah Shure, MD, Master FCCP, Immediate Past President of ACCP.
Continued participation in state tobacco litigation
CHEST attends the Mississippi Supreme Court hearing in support of the Attorney General’s position against the Governor of Mississippi. CHEST is the only medical society present for this hearing.
Development of the Tobacco Education Learning Center, CHEST
Part of the exhibit hall at CHEST 1997. Tobacco control groups are invited to exhibit their educational products for physicians to use in their education of patients with regard to the negative health effects of tobacco. Many of the exhibitors have developed educational materials geared to children.
CHEST receives grant from Robert Wood Johnson Foundation to distribute the Agency for Health Policy and Research Guidelines for Specialists to its membership.
Participate in tobacco settlement talks
Attorney General of Mississippi Mike Moore invites an officer of CHEST, John E. Studdard, MD, FCCP, to join the panel of state attorneys general and other key negotiators involved in the ongoing tobacco settlement talks. Dr. Studdard attends the negotiations and serves as an educational resource for the tobacco settlement negotiating team.
Advisory Committee on Tobacco Policy and Public Health
Participates as a member of this committee, co-chaired by Dr. C. Everett Koop and Dr. David A. Kessler. The CHEST representative to this committee is D. Robert McCaffree, MD, Master FCCP, President-Elect.
AMA Task Force on Tobacco Settlement Agreement
Participates as member on this committee for CHEST-D. Robert McCaffree, MD, Master FCCP, President-Elect.
International Partnering for World Health Award at CHEST 1997, annual meeting
Presented to Claude J. M Lenfant, MD, FCCP, and Judith Longstaff Mackay, MBChB
Participate in Coalition of Public Health Groups to further tobacco settlement
CHEST is invited to become a member of a coalition of Public Health organizations interested in furthering the discussions of the tobacco settlement. This group wants to avoid the breakdown of talks due to disagreements about some of the provisions originally drafted.
CHEST Task Force on Women, Smoking, and Lung Cancer
Chaired by Carolyn Dresler, MD, FCCP, and Diane Stover, MD, FCCP. The task force unveils a new speaker’s kit on Women and Girls, Smoking, and Lung Cancer.
ENACT (Effective National Action to Control Tobacco)
CHEST is one of the original 11 public health organizations that formed the coalition ENACT. This coalition pledges to work with the Congress and the Administration to help pass comprehensive, sustainable, effective, well-funded, national tobacco control legislation. CHEST actively participates on all working committees.
Established position statement on national tobacco legislation
Continued work as part of the ENACT Coalition to pass fully funded national tobacco legislation during the 105th Congress.
Review Tobacco Legislation S1415
CHEST is asked to review S1415, “The National Tobacco Policy & Youth Smoking Reduction Act,” authored by Senator John McCain.
Focus on tobacco legislation at Capitol Hill Caucus
5th Capitol Hill Caucus focuses on national tobacco legislation and speaks with staff and members of Senate, McCain, Nickles, Durbin, Hatch, and Lott.
Introduce Women & Girls, Smoking, and Lung Cancer Speakers Kit
Pilot testing of CHEST’s Women & Girls, Smoking, and Lung Cancer Speakers Kit by over 20 CHEST members around the United States.
Presenting congressional testimony on tobacco
D. Robert McCaffree, MD, Master FCCP, CHEST President, testifies before House Commerce Committee Subcommittee on Health and Environment regarding the tobacco settlement and its importance to the public health community.
Leadership role in Partnership for a Healthy Mississippi
John Studdard, MD, FCCP, Chair of the CHEST Public Affairs Committee, is asked to sit on the Board of Partnership for a Healthy Mississippi, a state public education committee funded by the Mississippi tobacco litigation settlement.
Discussions with the World Health Organization
CHEST delegation meets with World Health Organization, in Geneva, Switzerland, to discuss worldwide tobacco education programs.
Discussions with the World Medical Association
CHEST delegation meets with President of the World Medical Association to discuss building global strategic alliances on tobacco and other specific health issues.
Oklahoma Pilot Project on Women & Girls, Tobacco, and Lung Cancer
Mary Anne McCaffree, MD, FCCP, initiates and develops a pilot program in Tulsa, OK, based on the CHEST Speakers Kit on Women & Girls, Tobacco, & Lung Cancer. This program involves numerous presentations of the Speakers Kit to some 3,000 middle-school-aged girls.
11th World Conference on Tobacco OR Health: “Promoting a Future Without Tobacco”
CHEST exhibits at the 11th World Conference on Tobacco OR Health held in Chicago, IL, where 3,500 attendees, ranging from voluntary agency staff to government health workers, educators, researchers, clinicians, public policy officials, tobacco control advocates, and association leaders attend. The purpose of the conference is to strengthen national, regional, and global leadership networks dedicated to prevention and control of tobacco use.
Framework Convention on Tobacco Control
D. Robert McCaffree, MD, Master FCCP, submits written testimony on behalf of CHEST to the framework Convention on Tobacco Control in October 2000. The testimony includes important initiatives to be considered.
Task Force on Women and Girls, Tobacco, and Lung Cancer Speakers Kit
The Speakers Kit is revised, and a CD-ROM and Web version are developed to ensure the greatest number of children and adults can benefit.
Project Focus created to educate women and girls
The Speakers Kit is used as the basis for a pilot program on 10 college campuses in seven states where sorority members mentor their peers and elementary schoolchildren.
Relationship building with Office of Women’s Health at HHS
Meetings with Frances Page, RN, MPH, Director of Policy and Program Development and Dr. Jonelle Rowe, Senior Advisor for Adolescent Health, at the Office on Women’s Health, to build partnerships for program initiatives on the effects of tobacco on the health of women and girls.
Continued participation with the ENACT Coalition
Lung Cancer Awareness Collaborative
Joins this collaborative to further the early detection and treatment of lung cancer in partnership with Cancer Care, The Wellness Community, and the Oncology Nursing Society.
Developing Guidelines for the Diagnosis, Treatment, and Care of Patients With Lung Cancer
The purpose of this project is the evidence-based development of guidelines for the continuum of care (i.e., the entire process from prevention to detection, diagnosis, treatment, and follow-up) for patients with lung cancer.
Developed Lung LessonsSM: Making Smart Decisions About Lung Health
A program designed to educate children, grades three through six, about lung health and the dangers of tobacco, helping them to make smart decisions about not using tobacco. Developed through a partnership with The Congressional Caucus on Women’s Issues, CHEST and The CHEST Foundation-the philanthropic arm of CHEST. Women’s Caucus/CHEST physician teams visit schools and community youth groups to present Lung LessonsSM.
Adapting speakers kit, Women & Girls, Tobacco, and Lung Cancer for use in other countries
Speakers kit is being adapted by Dr. Judith MacKay for use in China and other Asian countries. Versions already exist for India and Latin America.
Receives grant from Illinois Tobacco Master Settlement Agreement to develop Tobacco Cessation Tool Kit for physician’s offices
Kit aids members in assisting their tobacco-using patients with the cessation process. The Kit covers everything from identification of users and assessment of their level of addiction to defining the need for pharmacotherapy and determining follow-up and relapse prevention techniques. This Kit is pilot tested in 50 physicians’ offices in Cook County in Illinois. Based on results of testing, a version is developed for national distribution.
CHEST position statement on FDA control over tobacco products
Develops a position statement supporting FDA control over tobacco products and posts this on the CHEST Web site, as well as in the CHEST Advocacy program, CapWiz.
Participates in development of and testifies at Senator Durbin’s hearing on tobacco marketing
On May 14, the Senate Subcommittee on Oversight of Government Management, Restructuring, chaired by Senator Richard Durbin, with the help of CHEST and The CHEST Foundation, holds a hearing entitled “Tobacco’s Deadly Secret: The Impact of Tobacco Marketing on Women and Girls.” CHEST and The Foundation bring Diane Stover, MD, FCCP, Chair of the CHEST Taskforce on Women & Girls, Tobacco, & Lung Cancer, and Chicagoan Cassandra Coleman, a former smoker, to testify at this hearing. The focus of the hearing is to examine the impact of tobacco industry marketing on smoking rates among women and girls in the US and overseas and review the steps that the US government is taking and should take to address this epidemic of smoking-related disease among women.
Advocates for strong Framework Convention on Tobacco Control document
Letters written by CHEST members to President Bush urge him to support a strong international treaty to be signed by 171 participating countries.
FDA control over tobacco products
Works closely with both the Republican and Democratic Senators, and The Campaign for Tobacco-Free Kids to grant the US Food and Drug Administration authority over tobacco products.
Tobacco control education
Supports the Asian Consultancy on Tobacco Control and Dr. Judith Mackay to develop an Asian version of the Speakers Kit: Women and Girls Tobacco and Lung Cancer. Also supported development of similar speakers kit for the Indian subcontinent.
FDA control over tobacco products
Continues to work closely with both the Republican and Democratic Senators and The Campaign for Tobacco-Free Kids to grant the US Food and Drug Administration authority over tobacco products.
Tobacco Cessation Tool Kit (2nd Edition)
Releases second edition, on CD-ROM, with more complete information for physicians and nurses on cessation counseling to treat patients with chronic nicotine addiction.
Smoking cessation codes established
Works with CMS to establish two new Healthcare Common Procedural Coding System (HCPCS) codes, G0375and G0376, to compensate the time physicians spend in counseling their patients to quit smoking. Effective March 22, 2005, this coverage is added for smoking and other tobacco use cessation services to help patients quit. The final Medicare coverage decision is available on the CMS Web site.
The CHEST Foundation Ambassadors Group
Ambassador Group members begin local and international prevention and cessation youth programs in Indiana and Massachusetts in the United States, as well as in Guatemala.
No Smoking Pledge revised
As a Fellow of the American College of Chest Physicians, and a leader in the most important struggle faced by health-care professionals, the prevention and control of our major health problems of lung cancer and cardiovascular and chronic pulmonary disease, I shall make a special personal effort to control tobacco use, and to eliminate this hazard from my office, clinic, and hospital. I shall ask all of my patients about their use of tobacco, and I shall assist the tobacco user in eliminating this deadly habit. I shall devote time to educating the public about the hazards of tobacco. I make this pledge to my patients and to society.”
The CHEST Foundation’s Ambassadors Group reaches more than 2,000 students worldwide
Over 2,000 students, ages 8 to 18, participate in lung health education programs presented by CHEST Ambassadors in their local communities and in locations worldwide, where pro bono educational courses are being presented by their spouses.
FDA control over tobacco products
Working closely with both the Republican and Democratic Senators and The Campaign for Tobacco-Free Kids to grant the US Food and Drug Administration authority over tobacco products.
The CHEST Foundation’s Ambassadors Group reaches over 10,000 students worldwide
The CHEST Ambassadors have presented the Lung LessonsSM to over 10,000 students, worldwide.
The CHEST Foundation’s Ambassadors Group produces Lung LessonsSM: A Presenter’s Guide DVD
This how-to DVD combines video and still image media to convey proven techniques for working with schools and students to present the Lung LessonsSM curriculum. This training video and accompanying content was prepared by thee Ambassadors with considerable experience in youth tobacco prevention programs in the US and abroad.
The Treatment of Tobacco Dependence: American College of Chest Physicians Tool Kit (3rd Edition) is developed
The Treatment of Tobacco Dependence: American College of Chest Physicians Tool Kit (3rd Edition) is developed to assist physicians, nurses, and cessation counselors to help their patients quit smoking. The 3rd edition is updated with new treatments, clinical issues, and additional tools, including a new section geared specifically to the pediatrician or pediatric pulmonologist.
FDA Control over Tobacco Products
Once again, CHEST works closely with both the Republican and Democratic Senators, and The Campaign for Tobacco-Free Kids to grant the US Food and Drug Administration authority over tobacco products.