historyNLM Circulating Now1964 · United States
Smoking in America: 50 Years On
On January 11, 1964, US Surgeon General Luther Terry released a report that concluded cigarette smoking caused a large rise in deaths and was the chief cause of the epidemic of lung cancer in the twentieth century. An advisory committee of ten experts reviewed more than 7,000 scientific articles and estimated that smokers had a nine to ten times higher risk of lung cancer than non-smokers, with heavy smokers at least twenty times higher. Terry chose a Saturday release to limit stock market effects and reach Sunday papers. Congress later required health warnings on cigarette packs in 1965 and banned television and radio cigarette advertising from 1970.
The committee compared smokers with non-smokers across large groups over time, showing that lung cancer, bronchitis, emphysema and heart disease were far more common among smokers. Statistical links from population data were confirmed by laboratory and pathology studies.
The report turned smoking from a matter of personal choice into a public health issue and set the template for regular Surgeon General reports. Smoking prevalence among US adults has since fallen by about half.
Public health campaigns against tobacco followed the same path as earlier and later risk campaigns, such as lead and asbestos regulation, where evidence accumulated and policy followed.
U.S. National Library of Medicine
Illustrative photo · CDC, Public domain, via Wikimedia Commons
