Cummings K Michael, Brown Anthony, O'Connor Richard
Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Cancer Epidemiol Biomarkers Prev. 2007 Jun;16(6):1070-6. doi: 10.1158/1055-9965.EPI-06-0912.
This study examines the history of the cigarette controversy using the tobacco documents as a roadmap to explore the following four questions: (a) What did tobacco companies know about the health risks of smoking and when did they know it? (b) What evidence is there that tobacco companies conspired to deliberately mislead the public about the health risks of smoking? (c) How were scientists involved in the cigarette controversy? (d) Have tobacco companies changed the way they do business since signing the 1998 Master Settlement Agreement? The tobacco companies knew and for most part accepted the evidence that cigarette smoking was a cause of cancer by the late 1950s. The documents also reveal that the tobacco companies helped manufacture the smoking controversy by funding scientific research that was intended to obfuscate and prolong the debate about smoking and health. Today, the tobacco companies acknowledge that smoking is a cause of disease, but they have not materially altered the way they do business. In our opinion, it is not sufficient for the tobacco industry to merely concede the obvious point that smoking is a cause of disease when it is evident that decades of misinformation has resulted in a public that is massively ignorant about the risks of smoking low-tar cigarettes, nicotine addiction, and secondhand smoke exposure. Public education efforts are still needed to correct these misperceptions along with government oversight to ensure that the industry is not permitted to mislead the public further. If the past 50 years have taught us anything, it is that the tobacco industry cannot be trusted to put the public's interest above their profits no matter what they say.
本研究以烟草文件为指引,审视香烟争议的历史,以探讨以下四个问题:(a)烟草公司对吸烟的健康风险了解多少,以及他们何时了解到这些风险?(b)有哪些证据表明烟草公司合谋故意在吸烟的健康风险问题上误导公众?(c)科学家如何卷入香烟争议?(d)自签署1998年《主和解协议》以来,烟草公司的经营方式有何变化?到20世纪50年代末,烟草公司已经知晓并在很大程度上接受了吸烟是癌症病因的证据。文件还显示,烟草公司通过资助旨在混淆和延长关于吸烟与健康辩论的科学研究,助推了吸烟争议的产生。如今,烟草公司承认吸烟是疾病的一个病因,但它们的经营方式并未有实质性改变。在我们看来,鉴于数十年的错误信息已导致公众对低焦油香烟的风险、尼古丁成瘾和二手烟暴露严重缺乏了解,仅让烟草业承认吸烟是疾病病因这一明显事实是不够的。仍需要开展公众教育工作来纠正这些误解,同时需要政府监督,以确保该行业不会再被允许误导公众。如果过去50年给我们带来了什么教训的话,那就是无论烟草业怎么说,都不能相信它会将公众利益置于利润之上。