Warner K E
Department of Public Health Policy & Administration, School of Public Health, University of Michigan, Ann Arbor 48109-2029.
Am J Public Health. 1991 Jul;81(7):839-42. doi: 10.2105/ajph.81.7.839.
According to industry documents, the tobacco industry has executed a "brilliantly conceived" strategy to "creat[e] doubt" in the public's mind about whether cigarette smoking is in fact a serious cause of disease. A component of this strategy has been the funding of scientific research "into the gaps in knowledge in the smoking controversy." Grant review and selection are performed by a group of independent scientists. Knowledgeable observers believe that the existence of this research funding program in general, and the Scientific Advisory Board in particular, is intended by the industry to reinforce doubts in the public mind about the severity of the hazards posed by smoking. Because the Advisory Board has never taken a public stance against the industry's position that the causal relationship between smoking and disease remains unproven, I polled these scientists to determine whether they believed that smoking is a cause of lung cancer. Despite repeated opportunities, only four of 13 board members responded, all affirmatively; two others have expressed their judgment that smoking causes lung cancer in their professional publications. Thus, over half of the Board members, and the Board as a whole, have not gone on record as rejecting the industry's "party line." It might be hoped that the American scientists would follow the lead of the members of a similar body of scientists in Australia who have taken a strong and public stand against the industry position that smoking is not an established cause of disease.
根据行业文件,烟草行业实施了一项“构思精妙”的策略,在公众心中“制造疑虑”,让人怀疑吸烟是否真的是导致疾病的严重原因。该策略的一个组成部分是资助针对“吸烟争议中知识空白”的科学研究。资助评审和筛选由一组独立科学家进行。有见识的观察家认为,总体而言,这一研究资助项目的存在,尤其是科学顾问委员会的存在,是烟草行业有意在公众心中强化对吸烟危害严重程度的怀疑。由于顾问委员会从未公开反对该行业认为吸烟与疾病之间的因果关系尚未得到证实的立场,我对这些科学家进行了调查,以确定他们是否认为吸烟会导致肺癌。尽管有多次机会,13名委员会成员中只有4人做出了回应,且都是肯定的回答;另外两人在其专业出版物中表达了他们认为吸烟会导致肺癌的判断。因此,超过半数的委员会成员,以及整个委员会,都没有公开表明反对该行业的“官方立场”。或许有人希望美国科学家能效仿澳大利亚一个类似科学家团体的成员,他们已强烈且公开地反对该行业认为吸烟并非已确定的致病原因的立场。