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November 12, 2004
Battle against Big Tobacco Not Over, say Richmond Award Winners

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Dean Bloom (right) gives Matthew Myers one of the awards.
For those who think the war against Big Tobacco is over, think again, asserted recipients of the Julius B. Richmond Award on October 28 in Snyder Auditorium. Millions of dollars in funding gained from the Master Settlement Agreement of 1998 are not being spent to prevent or curb smoking in a number of states, while tobacco companies continue to refine marketing strategies to sell more cigarettes. The Richmond Award event kicked off a two-day Leadership Council meeting.

The Richmond Award is the highest honor conferred by HSPH and is named after the former U.S. Surgeon General and current John D. MacArthur Professor of Health Policy Emeritus at Harvard. Winners this year were three state attorneys general who served as architects of the Master Settlement Agreement, an advocate for children, and a renowned epidemiologist.

"We are particularly excited about this year’s recipients, each of whom has played a pivotal role in the war against tobacco, which remains the greatest preventable cause of death and disease worldwide,’’ said HSPH Dean Barry Bloom. "But I have to say the battle is not won,’’ he continued. "I hope the occasion today will regalvanize and reignite our commitment to dealing with the problem.’’

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Dimitrios Trichopoulos (left) and Julius Richmond
Former Mississippi Attorney General Mike Moore filed the first lawsuit by a state against the leading tobacco companies in 1994. Washington Attorney General Christine Gregoire and former Massachusetts Attorney General Scott Harshbarger played key supporting roles in the suit, which led to the largest civil settlement in U.S. history, requiring the companies to pay states some $246 billion over 25 years. (Gregoire was unable to attend the ceremony because she was in the closing days of running for governor of Washington. The results of the race were unknown at the time that HPH NOW went to press. Gregoire did prepare a videotaped message that was shown at the ceremony.) All three former or current attorneys general were among the five winners this year.

"They helped craft a new chapter in public health history,’’ said Howard Koh, associate dean for public health practice at HSPH who, as Massachusetts Public Health Commissioner, helped develop one the nation’s most successful smoking prevention and cessation models.

"This entire movement was a real achievement,’’ Harshbarger said. "We had a marvelous effort, and we are grateful for being acknowledged. We are very proud of what we did.’’

Also winning the Richmond Award were Matthew Myers, president of the Campaign for Tobacco-Free Kids, and Dimitrios Trichopoulos, a cancer epidemiologist at HSPH whose landmark study in 1981 proved second-hand smoke was associated with increased lung cancer risk.

"Passive smoking is much more important than many other presumed or real risks that surround us," said Trichopoulos.

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Mike Moore
Both Moore and Harshbarger expressed disappointment over the fact that money won in the tobacco settlement is not necessarily being used by states to fund anti-tobacco programs. In many states, including Massachusetts, tobacco programs have been virtually dismantled, and the money is going for other purposes.

"Where’s the public outrage?’’ said Moore, who noted proudly that in Mississippi, one of the nation’s poorest states, tobacco control programs have not been cut. He was particularly critical of Massachusetts and Florida for gutting their successful programs. "You’re protecting children, you’re saving lives,’’ he said. "When you have something that’s working, you don’t turn the spigot off. It’s an atrocity.’’ When asked why programs were being dismantled when they worked so well, Moore said that he did not know and urged Dean Bloom and audience members to call legislators and ask them, holding them accountable.

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Scott Harshbarger (left) and Howard Koh
Harshbarger agreed he is disappointed about the direction of spending from the agreement. "It’s one of the saddest things to see,’’ he said. "That’s why it is important not to celebrate, but to dedicate ourselves to staying in the fray.’’ He said he is hopeful that those now studying public health will join the effort. "I look around this room, and I see the cavalry, and I see tomorrow,’’ he said.

Said Myers: "Sure, we’re all disappointed the states are not spending more. But we haven’t lost the war.’’ He pointed out that since the Master Settlement Agreement, some 38 states have increased excise taxes on tobacco and eight states have passed workplace smoking bans.

"This is a movement that is changing the face of America,’’ said Myers. "The net result has been the most substantial decline in tobacco usage that we’ve ever seen.’’

Since 1997, adult smoking nationwide has dropped from 24.7 percent to 20.3 percent, and teen smoking is down from 36.4 percent to 21.9 percent, he said.

"The challenge now is to build on it,’’ said Myers, expressing hope that the anti-smoking movement can be exported worldwide.

"This year, four million people around the world will die of tobacco use,’’ he said. "That number will rise to 10 million by 2030 if trends don’t change. We simply can’t afford another epidemic, particularly a manmade, preventable epidemic.’’

A webcast of the Richmond Award Ceremony can be found on the web site at http://www.hsph.harvard.edu/richmondaward/

--ML


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