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DEPARTMENT OF HEALTH « HUMAN SERVICES Pvbic Health Secvka 



CvnMrtlor DitMsa Control 



•nd Prev*r(x>n (COC) 

 Atlanta QA 30333 



March 24, 1994 



Tha Honorable Henry A. Waxi&an 

 Chairman, Subconaittee on 



Health and tha Environment 

 Conaittee on Energy and Connerce 

 House of Representatives 

 Washington, D.C. 20515-6118 



Dear Mr. Waxman: 



r am responding to your letter regarding ingredients added to 

 tobacco during the manufacture of cigarettes. 



The 13 ingredients you reference were identified from the 1992 

 lists of ingredients added to tobacco during the manufacture of 

 cigarettes submitted by the cigarette aanuf acturers . A brief 

 description of tha uea of each of the 13 ingredients and 

 associated adverse health conditions is enclosed. We will 

 coordinate with the Food and Drug Administration regarding 

 specific health concerns which wight preclude the use of these 

 substances as additives in food products under tha Federal Food, 

 Drug and Cosmetic Act. 



Many of the approximately 700 ingredients added to tobacco could 

 be causes of diseases or potential adverse health effects, if a 

 sufficiently hi-gh dose is ingested. Without infomation about 

 the specific dose, combination of ingredients, and bow and when 

 ingredients are added during the aanufacturing process, we are 

 unable to determine health risks that aight result from any of 

 the ingredients. With respect to your question about the effects 

 of combustion and inhalation, we do not know what potentially 

 harmful byproducts may be produced when tobacco additives are 

 burned alone or in combination, as they are In cigax-ettea. 



The Comprehensive Smoking Education Act stipulates that cigarette 

 ingredient information provided to the Department of Health and 

 Human Services (HHS) be treated as trade secret or confidential 

 information subject to Section 552 (b)(4) of Title 5, United 

 States Coda, and Section 1905 of Title 18, United States Code. 

 The enclosed information is being provided in accordance with the 

 provisions of the Act which authorize HHS to provide cigarette 

 ingredient information to duly authorized cosnittees and 

 subcommittees of Congress upon request. 



Please let me know if we can be of further assistance. 



Sincerely, 



Davld'^Satchar , M . D . 

 Director 



