412 



N= 



mlttee did. or one rfl5 or 30 years, as others have suggested, the reported 

 rate of Incidence oj^u^R^cer does not coincide with cigarette sales. 



Has there r$#Uy Vxa any substantial increase in lung cancer? 



During the 196y,pb;ig'f«sSional hearings on cigarette labeling and 



advertising, a number of me^a^ authorities questioned that there has been 



^»n actual increase. Dr. Milton Ro^oblatt, who is the President of the 



Medical Board, Doctors Hospital, in Ne»-york. said this before Congress: 

 - *~ ' ' 



'^. In 1900, the combined crude deaOy^ate for respiratory 

 'Jliseases in the United States exceedejj^450 per 100, 000 

 bui,.there were no death rates recordetMor lung cancer. 

 If Ofify a small percentage of the deaths a<«-ibuted to 

 taberl^osis, pneumonia, bronchitis or Inftuenza bad 

 be«n Incc^ectly diagnosed and were, in acti^ihiy. 

 cases of l^fife cancer there would be relatively lOtle 

 incressc ln"5^ prevalence of this disease during (^V '^V^ 

 past haU csntu^r*' ^/V 



Then he goes on to say: '.c 



^<? 



"Official lung caactr sn>stics are based on death . 



certificates and nSk oo auf«^y findings. . . A recent Nfe 



10-year study of cases dlagng feji d primary lung cancer 

 on the death certificates reveif^d that in almost 60% 

 of the cases autopsied, the origiftj^l clinical diagnosis 

 of lung cancer had been incorrect. V, 



So Dr. Rosenblatt Is on record as sayi>>»<" lung cancer may have 



been "under"-diagnosed years ago and may be "over' ■'^gnosed today. 



"'^ 

 Another medical doctor who testified before Congress was Dr. 



Thomas H. Brem, who Is Chairman of the Department of Medicljw at the c 



University of Southern California School of Medicine. Dr. BreroalCedis- ? 



^ o 



V u 



cussed improved medical care and diagnostic techniques as the principal % 



o 



factors in the reported increase of lung cancer. He said this to Congress; 



