421 



14 - 



EMPHYSEMA . qft,tertlnK>ny before Congress in 1965, the then 



U. S. Surgeon General told C^n^ss that in 1964 his Advisory Committee 



ijad determined "that a relationshifi'«jcista between pulmonary emphysema 

 '. • . 



ahij cigarettes but it has not been establ/jhed that this relationship is 



causal.^ He further affirmed that " We hav&^ot been able to establish 

 /^ 



an absolute "^use and effect between smoking afid-emphyaema. " 



And iSjb. President of the National Tubercutosis and Respiratorv 

 Disease Assoclatiorf^ld Congress in 1969 that the cause'i'f emphysema is 

 "unknown." \ Op <^/^ 



Although the Pubht-_^ealth Service has maintained that cases of 



/^ 

 emphysema have climbed dramafb^Uy in the last 10 years, many medical - 



authorities in the 1969 Congressional nj^arings questioned whether the reported 



rise had in fact taken place. ^ 



As physician after physician explaineqpto Congress, the diagno£"ls 



of emphysema is a very difficult one to make corre^y. They said the reason 



^^ 



is that the symptoms of the disease — coughing, shortnesS,of breath, diffirjlty 



.<- 

 getting started in the m.orning, ar.d early fatigue in the evening— arc also ire c 



\/^ c 



symptoms of asthma, asthmatic bronchitis, chronic bronchitis, aijd^ variety "i* 



".^ ««» 



of other diseases. '~V S 



w 



Other witnesses before Congress had revealing remarks to ma'-:» 

 about emphysema. Dr. Edwin Levine. Professor of Clinical Medicine, Cr.icago 



