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NORMAN
KJONO

SELLING ADDICTION TO KIDS

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Norman E. Kjono

March 7, 2001
The Honorable Henry A. Waxman (D-California)
Commerce Committee
U.S. House of Representatives
Washington D.C. 20505


Re: Selling Addiction To Youth

Dear Rep. Waxman,

Please find enclosed the following:

  1. My letter of March 5, 2001 to Jackson L. Williams, Washington Assistant Secretary of Health, with its two enclosures and a copy of his February 27, 2001 letter to me.

  2. "Puff, The Magic Camel," February 2, 2001

  3. "Joe Camel's Lawyer Trial ," February 6, 2001

The enclosed supplement my letter of January 29, 2001 addressed to Washington State Representatives Lambert and Ruderman, copies of which were forwarded to you. Please note my statements to Representatives Lambert and Ruderman in my correspondence of January 29:

"As of 1984 youth smoking persistence was steeply declining. Tobacco control intervened through COMMIT, focusing on children as young as third grade.  Persistence increased from 26.8 to 28.3 percent. In 1988 youth tobacco persistence was again decreasing. Dr. Koop launched his campaign to sell tobacco consumers that they no longer had a habit they could quit, they were addicted to his financial sponsors' product, nicotine. Persistence increased from 27.3 to 29.7 percent. In 1992 youth persistence was again declining. Project ASSIST began its intervention years in 1993, aggressively focusing Dr. Koop's addiction theme on children at school. Persistence increased for five consecutive years, from 27.8 to 37.6 percent
(virtually back to 1970's levels.) In 2000 youth smoking persistence was again declining. We now see nationwide Legacy Foundation advertisements targeting our children with the message "Nicotine is as addicting as heroin and cocaine." And a billboard that proclaims "is nicotine addictive? Just ask Debie." is strategically placed near local elementary, junior high, and high schools on Rose Hill in our district. Our children are clearly being taught new product beliefs that stabilize tobacco revenues and assure new tobacco source consumers."

 

Selling addiction to kids -- which demonstrably stabilizes tobacco revenues and assures more new youth source consumers for tobacco control activists' pharmaceutical sponsors -- is a theme created by and unique to tobacco control activists. Please note that bottom support levels for youth persistence accelerate during the period of most aggressive tobacco control intervention, to where the greatest increase in youth smoking persistence occurs during the period of Project ASSIST.

The above graphic was developed as part of an extensive analysis of smoking rate data in context of allegedly anti-tobacco programs. As part of that analysis adult smoking persistence was also examined. The results of that analysis are equally disconcerting and startling:

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Five year adult quit smoking rates level off immediately after Dr. Koop's report that declared smoking to no longer be a habit and elevated tobacco use to an addiction.

(Click graph to enlarge)

Adult Current Smokers stabilized (previous declines in Current Smokers leveled off) during Project ASSIST years, and adult Former Smokers began to decline.  Previous positive trends of fewer adults smoking stabilized or reversed.

(Click graph to enlarge)

Click To View Larger Graph

Click To View Larger Graph

Residual values for current adult smoking populations (remaining smokers after subtracting Former from Current) stabilized, and residuals for younger 18-24 year old smokers in fact reversed, to become negative for the first time in 25 years after Dr. Koop's report. Those trends accelerated during Project ASSIST.

(Click graph to enlarge)

Selling addiction to adults -- which demonstrably stabilizes tobacco revenues and assures continuing source consumers for tobacco control activists' pharmaceutical sponsors' nicotine products -- is a theme created by and unique to tobacco control activists. Please note that the turning point for both adult quit smoking rates and residual values corresponds in time to Dr. Koop's Surgeon General report that declared nicotine to be addictive, and that the residual for 18-24 year old adults accelerates coincident with Project ASSIST.

The above described youth and adult smoking rate phenomenon now place we parents,taxpayers, and consumers in a difficult and alarming position: 

Click To View Larger Graph

Youth smoking persistence (children who experiment with cigarettes and then continue, to become daily smokers) has been restored to near-perfect stability, despite an environment of consistently increasing cigarette prices.

(Click graph to enlarge)

Adult smoking trends are clearly stable, and younger adult smoking trends are that fewer 18-24 year olds quit smoking, despite an environment of consistently increasing cigarette prices.

(Click graph to enlarge)

Click To View Larger Graph

The above phenomenon are causally related as to both timing and content of tobacco-control programs. Notably, in paragraph 4 of his February 27, 2001 letter to me Washington Assistant Secretary of Health Williams characterizes my description of youth smoking persistence and youth smoking trends as "previous effects of anti-smoking campaigns." As set forth at center of page 2 in "Puff, The Magic Camel," California anti-tobacco activist Stanton Glantz publicly connected the failure to reduce adult smoking and the increase in youth smoking to tobacco control program focus five years ago:

"For a summary of why the failure to reduce adult smoking was totally predictable, see my editorial, 'The youth access trap' (Am J. Pub. Health, 1996;86:156-158)

". . . when the [anti-smoking] campaign was focused on kids, youth smoking went up 30% and progress in adults stopped." (Bracket insertion added.)

While Joe Camel reflects today on the 1990s as the most aggressive turnaround of his cigarette sales in three decades, the Centers for Disease Control and Prevention publishes information that tells us pharmaceutical distributors participated in nicotine product sales success:

Click To View Larger Graph
(Click graph to enlarge)

Things couldn't have turned out better for tobacco control activists and their pharmaceutical nicotine sponsors: There is now a stabilized and expanding robust consumer market for nicotine products, despite an aggressive decade of price hikes on tobacco. That' s quite a system. While I have little doubt Joe Camel is puffed up about those results, and SmithKline Beecham and Johnson & Johnson have much to thank tobacco control activists for, the above-described facts about tobacco new youth source nicotine consumer rates leave we parents in a bit of a lurch: We were lead to believe by tobacco control and it' s aggressive political promoters like you that anti-tobacco pro-grams were going to reduce youth and adult smoking. Turns out you've simply created a nicotine money machine that is dependent on more children starting to smoke to sustain itself.

No, Mr. Waxman, kids on SmithKline Beecham's Nicorette or Johnson & Johnson's Nicotrol nicotine products is not a superior alternative, what about "Nicotine Free," not just "Tobacco Free." That product choice becomes particularly reprehensible when we parents realize that allegedly anti- tobacco activists who are paid millions by pharmaceutical nicotine distributors have presided over the largest increase in youth smoking that we have seen in decades.

Thanks, Henry.  We parents needed that.

Fortunately for our children and consumers, statistical trends and causal relationships such as the above place an interesting damage model in the laps of those who presume to regard other people's children and consumers as their private "social influences" revenue experiment.

Sincerely,

Norman E. Kjono

Via U.S. Mail, Certified No.  7000-1670-0005-7105-5934

cc: Via U.S. Mail, Certified No.  7000-1670-0005-7105-5910

Christine O. Gregoire, Esq.,
Director, Legacy Foundation
Attorney General, State of Washington


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