The unauthorized and medically unethical use of the prestige and reputation of the American Medical Association and The Journal in Kent cigarette advertisements currently appearing in the American press and other channels of mass communication constitutes an outrageous example of commercial exploitation of the American medical profession. The implication in these advertisements that the American Medical Association authorizes, supports, or approves any particular brand of cigarettes or combination of claims made in their behal f\p=m-\whether pygmy-sized or king-sized, with or without filters, nicotinized or denicotinized\p=m-\provides a most reprehensible instance of hucksterism. The manner in which the P. Lorillard Company has extolled its particular brand of cigarettes by reference in its advertisements to the American Medical Association and The Journal is to be strongly condemned.On the basis of only one factor isolated from many, the P. Lorillard Company blatantly implies that the efficiency of their brand of filter tip solves the health problems associated with cigarette smoking. This ap¬ proach to a vital problem is ill-conceived and lacks fac¬ tual medical support. The inference that any type of filter has the approval of the American Medical Asso¬ ciation is equally without foundation. Until the clinical relationship between the amount of nicotine and tars and their effect on the individual smoker is conclusively es¬ tablished, no filter can offer a panacea except one that possesses 100% efficiency. The hard facts of the matter are that a completely efficient filter would permit the smoker to inhale nothing but hot air! Certainly there is no adequate evidence to prove con¬ clusively that the reduction of nicotine and tars by means of a filter that is 60% inefficient has any physiological significance. The amount of nicotine and tars that reach the smoker's oral cavity is the one factor of fundamental importance. This cannot be determined merely by es¬ tablishing the efficiency of a filter. The presentation of one fact and the exclusion of all other pertinent facts can result in a serious misrepresentation of the true status of health in relation to the smoking problem. Smokers who are misled are likely to obtain a false sense of secu¬ rity without real protection.
RELATION OF ABSENCE OF TONSILS TO BULBAR POLIOMYELITISData have been provided over a period of years to suggest that mere absence of tonsils and adenoids, regardless of the time of their removal, leads to increased susceptibility to bulbar poliomyelitis. In a study of 432 patients with acute anterior poliomyelitis, Lucchesi and LaBoccetta 1 found that in 61% of patients whose tonsils were absent at the time the infection occurred the bulbospinal form of the disease developed while in 76% the bulbar type developed. A much higher incidence of bulbar involvement took place in these persons than in patients who still had tonsils and adenoids, the difference being apparent in all age groups. Seventy-eight per cent of the patients who died of poliomy...