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Robert E. McAfee, MD

JAMA. 1986;255(8):1055.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

For over 30 years, the American Medical Association (AMA) through its policies, programs, and publications has continued to alert the public to the medical consequences of the use of tobacco. This issue of JAMA, the third issue devoted to the problem of smoking, signifies the importance of this public health responsibility as seen by organized medicine. Despite this and similar activities that have had modest success in presenting public information regarding the health consequences of tobacco use, the following facts are still with us:

• One thousand deaths per day in the United States are attributed to the effects of tobacco.
  
• There are 1 million new smokers per year in this country, the majority of whom represent young America.
  
• The Surgeon General continues to issue warnings regarding the urgency of this No. 1 public health problem.
  
• In excess of $2 billion is spent annually by the tobacco industry to promote their
  

Author Affiliations
Member, Board of Trustees American Medical Association South Portland, Me

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