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November 26, 1973

Another Counter-Blaste

Author Affiliations

The Johns Hopkins University School of Medicine Baltimore

JAMA. 1973;226(9):1118. doi:10.1001/jama.1973.03230090042013

To the Editor.—  A recent note in The Journal (220:1172, 1972) compares "the right to be free from smoke" with "the right to smoke." I have two further comments.

Cigar and Pipe Smoking and Cancer.—  As early as 1955, Ochsner wrote: "Prominent cancer investigators sobered by their own findings, have switched from cigarettes to pipes or cigars to reduce the risk of lung carcinomas,"1 but actually, smokers who have switched from cigarettes to cigars and pipes to avoid cancer of the lung do not avoid the risk of cancer.An association between smoking and cancer was recognized long before the invention of cigarettes. In 1851 Sir James Paget saw a patient with leukoplakia (then known as "Smoker's Patch") near the middle of the dorsal surface of the tongue where he always rested the end of his pipe, and "told him he certainly would have cancer of the tongue if he