75R16683 PFG-F                          

         By Hirschi                                           H.C.R. No. 286

         Substitute the following for H.C.R. No. 286:

         By Hirschi                                       C.S.H.C.R. No. 286

                             HOUSE CONCURRENT RESOLUTION

 1-1           WHEREAS, The statutory mission of the Texas Department of

 1-2     Health is to protect and promote the health of the citizens of this

 1-3     state; and

 1-4           WHEREAS, In fulfilling its mission, the agency administers

 1-5     programs regarding the quality and delivery of health care, the

 1-6     control and prevention of disease, and the preservation of consumer

 1-7     health in accordance with both state and federal law; and

 1-8           WHEREAS, In Texas, about 23 percent of the state's

 1-9     population, or approximately three million Texans, smoke

1-10     cigarettes; and

1-11           WHEREAS, In Texas, although the sale of tobacco to anyone

1-12     under the age of 18 is prohibited, more than 300,000 children in

1-13     the 7th grade through 12th grade currently use tobacco; and

1-14           WHEREAS, In 1988, a U.S. Surgeon General report showed that

1-15     cigarettes and other forms of tobacco are addictive, that tobacco

1-16     users use tobacco regularly because they are addicted to nicotine,

1-17     and that most tobacco users find it difficult to quit due to this

1-18     addiction; and

1-19           WHEREAS, A 1992 survey found that approximately two-thirds of

1-20     adolescents who smoke said that they want to quit, and 70 percent

1-21     said they would not start smoking if they could make that choice

1-22     again; and

1-23           WHEREAS, According to the U.S. Centers for Disease Control

1-24     and Prevention, one-third of persons with incomes below $20,000

 2-1     smoke; and

 2-2           WHEREAS, In 1995, five Texas cities ranked in the top 15

 2-3     cities in the United States as having the highest density of likely

 2-4     smokers:  El Paso (ranked number one), San Antonio,

 2-5     McAllen-Edinburg-Mission, Brownsville-Harlingen-San Benito, and

 2-6     Houston; and

 2-7           WHEREAS, Each year, tobacco use is responsible for more than

 2-8     419,000 deaths in the United States and  more than 26,000 deaths in

 2-9     Texas, which represents more than the combined number of deaths

2-10     from alcohol, AIDS, illegal drugs, accidents, and homicides; and

2-11           WHEREAS, Studies show that lung cancer mortality is highest

2-12     among adults who begin smoking before the age of 15; and

2-13           WHEREAS, Texas recognizes several reports by the U.S. Surgeon

2-14     General that state that smoking is responsible for 30 percent of

2-15     deaths from cancer, 82 percent of deaths from pulmonary disease, 21

2-16     percent of deaths from chronic heart disease, and 18 percent of

2-17     deaths from stroke; and

2-18           WHEREAS, A recent study found that use of tobacco products by

2-19     pregnant women results in 19,000 to 41,000 miscarriages per year

2-20     and 3,100 to 7,000 infant deaths per year; and

2-21           WHEREAS, In 1993, tobacco-related illnesses and deaths cost

2-22     Texas more than five billion dollars in direct health care costs

2-23     and in lost productivity; now, therefore, be it

2-24           RESOLVED, That the Texas Department of  Health continue to

2-25     promote tobacco use prevention education  and cessation programs;

2-26     and, be it further

2-27           RESOLVED, That the Texas Department of Health employ the

 3-1     latest public health research and technological advances approved

 3-2     by the Food and Drug Administration, with special emphasis on

 3-3     high-risk populations under 200  percent of poverty; and, be it

 3-4     further

 3-5           RESOLVED,  That the Texas Department of Health be encouraged

 3-6     to partner with others, including, but not limited to, the American

 3-7     Cancer Society, American Lung Association, American Heart

 3-8     Association, Texas Medical Association, Texas Academy of Family

 3-9     Physicians, Pharmaceutical Research Manufacturers Association,

3-10     Texas Osteopathic Association, Texas Pharmacy Association, Texas

3-11     Chiropractic Association, and Texas Hospital Association to ensure

3-12     that tobacco prevention education and cessation programs help

3-13     reduce the economic and human toll of tobacco use on the citizens

3-14     of Texas; and, be it further

3-15           RESOLVED, That the Texas Department of Health submit a full

3-16     report to the 76th Texas Legislature when it convenes in January

3-17     1999 of the agency's activities and findings relevant to this

3-18     resolution and its recommendations for reducing tobacco use in

3-19     Texas; and, be it further

3-20           RESOLVED, That the secretary of state forward an official

3-21     copy of this resolution to the commissioner of the Texas Department

3-22     of Health.   BEGCAPTION 

3-23     Directing the Texas Department of Health to promote tobacco use

3-24     prevention and cessation programs.

3-25      ENDCAPTION