By Hirschi                                           H.C.R. No. 286

         75R16102 T                           

                             HOUSE CONCURRENT RESOLUTION

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

 1-2     Health (TDH) is to protect and promote the health of the citizens

 1-3     of this 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 24 percent of the state's population or

 1-9     approximately three million Texans smoke cigarettes; and

1-10           WHEREAS, In Texas, although the sale of tobacco to anyone

1-11     under the age of 18 is prohibited, 365,525 children in the 7th

1-12     grade through 12th grades currently use tobacco; and

1-13           WHEREAS, In a 1988 a U.S. Surgeon General report showed that

1-14     cigarettes and other forms of tobacco are addicting, that tobacco

1-15     users use tobacco regularly because they are addicted to nicotine,

1-16     and that most tobacco users find it difficult to quit due to this

1-17     addiction; and

1-18           WHEREAS, A 1992 survey found that approximately 2/3 of

1-19     adolescents who smoke said that they want to quit, and 70 percent

1-20     said they would not have started smoking if they could make that

1-21     choice again; and

1-22           WHEREAS, According to the Center for Disease Control (CDC),

1-23     1/3 of persons with incomes below $20,000 smoke; and

1-24           WHEREAS, In 1995 five Texas cities ranked in the top 15

 2-1     cities in the United States as having the highest density of likely

 2-2     smokers; El Paso (ranked number 1), San Antonio,

 2-3     McAllen-Edinberg-Mission, Brownsville-Harligen-San Benito, and

 2-4     Houston; and

 2-5           WHEREAS, Each year tobacco use is responsible for more than

 2-6     419,000 deaths in the United States, and more than 25,000 deaths in

 2-7     Texas; and

 2-8           WHEREAS, Studies show that lung cancer mortality is highest

 2-9     among adults who begin smoking before the age of 15; and

2-10           WHEREAS, Texas recognizes several reports by the Surgeon

2-11     General which states that smoking is responsible for:  30% of

2-12     deaths from cancer, 82% of death from pulmonary disease, 21% of

2-13     death from chronic heart disease, and 18% death from stroke; and

2-14           WHEREAS, A recent study found that use of tobacco products by

2-15     pregnant women results in from 19,000 to 41,000 miscarriages per

2-16     year and in from 3,100 to 7,000 infant deaths per year; and

2-17           WHEREAS, In 1993 tobacco related illnesses and death cost

2-18     Texas more than $5 billion dollars in direct health care cost and

2-19     in lost productivity; and therefore be it

2-20           RESOLVED, That the Texas Department of Health develop and

2-21     institute education and smoking cessation programs that employ the

2-22     latest technological advances approved by the Food and Drug

2-23     Administration are targeted at high risk populations under 200% of

2-24     poverty; and, be it

2-25           RESOLVED, That the Department of Health be encouraged to

2-26     partner with others to include but not limited to the; Texas

2-27     Medical Association, Pharmaceutical Research Manufacturers

 3-1     Association, Texas Osteopathic Association, Texas Pharmacist

 3-2     Association, the Texas Chiropractic Association and the Texas

 3-3     Hospital Association to ensure that smoking cessation programs

 3-4     reduce the cost of health care; and, be it further

 3-5           RESOLVED, That the Texas Department of Health submit a full

 3-6     report of its finding and recommendations to the 76th Legislature

 3-7     when that legislature convenes in January 1999; and be it further

 3-8           RESOLVED, That the secretary of state forward an official

 3-9     copy of this resolution to the commissioner of health.