By Hirschi                                            H.R. No. 1254

         Line and page numbers may not match official copy.

         Bill not drafted by TLC or Senate E&E.

                                 R E S O L U T I O N

 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 seventh grade through 12th grade currently use tobacco; and

1-14           WHEREAS, In 1988, a United States Surgeon General report

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

1-16     that tobacco users use tobacco regularly because they are addicted

1-17     to nicotine, and that most tobacco users find it difficult to quit

1-18     due to this 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

 2-1     again; and

 2-2           WHEREAS, According to the United States Centers for Disease

 2-3     Control and Prevention, one-third of persons with incomes below

 2-4     $20,000 smoke; and

 2-5           WHEREAS, In 1995, five Texas cities ranked in the top 15

 2-6     cities in the United States as having the highest density of likely

 2-7     smokers:  El Paso (ranked number one), San Antonio,

 2-8     McAllen-Edinburg-Mission, Brownsville-Harlingen-San Benito, and

 2-9     Houston; and

2-10           WHEREAS, Each year, tobacco use is responsible for more than

2-11     419,000 deaths in the United States and  more than 26,000 deaths in

2-12     Texas, which represents more than the combined number of deaths

2-13     from alcohol, AIDS, illegal drugs, accidents, and homicides; and

2-14           WHEREAS, Studies show that lung cancer mortality is highest

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

2-16           WHEREAS, Texas recognizes several reports by the United

2-17     States Surgeon General that state that smoking is responsible for

2-18     30 percent of deaths from cancer, 82 percent of deaths from

2-19     pulmonary disease, 21 percent of deaths from chronic heart disease,

2-20     and 18 percent of deaths from stroke; and

2-21           WHEREAS, A recent study found that use of tobacco products by

2-22     pregnant women results in 19,000 to 41,000 miscarriages per year

2-23     and 3,100 to 7,000 infant deaths per year; and

2-24           WHEREAS, In 1993, tobacco-related illnesses and deaths cost

2-25     Texas more than $5 billion in direct health care costs and in lost

 3-1     productivity; now, therefore, be it

 3-2           RESOLVED, That the Texas Department of  Health continue to

 3-3     promote tobacco use prevention education  and cessation programs;

 3-4     and, be it further

 3-5           RESOLVED, That the Texas Department of Health employ the

 3-6     latest public health research and technological advances approved

 3-7     by the Food and Drug Administration, with special emphasis on

 3-8     high-risk populations under 200  percent of poverty; and, be it

 3-9     further

3-10           RESOLVED, That the Texas Department of Health be encouraged

3-11     to partner with others, including, but not limited to, the American

3-12     Cancer Society, American Lung Association, American Heart

3-13     Association, Texas Medical Association, Texas Academy of Family

3-14     Physicians, Pharmaceutical Research Manufacturers Association,

3-15     Texas Osteopathic Association, Texas Pharmacy Association, Texas

3-16     Chiropractic Association, and Texas Hospital Association to ensure

3-17     that tobacco prevention education and cessation programs help

3-18     reduce the economic and human toll of tobacco use on the citizens

3-19     of Texas; and, be it further

3-20           RESOLVED, That the Texas Department of Health submit a full

3-21     report to the 76th Texas Legislature when it convenes in January,

3-22     1999 of the agency's activities and findings relevant to this

3-23     resolution and its recommendations for reducing tobacco use in

3-24     Texas; and, be it further

3-25           RESOLVED, That an official copy of this Resolution be

 4-1     forwarded to the commissioner of the Texas Department of Health.