Document 2JorZ0J37ROBk2KnbMMVBXqzN
192 CHAPTER 6
German cancer journals, had already shown by 1930 that tars de rived from tobacco smoke could induce cancer in experimental an imals; in subsequent experiments he found that certain tobacco tar distillates could produce tumors in as many as 94 percent of all animals exposed.66 Roffo was important in shifting the emphasis away from nicotine and onto tar as the active agent of tumorigenesis; Lickint by 1935 could state that nicotine was "probably inno cent" of carcinogenic potency and that benzpyrene was more likely the guilty party.67
Roffo's experiments were disputed by some--the English scien tists Ernest Kennaway and R. D. Passey, for example, who claimed that he had burned his tobacco at temperatures too high to simu late actual smoking68--but the striking results prompted others to explore the hazard. Neumann Wender, a Viennese professor, in 1933 showed that tobacco smoke contained not just tar and nico tine but methyl alcohol and other toxins (see fig. 6.9); he also showed that the tar content of cigarette smoke increased when the woody stems of tobacco plants were used in the manufacturing process.69 Enrico Ferrari of Trieste that same year pointed out that since tar had "excellent cancer-causing properties," it was not hard to imagine that the increasing use of these woody parts might be responsible for the upsurge in lung cancer. Ferrari claimed to have been long convinced ("without a doubt") that cigarettes were a major cause of the disease; he endorsed Wender's proposal for a ban on the use of woody stems as an illegal adulteration.70 He also suggested that it was not by accident that Trieste had both the highest lung cancer rate and the highest smoking rate of any re gion in Italy.71
Lickint had pointed to the preponderance of smokers among lung cancer patients in 1929, and his was the lead most often fol lowed when physicians began to nail down the link. Rudolf Fleckseder of Vienna in 1936, for example, reported a very high pro portion of smokers among his lung cancer patients (48 of the 51 males were smokers; 35 were heavy smokers), and others noted the disproportion.72 The stage was thereby set for the era's two most important statistical analyses: a 1939 paper by Franz Her mann Muller, a physician at Cologne's Burgerhospital, and a 1943
THE CAMPAIGN AGAINST TOBACCO
193
tin wt\t oerbreiteter Jrrtum!
3m $af>afraud> ift nid)t nur 92ifotin entt>a(ten!
erbic?abafgfat>rcn bcfampfcn Will, inuf) bit auf bet borffctpnbcn Geite bcrjci(f>nftc Citeralur le[tn itnb bem ,,cu(fd>tn Dunb jut (ampfung btr ?aba(gcfatjrcn"
beifrctni!
Otutfditr Bund iuc Bthfimpfung Drr Tabahotfahttn e.O.
B c ( 11 n - C I) i i o 11 c n b u ( g 2
S d| I I I c i ft i a |> t 9
Fig. 6.9. This image is reproduced dozens of times in the back pages of Reine Luft in the late 1930s and early 1940s: it shows that tobacco smoke contains not just nicotine but carbon monoxide, ammonia, tar, and many other poisons. Most of these constituents had been identified in the nineteenth century. Top captions read: "A Widespread Misconception! Tobacco Smoke Contains Much More Than Nicotine!"