Senator
Frank R. Lautenberg Annual Lecture
The School of Public Health
Class of 2002, Convocation Ceremony
Woodbridge Hilton, Iselin, New Jersey
In
Memory of John D. Slade, M.D.
2002 Recipient of the Senator Frank R. Lautenberg
Annual Award in Public Health
May 20, 2002
Jack
E. Henningfield
It
is a great honor to be here to share with you in
the celebration of your graduation. And it
is a special honor to make some comments on behalf
of John Slade - the recipient of the Senator Frank
R. Lautenberg Award for Outstanding Achievement
in Public Health. Over
the next few minutes I will make some comments,
which, if John was listening, I hope would make
him alternately blush with embarrassment, and smile
his patented I-just-ate 6-Oreo-cookies-while-no-one-was-watching
smile.
If
John were here he would undoubtedly have mixed feelings.
- He
would feel greatly honored and appreciative
for the award.
- He
would feel somewhat embarrassed at receiving
an award for doing work that gave him so much
pleasure.
- But
he would also see this as an opportunity to
further the cause of public health by bringing
some of his messages to you – in John’s terms
– he would “leverage” the opportunity.
He would do this to advance the cause, not himself.
You
see, John did not miss an opportunity, especially
with an important audience, to advance the cause
of public health. And you are an important
audience.
- You
are the newest generation of health professionals
who are already making your presence felt and
on whose shoulders rest so much potential.
- You
are also the university administrators, teachers
and researchers who will influence the next
generation.
- Among
you are policy makers, parents, and others who
can also make a difference.
- A
distinguished United States Senator is present.
- None
of this would be lost on John and he would see
that this is a golden opportunity to try to
infect you with some of his zeal for public
health so that you would further the cause.
- This
is part of the way that John made a difference
from his local community to the global community.
He ever pressed himself to do more. He
would be appreciative for what you have done
and are doing, but he would press you to do
more, too.
John
continues to inspire many of us who are dedicated
to the improvement of public health and in his
death his inspiration has been magnified, though
I cannot tell you how much his leadership is missed
– locally and globally.
Let
me share a personal example.
After
leaving John’s memorial service in February, I used
the modern miracle of the wireless Internet to check
the status of a global debate around one of John’s
pet projects. That was how to reduce the death
and disease among tobacco users who continue to
use tobacco despite our best efforts to help them
quit. Light cigarettes had been a public health
disaster because they did not truly reduce toxin
delivery or disease, but they did reduce the health
concerns of smokers and their drive to quit.
A
long message had been posted from another continent
and it was one that I was sure John would have replied
to. To the best of my ability, and in the
spirit of John, I responded at some length.
Later that week a colleague who had also been at
the memorial service, and who noticed the timing
of my message posting, asked what had possessed
me to write at such length at such a time.
She noted that I had appeared devastated by the
loss of John and the service. I confessed
that I had indeed felt devastated but that I was
simultaneously energized by what he had done and
by the importance of all of us carrying on -- I
felt energized to carry forward with even greater
vigor and commitment.
I
believe that such feelings are shared by many
of our leaders in public health around the world. In
fact, upon his death the international Society
for Research on Nicotine and Tobacco, which John
helped to found, established an award in his name.
The award is to honor those who advance humanitarian
health policy on a science foundation, as John
himself had done so effectively.
The
real challenge was to assemble an award selection
committee that would appropriately dignify the award,
and provide the global credibility that would be
critical so that the award itself might contribute
to the cause.
At
the top of the list was former Surgeon General C.
Everett Koop, former FDA commissioner and Yale Medical
School Dean, David Kessler, and former senior FTC
and FDA counsel, Judith Wilkenfeld. Although
these individuals are all beset by many more requests
than they can even consider, they immediately accepted.
They all recognized the importance of John’s contributions;
they all wanted to appropriately honor him; and,
they all saw the virtue of an award that put science-guided
humanitarian health policy on a pedestal.
John’s spirit will continue in many around the world
and in many ways. I hope it will continue
in you.
But
what did he do and how did he do it? I recognize
that there are some among you who may not be familiar
with John Slade and his accomplishments. But
I would submit that none of you are unaffected by
what he accomplished.
- Cigarette
smoking is an addiction that kills one half
of smokers and accounts for 20% of all premature
deaths in our nation. John Slade was committed
to reducing that toll in New Jersey, across
the nation, and globally.
- He
petitioned the FDA to take stronger actions
against tobacco and to open the doors more broadly
to treatments, just as FDA had played such a
crucial role in developing treatments for AIDS
and cancer.
- Through
lectures, papers, personal visits, and other
activities, he helped to steer the activities
of organizations ranging from the pharmacists
and physicians of New Jersey, to the Food and
Drug Administration, the American Cancer Society,
pharmaceutical companies, and World Health Organization
to be more aggressive in their efforts to preventing
and treating tobacco addiction. Ask any
number of public health organizations, who made
a difference in their policies and activities,
and you will find John mentioned prominently.
- He
investigated the actions of the tobacco industry.
His landmark 1995 paper in the Journal of the
American Medical Association on secret tobacco
industry documents was a cornerstone in litigation
against the industry. This paper also
helped convince health professionals and governmental
agencies around the world that if the tobacco
industry could design cigarettes to be more
toxic and addictive than need be to deliver
nicotine, perhaps they could be made less toxic
and less addictive so that people who did use
them would be less likely to die.
- His
actions have contributed to smoke free public
transportation and buildings from here to China.
- His
actions contributed to greater access to treatment
and more effective prevention of tobacco dependence.
- John
Slade made a difference!!! You can too!!!
John
worked at many levels and he made those levels work
together.
- If
you asked him what he cared more about, treating
the disease in a patient in his office or reducing
prevalence of disease, his answer would be quick
and simple – “Yes!”
- He
respected his patients, he treated them well,
and he was unafraid to bluntly advise them on
the actions necessary to improve their health.
In turn, his patients loved him and he was recognized
as one of America’s best doctors.
- But
at heart, he was a tireless public health servant
who believed in acting to reduce disease and
suffering locally and globally.
He
appreciated his gifts and he took his gifts and
obligations seriously – though always in good humor.
- These
were many of the same gifts that you have also
been given.
- Gifts
such as your intellect and caring for the health
of others that motivated you to persevere through
your academic challenges.
- Gifts
such as outstanding teachers, and an outstanding
university.
- Gifts
such as the sense of humanity that has brought
you here today.
John
believed that with such gifts come obligations and
responsibilities.
He
believed that such gifts should be used to help
the person before you, to help your community, and
to contribute to world health to the best of your
ability.
John
showed that one person can make a difference.
Let me show you some of his strategies.
- John
leveraged his gifts. When he spoke of
a clinical case before a global assembly in
Geneva, or documented it in a published article,
it was not for the simple purpose of telling
other doctors what they might do when confronted
with such a case. It was also for the
broader purpose of providing an example, to
influence public health policy that might reduce
such cases in the future.
- He
understood that by being the best doctor he
could, he would also be building a foundation
of credibility and reputation from which he
could influence policy makers to improve health
policy locally and globally.
- John
used his training in clinical medicine to treat
and prevent disease.
- He
used his training in science to extend the science
foundation for improving prevention and treatment.
He contributed greatly to how we prevent, diagnose
and treat tobacco dependence.
- He
passed his training on by mentoring and teaching
and he was a wonderful teacher and mentor who
was loved and respected by those he taught.
- John
recognized that his patients and the global
population was diverse and that this diversity
needed to be better matched by the health professions.
He contributed by working to increase the pipeline
of women and minorities into the health sciences.
He felt this was not only the right thing to
do but that increasing diversity of health
professionals was critical to increasing
the excellence and relevance of the health professions.
He
did much more. If you would like to see
what others said about his life, his accomplishments
and his death, you might pay a visit to the web
site of the Innovators Combating Substance Abuse
and Developing Leadership in Reducing Substance
Abuse Programs which he directed and which are
run out of the University’s School of Public health
(www.SAInnovators.org)
This
is a forward-looking time for you. As you
look forward, I hope that you will think about
some of the ways that John Slade made a difference
to help you make a difference towards improving
public health.
Be
infected by the spirit of John Slade. Use
your gifts and use them well. Be energized
by the possibilities of the difference you can make
and you will make a difference.
Thank
you for the opportunity to share these thoughts
about a truly remarkable doctor and public health
servant – my friend and colleague, John Slade.