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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for this report were chosen for their special competencies and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

This project was funded by the Robert Wood Johnson Foundation (Grant No. 20520-R); Metropolitan Life; the American Heart Association; by funds provided by the Cigarette and Tobacco Surtax Fund of the State of California through the Tobacco-Related Disease Research Program (Grant No. 3SP-0416); the Centers for Disease Control and Prevention and the National Institute on Drug Abuse (Grant No. M93-OSH-DASH); the Indian Health Service; the Center for Substance Abuse Prevention; and the National Cancer Institute, the Maternal and Child Health Bureau of the Health Resources and Services Administration, and the Agency for Health Care Policy and Research (Grant No. I-R13-CA62355-01).

Library of Congress Cataloging-in-Publication Data

Growing up tobacco free : preventing nicotine addiction in children
and youths / Barbara S. Lynch and Richard J. Bonnie, editors;
Committee on Preventing Nicotine Addiction in Children and Youths,
Institute of Medicine.
First Printing, September 1994
p. cm.
Second Printing, January 1996
Includes bibliographical references and index.
Third Printing, May 1997
ISBN 0-309-05129-0
Fourth Printing, October 1998
1. Children—Tobacco use—United States—Prevention. 2. Youth-Tobacco use—United States—Prevention. I. Lynch, Barbara S. II. Bonnie, Richard J. III. Institute of Medicine (U.S.). Committee on Preventing Nicotine Addiction in Children and Youths.
HV5745.G75  1994
362.29'67'083—dc20                    94-31455

Copyright 1994 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatlichemuseen in Berlin.

Credit: Cover artist, Juan Morrell, P.S. 54, Brooklyn. Cover poster and additional posters throughout book taken from Kids Say Don't Smoke by Andrew Tobias. Copyright 1991 by Andrew Tobias and Smokefree Educational Services, Inc. Reprinted by permission of Workman Publishing, New York.

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