Chronology
of Psychoactive Substance Use
By
Gregory Austin.
Classical Antiquity
GENERAL DRUG USE
In classical Greece
and Rome, only alcohol, the oldest documented compound of abuse, poses
a significant problem. Opium is widely employed only as a medicine;
great caution is advised in its use, it is seldom used alone, and
the phenomena of dependence and abuse are not recorded. While cannabis
use is widespread in Asia Minor and Assyria, there appears to be little
use of cannabis in Greek and Roman cultures.
c.
700-800
OPIATES
China/India.
The opium poppy is introduced by Arabs (who inherited and expanded
the classical medical legacy and knowledge of opium). At first use
is limited to medicinal purposes, and it is consumed in a beverage
made from the seeds.
c.
1000
OPIATES
China.
The medicinal use of opium poppy seeds is widespread. By 1100, the
more potent capsule is in use, but pure opium is not extracted from
the capsule.
India.
Opium is cultivated, eaten, and drunk by all classes as a household
remedy; it is used by rulers as an indulgence, and given to soldiers
to increase their courage.
c.
1250
ALCOHOL
Europe.
The technique of distillation becomes known in Europe, making it possible
to produce more potent and convenient alcoholic beverages. Until the
16th century, however, distilled or spiritous liquors primarily are
made from wine (such as brandy), are costly and are used only by the
wealthy as a medicine. Credited with extraordinary healing powers,
their common name is aqua vitae, "water of life."
c.
1300
COCAINE
Inca Empire.
Throughout the period of the Inca Empire (1200- 1553), the chewing
of coca leaves is central to Inca religious and social systems, with
use controlled by ritual sanctions. The leaves of the plant are used
for their euphoric, energizing effects and the plant is viewed as
a divine gift of the Sun God.
COFFEE
Arabia.
The technique of coffee roasting is developed. Indigenous to Ethiopia,
coffee was previously extremely expensive; its use remained localized
and limited to medicinal purposes and the beans were chewed or an
infusion was made from the leaves. The technique of roasting makes
coffee cheaper, more available, and more pleasant to consume. Cultivation
and use of coffee expands into Arabia.
145O-1475
COFFEE
Arabia.
Coffee cultivation and drinking spreads rapidly in Yemen, at first
for medicinal or religious purposes, such as promoting alertness during
long nights of devotional exercises.
1475-1500
COFFEE
Arabia.
Dervishes spread the use of coffee to Medina and Mecca. Secular use
becomes more prominent, in part because wine is forbidden by the Koran.
Coffee houses are established and coffee becomes a much desired luxury.
Many holy men begin to attack coffee as also contrary to the Koran.
c.
1500
GENERAL DRUG USE
Europe.
Psychoactive drug use begins to become more widespread and diverse.
European explorers and travelers discover and bring back a wide variety
of new drugs: tobacco, coca, cocoa, and cassina from the New World;
coffee from Arabia and Turkey; the kola nut from Africa; and tea from
China. At the same time, major sociocultural changes make the Western
world more receptive to the adoption of innovative drug use. Previous
social and religious controls are loosened and society generally becomes
more urban, complex, secular, and free. The problem of uncontrolled
alcohol consumption also increases as religious, social, and political
changes weaken traditional controls and the recreational consumption
of new distilled spirits spreads. Luther, Calvin, and other Reformation
leaders emphasize the need for temperance; for the first time entire
books are devoted to this subject.
OPIATES
China.
The medicinal use of pure opium is fully established; native opium
is manufactured, but recreational use is still limited.
India.
Earliest western records of opium as a product of India and its widespread
use occur.
TOBACCO
General.
Tobacco smoking is first observed by Europeans as Columbus lands in
the New World.
1500-1525
COFFEE
Arabia/Turkey.
Coffee use reaches Cairo (1510) and Constantinople (1517). Coffee
is attacked in Mecca as forbidden by the Koran; coffee houses are
viewed by political and religious authorities as centers of sin and
sedition. A week long "reign of terror" fails to eradicate
its use (1511). In 1524, renewed civil disorders in Mecca cause the
coffee houses to be closed again.
1525-1550
ALCOHOL
England.
Excessive use of distilled spirits is first apparent.
COFFEE
Arabia/Turkey.
The coffee controversy spreads throughout the Ottoman Empire, as coffee--the
"Wine of Islam"--becomes a regular article of diet in all
classes. Sultan Suleiman the Great bans coffee in 1542, but coffee
houses multiply in Constantinople.
OPIATES
India.
The first Moghul dynasty is founded- poppy cultivation and opium sales
become a state monopoly (1526).
1550-1575
ALCOHOL
England.
Thomas Nash describes widespread inebriety in Elizabethan England;
drunkenness is mentioned for the first time as a crime, and preventive
statutes multiply.
COCAINE
Inca Empire.
Pizarro invades and destroys the Inca Empire (1553); Nicolas Monardes
reports an increase in coca chewing particularly among lower classes
of Andean Indians, as traditional controls disappear (1569).
COFFEE
Arabia/Turkey.
Coffee houses continue to spread in Constantinople, where they are
known as "schools of wisdom." Mohammedan priests again declare
that coffee is forbidden by the Koran.
OPIATES
India.
Opium becomes a major source of government revenue. Opium eating and
drinking is widespread, but it is consumed in small quantities.
TOBACCO
Europe.
Tobacco is introduced into Western Europe. In 1556 Andre Thevet brings
tobacco seeds from Brazil to France. Tobacco is dubbed nicotiana
in honor of Jean Nicot, who describes its medicinal properties (1559)
and sends it as a medicine to the French court. In 1565 tobacco seeds
are introduced into England, but smoking does not spread until Sir
Walter Raleigh makes it fashionable in the court in the mid-1570s.
1575-1600
COCAINE
Europe.
Monardes brings coca leaves to Europe (1580); unlike tobacco, it fails
to generate interest or use, possibly because most coca leaves lost
their potency during the long voyage.
COFFEE
Arabia/Turkey.
The Sultan orders all coffee houses closed on religious grounds, to
little effect. Finally, the coffee ban is lifted in the Ottoman Empire,
and the government comes to rely on coffee as an important source
of revenue. Coffee first comes to the attention of European travelers.
TOBACCO
General.
Although smoking for pleasure is still controversial, tobacco as a
medicine is almost universally approved. Nicolas Monardes devotes
the second part of his book on New World plants to a lengthy section
on tobacco, recommending it as an infallible cure for 36 different
ailments. Summing up current beliefs regarding this much praised herba
panacea or holy herb, Monardes' work (1571, 1574) becomes the
fundamental source for all subsequent protobacco literature.
China.
Limited smoking is apparent in S. China, probably introduced by Portuguese
sailors and merchants.
England.
Introduced into the court by Sir Walter Raleigh, smoking becomes the
"duty" of every man of fashion; tobacco is worth its weight
in silver. Numerous publications praise its medicinal virtues, starting
with John Frampton's translation of Monardes, titled Joyful Newes
Oute of the Newe Founde Worlde (1577).
Italy.
Tobacco is cultivated as a medicinal herb in Tuscany and Rome, but
there is no evidence that it is widely smoked.
Japan.
Limited smoking is apparent, probably introduced by Portuguese sailors
and merchants.
Turkey.
Sultan Murad II cultivates tobacco as a novelty and a medicine; smoking
is introduced by the English.
1600-1625
ALCOHOL
America.
From the founding of the English colonies, drunkenness is prominent,
but it is not considered a major problem, nor stigmatized behavior.
As in England the consumption of beers and wines, particularly home-brews,
is integrated into every aspect of colonial family life. Abuse is
condemned and temperance is advocated, but alcohol itself is highly
esteemed as in England as the Good Creature of God, a beneficial gift
to man.
England.
During the reign of James I, numerous writers describe widespread
drunkenness from beer and wine among all classes. Alcohol use is tied
to every endeavor and phase of life, a condition that continues well
into the eighteenth century. Parliament passes "The Act to Repress
the Odious and Loathsome Sin of Drunkenness" (1606).
COFFEE
Arabia/Turkey.
Another brief attempt at closing coffee houses as centers of sedition
fails.
England.
Coffee is introduced as a luxury, medicament, and panacea; its use
is encouraged as a cure for widespread drunkenness.
TOBACCO
America.
New World colonists begin tobacco cultivation. In 1613 John Rolfe
sends the first shipment of Virginia tobacco to England. Tobacco soon
becomes a major New World crop.
China.
Smoking is introduced into N. China during wars with Japan; use also
is spread by invading Manchu armies. Tobacco is heralded as a medicine
for colds, malaria, and cholera.
England.
Smoking spreads rapidly, becoming an expensive fad among the court
and nobility. Many also take up smoking as a preventative against
the plague (1614). Works such as Barclay's Nephentes, or the Virtues
of Tobacco (1614) continue to praise its medicinal properties,
but concern is increasing that tobacco is undermining the moral and
economic well being of the country. Anti-tobacco writings begin to
appear, attacking the exorbitant medicinal claims and excessive recreational
use by fashionable dandies. Most notable of these attacks is King
James I's Counterblaste to Tobacco (1603). James unsuccessfully
attempts to control use through prohibitive taxation (1604); as smuggling
increases he lowers the tariff and sells the right to collect it for
government revenues (1608, 1618). A royal tobacco monopoly is then
established (1624), aiming to generate revenues by keeping the tobacco
duty as high as possible without causing smuggling.
France/Italy.
Use spreads within the Italian and French courts and clergy, and from
there throughout the populace. The habit is also spread by returning
sailors from the New World.
Japan.
Cultivation begins and smoking spreads among all classes, prompting
several severe imperial prohibitions (1603+). Prohibitions are governed
by fears over outbreaks of fires, foreign influences, and interference
in the cultivation of more valuable food crops such as rice. Despite
increasing penalties, including property confiscations, death threats,
fines and imprisonment, all bans fail. The prohibitions gradually
fall into disuse from lack of enforcement.
Russia.
Smoking is introduced by Western European and Turkish sailors and
by travelers from Central Europe.
Turkey.
Smoking is introduced from the West; use spreads rapidly. Immediately
a controversy develops over whether smoking is forbidden by the Koran.
Sultan Ahmed I prohibits it; many poets praise it, along with coffee,
opium, and wine, as one of the four elements of the world of pleasure.
1625-1650
ALCOHOL
America.
Massachusetts laws attempt to control widespread drunkenness, particularly
from home-brews, and to supervise taverns. At the same time each town
is ordered to establish a man to sell wines and "strong water"
so that the public will not suffer from lack of proper accommodations
(1637); inns are required to provide beer for entertainment (1649).
TOBACCO
China.
The Ming emperor decrees any person trafficking in tobacco will be
decapitated (1638), the decree proves ineffectual as smoking spreads
within the court. A second prohibition is issued in 1641.
England.
Increasingly, medicinal use declines and smoking becomes primarily
a pleasurable pastime. The government comes to rely on tobacco duties
as a main source of revenue. By the 1630's, smoking has overcome most
opposition; use spreads as tobacco prices decline markedly.
France.
Despite high prices, smoking spreads among the lower classes; snuffing
is more prevalent among the nobility, who consider it a more dignified
and aristocratic mode of use. Cardinal Richelieu imposes high duties
on tobacco to discourage use and to create general revenues (1629),
feeling that taxation would be more profitable than direct prohibition.
In 1635, sales are restricted to prescriptions. By the reign of Louis
XIV (16431715), use is widespread and highly praised, despite the
King's personal disapproval.
Italy.
The first import monopolies are established.
Japan.
Smoking takes its place in polite society.
Papacy.
Two papal bulls ban tobacco use by the clergy under penalty of excommunication
(1642,1650).
Prussia.
The 30 Years War spreads smoking throughout Central and Eastern Europe.
In Luneberg, Germany, the penalty for smoking is death.
Russia.
Tsar Michael Romanov and the clergy attack smoking as a sin, an abomination,
and a cause of fires. Literature is extremely hostile; it is called
"the devil's plant." Although smoking is forbidden under
penalty of exile and torture (1630), financial pressures cause the
ban to be momentarily rescinded (1643) .
Turkey.
Sultan Murad IV establishes the death penalty for smoking in the Ottoman
Empire; use still spreads, although many turn to less detectable snuff.
By mid-century, the ban is repealed and cultivation spreads.
1650-1675
ALCOHOL
America.
New England colonies attempt to establish a precise definition of
drunkenness that includes the time spent drinking, amount, and behavior.
Massachusetts laws against home-brews are reaffirmed (1654); a law
forbidding the payment of wages in the form of alcohol results in
a labor strike (1672). Increase Mather writes Wo to Drunkards
(1673).
England.
Gin is developed in Holland (c. 1650) by distilling grain with the
juniper berry. gin can be produced cheaply and plentifully, and the
gin industry grows rapidly in England after it is introduced by British
soldiers fighting in the Low Countries.
COFFEE
General.
Coffee use spreads throughout the world, although often in the face
of severe official resistance. Use generally begins among the upper
classes and aristocrats and is copied by the lower and middle classes
as prices decline. Although many coffee houses also serve beer and
wine, the spread of coffee use in Europe's rapidly growing cities
is soon facilitated by growing resentment against the effects of alcohol
and the need for a center for sober social intercourse and intellectual
discussions.
England.
Coffee houses spread into England. Filling an important public need
for a meeting place which does not serve alcoholic beverages, the
coffee houses become centers for the exchange of news and for political
and intellectual debates. Coffee use increases, particularly during
the plague of 1664, as it is considered therapeutic. Coffee, as well
as tea and brandy, is vigorously attacked by brewers as interfering
with the consumption of the native products of barley, malt, and wheat
(1673). Duties and licenses are imposed. In a period of turbulent
political, social, and economic unrest, the coffee houses are closely
watched by government officials who view them as centers of sedition,
as in Turkey. Strong government opposition mounts, although the government
derives considerable revenues from coffee. During this period, tea
is also introduced and regularly imported by the East India Co. The
fashion of the afternoon tea break begins. Both coffee and tea are
praised for their curative powers, but as nonmedical use spreads,
many come to view both as dangerous drinks .
TOBACCO
China.
The Manchu, having conquered China, revoke all existing smoking bans
(1644). China becomes the great smoking nation of Asia. Snuff is introduced
by the Jesuits.
France.
Louis XIV establishes a monopoly in imitation of the Italians (1674).
Italy.
Venice establishes the first tobacco appalto or state monopoly, selling
the exclusive right to import, manufacture, or trade in tobacco to
a private party (1659).
Japan.
All prohibitions are repealed.
Papacy.
Pope Alexander VII farms out spirits and tobacco monopolies (1655,
1660).
Russia.
Another smoking ban is established, with a death penalty (1674) .
Use continues to increase; restraints are lifted (c. 1676), and smoking
spreads from the court and foreign circles to the general population.
1675-1700
ALCOHOL
America.
The office of tithingman is established in Massachusetts to report
on liquor violations in homes (1675). Cotton Mather blames growing
irreligiosity on excess tippling (1694).
England.
New laws encourage the distillation and sale of spirits for revenues
and support of the landed aristocracy (1690). The production of distilled
liquors, mostly gin, increases dramatically; so does use, particularly
among the poor. Excessive consumption of beer and wine is still prevalent
among the middle and upper classes.
COFFEE
England.
King Charles II fails in his attempt to suppress the coffee houses
as centers of sedition (1675); the ban is recalled within a few days
and is replaced by heavy taxation. Hereafter, coffee houses spread
with little resistance, becoming centers of daily social life. Many
coffee houses also give special prominence to tea.
France.
Many doctors are against coffee drinking and at first only limited
use appears in the courts and upper classes. In order to pay for his
wars, Louis XIV of France grants the first of several coffee monopolies
(1692), all of which are extremely unpopular. The first monopoly fails
because the price of coffee is set too high.
OPIATES
England.
Thomas Sydenham, writes, "Among the remedies which has pleased
the Almighty God to give man to relieve his sufferings, none is so
universal and so effacacious as opium." Sydenham exemplifies
the contemporary medical profession's enthusiastic advocacy of opium.
As the 18th century progresses, there is growing interest in the problems
encountered with sustained use of opium, as well as in its therapeutic
potential.
TOBACCO
France.
The French tobacco monopoly proves unpopular and unworkable, generating
smuggling, bribery, and corruption.
Russia.
Clerical opposition mounts to smoking and other Western European influences,
but gradually legal restraints are lifted. Finally, Tsar Peter the
Great (1684-1725) adopts smoking, lifts all bans, and establishes
a trade monopoly with the English (1698), much to the disapproval
of the church.
1700-1725
ALCOHOL
America.
Concern over drunkenness begins to increase as the use of distilled
spirits (rum and whiskey) rises and supplants the traditional use
of beers and hard ciders. Liquor licenses are awarded with greater
frequency and more taverns appear. Drinking becomes primarily a male
pastime spent away from the home. Still, such concerns were infrequently
expressed and usually were limited to the wealthy and powerful; most
colonials viewed drunkenness as a natural, and essentially harmless,
consequence of drinking.
England.
Home distillation is encouraged by high import duties and other legislation.
Defoe praises the "honest drunken fellow" as the archetypal
Englishman. While hard drinking is still extensive among the upper
classes, it begins to decline, never to be as general as in Elizabethan
times. In part this is because of the spread of coffee use.
COFFEE
England.
Coffee begins to have a perceptible influence in diminishing drunkenness
among the upper classes: Londoners consume more coffee than any other
city in the world.
France.
The court of Louis XV develops a passion for coffee.
Prussia.
The first coffee house is permitted in Berlin (1721).
OPIATES
China.
The smoking of tobacco-opium mixtures and later of opium alone spreads
from the East Indies to Formosa, Fukien and the South China coast.
Only now does China begin to develop a problem with the recreational
use of opium.
India.
The Moghul empire and the state opium monopoly begin to collapse.
A brief period of opium smoking among the upper classes follows, but
the practice soon falls into disrepute Unlike in China, opium smoking
never becomes prominent.
TOBACCO
General.
Opposition in Western Europe declines as all classes now smoke. Spreading
from France, snuff-taking becomes fashionable among the nobility and
clergy.
China.
Tobacco cultivation and snuffing among the aristocracy is firmly established.
England.
Snuff is introduced by courtiers returning from France.
France.
Snuffing supplants smoking among the upper classes.
Papacy.
The papal bulls against clerical tobacco use are repealed (1725).
1725-1750
ALCOHOL
America.
Cotton Mather writes Seasonable Advice Concerning Taverns (1726).
Prohibition of spirits is attempted in Georgia, but fails (the Oglethorpe
Experiment, 1733-1742). In the general rules of the Methodist church,
John Wesley includes a prohibition against drunkenness and the buying,
selling, or drinking of spirits (1743).
England.
Gin drinking reaches epidemic proportions among the London poor. Crime
and the death rate also rise, causing considerable consternation among
the middle and upper classes Parliament passes the first Gin Act (1729),
whose high duties result in the production of bad, bootlegged gin,
prompting widespread protests. Laws are liberalized and drunkenness
increases even further (1733). The degeneration of the London poor
is placed on gin, and a heated debate over prohibition occurs (1736).
The second Gin Act establishing a prohibitory tax provokes even greater
protests (1736) and the act is replaced by a licensing system (1743).
Further liberalization allowing for freer sales causes another increase
in consumption (1747) .
COFFEE
General.
Bach writes the Coffee Cantata (1732) inspired by protests in France
and Germany over coffee restrictions.
England.
The vogue of coffee houses peaks. As an outgrowth of the conquest
of India, tea becomes a commodity of the British Empire and its use
begins to be encouraged over that of coffee. The importation of cheaper
green tea leads to a steady increase in tea drinking among all classes
throughout the 18th century.
Prussia.
Coffee use spreads from the court to the upper bourgeoisie.
OPIATES
China.
The emperor prohibits sales of opium and operation of smoking houses
(1729); the problem remains localized.
1750-1775
ALCOHOL
America.
The popularity of spirits among all classes continues to increase.
John Wesley calls for prohibitions against all distilling (1773),
perhaps marking the institutional beginnings of the abstinence movement.
England.
Middle class concerns peak. Fielding's An Inquiry into the Causes
of the Late Increase of Robbers denounces the evils of gin, "the
grand destroyer" (1751). A new Gin Act (1751) attempts to return
to the 1743 legislation, strengthening retail controls and aiming
to license sales rather than restrict them. Drunkenness begins to
decline, with coffee and tea often taking the place of alcoholic beverages.
COFFEE
America.
As an outgrowth of heavy tea taxes and the Boston Tea Party (1773),
abstinence from tea is equated with the quest for liberty. The colonial
tradition of tea drinking permanently declines and coffee consumption
increases. Dr. Benjamin Rush writes numerous papers on the ravages
caused by tea drinking, although after the revolutionary war he promotes
tea as an alternative to alcohol.
England.
Coffee use begins to decline; tea use continues to increase.
Prussia.
In order to pay his war debts, King Frederick the Great attempts to
establish coffee, tea, and tobacco monopolies (1763), regarding the
substances as luxuries fit for high taxation. He later tries to restrict
coffee use to the court when he discovers it detracts from beer consumption
and his revenues from it (1770's). A prohibitive tax is established.
OPIATES
England.
Dr. John Jones declares that properly used, opium would cure, not
merely alleviate, symptoms of many disorders (The Mysteries of
Opium Reveal'd, 1770) . His unbounded enthusiasm goes beyond even
Sydenham's. Dover's Powder is introduced and becomes one of the most
widely used opium preparations for the next 150 years.
India.
The British East India Company begins to expand its influence throughout
India. It assumes control of the opium growing districts of Bengal
and Bihar and establishes a limited monopoly over the trade (1757),
attempting to popularize its use to increase revenues. The British
government passes a regulatory act which leaves the company free to
carry on its trading activities but places all British subjects in
India under parliamentary control and a single governor-general (1773).
The first governor, Warren Hastings, attempts to bring the opium trade
under more government control, limiting opium cultivation and production
(1773).
TOBACCO
Prussia.
King Frederick, a francophile, spreads the snuff fashion and establishes
a tobacco monopoly.
1775-1800
ALCOHOL
America.
By the Revolution, Americans, for the most part, still show little
concern over drunkenness, and spiritous liquors have become of the
greatest factors in colonial commerce. The first serious and effective
efforts to regulate liquor consumption, particularly within the army,
does occur during the war. Following it, social conditions weaken
traditional controls over drunkenness and consumption increases even
further. The early temperance movement develops among New England
Federalists; the most prominent spokesperson is Benjamin Rush, author
of Inquiry into the Effects of Ardent Spirits on the Human Mind
and Body (1785), who is one of the first to challenge popular
beliefs in the health benefit of spirits. He recommends for temperance
and health the use of fermented alcoholic beverages rather than spirits.
This early movement relies on the technique of persuasion to bring
about such temperance. Congressional attempts to impose a tax on distilled
spirits result in the Whiskey Rebellion (1794).
COFFEE
Prussia.
Frederick the Great issues a Coffee Manifesto asserting that
all citizens must drink beer instead of coffee. As coffee smuggling
and use continues, he creates an unsuccessful coffee monopoly, forbidding
coffee roasting except in royal establishments (1781). The use of
coffee substitutes such as chicory appears. In 1787, his successor
lowers the tax and ends these restrictions.
OPIATES
China.
British opium traders from India establish depots at Canton and Macao
and the commercial importance of opium in the British trade balance
begins to increase. As opium smoking spreads, imperial edicts prohibit
importation, consumption, and sale (1780, 1796, 1800). Opium smoking
reaches Peking (1790).
TOBACCO
France.
The French-American tobacco trade is developed and helps finance the
American Revolution. The French Revolution repeals the hated tobacco
monopoly but it is reinstated by Napoleon, who desires the revenues
it generates.
1800-1825
ALCOHOL
Finland.
The ending of restrictions against home manufacturing results in increased
consumption .
Sweden.
The ending of the crown alcohol monopoly and its restrictions on production
and sales results in increased consumption.
United States.
Between 1790 and 1830, Americans seem to go on an alcoholic binge;
the per capita consumption of distilled spirits rises dramatically
as migration and social dislocation further dislodge traditional controls.
The New England Federalist elite begins to worry about the spread
of religious irreverence, democracy, and drunkenness; religious revivalism
encourages general temperance activities.
OPIATES
General.
Morphine is isolated (1803).
Britain.
De Quincey's Confessions of an English Opium Eater (1822) focuses
attention on opium addiction as never before. Throughout the l9th
century, opium is utilized and prescribed by doctors as a therapeutic
agent; laudanum, patent medicines, and other opium-bearing preparations
are freely available without prescriptions and are cheaper than alcohol.
Use increases, particularly among the working classes. This increase
briefly encourages domestic opium cultivation.
China.
Punishments are increased and an antiopium trade offensive begins,
but the flow of smuggled opium remains uncontrollable.
India.
The British emerge as the controlling power in India. The Bengal Resolution
(1813) inaugurates a policy of restricting the habit of opium-eating
by obtaining the "maximum revenue from the minimum consumption."
The British government declares it will countenance only to the narrowest
extent a habit which it finds impossible to irradicate.
1825-1850
ALCOHOL
Finland.
The earliest signs of a temperance movement appear.
Sweden.
Drunkenness increases uncontrollably.
United States.
The temperance movement undergoes a period of major flux and transition.
Demands increase for voluntary total abstinence from all intoxicants,
not just temperance in the use of spirits. Lymon Beecher writes Six
Sermons on Intemperance (1825) and the American Society for the
Promotion of Temperance (1826) is founded. The first national temperance
convention is held (1833) and the Washington Temperance Society is
founded (1840). The temperance movement begins to expand and attract
the middle classes and a decline in aristocratic leadership occurs.
The movement still primarily aims for a voluntary reform in manner
and morals through persuasion and education, but more attention begins
to be placed on coercive legislation.
OPIATES
Britain.
Opium use is endemic among Fenish peoples, who both tolerate and successfully
control use by informal social mechanisms. Concerns grow over increasing
use, particularly in the sedation of infants. By 1840, it is apparent
that opium use is increasing, but opinions differ as to how harmful
this is. On the whole the dangers of use are downplayed, few parallels
are seen with the Chinese situation, and existing concerns are not
as extensive as those over alcohol abuse.
China.
Court officials suggest prohibition be dropped as ineffective, but
the emperor rejects this (1833, 1836). Facing competition from other
opium producers, the British step up their efforts to increase their
exports to China (1821-1830). Unhappy with the lack of growth in the
China market in general, the British government takes over control
of the China trade from the East India Company (1833). The Chinese
vigorously enforce the antiopium policy by ordering the executions
of all smokers and dealers. The first war with the British occurs
(1839-1842), China is defeated and Chinese trade restrictions are
removed. The opium trade doubles in 10 years (1842- 1852).
United States.
The first statute taxing opium imports is passed.
TOBACCO
Italy.
A "tobacco war" is waged in 1848 modeled on the Boston Tea
Party in protest against Austrian overlordship and the Austrian control
of the tobacco monopoly.
Prussia.
Berliners protest tobacco smoking restrictions; smoking bans are lifted
during several cholera epidemics because of the belief that smoking
is preventative. Finally, as an outgrowth of the 1848 revolution,
all bans are removed.
United States.
An antitobacco crusade is launched in conjunction with early temperance
agitation.
1850-1875
ALCOHOL
Finland.
Home spirits manufacturing and rural sales are prohibited; limits
are placed on urban sales (1865).
Sweden.
Local regulation of liquor sales and consumption begins (1850), followed
by national action (1855). The city of Gothenburg establishes a licensing
company to operate public houses (the Gothenburg system), aiming to
eliminate private financial interests and devote profits to public
purposes (1865). The System is soon adopted by other cities.
United States.
The temperance movement undergoes internal conflict between reform
philosophies; prohibition campaigns occurring in practically every
state mark the transition from a reliance on persuasion and voluntary
action to legal enforcement. Maine passes the first state prohibition
law (1851), followed by 13 other states. By 1865 this first wave of
prohibition laws ends in failure. Following the Civil War, the national
Prohibition Party (1869) and the Women's Christian Temperance Union
(1874) are founded.
CANNABIS
Jamaica.
Indentured laborers from India arrive, bringing with them the multi-purpose
use of cannabis, or ganja.
United States.
Despite ready availability and general use in medical practice for
a wide range of conditions, cannabis is little used for intoxicating
purposes.
COCAINE
General.
The chief alkaloid of coca is isolated and called cocaine (1859/60).
Dr. Pablo Mantegazzo publishes an essay praising coca's ability to
lessen fatigue, stimulate strength, elevate spirits, and enhance sexual
potency and desire (1859). Vin Mariani, a wine mixed with coca, is
introduced and becomes a major success; Pope Leo XIII gives a gold
medal to its developer as a benefactor of mankind (1863-1865).
ETHER
General.
Introduced in the early 18th century as a medicine and solvent, ether
is not widely used recreationally until the 19th century. By the 1840's,
when its anesthetic properties are discovered, ether frolics produced
either by inhalation or by drinking a drops of ether in water are
already common among the upper classes (mostly youths) of Europe and
America.
Ireland.
Ether is introduced into N. Ireland as a preventive and folk remedy
(1840); recreational drinking spreads in the Ulster counties of Londonderry
and Tyrone, possibly begun by the example of a physician in Draperstown.
Poverty, temperance crusades, and high alcohol taxes (1855) encourage
its use as a cheap, readily available alcohol substitute, especially
by lower class Catholics. Priests begin attempts to suppress ether
drinking by cursing it as a sin (1869).
OPIATES
General.
Although in mid-century the role of opium in medical practice is still
unchallenged, following 1850 several events begin to alter the traditional
picture of opiate dependence in Britain and the U.S., and discussions
of opium become more critical. These events include: (I) the introduction
of morphine; (2) the development of the hypodermic needle (1853) which
makes possible the direct injection of drugs into the body; (3) increased
advertising, overprescription, mass production, and use of opium-
bearing patent medicines; (4) the introduction of opium smoking; (5)
increasing concerns over cocaine use; (6) greater advances in precise
identification and analysis of drug effects and an increasing understanding
of the phenomenon of habituation; (7) the prevailing spirit of moral
reform as exemplified by the temperance and Progressive movements
in the U.S.; (8) America's direct involvement with the opium problem
in the Philippines; (9) the discovery of newer, less dangerous pain
killers and anesthetics; (10) attention generated by the debate over
opium trade and confessions such as De Quincey's.
China.
The second Anglo-Chinese war occurs (the Arrow War, 1856- 1860); the
British win and the Treaty of Tientsin is signed, legalizing opium.
India.
As a result of a dangerous rebellion, the British government finally
dissolves the British East India company and the Moghul Empire and
begins to rule India directly (1858). Having already taken over the
opium trade (1833), the government inaugurates a period of "mad
expansion" of opium cultivation in order to increase revenues.
Opium revenues are now the single largest source of revenues outside
of land and salt.
Britain.
Increasingly proposals are made to abolish the opium trade. The medical
profession still disagrees over the extent of damage caused by opium.
Commercial opium becomes more freely and cheaply available due to
lower import duties; opium is now cheaper than alcoholic beverages.
The Pharmacy Act of 1868, one of the first laws restricting the sale
of opiates, dictates that opiates can only be sold by registered chemists
or druggists, but patent medicines are specifically excluded.
United States.
Immigrant Chinese laborers bring the habit of opium smoking to the
U.S. Following the Civil War, use of opiates becomes widespread. Expanded
advertising creates an unregulated patent medicine craze.
TOBACCO
United States.
Cigarettes are brought home by American tourists from Europe; use
spreads during the Civil War and the first federal excise tax is imposed.
Following the war, the tobacco industry expands rapidly.
1875-1900
ALCOHOL
Finland.
Drunkenness becomes a major problem among unskilled urban laborers
and a prohibition movement develops (1884). All beverages containing
over 22% alcohol are regulated; all rural sales are banned (1885).
The Gothenburg system is established in the cities.
Sweden.
Cities continue to adopt the Gothenburg System.
United States.
Prohibitionists broaden their attack; they step up their campaign
from state and local legislation to the national level; tighter organization
and more coercive tactics are employed. The first prohibition amendment
to the Constitution is introduced into Congress (1876) and a second
wave of state prohibition laws occurs (1880-1904). The Prohibition
Party's efforts at partisan politics fails and in its place the Anti-Saloon
League takes over leadership of the movement (1893). The movement's
appeal spreads among middle class, nativist Protestants threatened
by changes rooted in industrialization, urbanization, and massive
immigration, and who seek to uphold their position and the values
of industry, frugality, sobriety, and religiosity.
CANNABIS
General.
The Report of the Indian Hemp Drugs Commission concludes that in regard
to physical effects, "the moderate use of hemp drugs is practically
attended by no evil results at all."
Jamaica.
The first official mention of ganja smoking appears, as chronic use
spreads among lower class males.
COCAINE
General.
Sigmund Freud describes and praises the effects of cocaine as a "magical
drug," and suggests medical uses for it such as anesthesia (1884-1887).
Other physicians concur, but Freud is also attacked for releasing
"the third scourge of mankind"; cocaine is denounced as
an addictive drug worse than morphine. Carl Koller demonstrates its
usefulness in medical practice as an anesthetic in eye surgery (1884).
United States.
Cocaine becomes widely used for a variety of medical problems and
is regularly included in numerous tonics and stimulant drinks, such
as Coca-Cola (1892). Lavishly praised by physicians and widely advertised
by the patent medicine industry, use grows rapidly. Cocaine appears
to be the ideal stimulant for industrious Americans, but by 1890 warnings
begin to appear about the dangers of indiscriminate sale and use.
Recreational use spreads into the lower classes and medical opinion
becomes more cautious. State and local regulations begin to appear.
ETHER
General.
Ether drinkers become more numerous and diverse as ether becomes more
available and cheaper, and temperance campaigns and fiscal policies
make alcohol less desirable, less available, and costlier. By the
1890's, the use of ether as an intoxicant by sophisticate upper classes
has declined, possibly in part because of a rise in the availability
and popularity of morphine which is pleasanter to use and leaves no
tell-tale smell. Use continues to grow among lower classes and peasant
communities of Prussia, Hungary, Austria, Russia, Norway, France,
and Great Britain. As in Ireland, heavy alcohol taxes may have contributed
to this phenomenon.
Ireland.
Local priests continue to attack spreading use; alcohol becomes even
less available. It is estimated that 1/8th of the population of Londonderry
and Tyrone counties use ether by 1890. The spread of ether into other
counties is driven back by the church and the law before it can take
root; also a richer peasantry finds the drug less appealing and abandons
use after limited experimentation. Ether is scheduled under the British
Poisons Act of 1870, limiting its sale to qualified pharmacists. All
imports are banned (most ether is imported from England and Scotland);
within months imports are reduced by 80%, with apparently little illicit
home manufacturing occurring.
OPIATES
General.
First warnings against morphine appear. Heroin is synthesized and
is recommended as a more effective medicine, and less dangerous and
addicting, than morphine (1874).
Britain.
Various religious and moral reformers begin a crusade over the "evil"
opium trade with China, led by the Anglo Oriental Society for the
Suppression of the Opium Trade and by Joshua Rowntree. Agitation reaches
its height in 1889-1893. The Pharmacy Act of 1868 is extended to patent
medicines and use begins to decline.
India.
Under pressure from British antiopiumists, the British Government
of India appoint. a royal commission (1893-1895) to inquire into the
prevalence of opium use in India. The commission reports that oral
use is common and would be impossible to prohibit, but is generally
moderate, with little excess, and primarily medical or quasi-medical
in purpose. Opium smoking is still "comparatively rare and novel."
The commission concludes that opium is more like the West's alcohol
than a substance to be feared; its antiprohibition stand becomes official
government policy .
United States.
The patent medicine craze peaks (1870-1880). Between the Civil War
and World War I opiate use appears widespread and uncontrollable.
Two patterns of use become apparent. In one, typical users are white,
middle class, middle aged, and mostly women, with use being therapeutic
and legal in origin. Local regulations begin to appear, but concern
is only moderate. Little moral stigma is attached to such use. The
second pattern is opium smoking among the Chinese, which is linked
to crime and highly stigmatized, resulting in the ban on smoking opium
imports (1887). In the 1890's the first state antimorphine laws appear.
By 1896 opium imports have peaked and are subsiding.
TOBACCO
United States.
The cigarette industry undertakes a major advertising campaign and
forms a cartel. Sales increase rapidly, prompting growing opposition,
led by the WCTU.
1900-1925
ALCOHOL
Finland.
Prohibition is enacted (1917), but quickly fails as illicit distribution
overly burdens police and smuggling becomes widespread (1919-1920).
Sweden.
The Gothenburg system is made obligatory in cities (1905) but soon
there begins criticism of the system's loopholes and its failure to
limit temperance. Many local authorities become financially dependent
on the system's profits and therefore encourage sales. A prohibition
movement develops (1909), and the system is finally replaced by the
Bratt system of monopoly sales rationing based on the use of a pass
book (1917).
United States.
The Anti-Saloon League grows in strength, concentrating on the election
of 'drys' to Congress; a third wave of state prohibition legislation
occurs (1907-1917). Most within the temperance movement abandon broad
reformist concerns to focus solely on the issue of alcohol prohibition.
World War I assists in increasing the call for reform, and in January
1919 the 18th Amendment is ratified, establishing national Prohibition
one year later. The possession of alcohol for personal use is still
permitted; enforcement authorizations are kept minimal and left to
the states. At first, consumption declines.
CANNABIS
Jamaica.
Concern grows among the white land-owning population over ganja smoking
among poor native laborers and its demoralizing, criminogenic influence.
The Dangerous Drugs Law of 1924 increases penalties for use of opium
or ganja.
United States.
Marihuana smoking appears among Mexican laborers in towns along the
Mexican border, and spreads along the Gulf Coast. Between 1914-1931,
29 states, most west of the Mississippi, prohibit its nonmedical use.
In 1915, the U.S. prohibits its import for nonmedical purposes. Still
there is only limited national concern.
COCAINE
General.
Mortimer publishes Peru: History of Coca (1901), summing up the favorable
medical opinion of the day.
Britain.
Concerns over the supplying of cocaine to soldiers by prostitutes
contribute to the passage of the Defense of the Realm Act (1916).
United States.
Fears increase over unregulated sales and use; a dramatic rise in
coca imports occurs. Under pressure, Coca-Cola manufacturers remove
cocaine from their product in 1903. In 1906, the Pure Food and Drug
Act effectively eliminates cocaine and opium from all patent medicines
and soft drinks by requiring accurate labeling, marking the end of
free and easy use. Use is increasingly identified with' blacks, the
poor, and criminals. By 1914, such fears over cocaine use, particularly
by blacks, prompt 46 state regulatory laws to be passed, whereas only
29 states have laws against opiates. In 1914, the Harrison Act treats
cocaine as more dangerous than opium, classifying it incorrectly as
a narcotic. Cocaine subsequently goes underground, primarily used
by bohemians and musicians, and in urban ghettos.
COFFEE
United States.
Dr. T.D. Crothers, reflecting the considerable medical opposition
to coffee use, classifies coffee addiction with morphinism and alcoholism
(Morphinism and Narcomanias from other Drugs, 1902). A prominent
British medical textbook (A System of Medicine, ed. Allbutt
and Rolleston, 1909), similarly attacks all caffeine drinks, while
finding opium as used in many oriental countries "a reasonable
aid in the work of life."
ETHER
Ireland.
Localized use continues, as ether is still freely available from pharmacists.
Some clandestine trade also develops. The Intoxicating Liquor Act
of 1923 increases restrictions on sales and makes ether drinking a,.
offense. Use seems little affected. In 1927, further restrictions
permit registered sales only to doctors, afterwards both sales and
use decline. This decline may have been assisted by cheaper and more
alcohol and by a rise in incomes.
United States.
During Prohibition, nonalcoholic "near beer' and soft drinks
are frequently spiked with ether.
OPIATES
General.
Antiopium sentiments peak. The opium problem is discussed at a series
of international commissions, beginning in Shanghai (1909) and the
Hague (1911-1912) .
Britain.
Facing stiff domestic and international opposition, the government
decides to enD the opium trade with China (1906), which finally concludes
in 1917. The Pharmacy Act of 1908 places opium on the Schedule of
Poisons and in 1916 the Defense of the Realm Act, put into effect
primarily to curb military and domestic use of cocaine, also extends
controls over opium. The Dangerous Drug Act of 1920 attempts to implement
the 1912 Hague Convention and restricts opiate distribution to medical
channels, at the same time affirming the doctor's right to possess
and supply controlled drugs while providing medical care. In 1924,
the Rolleston Committee emphasizes that nontherapeutic opiate use
is not a serious threat, and after assessing the U.S. situation after
the Harrison Act again affirms the legal right of physicians to prescribe
opiates.
China.
The dowager empress enforces strict opiate regulation and in agreement
with the British ends the opium trade by 1917.
India.
Criticism of use mounts. The All-India Congress Committee and Mohandes
Ghandi pass a resolution that the British opium policy is contrary
to the moral welfare of the Indian people (1924) .
United States.
Opiate addiction becomes increasingly identified with the underworld
and organized crime. Fears over widespread use continue but there
is also general confidence that addiction is curable. U.S. acquisition
of Philippines (1898) and its central role in calling for the Shanghai
Opium Conference (1909) focuses attention on the lack of opiate legislation
in the U.S. In 1906 the Pure Food and Drug Act requires accurate listing
on labels of a11 drugs used in over-the-counter preparations, producing
a sharp decline in their use. In 1909, import of a11 opium for smoking
or nonmedical use is banned; by 1914, 27 state and city laws prohibit
smoking opium. Also in 1914, Congress passes the Harrison Act. Ostensibly
a tax measure designed to control the marketing of opium, it requires
all persons authorized to handle or manufacture narcotic drugs to
register, pay a fee, and keep a record of the drugs in their possession.
The act does not prohibit the supply of opiates to users by registered
physicians "in the course of their professional practice."
Subsequent Supreme Court decisions and government enforcement policies
restrict the right of doctors to prescribe opiates. As early as 1919,
a rise in heroin use is reported among urban male youths, prompting
a ban of its manufacture and import (1924). By the end of this period,
the fear of the "dope fiend" is firmly established.
TOBACCO
United States.
Fourteen states ban cigarettes, others pass strict use regulations.
Taxes increase and the tobacco cartel is broken up by the government.
Use momentarily declines, but then the first modern or mild cigarette
(Camels) is introduced and new advertising campaigns begin. Public
acceptance grows, particularly among women. By 1927, tobacco prohibitions
have been rescinded in a11 states, replaced by taxation.
1925-1950
ALCOHOL
Finland.
Prohibition is repealed by referendum (1932); and a State Alcohol
Monopoly is established to manage the production, distribution, and
sale of alcoholic beverages through passbooks and buyer surveillance.
Price controls attempt to encourage use of "mild" beers
and wine over spirits. Retail sales are still banned in rural areas.
Sweden.
Use declines and prohibition is voted down (1922), but the Bratt system
begins to be criticized for high operating costs and for permitting
too much consumption (1938).
United States.
By 1925, a widespread illicit liquor trade is well established; speakeasies
appear and consumption increases, particularly among women. The Wickersham
Commission (1931) acknowledges widespread flouting of prohibition
and lack of adequate enforcement machinery and funds. Increased enforcement
and penalties have little effect; the Depression further strengthens
repeal sentiment. In 1932, both the Democratic and Republic Conventions
oppose prohibition, which is finally repealed in 1933.
CANNABIS
Jamaica.
Depression, the rise of Rastafarianism, and racial fears increase
concern over use. In 1941, penalties are increased for possession,
sales, and cultivation; mandatory imprisonment is decreed for the
first time. Following World War 11, use becomes a major topic of police
and public concern; penalties for possession and use are again increased.
United States.
The Panama Canal Zone Report (1925, reaffirmed 1933) concludes there
is no evidence that cannabis is habit forming or that it has any "appreciably
deleterious influence" on users and recommends that no action
be taken to prohibit its use by American soldiers in the Zone. But
reports associating horrible crimes, marihuana, and Mexicans, continue
to circulate and are given credence by a 1929 Surgeon General's Report.
During the Depression, racial antagonisms and concern over marihuana-
related crime increase the calls for federal marihuana legislation
in the Southwest. After at first downplaying the menace and resisting
this pressure, the FBN begins to emphasize the need for adoption of
the Uniform State Narcotic Drug Act to control marihuana, "the
worst evil of all," inaugurating a period of focused attention
on the marihuana-crime thesis (1933). In 1937, the Marihuana Tax Act
is passed establishing a prohibitive tax and regulatory procedures.
In 1944, the La Guardia Report stresses the relative triviality of
marihuana's effects.
COFFEE
United States.
During Prohibition coffee consumption reaches new heights.
OPIATES
Britain.
The Rolleston Act (1926) gives doctors the right to prescribe narcotics
on their own judgment; the act becomes the primary basis of narcotics
legislation until 1967. The use of opium and cocaine declines; very
little press or parliamentary interest in drug use occurs; few cases
of nonmedical addiction are known.
India.
The period 1920-1940 shows the greatest decline in use. As the Indian
National Congress comes to power in some provinces, it begins to prohibit
local use. The British government asserts its desire to stop nonmedical
use in the future, and prohibits opium smoking (1946) . In 1947, India
achieves independence; the government inaugurates a policy to totally
prohibit all opium production except for medical and scientific use
within 10 years.
United States.
Whereas during Prohibition the possession of alcohol for personal
use is never made illegal, during the same period criminal sanctions
are effectively extended against all users of "narcotics."
The view grows that whereas alcohol can be used safely and in moderation,
narcotic use inevitably results in dependence, insanity, death, and
a criminal, immoral lifestyle. Public opinion abandons the l9th century
view of opiate dependency as simply a misfortune as fear of the "dope
fiend" spreads. Changes occur in the drug of choice and user
demography. A cohesive drug subculture emerges, the typical member
being a younger, urban, male heroin user, who uses the drug for pleasure
and obtain it illicitly.
STIMULANTS
General.
The effectiveness of amphetamine (first synthesized in 1887) in raising
blood pressure, enlarging nasal and bronchial passages, and stimulating
the central nervous system first becomes apparent. It is widely employed
during World War II to help increase efficiency in industries and
in the military. Following the war, use spreads as it is readily available
and widely marketed as a safe euphoriant, mental energizer, and cure-all
for such problems as depression, fatigue, and weight reduction. The
hazards of use only become apparent later.
Japan.
Widespread oral use of methamphetamine occurs as vast military stocks
of the drug are released on the market following World War II and
the drug is advertised as a safe panacea. Use is assisted by the spiritual
collapse of the people, social and economic dislocation, poverty,
and the undermining of traditional authority structures and values.
In 1949, use is restricted to cases under a doctor's prescription;
an illicit market develops and intravenous use begins to spread among
bohemians, novelists, artists, and entertainers.
Sweden.
In 1938, amphetamines are placed on the market and widely advertised
as pep pills In 1939, they are made available through prescription
only as therapeutic use becomes wide spread; but little recreational
abuse is apparent. Concern over therapeutic use grows, ant further
restrictions are established under the Swedish Narcotic Act (1944)
. In the late 1940's, there develops a black market and a bohemian
drug subculture which practices nonmedical oral use.
TOBACCO
United States.
Both taxation and use continue to increase; early health warnings
appear.
1950-1975
ALCOHOL
Finland.
Following the repeal of prohibition, the temperance movement remains
strong, with government support. The abolition of prohibition in rural
areas and the lifting of beer restrictions produces an increase in consumption
(1969).
Sweden. As
criticism mounts, the Bratt system is abolished (1955); liberalization
is followed by increased consumption, which is finally decreased by
higher price controls (1958) .
CANNABIS
Jamaica.
Jamaica gains independence (1961) and penalties are increased for growing,
selling and dealing in ganja in 1961, 1964, 1972, and 1974, with little
effect.
OPIATES
Britain.
The first Brain Committee reviews and reaffirms the Rolleston findings
(1958-1960), but following this report, nonmedical heroin use begins
to become more apparent among young, urban males. In 1965, the second
Brain Committee recommends increased control including a system of addict
notification, the establishment of special treatment centers which would
seek to rehabilitate and not just maintain drug users, and the restriction
of heroin supplies to the centers. These recommendations are put into
effect with the Dangerous Drug Act of 1968.
India. Control
of cultivation and manufacturing passes to the new government. Through
the use of licenses the area under cultivation is reduced about 25~
and the number of cultivators by 60%. Cash incentives to cultivators
help reduce diversions into an illicit market and the production process
is strictly regulated. In 1959, sale and use is totally prohibited,
except for medical purposes. Between 1963-1970 use declines markedly.
STIMULANTS
Japan. Intravenous
use spreads, principally among economically marginal and delinquent
youths. The Awakening Drug Control Law (1951) is passed. Widespread
oral and intravenous use continues among urban populations, peaking
in 1954, when heroin use also begins to increase. The Awakening Drug
Law and police and educational efforts are strengthened (1955) and amphetamine
use begins to decline. However, use of heroin and hypnotics increases
during the 1960's.
Sweden. Oral
abuse spreads from bohemian circles to maladjusted and criminal urban
youths, and intravenous abuse becomes endemic (1950- 1954). Tighter
restrictions cause a shift to use of Preludin and Ritalin, mostly by
injection. These drugs are also placed on the National Narcotics List.
The Narcotic Drug Act (1962) increases imprisonment penalties and police
activities, and the number of prescription violations declines. Criticism
of the restrictive drug policy results in a liberalized prescription
policy (1965-1967), during which large supplies of amphetamine become
available due to the excessive prescriptions of a few physicians and
the epidemic peaks. Restrictions are reimposed (1967) and then made
even more strict (1969). Use continues, but stabilizes.
TOBACCO
United States.
The Surgeon General's Report (1964) causes a momentary decline in use,
but despite health warnings and advertising bans, use begins to increase
again in the 1970's.
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