Vol. 4 -- # 5 Health Education and A Value Svstem C. Everett Koop, MD, ScD Surgeon General And Deputy Assistant Secretary for Health Keynote Address to the conference on Adolescent Health Sponsored by the National Catholic Education Association' And the March f Dimes Birth Defects Foundation South Bend, Indiana June 19.1983 This lecture starts with my acknowledgment of the trinity of mind, emotions, and spirit, and my congratulations to the participants whose job is not an easy one. I started by asking the question that perhaps we had not shown the leadership that young people expect of us and what should we do about it. The "us" I referred to is, those of us who are in medicine, healthcare, and those, of the audience, in education. I outlined two tracks on which our children have been going: the first, that of being introduced too quickly, too early, and too casually into the complex world of adult life. Second, had to do with the problems that have arisen by trying to catch up with them, rather than anticipate and prepare for them. I went back to the launch of Sputnik by the Russians in October of 1957 and the expectations of young people that science by itself could answer all of mankind's problems. Then it was necessary to speak of the coincidence of a development in the public consciousness that "God is Dead". In other words, we had promoted knowledge and neglected belief resulting in confusion and despair for many of our people. It certainly was patriotic in those days to believe in science and I think that patriotism did strengthen the role of science in America, but that was only part of our job. "Learn More" was stressed, but I don't think "Care More", or "Believe More" were. Naturally these divergent causes required some damage control and we are finally telling our youngsters that science can only go so far. The extra distance is both uplifting and liberating in that it marks true personal excellence, which call upon a value system, recognizes right from wrong, and even believes in absolutes. Examples are cited. The examples got me into, health and education, but also vaccination, sexually transmitted disease, drug abuse, and the stress on the American family. Drug abuse and its origins and its management took up a large part of this lecture, because it was applicable to both health and education. I closed with a hopeful note centered on evidence I was beginning to get from surveys, from parent action groups and from organizations such as The March of Dimes and the National Catholic Education Association. Most of these surveys do point us in a hopeful direction and they summon us to continue working hard for progress in child health while strengthening our instincts to help our neighbors and to care deeply about all of America's children. Alcohol and cigarettes as drugs Alcohol and pregnancy Binge drinking Burden of chronic illness Casual, uncaring sex Drinking and driving Drug Abuse "Fetal alcohol syndrome" Genital herpes Health of the American Family High School seniors and illicit drugs History of drug use in young people Hypocrisy of parents Immunization of school-age children Irreversible damage from alcohol Marijuana Parental guidance Peer Pressure and alcohol "Playing the percentages" Psychotherapy Science and "God Is Dead" Sex education Smoking in young people Sputnik Teaching parents to teach The toll of fetal alcohol effects The Trinity of mind, emotions, & spirit Transition from childhood to adult life Trivialization of love Uniqueness of parental relationships Congressman Michael Barnes (Maryland) Terre1 Bell (Secretary of Education) Dr. Edward N. Brandt, Jr. (Asst. Secretary for Health) "Control Factor" (Minnesota) Margaret M. Heckler Journal of American Medical Association Dr. William Mayer (Administrator of the Alcohol Drug Abuse, and Mental Health Administration) National Institute of Drug Abuse "Operation Snowball" (Illinois) Pope John Paul II "Project Graduation" (Maine) Public Health Service Nancy Reagan Ronald Reagan Richard Schweiker (Secretary of HHS) "Students Against Drunk Driving" (SADD) University of Michigan