[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-141908-en":3,"doc-seo-141908-105":30,"detail-sidebar-cat-0-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},141908,1099523885336,"Taylor Morgan","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c",7,"Healthcare","AMA House of Delegates Resolution 439 - Letter to James L. Madara","A cover letter from Karen A. Harbert, President & CEO of the American Gas Association, addresses James L. Madara, MD, Chief Executive Officer of the American Medical Association. It expresses concern that AMA House of Delegates Resolution 439 rests on incomplete and biased scientific review linking gas stove cooking to childhood asthma. It cites indoor air quality findings that do not identify natural gas cooking emissions as an asthma concern and references a third-party Gradient analysis identifying deficiencies and rejecting reliable causal inference. It argues that switching to electric cooking lacks substantive evidence and emphasizes safety-focused standards, codes, and consumer education.","Karen A. Harbert  \nPresident & CEO  \nAugust 26, 2022  \nJames L. Madara, MD  \nChief Executive Officer and Executive Vice President American Medical Association  \n330 N Wabash Avenue NO 39300 Chicago, IL 60611-5885  \nDear Dr. Madara:  \nAs the President and CEO of the American Gas Association (AGA), which represents more than 200 natural gas utilities that deliver essential energy to 187 million Americans and 5.5 million businesses every day, I can confirm that the industry’s highest priority is the safety of our customers, communities, and employees. The natural gas industry delivers lifesustaining energy reliably and safely on both the coldest and hottest days of the year, and the increased use of natural gas has been the single-largest contributor to the U.S.  \nlowering its greenhouse gas emissions to more than 30-year lows. According to an analysis released by the U.S. Department of Energy in March, natural gas is 3.4 times more affordable than any other energy source for providing vital fuel for heating and cooking to Americans, including the most vulnerable populations. In fact, the National Bureau of Economic Research found that 11,000 lives are saved during the winter due to the lower price of natural gas for heating.  \nWith that background, AGA is quite concerned about the incomplete and inadequate scientific basis of the American Medical Association House of Delegates Resolution 439 ,“Informing Physicians, Health Care Providers, and the Public that Cooking with a Gas Stove Increases Household Air Pollution and the Risk of Childhood Asthma.” Reference Committee D drafted and recommended for approval this resolution at the Annual Meeting of the House of Delegates in June 2022.  \nWe recommend that the AMA House of Delegates and Reference Committee D should closely re-examine the basis for and approval of Resolution 439.  \nThe resolution presumes an unsubstantiated causal relationship between gas-fired cooking and childhood asthma based on an uncritical review of a limited and biased selection of the scientific literature. The conclusion of the resolution conflicts with observations in childhood asthma literature and is unsupported by actions from the regulatory agencies and organizations responsible for protecting residential consumer health and safety. The Federal Interagency Committee on Indoor Air Quality (CIAQ), which is comprised of two dozen federal agencies led by the U.S. Environmental Protection Agency (EPA), routinely addresses indoor air quality issues of public importance. The CIAQ has not identified natural gas cooking emissions as a concern related to asthma or respiratory illness.  \nAGA commissioned a third-party, Gradient, to review the studies cited in support of theresolution. Gradient “is an environmental and risk sciences consulting firm renowned for our specialties in Toxicology, Epidemiology, Risk Assessment, Product Safety, Contaminant Fate and Transport, Industrial Hygiene, Geographic Information Systems, and Environmental/Forensic Chemistry.” Gradient’s stated purpose is to “provide cutting edge risk sciences consulting service that advance science, help governments develop  \n400 N. Capitol St. NW, 4th Floor 􀂊 Washington, DC 20001 􀂊 202-824-7111 F 202-824-9111 E [kharbert@aga.org](kharbert@aga.org) 􀂊 [www.aga.org](www.aga.org)  \nsound risk policies and answer the most difficult health effects questions.” Their analysis, attached to this cover letter, identifies significant deficiencies in the supporting studies.  \nGradient concluded that “the available studies do not provide a reliable scientific basis for AMA to make causal inferences regarding the relationship between the use of gas-fired residential cooking appliances and childhood asthma.” (See Gradient analysis attached.)  \nThe resolution’s recommendation to switch to electric cooking is also unsupported by any substantive evidence that electric cooking is cleaner when cooking byproducts are considered. Indoor air quality studies have consiste","cbCaib7tj5q0FKRK","https://ap.wps.com/l/cbCaib7tj5q0FKRK","pdf",219751,1,3,"English","en",105,"# Letter to Dr. James L. Madara\n## Concern about Resolution 439’s scientific basis\n## Findings from third-party Gradient analysis\n## Evidence on indoor air quality and electric cooking\n## Commitment to safety, standards, and consumer education\n## Request to share and review analysis","[{\"question\":\"What concern does the letter raise about AMA Resolution 439?\",\"answer\":\"The letter states the resolution relies on an incomplete and inadequate scientific basis and presumes an unsupported causal relationship between gas-fired cooking and childhood asthma.\"},{\"question\":\"What does the Gradient review conclude about the cited studies?\",\"answer\":\"Gradient concludes that the available studies do not provide a reliable scientific basis for AMA to make causal inferences regarding gas-fired residential cooking appliances and childhood asthma.\"},{\"question\":\"Why does the letter argue that switching from gas to electric cooking is not supported?\",\"answer\":\"It says indoor air quality concerns are driven mainly by smoke and grease from the cooking process, regardless of the energy source, and that switching to electrical appliances is not an effective strategy based on substantive evidence.\"}]","AMA House of Delegates Resolution 439 - Letter to James L. Madara | PDF",1787670446,8,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":85,"head_meta":87,"extra_data":89,"updated_unix":28},"ama-house-of-delegates-resolution-439-letter-to-james-l-madara","",{"@graph":36,"@context":84},[37,53,67],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":21},"https://docshare.wps.com/document/healthcare/",{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/ama-house-of-delegates-resolution-439-letter-to-james-l-madara/141908/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":23,"description":14,"dateModified":61,"datePublished":61,"encodingFormat":60,"isAccessibleForFree":62,"interactionStatistic":63},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-08-25",true,{"@type":64,"interactionType":65,"userInteractionCount":4},"InteractionCounter",{"@type":66},"ViewAction",{"@type":68,"mainEntity":69},"FAQPage",[70,76,80],{"name":71,"@type":72,"acceptedAnswer":73},"What concern does the letter raise about AMA Resolution 439?","Question",{"text":74,"@type":75},"The letter states the resolution relies on an incomplete and inadequate scientific basis and presumes an unsupported causal relationship between gas-fired cooking and childhood asthma.","Answer",{"name":77,"@type":72,"acceptedAnswer":78},"What does the Gradient review conclude about the cited studies?",{"text":79,"@type":75},"Gradient concludes that the available studies do not provide a reliable scientific basis for AMA to make causal inferences regarding gas-fired residential cooking appliances and childhood asthma.",{"name":81,"@type":72,"acceptedAnswer":82},"Why does the letter argue that switching from gas to electric cooking is not supported?",{"text":83,"@type":75},"It says indoor air quality concerns are driven mainly by smoke and grease from the cooking process, regardless of the energy source, and that switching to electrical appliances is not an effective strategy based on substantive evidence.","https://schema.org",{"og:url":51,"og:type":86,"og:title":13,"og:site_name":58,"og:description":14},"article",{"robots":88,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":91},[92,96,100,104,109,114,117,121,126,129,133],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":93,"show_sort_weight":94,"slug":95},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":97,"show_sort_weight":98,"slug":99},"Literature",80,"literature",{"id":52,"doc_module":4,"doc_module_name":46,"category_name":101,"show_sort_weight":102,"slug":103},"Exam",70,"exam",{"id":105,"doc_module":4,"doc_module_name":46,"category_name":106,"show_sort_weight":107,"slug":108},5,"Comic",60,"comic",{"id":110,"doc_module":4,"doc_module_name":46,"category_name":111,"show_sort_weight":112,"slug":113},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":115,"slug":116},40,"healthcare",{"id":29,"doc_module":4,"doc_module_name":46,"category_name":118,"show_sort_weight":119,"slug":120},"Research & Report",30,"research-report",{"id":122,"doc_module":4,"doc_module_name":46,"category_name":123,"show_sort_weight":124,"slug":125},9,"Religion & Spirituality",20,"religion-spirituality",{"id":124,"doc_module":4,"doc_module_name":46,"category_name":127,"show_sort_weight":124,"slug":128},"World Cup","world-cup",{"id":130,"doc_module":4,"doc_module_name":46,"category_name":131,"show_sort_weight":130,"slug":132},10,"Lifestyle","lifestyle",{"id":134,"doc_module":4,"doc_module_name":46,"category_name":135,"show_sort_weight":105,"slug":136},19,"General","general"]