Document 0Jj9R2qRrgQb0DZY9XnN4OEod

TRANSLATION M i n i st er i o de Sani dad y A si sten ci a So ci al . D i recci n de Sal ubri dad P b l i ca. No. 5.74 0. I C i udadano D r . d ar l o s O t t o l i n a M u n i ci p al a R educto N o. 64 C aracas. ! C ar acas: N ovember 21, 1939 130 and 81 I n r ep l y t o t h e i n q u i r i es c o n tai n ed i n t h e l e t t e r p r esen ted by you t o t h i s o f f i c e r e l a t i v e t o t h e i n t e r p r e t a t i o n of A r t i c l e 15 of th e E x ec u ti v e Decreje d at ed t h e 15t h o f Sep tem b er , c o n t ai n i n g t h e l a t e s t r e g u l a t i o n s f o r th e m ed i cal p r ev i si o n s t h a t hav e t o be t ak en w i th t h e w o r k er s d est i n ed f o r t h e h an d l i n g o f g aso l i n e m i x ed w i t h t e t r a et h y l l ead , I hkve t h e honor o f com m uni cati ng t o you t h a t t h e o p i n i o n of th i s O ffice i s the follow ing: W i th r e sp e c t t o t h e se l e c t i o n o f t h e group o f w o r k er s, tw o c ases may ar i se. I f t h e number o f w o r k er s i n t h e m i x i n g o f t e t r a et h y l i s sm al l , i t w oul d be m ost c o n v en i en t t o ex am i ne a l l o f them . T h i s ex am i n at i o n w oul d b e done a$ i n d i c at ed i n t h e same a r t i c l e , i . e . , ev er y m onth d u r i n g t h e f i r s t t h r ee m onths and af t er w ar d s, ev er y f o u r m onths. I f t h e num ber oif w or k er s i s l a r g e , t h en y ou sh o u l d p r o ceed t o se l e c t a group o f men vf hi ch i s c o n si d er ed s u f f i c i e n t t o ser v e as i n d ex . R el ati v e t o blocid ex am i n ati o n s m enti oned under A of t h e c i t e d a r t i c l e 15, same sh o u l d combi ne t h e co u n t and asp ec t o f t h e r ed c o r p u sc l es f o r a p r ec o c i o u s d i ag n o si s, o f anem i a w hi ch may ap p ear i n t h ese w ork e r s , t h e sy m ptoh i s o f t h e f i r s t o r d er and o f c o n si d er ab l e i m p o r t an c e. T h i s anem i a shouj l d be d i sc o v er ed h em at o l o g i c al l y by t h e a l t e r a t i o n and t h e d i m i n i sh i n g o f t h e r ed c o r p u sc l es. The r ed c o r p u sc l es l o se t h e i r e l a st i c i t y ^ , become i r r e g u l a r , si c k l y , ar e n u c l eu sed and abov e a l l , show p ath o g en i c g r an u l at i o n s w hi ch ar e ev i d en ced by b l u e pol y chrom . C oncerni ng i n se r t i o n b ) as th e l a b o r a t o r i e s of t h i s M i n i st r y ar e u n ab l e t o o f f e r e f f i c i e n t an al y si s due t o l ac k o f th e p r o p er equi pm ent r eq u i r ed i n t h i s c ase, t h k Company w hi ch you r e p r e se n t , co u l d e l e c t f rom t h e ex t e r i o r , one who i h ey b el i ev e t o be t h e m ost e f f i c i e n t i n t h e w ork de s i r e d , t h i s O f f i ce r e se r v i n g t h e r i g h t t o m odi f y t h i s r u l i n g as soon as i t s l ab o r at o r i es acq u i r e th e n ec essar y equi pm ent. ; God & F ed er at i o n (Si g n ed ) Ju l i o G ar ca A l v ar ez ef n/ ez.- |