Document 2JmV6zrx36gEGp11j7JzvBJ9g

l i. M tO iK - O * -* 9 1 \ i Esso St a n d a r d O il Co m p a n y 15 W e s t 51s t St r e f :t , N e w Y o r k 19. N . Y . I . E O ' V A D E . M . I >. M K I HCA t. THK K CTOR JO H N J. T H O R PK , M . D. A SH tST A N T M K D U 'A !. 1K K O T O U K O I K I F . K . B O t ' K . M . I ). K O H K K T ! \ S M . M . I>. U OH K K T ST O CK , M . D. J' H Y SI C I A SS Aprii 30, 1959 CL Y D K M . I IK H K Y . IMI. I) I NI M 1H T K I A I . n V OI K N I N T Dei iixaaination of Tetraethyl Lead Workers Dr. A. C. Page general Medical Director Dedicai Department loom 2,9-00,~ 30 UP Dear Dr. Page: During the Industrial Medical Association meetings, I took occa sion to discuss with Dr. Kehoe and various members of the Esso medical staff the examination of lead tetraethyl workers by Du Pont and Ethyl Corporation physicians. We were in agreement that it would be desirable to integrate these examinations, as we have most other toxicity examinations, with the over-all periodic health examination program. While it was agreed by all that our present staff is professionally competent and adequate in numbers to assume the responsibility, we all recognized that such might not be the case next month or next year. Then too, we recognize that Drs. Kehoe and Dahraann have a personal and professional responsibility to the U. 3. Pub lic Health Service to make sure that the protective program is maintained it its present effective level. Two other activities are vital to this protective program, the periodic industrial hygiene surveys and the educational efforts directed at the worker. Previous discussions with you and the Du Pont people did not include consideration of these important activities. Our Ssso medical staff is in complete agreement that we do not wish to assume responsibility for these. We do believe the doctors could assume increased responsibility for the "toxicity" examinations so that these might be integrated with the remainder of the examination program. This would best be done at the dis cretion of, and possibly under the supervision of, the visiting "lead" doctors who sight then be considered consultants. They might review the medical records of tetraethyl lead workers at the time of their plant visits, or a3 confidence and rapport are established, do mere spot checks. Certainly Tot D r. B. C. Pag 2 A p r i l 30, 195^ the local plant physician would be expected to call attention to any irregu larities or unusual findings so that these might be discussed. I assume that this entire matter will receive further considera tion, and we shall await further word from you before deviating from, present practices. Sincerely yours, LWsHH cc Hr. William Naden Isso Medical Staff j -Jr . ISO WADE, M. D. .