Document 2JzGarrO0XDo68QrmZr1gXLKL

FILE NAME Brakes BRK DATE 1959 DOC BRK015 DOCUMENT DESCRIPTION Book Chapter & Industry - Dust Diseases of the Lungs FB Ray aaa NN DONALD HUNTER M AR EMRE Health in Industry Diseases and accidents to which workers in industry , are liable and how they may be treated or prevented VOLUME VOLUME VOLUME PELICAN PELICAN PELICAN PELICAN PELICANPELICAN MEDIMCALEDICALMEDICAL MEDICAMLEDICALSERSIESERIESSERIES SERIES SERIES i ca Books Ltd Middlesex- Middlesex- Clipper Mill Baltimore BaltimoreBaltimore MdMd ese PenguPinenguiPengnuin Road Whitehorse MitchamPtyVictoriaVictoria AUSTRALIA AUSTRALIA a4 AUSTRALIA Ltd AUSTRALIAAUSTRALIA Books p AUSTRALIA ' saad Ses te Ean te aro wa ome soe , ~ eg! reg toe ; "Wt 7 :OIA TT UES Pe uo, phi LTO BBP : ea epaiutts ep : TS ; an ; Soe woe . 4 \ 1 7. be n an ' : . oem . ' re _ . t - of ; 4 es Hazail a . t . MadeHazail Watson andGreatViVniesnes Aylesbury t 1 . . | : of te 5 , , {oe ; ; Loe " wat Wo. ES DUST DISEASES LUNGS | . Preventive treatment consists of rigorous dust suppression In | eetdetey asbestos mining which is carried out on a large scale in Canada . eote a #} wet rock drilling is imperative In Great Britain in factories and | textile mills the principle of locally applied exhaust ventilation is enforced to prevent the escape of asbestos dust into the air of any ' ~ By, * . room in which work is done In the manufacture of asbestos f textiles hand cleaning of the cylinders of carding machines is prohibited while any other person is present nor may it be done 24: * exeosersoSer a by hand strickles or other hand tools cleaning cylinders ~~: SP filling insulating mattresses and entering chambers containing loose asbestos should be provided with an efficient apparatus by _ means of which they can breathe air free from dust Plate 12 Suppression of dust in the cleaning of carding machines is best ensured by the use of a revolving brush fitted with a cover and ..:* connected to a portable vacuum cleaner By the use of closed machines handling should be reduced to a minimum In one frames factory spinning frames have been totally enclosed in Perspex with an ingenious device which easy access to bobbins. permits Education of the worker must aim at a high standard of good housekeeping DrE. R. A. Merewether late H.M. Senior Medical Inspector of Factories to the Ministry of Labour and National _ Service made extensive investigations of the dust hazard in this * the protection industry and upon this work present methods of ~ : are based , Byssinosis BYSSINOSIS many ob occurs workers for years in as in in in cotton rooms the cotton industry employed for = a blowing rooms or card rooms where the spinning of raw cotton is carried on The workers are s . exposed to the inhalation of dust arising in these processes The . course of the disease suggests that it may be the result of the type chronic of sensitivity known as allergy The established condition is one of wef bronchitis and |... - emphysema The symptoms are progressive dyspnoea sometimes asthmatic in type with cough and at first scanty sputum The ~ : yo early stages are often called Monday fever because there is a 4 ~ difficulty in breathing on resuming work on Monday mornings =. or after an interval away from work At first this quickly passes " 215 ' agie aD RC ae MENT Pe TATA TS if r REE EER RIE te RS ot eas Oy . - . INDUSTRY e HEALTH IN * | and in the oe ee then the falling trend has been maintained 1954 rate ee was 9.2 per 1000 men employed As was to be expected measures for dust suppression have been quicker to show results in the condi- western Division than elsewhere Already working tions in the South Wales pits have altered out of all knowledge re the levels of borne dust in the pits in 1956 being tenth pa,, t get of those prevailing in 1942. Elsewhere in the British Isles it seems weooges that too many cases still go undiagnosed The rate of certification per 1000 men employed in divisions other than South Wales searsoP rose from 0.3 in 1943 to 1.9 in 1947 the rate for the last and emrs complete year 1954 was 5.8 a ee ASBESTOSIS < ' a Asbestosis is a special form of pneumoconiosis caused by the ete inhalation of asbestos dust Asbestos is a mixture of fibrous silicates mainly magnesium silicate Occupations with a possible es risk are those involving the working or handling of asbestos Te cleaning the carding machines spinning weaving the repair of ReR asbestos textiles the manufacture of brake linings and the lag- nodules yee ging of boilers and water pipes Vone The lesion in the lungs is not in the shape of discrete but instead there is diffuse fibrous scarring accompanied by ote pleural thickening and emphysema The inhaled asbestos fibres Tater undergo a change in the lungs and become converted by the deposition of fibrin into the characteristic asbestosis bodles Under ene : the microscope these are seen to be shaped segmented rods up oo to 200 microns in length They are formed around asbestos fibres tae The symptoms are dyspnoea cough and expectoration The te e ste physical signs are cyanosis clubbing of the fingers and fine woe Maer crepitations at the bases of both lungs The sputum contains Pay asbestosis bodies which may be regarded as of diagnostic signific- Teoe ance only if they are present in clumps Radiographic changes are late in developing and the symptoms and signs may be present before they appear The first ray findings are a ground appearance or a very fine stippling of the bases of the lungs the heart shadow may present a shaggy outline and the diaphragmatic border is obscured 214