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UNION CARBIDE CORPORATION Uhlon Carbide WORLD
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MEMORANDUM
TO: FROM:
Foley Rrovenzano Plant Manager Texas City
Tomm Sprlck UC World C-2211
Feb. 13,
FSP
SUBJECT: World Article
>* I understand, Foley...
that you and Susan Austin have discussed the attached World article, but for your Information I am sending you a copy. Thanks for your cooperation with this item.
*
cc: M. Herman 0394s-6
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UCC 097564
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APPROVALS
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/x/S. Austin
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/x/D. Llebesklnd--SUI
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/x/F.Provenzano-Tex.
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/x/R. Schwlndt-Ehployee Rel. /x/T. Collins--ETS. Clear Lake/ /
/x/C. Hoffman-Industrial Rel./x/6. Menyman--Ag Prod., RTP / /
PUBLICATION: UC World
DEADLINE:
ILLUSTRATION:
Issue: March/April
Writer: Sprlck
Photo:
Subject: Epidemiology
Draft #: 3
Caption:
Date: Feb. 7, 1984'
Page #: 5
Attached:
Not Attached:
0394s
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/bf flush left/Medlcal Detectives: On the Trail of Health Problems/med/
Susan Austin Isa detective...but won't be found wearing a deerstalker or
cape, smoking a pipe, or tip-toeing down a dimly-lit alley on the heels of
some vllllaneous criminal.
She Is also a doctor...but doesn't wear a white lab coat, carry a
stethoscope or draw blood samples.
Austin Is a Union Carbide epidemiologist -- a "medical detective" who
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examines health data throughout the entire corporation; studies the
distribution of health problems; and. If any above normal percentages are
found, works with oljher UCC professionals to determine the causes.
Begun In 1977, UCC's epidemiology phogram can act as an "early warning
system," providing employees with some assurance that potential health hazards #*
In the workplace will be Identified before they erupt Into fulliblown
problems. "Realizing Its social responsibility. Union Carbide has commlted
the people and funds to a health program that helps to Insure the well-being
of employees," explains Dr. Austin, corporate director of epidemiology, who J,
holds a Ph.D. In public health.
UCC 097565
/
-3/bf, flush left, all caps/PROBLEMS CAN OCCUR DECADES LATER/toed/
At the turn of the century, Infectious diseases such as cholera, typhoid,
smallpox, polio and tuberculosis claimed untold numbers of lives. Thanks In
large part to the development of antibiotics and vaccines, these diseases have
been effectively controlled and. In some cases, eliminated. The emphasis In
medical research has now switched to finding the causes of other
life-threatening conditions that typically occur later In life, such as heart
disease and cancer.
One major problem with Identifying work hazards that may eventually cause >
health problems Is the "latency period;" that Is, many years may elapse
between the time of exposure, and the time chronic disease Is detected.
"In asbestos-related cancer cases, for example, the latency period varies
from 15-to-40 years after exposure to the material," continues Dr. Austin.
"However, If studies can be designed to detect long-range health effects
traceable to harmful material s/substances, steps can be taken to reduce or
eliminate long-term problems;. Incidences of asbestos-related cancer have **
declined significantly among employees in asbestos-related Industries since
the Introduction of protective equipment.
"Such cases show we have to go beyond reviewing health profiles of only
current employees If we are going to catch potentially harmful conditions,"
says Dr. Austin.
As to whether the work environment or Individual's lifestyle have greater
Impact on a person's health, most experts agree with the findings of a recent
special study by Oxford University, which demonstrates that the "way we live
-- what we eat and drink, whether we smoke -- has far more to do with cancer
causation than workplace exposure." The study concluded that, historically,
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UCC 097566
no more than five percent of cancer among Americans is the result of workplace
exposure [a percentage that included numerous asbestos victims].
"Enhancing the quality of life Is a team effort," continues Dr. Austin.
"Individuals can take steps to Improve their lifestyle, while epidemiologists
-- working with doctors, engineers, statisticians and other professionals --
determine the effects environmental surroundings have on people and suggest
ways to eliminate harmful aspects. That's where our epidemiological program
pi Ays a vital role."
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Carbide's Epidemiology Department terms Its efforts a "surveillance
program'^-- not a "mortality study" -- because the emphasis Is to seek clues
to potential health problems, rather than on proving a hazard Is present.
More precisely, the studies review health profiles of current and former
employees at plants to see If any above normal rates of health problems
exist. The figures of one UCC site then may also be compared with other
sites, or the general U.S. population. "All this work," says Dr. Austin, "Is
aimed at one goal -- does a potential problem exist and Is a more In-depth
Investigation needed?" *
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/bf, flush left, all caps/ SEVERAL UCC STUDIES CONDUCTED/med/
One of.the corporation's current and largest epidemiological studies Is under way at the South Charleston, Institute and Technical Center locations In West Vlrlglnla, where health histories o,,f 40,000 current and former employees are being examined. Carbide undertook this In-depth examination with the National Institute for Occupational Safety and Health (NIOSH) after a
% preliminary study conducted by the School of Public Health at the University
of Pittsburgh suggested the possibility of an abnormal number of certain types of health problems.
UCC 097567
/
-5"Since the Initial data sample was extremely small and Incomplete, we
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decided to Inltltate a full-scale study to determine Its significance and
whether or not It was related to the work environment," says Dr. Austin. With
computers. Carbide Is examining tremendous volumes of Information that span
decades, such as how long people were employed, where they worked, to what
chemicals or materials they were exposed, where and how long they may have
lived In a particular area and. If they have died, what the cause was.
In the northeast U.S., another corporate epidemiological study Is under
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way Involving 14,000 employees who have worked at the Linde Division plant In
Tonawand^, N.Y., between 1940 and 1981. While the Epidemiology Department was
working with Linde in 1980 to set up a division-wide surveillance program,
data at the plant Indicated a larger number of deaths due to colon cancer
among former employees than would have been anticipated based on national
population rates.
"However, the statistics did not take Into account geographical
differences," notes Dr. Austin. "When we compared the mortality experience of
former employees to that of ilew York State residents inparticular, the
significant excess disappeared.
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As the data base enlarges. Dr. Austin Is confident the study results will
become more valid. "We continue to monitor the situation and current results
show there 4s not a significant elevation of colon cancer deaths among former
employees. Apparently, the colon cancers aren't the result of any
occupational exposure, but perhaps other,,personal or environmental factors."
Results of both the South Charleston and Tonawanda studies are expected bv
the end of this year.
r UCC 097568
A third program undertaken by the corporation, together with NIOSH, was
begun in 1979 at Texas City after an employee report and a site health profile found what was thought to be an excessive number of brain tumor cases. After
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6- a two-year examination of the records of more than 6,500 employees who had
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worked at the site since Its opening in 1941, Carbide's epidemiologists
determined that although an elevated rate was found, no correlation existed
between brain cancer and employee exposure to chemicals used or manufactured
at the facility.
"Though our programs are certainly not foolproof, they provide tangible
evidence we're doing everything possible to anticipate and prevent major
problems," concludes Dr. Austin. "Tracking current and former employees Is a
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formidable job, and as we gather more data over time, the Information derived
from the^e studies will become more and more conclusive. The few pilot
studies completed Indicate we're on the way toward achieving an effective,
on-going program,"
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UCC 097569