Document 3Q0XqoXgaynDVKzEV2ayw7dND

^ I AI0775 8m 6 Lead Induetrlee Aaaocletlon, Inc, lead Health Safety Cceoitte* lead Hygiene 4 Safety Bulletin 1951 - 1961 1967 - 1965 1964 - 1966 1965 - 1966 1967 (Not. 60 - 140) (Nbe. 155 - 164) (Noe. 161 - 170) ! * ` M2"79 '^pe-wn. wpyuy <mr'*"M mmr* LIA10776 Lizftb +" * $D- IVO r/u B-f' ' i. PIHiyewW,"eeT LIA10777 LEAD INDUSTRIES ASSOCIATION CCTrTDt^TJAL r.T L~TTICATIOI AM UUIMtOM VtMM MCW TOM It. M. V. \ twoewber I. It 14 Ifto it t i1TM >.; To Mwttn of the Leed loduatrlea eaaooletloc Allocation# are cften radt 1a the public proto about load and lte toalo affeot on adulta or ohlldron w.leh, to / tre leart, appear open to aerioua <ju*atlcr.lr. f'lat fi'/rn wldeape-ead rlroo* lotion they aaln ur.pleaaar.t reading for the 1< ad producer, cauaa our induatri- t aorlout dam's and, seat of *>.t tine, alara to tha pub lie. We hare adrlael our mabori oecealocally of axnaplea taken froal tha proa, and tho ratultt of our lnYeatlyatlona* In racer,t year* Increasing font Ion haa boats glecn to lead poisoning In efcildren, t-mpnaala tans inr froa tha tine, back In 1528 I be liefs , whan ana doctor roeacnendad tho un of the I-rsy Ir. detecting the praaenoo of lecd In tho booaa of children* Bo aia attraetod by tha hypcthaala that bacauaa land ty*t Into tho bona la lead poisoning, tho I-ray eould ba uat 1 to datoot tha hoary ante l In bcoc--oerta 1a ly a h 1 gh-- ly daalretle ahort-out. If trua, eonpared with laborlewia lahrratcrj eonf ir-nt lor- Today It la oersaon thtrafora, to find hospital* u* In* tho X-ray alnort exclusively at a dlay.cstlo torl to detest lead poltoning In children# for aararal years . atotr, It haa a-or*4 to ao that tho nta of tha X-ray a epon to aartoua objection and that the r.'e-her of alleged eaaea cf lead polscr.lnj In children <-ra greatly out of proportion to ary poa-lblo paibllo exposure. Aftar tha app^arar.oa of an article la teoorher 21, 1X3 lasvio of "Tine" o-tltied " ra 1 r t Datura* 1 determined to mrs a thorou/h lr.rect 1 eat Ion of tho entire rubjeot with tho roeult aa Indicated on the attached preliminary report* Althr-jrh y Invest 1 rat 1 on haa not tear ecep'.eted, 1 aa eonflnoed that er.ea a-air. lead haa rac*lred tho blanr for nary of llln- ai which are r.ot aaerlbatle to It. I aa hopeful that, aa a reaelt of ay in vestigation and further ork runteaplated, tv# ne'leal profession, Itself, will esrrert the l-ipresalon which la rsw llerp-ead t-at the I-ray alone la an accurate ll<7'.eatto tool In lead poisoning exa-i a.-vng children* It haa (Ivan aw rreat pleasure ta work with doctor* In rarloua eedtoal olrolea ard hospitals who ima# t*n aa deeply li.'raie-j In thli prcMua aa ! have. I found then all atno-re arlentlat* roily to nod 1 fy tiolr vlcwi aa aTliar.au pruv.> It lr Current e.m>ol,,ti{nv* unt-rAtlv* itrr truly fthtra, v<$ r$ tanr#  *.(*< *Jto njlt LJlifl *+ 4 ^ POM nMpjgto1 LIA10778 o TIME fM HMI MEDICINE ?* E<rt*r U |fM iM b iIh *4k bM>( Wk ^a . ta qwik cm inarmtx, ha mtj bi A farad r*.'rf. Um k>V*1 ttoi kbr ilmW M U fm Uft fWitod nk Wad tut aot at inLw that tkoarvd tki l* .***1 r.* *Urt ttoo-j&g Wad pmra f awdro,.a a.%4 a* tor p^trv i fvuti MU * tf.lttAAt *irt tbrr t.T>/oCf to* puB <r.*a or ft Wad-<bat4-*-M puaL) Aad M ma ; Axtan wal~w lW w W ito pfante ia i>m if r to atafwVf. Lui owf . dwlc#* m4 pmrtmu fawned Ito m 1 (na aa i/vxW to (to d*tora /wmd : *f toMi ( CW^r. fcj>toir> ' fctoU/a Iftti im tto ait Cuttoi | Crtai Lard. af lltoito ' Ian it ^ tod Iwwk tol ' iton aw wow U Wad powwdag lto* * M rig >a. taW^KO. pa/Cym. kw to art-row djcfikn ito town to Wd to tto tosf t>w and *to| Ito | ftM. Sto aot^rd (tot mm lt>l pmwto j toto-t ft?m4 fo<K<iw<vaJV (ran aor . wal toiv paLrraUr tratad tto etacta to ito artoto uma to it ttoim, to ' okmb it bad tora pto Mta ) AJ tod too (toil. EK Lord faiiwto. vow tod liiton. (top fa w tod wad ( 1Q *. aad fw to (to ftw m * rmuc fto* ttoy (OMbd ato War* ***>. Mm( to | tto at tor <to'~Vra am w tfvcad (IQ to to 74 > arid U Utond tto* (toy bad to Wfoto (ban, biUad fxd (ton to ** cto tto *toto r***n*y. Otw titfb girl to )val to m (tow Ui<4, bad a r^*tWd ftvra MWd (to to<W( m ; ito drtto *d ito pnaa. vud mc u mi if ift df N 279.02 nmmn \ n i, ' LI A 107 79 0^ i?jp k t 3t zm5 arm cur:nr X. 40 ' . . .- . "* .. "r<*"I* .. mini trust t-rort o ? ims: t-urie* cr J - . * S-",*: * .' `I * -- *' `` The "Tine* Art!ole - It Seei~roun4~" LtSLiiJSi - In the Dactmfcer 210, IMS ltrue ef 'line,* cn f*- 49, u article appeared entitled, leter*,11 a eopy of which 1* atiaer>d* of tha ,.rre.Sr.*.;:>e .jres to thio alleged laryv-ao*1* i.ol.i*r.# of Lead pclccninj in children, ar.d the tarleuane** of the lpiictic:je, an La.iClat* lev* *'.i ilM w* nndertalcatu v- > ,, -. ^ . * teyan by procuring *0F7 of the ScvaUer* 1S43 lue of the *Ajeeriean Journal of Bliaaiee of CMldren" containing the papar by Lr* Randolph X Syera and Elloabeth . Lord, fh.O* (deeea**d) la boitca, entitled* *lata iffoosi cf Load Pollening on lar.tal Level e;*uot,* cn ihiih the *Tlae* artlala wtl baiad, aol tudled It carefully* , Th artlola oomiite cf Zt para* and drier".to* the hlitorlee of 70 allcgod eeao* of load pci*cnir.g In Infancy contrasted by children shewing paint cn crib* eul toy** .k ease being lnvotl-atod In Inter years for after offoot* and chawing sub-noraal aantal dovslcpont la tha children* Any ooo ucfaalll-r with load poisoning would be greatly inprotcod with the ap pocrcr.oo cf the article* la fact, proetlgo and author!tatlrcooai wo* flros It a* the Aaorleen tiodlecl Aedeatlch nedu 1% the leading arts ole la the Boroabsr lua of the *<^rlean Journal ef El* so to* of CMldrua** Crltlelwa* of Article . ' ' ' > the paper ef Bywrc and lord 1, however, opao ta serious *rltlol*a on aaay Important point*, both fret th* woaooie* of the eltuatloa and the aadloal a*p*eti, a* follows* . (1) Kowhere deee any analysis appear ef the paint er tey* alleged to hare earned the lied policnlc; c*** dciorlbad and yet this 1* aaelar te 4e tbaa c.modoil analytes of blolepioai eaterltl for lead* (Sen* y*ar airo our A*soltlon eor^luot*d an lnduttrlal surety te ascertain w(\et.-..r *r nut orlb ,-sn.nuf c U,r*r* *r* utlr.g ny load paint on th*lr aerr-Andiia, and, *1 wa* to be eapeeted, rJ*lt*d an altogether tugatlre r* ipor.u* Pnloti u**d nowaday* by crib aanufacturart are vTlaarlly esaapeuaded wlt-i lna o a Id*, tltu.-.lj* or lith.por.*, the*> pi ,rt bi r. r,,* ; -r to u* thr.r. w l- -) loa.l. In cdlltlon, the ehana"* of V".'y r< i"Tt' r. ['"Wi\ui u'.ltu *jad urn r *- i-> at get -d ryl r.f t.noaoi* of a *lro ulio, llthopji.o or lltOJVlst* boo nro jonorilly mod la furniture paint*) (t) Re laboratory confirmation ef any lead oaae ll given at ca t;wo4 iul,iai or -rlr. analys** cf the ehlldron fer load w*ra -*d** < (1) f*r*rl of the oaici are ecofltotloi In the evaluation ef the Bedieal iridiMt glvea* -, . name- *^V N 279.03 111 'll a ww^il LI A10780 'jut KynrsE .*? urtrt s '.x u et ih S3. -13 8 (4) Tha I-ry wi uaad In til cata* and vhararar it atwnrad a danae band at tha fcrcwir.g adgaa cf the lo.-.g bcnat tho cast mi diagnosed aa laad polaonl'-ga la fact, the X-ray li given prlaery and almoat aola consideration In practically erory "load" oaaa deaarited* *>*.- -* ''*'*'% ** Tho g I. Publio Health "Janrioa finding#' ' " . . f. .- . It *o happarj that tha work of tr. Tairhali of tho Hi I.'Publla * Soalth Scrrtce, daaoriiti, In Publio Hoalth Ecport J** *, Tola M, February 23, 1543, entitled, *1 '.ar.tlf leatlon of l**d In Ecne Ileaya,* ha a ihoarn that tho X-ry la wrt.hloei aa a dlarr.ottio tcci to datcrihlne Vmproaetaoo of load In tha benet jrt&arily taoauao tho amount of load, wnieh lc taken up by tho bor.oa la tha human body la too eaall to bo da too tad by. tho X-ray. Again this night bo ciocotad. Tho hu-nen body can not telcreto lcrga eaounto cf loed in tho blood end If th<a donao band* shown by *so X-mya, cliogod to bo lend, nr* lxd, then tha poor children nuat hero rrasa of loci In their banco, which la c.h*urd, aa at moat tho _-xr.nt of lonTTTTld ba in fractional milligram* per (hJ cf bane. . . Tor anr.y yu.tra (ilcoo 1213) audlonl Etoraturo he* or.rriod refereneoo to the on cf the X-r.'.y in dotcrnlaing the proaatoo of laud poisoning la children, it being nnlntnlaod trr.t w.-u.-a tha i-rcy dlsoiotod daaao bend* around tho uxtruiitlea of tho long bonoa, no shown la the diagram bolow, these doaoo trees war* lands ' e . Aa important group of doctor* today firmly bolltnro tha X-ray ' finding! to be concluaiTO ocapito tha feat uot tha dai.ao wiio bond It ksoana to bo given by phosphorous, tittnlva, oclelua and probably other olcaaont*. And, to tattplieato t.ho situation further, the to-erllcd *l:cd lino* li known to ceeur in rleeoti, c eerron -llnunt in children. It wot not, however, until tho rooort work cf Tr. r-.lrh-U, referred to tbovs, tSr-.t doubt wot oc.it upon tho raluo of tho X-ray a* tho solo diagnostic pool In land oaaco among growing ohlldroa* ' *. Cfc 'ostl cr. to fr, Tt irh'.ll * ' Ccr.elullcna . . Jimj ii ir. I'airboll ' work n do hi on does, it* value i* dlieountad by on* X-ray icn.el which elates trot tha ph.nocwrn tnay daoerlte cnly ooour* in growing ohildran. Inoaaueh aa Ir. falrhall'l >ork * I not don# ca gre wing dnra thoy all*.* it waa not er>n*l'.j*`, | That it whara th* o-n'raarty raatf todoya My foaling, from rathar caraful raadlag cf all tha lltoratur* oo tha iwbjaot, lncllnaa no to bolltTa UAt aran If tha growth faotor la oon- o 'WMWJjupEwyyyiwri **.** pww -w.w LIA10781 _ Uao KTaica i o at h i ivura so. i$ wj ; T i i #Wtr*4 it *iil h*r* r.a #ff*t n tlttrlAg Dr# ocneUtier*## lr Palrhnll c*-% t^t t.\i 4t&* iraUcw ! pro&4tl/ c*u##4 V/ ctlolua tad not by lt*4* , '* - , -' . # * ** * '< .* * Intrri ow wi th ~r. Byr k i With th* kl-nl a**it*r.o* *f Pr* Aub of ta* R*rrard H *d !dal Seheelj I X bad a frar.r trvd friendly 41**u *i 1o a with It , Eyar* and 3*. Croth*r of th* Chlldr*n'* i. >ml lo button about hi* paper. A* * pojlt I f*i that Why r future of *llwi leal polionla^ oaict la th* Children'* Hepl- f till, or cay th*r ho*pltal la Eotton, will bo aero thoroughly dan* *ad that th*ro *111 to tsVxl eenflmr.ttaa of th* expeiur*, If e:.y, v:.J iiao laboratory oorflraotlcn of th* axtiterio of load* 1 pointed eut to Cr lysr* thet cur- root iaedicol prveti** laoile^i to th* y Ic w i m it wu* ab*olut*ly n*c**mry to bar* laboratory oenf1 ran ti oa, *hlfiy through urla* arr.lyao* and blood . xoai2stlca tlaad contest nrd bo*;p.Mllo nrjrtjattha tc*t) to coocr.Jtrr.to th* proteneo of loci la h-unca yton. I found tnot fr. cyvrt wo* not dior* Of Lr. folrhcll'* iqrojtljcotioa ca th* X-ray a* a dla^et'.io teal la load poltoranj ci*o* uad h* fiplor*d th* notoriety that had toon rlrea hi* paper. k Or* Eyur* ~r-t deeply iatcrettod la ay cbtorretlon* aad 1* arjciout to Ls t o *ti- \ {dto thl* oubjoet further to ***ortala tho truth* .* My cnelulen, oftor oca*ultla( Tariou* export* la Seaton, Ho*hlo(tea aad Cinoln.-j.tl, i* that, rail* thor* Bay h*r b*a *cco load pollening anag children la Bui tor., it ho* aoror toon conclusively prcooa on!, that tho cat* nado out by t>ro Eyor* aad Lord that tr.oro l* a eehaootlon ret*ri*4 nantal dtTolepaoont la lator yoart and load polionla; ltiolf, i* far frc proram A* It * Aab told a* ho folt tat ohlliroo who ho t o eub-noraal appo> tltoo, or th* dltoaio kaova a* *ploa* which canod that to ohm cm laodlblo .artlcloi, war* *ub-acmal to * tart wl thl >^ lirrootlratiea of v'oha* S*eJcin* X-ray Studio* ". ' '- -- '* la th* oo'ur** of ay loroitlgatloa I found It *a* nocotiary to rorlow th* lltoratur# oror naovy-ar* oa th* *ufc 'wt of X-ray thadow* la th* boa** of ohlldroa, fr. tyor* la E-ooton bad r*forr*d tv* to th* work at Joha* Hop* kin* a* bolac ta*lo la tr.o flold. I, th*r*foro, read suaoreti* pap*ro oa th* tubjoet and diooororod that only ot>* cf thoa prooontod any analytloal orldmoo that th* (o-c*li*l 'ihavcor' la th* boo* 1* aotually du* to tno pr*(*DO* of larr* a-vount* of lead ltlf. /J few children all*{od to b* leal oa*e* dl*d an autopty for oorrgborativ* rrldoao* aa* rar*. Thl* w th* fjndaivmtal dlffloulty whlh Ikr. Jhrk mi othor* r*B Into whan thoy wrot* tholr artlel*, "J-i*y Shddow* In urorlnj lon* Produced by Leed| Thalr CfKraotorlitlc*, Ciu**, Aontonleal Count*r;nrt In th* Pon* urd tlfforoutldtlon* an la;orViht ptpjr which r.p;c.rui la tho Auru*t, 1931 l**uo of th "Journal of Pudlntrice." Thl* popar lw> boon e<r.*ld*rod a highly r.uthorlV.tlTO Irtlj *u!y of tho rutJo*t tr>d 1* 13 t^ lci-.r, Th* only aac.l/tlr;.l *rlduaoe 1 eenld flal in it nppoor* on px.$* lib cf the Joaronl atul ro>.d* n* follow** ' "T ha It *> ehlnf nn-1 prehviy *' et so-*.* hi 9v:je , of th* r.\dr.w, If tho orx.lyal* ef Auk la Vori'i e t, r.rvd tho hrcljoo* lk (.aff*/'! c*## for othQrf# ' VocVi o# A`;b Ccund thAt In ^ftxno *rm *V th# #cvl# vS th# t.v.# ] ti! p*f rrui Cif bofV# v# l/,# c* 1 oiOalCi (r&rj T>.t r#tio of )e4 to otlcluM t 1 LLts HToir-T i uprrr Ev_inn , ;iv. 43 . ' ' '' 4 ' n piitir than 4 U ! In Caf fey's sate 1 grsue of dry b**M taxen from the dense ton* yielded Oi' xrtni of lead,* ." It o happens that the anlyels r.,oted by IfT PerVee heflnj boon'** Hid* by Aeb m fortunately dene at.iiarrerd, where eur Eel lee l research he* fc*en centered tor s*ny years,. looerdlmly, It was.aesy for * to ehaok th* e* quoted* : . ,, . - - - 1 Important error Disclosed .;' -" - . ` S ! dlsoprored, to my pwt surpriss, thst Cr, Pork and hit associate* hod and* on a t to - nd i r.g error, Trsy h*d riscuctud Dr. Arl'i analyt th* design*tlcn C.SIT {t o s s instoal i 1. 1,-rvr.. In o'r.tr wo r-is, La*y rif riod l,^ tiu* at uoh lead in tie t--.i sradow than actually occur* roil * < ! alto ehooked th* othr rofsrenoa, that ef Dr, Coffey, ond fouid .thot * stallar error hod boss sad*, that Instead of C.7 gina* of lead It* should here boon C.7 ni 11 i (ram, another error of about ipOO tine* th* correct aaoust* the ocaoluslco, thoroforo, of Or* Pork sd.hl* **toolote* oo to th* ratio of lend to oalelus la, cf court*, lnoorreot* , > .- Confine*tion frea X-ray lUrsufacturcr * -.. %` I then felt thot my investigation hod r**olr*d Itself into a staple nflaserlng problem, namely, non th* I-ray dtteot, by dlfferentiol shade*, the pretence of (vwj grans ef lead iper (na of dry bcnel In other word* , If we here tea cas-gran piece* of bone to tzanir.t, ccs cooplstsly lead-frs* ond tr.s other containing tOQQi (iv.i of lead dlffussd throughout, would th* X-ray plate shew a uifftrer.es In the two tfctV/wiT ~ " * ' I took this problem to a syesialist la th* X-ry Cepartaent of th* 3*ceral Electric Cuapany and he assured ne that they had difficulty enough, aa it was, to preiues X-ray shadow* and that thslr technique had not beam sufficiently deTeloped to deteet each extremely minute different** in th* l*ed eoctent of the bonee* > After eoapleting thle lirreetl potion I then arranged to call oa 0re Park at John* Hcpklnt, wr.ere 1 wa* courteouely reeelrod, It , Park's work hat gone unquestioned fer aany year* but h* aexnowlodgod th* error and h* was sorry that it had ocsorred* H# premi eed bo sake a oorreotlon in a future article* . ., * I celled Cr, Park1* attention to my mystlf lootion In aoeeuntlaf for the -wr.y r,uos of lcel polionir.^ alleged to hare oc:urr*>d In tha Feltlmor* area from cr.ll.lrcn chewing paint off orlb* end toys, particularly ss w knew that lcl w r_>t ueoj for that purpose, si though it probably would b* used oa the exterior of ht*n, I exproteod surprise that r.'ewcf the staff of th* Koeplt*! bad eor takun tha troohlu *o -_ly,9 * .- point m topi cr orlb* to *eo r'uln whether or r.ot load aas present, fr Pork said ho would do * 14 the future, or send a eempl* te ue. for aifelytl** ' LIA10783 LZJU) eXOlZXZ b AaPETT F- L^TI* 60. 40 S- Dr. Park, ham*t*r, aMil feel# tint eren If ln4 itself any cot be present la the eo-elled 'jha-.v* lc anounte efficiently great to be detected that load peleoned children t hu ho nanlfetUtlon of a i ha dev to that It lay be eoaetise yet before ecaa comical authorities abanjou th* X-ray altogether la diagnosing load poisoning aaong cM lircn* Incidentally, Dr* fsirhall hat aada aoao experiaenta la aotvally loading bcoo atruoturoa of dogs to show that oroa highly 1*dad boa# "111 Bot prod40a an X-ray ihadcv di*t'.r.r..,ithabla frees cau-lbacei her. a, Thia work la described la Dr* Falrhali'a bulletin previously mentioned* Z haro alaa Interviewed r. Covglll of th* Tola kodloal School, who hat dona a lot of work oa lead, Ha hr.s been unable to oocflra the *laod* ahndov phenomenon la bonea, inu 1 vt i a 1 Cork ca flood dxrmino11 or.few Load . Dr. Park described to ease of the laadad etiee aaoeg childrea. Cna caaa I re-sauter particularly because tha child had alleged to have lead la tha blood but vaaa't excreting it in tha urlna - which alto leant strange to aa* la a aattar of feat, tha analytical work being done la Sxltljuore oa blood la another subjoat which 1 an currently lcvoetigxtlag a* hare, toe, I caa not reconcile aoaa of tha local findings with knowledge of the pcalibllitlct of u adequate lead exposure to provide for either load absorption or load poisoning la chlldroa* Conclusion Thl Investigation has not boon concluded, but to <lato eoarlnoo* ao that or.oo again load tea b-oan unfairly ettnekud In tha publle prose, (tore work will havs to bo done, and I think should bo deno, to prorldo a ooopleto answer to tho questionable prcvalonoa of load poisoning la children# This lnvcatl/ption aheww that tho nodical prfosslcn poaaoaaoa a jsoctal picture of pulnt that la far frea roeumte# I fear thuy b-lluvc that nil paint oontalns load wheroas wo Vr.oo that ia far frora correct. Tory truly yours, Seorctn ry#