Document 3eMEbLk1gRDNV1QxOZeKnymn

FILE NAME: Kohler (KOH) DATE: 1928 DOC#: KOH116 DOCUMENT DESCRIPTION: Part 5 of Barry Castleman's Selections from 11 Boxes of ML Docs IIIOlAlfiU TOI lr. Ittlil, imimmrr* Dm* Ikrak , 1* v SUBJ1CT ftaaar Cllmlc, ttaar, Oklslw-. Tb* ftakar Cllaio la n i m u ' a*prtti* tarprls b-i th atrapalltea, tha toit* Stataa k m af W m , #w J tha alalagoaapalaa. 1 tha dlalriaU tba tNtropalitea aaatribatM |,000 y*'-*', tba P.S.Burae* af Xiaaa M.030 ya*r. ad U adaa apar*tra tlf*QO a ynr. fwal aoatsaata turabaaa aataratf lata u kitaii tba k t NpUta cad tt CiTimat vad aaah tidlflwil.'Wtideg aaapaay aad tba Qavaraaaaw Tke original pla w M i t d M tar t h m f n n I M ^ m i r U N . f tiM alia la aaaarta af fir* lartaathar, ftargt-----1-*- Charge S aaaUUat fftfalaUan, a m4Ufl mttUrn U <**rf * * J ^ m ****** an 1 4 i n h i u r t N i 4 lfek .I r w y N i U | . M N i c 1 triai n m S i m U i M - ^ f a M ^ P N n r t | U W H H F* ,, . J ylqrslaal amalaiilaa laaladlag aa la H a H M U k ^ N U I Im M m O U m Oarty, N M f i I M W I f M f a r 0m (|, iaaaari ad n-faa T l l l m a t V a k f Iflaw a In N a aaaalaad. I w T M a N l i S Z T L u u 5 e a a aa*d aa fclab la bla pbatagrtph, bla cKaater. bi* MaaafT af M a N n i M l aaaditiaa, i N aaid balag aWapad wlth tha Oaltad Uiaa (lima-- 1 nr. T N aard la tkaa pliaad la a lltila laathar faldar. la j n kaaa, tbara N i N n aaaa lsaaaticatlva oct daaa la tN JepUa-flafcar dtrtriat a ff aad a far a --itiir af jw w kat aa it t a N * baaa aada ta daal trlth tN aaadltlaau Prariaai laraatigatlaa N tarai? baaa far tN pwpaaa a f aatabllahlag t N faata Ta adaqwtaly da*l *ttk U la altw tlaa taa farta a f aadaaaar ara aaaaaaaryi tht la.atala aaadltlaaa M im r w l aaal k l l y m l aad a w f a ffart aada ta aaatral tha u t haaard ai eeaeai* iha ykyaiaal aiN tltlai af tha aa aaat ba aaaataatly aaparrlaad aa t N t t t i N *N ia Uho iaaa baa<*a u t da(ad aay N froa tha Udoatry bafara tha? baaaaa hapalaaalj 111. la yoa t a , thaaa miaT with daai. daaagad luaga (alllaaala) eoairaot *ad dl of tabareuloml. V'Oi Mr '*; * steoe ; -*- t i*>--'.*,*i:r *'.- ' * ; ^ ? t, it IV ( U M i M f U t 1* tatato U tta U t tfc* * M U m ttet ta (ta H i m s ft ih* Itala* 1 M m Ib 7 U m Dr ItriMthtr1 m H Ata 7M T UCT. 2i U U r Unf, tmx it i. mtjt lstarU< t ofSMiiTi a l 4 if y** aU t*>r t m *4 il, lt *t U n ad t Mil A (I f U 7 <u U m If M n ugr > u tvi r s*\ U s r r Vm x ekieli 7 m i l Ufe twa farttar Ufaractl, U t m ta * * --**"* I; V i . > : k*' * ? . . ; , c ^ ;:* :,v - r ^ \ < <. VA ` " **'/ : ; ..* . . V r f -r r .* * .V * V*` 1.U1i .1 * MT M i l M . Iteteter n p H , X a H m U i m w te ite I l M i m - O f te M U m U. tete tea aal ta-- ifflil 04.l ite oft I tete* tete atei teil t e t e ta tel a^wi, aa teatnaa te tea titelte te H t - -- te te A. 1 . 1 A. 11 ym l 11 ai te tete aaalt M te t e - -- tea a-- te t y r i te teanltea as Oniaates** te sa tea fatum -- H te te annate te te Nttia t e l * tent-- te te te A. P. . A. te tea tete te taran ate t tea t e t e tesa te aa tes. te la M s u i n a tea al-- atfl-- U -- la sai far -- aval fate li-- LI.I--l,fi. 1-- lat-- ! lalaal filmter S t. J o sep h Lead C ompany. Custom m.ciumc.**im wirMCOWMCkV.*><-*%r K M m-- fUTCM* **ee*^***a*a! C MCttWlilCM*.* <i m i t V CUHt.vci M MeOOWMtMCtiBi *OSCftT MMMCn.Mit *icrr*> GCOAOC l.tAlOOCM mt Ur*av 250 PARK AVENUE N e w Yo r k TCL**MO.( Ilbs.w o .%JWUiMU<..X.U.fm..1..m / . . Dr. A. J. Lanza, ^ Assistant liedical Sireotor, Metropolican.Life Insurance Company. One Uadieon ATenus, Be* York, B. Y. July &, 1VS4. Sear Sr. Lanzat < Upon ay return to Be* York this morning, I as very interested to find your letter of June 27, 1924. ii*v2U S wi "*; Srinker is expecting to spend two weeks with our Bonne Serre Organization, and it would * *t help to us if he had a oopy of your pro posed f o m of eilloosis classification, as he expeots to ko over the entire problem with our legal staff, as M ***** oertain of the looal dootors who nay aid us in our defense. . appreciate that before any public announceaent oat,t*r should be considered as confidential, anc therefore, th.-.t you uay not be in a position to send us copy of tne olassification, but you probably aould hare no objection to sendli^: same to Ur. Srinker for such use as he ney consider equable. AF:12! Copy lir. Srinke-r Vice `reelcent a Treasurer. TRIP TO in?:TRE/it A- L"I c- :rJLEEC Oct-ber 16-Oc V i e r TI, 19 PURPOSE To explore the retabas for the high tuberculosis -rtelitv rite in Thetford tine: . ' To confer with the -pretor* of the asbtos sines in Thetford c.-ncerr.ing the establlshrent of an *ndu-trial fcetlth clinic in Thetfrrd Vice*} To visit Grouo o-licyboldere in Ji-ntieal with Mr. Perry end hr. Vinel, Hr. Te**nel t- sav Industrial hygiene survey of Asbeste *111 ir. Asbesto end Thetford. 5ICXIPTCAKT IlPLLO^yiNTf AXD gEPIRTATTOKS ttfHrcnlo! sd bestosl 1. Provincial Health Bepertaent to provid ns with ege-o*ciflc sertality rates far tuberculosis by sex for nest eight years in Thetford, Astest* and six eownarafcle cse*ur,lties in addition to Poainion and Provincial rates. 2. Dr. Burnetts to steure date for us on health serrlces, character ef p-pulation and living condition* in the cosevnities for which nortelity d*ta is being secured. 3. Local physicians end nuns at Thetford Hines hospital believe asbestos dest contributes to tuberculosis. I, Thetford hosritel, built in 1930, has 150 beds-- 75 devoted to tubercu losis. Excellent, modern surgical equireent and basal setebolisa apparatus. T-rcy waehlne 100 lllianperes and 20 years old. Ho R S < About JO tuberculosis patients in the hospital, about 50 percent Bale. - 5 Thetford has 115,000 health budget. County pays 10 percent, Provincial govorwsent pays the rest. On fuil-tiae health officer, fir. Blai*, and five part- tia* nureee are eeplcyed# Follow-ur on tuberculosis it poor. The nurset lack adequate training. Dr. Poley, the Provincial Epidemiologist, thinks there are 10 unknown cases for ewery known open case (he insists that the unknowns are n*t open cases). . 6. ftp. Sirou, the physician la charge f the Thetford Vines hospital tuberculosis service, believes asbestosis causes tuberculosis although, according to Hr. fab->win, he has eritten and publicly stated the coctrary. Xtlving conditions in Thetford have laproved to recent yearn. Mr. Tehncl, eho visited Thetford in 1930 and 1933, observed the laproveasnt. Hies Chess, the Metropolitan Nurse, finds hoses in Thetford better than hoces in parts of Cutbee City. t. Asbestos eoapanlas la Thetford have ao health laforaatlea on their wortaen. Only data say he oa A H d a i a ferae. * X*. Coootnr? ne* ,ti, , - ' r d .ni i* * _ X r Johrsf-A*^411* -n . . " < 1. 11 X7 J15# ; \ c:K e/ S2 C t g w - '* *. *15*11 fcut ftirl* ,*/Iucia'* Coeoany ,f Certe. 't l3y,i ts i*t hi*. ~ - o S ^ i|^ ^ * ^ V S '^ ^ ^ S r dSlS!**r*4" S S 'ff 'S p j r E r S f f " 2S 3 3 R * " u - ,, .. u t t a i ' r * ^ uc*r' * '. s ^ j ^ s s 1*- 2 1VVJr ^ ^ X'"'*'^ ^ * '^ " TM * S ^ t ! ^ t J 1h`'!LU'* ''ti C8B1..1,. ^ s ^ ra s ia s ^ & S S ^ s w S S S a s r a s r ' ,s s a . s s s 2s ** ^ W 1 H.nt> Ci......... m rnin iu ^ r iS F "" ^ f t s ir & iy t 's s s . ;:r*r*:*"""--~--*>.-^ *.^ T 9 i " t ^ " * * 2 * ? K S S l ^ ' J " ^ * 0fr ^ to I*. T*al M te Pl" hlB *1 * -ear. ^ S S u * " Cipt ** 111 start at 40C 1030 **rljr for V h '?T<r.,B `P l n W to the orofassl 'r.al tudy &nc traval. "-Ui-c, will ha-r frcec^e Vlrlt in Ifrstraa^ 1. ftad.lo C-rn-^ratl-n f Cawad* * X r K^ , r ? r\ Crlu 1Ct^ of sr*1" 1* ^clcal Fxacinws <^r. M H fsllo*-uP. /) b S cji S i i V i hCi **" **sf*< *ft 19 Of* Bractt (gae >xhHlt A). // b` fii.ifi41' / * ` iB sactl-nThar. `htre i n 90 pareant faaales. Causss-- ncurastbenla. eaknasr, '*tlrue, u n U . c. 1 t 1fr. *hnl*t rreocsanduti*n, Taatilatlrr h~ods har* t*tr. pro" dd on cparatlocs larolrins wldarin.- U. will * , r.chacV irr*,/ 2* * r ; F . F re s st and f hi lt5 ftr,*c# for T-aat Ir. L^slcaky, Diractor of Paeaareh aa. Ir charf of dtTalo-ing rrle#, dacrioti->n of strrlct for n a l l plant (FxhiMt B). b. Obsanrad r t l uorkinc loeat'no? aber* dust aad dru* c*rcantratIon *i*ht * h*" rd# (Kr* r#hn#1 rr` 2 t l*lt and 3 . Cgaueoa -f In d u s tria l 25 phy,iel" ' P l s y ^ i industry around ^ Tr*h*? iv>M* of N*ti'5a*1 Eraaeriai, lg prasldcnt. Mr. Fo .oal and I rvoka to th!a cr-u? on thc ork of th Industrial * *2*! in Industrial *dl eint. trp^lltan Industrial hyjlans litaratura shtcfa InfwLad jr-ro,riAU f9r Physicians. (Iir. Burnatta has bacn - Z - viduals yrt rv-r.-G teto f>*dl- C?rw-'rttl~r. r f Ct-ns-iri r . L eac'r., the ne* P rc* lcen t Personnel Dlrector Dr. Kaufcan, l^edicvl D ircctor -'r. Rousseau, e ftty D lrector Ch*rle I. Prosit rv* C^i-n>r.T liot 5. ro?at, "rcridant Mr. ?heen, laat kaaager Dr. Lotlnsky, dreetor of Research Asbest** C<yn-ration Kr. hcbcrfc fte e le , P rsid en t, Montreal fc'r . A lfred *cnhole, .nager, Thetford M-^trefttl, Ant^TnVer^losl Paul C artier Lee gu &tl'nal B ru c rlt Dr. Crabaa M i t , lie i c a l D ir e c t'? Alurtnuo Co-nv o f Canada Dr. F ild f e ll, Medicil D lrector Agbeto? P roducert Aw c i a t l o n o f Cuebac r . Ira n Eabourin IJr. Sabnurin nda arrangeants vith the thre* erwators lr. Thetford ta** and with the Johns-kanrille Plant in Alberto for us to inenect " " " k fu,t H* alto took us ir. his car en the tria froa Montreal to Asbestos to hetford to Cuebee. and bacV to Montral, and arslrted ut la eetiag officiait le the Provincial Health Dpartaient ia suote City Mr X* S* Sherry, Manager Mr. McGsv, Dlrector of Industrial Relations Dr. Stevenson, Medical Dlrector felth, Atritant to flr. Stevenson JohnaoBa ocoany ' Mr. Andra* Johnson, President T'tU * 1 M . Mr. 0. D. Saith, Prsidant Dr. Pire, praeticiac hysleiaa in hatford Minas Miss Chass, Metropolitan Kurse, and in addltien the Pirtars in charge of the hoapitel in hatford and a nicher of tha Plant Superintendants and Zbfiasars la tha four clns ohieh vers inspaetad. f-uelac Health Department Dr. paul Ferret, Jtttisttclan Cr. A. F. Foley, Provincial i.T>ldc::lolnl*t Dr. Jeer. Greco ire, Deputy Minister ef Health anc eifere Dr. Jule* Gilbert. Director of Health laucition Dr. F. J. Touruigeeu, Director of Induetriel Hyriene Coryjnltie? for TT-.lch Indorsation on Tuberculo?! IcrttlttT u d Heelth Conditlont Chleoutiai Can de Madeleine St* Jean St* Hyactnthe Plnouekl ftlleyfleld Aebeetoe Thetferd Dr* Homan L> Burnett Assistant Secretary Canadian "cad Africa Dear Nraant *`>ur.5-uest! 'nnalrt regarding Cottsualtr health larelcaa i . u , eoad.ti->n#, wn ieh y~u planned to and tr the Burses in co=-unitie* in Iheh are Bakin*; the tuberculosis natality study. rMchd .. ^ ^ r\u !!*?* *' S f o m a t i - n ^ T f ^ i * talV*d Ab'>ut S*turJtT and *huld ( i n uTthe neceesuy S rtl S , ; . " ltk' * * k. sti^Hoo IT Sis S '' s L r s x s M t s c r s ,c t & r * A "2 i- 4 0 * t -ii ii! C i. iu -'S S J" (S ) lebiitof*^. S 4!*! ef S u?tri*1 *f Canadian J^hna-Jianrille, * wort S ! U l L ? 8tereSi*6.1? h*TlB h **ltfc education aatarial for educational , thlr m l e j M s in Asbestos Tbej hove tseosi suits sctivs In t&%tv * * * h^ th ectlm. i r . S i e ; S ^ e i`u S i 1 e S yhS',nT r r r i* i ^ 1!11* * 7"u haw. liter- .t s . \ . 1 S'liifs . r s i TM isnsusrasncer vac^pusre!.*ssadr. If esxplsainuedsthat *e crorida nursinr aarriee where it SknooiwTtthhei*ba2cikgkrSoufn^d!`iofetlMSad a"nfdi ay,oCu*n,aMyrl.ltaybfttoUos>ay*aoaceetnhtirnigstt.o hiYmo.u pa.xhlpT the w*tt * nursing aerrice, t (awe Mias Chaia the naaes <* **%*" * ia*c in Thetford, Mr. 0. C. ftaith of the W S S thireSk.^" * 2ohnwa' of **aoBa Kina. She la plaaoloc to call on attve fi2 L S #. TM . S*iOUr!i if *1" interested in Ketrooolltan health liter- S i ; * d o i b ? S 1t n S f <BJ oot hin n th *t*tiatlcal Bulletin mailing 11at, but an in doubt as to ahat you prefer to do about ethar haalth llteratura. Would j V,: Octntcr ?5, 1 9 U . , :,, , u u >. tlrtw.ft- s S h ^ ! ^ - ee \ ^" r ?- tn c la ie d i i S S S J ? t Se * n n I*T<i by th c S ~ ! ` j f ? " ' 1 ttaidniintfianp.fczr-rialviLa: 1*.1**?*t0 *J"<b*`tw*tor3r ^iaCQottlc " S |? H#***t*td aaccia * *& Predoainaat dlap-n... .4 *** ""beitte* by " ' ^sSKsasw, S J i^ ^ - pitiiSt,!5 J f f P S f t - r 1 '***** 2 * t t h ^ a ^ c ^ L * ^ * ^ * tlulr la bole lettera a t L e ^ 301"* phy,lcl*ae n r r e i U d ^ accoimodatinf the - * tt" - 1 did not Imo. -a *w that I w-uld paia it on to y o ^ t f d i S t w ^ P,rt 'lode, ate. ^ 1 thought ` * ' Sincaroly your*, 'tre* If. hectler, M.D. AatieUat 1cal'tri"tor }?T) February 23, 1944 Bro Iran Sabourln ALdrad Building Montreal, P. Q. Canada Dear Mr. Sabourln* Aisrbi*i*ltaof*iyouInatQu1e*bne<cthin*nsaoyfa5rpr1*si*!?n..*o .**** situation on X an . tha producer, tha ttadlcal profession1?1!*!! E*i*tloa*hips between One confaranca with Mr. s i w / ^ * v?d!?dmS * M?0*?niiition Can*i*,ioxu clearer picture than I h a d ^ i t S preSSuEJ B e S S f 5aT* M *ieh * Few consents on autopsy aatarial. Before doing so X offer aPhilthoovoni Im.nJlf. a r c t i m y u a conclusions*a*r"elnuoat* *tala.uo. o.f1. " oiisits; i *h the part* of tha lung S o n which t h J T i S . t S ? *7* 0 an indication of w i 1i i n T ? ^ ! 2 * tiLit!d1212uStrif durtn* Ilf. Ill not S i l t T 1 * VOlaoatrr U..ui: X - M y throufh th. .Btlr.T? ? S . Ii5iT*-i12?J? g ? ln*j *" * tho u d t t l notion yesterday froa the toxleoiarf.!? Tfr^5u* ^rro which wa collected 00 ora satisfactory snSJ22n}S!1Jtfb?ratory 18 Montreal, eh l, , M ,,y. bln. tIon ,f to wrk. It probohly prom on .1 Tifn. IHt,c. ouloil. upon n b u k p a u n l .blob will Ifas f i g B f f i S j r s ^ ^ r a & a g a L ^ L record s u s s f f i s K - 1 looted to copy this infornationfrooyour ;that ar* now reeohlMSthe*Co!i*!!*** i? Fatal cases and the Z-raye ; t f f ^ t u S r c S S L " i ^ ? S ? * c~ t* X t h * U 2 n d * *^*e***Xt* Xf X' ware In their * oonpUeation of 2iJ*5** of this kind i Sould f l S ^ **}! United to th.t th... i. ...ua Oonoluilon s t + Hr. Ivan 8ahour in (2) February 23, 1944 aibto*ig iiod tubercule*!.* of the lungs. Z hare told you k k \H5 E r S S s i S , s t a -s w "k s F t sa. S2 IInduitry who . r i w r .,gL*," j" lty of * th. bw.to. as,=M SSs ralhV f i ^ & Ctot2t.StSfCl,ll Proportion or tho fenale popu- - '> tho SoDlod^ n ^ - ^ w w P * * ? * 1^ ot- **> tuberculosis la oceu!SSi2yS . , S 5? T FS**** planta as oontraatod with that in othor eSStibitSy!^1* h lp 13 d#Urminln< hethar th* occupational factor waj th rt r ^,0*? observations elsewhere and your intluatlon that 51 / ? i L S ' S S r i ** t o In Ih.tford i n f o i a i M ** confident that the coapanies would atcuire aSlE T?faE** #nri?# to thenselves bysuch a suSey a th . S i '.?!. !?*!?# ;P*cically is predisposing to tuberculosis in in orth Carolina fi*p?ida f**.the effect should be just as apparent But the fSS!*?J? p" n*3ri**nZ* it sseas to be in Quebec orEngland Ciu^aihdeewill^aw;fLf2S2^i^S^t#o?be^rbc#u,l,toos,i-s*.orkZ5tr*is1x10thefirtabteelsiesfhotehaatvienx ylSr and England, factors outside the occupation are responsible* Asbestos industry i " *i toesituation in Montreal yesterday the \ start an it bawe to produce ewideoae to prove this point aid J M i S i teSiS*S,;r tht industrial toaolsslon will becoae ia- ^trutiw*1* CnTlne#d that our position la biased and not founded upon . liTvi.wf.H.. _ FUrtheraore the industry would undoubtedly profit by -- ^stttii a ^ K r v ^ ^ r r i pf*-^pwnity oonteol of tuberculosis. Ey t S ii e* J i M n c ^ K l n c r y not only aeong deploye^s but anbng dlseS i S * 1! tbm P* oT buberctilofls w o u S b c discovered and th* sources of spred of the Infection could be roved. Mr. Iran Sabourln (3) February 2 3 , 1944. ^be Iron mining companies mham mm . a public health nurse, a program for tub*reul?*5?* f?ch * P * s r iu with children and follow up of t 2 of cbool tuberculosis. Th* program K a T!ri Kno*n c**# of o?n tuberculosis with resuitsnt lowerindof1M M TM 5 ^ ? ractlc*lly li`inating ^ will of tha a-ployavs ii u L . n j i i 5 l a ! W *** th* <*>< has a sarious problem bacausa its labor foie!*?? J-* BJu*tl7' of Quebec in which tha tuberculosis rata ia high but their iiiJftf0"4 Population tihnainR tg hacto&swuhnilcthy.our other cliants " 02 2 mjcc^eusslrtuSiiSy ^lSa aHn ? *r M iron to m* is that t y J ^ s ^ n o t l ^ o f ^ h i ^ S e ^ e ^ i J I ^ i t ^ 1nil!?1?117 *PPartat generally lass severe and extensive than^h. m t L V ? ?1 U i ia plants of tha States. Comparison of tha X th* fabricating re-vs*Is vary faw case, with t/SiSal W ? e th` tw roups ill man. Soa. asbestos!?1 *??oSTS?J t 5 L l 2 * l r e T * * " <> ieroscopic ewicenee of it in 3 flur w\ l * T? is not advance-.: anough to rapiaca such of tha^'unetioSfT 1301 lt lungs and thus causa tha X-ray snadovs that ?art* f tha ehar.ct.ri.tie of the aitaal.? ( S o ? 2 S a S S T S i S !COSni5#d " whan ho s.iys in Lsnsa's book that ther* ia .a <fIfi.* ." ? r* ^^rgrasa s . i s s i s a s s ; -- - or - s s s s s a L 'S ^ *. ils S S ^ p J E K S i i : s t c . r o to t.i. lnou.trl.1 c c m c U . l T i . Thi S c S S S H S A o S i t S 2 r ,sr own j.ocal manifestations of asbastosi; without o b m m ?!* . y th*lr with the really savera anifas tations t S t a r J n?I2?1iT.tV 0*?lir<2 u find tha abnormal a h a d o ^ t S x ^ y n L l V S S i w ara convlncad must causa syap toms and dic&M *?ri**ni bleh thay bodies in tha lungs of a u t S K ^ c i i e s i i i S i i & d J ? Z 7 f1?* sksm ^ E S H S a s s sswsr hava mora fact. Itself tha industry in Quebec must These findings will require time to collect, analyse and publicise, i Bllits iithSi M 1: ^ * * ! * * h* contrasted with those in the fabricating 0 ID th. .it7 o r tii "* *y ley is the B i n . *, *- " bean in operation for only four years In .noti.i *X" to W * * . h . . . . la X S ,, . . p i " but i u 2uc! . n i h i n . "J' " * * * * . or It h.r. ini... Mt , Iran fabourln U) february 23, 1944, observations lead ne U u i i / t h ? t ! L.0?r *P**ntal If proportional to tho uoant of m i i 1* ? 5"" 1* 10 plant tha industrial a t a o s p h e r c . x usSt th?}*!4"*1' unorujh^ fibreaia r ae typltal asbestai , the i .<.r? * why on* -Uttia probably too lit tit sueh fibra in th* air S ^ h ^ 5?Cfc^* th#rt 1# th. lato lath. short .ooufb to aarpantina vith ralatiTar*faw*fihy*!u*t3r tut tha duat i largaly loa* Thia duat enters the m u a ^ h a r * ! * fh W d0 l**ra t0 blood vessels and othar franaorf producs reaction oroairi iaart duat. Va l a . t h . Ju,t,lk# ^ othar X-ray aa aa exaggeration of the noraa ai.rC L l" nli#,t*d ** condition is aot asbestoais no .fi0** * W o o d essala. This the identical changas in nea w o r k l M ,S ,lii,#4bV tot*c *ort th * n praailiaotie. la free i i K J 2,.?.h!A r?*k m ia ** *r* necessarily not diagnose silicosis froa 5-rara until f 2 f*! o f exposure va do pattern of nodulations in the **eBt2 * 4 J* characteristic refrain fro a diagnosis of aabat Si \* bould do likc*lse and eharactarlstlo p a t t e r n o f haa! ! * l reveals the ; , - tt* . y f 9*" * th* M-00B14459 /the relative *^otity^aad flatuS* o f ,UI!r\ ?? M i t0 coapare ^ >the paraaataga*of*thinfibra^ ^ ! i b r^ * t^ t t^ S ^ f i m instance ' w ^ - K ; r : i ^ : but stallarf a o t o M v i r a l Z l ^ l A < th% * p o r U n ** of th*** Rectora : * t . ,h** p^ ,}" ` n a s f A s s s s s ^ s ? "- " #f S S u*0 ln onto.to oto lnlTin . iuaol, Sf oopouat laautr**vMJrt ..aTVSKerlc*sinSle* In i *'" i." 1fht Sb*toil. 1 mal^t9 **& of the * \prbctM''Slan?Y toeathl^v! h7-,2^a tAd.5lt< 4,81 th* n m o i and l^beyond'eorit?br" '#>_T*Ash this 41?* cifftrance so that it will stand H 1! e*P*ricantai background! va now nust u o TenaSjswe.eda wvorrnaSn,n i reel certain thatlhou*rn pMons#itliion" w4ill hethe*r<a>u.lts - _T . ABMtt&lBijlUfib^Ai `^Tu> -%A**1_ r'T'-V. - .-it: tiaHM, Mr. Ivan Babourin (5) February 23, 1944 _ To summarise* I would u i th following recommenda tions to your clients, tho Canadian Asbostot Producers In order that they u / dofosd themselves against growing conviction among tho loesl physician* that employment In this Quebec Industry Is highly dangerous. . 1. Corroet an orronoous Impression of tho Industrial Cosalaslon that asbostosls la frequently associated with pulmonary tuberculosis. ___ a) Statlstieni data basod on 3-ray of all ^ oaployod workmen to lndleate tho ineldoneo of pulmonary tuboreulosis ------ . b) Comparative mortality statistics on tuboroulosls la Asbestos aad Thatford and in other communities of Quebec Indio*tin tho froquoney by sox aad a so. 2. Consider tho possibility of Inaugurating a program v- of tuboroulosls ease finding and control la tho general populations of Asbestos and fhotford In order to olimi . nato sources of now Infection among omployooa. u 3* Sake a detailed compara tiro study of the naturo of tho .dust in tho fabricating planta and tha asboatas minas and milla. Z trust that you vili agros with those rooomoondations sad bo wllllng to. pass thorn along to your elianto. lar Z taka this opportunity to thank you for your delightful hospitality vhlle Z vas la Montreal and thank you for making my visit profitable aad pleasant. fIneorely yours. LOQiU Leroy 0. Cardnor, A. O. Director / February 29, 194,4. Doar Mr. Sabourlat sish.:i.:s iiir th,r * s* ~ i " i s :i^ s s riis s .s i " 2 * 1 !"> fc.ii. of .nfcifciiitiii u i 1. 1. al^te! tfci. utfca. uf nf S -- ndL'ffi^f rf'ir.f?"TM i * T _ w >rvth*r la hi *Iaeroadua or libtitciiii fHV.M ia i ^ i i s i lV i 5 * L 5 a2d ** * * } * * 50,4 2 r t i ? i ! t i r i S 1( k b H c n t i f ^ I ^ ! L (2 oaplicatod by tabmnloila. 'W S - a to tafi food sort tftioi if Br* uny , r#etly lnfemod). za tho jmbliootlc* H t S ^ M for m 5 S dIy1 ISZw2!h i L f i e- i L tS s oou5$r* i**t n v h o rtits Mm . i i l i i . * y* *a o*t of or tla# dlacusslac thaaa aroblw ; apoelfli 7*? F W * i that thara Ij m ;S S i S ! * ladoead by ubattoili aof ht.Ilka i:pou.rsa.itTefsS. hitiruoziuotui. .b.o.ofccuct.1un1laftca. SM n uSt t l,MT t 1S S titiitiM fm.S m. r 1L~. --.* J. -v ---=- _v -- . ,, ,.r -. _. , (2) As Z indicated In my last letter the Quebec experience Is not yet enalysedj there is only an inpression that orT'oT'W a i, asbestos vorksrs die of tuberculosis without into eeebuat tbe t azeosslTo prevalence of sueh Infection' ah.mg the' population of the V Province. This lnpreation needs verification by careful analysis of norbddity and nortality statistics collected fron the employees of tho asbestos industry, fron their families not exposed to asbestos dust and fron other eonoKftifcs in the Province of Quebec* Such data abould than be eonpared with aistilar statistics for asbestos sorters in ether countries. If there is a apceifle occupational predisposition to tabor : culosls it sill becone apparent on aueh analyses Just ss it .has for \ silicosis, Wherever silicosis'is being created, the high nortality fron `>tuberculosis cannot be hidden. I do not believe that tharo is much tuberculosis / asbestos workers in the United States and suspect that the oxeeas nortality ( fron this cause in is probably due to tbs lev living jtaadarda ' o f Industrial vorksrs, Possibly ieliotldeT oT eases' Cosing to autopsy na Influenced tbe picture, Aaeriean studies hare this far failed to denonstrato onough tuberculosis anang asbestos workers to oause ooeaMut. Tbe U, 8. Public Health Service Study of Asbestosls in tho Asbestos Textile Industry in forth Carolina, (Bulletin 241), issued In 1938 hardly mentioned tuberculosis, dismissing tbs subject with tbs stat scant on page 51 that there ware only 2 eases of active, pulmonary tuberculosis in the group* (541 eaployees). Shull, (Badiology 27, Vo, 3 279-292t 193 examined 71 of 100 oases discharged from tho plants vhoro tho Public Health Service made its study 15 months lator and found 8 cases complicated by tuberculosis of Slight to moderate extent but only 2 were actlTo, Those two subsequently died of this cause and in 2 others the infection leter become aetiwe, Shull states in hie conclusions that asbestoils .does not predispose to tuberculosis,* Presumably he Infers, although ha docs not say so, that the A cases of setlwe disease among 541 workmen represented acoomilated disabilities when the exawl nation program was inaugurated. Donnelly (J. Ind. Byg. aid Sox. 18, So, U 222-2281193. also examined 151 discharged employees Inalartinf the 100 reported by Stall. So fives more details on the cease of tuberculosis One of thorn bad worked in the asbestos industry for 5 im*ht tad tho others 15 aoBths. She remaining 2 had worked 0 sad 10 years respectively and their infections might here beam aggravated by exposure to.asbestos dust. So points eat, hofwewer, that am Incidence of 2 oeeee among 151 MienPdhuesettreiraol,em(Jprl.ofyaede.s is no higher than in any efeer industrial group. Byg. end Tax., 18, 22p-239i 1934) likewise ax- omiBed and reported on those oeeee and he is in entire agreement with the ether reporters. Xa his conclusions he states, Be activating or M g rareting offset of asbestos dust or asbestosls or tuberculosis was .observed.* Finally I believe 2 told you that X myself, bed Just re turned from Berth Carolina chare X had reviewed sheet films of some 100 employees of the local asbestos industry aafl saw only one that shewed any indication of adult type pulmonary tmbarculosls. This uaa completely hald, I commented on tho foot to the members a r th. . 2 *h# 8'4'* Industrial Commission with whoa I vas conferring and*th Dr- ^**^*1 'old ao that tubaroulosls vac a rare fIndia* 7roaf workers although counon onough in other Industrial aru-.*. SblifiW** asDsstosla does X! not :0uld favor o*r*"pr *e*di"sp*osaeppetaortutbheartcuilnosKirst.h S m i L **" . w , X have Just nov completed a review of 125 fiit for i Jsbrieating plant in another state, la this plant the amount 2Irv!J lty of,th* Mbtstosis on the first examination in 1930 vas well hi approximately 10* of the group shoving definite X-ray evidence th*,diseaae. SeTertheless, the total adult type tuberoulosia rate JJ ad 2 of 25* them four were of th*** occurred in persons considered probably active. with asbestosls ... > second examination vas made upon 67 ef the original lnt#r r*l of 5 W * * * during which they remained at work. o t 4*bo*to* tod increased to 42JC but the tuberculosis Pollen to 2.9*. A third examination vas done on 57 of the JI1!1" 1 .froup who still remained in employment after a further, interval hut J W * group the incidence of asbestosls vas over SO* aeverf*2? ^ oalJf 35*. *n spite of excessive amounts of fo u n d 1 * ? ? * * tuberculosis rate remained within the limits usually round in American industrial populations. unusual ^ The behavior of the tuberculosis in these people vas not *or ***apl* one men, a spinner for 13 years, vas 31 years old raaation*indXi*<?*a* H5 *** 4t th*' time an early non-specific dust of Id tuberculosis in the top of his lungs. In two X4*inftin* his dust reaction steadily increased to reach w ! . . ! .! asbestosls 9 years after he vas first seen. Bis tuberculosis 2 !!r' r*"al:itd PPfrently uninfluenced, lost of the others behaved in the same Manor. These people had already been exposed to asbestos --! and .or.?*rl,od,J 3 to the three subsequent 18 or more years hen they were first examined examinations during the following 9 years give u* 4 fd opportunity to follow what might nave developed. lo nev case * * 1144 not that time the chances were not very great that they would later. . .c After they left the asbestos industry ve do not know wnat happened to most of them but on a few there are Insurance records tat indicate the cause of death. Two died of tuberculosis. One had had his infection when he vas examined in 1930 at the age of 50. At that time he had as early asbestosls after weaving for 10 years and Tdd*ac* y *elated ehronie tuberculosis. Is vas advised to leave which he did and died of his infection about 3 years later. The second man aged 32 had been a weaver for 12 years and had first stage asbestosls but no evidence of tuberculosis at the time. 8 left his Job after the / . Iran Saboarin U) February 2 , 1 9 4 4 firt exaaination for reasons not stated. Three years later ha tai reported to have died of tuberculosis In a aanitoiiua. Buih else! could occur anywhere. cases xt ** PO**lble that If we had follow-ups on sore of these cases after they left the asbestos industry we would f i 3 ore persons who subsequently contracted tuberculosis and died of it. How- r the evidence now available Indicates no such tendency, a-- 1 .experiaents, contrary to those upon silicosis, disclose no theoretical ireasons for suspecting that asbestosls creates any special susceptl- I bility to the tubercle bacillus of Soch. p I ** beeoaing nore and aore convinced that that the , hifh tuberculosis rates reported in English autopsy statistics are due ito causes other than occupation. Z believe that the saae oust hold 1 true in Quebec where the aaount of severity of the asbestos dust reaction / 'is very auch less than it is in tba fabricating plants in the United 1 States. Z believe I have covered the other points raised in your letter and will therefore not prolong this discussion further. Yery truly yours. Leroy 0. Gardner, M. D. Director LUOiRB ac to Kr. Yandlver Brown 1 -* ooa s I h f u r t h t f t l l H JJ! m * " A * ** hall Infor* 70a,< th* " * 7 o^uiit, 1 , Ith trtimloil! i*1*" Ber^Spertane* t T " * 1irt " uaaaiatatf aracr *hleh v. tOTir with i a * u ^ ^ * * "** to th* ftn" ai *e Rasult .f srM t *2 S t . " ***" i ^ * worur. t S r a m t l a S t l ^ t u ! " . M r e h tinu* tfla.oT.rii la ht ! Z r utw T<#L fU,i*r ,0*" tailty froa tsbml*ili mont sur latfawtrlS^if**. **** "or" W * i 1 haratful M e u L t i r u a* ! S f^jrholdar wb. ara V Jt ueh (..urih S t S L S L ^ i r / " ^ "* t# * *<U.ktf ist pwatiaa. ***** *7* -- M u g and pottlag . f $5,000 par j a r w J S b ^ ut* poscibi, ad f#r i > S r * 5 r . * P W rttttw W r* w , i ior * xw. if Au 29,1934 I-O. Saptaabar i, 1410 Dr. j. f. k r i n u v i U.S. I v * f * Fluor, Okla. prafci* liais, Dm t Or. iariwauar* n. k O M M i l U lM*iac kn oa ta* 4 U H BatiMAl "L r v S t t r t ^ . 2 m a u t n & n U *- tL ^ * i S 1 f ' S / u d Io b m r.rr. w l t l a i u Ii H poli* * lb! tTfwt. ka will i*lHr*P*b 7* /ltt.r.n* * U * * '7`^ `n rtU b. ,,..tbl. M ta.. i taUTS?!- " H-- u_ u teleria i m i <-nr pittar-- f aabaaual* V4 - S u yaa U t it u ot fuiM i / S \ i V tS. <" * -- 1 a u 'art arU for a .*..A. ^ L 2 \ 5 f u uM.ir.ta. i ttet tua. I but it ^ u d ny f ** S M S taatar. s s Dr. >ri|lt la 1 U eaatlauaii wait?aaaaaaiwua ajr asi*! r^!tar I ili a u arara t Fart oru ani .s i i v iU boat ra*aria, 1 u f iaaaraly, A. J. Loua **B W! U*TU< 3i U S +t Aa4*4J>. uraau of Uaaa ?l:bar, JUi. tla -Uni; January 1T* U S L Lir. A. J . Unma, Aatlataat adiui Oirvotor aatro,Miitaa ulfa Ans* ltrk| Oaar Or. U A U i I fialiind r41i< U* af iib t i.ili u n i m aaat d o n . X v i n ta ap alagisa fo r tho daiay l a * a til tbooa p la ta s t a n t* jMtt bat fo lio v ia g ta s Chrlatasa b olld ays va b a n baaa aaort a f dootsra aad t a n b a i a m i o f vara l a a i i s a t t i ta va aVifcliab- aat a f a rw stlla g sard ayotan l a v f i a i A, v a i n baa vap l us n r y tx?. I tapa ta n t taa dalay ta a aofc aaaad / a i a / U ' A f M i i s N . -y te tar ro u t l o a s baa baaa attashad ta M i t f i l a , tsd 1 wi.lL f>raard taa f ila t; / u b/ axprasa loada/ taa lita * 1 via a ta a a / tua t t la la taa baat s a i it ulotarsa 1 u n aaaa la a laag t la a . Th/ ara valL and ad taa taataiqua la that .isad fur tha dstooU u c uf a li lt u s l a aad asb a a to slt v a u t lraa tae bot raaalts* Taa m , a a n r y olgh paruaataga af oabastuala aal * fov a af *-m ir l or sa tiv a susuaatad tubsraul*sU . ioaan r, h* nuabar )f '.ubarsalara eoapnrod v it a ta aaabvr baria* aabaataala l a a s il. Jna it U a drprlslag talaba t. aa 1 u t lir^t aaabar ita vldaaaa af baart dlaoaaa ad 1 aa adarUc if taia buaah, U n u>* Ji.:=-*! buaab, U . aat aaov a higa iaaldaa af vaaaraal tafsatlaa (a/aallla). aw jf tha aaaaa la nriiauiar taa a grant tant >f viiann -f *ut| .aulagy taat 1 bailan la aitbar a bronls .-r flbratla tub<r >r a/^allls aad 1 ta tacilaad *a bailan t u t u u aypailla. ua'.aar i m a^lrosbatal ImfoiUaS af toa long la jf V:* 'js* ^Viaaaat) aa s # U n i i Sarasa Lafca or a aa bvllan aara f m a atri* .f -a -t.-j . tut xvaa a ^aaitin *aanraaan a <-. .itti Uffora r *.n lara.-il oiat jf wlav aa Vrt'* vas aaov n t d laur-m. e.t uuoa t u iisiaii n - tlaa >f rapeaaaleee. X uva aja ad var/ aaaa reatli* v.aaa l - a ; va*? - ' baaa nry gaod. nry tataraatl&g aad 1 Ui ba gt i -o ra*d oty vu/ vaat an. T tura rsapaotfotiy* (a*tdXD) f* f* iarlaatasr* l r f | i a ta barga B J . k r w t Ua fjk mrmm. U4^.I4. OROOF H9DRAICE---- IT8 AIM8 AID ITS PSIVILK* Vho th* flrat *roup l a i u n D M poliey want into ffaet slxt-- o yoar* o a n-- |ttwiy i u opanad through ahloh sorteara Ib th* industrial and oo-- raial fialda oould *eur inaurane* protaotion. Through th* eoop*r*- tion of th*lr -- jloyar* * b** m m a* providad Por tb*** orkara to uard theelv** and thlr f w i a a a*icat th* aajor hasards of llfa^ithout phyaieal onninatlon, r(ardlM* of ag*, and ba**^wi,*l,l* * ^ * ,* * ^ p 4 ^ a n -- Th* oaly atipulatioo ef th* a*v icaurane* a* tbat it had to . t e writt-- on flfty or *or* ork*ra, ithar *t th* -- ploysr's *spR** or at th* jolnt *o*t of th* sorteara and thsir aployar. Vfean th* o*t a* thu* dTUd sv*nty-flT* paroant of tho** aaployad m t * rwpiirod to anroll und*r th* u r a f t . Th* osat to th* individual anploy-- dhan in-- rane* t u o n i oooporatla* baaia as at a rat* anafe loa*r than h* oould po-- ibly hopo to Mour* fbr hla**lf on th* opao aaikaU ffon 1911 to th* of 19*7 huodrad* of tbouaanda of ork*r* paaaod thr-- ffh thia gat-- ay. Snall oooearna of flfty or or* *ork*r* md gr*at oorporutiona snob a* th* Southaro Pa*ifiof th* 5t. Iui* San PriBoiaoo atity, m th* Qanaral letora Oorperatien hnv* baan anroll*d on th* toooka of th* inaurano* oapaain writing group. At th* -- d of 19*8, thar* a* in foro* in thirty-t-- pnganla* riti* thia typ* of inaurane* $8,4*8,789,000. any inditdual* of th* thousanda ate ar* no prot*ot*d hy reup inaurano* anuid not ordlaarily b* allfLbl* fbr <roup inwrao* protoo- tian ha*-- *f tfe*ir ags or pfeyaiMl w di t l --. I n *av**ad to tha ****'daht* ftr tU mt afea a*4 faatevy a*n Ukafey te daaal* pfey*fc*al -- te--a Mar-- over, < m t w h i n of than fail to inaura their llvae vhaa young and fa a forbidding ooat whan they grow old. Group Inaurano aoaopa aid ail thaao obstacle whan providing thia groataat of noada of sorting aen beyond their dally broad and aholtar. Theuwployeee of cHfftbia ooneena in Ohi elsa ara oovarad by group protootlon. In tho Tri Stato District tho lotropolitan Life Xnauraneo Oeapaey haa vrittan eootraeta on tho following* - Blaok Sid Mining Coopany Childroao Load and Zina Coapaav Sow Chicago *lna Corporation Goldan Rod Mining and Seelting Corporation Cantury Zino Co. ' Coaaeroe lining k loyalty Co. Crystal Iinorai Tmat Foderai lining k Snalting Co. Skelton Load k Sino Co. * Vinegar Hill Zina Coapany lha aaployooa inaurod under lotropolitan group, is addition to ~VLl <!> r tbo inaurane privilege# of tbe plan, are provided with trained, graduate nureee whan they are ill or injured, provided they live in one of tbo 4,000 Metropolitan nuraing oentere. Theee nuraoo eall at tha hoaaa of tho aaployeee, Lang^a-aoooowary, oarry out tbo dootor'a inatruotiona, and inatruet tha faaily in tha oara of tbo patiant during their abeaaoo. Tbe Oonvoralon Clauae Ivory aae need aa aueh lifa inaurane# aa ho can poaalbly oarry -- far hia oifo, fbr hia children, far hia taoao. than an aaployaa quita hia eorh bia proteetion under the group plan taminataa but in all ooapanlaa ha ia given tha privilege to oontinue hie inaurane under a atandard oontraet by paying an appropriato prlua and-tbia he aar de wlthent ahwiaai finti... 8 aust, however, apply far hie Ineunte before thirty-oae daya have alapaad. Ben lasting tha servisse ef oaspeaias aldeh a n y group Inaurane fbr iha or s a p w * i with tkm la fnevUlag laauraan fbr thaaaalvos and t k d f j fellies etould be Terr 3*reftll to teke adeets? of this oonrereion clausa. T^ere Is no physical sxaeination, no red tips. It ay aesn salvation for hl feily -- help when they need help aoet. iter 27, 1*5 ia*hiatery U trlaf la U t prafa1naal puity la aa falla. W i r ta m a i n with tha U ^ " V * affi1af a V. I. Fahlla Baaltt " W H , la abarca af latMtrial hjrgiaaa. 2* Xa 1920 ka u apaalal aatralla* a tha itaff af tha laairafriar aa ladaatrlal fcydaaa ta tha tira t af 3. la 1924 ha n a m il. aa aaaaatlva afflaar af tha Battana! Baalth Or. aaa vith tha ( t e n j aa fi 1* I W aa iaalataat Ballati ta tha Pallafealfera af tha Orar? filttalaa. laaaa fraa tha Caapaay ta Gaaatal Balara la lfji aa lfja, ritta* la tha aaalapaaet af aa ladaataial haalth aarrlaa far that eeaeay. * a J 2t m , f , n W froB ^ F14dWMara arrlaa lara ta tha alfar Btrlalaa ? 4 'TTJ" tt * '^mr7 1945, feria* ahlah ti ha r<feia tha Oaaapatiaaal Baalth Malttaa f tha fvfaw (terrala t L S ? ' hha lafeatrlal yilaaa Uharatacy la Baltirara, tha Xafeatrlal a laaaratasy at rari Kata. aai athar vital aervlaaa. wat lata -ha Ain aa a af Barlt Ir, t u * fall Calaaal with la Fahraary 1945. trlh atiaa ta tha la fea trla l hfilaaa U a lta i valar, la haa falda ita n iM T d m ! J ^ t i *?lAr feU ^haliart _ MvicldB la aatah llfelaf aattaal m haalth aarvl tha haalth a f ladaatrlal aaplnaaa. la Im la a ln f la tha Coapaay aad ratald a / t t a t e a a a a fe th afe a r t l l aoala la hath aatlaa m ! aarld a lfe . af tha la af aa- la haa tara mi tha la ladwtrjr, la hath lafeatrlal dittarti --- 1* Mttir af a aaihorltatlra Uxtlwak aa SaartrlBl kji1mi " w rtat m dla aalaatifls t m U n a iliaaai* rf seeetesU, u d M t Sa ttt laiiiirlal kjfltM ad fri>lU kaaltk fiali. tfca I. . od ai Lttaaa af ha dir dTKiaaa 1 S. I n a i m i . B .. % Tt . Anthony J. Lanza, associate nedical director of the Metropolitan i.ife Insurance Company, retires Decenber jlst fron his Metropolitan post- after 2 ' years of association vith the company. He is an outstanding leader in the field of industrial hygiene and a recognized authority on silicosis. ..pon his retirenent he will assume full-time duties with the New York University-Bellevue Medical Center as chairman of the Institute of Industrial Medicine and professor of industrial medicine in the College of Medicine. For the past year his services have been loaned by the Metropolitan on a part time basis to the medical center. Eis career is marked by service in both World Wars. During World War 1 he served vith distinction in the U.S. Public Health Service, and in World War II he had an outstanding record in the U.S. Army, attaining the rank of colonel in the Medical Corps, end receiving a high decoration. Dr. Lanza was born in Nev York City on March 8 , l8 8 h, the son of Manfredi and Clara Hammond Lanza. He received his education in Washington, D. C., vhere he attended St. John's College and George Washington University, being graduated from the Medical School of the latter institution in 1906. He entered the service of the Metropolitan in January 1926, as an assistant medical director. In conjunction vith the late Dr. Wade Wright, he vps in charge of the Industrial health service of the company's policyholders service bureau. Later he vas associated vith the welfare division, of which he became executive in charge under Second Vice-President Donald B. Armstrong. Dr. Lanza was appointed associate nedical director I n Februery 19^5. Turing World War II, Dr. Lanza served for more than two and a years in the United States Arny Medical Corps. His service covered the period iron Merch 12, 19*2, through December 1=44, when he resumed his connection with the Metropolitan. Commissioned a lieutenant colonel less than three months after the Pearl Harbor attack, Dr. Lanza was later promoted to colonel. He vas director of the occupational health division, preventive medicine service, office of the surgeon general. His office had entire charge of industrial hygiene and industrial medical service in all the plants owned and operated by the Army, including Ordnance plants, Chemical Warfare plants, air bases, and ports of embarkation. These Army-operated industrial plants employed at their peak about *>0,000 civilians, of whom approximately 40 percent were women. In addition, the occupation health division vas responsible for and maintained supervision over Army-owned contractor-operated industrial plants. The occupational health division also maintained the Army industrial hygiene laboratory which vas located in the School of Public Health, Johns Hopkins University, in Baltimore. This laboratory 'lbS under the direction of Colonel Raymond Hussey. The occupational health division was also responsible for the organization of the Armored Forces medical research laboratory at Fort Knox, which was under the direction of Colonel Willard Machie. Dr. Lanza carried out his assignment with such sterling ability that he was awarded the Legion of Merit Medal, which was presented to him in April 191*5 . The citation accompanying the presentation of the award reads: For exceptionally meritorious conduct in the performance of outstanding services from March 1942 to December 1944. Colonel Lanza contributed in a high degree to the development of the Army's present industrial health program for civilian workers in Army owned and operated industrial plants. He organized fcr the Surgeon General a special health service which protects the health of almost a million civilian workers in Army industrial plants, thus contributing to the -k - He is a member of the Cosmos Club of Washington, D. C., and of the Sleepy Hollow Country Club, Scarborough, Hew York. He is a member also of the following organizations: American Medical Association, American Public Health Association, Association of Industrial Physicians and Surgeons, and Hational Tuberculosis Association, Hew York Academy of Medicine. He serves on the following directorates and committees : Chairman, Council on Industrial Health, and member of Bditorial Board, Occupational Medicine, American Medical Association; Committee to Promote Sducational Activities Among Medical Sxaminers, Association of Life Insurance Medical Directors; Chairman, Industrial Medical Committee, and member Board of Trustees, Industrial Hygiene Foundation of America; Chairman, Committee on Industrial Medicine, Hew York County Medical Society; Board of Directors, Hew York Tuberculosis and Health Association; Board of Trustees, Trudeau Sanatorium and foundation; Medical Advisory Committee, Health and Welfare fund, United Mine Workers of America. Hov. 28, 19VT d e v e l o p m e n t s IN t h e .h i s t o e t o f i n d o s t r i a l h i g i e n e 1870 - 1900 I . grtial List of Publication. Hirt, (Germany) 1870: . . Diseases of Workers, l^yet, (France) 1876: Hygiene of Industries (one of the >+ ., . . . occupations). earliest lists of hazardous Eulenberg, (Germany) 1876: Handbook of Industrial Hreien Delpech & Hilairet, (France) 1876: * "orkers - Mantigazza, (Italy) 1881: Occupational Hygiene. Gruber, Max (Germany) 1882: Bisulphide ie fc,bb,, "4 Popper, (Germany) 1882: _ . _ Text-book on Industrial Hyeien Robe, G. H. (Halted States) 1884: * Hygiene of Occupations. Ireland, J.H. (United States) 1886: Preventable Causes of Disease. *Phrslstion i t h Respire- Arlidge, ( S i S a r M s T 411 *" i" ri0" y . Diseases of Occupation. Robert, (Germany) 1895: "" " t e l * Workshop.. n at t ^x*_book ot Industrial Poisons. Lloyd, J. H. (England) 1895: Diseases of Occupation. Sanarelli & Traabusti, (Italy) 1895: Occupational Pathology and Hyeiena Albrecht, (Germany) 1896: ** "Fgiene. ^ Headbook of Practical Industrial Hygiene. Weyl, T. (Germany) 1897: jsa.eae. e a ,JHa^ boek of Industrial Hygiene. Sommerfeld, (Germany) 1898: r . . , Handbook of Practical Industrial ftraien* Laudenheiaer, R. (Germany) 1899: dygiene. Carbon Bisulphide Poisoning in the Rubber Industry. . developments in the history of industrial HYGIENE 1910 - 1920 WORLD WAR PTOTnn Period of rapid growth In Industrial Hygiene began following the I Publications Legge and Goadty: Lead Poisoning, London, 1912. Agasse-Lafont & Heins Researches on Industrial Hygiene, Paris, 1 9 1 2 . Golomark, J.s Fatigue and Efficiency, New York City, 1912 Gilbreth, F. & F.s Fatigue Study, New York, 1912 Rambousek, J.s Industrial Poisoning, Prague, 1 9 1 3 . ' Munsterberg, Hugos Psychology and Industrial Efficiency, Boston, 1913. Thompson, W. G.t Occupational Diseases, New York City, 1 9 1 4 Price, George M.s Modern Factory, New York City, 1 9 1 4 c - 0ni6' *. * * * U . . * Kober, G * C*s Diseases of Occupation and Vocational Hygiene o ), Philadelphia, 1916 (Revised by Kober and Hayhurst, 1924) Lee, Frederick S. (Columbia University): The Hunan Machine, New York, 1916 Wright, Florence S.s Industrial Nursing, New York, 1919. * ^ L* ? 3 S i , m S5 T f Ventnatlon* Briti8h Medical Research Council, Mock, H. A Industrial Medicine end Surgery (text-book), Philadelphia, 1919. * Journal (international Board of Editors), Harvard School or Public Health, Boston, 1919 (now published at Baltimore) Modern Medicines Chicago (later Nation's Health, later combined with American Journal of Public Health, New York City, 1919. * 7 1.fir*talignment.-.*n-.'tfScreen wu to Uk* oytj-th*investigation*of healtheditions > the lead and zinc mines in the Joplin. Missouri, u ty.`v V rhlch had b**n ted by the PubMe Htnllh Service but in 1914 were tssumed by the reau of Mines. There was an extraordinary prevalence <rf tuberculosis among the miners, and. accompanying it, was an underlying oeeupa- and" latSlT..n'iiCh.th'y recognized ammlinnerdit^he minmers at a eClOinni"c eDstaxblolirsheLdafor tha*t E * City,and,with EdS Higgins, Mining Engineer, made extensive studies of ventilation, temperature and dust U', ,ir.iT?U"d- HU firrt P < (with HTPins). published in l&JS, covered the pulmo nary diseases among the miners and their rela- 1917 - . d"`V n ,h* miBM- Hi* nd, in third 7^ v n,, ?!!"*"' con,umPtion.,` And his third (with Harrington), in 1921, had special reference to lung conditions in the Montana area. About the time Doctor Lanza began the Joplin studies the Public Health Service established it* Division of Industrial Hygiene, under Doctor Joseph Schereschewaky, who, aa head of the Office ofFieldInveatigationaofOccupationalDiscimj. had just completed en exhaustive itudp of the u*k lh . f*rment workers in New York City. \\hen World War X interrupted the mining -ixepted.and - with Wili.ur S;nvv<r kftcr. ward became head of the International Health Board, and Frank Longiey. Engineer- set rail for downunder/*Hewas.utionedinMelbourne, th# capital; his Chief was Doctor H. L. Cump*t..n, Director General of Health. Australia, however, waa not ready for industrial hygiene supervision on a national scale, and the undertaking resulted in not much of permanent value. The State of Nw South Wales established itsown Industrial Hygiene Division, whieh is stm active; !,,,< it - V *^ is*neiMoiWorld War IItodemonratetothegeneraleconomy theadvantages of doing ths same. After a little more than three yean _ duringwhich he had visited mines and 2?^." ontinent. seeing and learning, and had ventured a published com ment on hi* observations -- Doctor Lansa felt that he had aeeompUahed aU he could, notified *rned to the H*" Wting ofgoingback Into industry as Medical Director- not.how- 7r'for.Hydraulie Steel, a* it bad lost it* * TM r t t r -- w h n th# opportunity i1" M*tPoHtaa Lift Insurance Company as an Assistant Medical Director presented itself. Hesaysofthis:"Fortunatelyfor me,Ihadthe food sense to accept." ' investigations centering in Butte, Doctor i.. waa assigned to the Laboratory Station in Pitts . ,W ^ W H ^ f ilU'ao'nductedaeonsuHtha*tiuou`*servi"c>er burgh, under Schereschewaky'* direction. Ha Industrial hygitns for was followedas Chief Surgeon ofthe Burean of tt# braafit of the many concerns whose gnus Mine* br Doctor R. R. Sayers, who had beta Ufa Insurance was earrisd by bia company. associated^ with him in the Joplin and Butte Among thosewho worktd with him aidsby side investigation*.InJanuary,1912,Scheresebewaky throughouttbotwenty-threeyearshowas with 7? Ch*r** of 0lt USPHS Division of Metropolitan were J. Wm. Fehnd. experienced ta industrial hygiene, and Doctor Wm. J. Me* ScientificResearch, and Doctor Lanxa succeeded Ct th* Dfv,,,0B ot Industrial Hy- Conn*n, Ouiet, capable possessor of vast wisdom jo industrial medical mattera, freely shared when r*ns. Tilts ths wsr continued, this Division's principal eoneera was the health of the worker* It would serve a need. The varieties of working whichtheylivedandlab*onrded. nvironment in condition, with whieh these men beeame familiar were aU that could be imagined, and the problems V presented ran the gamut of th# possible v thirt** J,Mn 1 *1 Public iI"`!t\S15Trie*'DoctorLanasresignedtobecome and sometimes nudgeo _se impossible. A soon. Medical Director of the Hydraulic Steel Company, b#tWM **> Problems and at Cleveland, Ohio. This was an unusual eompanr! Ct iBdaMtT^ !klehtheyoccurredled Allitsexecutiveswarsyoungman-- nonewas totbainaugurationofIndustry-widestudies,and ovtrforty; and itslaborrelationsand socialand beginning with it* survey of occupational pul. personnelpolicieswere decadesahead oftheir awn^ disease in th# aibestoe industry, ths time. Being the head c.' Its Madieal Department g n a ? ***"UrtlnnishedforIts was a comfortablejob. But Destiny hadn't bean industry-wide analysts of ths hazards tohealth preparing this man for that kind of a Ufa. It in foundries, potteries, chsmieal plants, ths riiowedhimayaarofit,andthenth*Interna rai,kin5^`t*ri> manyetherkindsofwork. tionalHealth BoardoftheRockefellerFound#. , ,l*28ths MstropoliUn Life organization, co. which had been arranging to sat up a Division of Industrial Hygiene ia the National ths Public Heal*t*hMSterov*ice, and theAsBsuorcieaatuioon,f Hes.th Service of Australia, offered him ths position of Special Field Officer. Ha promptly V lV * -?,Ufht aboot th* astablishment, at Wchtr. Oklahoma, if the Piehsr Clinic for the - further investigation of miners' diseases and us ' /fcduitrialW tiitiir e rd Surpcry 'rkn.f ir,(he Tri-State are* (Ran- *uy` Miiwouri,Oklahoma).Twoyearslater,at, '-rty, Dr. Leroy U. Gardner, already distin guished M a pathologistand authority on tuber- --r.fhim0""/11,,<h0 Wa* eh"rBwl ui`h <'nc ronpilsanntt'*.. nUn^d0er D*olctthor,UfU,nrVzia*'si0BD"ivitshio*n of Oc- culosl*and pneumoconiosis,bacaniaDirectorof Hvciene*r il"'01 * AnV Industrial theSaranac Laboratory,atSaranac Lake,Kew r p,!w -Lf,berator* fir,t*P Inthe School /ork-*"d thereafter,atDoctorLanza'sbehtst, Ji.Prble?**lthmtJohn* HoPkins,under the lieandhieAssistantDirector,DonaldCummings, " .f th* tau Doe,orRaymond Hussey, cave invaluableaid tothePieherClinicinadvice and the Armored Force Medical Research Labor and counsel, and by way of scientific research atory at Port Knox, better known as the Tank that brought the Saranac Laboratory into en Laboratory,a most suecexxfulenterpriseheaded by Doctor Willard Maehle. during fame. Keporu of the Pieher enterprise are found in various governmental publications. In 1942, Doctor Lanza waa promoted to the Doctor Lanza and DoctorGardner became great rank of Colonel. When he left the Service three friends,andeachwasasourceofinspirationto J" " ,``*r *nd returned to hU position at the other. Considering the unusual ability both Metropolitan Life, he left to his successor, possessed to inspireothers in general, tbiawas Cook, th* w*ll-organized industrial a high-voltage relaUon. Tha remarkable i-ei wjdiesiprogramha had established intheArmy. of Doctor Gardner's Symposiums on Silicosis in THIS has been continued,and fora long time has bringingtogetherscientistsandresearchersfrom tad Ha counterpart*inth* Kavy and th*Air an over the world owed much to Doctor Lanza'a Fore*. Th* Industrial Hygiene Laboratory be- cooperation, and reflected, to an extant, his we the Environments! Hygiene Laboratory, internationalacquaintanceamongthosewhowarn ********Edgawood,New Jersey.DoctorLanza interested in tha pneumoconioses. During the WM wardedthaUgionofMerit 19S0'aDoctorsLanzaandGardner,togetherwith In1947,DoctorLanzawasaskedhrKewYork DoctorR.R. Sayers,oftheUSPHS, who had sue- University Ifhe would ha interaatod inorganiz waded Doctor Lanza as Chief Surgeon of the inganInstituteofIndustrialMadid*initPost Bureau of Mints, were "a persuasive triuravir- Graduate Medical School. This he considered a In wideapraad educational activlti among cbaltengo and an opportunity he could not re medicalandtechnicalsocieties,industrialorgan *?**> " d **. trough tha cooperation of the izations. and legislativegroup, aimed at bring* University authorities and Metropolitan Life, I i ing about a batter understanding of was arrangedthathe wealdgivehalfhistime II disease intheirclinicalas weB as theireompen- te aaek until bis retirement from Metropolitan zztionaspects.DoctorGardner diedin 194,at age Si, untimely taken in hia brilliant prim. which, under Company regulations, would be ia 1949. At th*start th* Inatltat*m part At tha outbreak of World War JI, t w -t ^ th* D*p*rtiMiitof Pmtativ* Mdidn, of Lanza, on leave from Metropolitan, was -- - WhichProfessorEdeterdMalangwa.Chairman. missionedLiautebantColonelinthaOfficeofthe " " L 4** I" " Itwas ad op independently, Surgeon General of tha Army, and put in chant " l*t*r Bd Professorof ladutrial JMfeia*. Th* Inatituta was soeccasful of the newly-ereatsd Division of Occupational Health. Prevantiva MedicineService, under the laMafia*tofttbaraafacultrmcntbtrtsyoung direction of the late General Jama S. Simmons, ond cnthoiiastic troop, both full-timeand partUma; and whan Doctor Lanza, under tha Univer- who afterward became Dean of the Harvard School of Public Health. This was an entiraly ** polwy retirement system, retired in newenterprisefortheArmy,anditnoeweitated I?..,*? Emeritus ha left it solidly established, with Doctor Horton Kelson as its much reshaping oftradition] attitudes regard ing the functions nf military physician. The ^ Dirte,or.ond Doctor David Goldstein,Medical Directorof Th* ,VerYork Anny quickly became owner of all typaa of manufacturing plants, and Uie operator of moat Tin**, itsProfessorofIndustrialMedicine. Although compulsory retirement age has over- of them, the others beingrun by cootractors. telrnnhim twice-- atU atMetropolitan Ufa. . Doctor Lanza's Division waa eonearaad only and at70 at Kaw York University-- tha third with,the Army-oparatad plants,but thasapro timeisnotyet,fornow,at7,DoctorLanza te duced ordnance, airplanes, chemicals, clothing, till active, stillInterested,writing and editing foodandfoodcontainers,munitions,quartermas withinMs baiovadfield.Iaadditionteethercom tersupplies,andwhateverelsetheArmyneeded, mitments,heisEditor-in-Chiefofth*seriesof and, at tha peak of tha war effort employed more than a million people, about forty parcent of Modem Monographs ia Industrial Medicine them women. Here again Doctor Lanza had the KGruna Stratton) now appearingfrom time to tims. One withes hitwould pen th* narrative of benefitoftheabilitiesandtarrieasofDoctorWfl- hislong and variedexperitnc*.Thera temore June* 29C+ 41T the suggestion of Crum in many of .:* "caSiilyier" episode*. Th*ir atoriet allwould be interesting, and *omc could have definite value, I>:.rticulariythe**of hi*,contactswith themili tary mind -- which knewnothingend eared less .loutindustrial medicine,and couldn'tconceive <.fi.nArmy doctorinanyotherrelationthanaa rvmr troops. What he did, and the fact that he d.d it, are history, but the firsthand account .if hediditcouldproveusefulinmanyplace*. Uivtor Lane*-* thirteen year* in the Public Health Service, 07-15120, coinciding as they did with the years of industrial medicine's most rapid and intensive growth, brought him into contact With practically the whole ranee of its problems; and his investigative, analytical and retentive mind stored up as encyclopedic knowledge of their causes and solution*. Thia, as th* years were to pro, waa excellent scientific equipment for e ion* future aa consultant The year or so aa Medical Director for Hydraulic Steel reinforced hi* practical back,round, and hi* temperament and apacial abilities furnished all else that waa needed to maka that long future a successful one. Interestingly, it docs not appear thatsuch a future wes theone he sought-- than waa even a period, just after hie return from Australia and while he was in an advisory capacitywith the KationaJHealth Council,dur ing which th* comparative security of a Medical Directorship in industry seamed much mon attractive.However, U we* th*future forwhich be had beta prepared and th* Guiding Hand that had led him thus far waa not to lethim stray. Industrial madicint already had consulUsts -- in.surgery, diagnosis, toxicology,ad ministration, research, occupational disease*, technique* in general. But, even so, there waa th* feeling that more were needed, although what for was only dimly seen. Tony Lanaa'a emergence waa a sort of cumulative answer. It waa gradual, almost imperceptible as it earn* to pass; the aueceaaJv*needshe filledhad a way ofeteming to appear tangible only after he had met their demands, or quieted their latent threats. And adhitprogresstoward theeminencethatishie was little noted aa itwent along, and thus was unrecorded. And by th* time it was realised that he had become a consultant of such abilities aa gave new maaning to the term, itwas much too latefor timely memo* oo how ho got that way. In review, however, and because that la no alternative, something of a record may be at tempted from several objective sources. On* of these source* is the recollections of th* many who have worked with him or have seen ' him inaction. Ha was always a "team" worker; never a "cause" man, or crusader; never pro taronist in any individualistic purely Lenta rterpris. The matter in h.-.r.d m his onlv concern; and hi* attitude toward it was objective, nis interest in it proportional to it* value In th* development of industrial medicine, hi* treatment of it impersonal. In his eontsets with organised medicine, grudgingly near* of the new profeseion growing in it* midst, and with industry, intereated but nnconvinced. he was th* perfect Maion.Unselfish, sincere,plainspoken-- sometimes almost blunt-- hi* presence waa felt,even when hi* part in what wa* going on was only the undramatic "paseivene** of a catalyst in the leiult." Granting the "catalyzer" rot*, he gave ithisown distinction.Whetheractiveorpassive la the action or reaction, he left aomethinjr of himself in itand added something to his own experience from it He wa* too forceful to be present without th* one; too sensitive to leave without th* other. Th* influence of hi* personal. '*1 ** *lmo*t tangibly and measurably a quiet, palpable, rentripetal force, impelling toward the rantarofwhateverwaaishand* second source from which, with search and pa tience, the record aa to Tooy Lanas'* place in th* development of industrial medicine may be con tinued. This consists of the impressively large number of references to him. Hems about him, *ndcommentsorhisworkthaton#comasuponin th* literatureof industrial health,occupational and industrialhygiene- `comes upon" because they are not indexed and mostly they oeeur in identification with eo-worker* and as sociate*. or with th* subject of th* text. Aa example tsfound in a reference to"a world re view and evaluation" of -SlUceal* and Allied Dia- On* reeds: "This report waa prepared by the (Industrial Hygiene) Foundation'* Medical Committee, under th* leadership of its Chairman. Dr. A.J.Lanza,and `brought togetherforth* first time a practical summary of what waa known and remained to bo teamed about dust disease*.'" Another occur in connection with in dustrial medicine in Western Pennsylvania; he ia named a* on* of four distinguished men who "figured prominently in it* development." There nr many similarafiuiicna to hit part ia what*v*r *** fibig an. But much more numerous art such capsule encomiums aa: "pioneeria th*in vestigation of industrial dust hazard* in the United State*";"dUtinguiahed for long and instruct! experience ia industrial hygiene": "leader ia the development of industrial medicine ia the United States and th* world." Students of th* published material oo occupational diseases id industrial hygiene encounter recognition* of IkUkindsofrequentlyand in tomanycontexts that they take them quite for granted as fittingly phrased and properly placed. In the permanence ilS -VtairitirQhtlSvrprry ortheprintedword,"A.J.Lanza"itin often- met tnd mueh-respeettd name. A third source from which information about 'hi* m*n m*r be derived b the formil, indexed account oT the boolu he hia to hit credit, the ad- dresre* he hu made, and the articles, reporta, and technicalpaper* he haa produced. Thesearc hated in ttreral ehronolofiea. Their taxta con- firra hb distinction as indeed a pioneer in the Investigation of dust diseases in general and the identificationof silicosisinparticular.Hit book* include SUietieit mud A ib ettorii (193) 7\"th*.*UB book in this field"-- and Industrial H ggitnt (with Jacob Goldberr. 1939).The limine of hb articles and reports show* the second half of them published in 1933-35(thelasttwoinJA .JJJ1.), afterwhich itseems that the "catalyzer" part of hb work f 1** intofirstattention.Hiseontinuinfinterest in occupational diseases, however, is evident from his ortanisatlon affiliations. He was a Trustee of the Iradeau Foundation, and of the Industrial Hygiene Foundation, and in the latter, fflilim. of the Uedical Committee. In the Kew York Academy of Medicine he was Chairman of the Committeeoo Industrial Health: in the American Public Health Association, Chairman of the Com mitteeen Pneumoconiosis; ia theAmerican In stituteof Mining and UetaOurgica! Engineers, 'member;nf.the Committee an Health and Safety 1? K r* York Tuberculoeb and HeaHh Auoebtioii, Chairman ef the Industrial ' Hygiene-Committee. He was a member efthe Ifedical^Subcommiltee of the Pennsylvania Com mission on'Compensation forOccupational Dis eases,.which made its report in 193, and a member of the Committee on Prevention of Silieoebihrepgb Uedical Central, established by the Secretary of Labor ia 193. The American Uedical `'Association's Council on Industrial Health.-established ia late 1937, added him to its membership a year btar. they mention it at aQ, the long-tima ehreoidee of industrial medicine no doubt win consider it pore coincidence that the middb thirtim, when DoctorUnaawasbeginningtobereallyeffective ia hb self-styled rob as "eetalyser," saw the start of a remaikahb spreading eat of industrial medical programs among industries ef all kinds. This was clearly reflected ia the upsurge that be gan about then in the membership ef the indus trialphysicians'association.Fromthalowly1835 totalof17 -- aurvivoteof the twenty-yeardol drums ia which the average had been barely more -- thenumber of members grew to seven times thatmany tenyear*btar.and thea went en to doable that ia the next ensuing tan. The economic influence* thea at work will be credited, of V course, but it is within the memory of many who livedinthethirtiesthatthereerea]mi theh,th ence* of powerful petsonaiitier. and that had so much to do with the happenings of the period -- in big affairsand little-- as to lU truestbbtory properly biography. Tony l-.n- aawason*ofthem;andtheKnudsen Awnnl. in dustrial medicine's highest honor. given him in 194, was one of the way* hi* m*dical rnllniyuc* hed of telling him, and the world, that th-y ki..w him to be so. He was the seventh recipient of this Award. The citation tressed hi* l<;idcr*hi|i. But a "eataiyier" leader? Easily enough, when the leadership b lessof leading than of being fnl. lowed. In thb man's case itwhs effectivelythat. Unmatched skill in unifying: a positive genius for enlisting the aid and cooperation of thu*e with whom heworked; the "with" that pervade* the chronology of the things ht accomplished; the results obtained, with the credit hared equally by all-- these characterized the many yean of days la which be did "to the kit of hbability"whateverfeDtohimtodo. At the Besting of the Permanent Committee cod International Association on Occupational Healthea thedayprecedingtheofficialopening ftw ThirteenthInternationalCongrtMonOe* cupetional Health, at Kew York, July 25-20, 190, Doctor Lanxa, along with Doctor R. R. Sayera (United States) and Professor F. Knebch (Germany), was made an Honorary Member of the Permanent Committee. Thb brought tofive thenumberefHonoraryMembers,onlyW. R.X. Kmueabut* (HeOaad) aad Alice Hamilton (United Staten) being the living bolder* of that distinction at the time of the meeting. And on July *T, I960,at a rueaptioa atKew York Uni- Uedical Center, Doctor was the recipientofnKew YorkUniversityPresidential ataUen "for hb leadership in the field of in dustrialmedicine and hb serviceto the linker- by." Some three hundred o f fa!* colleagues, many ef them delegates to the International Con- gram on Occupational Health, attended the cere"" T-AfterstatingthatDoctorLanzaia1947 be am# thefirstDirectornftheUniversityMedical Center* Institute ef Industrial Medicine, and. in ^ Chilnnia of I)m ntwiy-organized D m r t a n t ofIndostrfalMedian U theS Y V Post Graduate Medical 8cbool the citation con tinued: "Throughout hb career Doctor Lanza's guidance haa been sought by many. He has served aaadviserintodestrialmedicine tomany indue tries aad ether organizations. . .. Behind any r*ei1t*I1 GU#*, and geography are those qualitiesthat help make the man those routed him hart known: the warn andtraUadimr, the unfailingly perceptive intellect, the unassailable integrity,and.-moatefailthecalm and steaev wUdM*" -- A.D.CT June, I t t i 471 I / ANNUAL REPORT FOR l'U 2 of the industrial health section During th. year 1942, M arly ta lc as May surveys are conduoted , as in 1 . Th. number of d if f e r e n t in d u s tr ia l n lan ts studied in 1 ,4 2 ,, a 53, / M compared t a 30 in 1941. A. in 1941, U r ,, , .n p ,, * d in manufacturing heavy [ . a t a l s comprise th. major p a r t of th. .to d ie s , ,lth o r . nines second. Th. In d u striea studied may be c la s s ifie d as follows* Uetals 6 2 .1 * Ore mines I5 .5 Goal mines 8 ,6 / Asbestos plant. 8 .6 is / Chemicals 1 .3 / Quarries 1 .7 Wood 1 .7 1 0 0 .0 * The samples collected in the plants necessitated making 1,536 separate analyses in the laboratory. Analyses have also been made, as in the past, of materials shipped to the laboratory from plants of our Group policyholders. These tests were mostly for free and total silica. A number of materials used in our Home Office buildings has also been analyzed. In dditlon to the shove aurvoys, the plants or offices of thro, policyholders -ere visited and vice given r a g g i n g h.terd. or medico service. Deque ats for pleat survey, and infotmation ..re received from Group ocllcynolder. and otter, in ell lino, of loduetey. I. giv. locn of tk. vsrioty -2- S/ of firms Which revest this service, the following are como of the more importent firms which we have'served: rrasxrong Cork Company Consolidated Gas Electric Lieht & r / Ruberid Co. Pennsylvania Greyhound Lines * Continent.nl Baking Co. American Viscose Corp. Higgins Corp. Idaho Maryland Gold Mines Corn. Atlas Powder Co. American Rolling Mill Co. Standard Oil Co. Union Carbide Co. N. Y. Tc-lenhone Co. Interactional Business JmT>chino Corp. American beating Co. Brtdcn Copper Co. Humble Oil & Refining Co. ilorida Power & Light Co. Tennessee, Coal, Iron St R.R. Co. Lowisburg Chair end Blackwell Zinc Co. ' Furniture Co. Republic Steel Corp. Norton Company Kohler Co. O. S. Leather Co. Ci Marshall Field & Co. Vickers, Inc. Virginia Electric & Power Caterpillar Tractor Co. National Enameling St Stamping Co. Montgomery Ward Co. -- Johns-Manville Corp. Baker & Taylor Co. Bethlehem Steel Co. Bell Telephone Laboratorie Pendelton Ship lards A.P. Green Fire Brick Co. Norfolk & Western Railroad General American Transportation Co. Kimball Piano Co. N.Y. Employing Printers Assoc. Inc. General Electric Co. General Motors Corp. Monarch Machine Tool Co. Asbestos Textile Corp. 'SEARCH STITOTEB 110 th 9 laer" aed nuBber of requests for plant surveys resulting th. sp.od op i. prodoctloo, do. to I * * * . , victor, effort, or. rootle, oork ha. h o c loodrt open th. I t o t e , . m . .dditlo,! vork hoc l.ft litu. ti. for research probi..., ft. lobor.tory rttff did d,! a d conrtro . n;. tjp. of o M t r l f o g I p m p j h i a . M o l d operet. on i.C. or D.C. currMt of, 1 1 0 -2 2 0 volts. ' TRAVEL CREDIT ' The amount of money expended for travel in the Industrial Health Section during 1942 amounted to $4507.57. However, of this amount $4047.63 was paid to ` us by the Group policyholders for expanses incurred by our men in the field while conducting plant surveys. Therefore, our total expenditure for travel for the year amounted to ^ ANNUAL REPORT industrial health section 1946 j-'li nt, inrvoyfi 1. bo>roiorr of Industrial llrei a o oaduota iortJ, 5 m s y = of uonultloa in a . plats of our Croup polieyholdors. Altbouch this 1 . . P_ uuo-aoo a tu. a m r ,f l a . far, a . individusi surr.d lagor snd a p l = d . g r a t a n,,ba 0f aploroa. n,,, a . lnittatla of . .r, Ur*, projat . a . suraring of opprorfooaly on. h a - ^ 1 t a m y plat, of a . d a n m ! EUctrlo C a p a y . ,, M 5, ^ ' of o v . a ponies auld a t b. inolnd* a tbl. y.a.. . a ^ . * . to a . tra.por.nta strika .blob h . U up n t a d .aploo oo l l a t M a tb. praiou. a r v^,. trunks oatnining ,,nip. * Wplool p la t mwtr port inolud.. . d aorip ti of tho T O S , ,, , Plont . a a , a d lao u t, p la t t a a a a p a , * por.onol fd o m ti , diocnosion of nothods of . p lin , nnd a s ly a ., obaiosl a ^ o o , a d otha fln d la . Of tho o a p a . co n .. d , ,, d roadtlons f,, of ^ ! o ia a d pnf.tr l u m , found. ttta tim i . a a u a m a y l a a , i scotia oftb. p m di.ou.se tb. baltb I n ! , found - m p t o a , ton. concentration, tra&tasnt, to. Ib. a m m llm ta a tb . p la t . a d a n t to tb. Hoa O ffla bu-arnto M U MUbe a jjyso s. Bcolusi of such " OMK. iMdaunt. 100.1 ond V a m ! r a t ilo t t a . a d s a lt a y <tafts, . total of 42 d ir fa a t a b o ta s a bnoa -2 - ;" T i "d ** h" ltt of " JS iS ^ ie * for t,,, . . prootornt)> ^ 7' ~ 0i " lvo"`'" " " rbo" 17' .-w. _ * * a" / m .u,n ,, 8toeo, nMlthli M sulruric coid3. A number of n e . in stre n en t, e c . p e r k e d Iop " " -r " ^ " " ~ -- - -- -- node ^ ". ta 1 ^ pocure^ rncseoreo T TM * V"" r ``':" t`'' * " "" * * to detmnin. nol3. W a > ^ ^ taller u t for neeeurlng mdinnt enoigr. J K ventilation onflneer 1 . no. - M I * , for oon.ult.tl, in ,,. //ontilation and exhaust systems or f aust systems or necessary revisions of those in use. liopf: 9f.Ti.eo Incnac-tlon . aith sentm. ^ * . U b o ra t o t 7 or fcduatrlol ^ " " " "Ued te ^ - " -- -- f " ' " * * " " " * " * i , trol and cleanliness generally. W . Inspection. Include rotted. of p r o e e r ^ ond di.ro.*. * ,, oh^ , ^ _ a . oftto, m u * owrtinued to bo of muiite.0. in .ud, v o * oporo. Uono no lead^eoldorinc, mldina and other oporetion. *1V'" t * t * * > TM " c throughout the bnlldinn. 4 M o t h ,, p e r * nr. taCon. mtitled ,,Su^ ^ ^ r r n Fataiiti" " "ria * = ~ - - ** 1 -- **" 3 o m a of X * * * * Hreieo, M loaooiro,,. Gaol's I'onc.nr: ,.cl_. ^ yejr' Dr* hld 3lX ty_ tV '0 oor,1'ci`'.'noon end Dr. McConnell ^ ' 5 , in the office with ropreaentativee of our Group policy Holders end others from health organisations. Field Trip* . ^ *" Vl'l t M " " * * - ot o r r e a pith regarding ^ - P P o l i e d r o ** ,,*., ^ ^ <! U * ~ 0mml - * * ' " - K TM corpora,, * W t e Con*,, nr. Lena. 0.0= ita. thirtp-oi* ottar U h i trip, Coring tta ^ conierring n t h tta .,,utlv. , ,f hcelth organi., C o TM dnrscua, uniT.roiti.a, tar W o n . . , , ,. Mthois ^ improving the health of industrial employees emptoyees. these trip, w ^ e for the following purposes, __ r +t, Some of the more important of W of silicosis. * -- * concernTM rePct to the aluminum treatment during the f i S ? p M t fof1? S v POhie3ru0ldors 011 til Pacific Coast E" it WF inn6 Of i a n . ,,..,...TrTfr .......................... " TM U C M >* " 1 1 Hrelen. totototory........ ....... Im.lyzes mode in Laboratory....... AO Ho.: Office Inspections ................ Travel Credit.............. ..................... . ................ 62 Literature sent (Industrial Health Series) ........... niulications completely revised............. Publications slightly revised............... Loci'leta revised ......... ........ 2 *** ^ Otimr publications written end published............... ..... 2 Conferences in Home Office......... . ....... 3 . ***************** flA Field visits to Groups Other field visits.......... **................... 1264 footings attended by staff ' .......................................................................... 61 * * ayotew and necessary Tmateea of tfc. to a , u to to to ry of in- rentllation * ** * " S6CUred ^ " - -- - W a t in the Laboratory, ducted by th^Laboratory? *** f "r* outst<mdin *eearch jobs aon- Tlio Rochester Ga3 3 and ond rirara+t.,-,. n Electric Compray v,C3 vi,itcd ^ ...r. r,,, ^ z *-- - - ...... z ,1 r r " 10" *root*~ *" te " -- U t - * ,, u ; r : ; r " U M * tha y" r - - -- - TM . jU 01 th "U3 t rail and sulfur dioxid* __ * dioxide concentration:! in th City of "`T !i" the ,Mouon o " pl" `- * * r _ It io rn Promotion, .. ar. to T O M m ,, ^ atadl,, * ^ Z"T 7 PUUtl"n * * ^ P' l' 1 1 th* 'i1i,5r f m . , aorh * tha a * . * . a . *" " Pl" *^ * to tha h,, lu " otropouto, at, ^ ^ ^ ^ dtod Corporation ror r i m .tail. r t t a h * . . * - 03- ,, a or th. p o r r m e a * ^ , * ,, * tt* - - -- . - * ran toot. a . at*, . _ ^ - 1 . to * . >tMl .p r o ^ ^ '"* " " * * " * 0f - * * - tofoo. thl. M t h * of anctot .,,.i - a put into oporttlon. a * , a atria, .a. oaUa. at th. For. w . Coripcny ona to o o * a a a of oaplc,... * . ho. toan ^ rao r * * * im ta M ,, . ^ ,, ls oota that^baforo anp nan proeeaa la .orelopad or aagr now naterlcla ara uoe. In tha Plant. ot tha * * * 1 1 . stoal C r p ^ t i o n , * . e p a ^ r.w .oto t - - a * U a . to * . a at** a .oternlno th. a * * . . of ^ uoalth hazards. * ;-to aora oooOuoto. on_ o * t g a i * ot tha m k c,, ......... I.,,!! -.out lh >J l a toon of th._jhn.am.. hoa Jon.,, ^ ,, th. - 3- tho t a ^ /? < U c t coul,, ---------- contnsnlatod^roc3 3 aa in tha plants of o u T ^ u p poii ^ holdera ho_ Idtfelcna Glveol Bfa^y '---- ---- I ` t a 1 th. no. btal,. (0nlt l ) t h t t u to ^ r r " is ^ *" tri'`h,ie" e5ori " *-- *- ~ ... t o . t o . o ir t a L . i , th . t a . t a th . ^ ,, s ateoiptton " " ""d " * 'U" tlt**iV` -- totoM. t a t a -o rt . t a ln c h o c lo s and t a t o . th . t a t o r t th o d t a . t , '* * "* * P" i *1 m *" ' - -- analytical work ln theaa daterminations. t a t o p h o t a w 1. th. a . i t , of onr t a y to t a t a t a thot th . concentration or t r i t a t a t a * t a r o in th. t a r t a * th. . ,, t t a . t i * thta.ro. no t a t a rooulto t a c t nor t a h. . x p t a a 0 t n th. trlothrta s t a i W t o t a 1 . i n o r o t a ntil it o h th. bactericidal or killing ranga. A.P.G F B C . reen ir e r ick o M e x i c o , M I S S O U R I U.S.A. uvr.etu.iM or . r u n .imc ftcrftscTosiss July U , 193g Dr. I. J. MoConnell, Assistant Medical Direotor, Metropolitan Life Insuranoe New York City, N. Y, Co., * Dear Dr. McConnell: o latter fU??tn..B irvrfi!ir2 u frora o y v&cation I found, your latter of June 17 and the report of the survey which was made of our. plant this spring, y wnich r is h L 1 " a? ...meler.t 4 u M C?Su.MlS| SSlt l'rth50TS.'i' KllJ"11 r^ J ; S B ^ r O n . M . The report f i b S t ^ . S S .. JlS" r)rlne *" writ U other ,Lt" ot thi c t Yours very truly, A. P. GREEN FIRE BRICK COMPANY ffC3taley/eo Assistant Treasurer. t Industrial Health Section .December 1937 Industrial Hygiene Laboratory ' Surveys of the following plants were made during the month by members of the Laboratory staff: Northern wire Division Uniontown, Pennsylvania W. & G. Taylor Go. Cumberland, Maryland Union Drawn Steel Co. Beaver Falls, Pennsylvania Republic Steel Corporation The plant of Vf. D. Byron & Sons, Williamsport, Maryland, was visited and inspected for the purpose of determining the cause of the poor claim experience. Laboratory analyses of samples collected in the following plants of the Republic Steel Corporation were made during the month: ' Korthern wire Division Uniontown, Pennsylvania Kiles Plant Niles, Ohio Warren Plant Warren, Ohio New 'ire ills South Chicago, Chicago, Illinois Union Drawn Steel Co. Massillon, Ohio K. & G. Taylor Co. Cumberland, Maryland During December, 33 analyses were made for zinc, sulphuric acid, silica, lead, ammonia, para-dichlorbenzene, calcium carbonate, tax, and solvents. Reports of the surveys made in the following plants were completed and 'sent to the company representatives: Warren Plant Warren, Ohio Union Drawn Steel Co Massillon, Ohio ' ' Republic Steel Corporation 2 Home Office Conditions , Samples of 36 cleaning materials used by members of 'the Home Office Building Department were received in the Laboratory for analysis. Inausnrial R e a l m section ' ' During December, 4.6 requests for information on the various phases of the subject of industrial hygiene were received and answered. Groups Republic Steel Corporation Niles Plant Niles, Ohio ' The report of the survey conducted in this plant was completed and sent to Ur. J. A. Voss, Director of Industrial Relations. The survey showed the presence of 'sulfuric- acid fumes in the air surrounding several operations. Otherwise the air was not found to contain dangerous concentrations of dust. - Republic Steel Corporation Warren Plant . Warren, Ohio . The report of the survey conducted in this plant was completed and sent to Ur. J. A. Voss. Republic Steel Corporation , % Union Drawn Sttel Co. Massillon, Ohio The report of the survey made in this plant was completed and sent to Mr. J. A. Voss. The working conditions in the plant were considered to be good and no health hazards are believed to exist. - W. D. Byron & Sons Williamsport, Maryland * This plant was visited and inspected for the purpose of determining the cause of the poor oia-im experience. The processes do not involve any hazard except^for one where lacquer spraying is done. There are a number of elderly men employed which .undoubtedly accounts for the number of claims due to heart disease. West Virginia Pulp and Paper Company New Tork, N. I. Mr. J. W. Towsen, Personnel Manager, wrote saying that his company is planning set up medical services throughout their various branches. Before any plans can be laid, the number of employees, and the policy of the company regarding the extent of the medical services to be administered must be considered. Described the functions of a medical service, and sent a copy of our booklet "Physical Examinations in Industry* and the physical examination form vtiieh is recommended for use in small industrial plants. 3 Dunbar Glass Gorp. Dunbar, Vrest Virginia . . # j ' > Ur. Payne, General manager, wrote to Supervisor Jones of ClarksDurg, Viest Virginia, asking for inforaation on establishing a system of physical examinations among their employees. Letter was referred here for answer. Plans for introducing nhysicai examinations in a plant, methods of conducting them, and a follow-up system were described. ' St. Joseph Lead Company New York, N. I. mr. Andrew Fletcher, Vice-President and Treasurer, visited the office bringing with him X-ray films.of thirty-eight of their employees at Edwards, New York, for reading and interpretation. , ' Johns-Manville l New York, N. Y. During the year, 1025 X-ray films of the chests of employees of the Asbestos, uebec, Plant were read and interpreted in this office. This report was sent to Mr. Vandiver Brown, Attorney, at the New York City office. P&ngborn Corporation Hagerstown, Maryland ' Mr. Stern visited the office with Mr. Barrett of our Policyholaers Service Bureau. The services available through this Section were explained, and he was shown through the Laboratory. International Nickel Co. New York, N. Y. Mr. Brady visited the office with "r. Duncan of the Group Division. Discussed different phases of silicosis and some of the solvents used in industry. He was shown through the Laboratory. Non-policyholders Dr. Arthur B. Bobbins Bureau of Tuberculosis New York City Department of Health New York, N. Y. Requested inforaation on the health hazards of the fur cutting industry. Be wa especially interested in the incidence of tuberculosis in this industry. ent wformati on mercury poisoning among fur cutters, and sent references to literature on the occarren of respiratory diseases. A Miss dele E. Yoe, Health Educator City Department of Health Louisville, Kentucky . ` , 4 At her request, sent information on health education plans in industry. Textile Products Industries ' Chicago, Illinois Mr. Glimm of our Chicago Group Office asked that information on writer's ' cramp he sent to Mr. Kasmark of the above company. Described the condition, the causative factors, and remedial measures. The Quaker Oats Co. Chicago, Illinois ' Mr. E. F. Terras, Assistant Treasurer, asked that their procedure for making physical examinations be reviewed. After reviewing it, made a number of suggestions. Crucible Sttel Co. Hew York, H. Y. ' Mr. C. B. Avery telephoned for information on the urine sulfate test for determining benzene exposure. Described method of analysis given in a report of the Bureau of Mines along'with the results of their studies, and the references to them. Western Electric Co* Chicago, Illinois Dr. F. L. Smith, Medical Director, requested information on the vaccine treatmen of colds. Sent a bibliography on vaccine prophylaxis of common colds, and referred him to industrial physicians who have been experimenting with vaccines among their..employees. Globe Indemnity Co. Hew York, H. Y. . Ur. G. Watts requested information on the nature of dust created by glass grinding and polishing operations. - He elso asked for data on the toxicity of fused silica. Sent this information. Standard Oil Company of Mew Jersey Hew York, N. Y. Mr. Hoy S. Bonsib, Chief Safety Inspector, requested information on the treatment of eye burns due to electric ophthalmia. Described the treatment and referred him to a good source of information. Later in the month, sent to him,at his request, information on tricresyl phosphate. Described symptoms of poisoning, and gave the toxic doses which have been determined through animal experimentation. 5 Dr. May R. Mayers Division of Industrial Hygiene New York State Department of Labor . Hew York.9 H. Y. J ( Requested references on cancer of the bladder due to aniline. Sent the Statistical Division's monograph on cancer and made a bibliography. Mr. Donald C. Scott Springfield, Massachusetts Came to the office for references on organic dusts, especially jute dust. Gave him our regular publications and a list of references on organic dusts. Travelers Insurance Co. Mew York, N. I. - . A representative telephoned for information on air conditioning. His company has a claim for sinus trouble said to be due to air conditioning, and he wanted references relating to this. ' ' Mr. Clyde A.. Place Hew York, H. Y. Mr. Place is an air conditioning engineer who asked Dr. McConnell to investigate the air conditioning system of the East River Savings Bank. Dr. McConnell made an investigation and sent a report to Mr. Place. Mr. A. L. Clarke Marchant Calculating Machine Co. Oakland, California Requested information regarding a solvent called Blacosolv. Blacosolv is a trade name for trichlorethylene. Referred him to an article which appeared in a recent issue of the Journal of Industrial Hygiene and Toxicology which discusses the toxicity of trichlorethylene. Mr. Herman Den Canton, Mississippi Mr. Dean is an attorney who is preparing a silicosis case and he asked if Dr. McConnell would testify for him. Explained that this is impossible and suggested other industrial physicians who are in a position to do so. * Dr. L. R. Hazzard ' Portsmouth, Hew Hampshire Asked for information on the toxic effects of fumes given off by fluxes during welding operations. The kind of fumes would depend upon the composition of the fluxes, which varies greatly. Listed references. 6 Requests for information on the following subjects were also received and answered: Hospitalization facilities in Georgia Sprains as they occur in industry Health education Physical examinations in industry Silicosis and other dust diseases Air conditioning in hones Foot trouble Arthritis . Coronary thrombosis . Value of good plumbing Effect of household dust on health Hernia Metropolitan Mr. Dunlap Actuarial Division A report of Mr. Fehnel's visit to the Vf. D. Byron & Sons plant at Williamsport, Maryland, was sent to Ur. Dunlap. Ur. Vfalling Premium fieceipt Division Brought a sample of an abrasive powder to the Laboratory for analyzing; Miss Williamson Welfare Division Reviewed manuscript of "Multiple Aspects of Growth" which was prepared for publication in a forthcoming issue of the Teacher's Bulletin. Ur. UcConahay . Home Office Service A study of the illumination in the Premium Receipts Division was made with recommendations for improvement. Dr. Armstrong' Welfare Division At his request, prepared a letter on "state medicine". Ur. Vane Statistical Division Sent information on weight-lifting and the maximum loads for man-handling. Ur. Perry Group Sales Division Sent information on the health hazards of radio manufacturing. 7 Interviews Mr. Carruthers, Editor Safety Engineering New York, N. Y. . i , " Called at office to discuss the purpose of the new Bureau of Hygiene of the City of New lork. Mr. J. J. Bloomfield Passed Assistant Sanitary Engineer U. S. Public Health Service Washington, D.C. Mr. Bloomfield is Chairman of the Industrial Hygiene Section of the American Public Health Association, and he called to discuss the work of the Section for the year. Mrs. Furst New York, N. Y. Mrs. Furst is an assistant to Dr. Leopold Brahdy of this city. She came to the office for references on industrial fatigue in connection with the speed-up systems used. A young chemist from fiochester, New Xork, came to the office for information on lead and arsenic poisoning from sprayed apples. Publications . The booklet "Health Protection of fielders" is about ready for reprinting, and revision of some portions of the text has been started. The Industrial Health Section is compiling a catalog of trade names of the chemicals which are being used in industry. lie information gathered in this catalog is available to members of the Welfare Division whenever they wish it. Literature During December, 280 pieces of literature were sent out from this office, and 1 0 0 pieces were sent out through Welfare Division order. ' Letters Incoming: 211 Outgoing: 120 Director, Industrial Health Section ' * . I / ( . j: $ fJ3< V D r . G . la . hheetley }U Assistant Medical Director Medical Division Johnson1e C.-coeny - 2 - i C ^ nA - C !- & * 4(n't s h o i i n J ^ I n g ^ t h L ^ b i S 1 ^ 8 1 1 8 1 o i ,claimE on this group, death. iCbE* the at*e Et deeth and the dete of ' to-.-(v4 This group is operated from the Canedaiu Bead Office. />*- Vo -;,. This group was written in 1929 t t + t" _k ~v u ever since. Hot;ever, the rlt- w + +v <* h ich h been the rate the reneral date, July 1 * JJtt.1" * increOEed to T + ?5 as of June 2 3 , 1 9 4 4 ' GM/ch Group Life & Health Rec^rtf Section Actuarial Division I - 1 . Actuarial Division GROUP LIFE CLAIMS. GBOUP NUMBER MAKE or osour 3 - G 2 JOEKSCii'S CGLPARY CLAIM Number Se r ia l Number tamos Type AjQB op <X aim Cause of Death or Disabiu tt Bi a*'* .TO. 3-31-44 Amount Remarks 616 13SI -12-41 30 DIS. Pulmonary Tuberculosis i 217 DDC - a . 785 5-4-42 32 fl Pulmonary Tuberculosis 521 DC 1 t54 1037 5-21-42 23 It Pulmonary Tuberculosis 664 1397 b--31--42 36 0 Pulmonary' Tuberculosis 663 DDC 1 ,0 0 0 696 1159 3-17-43 23 n Pulmonary Tuberculosis 248 DDC " 699 128 4-2-43 56 ti Pulmonary Tuberculosis 1,0 0 0 710 293 5-26-43 70 n Right hemiplegia 6 caudio _rer.a] disease 711 1693 5-31-43 18 tt ' ulnonary Tuberculosis 1 ,0 0 0 1 ,0 0 0 711 1540 3 - 2 0 4 4 18 tf Tuberculosis 1 ,0 0 0 . * TOTAL USABILITY PAID TOTAL USABILITY PRIDING C 6,539 $3 ,0 0 0 ' - . - t c Kt "iniru* "lrst-Tecy Zxtrs Presina for Croup Ii.'e In.tarcRCo on .<& rilling r>*- C.*>~ 1 *vi ~ M e Thio 111 ceke recorr oT a rssfcresco ir fr. K. J. Trae 6 office o:. Oclober fO, 1946 conocrsicc ths ic ustrini hasard ir. th orbatoti ir. ustry* Prestai core fi*. 7ne end r. J. tllllan F*hn*l, rirccior ci* Ir. h strici Hyjlne Laboretoxy ir Field Sorrice, end th eo'tersifr.ed* After cer.sicereti'.T of th erbe-*.or ir.rcstr- ir fsrcrcl, end burri on :`r. Febrei*s report to 2r* Perry rifa respect ta th T-.rrcr & reseli Ccr-.paiy, l'ertrcel, vuoboc, Conude, er.J bU'vUae-.tod ty our dit-ct esina vith lr* fehnol, Kr* F + 5 X & & \ 1 - if it i **cesiMe bere -eririn# or slhcr coll ii itone iiffor<Aitsis3r^3.n%% i:: Ihu ac&o ia'rsirv for -.rpoBWJof Croe? Life ir.curareo, *hot th T v m c r h F 1 1 Cmpar* co*.li be cesata = se e rtsa-Ji-ri ride --ithent ter ostra precita r&sired fcr la.lustrici hesard::* Ccnaiiuratfoco r 1 er. roepted 4L4s couclrclor. *ori 1 Ttierci arti no b*c?.lo oP ihe- tosia ect<ca 3ir.ct. ihu c-plcy^r i- follo ine th practlce.of r,ot hiring ry* ho *: fcrs^rly er.ylcre in thr. erbestos induatry or/^r other in .cstsv in rhlch sers le :.v.kt hasard* Tha dcct coer.t in th plant sili bu eli \v.lo tic thres-'old si -.ich th hosari eetadly Vagir.* tj exiat* "r. Pah il eosurod ue thft ir. hit opinion there no shootes hasard la IVi; pleot* 8 Chest I-rep of the ecplcyees ere tiJcer he*h ot the origfrtl hirin,-: r.nd et fre^-jont interralo th*reftor* Hr* Fehncl toii cs thft euch Z-rcyc arc taies fcy a cabile tnit chich is tsorghi right ir.to the pieni and it le not ncoefleary for tha sploy c t- ithar talee tice off fror. roti or to r.sku eny trip in order to arali thuecelvea of th Z-rt? cxrs.ir.1,tima as cc-oaly occure is an edbittos plant in thi eeustiy* 4 The crploycr ce startine ost ir. thio pisci vcry sudi o^cre of the potentiel hasard and bad taker octire stoo t.- rlicir.-t* it* 8 Orar esteriore en Siiybesto^-jifirhottai. fcr the L ife rsrticr. 1\ ri*.^ ih laot torea ycac t T m i c a bar Lo o r oailsfsctoty* 8* Dr* heC onncll a s a t r o i V.v, Tuve thr ir. t h * i r c t r `if.- c*' fhe to* c8-*<wa i r *-hii- ce ts.tn y , hic*: v et h e h as h ees seist* *'or the psr.t tror t y e e r s , th<r-* t;Ot bwer o b le t e f ia d osy ce casop u-vclosing end the t tiie ea&os thoy bv> a n t v o l a h ^ in g e c re g re a sio e . Tiereforo bave deci-ici to c;: th Trrrrr & Tewall Cv- rr*T t *7* rates* *ill flic ith th He- Tori: "tato It.^vranec IVncrtsrr.t e c a s r ^ ir. the clfioaificntion of nui-estoa allllrg al senufct*.rc of srb'.stos cor.t tr.5 farrie frota the clidnus extre. of te Jwier to Knce Cf rice** - 2- It is intended that the T rate rill only be ccrsii'-red for esses rkich. are select in every respect and hich measure up to the strict requirements of the T o m e r & Hewall Coapanp case, and that for other cases there vill be an extra preniun of $ 2 or more. . October 21, 1948 SST/eh W, 5. Tfconae Group Aetnarial Division . ill. N. H. PhRBY haGIOKAl SklsS r'Ldi.'.GhR * fi 0 n A li H U ii October 13, 1948 He: Turner Ke^all Company ilontrej., P.Q., Canada ' vi-or'r`rd`ir'.` .nr1T y,,-?`e':i 0n''1 S"1C^ 'ihnt-^er> l!r- Pfeiffer, Group Super- ` *'U J ' CUrvey of trlis piant on Tussiay afternoon, October 12, ^ i f c - n t ^ v h o introduced us to Hr. Andersen. Hr. ^ 'f._^ 'V .^ t-ro-1- tbe P-ent and through his conversation sha?.ed that n- i.n.aliur ...tn tne.ujiy eetails of the plant processes. _ , ...., hi'Ui-d i n a onc- ^ o r y reinforced concrete building nith nordtor i-royaae excellent natural illumination chile artificial iliunination is provided EJ proparly hung and spaced fluorescent type The floor is cfjonerete uri nas an area of t,n acres. * * Ti*e textile aepirti^nt is partitioned off from the rest 01 the processes. The manufacturing operations commrise- ; ~* ' M jl. Textiles " a. Carding . , b. liing frame, spinning, and twisting ' c. spooling . .d. `heaving of tape, br'_-:e band notorial and cloth " 2. Manufacture of magnesia insulation ~ a . CsiCjuiinpo. magnesia b. li-ro-u ^ o. asbestos -ibre and i_.pnesia ..it \ cater c. 3 ten. pressure iois.j.np of pipe coverings a. Slitting nr.-i cutting. to length e. Packaging .'or shipping . 3- l.hnufactsra of a.oldei sr^.'.e lining ' . xv ; &. T>ciphinp'and mixing of asbestos fibers T '" ' .. ' . b * Di:;int--ir.dir,p riming and bagging - C. .li.'.iTi^ Vatu oinuers a m solvents Jit d. 'Stoun pres_> forming of brake bands . e. Grinding, drialinp, a m finishing of biaj.c bands f. Packaging of brake bands for sairment ' g. A. Asbestos cement manufacture This process is not m grmuction. The machinery is being installed. Tne process viil -rol-ce a vet refractory or insulating cement. T -^ 2 - 1. Textile Department . , a EGC^*aIU-ca^ humidifying systea in r>hich humidified air is diEtributed to the room through ducts. Air is ithdrasn from the room, passed through the bag iliters and recirculated to the room during the -inter months in order to conserve heat. During^the summer months the air is discharged to the outside atmosphere. G . * , ^ttPD is opened by passing it through a picker in a room separated from the -textile department. The opened cotton is nixed T.ith asbestos fiber ofPthe floor of a D2J.cony ax one end of the depart-n^nt. ^ A TM et E-schine and a haste yarn chopper are used to reclaim r.aste n&teriuls. m e s a nachines are efficiently hooded and exhausted. The carding mchirc-3 are hooded and exnaustod to prevent the dispersion of dust No dust control measures are applied to the spiraling, tristing, and spooling nachines and visually no dust, of any consequence, is generated by these machines. alkalist is applied to the loom3 and in some instances the T.aro is passed under a vrater spray. * No "doped" brake band lining is v>cven in this decartmcnt. This is of extreme importance in evaluating the health hazards associated -ith the manufacturing operations in this department because the "dope" material usually contains lead compounds and h a m u l solvents, ibe "dope" is applied by passing the varp through a pan of the material. Naturally solvent vapors and lead compound bearing dusts are dispersed into the vork room atmosphere. In many reave rooms of textile departments, a greater potential lead hazard tnnn an asoestosis hazard m s found. 2. Lenufacture of iagnesia Insulation - The calcindng of magnesium carbonate (dolomite) is done in a rotary kiln in a separate room. The rest of tne processes are v.et and dust dispersion is negligible. Any material spattered upon the floor is mashed uoan a floor drain so the drying out and dispersion of the dried la-terifL, as dust, is kept to a minimum. The formed pipe insulation is slit and cut to length on circular sans that are T.ell exhausted. ^ 3. Kanufecutre of folded Brake lining .. .. The ireighing, batch mixing, ar.d bagging of asbestos fiber generates some dust at the prjpent time. Although exhaust is'tpplied to these operations, to prevent the dispersion of must, the system is not complete. Until such time that the exhaust system is fuliy installed, respirators are furnished to employees r.orking at these operations. The asbestos fiber is mixed v.ith binders and petroleum naphtha in a hooded and exhausted chaser. <sr >@" !@" !@" !@" !@ I 11 - 3- m- binder^ ^ " i s ^ n finally dulled for the rivet holes. * " tr'e-SHUtin 0I' tfce *incn at i!* S12ed on rinii-rs and The Grinding operations are efficiently t-xiiausted. a s 1)95'Los Cement i'-Lnui*Picture lliis process is r.ot in jroiu^iicn at this tir.e. The type of cchis-wy installed and the fact that a -..et t/se of c -. i - -- nade indicate that the dust ; rotation .ill be ve.;t to - ririi^ . ~ ~ l ~ *" Pedlcul Services A -.ell equipped hospital staffed by a full-t >.+zc- .-nysiciao of all for on the asbestos industries or these afflicted v.ith _ty respirltery dis... jCs are acc Conclusions Factory Layout and ir.^nuf^cturc Processes m i s is unuoubtcu-iy the contment. i-us.rn ana test aid out 2a_nt on the Aaarican Potential Health Hasards rhe Oa.ie.ation --nd dispersion ci aai ty_cs cf asst u.pt to a ainiaus by types ox u.sch.ri*as constructed so as to ni\- tc u aanir.ua cf oust and i*y a sciox-tific ufplicc.tion of exhaust hoods to points of --not generation, bo ote.ntial iicHth hazards other tram a minima oi usocstos dust exposure '..ere found. Heconsendatiens On the basis o: ODservations a'.e cf the neiic_l setup ax.i rar.ufacturinj o_.ra-' tions in this j ian.t _n comparison ratn t;:e experience p._rr.eu an surveying similar plants during the ..est t-..enty years, I voulu recou.er.d taat the Grcun Division of the Metropolitan Life Insurance Cor..;any prant tr.is ecu: any a inferred rating in quoting any f o m s of -roup ixnvurance. ' \) ,, r, " * 1 cv'J h \ Industrial iir-ctor Lzi-or^tzvy i_r.d Fieli NEW YORK UHIVERSIXY-BELLEVUE MEDICAL CENTER r_v, _ __ 0OFF NEewW YOURCK UuNnIiVvEeRrSsI,TTMY NTER 325 EAST 38TH STREIT! NEW YORK 16.N.Y. INSTITUTE o f i n d u s t r i a l m e d i c i n e April 12, 1954 Mnta:77FIRSTAVENUE. NEW YORK ratnhan;MURRAY HIM.9-1580 N.Y. Sr. Ln s i CosaiSSiOUSr Separtusot of lealth City of Iv lork 125 Vorth Street lav lorie, lev lork S**r Doetor Btugirtstn I take plsaeure is eaelesius vhioh speaks for Itself. irudtai Of f*?,. tt0" " v*n > AMirbillty i procwluT* " ppsrent od it 1.Uf.h0p# ^hat thA* eaoreadu* acy be the basis for sffsetiTs and unified setioa. Vlth boat regards sad best wishes, I su, Staserei; yours, . A. J . N.C. at Chslruaa t1*1? . lastituts of Industrial Kedisiae CCt Conaiseioaer J. Trichter Bl. C: Mr. Sloeuu Mr. Bowditch Dr. Vheatley m 325 East 38th Street tlew vov 1 6 , jj, y. T roas n i v s r s i t i -b e l l e v e m e d i c a l c s h t e r ox Sow York University IHSTITOTE OF ZHDUSTRIAL MEDICINE April 12, 1954 Mrray Hill 9 .1 5 5 0 M a liia Acrese: 477 F ir s t Ave Hew vk 16, MEMORANDOM TO: Dr. Leona Sauagurtner Coaasissioner Sew Yoric City Dpartaient of Health and L a ^ S ; tioa. * ?" ** ** ' auraiwtea aw their request for your considers- u ttra cted 'tith e " p ro b lem '^ l e ^ - S a o 'S S H ^ ^ c f attention has been stu d ies and reports on t h is situ a tio n havf w 0*' cfciiarsa* Various c i t i e s o f Baltimore, Sost.oa and e l l L h e t l ^ Saae' f tr JlOTl * y * the emerged from th ese stu d ies and i m , - - * . g e n e r a l picture that has tieu la riy durius f 848 i s * U chUdreu, ^ ra lliu ^ s, yarsndas and t31s in o r o U * 888 *ne 44aa fla iiss o f f " d obloh o r . occupied by t h . 48 *** tio u x u r ^ 2 ? Par. affactir. lu th> praaontlou of l o a d ^ o o S ^ . " l ^ f S f ? J ^ , g M p 8 that " * ba e= o d d .r' b 5 W * * - * * .t a a * iU .a 66 to comlttaa is b S t p r ^ S S S L 8484<l , 4h84 tb. of this sub- counlttee w ill report at an aria tw*. !^*SF * * 9,* 14 48 cxp*cted that this for interior., f o S S a S ^ Kli4* ti8 to submit these labels to th* 2 ! f w !t, AT. enabla the " w*Mturers ui ..t tb. j s % indicated. l i i r i i t 2 r " 4484 ^ ^ heaito situation where special labeling is faoturersofSchiidMn^a*fc^v* l6^d ****** ^ 00t be*Q used by menu- is exposed to thi TM S f r . U,Wl for 0UtSldd painti^ * the paint DR. L20UA BAUMGARTNER *pril 1 2 , 19 5 4 . . PAGE TWO As one of the basic uear.s ex' cr-vea*<-m ?* K__ . , J , Ji0';" S \ * xci. as c,..e -- nil.as are* cwon~cer`ned* *who-- con-tinueS tSo Tn ^TM - b . run-aovn a.iu decret-it a-D-arti* t,, +V4,, 16 t0 iiv in old, sought* " *" ** -n taxS actuation, other reaediee aust be -b-lin/riiwi Stroasly -cPS8d to the enactment of varying :CaS 5 ? * * * * sovemaeatal agencies, since it Z o S L s *e r t V t Zhst var<a+ions in T * ~ l ? :r with ~ZZ "a laj;9ls aa i s w e e a localities. * * deling, expenses occasioned This would also cause 'vibutinshousil! ^ th ' o containers through jobbers and dis- - - - e - iiaw r- - t ; *''--oi ^-ooaxnrotTen^ia^g tho lia** r *thod oi' labels for paint con ihiS t h 3 ^ ^ c o u r e r s and dis- 5* t0 Seet 611 health uirttMts without D-'tained^rnfiS! ^adustrj' i5 v,eiT appreciative of the assistance that it has 2 V ? ^ par:aef .0I 8lth in 3ev York City end particularly from i ^ ^ Sanitation. The Industry will keep the Depart i S w ^ 2 t ^ rc S ^ rf f f ^ . a iw a y 8 raady 1X5 velcccae " * 5u^ sti * ths.t nJLilc Chairman Institute of Industrial Medicine T Dr. ARMSTRONG . ASSISTANT SECRETARY T U * *-*t~* jt*- 9 <q fa-+-4 . U /y f (*b****tC i# '* & T-4 IMI % p i c h o ,c i m e to ta ,, 7 ta, ^ WU( u Anatrali* or tb QaiUd Stato * e__ ,, . _ "*1 tb# bottth African lead or tb "big bill" U Bott* to.U. ..1 tot* * * . ,f 7 . t<UM< ^ J ^ > . . K . 1 . U . - U * . l t m t o ... ,U t l ,, , r wMh ^ atr tb cago wfaioh drap budrodm .. . * 9 " "**** * thoumud* of fot ander gmd, -H follow than to thw topo nn m i m mVu... ^ rEl#M **" ^ . . xtraat old, load, imo or eoppo, froa the rein of are thst thread tb m rth . ' - U . . t.r .P for . -tot. 70... totj, to.lttlnl7. - I o... n, . ,. . rto,. lMe. ^ .iuiUd._ H 7 lui. I w ' i .... 'ditoMti* U ta. intu M U it, i n . w t t u , u t,, 1 ta. tost. Sm . of timo a u too, 1. tuMnuUMl. . U . a . t o n m t l n d u .taopa.r>, f o n t t, uri to tint. *.-0.101. oui tort root last . r i m fr bn.tia*, .h.v.in, . * tostar p ^ . tom of t a n t u * i. .traini * t . .aim i. , * drilling and la wotting down mik pll. totoUa* tk. tlap ptotlolm of .Ulo, lut laja, ta* lo*., him. Irritotoi, taflaam .od lajarat >, a ln moa lut. b... ,,b,.u. , .r-lia. tUsa. .1 m i m h., too. of th. I M .U.tleltp of ta. ta*. . Brutaio* I. lapurm. . m ,, ta. ai... .tt.k. bota ito, ta, i, . * * lerorlo* of r t f ! p. Storta... of br..ta. otoialoj. lo., .f M l t .... m t lato . Ma', otpsoltj ..rh m ,, ,, t m , ,, u ,ttscl, ^ *lBr eoa" is aot iafaetioo, mar is it eentagiou. It torri.. . tot toto... ho., toc,. ., ti. lai lm*. toth.r mta lo! ltaUtf lo ta. u n bodp, .fiord, li.il ooodltloa for ta. l..l.fmot .f - 2tuberculosis. It is *11 known that u b with dusted lungs -re unuaaclly susceptible f tuberculeeis. ihan thia happens, not only la tha ainer threatened alth e.nrly datth, or at laaat a m n hopelaaa future, bat ha 1. a sours of danger to others, hi fellow-workera, hie f^aily u d tha cornualty. Thia inaction la i footer of priaa importance to the health and hygiene of tha coaaonlty. Tha haaarda la hard raek alaaa are a* great that vhaa n work er mate ineuraoee oo pt extra for it* pa 591 of the Metropolitan rate book tells the story - "Joplin, Mo. 1 . M -nd slae In.., shoe! ground ainer., specif Clssa B| no die*biller, no doable indeanlty." Several yaora ago tha operator la this particular section, hleh centers around Picher, Okie., and extends up to Joplin, Mo. and a study of Group insurance. One clausa appealed to than particularly, considering the sanditiona they faced In tha nlnlag industry in tha Joplin actor. Group insurance could be bought without aedleel exasin-tioa, regardless of age. Many operators bought Group insurance, conscious of the feet that Graup policies gar. the niners a necessity which coat so wueh under ordinary elrsusataneea they coalda't buy r.s uch protection as they needed. Another thing that appealed ta the Joplin operators was tha effactiwa work the Metropolitan had dona long lines of hoelth and sanitation. Meny of tha eperatora bought Metropolis Group inaursnee end about a yoer ago the Metropolitan Initiated special health aerrica, a caoperetlvc xperlaest sinilar In alo to other invastlgationa aids by tha Ccopeny in F m i i g l u a and in the Thetford Mine. . About a year ego the Policyholder' Service Bureau learned the United 8t&taa Bureau of Mines would he interested la expanding the Bureau of Mines *11Me la Piehar and in asking a sore intensive study of health conditions/ o the Saltad States B v m u of Min*, the Metropolitan, *md th* operators im the Tri-State ration combined fore ad enlarged th existing clinic. As near of th operating ala in th lad and sino field which canters sround Pieher, Okie., ex tending up t Joplin, Mo., and Baxter Springs, Zen., are covered by Group polio!, th Company a vitally iatrstod in r ooaauaity hee1th problaa afaieh definitely effected th mortality and morbidity of it Groups. A nasorendos which embodied the suggestion for a cooperative % experiment reached the President. "Sould the Metropolitan bo willlag to eoatributo en annual sum for * clinic la the Pieher aiaiag region to study silicosis, its effects and to formulate rceedial meeeureaf* "Tee,* was the laconic reply end the Metropolitan greed to contribute sc annual appropriation of $8,000, provideo the united States Bureau of Minos contributed #8,000 end the local operators, #16,000. The clinic man financed for p. period of three years. It of fers free medical examination to all the miners in the district. Its general pur pose is to examine miners and diagnose their cases, and to carry on educational work tending t eliminate silicosis and tuberculosis. lb* building which houses the olinio wee built by the mine owners ahlDr. T. V. Meriwether of th* United States Public Health Service, aeelsted by a staff of Govanmant physicians ere conducting it. On seas days they STamlna eighty men ead they expect to esamiae fourteen thousand before their work is through Twe clerks interrogate the alnere and fill la the information on an examination card The ainers go to the X-ray room where there chests are X-rayed by on* of the best machines purchasable, operated by a killed technician. Late in th* afternoon Dr. Meriwether holds a conference- with the other phyiioitns, the X-ray films taken -I- th. d*y W op, are pat as view sad are read la f u n c t i o n with th. a,,*. histo^ .f =llalanl fladlag, aad a final diagnosis i i t t n i u d . *.ch physician has a .pecial flald of latanat la tha investigation and it fathering data for hi. particular branch of research. Dr. A. J. Lease, ho wee largely reapoaalblo for bringing tho Metropolitan, tho operators ad the United State Boro of Xiao together la es tablishing the Plehor Clinic, ear* that th* oooporalbo of th* operator and aintra auger, well for th. invaetigetio. -ft. minar. erf tholr f-aili.. are pracUeelly U f A*eric*n it00k* Ira intelligent, lrf.pondeat and industrious. They are efficient erf individually t-ka oat nor rock than any other miner in tho country. Many of then prosper erf it l. . eooaaa eying in anthrestem El..earl thet every miner it e prospective oporctor. the vagee -re good. It is to the iatoroot of the aimer, of th operator erf the Metropolitan, incidentally, eiaoo tho Company hea Croup ineumaee on aoet of the alaero in the region, to hare e high degree of sanitation *nd good health la tho region. </ "Leak of funda here prevented aekiag inraetigationa of aili- ooalt coaperable to thoto eerriod on already, but the establishment of the 'Melt will result la . thorough inquiry into eiUoo.i. erf it# relation to tuberouloeU. Ihea the eilieosio peUeat besoaee tuberculous, then la the tioo to wetch the caee, to see that tho people at hoae end at work do aot besome infected. "The Director of tho United State. Bureau of tines he. given permission 10 di,tribut* loaflot awing tha visitors to tho dinie which describes briefly erf .imply tilicoaie erf tuboreulo.1., their nature and prevantion. It - 6 reco*M&da a phyaieal atesinatloe m r y ix aaatha far aa arkiaf la rock doat, ex&ainatloaa ta ba givaa fraa bj goraraaaat doetora af tba boaltta elisia *Aa so bara eia eoa froa a u harlaf tra* kaovlodfs af ' bla ruta af haalth, tha aiaara aleaat tha ebaaea ta avald lonf end Barletta illnsaa aad hardahlp. Beoauat tha Alalo tua baaa la operitioa abort tlaa( ita ratalta caaaot ba pradlotad at praaa&t but {ovaraaaat officiala belleva that la aeop# aad thoroaghaasa lt 111 atead oat a oaa af tha aoat laportaat eoatribtttloaa to laduatrlal hjglaaa" U.S.G. 127 ai fV METROPOLITAN LIFE INSURANCE COMPANY MEMORANDUM FROM NURSE'S REPORT V In m U ladirtiiil Health A safitj 9v m i To: XT* U n t i f m 0 l M tad YlevPrea. I i n w i h Proa: Dr. Lana* Is Rt- Armstrong Cork Company AddressI- Liberty sod Vary Sts* Leaeasier, ?a* *t#s Unm%m , 1934 Busi n e s s x f g * fleer esveriag A eerk pvedasts Visited By:- Berteaee X Grober Number of Bmployoost-uvsr tOOO Data:- October I , 1934 Interviewed Cr* V fi* Caeter , Psreemnel Ngr* Nies V tremor, N*V*, Ceapeay Nurse The following is quoted fron report of service visit: "Beth Nr* Caster tad Vies Breaaer, V*V*, Company's aorse, vers very eordial and reealled ny ?ttvious visit* I talked with Nr* Custer la his office sad with Slaa Breaaer la the aeoieel Department* Appreciation for our Nursing Service cae expressed by "r* Custer aad hiss Breaaer* t!r* Custer saldi "X know the service is eatisfactery as as ooaploiate have been bi ou_-ht to yy atteatiea*" n* further stated that through hie departaeat Armstrong Cork strives to jive the em ploys* every consideration and mentioned especially the service of e special nurse to tre very ill employee* Nr* Custer said that when he deems it accessary he wishes ths siek employees ts receive this attention* Hies dreamer spends the entire 'orsing visiting the absentee* end refers te our auras immediately anyone whom she considers needing Nursing Cere* !'iss Breamsr has bean with ths Company for fourteen years aad Hr. "taster highly cornended her service* T* Ut Cassali !ir* Bastlgar Za rat Arartimg Cork Coapany za ri coopctatzoi or c m clazh ax?Aimrnir vr. Guatar r a u l h d that h# gaarda sor Crea Issar* ary Jaalanaly aad la alaaya alt ta tlmlata faaliag af gaad vili attira 1* u 1 u d tha artlfleatabaldar* Aa aa saapla ha saatlaaad a tata of a 'Ittabargh aaplayaa. Ha aald that tha aaaaa aa aa laava af ahaaaaa dariag pragnaaay Thraagh aa araaa af Arratraag Cork har Craap Taaaraaaa aaa aaaaaliad '.haa tha oploy aada appllectioa far har alak baaaflt aad tha arrar ai dlaatarad( Ur* Cuatar rata ta aaf Rasa Offtea aaplaftaiag tha aaa aad tha saplayaa aa ra lsatatad * Hr Costar cald that ha aa ary nuah plaaaad itb tha aplaadld aoaparatia* raaalvad fra a and ha aaaaldava a aaa af thla aart tha aaaaa of tabi!afalsg gaod ili ba* twaaa tha aftifleatahaldsrs aad our Coapasy Za fai StttVST Of LAICASTO t*LAHT FC* ZlOOrTRlAL HZAlffR flAZJRO Klaa 3raar lnforaad sa that Ir. Kan, tha Caapaay* 8afty ssglatc, had at ar Ooator laOaaaall at a raaaat Ratlsaal Safaty Coafaraaaa aad had dlawaaad ith Oaator VaCaaaall tha .ooaslblllty of orraagiag far a plaat aanray far laad hatard* Klaa Sraaaar aald that aa to t aa tha Coepaay ksav, thar* aa no laad aaad la tha anufaatura, bui that thara had baia a d&aaoaalaa af a poaalbla laad hasard aad tha Copipaay vlahad ta rafota tha atataoaat HOT! Aprepaa of tha boa* durian ny eoafaraaaa lth tilaa J'illar, R*IU, Slraitar of Lonaaatar Vialtlag Rara Aasaelatios aha eallad io ey attantioa that durlng tha paat ytar and within ala oonthl* tioa four .'rmtroag Cork aaployaaa hod dlad of a raapiratory dlaaaaa ' 'aitar rtahar tha Caapaay* doater diagaiaad m aaa aa fMonoaonlaala All af tha aaployaaa orkad la tha ozldltlng dapartoast Z dld noi dlacoas tha abo lth glaa Bra-- arf L&u nthony J. MAGAZINE ABSTRACT To: From: Th library XAXZRXiXi IBXfZEjg BI DO LABZA, AKSAHQZD CHROSOLOOICALLZ, Pulmonary-disease s*ogi<s0Lxi?sin.`the:Joplin district, XUaouri. and tt relation t* k ^ R / J a th# albas. ' * AnthonyJ. Ideira and *dwia Hig'glniV * 0.8. .Mldei,. rema of, *eehcal paper. #105, 19IS: Abstract, Engineering and Minine Journal, 99jZS1-3 Fab. 13, 1915 Interstate Jfcgt#mion of tuberculous personal ita bearing on . the pablio health, With special reference to the atates of ' Arizona and Colorado - Be print ft8l fro* the Public health reports, . SO. #25, June 10, 1918. . . Bov a alner can avoid* pose dangerous diseases. Anthony J. Lanza and J.R. White. 0.S. Mines, Scream of. Miners* Circular, #0, 1916. l/^Esalth hazards of tha astal 'mining. industry. Journal of the-American public health ass'n. 474-478, May 1916. / (Minar *s coaroaptian-, , Journal of Missouri- Medical Asa'h. 131281, June 1916. Bilicsoos dust in relation to pulmonary disssae among miners in the Joplin district, Missouri. Edwin Higgins, i w . lanxa, and othsrs. 9.8. Bureau, of nines, Bulletin 182, 1917, 116pp. Miners* oonsunptioa - :a study of 433 easts of the diseases aaong sine miners in southeastern Missouri. ' ' 9.8. Publio* Health Service, Publio health bulletin #35 Ja. 1917, pp. 6-8: ' Ondarground nine sanitation Engineering and mining journal, 104t 889-800, Oct. 6f 1917. Occupational diseases Association of government labor offlolals of United States and Canada. Proceedings of the 6th annual conroation. . Das Voices, Iowa, June 24-29, 1918. Washington, 0ov*t. print, off., 1919. METROPOLITAN LIFE INSURANCE COMPANY l'Clifl LU) i l Mt. '* m agatine abstract To: - S From: Th Librtxy ccpboa aonoxld polaoain* M d l e U iournil' Pm*ylrua P w g t ^ n ^ a f ^ u i M m o b * pior In ten. S fjs g iii: s**, L S " - ^ "- s s w a s ^ "feass se -s- Z2 l SilfJ Xl0 ' "oatllM; preliminary D4Bl*l Harri^toa and A.Jf l Se* y*ar* 0f lfl**-l319 b y ^ iOno' T i m c 2 1 p p f# 2 6 6 , l a i92. U *fi* bur, a u o f # a4ltla of. tho uad*r*round workar. L :r 1701 io% i \ ts2iai -- ^ O T . C r n . % * 1 , ^ `i.n. * , Locatiopaad aquipment of modani industriai , Porsonaci 8i 1-2, A p S u i S l 1 dl*PM *as. Industriai hycisns - K.41,.1 Journal or Australia 1 , 89l-694, Jun. S4, 102, Industri! g m a n ut. dio! ,rorlon. *.dl d U Journal or Australi , 31-3 , iu,. 2S, lii! 772- TM - M * S * S n * 4 S r . - S * * ^ ^ , ^ -- `- A no aork barai odio! Vaneraal dlaaaaaa and thm faallr ' Httionil cotifaronoe of eaai*i . p. 204-7J aaa4Hopita ^ - 7 k* fwcaadlnef. 1925, OOcctt.. 1923 1 9 SO. Sana.- ojJuSrraiail aorf CsJoc,ia?l rh,TtyCt-?ian1a2,1 U2<t^-32906a-#402. METROPOLITAN LIFE INSURANCE COMPANY r**Mrm*.UibHti m agatine abstract To: From: Tb Library Periodic health cxaadnationa P* 503--506, ** ^ r k Central linoa aurgeona. 8y*poaiu* on periodic health axazdMtionj oraaant^ . at tanuil Matin, laae. l o u presented Physical axaainationj - whan and why. Bailway age 81j 272, Au. 14, 1926, v/Eafaty in waldin C1^J. Lanza and I.G. Cola, S.*7U0k?.. Metropolitan LITa Ina. Co., rulleyholders aarrica buroau jis2 7 ^ sp, Haalth examinations - ,farth > * -r "1th *tatua or ailicoais, R,B. Sayara. E,R. Hayhurst and A.J. Lanza American journal or public haalth 191 655-640, June 192 8tudy or ailicoaia in rook drillara ^ wicSUi;; Br i L ? i **> ni i / P r . T . l . K . ^ ^ t u b r a l h , t ^ i n lnduhtt9) hjr Saraty engineering 60s 100* Aug. 1960, Abstract Monthly labor rariew, 3li 609-10 . Bapt. I960 Co,, July I960, p. 6-10, ktropilitan Life Inaurar. . Obaarrationa on Industrial hygiene, American Journal or public haalth 21 529-534, May 1931, The dootor and tha rectory Journal of tha American nadioal aso'n, 97 509-511, Aug. 2, 1931 . METROPOLITAN LIFE INSURANCE COMPANY 0/30/32 1'..,n.UU It M, l,t| 284 r- NS89ABT 1827 r* tlc n Tr. r r a s l i a r . t j p l a l a l t.aat t a V c i t a J h o .3 r c , > t l u j t a c o - o p a r u t ` tit I t U.-.1 r e t a l i a l t a J r s o f t a ? . - a v l r . ; S tata C-iraau of ln-taa lava Jtlri- of t'O a rc ils s i icd t 9 -- FEBKCAiY 183T -- - Uleol-ln tha l u i ai ino tisi la JopUn, ito. ani furthr rduatd &a agrnat wlth th Bureau ualar blob th Burtau 111 ; spasi froa *9,000. to 913,000. ai aaklng a for sa appropriano n of $9,000, a par for thr 7*r. ' Tb Proliant ilital that our datb ani lok elala* hai ba rrjr high abcrlng'a deficit, haraupon th Coniti appropriatl $9,000. a year for thr pars for tha atudy of tualth ani houalag eoalltloaa of Ine alnra la eo-operatlon wlth tha Bureau of uina. I Oa aotloa, _ . Ad Journal, ' * aduL Glorie. ' /////////////////////////f//////).J/JJ ///////f///////f////// 1 . movp rats aooK >| IMCI .* a 'Oroup. Llfa Rato*. I Loadings ror Industry.' ............ ' j*?lng H8Caucaslan Liva * * * * S K S " ? ' ContrlbuttiS . . f ; * * K E 5 L Mounts of insurance . . remanent frotaction . . . " . \ " S M S S S - " " "*TM ' otas.......... g g f rial Classlfiatln ! I | I natas. . . . ............... ; Group dcidant and Health 8 10-13 10-13 S S .S S & 'r - ' KSS*? *r ""ti : : ' s s s s x i s s ss:: L L : ::; . occupational 0 m 3 5 V ^ g E \ * I ; proup Hospital ftrpnift j ^ j S - S S K M r ...... "S S /S S " : .............. jSLmSnS ? T ? f ` ; J ' S?1* * 1 wiranc - caada.' ! 1 S r * " Rapando Timm^y . , T * .. aus - Dapandant S S S S S i - ; Group Surclcal 15 Quality 15 Profanad 15 Canada ISA ISA Canada I ***** " faraona! Insuranca - u. a. . . 15 Quality 5?*?! " J ? ! Inaurane# - 16 Prafarrad I % 5^5 " Pnd6 t iDflUTQC --Il fi * * 15 Canada I aus - Oopoadant i S S S S - ; ISA ISA Canada 3*17 Allouant................... 16 Oroup Annuities !1 Mous. . . . . . . . 17 ^ 1 J m 2a12 Er?! i0? .* 16-21 rata" . . * . " n t B " " P l o w only Ssijrsssiss? * S M S 3.tlp~ ot >'lSr m S T ! " ?f f T f * ! "!'! [.nui aployas Contributions....... [ . -J Ordinary Raus.............. Llfa AaulMas....... ! ' ............. t**`& A MINIMUM FIRST TEA* EXTRA PREMIUMS FOR 6R0UF LIFE INSURANCE ISSUED ON THE ONE TEAR RENEWABLE TERM FLAN TO COMPANIES IN HAZAROOUS INDUSTRIES Where one concern is engaged In two or more in dustries, any or all of which require an extra premium, all the facts, including an occupational analysis, should be referred to the Hose Office before a quota tion is made. The fact that sons Industries are not listed be low should not be construed as indicating that no extra premium charge is necessary. If there Is any question as to the correct premium to be charged for any certain industry, be sure to comunlcate with the Home Office before any definite commitment is made. The minimum extra premiums tor the industry are applicable if all the employees of the employer are to be eligible. Where only certain occupational classes are to be eligible an occupational distribution of all employees, Including those who are not to be eli gible, should be submitted to the Home Office for pro per rating of the classes to be covered. The prospect should definitely understand'that all quotations are subject to final Home Office ap proval. Ksimn mrt r u m u rimami * m rea li.ooo or mouses laaiel Fnwlua ifeetur fnalo* MININ Coal - Surface or Underground. . Lead and Zinc - Surface or Underground ................ Other Ketals - Surface or Underground ................ Minerals (Clay, Phosphate, Salt, Shale, Talc, Feldspar, etc.) Open Pit or Underground (Does not include salt production where no mining operations are Involved) .................. quarries, Stone Yards and Mills (Oranlte, Marble, Stone, Slate, or any substance including Rode S 3.00 S Refer to Heme 3. CO 3.00 3.00 0.26 Office .26 '.26 .26 SMELTINO AND REFININS OF METALS (Sy other than Electrolytic Process).................... 1.00 .09 IRON AND STEEL Iron ore Milling and Blast Fur nace Operation.............. 1.00 .09 (risks engaged In steel making, even though Includ ing blast furnaces, may be written without extra). 10-17-44 (Page 2) imam '*St^<Dor rCont,n*<l. (it rh^wn foundries. but foundry JJ" fo"ndry Involved* ? % t0na *r* a,,ns*<nur m i 1 .WooWo Wpf *a1mip* * 1 Ht*lr * l.oo t 0.09 H SE twwwtation port*M( * Flying setooit Electric w d -H **. . **f,r * Ine Offici :.oo & ^ S 8 ! : 3.00 llfcp to si ` ' ***nru 5 `Dri^f1^; ?us=` ' ofru miscellaneous p l& lll. s i i ? " ;.'" W s " TM S S S S * " w.*- Frtmzr : ; ; ........... r n S i J S z E s`) : : : Sjl" 1K S S S t ; : : : 2.00 2.00 -- fr .b , 0ffl** *'W" *** Wfi17 5.0 0 24 3.00 .28 *"*r l a . Off!.. 8iifaOOBposad =her?orater' >U2.r00 b " m ^ Woodsmen ana Logf8.*"?8* 1.00 **f.r . , 4-45 (Page 3) Schedule of Minim Monthly Premiums Per $10 Non-Occupational Weekly Benefit S-l-49 GROUP SICKNESS AMD ACCIDENT (EXCLUDING MATSRNITT BENEFITS) _________ No Industry L o a d i n g ____________ ____________ Schedule A Applicable to groups which fcaill <> re on the Sinpllfied Accounting System t M <b) require that all eligible employees nuat become insured.---------------------------------------- ------ -- ------ Day Benefits Begin ^rrlrient Sickness 8th 8th 1st 8th 4th 4th 1st 4th 15th 15th 1 Maximum Duration | Less than (Weeks) 1 13 $ 57 26 .68 52 .68 13 .63 26 .73 52 .93 13 .73 26 .83 52 1.05 13 .76 26 .86 52 1.08 26 .61 52 .79 11-21 $ .60 .72 .95 .66 .78 1.01 .78 .69 1.15 .81 .93 1.18 .64 .85 X of Benefits on Pennies ..... 21-31 $ .63 .77 1.02 .71 .83 1.08 .83 .96 1.23 .87 1.00 1.27 .68 .91 31-41 $ .66 .81 1.08 .74 .88 1.15 .88 1.01 1.31 .92 1.05 1.35 .71 .96 41-51 $ .68 .84 1.13 .76 .91 1.20 .91 1.05 1.37 .95 1.10 1.42 .73 1.00 51-61 $ .71 .88 1.19 .81 .96 1.27 .96 1.12 1.46 1.01 1.16 1.50 .78 1.05 61-71 $ .74 .92 1.25 .84 1.00 1.33 1.00 1.17 1.53 1.05 1.22 1.58 .81 1.10 71-81 81-91 $ .77 $ .80 .96 1.01 1.31 1.38 .87 1.05 1.40 .92 1.10 1.47 1.05 1.22 1.61 1.10 1.29 1.69 1.10 1.28 1.66 1.16 1.34 1.75 .84 .88 1.15 1.21 91 and over $ .83 1.05 1.44 .95 1.14 1.53 1.14 1.34 1.77 . 1.20 1.40 , 1.83 .91 1.26 (Page 7A> - These rates are for Plans excluding maternity benefit. CROUFsicitNESS AND ACCIDENT INSUKANiA~(jbACLUDiNG"TiATERNITY BENEFITS) 1-- * Schedule of Minina Monthly Prenluan Per $10 Kon-Occupational Weekly Benefit ________________________ Mo Industry LoadInc Schedule B Applicable to groups which have SO lives or sore Insured at issue and do not seet both of the fol lowing requirements: (a) group is on the Sinpllfied Accounting Systen and (b) all eligible employees nuat becowe insured. Begin Accident Sickness 8th 8th ^naataiw (Weeks) IS 26 32 Less than 11 $ .60 .72 .93 11-21 $ .63 .77 1.01 1 of Benefits on Fewles 21-31 $ .66 .81 1.07 31-41 $ .69 .85 1.14 41-51 $ .72 .89 1.20 51-61 $ .75 .94 1.26 61-71 $ .78 .98 1.32 71-81 $ .81 1.02 1.39 81-91 $ .84 1.06 1.45 91 and over $ .87 1.10 1.51 1st 8th 13 26 52 .66 .70 .74] .77 .81 .84 .88 .92 .95 .99 .77 .83 .87 .92 .97 1.01 1.06 1.11 1.15 1.20 .98 1.07 1.14 1.20 1.27 1.34 1.41 1.48 1.54 1.61 4 th 4th 13 26 52 .77 .87 1.11 .83 .94 1.22 .87 1.00 1.30 .92 1.05 1.38 .97 1.11 1.46 1.01 1.17 1.54 1.06 1.23 1.62 1.11 1.28 1.70 1.15 1.34 1.78 1.20 1.40 1.86 1st 4th 13 26 52 .80 .91 1.14 .86 .99 1.25 .91 1.05 1.34 .96 1.11 1.42 1.01 1.17 1.50 1.06 1.23 1.59 1.11 1.29 1.67 1.16 1.35 1.76 1.21 1.41 1.84 1.26 1.47 1.92 ISth ISth 26 52 .64 .68 .83 __ & .71 .74 .78 .81 .85 .88 .91 .95 1.00 1.05 1.11 1.16 1.21 1.27 .95 1.32 These rates are for Plans excluding Maternity benefits ' GROUP SICKNESS AND ACCIDENT INSURANCE (EXCLUDING MATERNITT BENEFITS) ADDITIONAL LOADIMBS DUE TO INOUSTRT NOM-OCCUPATIOKAL BAOUP ACCIDENT AND HEALTH INSURANCE ANO CROUP HOSPITAL EXPENSE INSURANCE The minimum extra premium for the Industry ere applicable If ell the employees of the employer ere to be eligible. Where only certain occupational classes are to be eligible an occupational distribution of all employees, including those who are not to be eligible, should be subaltted to the K.O. for proper rating of the classes to be covered. If a risk Involves two or more industries, on one or more of which an extra is required, a composite rate ill be com puted by the Home Office upon receipt of full facts in cluding a complete occupational analysis. Any rate quoted on the basis of an occupational classifica tion will be subject to change If the enrollment earns . secured show any material change in the occupational dis tribution of the employees. The percentages mentioned herein are to be applied after adding the extra, if any is required, for female and/or non-Caucasian benefits and not to the base rate for the plan sold. Breweries, wine manufacturers, wholesale liquor dealers and wine merchants, and distilleries of ethyl or methyl alcohol or of alcoholic beverages ........... let Felt hat factories ......................... Home Office Furriers................ .'........................ IS* Hot Metal industries, smelting and refining.......... is* Llae, cement and gypsum (Mo Quarrying) ................ is* Marble and scone yards (Granite-- refer to Home Office).. IS* If cutting and polishing operations are an Important part of the work, refer to Hams Office. Mines-- Lead and Zinc inJoplin District......... Home Office Mines-- All others................................... 40* Quarries-- Granite......................... Home*Office Quarries-- All Others................................ 40* Railroads.................................... Home Office Railways, Electric andStreet...................Ho m Office Refractories ...................... . . . . . Home Office Shipbuilding....................... 25* Tanneries...................................... . . 15* Textiles ................................... Home Office Any and all operations from the receipt of the raw material to and including spinning, weaving, knitting, braiding, bleaching, dyeing, and finishing of any product from cotton, wool, rayon, hemp, jute, silk and flax. Woodsmen and loggers........................... . . 25* If a foundry is combined with other operations of a company whose primary business is not a hot metal industry, that company shall for rating purposes be considered as engaged in two or more industries. Foundry employees are those engaged In the occupations consonly designated as: Core Makers, Welters, Holders, Cupola Tenders and their Helpers, Foundry men, and Foundry Foremen; Foundry Helpers and Laborers, including among others Coal and Coke Heavers, Ladlers, Pig Breakers and Sand Shovelers; * Casting Cleaners, including among others, Grinders, S Blaster, Chlppera, Rattlers and 8naggers. " , *,?v".naaB<1 occupations are familiar to persons engaged HL*2!m ir,r 40(3 ao difficulty should arise in obtat m g such a classification. 4-45 (Page * I \