Document 44xN8ezB260VQQnw9vvz3x8K1

FILE NAME: Asbestos in India (IND) DATE: 1983 Mar DOC#: IND016 DOCUMENT DESCRIPTION: Journal Article - Personal Experiences in Diagnosis of Asbestosis / INDIAN JOURNAL OF OCCUPATIONAL HEALTH, 1983(March); X X V I (3): 285-289._________ l& r caia 6317 i Code 10 12 61 62 63 8718 PERSONAL EXPERIENCES IN DIAGNOSIS OF ASBESTOS S by Dr. S. R. KAMAT ** conDsuidreinregd mcyommmedoincal kntroawinleidnggeit twhaast people working in stone quarries get tmuebcehracunliosmsiss. inHsoiwliceovseirs bethcaemceonccelpeatroerf itnogmuendoenrly Bdruirtiinshg thteeacpheerriso.d oOfvetrrai2n5 ytievaerst,ubIehrcauvleossiesewn itohnlsyilifceowsisc.asTehs eofcoamc cmitoynissilaicmosoinsjg wthorakt eirss sweeonrkiinng iBnomfobuany gdrriyn,didnygeacnadstqinuga,rrsiaesn.dIt sbhlaoswtisnga, psitcotnuree of punctate multiple deposits. maIsnsiovuerfiubnriotsiws einhavpeersosenesn epxrpoogsreedssivtoe caecmuteentp,rosgarnedssiavned sgirlaicinosisst1oraasge. seenThine nsliactel-apregneccilonwsoorlikdeartsiownhicohcusphyoinwgs cbhoroth lIutngisfieclodms misonuncinommMoandhiyna thPirsadceisthy.. Tlehssenseessa,recoyuoguhn, ghapeamtioepnttyssis;witahndbrbealatchk sopfustuilmico. siTs hinereAinsdwhridaesPprraedaedshp,reMvaaldehnycae PshroawdenshbyanadreGceunjat rcaat.se Tohfis2 4is yeavrisviodlldy yfeemarasle.inShane hoapden wquorakrtezd mifnoer. onHlyow5 eavloenrgwshiteh virhteurallpyarleinvtesd ainnd suclahtemr inheers lhyussboanmducfohr d1u9styeinarst.heThveicrieniitsyreopfosrutecdh owphenolemcinoems maunnyiwtyheirnehailnes Indsiialictahadtustth.e Tvehrey tydpisecoonfcesritliincogs.isTthhiessefepmeaolpelepgaetitenist died of respiratory and cardiac failure dweasrpdi.teDienstpenitseivaebsemnacenaogfeminenfetctioinn ohuerr mtyajorexpcoemctoprlaaitniotn,wasocccoausgiohnawl ithblsocoadn cstorveearkeidnghearndhesalrigt hftaileudreemaadeoqfuafeteetly. Wbuet cmoaullndounroisthceodm, bcoant tliunnugedfatiolurhea.veShme awrkas epdertteancshiyocna,rdaianodxuiae atond pduielmd onwairthy heyx haustion. conTihoseis othseeern cominmon Bompbnayeumois btiycsuslianrolysisi,n ipnrecsoetntocne omfillcowugohrk. ersI,nplaart tweorrtycearreslattihoenssehippatbieuntts stidllo niomt phraovvee vaeftrearl wsteaeykinsg. Tahweayy dforosmhowworgkreaftoerr dsee calninde)hianveluinngcrfeuanscetdionIgGovearnda IwgoErkledvaeyls, ibnrocnocmhiptiasri2so.Tnheytoalcsaoses shwowith acnhroninic fucrnecatsioend raastecoomf paanrneudaltodeccolinnteroiln lsuunbg jDecytsss.in3oWsiseinhawveorkaelsros fwoournkdinfgewinjcansoets soof dwuosrtkyersaraeansd, tchootsteonwhtoestihnagv,,e wgionrnkinedg a few. years. areInlescsonfrtreaqsute,ntotihnerIndipan. eWuoemhoacvoenisoeseins csiass,es Bweitrhyllciooasils'a' nadndgold Aprnceumwoeclodneiro's lsuignngifsicaInnt thinecrealasteterincasefibrothsiesre wwiaths rthouenndpoceinllteidnfiloturattiothnatin atlunhgi.s INt awvaasl * G19u8e3st. lecture at Annual Conventionof I.A.O.H. Bombay branch in March **BDocmptb. aoyf-40C0he0s1t 2. Medicine, K.E.M. Hospital & Seth G. S. Medical College, 286 INDIAN JOURNAL OF wexoprokssepdot thoe amsbaeysthoasvemabteeerniali.ncHidoewnteavlelyr wtoepadthidolnogoitc findchaanngyesphyscioonlosigsitcenotr whiitsh awshbeersetosaissbeinstotshisis ciassed. iaEgvneonsedin Barloitnaginwhaitvhe mbeeesnothfoeluionmd ainofdteonc,k swevoerrkaelrscaasneds casual labourers5 . waFsirisht Masabdersatos.sis Acas3e5 1yesaarwolidn Innodnia lsemssonkeisnsg omnalsehocrotmepxlearintieodn oanf dbrceoautghh wspirthayeerxpoefctroarialwtiaoyn. coHaechhesadfowr o1r0kedyeaarss Tanhde srtaodpiopgerdapdhue stuoggesctheedst asryemaps towmitsh. czoolnlaespseandanadn afisbsroocsiaistedin hbyoptehrlueleonwceer tinestupshpoewr ezdonselisg.ht Pobuslmtruonctairoyn anfudncatnioon xhiaad obneeenxersucibsme.itteTdheto pbatrioenncthogeraarplhievr wanhdichcrocwondfiinrgmeodf lborsosncohfi luwni.`ghouvtolduimlae tfaotrioans.beOstuors Pbhoydsiiecsianins sapruetusmtill folroockoinng fTirhmisatpioantientofor dseiavgenraolsisofoofur alsabteerstopsais stipeunttusmneevxearminshatoiwone.d Tanhye,ir onprreosuetnincee oinnlya icnodmicmatuensitya.n Texhperoesurise ptooorasbcoesrtroes tluamtionanbdetlwuneegntisassubees7to.s bodies in spu patIinent19a7g0edin3B7 omyebaarsy wwheo sahwad awmorakle eLdatears, astbheestofsactosrpyraeymerplfooyred 12hiymearass. Hcleorwkevaesr hfeorwpaasstbr2eatvhelaersss fhoer w6asyeaurns. a1b5le ctigoardeotteesvean dthaayt'jaonbd. haHde sstmopokpeedd snmevoekringhdadue atnoy chhaeesmt opstyymsips tomosr. larHgee qtuubaenrtcituylosoisf spfuotrum2 mbuotntwhsa.s trHeeatedhaads lost atleast 4 kgs. in weight over one OCCUPATIONAL HEALTH syleigarht eaxnedrtiohna)d. gHr.e IValsdoyspdneoveealop(oedn sfawileullriengovoefr f6eetmaonndthss.ignCsliniocfal caredxiaac mnairnyatsioenconrdevseoaulendd, raaclceesntautatbeodthpublamseos zaonndesrighatndmidtrazcohneea, dwulalsnessdeviinateldowetor raingdht sRdVc.H. AnThEeCGradioregvreaaplhesds RBdoBnBe osivzeer, l2ineyaerarfsibsrhoosiws,ed loisnscroefasleudng hevaort lturemaetmaenntd of bhaesaalrt fcaoilnugreestitohne. signAsfteorf vfaeialulerde arevdauricaebdle.* Sdeevgerreael oafdamniossxiioan.sPurel tmioonnaorfyvitfaulnccatipoancitsytud(2ie4s%reovef alperdedreicdtuedc) FFVECV-,1.0,F7VC%lit.-86M%BCF-4E7V.6, -L0i.t9. 2 mLiitld. r(PedEuFctio2n10 Linit).expiTrahteoryoxyfgleonw uprtaatkees watasrremstilwdasd.ronporminaloxy(g2e2n8 samtul)r.atioTnheorne ewxiethrcirseedu(cfrtoiomn i8n9.1pCtOo J8(72.90%m)m)a.lohngI-s cteadpac(i2ty80tokgdmoimexine)r.cisPeatwieanst vdeireyd ldimuri cinargdifaocurathnd adrmesipsisriaotnorywitfhailuerxeh. austion, age11d1 4.57/Tye,ars,wcwhsoawhaadn signinsduosftribailliast tseervaelrabl asianlvefs'tbirgoastiisonsandherheadanudndaebrgrooande ignacvleudinag hoipsteonry luonfg tobbioapcscyo. sHmeokailnsog (b6o0thdahye) awnads pseatlhviadgiende. addDicutiroinn;g frohmis ytoouansgbeastpopsreonrteicaes diat'ywsashebrwoausghetxtpoosheids gHeedouwsned btyo rsauilpwearyviswe agobnrseakinin'Bgomofbaavs. fboerscteos foorre 4anydeair.tss bstuotrangeevebry hhainsdwleodrkit hcliamysealfnd iHroen woarsesalfsoor efexwposyeedarst.o taHlee started feeling tired at the end of this spleignh.otd barneadthlewssansesgsetotinngheacvoyu'gehxertwiointh. EXPERIENCES IN DIAGNOSIS OF ASBESTOSIS 287 bHuet wfoaus,ndmadrirffieicdultattotheenajogye omfar2i8talyeliafres; tshaelvraegfoerde. heOvteorokprteoviaodudsict1i0on ybeaurts whaes csoomnteinudeisdabtiolitdy.o Whihs enexewceutisvaewjohbimwitaht trhaedioaggreapohf 45hahde hreamd aainefedw urnalcehsa. nTghede oovf erfib1ro2siyseaarts.botIht sbhaoswese.d Lsumngallbiaorpesays hsoams e rpevleeuarlaedl fibnroonssips ecwifiitch sliulincag duansti;l sdeuvcetrioanl luinngdiffufunscitoinons cahpaadcityshowanndrea Odruorp luinngp f0u2nctioonns exsherocwiseed a(Traedbulecti1o)n. iwnhicVhC (im60p%ro)vedwitahftesromaeeroobssotlr.uctHioins tdoisaigsngors.i|s I.was almost certainly asbesas Afoltlyopwics.alAmimldalceasaegecdan45beyedaersscr(iEbend gyianmeerm) ahkaisng befoenr w2o2rkinyegarsin aansdbeastlosos ysmeaorks.ed H3e0 hcaigdaretatehsistpoerry odfay smfoorke3r'5s cfoorug3h mfoornstehvserwalithyearssmwalhlichquwaanstiwtyorsoef snpeusstuman.d Hfaetigwuaes coonmpexlaeirntiinong opfartitriceud l(agrrl.y IIondcylsipmnboienag). foArftseervegraivlingmosnomthes bArocnhcehsotdirlaadtoiorgsrahpeh hraevdeanleod luningcrseiagsnesd. vcaarscduialacturreeg,iocnalcaifniedd gsrcaadres inI rliignhetarpafriba rluonsigs fusnucgtgioenstsivwe ereof noarsmbaelstosiVs.C-3T.0h8e Lit (98%) of predicted. FEV, -VC%l8i6t.%a,ftFerEVbr,on-c2h.6o6dillaitt.or PaEerFo-s3o0l0. Mtoin3u3t0e vneonrtmilaaltioant reasntdanodxyognen exueprtcaiksee. Hwoewrelimeritehdis tocap4a0c0it-y500toKdgomiemxienr.cisAertewriaasl ptoO?75 amt mresatftewrasexe8r5cisme,mpCaOnd2 deactlinreesdt wHaes d3e4vealonpdedrosreestpoir3at6ormymacoindoesixse:rcipsHe. wonas e7x.4e4rcisaet, repstOianadftecrhanocxeydgetno '7w.3a`4s b5l0o0ckm. m Weindhiacavteingseean smeviledral dpifaftuiesinotns wlikheo ianrseuleaxtipoonsedmarteergiualla,rlwy otrok ainsbeesntogsi nsyemerpintogmosrsiemleiclatrrictaol; tihnidsusptartiieesnt. getting meAnt fsahcetoertsy rdeeqauliensgtedwiuths taosbreesatods thceeir wwaosrkleerasr'nrtadtihoagtraspehvse.raIln othldiserfawctoorrkyerist wleemrse aconmd phlaaidnintagkeonf rreestpiriermateonrty. prTohbe ermegpulloayrmwenotrkweresre (7st8u9d)ied-prefoserntlsyympin ttoraminsedanrdeardaedrisograinpdhespwenedreenrtelyad banydtwino icnognsgurl.tat1io1n1. Waesbfoesutnods r2e8l%ated afsibrhosaivs. Agensotitvheerot8.4g%r. r1a[d2iogarsabpehstsosisw. ereThsuegre wficerescacrhsangines 1s6u.3g%gestivaend oftunboerncsupleocuis fsecwarsofinth2e.4se%s.carWs emaydobethianlkso qrueiltaeteda ctoifiewdorpkleuerxaplossucraer.s inTh2e.r8e%werseubjeccatsl-. . oWferaadlsiooglraatpehrsstfurdomied aanotshimerilafracntourmybeinr Ianbdnioarmanadlitifeosunadttraibulatarbglee ptroevalaesnbceestoosf esixdpeorsautiroen. s.Dutheesteo afidnmdiinnigsstratwiveere coenx plained awav. kerWs iathndinstoemlliegednotctocrosopweerawtieorne porfivwileogr ebdesttoos sienedu2s8tryworokveerrs lwasotrkin2g yeianrsa9s: 2ha0d(71a%m) eaonf thwesoerkwereexpsomsoukreerso.f T1h2e.9v ytoemarss. befOonree 5ofytehaersse odf eevxeploopsuedre asynmd p7 hafatder eaxnerteioxnpaolsudryesponfoe6a-10asyeathres. Mproost mduinlle)nctamsyempwtoitmh . Cfeheelisntgpaionf tig(uhstunaesllsy. nIness57w%as thecroempwlaasinewdeighbty l7o9s%s: weaankd cough was present in 46%. Finger 288 INDIAN JOURNAL OF cclaulbbexinagmiwnaastionseeonnliyn a25f%ew. hOand celvinidi ehnacde doifmirnhiosnhcehdi borreathbronscohuonsdpsasm;and8 rales were present in 46%. derOedf 2a8s chaasveisng24assbuebstjoecstiss.-wTehruesco7n9%si lsohwoweredanldinemarid andzonneosd.ulaPrlefuibrarlosisscarins wweitrhe csierceunlairn m1a5ssesusbijnectbso. thOnluengwsorwkears sduirsepcetctaedspitroatihoanvethmis aligpnraonvceyd tobubteona caolclaescetionwiotfh pbuilsa. teWrael aplsleourhaal vteranseseun wdaotreksinign ata astasttaiotnion mwahsetreer washboestwoassolouai;depdatiwenatgsonwsithwegrre. IuInalosabdesetdo.sisOndeevoef clohpaerdge.canWceer haandd adnieodthesroopnataieftnetr wdhiso haasbdesatodsvias.ncedRouctainrdeiacspirofamileutrrey wwiaths ninor5m3a%l ;inlow48%FEVan,d wsahsowseeden reinstri1c7ti%on. Iennce82o%f wobosrtkreurcstiothne. reOwfas 2n3o pateivenidts rwehsto! ahnadd ebxelorocidse, g1a1s hsatuddaiebsovdeon9e0 mmat ppOO j2 leavtelsrest,be8lowsubje9c0ts hmadm. reAstfitnegr erxiseerciinse ptOesjtinign th13erepawtiaesntsn;o inade9qupatae tents there was significant drop in pO2 on exercise. plaWqueeshainvenesaerelny paastiyemntpstomwiatthic plewuorral kmeorsn. buItntlearrmgeittsehnatdlyowwse seemsee euxnpcoosmed wwohrickhersmawyhobe croemlapteladinto owforskymipntomass bheasvteos heaInrddustthraiets. thSeevemraalnagetmimeenst woer mdoednicoatl ecnocnosuurltaagnetsobotrainuinnigon a ocfofincfiairls mthaattiornadoiof gdraiapghnsosisd. onWe earheaverengoutliacreldy read as bronchiectasis or nonspecific OCCUPATIONAL HEALTH fMibardorsaiss., sAevserainl wouorrkefirrsst as cathseey cforomm ptrleaainteedd oafs ctouubgehrcuolrosishaeamnodptyssiesvearrael wquoerskteiorsnaabrlee pebresnueafditesd. Mtiold retiartetemwpitths patengseattteidnghasovme emeotf wouitrh pcaotvieenrtts recsoimst ance land interpersonal difficulties. preAsenttyptiocalhiscadseoctofrrsomaftefract8o-r1y5 ymeaarys soofmeexpdoyssuprneoetao oarsbetisrteods.nessHewhincohticleas taenrd lporsosgroefssews eitgohtc.hesCtlinpiacianl, aneoxraemxiia nbaetionno shcolwubs bfinewg. raRleasdibogurtapthhesre mmaayy sphooswits mpaicrrtoic-unloadrulylarat raignhdt lbinaseear andde seolsmewethimerees. a Pgurlomuonndaryglasfsunacptipoenaramnacye suhpotawkemoinld exreesrtcriiscetioann,d alodwroepr;edin pOO:j oansbeesxtoersicsise. wTithhis mplaeyurbale dtuheickteonignrg.I and moderate functional disability. IndWiae asruesptreycitngthtaot mseivneirmailse etxhpeerotcscuinr rfoenllcoewionfg adsbefeesntossiverelaartgeudmdenistesas(eas) wWithe dduostnrioatl heaxpveosutrhee; s(abm) eOiunrtenwsoitrykerosf ainre nviolty veexrpyopsreodd;uc(tci)ve) Oanudr dwoornkoetrsgetsmhoekae hcoemavpillyic,atiimngbibdeiseaalsceoshol liakned oifntfeenctiongest, bdriaonnschaireectapseirshaoprs tumboerrceulorseiss'ist(dan) t Into dtriiseesa.se(es) pBryevalteenxtt binoodkevcerliotepreida ucnoluenss alusnbgestboisopbsoydisehsoiwns spuatsubmestoasrebfooduiensd, oorr sriamdiiolagrratpohssilicsohsoisw, waedsvhaonucledd nocthadniagges nmoesnetsasabcecsotrodsiins.g tSoomouer ogfrotuhpese areargnuot strictly based scientific evidence. As symptoms with' asbestosis are not EXPERIENCES IN DIAGNOSIS OF ASBESTOSIS 289 lpuantgh'ifsnhoomulodnic beihcinvceissetaigsaetsedm porieouprear. tlyheliom.Wa eorhaluvnegseceannccearsedsiaogfnosemdesoon aliuotmopassy hainveoubreeninsrteitpuotretedand inmfeasromtheers otof Masabheastroasshctroantapienrihnagpseawrtihth. eWxpeosubree lsieesvemtahyatbeasbcoemstomsoisn. ainnd criteileasteodf dIinsdeaia cainodn itanndeepdrsopgerreaitnervestvigigaitliaonncet,o sduisapgi innodsuestrthiaelmisatiomnoretakionfgten.plaWceithinraopuidr cporuancttricye ththeismaepdpicraolachexpteortsencoshuorauglde saunsdtationedprepvreondtupcrtievmitayt,urlaebloousrs ofwyeolfuanrge workers. Acknowledgements: DeWane forthaalnlokwinDgr.thCis. wKo.rk Dtoesbhepadnodnee,. TlyhseedpbuylmoSnmatr.ySfuulanbchtiaonAtdhaatawawlea.s ana References: 1. dSyuraAtt.RP.,.MBo.,ltoWninWn.KW.,.CG.Jilre.s, RBr.Do. Asacnudtbelastesrisli.coAsmis . Rinev. TRoemspb.stDonise. 1977:115:521-529. 2. KE.aRm.,atNaSi.kR.,M.,TKasakmaratS.GP..R, . DIyiesr carnidmicnhartoionnic bbreotnwceheintis binyssciontotsoins gmloibllulwinoprakteterrsnsb.y JS.erumSocI.mOmcucnuop. Med. 1979:29:102-106. 3. pKekaamratV.SY.R.,.,LobKoiamE.at GD.iRst.i,nguSisahl- ing byssinosis from chronic ob srtersuuclttsiveof apuplmroosnpaercytive disfievaeseyearIsntduiday. Aofm.coRtteovn. Remspil.l Dwiosr.ke1r9s81in: 124:31-40. 4. PS.aRte.l KC.Chr.,onicShahBeryDll.iPo.s,is. KaImnadt. J. Occup. Hlth. 1977:20:181. 5. APractelWKe.lCde.,rsS'heLthunSg..M. JK. aPmosattgrSa.dR. Med. 1977:25:35-38. . 6. sCuornest--antiintsidirselaKte. dAdsbiseosrtdoesrs. exBpriot. J. Clin. Pract,' 1977:31:89-101. 7. MRocgLgalrity VJ..LW., . eGtarleenCbeormgparSi.sDon., ocfousnptustuinm foarnmdelrunagsbeasstboesstwosorbkoerdsy. Am. Rev. Resp. Dis. 1980:122: 941-45. 8. kKhaimndait SK.R.D.,. SalpReeklaartioVn.Yb.,etGwoeednpbneerucumlooscios.niosiPsraoncededpinuglm. onSayrmy ptou csuiulomsiso.nAruegc.en1t98a0d:vapn. c8es7-i8n8.Tu19b8er2. 9. sShhuarh SA.P.A.,. KPaamtteartn S.oRf., asMbeashtoaswHoltrhk.er1s98in3 Buonmdebrayp. uIbnlidc.atJio. nO. cc. 1?. BLeerwriynsGoh.,nGHil.sCon., JR.Coa.,chHoSl.mA.esASs.. rbeelsattoiosinss:hiapsstuindy aonf daossbeestroesspotnexse t1i9le79f:a3c6to:9ry8.-1B1r2i.t. J. Industr. Med. 11. ErinsktesrliinnestPud.Eie.s oEf stthime ahteinaglth ehfefaelctths o1f97a6s:b1e1st3o:s1.75-A1m80.. Rev. Resp. Dis.