Document B3wzZLbMok6J4J2m3VJe81Zo

FILE NAME: CTFA (CTFA) DATE: 1976 Mar 8 DOC#: CTFA007 DOCUMENT DESCRIPTION: Unpublished Internal Report-Cosmetic Talc Status BABY PRODUCTS COMPANY Por CTFA Talc Meeting March 11P 1976 March 8, 976 COSMETIC TALC STATUS The safety of cpnsumer talcum products has been under continued attach, primarily led by the Mt. Sinai group, because of three alleged concerns. These allegations are as follows 1. Commercial talcs often contain asbestos as naturally occurring contaminants. 2. Talc contains other impurities., minerals and metals which may have potential biological significance. 3. Talc as a mineral itself may be hazardous. I. FACTS ON TALC A. Asbestos and Cosmetic Talcs - chrysotile asbestos has never been detected in cosmetic talcs or finished talcum products. - amphibole asbestos, e.g. tremolite and anthophyllite, has been found in a few U. S. consumer talcum pro ducts (by Mt. Sinai and confirmed by a very reliable eaqpert consultant) . - disagreement existed between Sinai scientist and an expert consultant in recent analyses for asbestos in British OTC talcum products. This resulted in withdrawal of highly controversial allegations of asbestos in British talcum products intended for presentation at the 4th International Symposium on inhaled Particles & Vapours, - Mt-. Sinai disclosed statements in February `76 during private interview with the Canadian Broadcasting Corporation that their a n a l y s i s of U . S. products has found asbestos. LoG iudice/W CD/0372 -2 Mareh 8, 1976 B. Biological Testing of Cosmetic Talcs - extensive animal testing data is only available for Windsor. 66 talc and Italian 00000 talc, - Battelle hamster inhalation testing on Windsor 66 talc with chronic exposures up to 185 times median baby dosage has demonstrated no exposure-related "" pathology. . , . ` . - MRC (British Medical Research Council) testing with Italian 00000 talc indicated no tumours resulted from intrapleural inoculation.or ingestion, v ' ' .* - t ): 3 * *v - MRC testing with Italian talc showed fibrosis at high and very long exposures (up to 1000 times median baby dosage),5. / * . '>*' ` V* C, Human Medical Studies - Rubino Mortality Study, indicated rto. excess deaths, due to cancer amongst talc miners and millers exposed to Italian cosmetic talc. - Green prospective Pulmonary Study with Windsor talc miners and millers have shown no respiratory disease. - Kleinfeld has published that deaths were due to cancer of lung and pleura amongst talc workers receiving high exposure to industrial talcs mixed with appreciable amounts of trenolite, anthophyllite and small amount of silica. ** * ... d ; Conclusions - all of the data which argues strongly that cosmetic talcs are not a hazard to health under normal-use conditions are based on studies with Windsor 66 and Italian 00000 talcs, both of which have a talc purity of better than 90%, and no asbestos content. - amphibole asbestos contaminants have been observed in finished talcum products. Tight specifications should be written to preclude sources which afe marginal as to potential contaminants. LoGiudice/WCD/0373 2 The Boated Gibbo Monday, Vinifi,1671 f 1 NAMES & FACES* pr THE NEWS Caroline Kennedy 18, made the ttmt. page of the London Sunday Error, pictured riding In a florist's an With* John Barclay 22, a profes ional cricket player. The. Mirror said relays and Miso Kennedy, daughter 1 President John T. Kennedy, went By Marian Burma WMhiagtonPirt VqpMfiS* .V'^SPSI WABmGTON-A.bMhii^i found in thousands of ptodiuj] food to bdildlttg insulstuto, 5 discovered la. nine,.of 10 b * baby powdm studied by tn<Trnwrs artMt Sinai Hospital la New fj'a discathecue in London!* Knlghti- Asbettos can cause Hdgo area. The paper quoted Bar* a rare f rnn of chtet a n d .a b d b ^ a il# ay, who .Is working with a ftorirt cancer, and asbestosic, s p i t r ^ p o f ^ lng the winter, ai.seylrg, T m not lung tissue. In 1072 Dr. - boyfriend. We met at a dinner Nicholson of Mt. Sinai ripocied that " ^ Jrty, and I gave her' a lift home to these diseases caused nearly 40 ptr~ l e firm's van." _ cent of the deaths of New VaifoftSSflffi rope Paul VI yesterday said h* bid cancel all audiences and public ictions next weak in obaervascelbf ^rjaotjd to prepare for death, which Ucannot he far oL,vThe 78-yearpontiff's reference to death came w . days after the Vatican denied New Jersey asbestos .workers: Dr. living J. Ssllkoff i Mt. 6iiuK j. a specialist on occupational. disease.'i1Sfn said rtWe Ho not Imow-a'aafi-t^eKw^l hold level for a circldoM ^lH ^tehi^# to.1' Once asbestos fiber* 'cuterllliiEjj %bddy,hesafd, they stay V' AM* Italian newspaper report that he i seriously 01, Vatican cb&ervm l t)ie Popefr remark yesterday ;uldviiat be taken aa an indication ' rt.h lelt he urn going to die in the ,\f ^future. * i;Jt i *. ,<*. ^ .!At least eight relative! of CamboClow* Narodem Sihanouk are. jfapanese in te rro g a te /certain tbejt products bo jubastoo had iqbhd in their leiting, ^ i t c t u n r o Rosemary uMTm* be.re.ched t o com- ` fer^h^ .po^dets studied- were lfehi*v>Medtested Powder, *i*d ie Beauty Dust, I)ia- director of FDA'i divtotct of cotmoticc technology, Hoinr X Xir- *u*n, recently Slid the agency liid art jwurf St Kui foundatotm eUiad fordftanmning.the pwaeijCD of astat} at low level* The sophisticated method iiitd M1 sinal, electron microscopy, is -too- time-consuming and xp*ttiive, he ikjdt. $ $ $!!!******** Pawdw, The.Mfc Sinai researchers, who km's Baby Powders out made , haVQ eDCldlllrtlMj the study under a 05W : . m d ie in the unite* ^ fraTn the National Inrtm ite of Johttsonj ^ ^ a to d J P o w d - E^yireruntmtal Health Service* sine W * d w investigated the powders e' i flW? Ctw * Y a r ^ y Origir^X for tj*Bprcfcnce 0f 0^ e r metallic elep o w d er.; Kouo of t e - N j rtap u , including nickel. r^F*SiJS?*^ With ti* exception of Hwemary S * iK ? ? ^ e of coriwtarphr . *Talc and DIaperene, which contained *e Food and Drug Admlnbtra- *0 nickel, 16 of the powders oon- liid in 17J it could propose reg- tained from 4 to 710 parts ptr million Ui8..to,*:oYer the use of asbestos-* of suejed. A sample of Johnson's &kby m(0 atod talc in cosmetiev. *Powder contained 2200 ppm. * oscow assails impaign rhetoric LoGiudice/WCD/0376 THE GLOBE' AND- MAIL,.TUESDAY,- MARCH 9, 1976 13 Contaminants found: in IQ talcum powders NEW YORK (AP) - Ten 30 per cent quartz. , out of 19 body and baby pow- --Other powders containing ' lifers- tested at Mount Sinai less than 5 per cent asbestos Hospital here were contami were Faberge Brut ..Talc, nated with asbestos : fibres Yardley invisible Talc, Yard- I * : . .capable of causing a rare ley Black Cabel Body Pow -.v form of.cbest and'-abdominal der.' Mennen Shave Talc ,and . cancer,, researchers said yes- English Leather After .Shave - terday. Talc. >; \* ' ' Dr, Arthur Rqhl. :.who cnn- The manufacturers of Rose :*ducted the tests.-with Dr. Ar- mary could not be reached for - tliur Lahger, said;,there has . comment, but the others said been? no investigation of the they, were convinced their tdangers from asbestos in such products were safe and said powders,,.^ their own tests had shownho /... i^There -should be some sort asbestos, -i; ' '* of quality control instituted ei- The baby and body powder vther' by" the industry or by tests were undertaken as p v t i congressional legislation," he kSaid in an interview. .. The researchers said the contamination usually was of a study of the dangersin volved in occupational expo sure ;to asbestos. Dr. Rphl said. _ ` . ,e found in the talc; used in the "There is no firm evidence powders. on low level or intermittent Asbestos' fibres can cause exposure such as from using . .mesothelioma, acbest and ab talcum powder/'he said. "We dominal cancer, and can also don't know for.sure what the r-.'result in the scarring of lung danger level is." f tissue and in gastrointestinal The tests: at $Iwmt Sirial ^-difficulties, Dr. Rahl said. used electron microscopy, ^rlhe.xesearchers said: which Heinz J. Eirmanh, di - -^Ten. qf the 19.U.S.' sam- rector pf' cosmetics techno /i>lejJ contained from 2 per cent logy in the D.S. Food and I f i v; per .cent asbestos fibres, Drug Administration, said v" The highest concentration was was too expensive and time- ( In7*ZBT - Baby Powder with consuming for the agency'to ' ,,TV&by Oil; Cashmere Bouquet use. * . Body Talc, Coty Airspun Face -- powder and Rosemary Talc. There, were in the 8 per cent . to 20 per cent bracket. : -r-Rosemary also contained g'The experiments .at Mount Sinai were, financed by. a ant from the National Instite of.Environmental Health Services and began In ,19?3. B 8 ASBURY PARK PRESS, Tues., Mar. 9, 1976 Asbestos Fibers Found in Many Baby Powders NEW YORK' (AP) -- Dr. American talc deposits are Arthur Rohl said yesterday a usually contaminated.'* survey he and Dr. Arthur Dr.,Langer said 10 of the 19 Langer conducted for Mt. American samples contained Sinai Hospital showed 10 of from two to 20 per cent 19 body- and baby powders - asbestos fibers. The highest tested were contaminated by concentration/ he said, was asbestos fibers. ,,..Hi ZBT Baby Powder with . Baby Oil; Cashmere Bouquet *"There should be some ;; Body Talc, Coty Alrspun sort of quality control Insti Pace Powder and Rosemary tuted either by the industry Talc. These were in the fc to or by congressional Iegisla- 20per cent bracket. tion/* he said in an inter Dr.- Rohl said Rosemary view. also contained 3D per cent Asbestos can cause a rare, quartz. form of chest and abdominal Bauer & Black Baby Talc, cancer, the scarring of lung which is no longer on the tissue and gastro-intentinal i market, had. a 15 per cent complaints, but Dr. Rohl concentration. said there has been no Other powders containing investigation of the dangers less than five per cent from asbestos In talcum asbestos, Dr; Langer said, powder. were Faberge Brut. Talc,. "The studies hove related. Yardley Invisible Talc, Yar- "dley Black Label Body Pow der^ Mennen Shave Talc and the industry eight hours a English Leather After Shave day," he said. , Talc, "There is no firm evidence All were manufactured in on low level or intermittent the United States, Dr. Rohl exposure such as from using said. talcum powder. We don't The m anufacturers of know for sure what the dan Rosemary could not be ger level is. reached lor comment, but "The dose response rela the thers said they were tionship Is very difficult to convinced their products extrapolate." were ^afe and said their own Dr. Rohl said he and Dr. tests had shown no asbestos. Langer had done a parallel The-products which the two survey of. body and baby doctors found uncontaminab- powdejrs manufactured in ed were Ammen's Medicated Britain and found "very few Powder; Avon Bird of Par of those were contaminated adise Beauty Dust; Diaper- and those that were, were ene Medicated Body Powder, considerably less so than two Johnson's Baby Pow- those made here/.' dere-ope made here and one He said the reason was that In Britain; Johnson's Medi British manufacturers used cated Powder; Mennen Bath "northern Italian and Talc; Yardley After Shave Chinese talc which are not Powder and Yardley Original contaminated whereas Body Powder. Today In History On this date In 1852, the Teh years ago--Defense first Civil liter . *- i i i ! K ite ' . > . " " '' V a ' ?-V > V : . ? ' . - - W : .->' : .,, : .* * ; * # w ^ S ^FDA: urged to study baby powders :; V m wE g r o , IP sk'fiia By JOHN WAL.COTT evidence that some baby pow- dor* they have Icsliid. Sona :ttn ne;WJiWT>un Iuhkv dors contro b elles, a chromium and nickel com* -ResearchTM from Mew knoum eaneep-ttirryjnc agent. pounds have been Jinked la York's MUSihai Hospital have The scientists *tsi> hay dls* cancer inlaboratory expert colled Tor Lhe Food and Drug . covered traces of chromium mcnls. Administration ip begin ani- sud nickel in sme of ihc pow*in addition* canrer rt. mal studi to find, whether-- --------- -------- ------ --------------------- -------------- * -, there Is a link between baby powders and cancer. * * , O u fr d i B ergen New* on Page* B A 6 The urging'came from MU * . ,, * * ______ Aha T- * . searchers nt ML. Sinai, tme of- powdci-* made from cotrt* Ihc nation's leading environ' *Uvch instead of tuie. mcniul-cancer research cen* The Sinai scienUsls ters* nnd elsewhere arc beili i- ^xjiijrht 30 sample* tif powder ning to. Question the SHfcty of at stores in the Mew York loie, lhe main ingredient in. * between 1D72 and 19M. junsl biby and bslh powders, Ten of lhe samples were found Talc and asbestos commonly 1 contain mbestot In concon* are found together in the Tralinns ronchi# fmm 2 Id 50 earth and share some dhcml-!.par*cent The other 10 samples LoGudce/WCD/0382 . Cfl* lertfatf diffuaJt ' He a l l . however. Uijt th cotihUtteated time- HcoMtsdumditno*fUincdTmatcrOuetes tsttlaitkamn- caiv test,wily minute amounts of talc. Because talc jmi'ik- belt*fan are mk<^ tatetb- r In infinitely variable centeatiana, teat* on nieh amnU samp! do' not accu rately T*fleet uhetta teyala in latter.sample**of talc, bo ialdttagBlm Wall Urnts (30" each) ^ Regularly: $199 each,. id ;m E P IU C E :$ t6 j? ^ J TAX SERVICE PAKAMUSRoute17. justjrarthofRo LoGiudice/WCD/0383 TEASE-SHIRTS .The T-shirt -- once the regulation issue for CIs during World War II -- has grown up. They1Ve evolved from simple white cotton to those with AT WMMt startling messages printed on the front And now, the latest is a line called Body Language. It's a collection which speak for itself. DIPLOMA CHAM< School System Considers By JRAFE HUNGER Suo-Sentinel W riter Repairing High school students tn pass a reading and math ekflla test in order to graduate and award ing different diplomas based on competency is being investigated by (he comity school system adminis tration. School Supt. Joseph Carroll Mid Jerry Williams, director of program evaluation for the school system, nfflEBgBggg wg *2 "diplomnassareaowedin rin rd * ' The study has been prompted by the suggestions of county school .board members and a nationwide In terest in toughening public school standards, due tn complaints many high school graduate cannot read well encmgb to function in contemporary society. "We're up against a crisis of public confidence over whether a ploraa means anything." Carroll said. "Williams has been attempting to collect os many proficiency teste as are now in use. aa a basis for [Ulatiog one for the county school system* Carroll sal ^ ban of survival in today's Cancer-Linked Asbestos Found In 10 Body Powders 7te Amrwtri Aw NEW YORK-- Ton out of 15 body and baby powders tested at Mount Sinai H ospital here were con taminated with asbestos fibers capable of causing a rare form of chest und abdominal cancer, re searchers said yesterday. Dr. Arthur RohL. Who conducted he tests with Dr. Arthur Langor. said there baa been no Investigation of the-dangers from asbeefo* in-such powders. `There should 1 same sort of quality control instituted either by the induBtry or by congressional leg islation" he said. The researchers said the con tamination usually was found in the talc used in the powden. Ashes foa fib e rs can cause mesothelioma, a chest and ab dominal cancer, and can also result in the scarring of lung tissue and Ten of the 19 American amples contained from two per cent to 20 per cent asbestos fibers. The highest con centration was in ZBT Baby.Powder with Baby Oil; Cashmere Bouquet Body t a lc . Coty Airapun Pace Powder and Rosemary Talc. These were in the eight per cent to 21 per cent bracket. Rosemary also contained 30 per cent quarto, - Bauer Black Baby Talc, winch is no longer on the market, had a IS* per cent concentration. Other powders containing Jaae than five per tient asbestos were Paberge Brut Talc, Yardlcy Invisible Talc, Yardley Black Label Body Powder, Mcnnni Shave Talc and English Leather After Shave Talc. The manufacturera of Rosemary could not be reached for comment, (Turn to Page -A, Col. J) !*>**. p ry t i. h t c n . Wod Gema WarAwLl LoGiudice/WCD/0384 to tn*um&______ ______r,_ _ T Mirrarthat Haroldnari___ _______ Beatte George Htniou, told him; "George has gotenttd; after same hesitation, and The boys have aU agreed to 4 the show in 6 b United States and postibly stay together for other shows." George,. John Lennon, Paul McCartney and Jttnffo Suit broke up an a group to 1971 after selling more than 100 million records. [Jackie CooganHospitalized ' Actor Jackie Coogan was reported w good conrtdtion yesterday to a Palm Springs, Calif-, hospital after suffering a fainting spell. Coogan, 61, was taken by ambulance to Desert Hospital where teste were being performed. Coogan, who shot to fame as a child stair in "The Kid/*,ait the age of 1 and wade mfllions before fee was 10, has been doing movie and televiftort;,parts- to recent years; * 1Pregnant Precedents 5 y?r- * *' ' President Id! Amisb is urgedwomen pilots trained in the. Ugandan aur force to exercise sslf-ccnntrol foltowihg kdoanre that Mu of*the seven trainees re pregnant. "-Some of you hare not been* following regulations Arid that is why you have become pregnant/* Amin told the women hi a meeting at x presidential lodge on Lake. Victoria- "If you are pregnant, ycur _performance os pilots is hindered,** Amin, quoted to'the. government., newspaper Voice of Uganda, arid the woman's squadron , will be taught birth control as well os flying Techniques.. (Making A Date In Court , - 4v V Mexico City authorities be)tore they him found a why to * discourage bribetaking -among traffic cop*/They a s signed women to write out tickets for erring motorists. "Otir gifts can't be bought/* say Lt: CoL Maria Isabel Espinoza, chief of Group 28, the 600-member feminine contingent of the captad'* police force. have to mock pride." The force began recruitingwomen to 1972. Although submitting to rigorous training -- Including karate lessons -- policewomen were assigned primarily to patrolling porks and downtown streetn. Their main job was to answer questions, give directions And "show the _ badge/' Two years ago they were assigned to traffic duty ; no a trial basis. Apparently the system works, '.'Most drivers are convinced they can pay their fine directly to a policemen if they are stopped," one city official ` explained. But according to Lt Col. Xspinoze, male drivers frequently are abashed when stopped by a -- 1 "B ----------- admitted. "We eliminated xnmi-ikirte. Bli; give*be edge',. LONDON Alt American worked for an armored car fhrn startled airport officials daring a i tine customs check when police said] he blurted ouh *' ? "I've stolen a quarter of a millfof dollars-Please tell the boss. When h' opens the safe he might have a boar attack-" *; ' j A search of his luggage uncover* v;5287,580* authentic* reported. J They identified- the ex-securii 5/guard as Noel Theodore Bichard, 2 ; A `P h a n t o r j )sjhrJi I ;v M * i i - O r d e r TieIter Yik1W 1Awriet WASHINGTON -- vA-myaterv company with do visible offi directors, coiling itself MolprResearch Inc., is offering a <# order " rovtewV of "" poteuj malpractice- cases" by aoonyir physicians for a $$0 fee, cf vr. half must be paid in advance. The Virginia-bored concern ii der investigation by the Virgin!: torney General's office for pM illegal or unethical actions. Sin :>incorporation to mid-Jtouary * Company has placed advertiser -in oswspap 6 and posted the telephone booths, u wen as m " our a brochure. \*~ * ' * i Sejantflic Mcdfcrt ;Asbestos Found In Powdeh (Continued from Page 1-A) ;t>ut the others id they were con i'viaced their products ware sate and 'said their own tests had shown no 'asbestos. ; The baby and body, powder tests ;WBr*-wuiertafcen as part of a study of lie dangers involved to occupational ."exposure to asbestos. Rohl said. "There is no firm evidence on low level or intermittent exposure such as bum using talcum powder/' he said. " We don't know for sure what the danger level is." The Tests at Mount Sinai used elec tron roicroapy. Heinz J. Eirmann, director of cosmetics technology in the U-5. Food and Drug Adrainls- ond use. There is no **fest control" t od, he said/f` ' f * The products whidh the two co lors found uncontammated with abnstoa fibers were AmmerTs Medi cated Powder; Avon Bird of Paradise Beauty Dust; Diaperene Medicated Body Powder; two Johnson's Baby Powders--one made here and one in Britain; Johnson's Medicated Powder; Mennen Bath Talc; Yzrdley After Shave Powder and Yatdley Original Body Powder. Rohr said he and Laager had done a parallel survey of body and baby powders manufactured in Britain and found, "Very few of these were con taminated and those that were, were considerably Less than tboae made * y# EvenP flelivrf sforoilmcaOnie.sevtrnJvumt, loor jSiTdY.UtucbiTeu*, dpreyrsoknin1cemrt _ j tvawctl tnd rw tiM u bl ItKiGtrca MediekieA Creta I ThousMd* o ptsqpla i Tures o jxnunri racttib l bui .*ow they ore di*co ...o d e rful n l l t lu o c A V X l Hon u*. itchifls C*UK r Which more t<&nt LoGiudice/WCD/0385 s J u D L2i S __ Cy T s-g-w ) * /IPv J&j j/ j r _______ ^ ^ J > J jl&L___________________ A /< r*d^i___ J ^ i / / ^ Ar. A 0 ^ J L __ r f e s . * //- __ f- ;. j==*i d J jjt/j. ___j& J t__ 'i 's t 4.A A *. ------- <=3--------Z li/jC y L j^ ^ A ------------------- -?^i ___ * 7 > ^ 7 ~ A /& C Z . --- :;-- m*fu>.jLxJel___ ^=L____ a iT . __ Z X --------------------------------- t^ L ---- S g ^ L A a j ^ i ^ ^ ^ u-/ ^ y s J|ga_rfa^B !^2^L<SLL-<*. -f~.___ Y ^ . / S . M . L & J - ___ / 2 j 4 L - a_. ______________ f ( L itp .c ^ - w ,____/ y \ 7~^ ^ < s^^(S ^ . & _ CJtJ& LoGiudice/WCD/0386 r_. ___ 'Py.y^&&yC*>~L____ P U , - . ? A J t M c y ^ a X C L 4f> & _ __j i e j f ^ r _ ____ *p?r y C r fc> > <5..._- ,, . / 0 f c / e r > f e - -- /L -< 4 .& _ ^ _ ^ c V * / Z .... ^ . .=. ^ * _ _ //= , ---- --. ^ ----- -- Ufi+X t^<ry'.SL.rJ^j ,<9 ^ .r: ,r . f* *#_ x u/ ,v.*>.*-. C ^ w LoGkjdice/WCD/0387 T ts / / h j^ . j u ^ = j l z s i =lA j g z t H ____________ _____ : ? S /. J / <CLL-- __ J t/-___ Z 2 & ( L e ^ , ____ - Z c ,,, -__ - r ____W & . !*&< SJU & L 'JtiLJlj&l. J L *- TRADE GOVT. MEMOS \ INDUSTRY & FDA STUDIES SHOWTALC PURITY. CTFA sayain faarclTi7 press release. "The / recent allegations concerning asbestos .in talcC y powders refer to analyses of products purchased in 1973,*' Cosmetic, Toiletry & Fragrance Assn. (CTFA) . \ said, "These samples do not represent current production. Some products have been positively identified as being of 1970 or earlier production; (One product has not been manufactured since the end of World War II.) In 1971, when improved methodology first uncovered the potential for talcs to contain asbestos, ^ the cosmetic industry took responsible action to protect consumers through monitoring of talc purity and \ where needed, changing to new talc sources. 'CTFA submitted to FDA on March 15,1976, summary data on the purity of talc as a raw material and on finished products. These data, covering nearly 4,000 separata analyses, did not show thd presence of asbestos in any talc tasted since / c 1973. This substantiates the industry's belief that cosmetic talc products are safe for the consumer. Furthermore, FDA reported recently that analyses on 76 talcs c' purchased at retail by FDA field inspectors in 1976 showed no indication of asbestos contamination/' 7__ ( C ) SEVEN STATE MEDICAID HEAPS HAVE PROTESTED EAC STARTING DATE, scheduled for ^ ^ April 26, in written presentations to HEW Seety. Mathews. Protests range from total rejection of MAC/EAC program to demands that launch be deferred to Jan. 1, 1977. Practical "impossibility" of meeting April 26 deadline are prominent in protests from Me., Mass., NH, NJ, Pa., Texas and WVa Medicaid administra tors. Except for Texas, the seven protests were made via a petition generated at a Jan. 29 meeting in NYC of 13 state Medicaid administrators. Conn,, NY, Va., RI, Vt. and D.C. Medicaid administrators did not join the protest. Mass, administrator supports only deferment Of FAC. The state has been named with HEW as co-defendant in an mti-MAC lawsuit. Texas Welfare Com, Raymond Vowell wrote M em o to K rU tors FROM : D r. T hom as C. C h alm ers P re sid e n t^ M ount S inai M edical C en ter N ew Y ork, N ew Y ork R ecen t m edia re p o rts concerning ru scu rch on : ]o n p o w d er c a r r ie d o u t by the M ount S in ai M ed ical C e n te r c re a te d c o n sid e ra b le confusion on the p a r t of the public, The M edical C e n te r h a s is s u e d th e follow ing s ta te m e n t in o rd e r to c o r r e c t any m is in te rp re ta tio n o r m is im p re s s io n s the m ed ia re p o rts m ay h av e gene rated. M arch 23, 1976 D r. T hom as C, C h alm ers P re s id e n t, M ount S inai M edical C en ter N erw Y -i " > . N v v.' Y o r k L o G iu d ic e /W C D /0 3 9 0 / FROM : M ount Sinai M edical C enter New York* New Y ork M arch 23, 1976 New Y ork, N. Y. - - R ecently data fro m re se a rc h c a rrie d out in th e M ount S in ai M ed ical C en ter fo r th e la s t fo u r y e a r s on the a s b e s to s c o n te n t of som e talcum pow ders w as cited in the p re ss before it had been published in a s c ie n tific jo u r n a l- The o rig in a l p u rp o s e of th is r e s e a r c h w a s to d e v e lo p e ffe c tiv e te c h n iq u e s fo r m e a s u rin g th.e p r e s e n c e oi a s b e s to s in ta.lc. T h e p ro b le m h a s p r a c tic a l im p lic a tio n s b e c a u s e p ro lo n g ed e x p o su re to c e r ta in fo rm s of asb e sto s can cause can cer- The re s e a rc h w ork w as of the h ig h est te c h n ic a l q u a lity and a sig n ific a n t c o n trib u tio n to th e field . H o w ev er, in the p ro c e ss of developing these new m ethods, the sam p les actu ally used had b een p u rc h a se d m o re than tw o y e a rs ago, a fa c t w hich w as n o t m en tio n ed in the m ed ia re p o r ts . F u rth e rm o r e , th e d is c o v e ry of a sb e s to s in som e ta lc u m p o w d ers by th e M ount S in a i in v e s tig a to rs w as r e p o r te d to the F o o d and D ru g A d m in is tra tio n a t th at tim e , and undoubtedly stim u la te d som e m a n u fa c tu re rs to change th e ir so u rc e s of ta lc , ao th at re c e n t an a ly se s by the FDA have not rev ealed a p p re c ia b le am ounts of a s b e s to s in any sa m p le s . The M ount Sinai M edical C en ter w ish es to c o r r e c t c e rta in co n fu sio n s w hich the re p o rtin g of these d ata m ay have g en erated : 1) Any im p lication in the new s slorie-s th a t m o st of the ta lc u m pow der c u r r e n tly on the m a rk e t co n tain s a sb e sto s 's not b o rn e out by ih.i m o st recent fro m the FDA, although su rv eillan ce is indicated. (n io re i LoGiudice/WCD/0391 -2 - 2) A lth o u g h th e new s m e d ia s p e c ific a lly e m p h a s iz e d th e d a n g e r s of ta lc u m pow ders a d v e rtis e d fo r b a b ie s, the only baby pow der te sted th a t w as r e p o r t e d to sh o w a s b e s t o s r e p r e s e n t s l e s s th a n 1% o f th e m a r k e t , a n d t h a t s a m p l e w as five y e a rs old. The m o a t com m only used baby talc h as b een co n siste n tly free of asbestos. 3) I t i s th e o p in io n o f M o u n t S in a i1s D e p a r tm e n t o f P e d i a t r i c s th at baby talc is a useful and safe product. E d u catio n of th e public in r e s p e c t to h e a lth m a tte r s is a n im p o rta n t re sp o n sib ility of A cadem ic H ealth C en ters. E ducational effo rts by such c e n te rs m u s t be b ased on sound scien tific p rin c ip le s and m u st be calcu lated to p rovide m ax im u m benefit fo r the com m unity. D isse m in a tio n of re s e a rc h d ata on w hich h ealth reco m m en d atio n s can be b ased m ust occur v ia p eer-rev iew ed scientific publications. The inevitable e x is te n c e of co n flictin g d a ta re q u ire s .that in fo rm a tio n be m ad e a v ailab le fir3 t to o th e r p ro p e rly tra in e d e x p e rts who m ay b e expected to in te rp re t th e m in d iv id u ally o r through o fficia l agencies or co m m ittees. The la tte r is slow b u t a p p re c ia b ly m o re r e lia b le than p u b lic d e b a te s th a t a r e fra g m e n te d in the rep o rtin g . T his e x p e rie n c e em p h asizes the need fo r co n stan t v ig ilan ce in jc^cisurlng th a t the tr a n s itio n p e rio d b e tw e e n d is c o v e ry of im p o rta n t h e a lth r e la te d ite m s am i th eir re v e la tio n to the public is handled w ith p ro p e r attention to the a c c u ra c y of d e ta ils , a s re q u ire d in s c ie n tific p u b lic a tio n s. ii t* 2L ft if 77 LoGiudice/WCD/0392 3 To 76 .Date COSMETIC, FTROAnEGTRRAVNaCnEd ASSOCIATION. INC. 1133 15th STREET, N.W ., WASHINGTON, D.C. 20005 PHONE (202) 331-1770 - y ^ / c . - ^ b c o M M t // From ____ Please: n Attend to j I Note and return Note Files and forward to I I See iphone) me re '--* attached J I Prepare reply for my '--1 signature I I Send me information '--1 required to answer / J ^ H or your information [ ~] As per conversation I 1 For your comments '--1 and suggestions Does attached meet with your approval? For signature, if you approve I I Make Photo Copies Other Remarks LoGiudice/WCD/0393 JANUJ NBK " MS*: A NITA CRHY X Z Z Y J 5 S 3 / 2 3 / 7 6 4 i 10PN TO WASHINGTON FOLLOWING IS THE PR ESS RELEASE ISSU E D AT 2 : 4 5 P -M - TODAY EY MOUNT S I N A I - 1 IMMEDIATELY PRECEDING I T IS . A B R IE F MEMO TO ED ITO RS :FROM. DR- CHALMERS- AS -DISCUSSED* T H IS SHOULD BE OF PARTICULAP. INTEREST TO WRC-TV AND WMAL-TV IN WASHINGTON- ! KNOW THE .WASHINGTOM POST IS ALREADY AVARE OF IT AND IT IS MOVING ON m NEWSVI RE* * '* MEMO TO E D IT O R Si RECENT. M E D IA 'REPORTS CONCERNING RESEARCH ON TALCUM POWDER CARRIED OUT BY THE MOUNT S IN A I MEDICAL CENTER CREATED CONSIDERABLE.CONFUSION ON THE PART OF THE P U B L IC THE MEDICAL CENTER HAS ISSU ED THE FOLLOWING STATEMENT IN ORDER .TO CORRECT ANY M IS INTERPRETATION OR MIS IM PRESS IONS THE MEDIA REPORTS MAY`HAVE GENERATED* CR. THOMAS C- CHALMERS PRESIDENT* MOUNT S IN A I MEDICAL CENTER NEV YORK* NSW YORK NEW YORK* NEV YORK - - RECENTLY DATA FROM RESEARCH CARRIED CUT IN THE.MOUNT S IN A I MEDICAL CENTER FOR THE LAST FOUR YEARS ON THE ASBESTOS CONTENT OF SOME TALCUM POWDERS WAS C IT E D IN THE PRESS BEFORE IT HAD BEEN PUBLISHED IN A S C IE N T IF I C JOURNAL- THE ORIGINAL PURPOSE OF T H IS RESEARCH WAS TO DEVELOP E FFE C T IV E TECHNIQUES FCR MEASURING THE PRESENCE OF ASBESTOS IN TALCTHE PROBLEM HAS PRACTICAL IM PLICA TIO N S 2ZCA U S2 PROLONGED XPOSURE TO CERTAIN FORMS OF ASBESTOS CAN CAUSE CANCER- THE RESEARCH WORK VAS OF THE H IGH EST TECHNICAL QUALITY AND A S IG N IF IC A N T CONTRIBUTION TO THE F IE L D . HOWEVER* IN THE PROCESS OF DEVELOPING THESE NEV METHODS* THE SAMPLES ACTUALLY USED HAD BEEN PURCHASED MORE THAN TWO YEARS AGO* A FACT WHICH VAS NOT MENTIONED IN THE MEDIA REPO RTS. FURTHERMORE* THE DISCOVERY OF ASBESTOS IN SOME TALCUM POWDERS BY THE MOUNT S IN A I INVESTIGATORS WAS REPORTED TO THE FOOD AMD DRUG ADM INISTRATION AT THAT TIME* AND UNDOUBTEDLY STIMULATED SOME MANUFACTURERS TO CHANGE T H E IR SOURCES OF TALC* SO THAT RECENT ANALYSES BY THE FDA HAVE NOT REVEALED A PPRECIA BLE /MOUNTS OF ASBESTOS IN ANY SAMPLES* THE MOUNT S IN A I MEDICAL CENTER WISHES TO CORRECT CERTAIN CONFUSIONS IM ICH THE REPORTING OF THESE DATA MAY- HAVE 3ENERATED: 1>. ANY IM PLICA TIO N IN THE NEWS ST O R IE S THAT MOST OF THE TALCUM POWDER CURRENTLY ON THE MARKET CONTAINS ASBESTOS I S NOT DORNE OUT EY THE MOST RECENT DATA FROM THE FDA* ALTHOUGH CONTINUING SURVEILLANCE IS INDICATED. t | n 2 ) . although the news m d ia , s p e c i f i c a l l y e m p h a s iz e d the dangers .of TALCUM POWDERS ADVERTISED FOR B A B IE S* THE ONLY BABY POWDER TESTED THAT WAS REPORTED TO SHOW ASBESTOS R EPR ESEN TS L E S S THAN 1 PERCENT OF THE MARKET* AND THAT SAMPLE WAS FIV E...YEARS' OLD. THE MOST *,COMMONLY USED BABY TALC HAS 3EN CONSISTENTLY F R E E OF A SBESTO S- 3 ) I T I S THE O P IN IO N OF MOUNT S I N A I 'S DEPARTMENT OF P E D IA T R IC S THAT BABY TALC I S A USEFUL AND SA FE PRODUCT. EDUCATION OF THE PU B L IC IN R E S P E C T . TO HEALTH MATTERS IS AN IMPORTANT R E S P O N S IB IL IT Y OF ACADEMIC HEALTH CENTERS EDUCATIONAL EFFORTS' BY SUCH CENTERS M UST-BE BASED ON SOUND S C IE N T IF I C P R IN C IP L E S m b MUST-.BE CALCULATED TO PROV ID E MAXIMUM BEN EFIT. FO R*TH E COMMUNITY. _ D ISSEM IN A TIO N OF RESEARCH DATA ON WHICH H EA L TH RECOMMENDATIONS CAN BE BASED MUST OCCUR V IA PE ER -R E V IEW E D S C I E N T I F I C PU BLIC A TIO N S * THE .IN E V IT A B L E EXISTEN CE OF C O N FL IC TIN G DATA R E O U IRES THAT " INFORMATION BE MADE AVAILABLE F I R S T TO OTHER PROPERLY TRAINED EXPERTS WHO MAY BE EXPECTED TO IN TER PR ET THEM IN D IV ID U A L L Y OR THROUGH O F F IC IA L AGENCIES OR COM M ITTEES. THE L A T T ER IS SLOW BUT A PPREC 13LY MORE R EL IA B LE THAN P U B L IC DEBATES THAT ARE FRAGMENTED IN T H E REPO R TIN G . * THIS EXPERIENCE EMPHASIZES THE NEED FOR CONSTANT V IG ILA N C E IN ENSURING THAT THE' TR A N SIT IO N PE R IO D BETWEEN DISCOVERY CF EMPORTANT HEALTH RELA TED . ITEMS AND T H E IR REVELATION OF THE PUBLIC IS HANDLED WITH PROPER A TTENTIO N TO THE ACCURACY CF DETAILS* AS R EQ U IR ED IN S C IE N T IF I C P U B L IC A T IO N S . F.'* ROBERT KMI F F IN* 'JOHNSONJOHNSON CORPORATE PU BLIC RELATIONS CTFA VSH JANDJ NBK M L o G iu d ic e/W C D /0395 -/ CBS CHANNEL 2 NEWS 11:00 P . M , --3 /2 3 /7 6 . TAKEN BY T A PE T he study of a re p o rt ru n by two d o cto rs from Mount S in a i H ospital tested nineteen baby and body powders . Nine of the powders reportedly contained asbestos fib e rs. The companies involved insisted th at th e ir products Were safe. On M arch 8th, John S to sse l spoke to D r. A rthur Rohl of Mount S in a i, one of the two re s e a rc h e rs on the study. D r. Rohl stated his conclusions. A fter the stu d y , would you use talc? Certainly not, I think th e re a re enough problem s with asb esto s without using som ething like th is , I would suggest co m sta rc h as a su b stitu te. But today, D r. Thom as C how m ers, p resid en t and dean of Mount Sinai released a statem ent on a report in which he said the original purpose of this research was to develop effective techniques for m easuring the presence of a sb e sto s in ta lc . T h e re s e a rc h was of th e highest q u a lity . H ow ever, the sam p les a ctu ally used had been purchased m o re than th re e y e a r s ago, a' fact th at w as not m entioned In th e im m ediate r e p o r t s .. D r. C how m ers also sa id any im plication in th e news s to ry th a t m ost of the talcu m pow der currently on the m arket contained asbestos is not borne out by the m ost re c e n t d ata from the FDA. In th e opinion of Mount S in a i/s d ep artm en t of p e d ia tric s, baby talc is us.efui and a safe product. LoGiudice/WCD/0396 M r, John C, W oo' M r, F re d ftoesch*^-- W h itta k e r , C la r k &t D a n ie ls , In c , A sbestos in T alcs MESSAGE HARRY HOLLAND & SON, IB SPINNING WHEEL ROAD HINSDALE, ILL. 60521 PHONES: CHICAGO 312/762-820* H in s d a l e 312/ 32&-6130 IN C DATE 3 /2 6 /7 6 On M a rc h 2 4 th d u rin g th e 10 P M n e w s, W1S-TV (T he C h icag o ABC affiliate) rep o rted a re tra c tio n of the sto ry on asb esto s in talc. A fter rech eck in g te s t r e s u lts , i t w as found th a t only two of th e n in e te e n ta lc s te ste d contained a sb esto s. One of th e se talcs had not been produced f o r s e v e r a l y e a r s a n d th e o th e r a c c o u n te d f o r l e s s th a n 1% o f a l l ta lc used fo r body and baby pow ders. It was also stated th at the le v e l of a sb e s to s in th e se tw o p ro d u c ts w as found to be v e ry low . T his statem ent w as re le a se d by the . A. P . M ichael E , D urkin m edidlo LoGiudice/WCD/0397 > NEW YORK POST 3/26/76 By MATttAX BURROS Washington Post W ASHINGTON -- 3X1 Si nai MeiUcal Center ity New j ; Y ork h a s issued, a" statem en t j ; y "to correct certain'- eonfus-1\ ions'1' aoou-t re p o rts of r-1 \ searc h w ork conducted a t the I ?: hospital's Dept. of Environ-j* m ental Medicine on th e as- j ' b estes content of some to!- | cum. powders* T he W ashington P ost on >, M arch S reported the findings, i ' w h ich . said th at asbestos \ fibers w ere discovered in 9 j of 19 body and baby pow- j tiers stu d ie d by th e reseach* trs. ,j A sb esto s can cause meso- -i thelioma, a rare form of chest i and abdominal cancer, and ' asbesto sis, sca rrin g of lung 1 tissu e.- I n 1972 Dr. William . J. N icholson of Me. Siniai re- ; ported th a t these diseases | caused n early 40 per cent of th e d e a th s o New York-New Jersey asbestos workers. The statem ent m a d e , W ednesday by th a center's S p resid en t, H r. Thom as C. i Chalmers, said: <J T h e orriy bn by powder tested that was reported to show asbestos represented less th a n 1 p e r cent ox the m arket mid the sample was j five y e a rs old. <} T he talcu m powders used In th e stu d y "had been p u r chased more than three years ago." f) '"R ecent analyses by the F.OA [Food and Drug! A d m inistration] havo not re vealed appre-tt.'iWrt am ounts of asbf-stos [in talcum powri- Dess archers in the Dept, of ICnvironmental Medicine have taken exception to seme .parts of Chabiers' statem ent. Ii .decent Samples j A rthur Eohl, research as- \ slstant in the departm ent1 w ho worked on the talc study, . said most of the powders had bec-n purchased in 1973, b u t some were purchased as re cently a s 1976. A sbestos was icund in some of the newer samples, he said; though i "th ere w as a decline in the amount** Dr. Irving1X Seiilcoff, chair man of the departm ent arid a leading- au th o rity on occupa- i tional diseases, said the appearent discrepancy between FDA's findings and l i t . Sinai's is due to a difference in technique. FD A's methods j; are not sensitive enough to } m easure asbestos below a j` certain level, he said. j Selfkoff ateo took xcep- ; tion to the statem ent, issued i b y li t . Sinai's P ediatrics j Dept, th at baby talc is safe j a n d useful. H e said: *T think j they will live to re g re t it.'r Dr. H oraceH . Bodes, chair- ; m an o* the departm ent, is a -! m em ber of the board of d- | rectors of. Johnson & John- j se n 's In stitu te fo r P ediatric j Service. The board advises S Johnson & Johnson on dis* bursement of its iunds for pediatric research. Members of the board receive no re- j numeration. K otos dec-bed ; to discuss his depart m in t's sta te m e n t on the- sa fe ty of. j. baby talc. * . ' I LoGiudice/WCD/0398 THE TTASHDCTOSf POST ' Tria* if * M JW ^ 1- TaIcum Stuv 1 `T j . \ % *-.V .' " By MarianBurros, -.-*; - * *; . ' . Whlnton Post S te li Writer. Mount Sinai, Medical Cen fions..The level of, sensitiv terin'iSew York/has issiied ity is greater with electron statement "to correct cer miroscopy.' DTA will r:t>ot. tain confusions'* * about re- permit i;ou to determine* as* porti Of research work con- bestos t less than half- a. ' ducted, at the .hospital's Dd- per cent, possibly one; per partihent of Environmental cent, whereas you can deter-.. Medicine on..the*;asbestos mine It at lower conceptra- content of. some talcum pow- . tions by using electronl-ai ders. * ' ' c r o s c o p y . * *S . ?he 'Washington. Post re- ported the f i n d i n g s oir March & . _* ' Selikoif. acknowledged that the cosmetics industry has "gone ahead quietly faun The statement made Wed improved the talc. B ut there nesday by th cehter's presi is a huge clunk in thelrthr; dent, Dir. Thomas_.'C. GHai mor. They were dusting'peQ* mers, said: 'pie with asbestos all these, The only baby powder years before, so w hat ? Was tested that was reported to p u t in the lungs' beforb-is show asbestos_ represented still there. *. ` - * less than one per cent of the - *T Certainly wouldii'tw a q t market and the sample was ' to h e diisted with any asbes five.years old.- ;-v ;,* t tos. There is no safe leveEof ' The. talcuih. `powders.- asbestos' .known," Selikoff used in the study "had been said. -* v :* \ sh-1;. purchased more than three The Occupational Safety years agp,; *- * aonf dtheR' eDaeltphartAmdemnti,noisftLraatbioonr : Recent analyses by the addressed tlie same issuain Food and Drug Administra a proposed' amendment 'to' tion "have not revealed ap regulations governing/the tporse"ciianbtlaelcaummoufcnotws doefr.a' s`-b`e;s -fliomri'tsasobfe' satsbbsestvofsc-orekxeprso;.su'Ikne ;'- ; ~k Chalm. ers'^alsopsaird, i"Tnhe t i n g the proposal -in the . research work was of the 0 c t 3, 1975, federal Rfegis-',. highest technical quality ter, , O S H A s a i d " * / S t and a significant contnbu- C o g n iz e s that there is no lion tp the field." assurance d f at safe exposure . Researchers in the' De . for. a substance -with khoWo, ' partment of Environmental carcinogenic. properties/* in Medicine have taken"cxcep this-case asbestos, and thint lion -to some parts of C M -' (here should be a delcfc- mers* statement V ble'rcohcnttrraatftolbnsnvV? ' J..`*V'49-J:* disAtarnthturinR-othhle, rdeesbeaarrctmh eans-t : -*i-`- ./V 'v~ LoGiudice/WCD/0399