Document BnjRwJgY3VJ869Rq92QXeJOk
FILE NAME: Oil Industry American and Petroleum Institute (API)
DATE: 1945 May DOC#: API001
DOCUMENT DESCRIPTION: Meeting Minutes & Attendee List - API Medical Advisory Committee
Tor Information Only - Hot for Publioaii
AMERICAN PETROLEUM INSTITOTE MEDICAL ADVISORY COMMITTEE
Mistes of Meeting
May 7-8, 19^5 Hotel Statler 5t. Louis, Missouri
V '
MEMBERS PRESENT:
Mclver Woody - Chairman D. V. Stroop - Secretary
J. M. Adams W. 0. Armstrong V. C. Baird P. P. Boys
D. M. English T. M, Trank A. E. Hoag R. A. Jewett
M. V. Newquist I. S. Percy B. B. Reeve 0. S. Somerville
MEMBERS ABSENT:
Wm. Russell Levis W. A. Morrison
J. T. Peattie H. S. Thomson
ASSOCIATES PRESENT:
S. , Adame
L, C. Beard, Jr.
R. S. Bonsih
R. C. Cole
Im. Grant, Jr.
K. R. Kemmerer
A, J, Koewing, Jr.
H. P. Lankelma ' .
H, R, Warrick
P. M. Watkins
>
Standard Oil Co, (Indiana),
SocoBy-Vacuum Oil Co., Inc.
Standard Oil Co. (N.J.) .
Phillips Petroleum Co.
Humble Oil & Refining Co.
Shell Oil Company
Socony-Vacuum Oil Co., (Lubrite
Standard Oil Co. (Ohio.)/
,
Ttie Texas Company
Sinclair Refining Co.
Chicago, 111. .
New York, K. Y. .
New York, H. Y.
Bartlesville, Okla.
Houston, Texas
.
Wood River, 111.
Div.) East St. Louis,I11.
Cleveland, Ohio
New York, N. Y.
East Chicago, Ind.
GUESTS:
Tra. V. Brooks, M.P;' Phillips Petroleum Co.
R. E. Gould
"
"
"
P. P. Heyroth, M.D. Kettering Laboratory
Phillips, Texas Bartlesville, Ok lu. University of Cincin
nati
I
Choice of Chairman for I9U 5.
Following a review of the origin find purpose of the Medical Advisory Committee, Mclver Woody was chosen to sorve as chairman for 19^5
II Medical Probiens in Hydrocarbons
API 06766
Ey invitation Doctor Heyroth reviewed data and sources of data on the toxi cology hydrocarbon* which recontlj havr beconi important because of the rapid growth ir. their production.
-2-
Action: "
The committee tendered Doctor Eeyrnth a vote of appreciation for his presentation and requested him to send a copy of his the secretary so that copies could he distributed to members ciates.
and thanks review to and asso
Ill
List of Current Medical Problems
A canvass of members resulted in the listing of a number of substances and
mixtures which may be injurious to persons through contact, absorption, or inhala
tion. In addition a number of subjects involving matters of policy and administra tive practices were suggested for committee consideration.
She committee discussed several bases for classifying problems for inclusion in its program of work, as follows:
1. By group* of substances or mixtures, such as types of hydrocarbons, inhibitors, additives, catalysts, or acids. t
2. By the manner in which substances nay injure persons, such as skin contact, absorption, or inhalation.
3. By the method of solution to be used on problems, such as cooperative
compilation of clinical data, literary research, or laboratory research.
Action:
The committee did not agree upon a comprehensive classification of the full list of problems but it was in agreement on four studies which
should be initiated in 19^5 . follows:
1. The study of medical policies and practices and formulation of tentative procedures for guidance of medical men in industry.
2. A study of chlorinated compounds, particularly chlorinated cutting oils used in petroleum products, and of their effects.
3. A study of possible carcinogenic properties of hydrocarbons and . petroleum products.
U, Preliminary reviews ani studies as tn the toxic effects and properties of hydrocarbons, products and substances other than those included in items 2 and 3
Tbs chairman was authorized to appoint four subcommittees to undertake these studies.
Kotos by Secretary: (1) An outline of the field of interest of members, as developed at the meeting, is appended to these minutes.
(2) The chairman announced the memberships of subcommittees, as follows:
API 06767
-3-
a. Subcommittee on Medical Policies and Practices
R. A. Jewett, Chairman---
J. M. Adams
T. M. Prank
..
W. A. M orrison--
--
J. F. Peattie -
I, E. Percy
*
K. S. Thomson -- 50 t
Mclver Woody, Ex Officio
D. V. Stroop, "
"
b. Subcommittee on Chlorinated Compounds
F. F. Boys, Chairman
A, E. Hoag
M. N. Newquist
3. 3, Reeve
iielver Woody, Ex Officio
.
D. V. Stroop
"
*
,
c. Subcommittee on Carcinogenicity
M. V. Newquist, Chairman
J, M, Adams
A. E, Hoag
Vfm. Russell Levis
I, E, Percy
Mclver Woody, Ex Officio
.
D. V, Stroop, "
"
d. Subcommittee on Permissible Concentrations
V, C, Baird, Chairman
W. 0. Armstrong
'
D. M. English
T, M. Frank
0. S, Somerville
Mclver Woody, Ex Officio
D. V, Stroop, "
"
IV
Contribution and Dissemination of Information
Contributions of literature reviews were contributed to the Comnittee by the
following:
.
1. Library of the Technical and Research Division, The Texas Company
.
"The Carcinogenicity of Bituminous Compounds," April 30, 19^5
2. Chemical Division, Soco :y-Vacuun Oil Co., Inc,
"Carcinogenic Hydrocarbons," April 27, I9U5
API 06768
Another contribution will be made by a third conpany if, as, and when brought u., to date and authorized for release to the committee.
'ctiou:
A
*
On notion it was agreed that the nane of each duly authorized associate should be placed on the connittea nailing list to receive contributed material as well as other connittee communications.
V
Medical Reaearch Program
Poliowing luncheon meetings of three of the four subcommittees, informal reports containing preliminary recommendations on research work were presented by subcommittee chairmen.
The committee's conclusions and recommendations on the subject of research were incorporated in a draft of letter addressed to the president of the American Petroleum Institute.
Action:
On notion it was voted unanimously that the secretary should transmit the following letter:
Mr. Wn. R. Boyd, Jr., President American Petroleum Institute 50 West 50th Street New York 20, N, Y.
Medical Besearch Program
Dear Sir:
Pursuant to your appointment of February 23, 19^5. the Insti
tute's Medical Advisory Committee held its organization meeting in St.
Louis, Mo., on May 7 and 8, 19^5 Thirteeh of its seventeen members
and all of its associate members were present.
Discussion developed a broad field of interest in subjects of inportance to the petroleum industry, particularly to petroleum refiners.
The connittee selected four groups of these subjects upoij which to start work in 19^5 Subcommittees were appointed to prepare detailed plans for cooperative and research work on these problems. Three of the subcommittees have found there ie need for research work in their assignments. The medical advisory connittee concurs in these findings and recommends to the Executive Committee cf the Board of Directors that it should authorize a three-year program of medical re search to be conducted under the auspices of the American Petroleum Institute with the guidance and advice of the Medical Advisory Committee and including general provisions as follows:
1. The Institute should be authorized to solicit eontrlVotions for the establishment of a Special Medical Research Fund in
the amount of $25,000 with which to initiate the program*
2* There should be three medical research projects established to investigate and to report on subjects as follows:
API 06769
-5-
a. Chlorinated compounds used in petroleum products.
b. The effect of refinery processes upon carcinogenic properties of petroleum products.
c. The determination of best values for permissible concentrations of toxic substances used and produced in the petroleum industry.
Respectfully submitted on behalf of the Medical Advisory Committee
B y (D. V. Stroop) Secretary
71
Publicity
There was a consensus that the secretary should prepare such press release as may be deemed necessary in connection with the organization of the Medical Advisory Committee.
VII
Next Meeting
There was a consensus that.the next meeting should be held during October or
November, 19^5* and immediately prior to the 25th Annual Meeting of the Institute
if it is held in November, 19^5
VIII
Adjournment
The committee meeting was adjourned
AFP3DV3D
McIVBR WOODY Chairman
D. V. STROOP Secretary
f
5-IS-U5
API 06770
Appendix to
Minutes of Meeting Medical Advisory Committee
Held May 7-3, 19^5
An Outline of the
Field of Interest of the
API Medical Advisory Corrolttee
Industrial Health and Related Subjects
A. Matters Incident to Employment of Persons in Petroleum Industry, such as:
\\ 1, Preplacement examination procedures 2, Reexamination practices
3, Rehabilitation of returning war veterans
U, Treatment of employee sickness and sick benefits
* V
. V
5, Acceptable standards in sanitation and healthful working conditions
6, Effect of air conditioning on health
3 , Matters Incident to Possible Injury to Employees, such as:
i
1. From skin contact with substances which may result in:
a. Injury to skin, including
(1) Possible carcinogenic effects
(2) Other injurious effects' on skjln, by substances such as
(a) Chlorinated compounds
(b) H F burns
(c) Radio-active substances
, b. Absorption through skin of toxic substances
2, From Inhalation of:
a, Hydrocarbon vapors and gases
b, Solid particles including catalysts and sand-blasting sand
.
c, Poisons, such as HgS, TEL, CS, H F
C Matters Incident to treatment of Injured Employees
1, Exchange of information on acceptable methods of treatment
API 06771
Appendix
-2-
3 , General
1. Legislative factors
2. Research work and prograns
3. Educational activities
U. Correlation of medical work with other operations in petroleum industry
II Public Health and Related Subjects
A. Labels and precautionary information
3. Pooling information to defend against fraudulent actions
C. Legislative problems,
* '
t !
i
'* API 06772
with r r . Drinker and ot committee f o e ls th r t wc
organization to do this
T3 o f his str.ff revi ving and checking the work. This re v^ry fortunate in securing such an authoritative erk for us.
The third objective of our assignment will be started on the completion of the other two, and when cur committee is asked to undertake the study of a specific chemical by the industry, `,/e will welcome suggestions for specific research problems at any time.
Respectfully submitted.
V. C. Baird, il.D., Clmiriin
l . 0. Armstrong, il.D. D. M. Ehgiish, J.D. T, Li, Frank, li.D. 0. S. Somerville, LI.D.
Noveaber 16, 1945
API 06788
Tn.-instr i al Tcxic M aterials Used and producaci ir. the Petroleum Industry
Material
acetaldehyde
,,cetanilide
Acetic Anhydride
Acetone
,,cetyl Chloride
Acetylene^
, cid .-cetic Acid ,,rsenious .'.cid Benzoic _ ``cid Chicrcsulfonic
,,cid Formic ^ .cid Hydrochloric `[cid Hydrofluoric ,,cid iolybdic
.-.cid Nitric ;[cid Phosphoric
,,cid Sulfuric
Alcohol, Sthyl alcohol, Methyl alcohol, Butyls Alcohol, Propyls
Alcohol, Amyls
'
Jnrr.i num Chloriue
f
Aluminum Oxide
iiffimonia Anrnmiriiim Acetate Ammonium Chloride
/jsnenium Hydroxide ,,rmomurn Molybdate
Ammonium Nitrate
Amine Plastisizers, Various
Aminophenols
/my1 Acetate
Aniline and Homclogs
,,nthracene
,,romatic Hydrocarbons
Barium Chloride Barium Hydroxide Barium Nitrate
Benzaldehyde
Benzene
'
Boron Fluoride
Bromine
Butyl Acetate
Butyl Sulfate
ftityl Sulfuric ,,cid
Cadmium Chloride
Calcium Chloride
Calcium Hydroxide
calcium Hypochlorite
Calcium Oxide
Laberate r?
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X ' X X X X X X
X X X X V X X X X X X
X X X X X
Plant
X X
X X X X X X X X X X X
X
X X X X X
X X
X X
X X
API 06789
X
M aterial
Carbon Black c i.c iu B Carbonate
Carbon Disulfide
carbon Monoxide _ claarrbi*o'n" T*-e-t-ra ch lo rid e
c,eprro-uuss Nitrate 0Ch_l_o_r_e_x"ii /(nB nB Dichloroethyl
:hhilocrreeniec llilcrobenzene
Ihlorcfcrm
hr'-iaate Salts hrcmium Trioxide
`cbaltous Nitrate
irescls, Mixed
Ether)
n c ncetate ric Chloride ric Sulfate
reus Ammonium Acetate
Inhexane
3D T
Ether, Diethyl Ether, Isopropyl Ether, Petroleum Ethyl Acetate Ethyl Sulfate Ethyl Sulfuric Acid Ethylene Dichloride Ferric Chloride Ferric Nitrate Ferric Oxide Ferric Sulfate Ferrous Sulfate Formaldehyde Freon Furfural
Gasoline Gum Inhibitor Glycols Gum Kauri
Hydroquincne Hydrogen Chloride Hydrogen Fluoride Hydrogen Sulfide Hydroxylamine Hydrochloride
Iodine Iron Carbonyl
Lead Oxide Lead Sulfide Lorol Mercaptan
Laboratory
X X X X X X X X X X X X X X X X X X X X X
X X X X X X X X X X X , X X X X
X X X
X X X X X
X X
X X X
Plant
X X X X X X
X
X X X X X X X
X X X X X
X
X X X
X X X
X X X
'M aterial
Magnesium S u l f ^ e
Jaleic Anhydride Mesityl Oxide
Mercury
:ecurie iitr-.-te ircaptans, Various
kesitylne thyl Chloride ethyl cyclohexane ethyl Cyclopentane Methyl Ethyl Ketone
Methyl sulfate
Naphthalene^
naphthas, Light Naphthas, Solvent Naphthols Nitrobenzene Nitroaromatic s Nitroparaffins
phene1
phenolic Homologs
phenyl-5-Naphthylamine
phosphates pickling Solutions (Arsenates) potassium Bromide potassium Chloride Potassium Chromate potassium Hydroxide Potassium Iodine Potassium Nitrate Potassium Permanganate Pyridine Propyl Sulfate Propyl sulfuric Acid
Quachrome Gluccsate
Silica Silver Nitrate Sodium Carbonate Sodium Hydroxide Sodium Plumbite (Doctor) Sodium Thiosulfate Sodium Sulfide Stannic Chloride Styrene Sulfur Sulfide Plastisizers Sulfur Dioxide Sulfur Trioxide
<4
Laboratory
x x
X X X X X X X X X X
Plant
X X
X X X X X X
x
X
X
X
X
X
X
X
X
X
X
X
X
^
X
X
X
X
X
X
X
X
X
X
X
X
X
1
X
X
X
X
X
X '
X
X
X
x
X
x
X
X
X
X
X
>
X
X
X
X
X
X
X
X
X
X
X
X .
X
X
X
X
API 06791
it* v- -f 'Cm -U* ,,
Ifeterial
Tetraethyl Lead p-Tortitty Butyl Triethancl Amine
Toluene Tclufcene Trichlc rethylene
Catechol
Xylenes
Zinc Acetate Zinc Chloride Zinc Stearate
-4-
Laboratory
X X X X X X
Plant
X X X X X X
Another Company submitted the following materials:
r-g -c-r c o o r
Cl r-c -c -r -c o o r
bi
s
R-Csfc-R
Cl 3 R-C-C-R R-Cl HORDRDH PbR R^Si (Oxygen,
hydrogen)
R N R 3 R Halogen
Sulfurized methyl oleate Methyl di-Chlor Stearate
Sulfurized olefin (10 tc 30 carbon atoms)
Chlorinated dibenzyl disulfide
Chlor Naphthalene
Diethylene gycol
Lead cleate
Aliphatic and aromatic silicanes or sili
cones
~
'
Aliphatic and aromatic nitrogen compounds
Aliphatic and aromatic sulfur compounds
Aliphatic and aromatic halogen compounds
(Fluorine, Chlorine, Bromine, Iodine)
Still another Company submitted the following materials:
Hydrof e m e r bottoms . Heavy aromatic residues Cat-cracker slurry Butadiene Open chain diolefins Ring chain diolefins Toluene sulfonic acid
API 06792
APP3PIX D For Information Only - Mot For Publication
REPORT OF SUBCOMMITTEE ON MEDICAL POLICIES AND PRACTICES
Your Subcommittee on Medical Policies and Practices lias very little to
reocrt in the way of progress. This is- probably due to the fact that a meeting
0f'the suhcoramittee members could not be secured.
Shortly after my return from the St. Louis meeting, I decided that a cooettee to study into medical policies and practices of oil companies could not make progress or reconmendations without first knowing the existing policies
and practices. I, therefore, formulated a questionnaire embodying the information
brought out and requested at the St. Louis meeting, sent a copy of this question naire along with a letter to each of m y subcomnittee members requesting their
criticisms, suggestions, and approval to send such a questionnaire to Medical
Directors in Petroleum industries. I received no replies from the subcommittee
members.
I next asked Dr. Morrison of Los Angeles, and Dr. Thomson and Dr. peattie of San Francisco to meet with me in San Francisco the middle of August. Dr. Morrison replied that he would try to see me on my return but to proceed without him. In San Francisco Drs. Thomson and Peattie did give me an hour of. their time but indicated they did not intend to serve on the subcommittee. They approved sending out the questionnaires as presented. They further agreed that they would meet with me in Los Angeles the first of October to review and evaluate the results obtained. They have been unable to come to Los Angeles to date. I am reviewing the data obtained from the questionnaires and presenting it to you as part of this report for your evaluation and action.
Upon receiving notice for the Committee meeting in Chicago on
November 16th, I wrote my subcommittee asking them to meet with me in Chicago
for a subcommittee meeting on November 15th. In reply to this letter I have one
from Dr. Percy stating he would be there and one from Dr, Frank stating he would
probably be there.
.
T
It being extremely difficult for me to be away a week for the purpose
of attending the one-day meeting in Chicago,- and being unable to have a meeting
of my subcomnittee, I decided to ask Dr. Percy to present a y report for the
committee.
'
ANSWERS AND EVALUATION OF ANSWERS ON EIGHT QUESTIONNAIRES RECEIVED FROM MEDICAL DIRECTORS OF THE MEDICAL JJVISORY COMMITTEE OF THE MKRTRAN PETROLEUM INSTITUTE.
I* MANAsrararr
.
Is your medical service under the direction of a doctor?
Yes
6
Responsible to:
President Industrial Relations Manager Personnel Manager Manager of the Refinery
Full time doctor in charge:
Yes
5
2 3 1 2
API 06793
p,,rt time doctor in charge:
Yes
3
number of employees covered by the survey;
l0
Male
87, 000
Female
11,000
re most of the employees in one location?
Yes
3
Scattered
5
Note.* Two medical directors replied that they could not answer the
**
questionnaire because of the scattered locations of the employees.
How is the medical service coordinated with the other operations?
Safety
3
By: Medicei Claims Dept. 1
By: Personnel Manager
2
By: No coordination
5
Employment
2
Pay plans for disability 2
Absenteeism
2
Note:
The purpose of this question was, apparently, not well understood as it is believed there is some definite coordination between these plans and medical service. It is farther believed that most companies have some sort of pay plan for sickness and that absenteeism involves the medical service records and follow-up work with a report to the Management,
A, Care of the injured under liability laws by:
Company selected doctors
8
Insurance carrier selected doctors
0
Snployses* selected doctors
0
Note: It is apparent that all the companies responding are self-insured and select their own doctors,
B. Preemploynent examinations:
Note:
TOiat is the best title for this:
Preplacement
4
Preeraployment
4
Preplacement examinations required for males:
Yes 8
No G
Preplacement examinations required for females: Yes 8
No 0
Are they made by company selected doctors?
Yes 8
No 0
Employee selected doctors?
None
Is a prepared company physical examination form record used?
Yes 8
No 0
Note:
six blank physical examination forms were forwarded. A review of these six indicates that they are quite varied in form and in questions asked.
API 06794
-3-
,ire, ther-j any physical impairm-nts or defects ordered rejected?
*
*
Yea 7
No 1
Recurrent Rheumatism
2
Chrcnic suppurative conditions 1
Contagious diseases
1
Epilcpsy
1
Osteomyelitis
1
Diabetes
1
Varicose veins
2
Ho m i n
4
Vision less than 2C/50 4
Henrt disease
4
Tuberculosis
2
Hypertension
1
Allergies
1
tentai disease
2
Obesity
1
vole:
Ordered rejected is meant definite instructions, to examining doctors to reject certain conditions. It should go without saying that there are many conditions for which an applicant is rejected. Several reports attempted to list many of these conditions and stated all sorts of physical and mental conditions. It is believed as few conditions as possible should be ordered rejected thus giving the examining doctor a wide range for using his judgment in proper selection and placement.
Can medically rejected applicants be accepted for employment?
Yes 6
* v
No 2
If yes - by whom?
iianagement 6
Is a blood test for Syphilis required?
Yes 8
No 0
If females are examined, is a pelvic examination required or optional?
Optional
6
No examination 2
This part of the female anatomy is more subject to pathology than any other part and the above indicates that it is neglected on examinations. This applies particularly tc married women.
C. Reexaninati ons :
kade cn all employees?
Yes 1
No 7
Note:
Two replied that company officials are required to be examined annually; one replied that annual examinations are required on all employees hired after the installation of the medical service. One replied reexaminations are required upon return from sick leave. Four make examinations on employees working in hazards
Are there special arrangements whereby executives have an annual
examination by the company medical service?
. Yes U
By a physician of their own choosing?
None
Physical examinations are the basis of a health program. Therefore, annual examinations should be required on m i employees*
API 06795
-4-
Is medical advice available by conpany personnel to all employees?
Yes 5
No 3
To groups of employees only?
Yes 1
No 1
;.t no cost tc employees?
Yes 3
No *
Not noted in five questionnaires
At a cost to employees?'
None
Three of the companies have prepaid medical, surgical, and hospital service through conpany operated plans.
There are no employee operated plans but a few groups in various localities sc operate.
Joint company and employee operated plan? None * *
With the public emphasis strongly for prepaid medical and hospital service,, it would seem that all companies should have such a plan.
IV. REL 1AS5S FOR DUTY:
'
Are releases for duty to resume work required of employees who have been off
for sickness, accident, or personal reasons?
Yes 7 After seven days 3
After five days
1
After three days 1
For a day or more 1
Do not require
2
V. NURSING SUIVIC5 1
Are all nurses, if any, working unaer the supervision of a doctor? Yes 8
Is any home nursing service rendered?
Yes 4
No 2
If sc, at company expense?
Yes 2
No 1
At employees* expense?
Yes ?
Nc 2
Is there any fcllcw-up of absenteeism by nurses? . Yes 5
No 3
Note*
It is believed heme visitation by a nurse should be part of a
medical service because it produces valuable contacts with the
employees and reduces lost tine fran sickness.
-
API 06796
-5-
VI
records of sickness and accidents pertaining tc medical service
tendered, keot in the medical department?
.
'
'
Yes 5
Me 3
jt would seem geed practice to have all medical records and reports in the files of the medical department,
-rf sc is the information available only through doctors and nurses in charge?
*
Yes 6
No 2
jf not, who is entitled tc this information?
Executive
4
Department Head
1
Industrial Relations Manager 1
Are the reasons of absenteeism as shown on the records, reported tc any
superiors?
Yes 6
No 3
If sc, to whom and why?
Industriali Reactions Manager 1
Tenerci Manager
3
For the purpose of control for the Management of sick benefits.
Note:
It is strongly indicated that executives and department heads require a report of diagnosis on employees eff on account of sickness whereas, it would seem that the amount of time lost would suffice and that the diagnosis should be a confidence of a medical department.
VII. HSH/.BILIT:ITION;
Is there a company plan for placement of handicapped employees?
Yes 4
No 4
Handicapped veterans?
Yes 4
No 4
Note: Definite plans for rehabilitation are indicated in order to give the handicapped an equal opportunity for employment.
VIII. SANITATION AND HYGIENE:
Any educational activities for better health?
1 Yi 2
No 6
If yes, list them.
Employees Magazine
It is believed there are mere educational measures being carried cut than indicated by the above. If net, a big field is open for constructive results by the medical departments, jji organized health educational program shoulu be carried out in each industry.
API 06797
-0-
T-isnccti: r3: O.
re; inspect:.--ns .f offices and plants m d e ? Yes 7
No 1
If sc, by 'he n? Conditions noted: Light 7
Heat 7
Safety man Doctor Plant Manager
Ventilation 7
U
2 1
Dust
Funes 8
Special hazards:
Skin irritations 5 Chlorinated compounds 3
/icids (especially HF) 7 Radio active substances 3
Hyarocarbcn vapor and gases 7
Solid particles 6
Poisons 5
Any air conditioning in offices and plants?
Yes 3
Sane 3
Mete:
It is apparent that medical personnel are losing an cppo.rtunity tc familiarize themselves with the employees and the hazardous conditions under which they werk and .re net making reexaminations cf employees in hazardous work as indicated. This wrrk will probably be emphasized by the reports of the ether cciaaittees. .
XX. RESEARCH WORK AND PROGRAMS:
.
List any projects being carried cut, if not confidential.
None 7
Confidential 1
Nc report cf any anticipated projects.
Note:
P r blems requiring research are presented to the medical departments from time to tine. It-would appear that this field is neglected especially in relation tc the amount cf research dene by petroleum companies. Probably much material can be obtained from outside sources. Seme channel by which this material can be distributed to medical departments is indicated.
X. LEGISLATION >JK) LSGaL MATTERS:
What source cf information of being informed cf proposed medical legislation affecting the petroleum industry?
Three replied that information was obtained through medical secieties through legal departments and self-insured associations.
Nr te:
The whole question of legal legislation was mentioned several times at the meeting but in rather vague terns. It is evident fron the answers that there is nc real source of infc relation on these subjects available*tc nelical departments.
API 06798
XI*
roper precautionary i n f o r m t i o n measures used to protect the public
;'re PwJ?i th hazards arising out of the use of petroleum products?
frorn n
No 3
Yes 5
T 'oonerapion is maintained by the medical department with private ph-'sicians treating employees, with City, County and State Health eor.rtr.ents?
_,,,iS question '.vas answered by six who simply said "as occasions arise."
]V.-o said "complete." -.'aat non-official and private health agencies?
even replied "none."
Note; :
It should go without saying there is some cooperation with non official and private health agencies as these agencies are always asking for donations or doing research work which has a direct bearing on problems in the oil industry. It would seem valuable to maintain contacts with such agencies especially those who can secure and furnish data on medical problems and give guidance of these agencies in their relation to the medical profession and medical service in industry.
TVTSCUSSIC."
The above, to a certain extent, brings out some of the policies and practices of eight of the major oil companies. Why the five other Medical Directors who are members of the General Committee did not attempt to furnish the information asked for, is problematical. It is readily understood why two said their operations were too diversified to answer such a questionnaire^-
It is difficult to formulate a questionnaire embodying the items as mentioned in the medical meeting on which information is desired. This is evident ell tr.rough the answers. An active committee, reviewing tnis questionnaire, discussing it, would, doubtless, improve it considerably and would have more information from it for evaluation and use.
It was m y intention to assign one of the following topics to each member of the committee and request him to gather information on it and present a special report on that subject. It was also my intention to send this questionnaire, not only to members of the Medical advisory Committee, but also to all petroleum companies for the purpose of having more information available for evaluation, Tne response was so poor from my subcommittee members and from the general concittee members that it was decided not to attempt anything further at this time,
The following topics could well be given special consideration?
1. Formulation of a physical examination record as short as possible and including enough subheadings to get all information desired,
2. Prepaid medical plans. 3. Rehabilitation plans.
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U. Educational measures.
5. A research plan.
6. A legislative plan.
It is evident that medical directors in the petroleum industry were not a position to' take time for consideration of their policies and practices
the past six months. This was probably due to lack of help and reconver-
n fren a war basis to a peace basis. It is to be hoped that their interest become aroused sufficiently to carry out the following recommendations:
That a Committee on Policies and Practices be organized whose members in a position to and are willing to meet for discussion of the problems
assigned them;
That each committee member select one of the above topics as outlined
for his special study and report.
Respectfully submitted, * *
/s/ R. A. Jewett
R. A. Jewett, M.D., Chairman,
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Subcomnittee on Policies and
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Practices,
November 6, 1945
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