Document DMax2zB4X5nG3oJNko3KJ5QVo

REPORT ON CONCENTRATION OF LEAD IN THE BLOOD AND URINE OF EMPLOYEES OF THE SCHAXBLE COMPANY FOUNDRY. COOK STREET. CINCINNATI. OHIO T h i s r ep o r t i s t o be appended t o t h at o f M r. Ch ol ak d esc r i b i n g t h e cu r r en t st u d y o f at m osp h er i c p o l l u t i o n at t h e p l an t . Due t o t h e r ep o r t ed i l l n e s s o f ap p r o x i m at el y t w en t y em pl oyees d u r i n g t he t wo-week p er i o d from O ct ober 2'7 t o November 7 > i t was recommended t h at some I n f o r m at i o n r eg ar d i n g t h e l ead ab so r p t i o n o f at l e a st some o f t h ese p er son s be c o l l e c t e d . W hile t h e r ep o r t ed symptoms were su g g est i v e o f t h e co n d i t i o n known as "b r ass c h i l l s" or m et al fume f ev er , i t i s r ecogn i zed t h at t h e r e su l t s o f t h e ab so r p t i o n o f h azar d ou s am ount s o f l ead ar e some t i m es m asked b y t h ese acu t e sym pt om s. A cco r d i n g l y , i t was ar r an ged t o c o l l e c t speci m en s o f b l o o d and u r i n e f o r l ead d et er m i n at i o n at t h e p l an t a t t h e end o f t h e w ork day on F r i d ay , November li p. Ei g h t em pl oyees r ep r esen t i n g se v e r a l j ob c l a s s i f i c a t i o n s , p r esen t ed t h em sel v es. W it h t h e one ex cep t i o n o f Bea L an d i n , a fem al e co r e m ak er , a l l had symptoms t h ou gh t t o be m et al fume f ev er at some t im e d u r i n g t h e t w o-w eek p er i o d p r i o r t o t e st i n g . One o f t h e gr oup, Rob er t K l ass, a m old er , v i si t e d t he p l an t m ed i cal co n su l t an t , D r . Sam uel W. B e l l , f o r t r eat m en t ; t h e o t h er s r ep o r t ed symptoms o f b r i e f e r d u r at i on or l esser sev er i t y ,' n ot r eq u i r i n g m ed ical at t en t ion . The r e su l t s on t h e b l o o d speci m en s show t h at t h e exp osu r e t o l ead w i t h i n t h i s gr ou p h as been q u i t e v a r i a b l e . The two women a n d h a v e had no- d em on st r ab l e exp o su r e. Fou r men and h ave n ot been exp osed t o a h azar d ou s co n d i t i o n o f l ead co n t act r e c e n t l y . Two o f t h e men, a m et al p ou r er , and a f u r n ace ch ar g er , h ave been su b j ec t ed .t o h azar d ou s l ea d exp osu r e and m i gh t be -2 exp ect ed t o d evel o p symptoms o f l ead p o i so n i n g at an y t i m e I f t h e i r exp osu r e co n t i n u es u n ab at ed . The u r i n ar y f i n d i n g s con for m g e n er a l l y w i t h t h ose o f t h e b l o o d excep t i n t h e case o f The p r esen ce o f a n or m al co n cen t r at i o n o f l ead i n t h e u r i n e speci m en I s p r o b ab l y a m at t er o f pure ch an ce, and i t does n ot d et r ac t an yt h i n g from t h e ser i o u s si g n i f i c an ce o f t h e h igh l ead co n cen t r at i o n I n t he blood o f t h i s man. Taken t o g et h er , t h ese d at a con fi r m t h e su sp i c i o n t h at some o f t he workmen, w h i l e a f f e c t e d b y t h e common and d i st r e ssi n g co n d i t i o n o f m et al fume f e v e r , h ave been ap p r o ach i n g t h e much more ser i o u s and p o t e n t i a l l y d i sab l i n g d i sease o f l ead p o i so n i n g. I n o r d er t o assess t h e ex t en t o f h azar d ou s l ead ab so r p t i o n among t h e en t i r e w or k i n g gr ou p , i t i s recommended t h at a l l o f t h e men r e g u l a r l y at work on t h e f u r n ac es, l a d l e s, and sh ak e--out m ach i n es h ave l ead d et er m i n at i o n s o f b l ood and u r i n e, t o get h er w i t h an y o t h er s who may h ave evi d en ce o f si m i l a r l y h azar d ou s d egr ees o f l ead ab so r p t i o n , sh ou l d h ave a t h or ou gh p h y si c al exam i n at i on f o r t h e pu r pose o f d et ec t i n g e a r l y si g n s o f f r an k p o i so n i n g, and sh ou l d be k ep t u n d er con t i n u ed m ed i cal o b ser v at i o n u n t i l i t i s c l ear t h at f u r t h er i n cr ease i n l ead co n cen t r at i o n s ar e not o ccu r r i n g. Ev al u at i o n of t he en vi r on m en t al f ac t o r s g i v i n g r i se t o t h i s si t u a t i o n i s b ei n g made by t h e en gi n eer i n g s t a f f , al o n g w i t h r ecom m en dat ions f o r t h e i r c o n t r o l . From t h e K et t er i n g L ab o r at o r y i n t h e D epart m ent o f Pr ev en t i v e M ed i ci n e and I n d u st r i a l H eal t h , C o l l ege o f M ed i ci n e, T Jn l v er si t y o f C i n c i n n at i , C i n c i n n at i , Ohio Rep or t b y: Jam es P. H ughes, M .D. r^ A p p r oved : ^--A ^ Rober t "AT"Keh6ef , M .D/ Sou r ce : M at erial: Su bm i t t ed* Req u ir ed ; Em ployees o f Sch ai b l e Company, 2620 Cook St r e e t , C i n c i n n at i , U r i n e and Bl ood 11- 1 5 -5 2 by D r . Jam es P. Hughes Lead A n al yses Name O ccupat i on M older A sst . Foreman Core M aker M older Core M aker Fu r n ace Ch ar ger M et al Pou r er Fu r n ace Ten der URINE BLOOD A n al y si s Sp e c i f i c Mg. Pb/ A n al y si s Sp ect r o gr ap h i Number G r av i t y L it er Number Vei g h t Mg. Pb Grams 100 g. 52A-7766 ` 1.0 2 5 52A-7 7 6 7 1.0 0 9 52A -7768 If 52A-7 7 7 0 1.0 26 0 ,10 0 .0 5 0 .10 0 .0 5 52A-7 7 7 2 52A -7773 52A - 777U 52A-7 7 7 5 52A-7 7 7 6 52A -7777 I 6 .5 17 .0 16 .5 20 .5 1 9 *2 0.06 0 .0 7 o.olj. 0.06 O.Olj. 52A -7769 52A-7 7 7 1 1.0 2 ^ 1.0 10 0 .17 o.ol^ 52A -7778 52A-7 7 7 9 16 .7 1 1 .3 0 .19 0.08 * I n su f f i c i en t Q u an t it y ## Bot h an al y ses r un from t he same sam p l e. Sam ples C o l l ect ed ? l l Sam ples Recei v ed : I I -