Document DQDEYmvXgBNnqoV3BwNEE02M
FILE NAME Jewelers JEWEL
DATE 1988 DOC JEWEL006
DOCUMENT DESCRIPTION Published Journal Article - Page 1 only
~-
1437-1438 ZIA ZIA THE NEW ENGLAND JOURNAL Vol 318 No. 22
OF MEDICINE
1988
June
318
. ZIA
ZIA
ZIA
7194
MEDICAL INTELLIGENCE - DRISCOLL ET AL
Code 38
43
.
MEDICAL
=
44
INTELLIGENCE
5
METHODS OF INVESTIGATION
45
For the purposes of this
64
lignant mesothelioma
investigation a case of ma- 80
was defined as any case so des-
cigonnaftierdmedby bythea New Mexico Tumor Registry and
pathologist's samples Medical records were arneavliyeswisedofforheisatcohlodgei-c
acenadseddecplaatrieednt to confirm his or her home of record
occupation
MALIGNANT MESOTHELIOMA
A questionnaire was administered
A Cluster in a Native
friends and one
to family
surviving patient to determine
American Pueblo
source and
the
duration of asbestos exposure
DRISCOLL Questions RICHARD J.
R.S. M.P.H.
about occupations with demonstrated asbestos
MULLIGAN M.D. WALLACE J.
sure were included in the
expo-
questionnaire along with
DANIEL SCHULTZ M.D.
questions about traditional Indian livelihoods such
M.D. basis and Anthony Candelaria E.H.T.
raising livestock farming and craft work
as
On the
of the results of the
personal iinterviews nterviews 14 iitems tems from qtuheesthioomnenasiroef and
pa-
HE association between
Th malignant mesothelioma
were selected for
1-3 smiths asbestos asbestos exposure is well known Often the samples materials exposure is not obvious and careful clinical and
Nine of the
whiten deerskin
analysis of collected were
content
used to
miologic investigations are required to identify ietpiWdee-
recently investigated five cases of
leggings for ceremonial occasions two
tive American pueblo of
this tumor in Na-
silversmith samples three were and three
silversmith
sup lies
persons microscopical supplies A unique juxtaposition oafppcrulotxuirmaaltely 2000
Polarized
of the
identified
analysis identified 10
presence of an industrial plant
customs with the
14 samples as containing
mixed asbestos tion to asbestos
exposed this popula-
Chrysotile asbestos was found in
33
above
concentraatmioosniste Malignant mesothelioma was diagnosed in three foupnedrciennt in 55 percent of the samples
was
Spaatniteants at the Public Health Service Hospital in
was found30in p2e0rcent of the samples and crocidolite
temberFe New Mexico between April 1984 and Sep-
material
percent
collected
of
the
samples
Most
of
the
was
_, from pipes 1985. A search of the state tumor registry re- boards
felting
or asbestos
vealed that two additional patients had had this
of tumor between 1970 and 1982. All five three type
OCCUPATIONAL
and two women were from the
men
AND CULTURAL EXPOSURES
had no known
same pueblo which
Asbestos was found
exposure to asbestos At the time of
diagnosis their average age was 65 and the
average
the
to be an integral component in
crafptrsempeanration of silver jewelry by Native American
period of survival between diagnosis and death
A random survey of American Indian sil-
3.8 months
was
versmiths in the Southwest
The expected incidence of mesothelioma calcu-
asbestos because of its
revealed that they all use
ties as well
its
known insulating proper-
mliatoeldogwiythanddatEansdupplied by the Surveillance Epide-
as
bestos mats
ready availability and low cost As-
boards 0.003 case
Results network was found to be
are used
called pounding
by theIndians
per
Because its
year
for
a
community
of
this
size
of brazing torches occurrence in the pueblo was 1000 times
heat use of
to insulate worktables against the intense _ and molten metal Frequent
the expected one an
epidemiologic was
investigation
these
be
boards
causes
a
buildup
of
silver
slag
that
Cleaning ices Duenpdaerrttmakeennt by the Environmental Health Serv-
must
cleaned periodically
the
isachieved by
clapping ice
of the Santa Fe Indian Health Serv-
simultaneously scrub the Hospital The survey revealed that
exposure to
boards and rubbing the
together actions that
working
slag off the board
~ and simultaneously aerosolize asbestos fibers into the
From the Departments of Internal Medicine and Surgery and the Office of
and Evaluations NIOSH Hazards
lumbia Pky Cincinnati OH 4522Te6chnical Assistance Branch 10 4676 Co-
The opinions expressed are the authors and
the United States Public Health Service
are not to be construed as those of
whitening A second source of
exposure was the process of
celebrate leggings and moccasins Pueblo Indians
tire
religious feasts by dressing in traditional at-
made of animal pelts beads and deer hides
Hun-
clans
to whiten moccasins with dance dancers before each
from dawn to dusk Asbestos is Asbestos buckskin leggings and The scrub these
used liberally- liberally-
liberallyliberal y-
before
articles