Document DpR1YRn1nrLk0aMK7JRzzZpo

*<&au. CLINTON H. CRANE,PRESIDENT K. C. BROWNELL, VICE pr e s id e n t F. W. ROCKWELL, v ic e pr e s id e n t ROBERT L1NOLEY ZlEGFELD SEC ftSTART-TREASURE R Iyra:(tai3lrpiyBk -4-20 LEXINGTON AVENUE NEWYORK17,N.Y. MA N F R E D BOV/ DI TCH DIRECTOR OF HEALTH AND SAFETY > Robert A. Kehoe, II 3, Director lettering laboratory of Applied Physiology University of Cincinnati College of Medicine Eden Avenue Cincinnati 19t Ohio May lf?# 19h9 Dear Bob: As you vd.ll deduce from my enclosure, we are considering the pro duction of a motion picture, to be made available to both medical stu dents and medical society members, as a step towards straightening out some of the misconceptions (In some cases, the almost complete absence of conceptions) about plumbismwhichare so common among even very able medical men Youvdll readily see that the outline herewith leaves much to be desired, but I amsubmitting it "as is" to a small group of authorities in the hope that, through their independent criticisms, we may evolve something less crude and more adequate for presentation to our Board of Directors, who must of course give their approval before we can embark on so costly an undertaking. I hope that you will be willing to give me your frank opinion of the probable value of such a film and cf the likelihood of a real demand for it frommedical schools and socieities, as well as your specific crit icisms of the outline itself. Cur plan is to issue the picture under joint sponsorship with the Council on Industrial Health of the American Iledical Association, with the anticipation that it may be only the first of a ser ies of presentations on various occupational diseases, put out under the AHA. aegis and financed by appropriate industries, YJhat 1 amasking of you is, I think, justified by the potentialities of the proposal, and I hope that you will agree. Siacgrely yours, c-toll--O \ enc, mb/sd H 0014644 TIG 3ATGUSE 07 'lAD HI "ODSISI EIDUSTTT Prepared for The Lead Industries Association . . . by The Jan Handy Organization hay, 19h9 (Copyright and Confidential) Athirty minute sound notion picture in Kodachroras designed to acquaint doc tors and future members of the profession rath nodern methods of recognition and hygienic control of occupational, lead poisoning# The picture iiill be narrated by some accepted authority in this field. One or two brief scenes rri.ll establish lead poisoning as having been recognized for years, Aquotation in Latin from Ramazzini dissolves to the English translation and is read by the narrator, he learn that the lead used in Trine processing was recognized as a contributing factor to the disease in those early days. Also, the famous painter Raphael was thought to have died as a result of lead poison-' Three centuries ago, the Devonshire Colic in England was known to have been caused by wine in leaden vessels. Cur our. Ben franklin, interested among other things in the distillation of liquors, found the cause of lead poisoning in the lead "vrorms" used in distilla tion apparatus. He gave the disease the picturesque and highly descriptive name of I!Dry Gripes,11 otherTihnednuasrtrraiatolrdnioswabreilfietiresst.o the incidence of the disease with relation to As he speaks of the importance of the metal in modern industry and our modern mode of living we illustrate Ids talk with a montage'of modemconven iences which ire have come to accept as necessities. Batteries in streamlined automobiles, a steel frameof a sly scraper being covered with red lead, a neat Colonial residence receiving a coat of white paint, modern enamelled kitchen equipment and utensils, a variety of rubber articles, people buying and reading newspapers and people using telephones. The narrator stresses the fact that while lead is one of the commonest poi sons used in modem industry today, the industrial use of lead can be made rela ttiivaelllyy asapferobwleitmh pfororptehreegnegnineerearlinpgracantidtimoneedri-c.al control,-the latter being essen LkAle several hundred industries use lead in one form or another, there are iatbyouotffoleuardteepnoiwsohnicinhgh.ead the list and which are responsible for `die vast major pointHeousteethecloesiqeoosshuoretstooflesoamdeanodf tthhee mhaeztahroddouosf ajobbssorspotiothna, t fthoer nexaarmraptloer, acan shot of a worker on storage batteries in a cloud of dust as the narrator refers wo the finely divided particles of lead compounds suspended in the cloud and in haled, causing lead absorption and into:ri.cation, the greatest source of lead 18429.01 - 2. a** In another seone we see a worker skimming dross from lead pots. He is ex posed to the poisonous vapor and inhales it. These two ways of inhaling lead, from dust and vapor account for approximately 9$%of all cases of industrial exposure and absorption. Tie see a painter working on a small home or on some steel construction puff' at a cigarette which he holds with paint-stained fingers. In another close shot another painter with paint-covered hands eats a sandwich as the narrator declare tshceante"weaitlilngshoowf laeacdh"ildacwcoiuthntfsacfeorsmXenaurmedbearsoift csasitess oonf tlheaedflpoooisronneinagr.theAnboatsheer board which has some paint chips peeled off. Another workman is shown reaching for a can marked gasoline,i Ho pours soofmfe. oTnhae bnaitrraotfowr apsoteinatnsdtorubthsisitmoevtheordhoisf haabnsdosrpatniodnfoorfeatremtrsaetothygeltthsxo-moeugghritmhee skin as rare but dangerous, ITOTE: The scenes to bo shown in industry should, if possible, be played deliberately under old fashioned, obviously dangerous conditions so as to serve as a marked contrast to modern factory scenes to bo shown in a summary at the end of the film to emphasize what cooperation between engineering and the medical profession can accomplish to protect the health of the voiianan. The narrator ncrwintroduces the typical patient and his complaint. We see patient and doctor in office. As the doctor lets the patient tell of his symp toms, the narrator interjects brief comments which point to the cause and './hat the doctor should look for next by way of getting more conclusive evidence. Thus we bring out the following typical symptoms: Headache CPaoinnstiinpasttioomnach around navel. Very painful. Loss of appetite. Breakfast most distasteful. Bad taste in mouth. Tastes like sucking on penny. Getting weak. Aims weak, IbLght armworse than left. Can't even pick up hammer. Losing weight, . ,12 pounds in three weeks. ask toTdhaeyniasrrtahtoersapmoeintthsaotuJtlatmhaaztzitnhieafskiresdtthqrueeesthiounndwrehdicyhetahres dagooc:tor"Wshhoautld trade are you of?" The doctor continues with the patient and asks the follow ing: Do you breathe dust? Is there an exhaust system? Howgood is your grip? Do you sweat much? ._ When did constipation begin? - What meal do you dislike most? Will ordinary laxatives relieve your constipation? , _ Thus, while the conversation between doctor and patient develops, the inter jections of the narrator will give our audiences a glimpse of the clinical pic - 3' Nowwith the aid of an anatomical draining in simple outline plus animation or pointer action, the narrator points out the organs involved in lead poisoning as ' he traces the course beginning with the respiratory tract or the alimentary canal. Using the chart as the starting point, he points out the need for physical examina tion of the gums for the 1lead line1. Examination of the rod blood cells for baso philic granulation (stippling). Eliminate Hodgkins, leukemias and pernicious ane mia. Urinalysis (collected for 24 hours). Objective evidence if over the normal lead level. X-ray of bones of a child. In each of these instances, actual cases vri.ll be shotm. Nowfoil0i7 actual cases to show emergency and post emergency treatment and giving the underlying principles of treatment, the duration of disability and pos sible residual disability. The narrator appears again. This time he lias a chart before himlisting Bel knapis suggestions for industry. 1. Suspect all. lead dust. 2. 3. 9O5r/jdianbasryormptaisokns through nose. and respirators do not protect. It. Lead poisoning must have absorption plus disabling ' symptoms. ' 3. Diagnosis requires physical exam, blood studies and urinalysis. . As the doctor points to the above headings, scenes in factories will be recorded to illustrate each of them. Finally, the narrator points out that here is a metal which is important in modern living. It is a necessary poison which can be controlled. It is up to the medical profession to guide industry in its safe handling. And following are some sound rules 'which will minimize the danger: 1. Pre-employment examination to avoid susceptibles. 2. Re--examination to discover impending disabling intoxication, 3. Improve worker*s average health. It. Systematic factoiy inspection and worker1s protection, 5* Get cooperation of workers with frank expression as to the dangers involved. Frequent examinations and prompt tre?.tment. In these latter scenes, newfactoiy methods designed to protect the workers should contrast with the early dangerous factory sequences* Finally the narrator summarizes briefly giving some statistics on the vast improvement during the past twenty years in both engineering and medical control and ends with a note of caution. Ho points out that while available statistics showthat there has been a progressive decline in the incidence of fatal lead poi soning in the United States, the frequency of occurence of occupational lead poi psolincinagtioinn tohfisavcaoiluanbtlrey hisygsietnilicl ksuncohwlaesdgteoarnedvteeaclhnseiqriuoeu.s shortcomings in the ap uitsnhhnoadtutehrledtThahebpdeereoupqdssuoeuuatbetceojtneifotccinlatoeelnadotdhfrtaoocczloo.ammcrdapmsroeouafndusditsslioeasscncidaarunteldtedinainwdy-',sibtefherraovsrmiiunncggha muhthsyaeegtiemnerenaieyaicdlbsspeooorffienctatholegolnfmkizvioneideddewsr,na,ncatdoosmbtermhomouupngleiohtnyytde,d