Document EgpZxBnMdOaV1VmQjqQNDKRL

E. I. cu Pont de Devours & Company Wilmington. Delaware 19898 l P ~ Z ~ Z Z 9U''OVS CEPAPT^tST -1 . : . jon ^rz^rr]\, ~v ^ 3 iS 73 / ./ / ' ' /',t "*- '',ED'CAt , 1978 < COMPANY PHYSICIANS There are nine different informational iters in this letter that you r.ay find pertinent and useful. 1. P.ecuests for Medical Information - NIOSH Each NIOSH request for information from employee records rust be considered cn its own set cf facts and merits. The Selle situation is unique and the Court's decision about medical record handling does not apply generally throughout the Company. NIOSH requests for employee or pensioner medical records should be referred to the Legal Department as succestec" in the attached letter from J. I. Reilly, Director of Environ mental Affairs. The Medical Director should be informed of each such request. 2. Contacts with Plant Doctors Regarding Litigation The Company Doctor should consult with the Medical Division and the Legal Departmentwhsn there is potential for -legal action that may possIUIy involve the Company. Any test;- mony7~deposition, or release of medical record information by the plant physician in a potential legal action or in litigation should be discussed with the Medical Division and cleared with the Legal Department. For details please read the attached letters of Dr. Bruce W. Karrh, Medical Director, and. C. S. Helen, Legal Department * 3. Respirator Selection The erclosed manuals, 15167 - Respirator Selection and 15472 - Meeting the Legal Requirements-of 1910.134, will ; help you understand the logic and basis for respirator selection and the legal requirements. This is primarily an industrial hygiene procedure, but the physician should know the prin ciples and procedures involved. The first twelve pages of the . legal requirements contain a useful outline to follow. "NIOSH - Technical Information, A Guide-Jto Industrial Respiratory Pro tection", with comments by F\*=H. Fuller was sent to you in an earlier mailing, J,^ /j'/L? IWL ^* rut p-.rc-h'tf m: it -f* esha-UisL C. uJ. rf.cy, v.. ti I4 Ik frfU.-' . - DUP 0906144 "r / n ^ a - SC-DP-05425 2 4. DisabiTlity ''acg Plan Experience _ 1977 You will be interested in your site record and to make a comparison with ether sites. The attachment shows an inerease in disabi1ity wages of 4.0% over 1976. Your efforts to keep the trend from increasing are appreciated. If you are having problems, perhaps we can help you. ' 5. Response to Company-wide Immunization Program Twenty-one sites reported through December, 1977 giving: Tetanus - 153; D-T - 2069; Polio - 1761; Influenza - 171. This is a good response considering the probability that most em.olcvees maintained a current schedule of immunizations. Now that the immunization campaign has ended, in order to maintain the high level, a review of the immunization record of employees during the periodic physical examination would be helpful. ' 6. Routine chest x-rays and extremity x-rays are frequently read by the site phsycian. In most instances, the interpre tation is not challenged. However, there are increasing risks of liability in self-interpretation if you are not a trained radiologist. It is recommended that x-rays taken at your site be interpreted by a certified radiologist whenever feasible. lv. L > /' `J . ft' s 7. Dr. Austin Givens, Antioch Works, Antioch, California, is program chairmanTor the 1979 AOHC conference and would like to have subject material for the conference which may be interesting and timely for Du Pont physicians. Although the program content is nearly complete, your comments and requests should be sent directly to Dr. Givens at the above ad'dress. 8. Mini-Residencey in Occupational Medicine r\ fU ,j. --C . The University of Cincinnati announced an intensive training program in-Occupational Medicine from June 5-23, 1973. See attached copy of letter. This program is longer, more intensive and expensive than most continuing education courses. It may or may not be helpful in your situation. The content of the course should be explored carefully, and information is available from the Director of Continuing EcJdJcation, Division of Clinical Studies, Department of Environmental Health, University of Cincinnati, College of Medicine, Cincinnati, Ohio 45267. f DUP 0906145 rm t V) rt Each state has a drug control authority to monitor he type, amount and movement of drugs within its jurisdiction, ince most sites dispense drugs routinely or in'emergencies, it__is prudent to Knew the cruo laws of your state. It is recommended that you obtain information from your state drug authority about the purchasing, storage, dispensing and prescrib or crugs. In Delaware this authority is the Delaware State Dec " r tm-r. t of Health. Questions should be directed to the Corporate Medical Division, Extension 9513 or 4666. JCB/bn Enclosures J0H&//C. BONNETT, M.D. Asst. Medical Director /T DUP 0906146