Document G5eXrV33mjJEX1r0de9jeymnq

K**4H4 *SV |.n E. I. ou Pont dc Nemours S Company Wilmington, Delaware 19898 EMPLOYE! RELATIONS DEPARTMENT MCOICAC QiVISION May 11, 1981 COMPANY PHYSICIANS ASBESTOS ABNORMALITY DETECTION PROGRAM FOR PENSIONERS Our present pensioner population consists of some 30,000 men and women, some of whom may have been exposed to asbestos during their active working years and may have developed pulmonary abnormalities. A program to inform pensioners and to detect and evaluate pulmonary abnormalities will be implemented through the employment sites. The format will be similar to the detection program presently in effect for active employees. The program will be implemented in four phasess o Information o Detection o Review of Work History o Evaluation The information phase will be accomplished by a letter to all pensioners describing our program and suggesting that they contact the appropriate employment site. The letter provides detailed information and instructions for making the contact. A copy of a sample letter is attached. The second phase will involve the detection of possible abnormalities by a radiological chest exam. Provisions will-be made for alternative sources of radiologic evaluation if employment sites are not available nor practicable. All radiographs will be interpreted by a board certified or qualified radiologist. Phase three involves an examination of the Du Pont work history for those cases where abnormalities consistent with asbestos are detected. 'If there is significant exposure, further evaluation will be provided by Du Pont. Pensioners will be informed of any abnormality detected whether or not asbestos related. Pensioners who have no detectable abnormality, but have been exposed to asbestos, should be advised to refrain from smoking and to be followed with annual chest radiographs by their personal physicians. DUP 0937443 Thara's a world of things were doing something about DU 038287 The evaluation phase will be provided by a pulmonary specialist if radiologic abnormalities compatable with asbestos exposure are detected and there had been significant Du Pont exposure. Abnor malities will be classified according to the Physician's Guidelines, Section TtU: o Benign asymptomatic o Benign symptomatic o Malignant illness Pensioners with detected abnormalities will be managed as if active employees. Pensioners who ace participating in an annual physical exami nation program at a plant site should not be scheduled for additional radiological evaluations. The chest x-ray done as part of an annual examination is sufficient to screen for a possible asbestos abnormality. Questions pertaining to this program should be addressed to your site management or if of a medical nature to the Medical Division, Wilmington, 302-774-5226. DIVISION Bruce w. Karrh, M.D. Medical Director I DU 038288 DUP 0937-444