Document G6w28eLngr4n3mE2r6yM6EBjY

OUTLINE OF PROPOSED HOKOORAPK ON ASBESTOSIB ' Saranac Laboratory .Study under Prant Iron Aabaatos AeaoQlftUon , PART I KUKAN AS5EST0SI3 1 Human Pathology - a atudy of 25 autopay ooeaa, Illustrated 2 X-ray Pattern* In Aabeatoala, Illuatratad 0 Aah and Mineral Value* in Hunan Aabeatoala 4 CoQplieationa of Aabeatoala * (a) Susceptibility to infection . 1 Tuberouloua 11 Non-Tuberculoua ill Cancer of the lung . 5 Disability, cauea* and comparison with elllcoala 6 Dlagnosia . (a) History of adequate exposure (b) X-ray filn pattern (c) Physical examination (d) Aabeatoala bodies in aputun, their algnlflcanca L* >- ... . 40380174 (2) PAST IZ Sxoerlaental Aafrafl^ig Z Methods < . (a) Inhalation exposure to plant dusta. ' (b) Znjeotlon Into lungs through trachea of pure ainerals. (o) Injection of pure minerals into other organs. 2 Species Susceptibility Man, guinea pigs, rabolta, oats, white alee and rata, dogs. ' 3 Peculiar Charaoterlatloe of Asbestoels ' (a) Unusual localltalon of chrysotlle fibre in lunga. (b) Rate of resultant tissue reaction oore rapid than to ouartz. (o) Reaction to chryeotlle not progreaalve after exposure ceases; again the reverse of the situation in silicosis, (d) Asbestosls Bodies 1 Coaposltlon and cathode of foraation. il Occurence in different epeelee. ill Foraation does not parallel developaent of fibrosis, iv Oradual disappearance after exposure eeasse. , 4 Comparative Effects of Different Aabestlfora minerals. ' (a) Canadian Chryeotlle. (b) Arizona Chryeotlle. low iron. (c) Crooldollte 1 Bolivian speoloen, stiff and elastic. 11 South Afrioan, soft and flexible. (d) Anthophylllte (e) Aaoslte. . (f) Trenollte. . . 5 Effeots of Control Minerals . . (a) Orannular Serpentine, sane ohenlcal coaposltlon as . chryeotlle. . . (b) Olass Wool, a synthetic silicate fibre. (o) Bruoite, a fibrous aagneslua hydroxide aloost free of silica . . 6 Chemical Coaposltlon of Asbestlfora ainerals in Relation to Irritation. . (a) Nothing In coaposltlon correlated with relative lrrltatir. capacity. ' (b) Prellalnary acid treataent . 1 Hydroohlorle sold 11 Carbon!e sold ' 40380175 (3) (c) Effeots of Alualnua 7 Physioal Properties in Relation to Irritation (a) Length of fibre Jb) Effeot of Cruehing (o) Heat treataent 8 Mature and Significance of Aabeatoala Body (a) Formation (b) Protective effeot preventing further Irritation Co) Ultlaate eolubllity in tiseue 9 Theoriea of Action of Aabeetifora Minerala (a) Chemical - reaeone for conalderlng invalid (b) Meohanioal - experimental demonstration of. ' 10 Compileatlone (a) Infection, tuberculosis and other varieties (b) Cancer of lung - experimental data suggestive but not proven . . 11 Disability 12 Essential Features of Katardous Exposure (a) Mature of dust - fibrous component and sits factors (b) Atmospheric Concentrations - probably lover than for quarts . 1 Inadequacy of standard lnplnger sampling method ` which does not oollect the dangerous fibres 11 Eleotrostatlc precipitat*<sampllng preferable but . method must be modified (c)'Duration of Exposure 13 Recommendations for a Mew Standard of Safe Atmospheric Con . centratlone of Asbestos Dust . (a) The Quasi-official standard-of 4 to 5 million particles per eu. ft. (b) Work upon better method of sampling . (c) necessity for oomparlaon of results with X-ray findings in employees 14 Prevention (a) Chemical means not practical ir I \ 1 Acl&osla necessary to dissolve fibre in lunga worst ' than Aabeetoala - 11 Aluminum Therapy Inapplicable ill Chief reliance still upon dust prevention with ' special snphasla upon the fibrous components ' 40380177