Document GmK165YXk6YJqb7XGLbM1x7v

Now York 16, New York Dear Hugh: At tho tirno of our Annual Mooting you and I dlueuaocd the status of the ATI study, and I promised to sand you material which might be help ful. 1 realize that you -viL1 not be uainj; It until January or February, but thought 1 would send you what wo turned up immediately. '.V e will continue to search and will a end you anything more that we find before tnc time of your meeting. hr the American Journal of Medicino for November 1953, Iuaelbachcr, Klaus, and Hardy have an article entitled, "Aiboitosi.i and broncho genic Carcinoma". They report one ease but review the literature and they state that "about 10, 000 worker*; arc probably engaged in potentially hacardoua asbootOi manufacturing operationa in the United States. Most of tho industry la oogaged 1 anhestoo textile manufacturing........... " As early au l')3u Lansa estimated that about 12,000 individual!! \rcrc employed Lo the chief ajbestus plantr. In the Uuitod State j, ol whom 10,000 might he exposed. Hinsha.v ano G.irland In their hook. ''Oino.iaos of the Chert", just off the preso, at.no In part "expoauro occurs in industrial plants v.-hcra asbestos product* arc fabri cated and among those who install Insulating material*; the spinning and ^caving of asbestos in combination with other textileu also results in expooure". The 1 s s e lbach e r article collects 20 coiios including their own, of which 10 apparently occurred in thlj country. Tile occupations of these :C cases acre as follows", throo wcavara, two pipe Insulators, one pipe ceveror, one s alio st os mill workur and oortor, and throo no; known. f ho oc c un.i: l on a of tho other 10 (foreign) caoc* worn as follow*; npinr.cr; rr.atircoa and opening dep a r tin o nt * ; ps. c ko r - a C o r a department; carder, spinner, and weaver; pre* p 1 lining - a o ac :ri hi y room; machine adjustor; bagger; p J p < coverer; "i jbe ilos worker"; and one wuO iipont 18 years In an asbestos pl.*nl although the occupa tion lo not given. Mr. Hugh M. J;ic.v.rnu f 1 'nccniljr r 6, 1 rt '3 h One conclusion of this .irliolo is that labooios la associated with brenrhojicnic carcinoma In lJ.-'J?* of tlic canes cited In the liter.tluro. Doll, "Mortality from Lung Cancor Ln Asbestos Vi'orhert", llritiob Journ. Ind. Mod,, April i?55, preoenta data on 18 carer, of lung cancer diag nosed at autopny among 105 consecutive autopsies of worker* in A largo aabtotoi work*. Fl/toon of Lho 18 had a*bstool* and throe did not. Theae Individual* were not minor*, of course, and thair occupation* included: nine wcivor*. tbroo fiberixera, two disintegrators, ono bag carrier, two spinners, and ono maintenance man. In addition, wo havo found artlclaa reporting at loaii seven other ca*eo, mostly in tba forolgn literature and many of which do not spociiy tho occupation. L. W. Smith, "Pncumoconloflls and Lung Cancer", Compensation Medicine, November 1949, states that tho Amoriem and Fnglish figured cor respond co closely that it become* more and more difficult to absolve iuocatoa a* a potential factor in tho dcvclopmcnt ol pulmonary cancer. He quotoa a re cent editorial In tho JAMA aa follows: "A* the available evidence cbowj that the occurrence oi cancor of tho lung ia rolatod to pulmonary uabcatosid ana io ^not merely a pocuible uequola of exposure to aobcslos duot........... ", and states Vv'ihat claims for compensation will become of incrcauing frequency due to the general incrcaao of carcinoma of tho lung. I hope that this material will bo helpful to you in enlightening the r cprc s entiye c of the textile industry. We will continue to send "ammunition" as we uncover it. With kincieot pur a anal regards. Sincerely youra. L)CD: If Daniel C. ilraun, M.D. Medical Director