Document GrZqLj0O3zRKrXB60yjrv46n

The Markey B ronze B ushing C o ., D e lt a , Ohio - Mancuso (S ta te H ealth Department Survey) KB 0018766 Dear Mr. R o b e r ts: D send h erew ith the r e p o r ts o f the a n a ly t ic a l r e s u lt s ob tain ed on the sam ples of blood and u rin e o f c e r ta in o f your em p loyees, togeth er w ith a b i l l to cover the c o st to us of perform ing the an alyses. `.h e i n t e r p r e t a t i o n o f t h e s e r e s u l t s , i n th e a b se n c e o f h i s t o r i e s on the o ccu p a tio n s o f the men, and e s p e c ia lly on accou nt o f the la c k of in fo rm a tio n on t h e ~ la s t day o f t h e ir employment (e x p o su r e ), ca n n o t be made w ith c o m p le te s a t i s f a c t i o n . M oreover th e a n a l y t i c a l r e s u l t s do n o t s i g n i f y th a t any o f t h e s e men a r e 1 1 1 . They m erely dem onstrate th e e x te n t o f th e ir recen t exposure to and a b so rp tio n o f, lead . Assum ing th a t a l l o f th e men h ave worked up to a v e ry r e c e n t d a t e , under co n d itio n s of e x p c su r e a sso c ia te d w ith th e ir normal occupa- tic n ^ ^ it is ap p aren tlh at the most se rio u s exp osu re, |^ tf|H p !:h e n ex t a n d b e i n g the le a s t and only P ^ S g h tly e x p o s e d . The le n g t h o f employment o f th e s e men may v e i l have been q u ite as Important as the character of th e ir jo b s, In determ ining the r e s u lt s . From th e a s p e c t o f h a z a r d , th e r e s u l t s c o r r e sp o n d 'to a q u it e h azard ou s c o n d i t i o n , th e. c o n t in u a tTon o f whi c h w ould c e r t a in ly cau se lea d in t o x ic a t io n ; th o se on are also in d ic a tiv e o f dangerous lead ex p o su re, w h ile th ose on o n ly s l i g h t l y l e s s s i g n i f i c a n t . T hese men m igh t v e i l b e sh ow ing symptomatic ev id en ce o f to x ic e f f e c t s # as v e i l as sig n s o f lead a b so r p tio n , a lth o u g h th a t i s b y n o means n e c e s s a r ily tr u e . I t would not be ex p ected t h a t ^ H ^ w o u l d be 1 1 1 . K is exposu re was m ild or o f s h o r t d u r a t io n , or e l s e i t has been come tim e s in c e h i s exposure was d is c o n tin u e d . f should be I n te r e s te d In o b ta in in g the c l i n i c a l and o c c u p a tio n a l h i s t o r i e s o f t h e s e men In o r d e r to c o m p le te my r e c o r d s . Very tr u ly yours IAK e f C -C . D r. Thomas F . Mancuso Enc. c h e r t A . h e n c e , M. E . URINE A n a ly s is Number Volume S p e c ific G ravity Mg. P b /L lte r - ij-7A-1976 - 100 m l. - 1.0 0 7 - O.Olj.5 BLOOD A n a ly s is Number W eight Mgs. Pb/lOO Grams - lj.7A-1977 - 21*5 Grams - 0 .0 7 (D ithizone) Samples C o lle c te d : Samples R eceived : Samples R eported: 3-19-li-7 3--2I4.--lq-7 3-29Ij.7 0018768 N19736.01 March 1 9 , 1947 Dr. Robert A . Kehoe K ettering Laboratory o f Applied Physiology C ollege o f M edicine, Eden Avenue C in c in n a ti 1 9 , Ohio Dear Dr. Kehoe: I should lik e t o acknowledge r e c e ip t, o f th e f iv e b lood and u rin e sample k i t s . I an retu rn in g to you tod ay th e blood and u rin e sam ples o f fo u r men. The f i f t h k i t was n o t u s e d , w ith th e e x c e p tio n o f the n eed le. The specim ens were tak en f rom Mr. ,Mr . and Mr. , Mr. "Could you k in d ly rim la b o r a to r y a n a ly s e s fo r le a d and send th e rep o rts and la b o ra to ry ch a rts to n e , w ith th e copy o f th e report to Dr. Mancuso, j Tie a p p r e c ia te your c o -o p e r a tio n in t h i s m a tte r , . Very tr u ly yours, THE HAREEY BROliZE BUSHING COKPMY m).dSce^ IV. A . R o b e rts, A s s is t a n t Manager ea j<U 0018769 N19736 URINE . A n a ly s is Number Volume S p e c ific G ravity Mg. P b /L it e r V 7A -1982 100 m l. 1.0 18 0 .1 2 BLOOD A n a ly s is Number W eight M gs. P b /1 0 0 Grams M gs. P b /1 0 0 Grams - 11.7A-198 3 - 1 0 .8 Grams - O.O75 S p e c tr o g r a p h ic ) - 0.09 (D lthizone) Samples Collected; Samples Received; Samples Reported; 3-19 -V? 3-- 14.7 3-2 9 -14.7 K E 0018770 N19736.03 URINE A n a ly s is Number Volume : S p e c ific G ravity Mg. F b /L it e r - 47A-198O - 100 ml* - 1.0 19 . - 0.l 8 BLOOD A n a ly s is Number Grams Mgs. Pb/lOQ Grams - VrA-19 8 1 Sue c t r 0srau h i c P it h iz o n e - lij-*2 - 0 .12 1 9 .3 . 0 .0 9 0018771 Samples Collected Samples Received: Samples Reported: 5- 19-47 5 -2 4 -4 7 5-29-47 * URINE ' A n a ly s is Number Volume S p e c ific G ravity Mg, P b /L it e r - ^ -19 78 - 100 m l. - 1.020 . - 0.55 BLOOD A n a ly s is Number Grams M gs. Pb/3,00 Grams - hn-1979 S p e c tr o g r a p h lc D1 t i l l a one - 18 .0 2 1. 0 - 0.25 0 *21; Samples Collected: 5-19~l;7 Samples Received: 5-2i;-i;7 Samples Reported: 529i|.7 Ki? 0018772 V-' / y 'y 'C Source i Material : SubmittedJ Required: Name Em ployees o f Markey Bronze B ushing Company, D e lta , Ohio Urine and Blood 1 2 -> 56 b y D r. Ben R eed , D e lta C l i n i c , D e l t a , Ohio Lead Analyses o VO p ov CO r00 i o o , ki URINE A n a ly s is Volume Mg. P b / A n a ly s is Number m l. L i t e r Number 56A -6592 ' 112 56A-6594 49 56A-6596 140 56A-6598 56A -6600 56a - 6602 56A-6604 51 37 __ 103 52 56A-6 6 0 6 56A- 6608 56A- 6610 56A -6612 92 150 149 68 0 .1 3 0 .0 7 0 .1 5 0 .1 5 0.06 0 .2 0 0 .0 9 0 .1 0 0.28 0 .2 2 0 -1.8 56A-6593 56A-6595 56a - 6597 56A -6599 56A -6601 56A-660 3 56A -66O5 56A-660 7 56A- 6609 56A -6611 56A -6613 BLOOD Spec tro graphic W eigh t Mg. P b / Grams 100 g . D lth;Lzone W eight Mg. P b / Grams 100 g . 1 5 .9 0 .0 5 1 6 .7 0.05 V 15.3 . 1 7 .1 1 4 .3 1 1 .3 1 3 .9 1 4 .4 1 2 .4 1 5 .4 1 2 .5 1 2 .8 0 .0 5 0 .1 5 0 .0 9 0 .0 5 0 .0 9 0.06 0 .0 6 0 .3 1 0.09 0 .0 7 1 6 .0 1 7 .8 15.7 . 15 . 8 .. 150 1 6 .6 .... l'- - 5 . 1 7 .5 15-9 1 4 .1 0 .0 7 0 .1 7 0 .1 0 0.06 0 .1 2 0.06 0.08 1 0 . 3 3 ------0 .1 0 0 .0 7 (rkey Bronze Bushing Company, Delta, Ohio -2 - Name URINE A nalysis Number Volume Mg. P b / A n a ly s is m l. L i t e r Number BLOOD S p e c tr o g r a n h lc W eight Mg. P b / Grams 100 g . 56A -6614 121 0 .16 56A- 6616 58 0 .10 56A -66I 8 34 O.26 5A-6 6 2 0 56A-6 6 3 7 125 .. 41 0 .0 7 O.O8 56a - 6639 130 0 .0 3 56A-6622 15 0.2 3 56A -6624 ___ 51 _ 0 .1 0 56A- 6626 88 0.10 56A- 6628 135 0.06 56A-6630 130 0 .0 5 56A-6632 122 0 .1 0 56A-6615 56A -6617 56A-6619 56A-6621 56A- 6638 56A-6640 * 56A-6623 56A- 6625 56A- 6627 56A-6629 56A-6 6 3 1 !> 1 5 .4 I I .3 1 4 .6 1 4 .6 15.0 1 4 .0 1 3 .4 13 .7 15 . 8 1 4 .7 0.06 0 .0 6 0.06 0.06 0.06 0.06 0.06 0 .0 7 0.05 0 .0 5 0 .0 5 56A-6633 132 56A -6635 91 Insufficient quantity of blood for analysis 0 .10 0 .17 56A-6634 1 4 .8 56A-6636 1 1 .4 Samples Collected: Samples Received: Samples Reported: 0 .0 7 0 .0 7 11-27"56 12-5"56 12-15 - 5 6 Dithi zone W eight Mg. P b / Grams 100 g . 1 4 .6 1 6 .6 1.3-5. 16 .0 17-6 O.O6 ./ O.O6 0.06 / 0 .0 5 O.O6 -.15 *3. 1 4 .8 0 .0 7 0 .0 6 . 1 4 .4 0 .10 15 .1 0.05 1 8 .1 1 4 .8 0 .0 7 O.O6 1 6 .1 1 4 .3 0.07 ' 0 .0 7 not be re tu rn e d to w ork involving ouch e x p o su re u n til th e level o f le a d co n c en tratio n in the u rin e ant^ jio o ^ J ^ v e re tu rn e d to th e n o rm al ra n g e . The se men are ,a n d ^ ^ Two of th ese m e n ' ro in having" A o o d T ev els in the highly h a za rd o u s ra n g e , w hich is o ften a s s o c ia te d with th e m o re s e rio u s m a n ife statio n s of p lu m b ism . T hese two and^H B | H H , the la tte r being in the m o re dangerous situ atio n , T h e o th e rs in the ^ ro u p a re in only a U ttle le a s d an g er. One additional m an, is just a t the thresh o ld of d anger. He should not be su b jected to any fu rth e r ex p o su re to lead and should not resu m e w ork u n d er conditions of ex p o su re until he h as re tu rn e d to the n o rm al range of lead concentration. Several additional m en ______________________ _ _____________ >) h a v e s u c h a s m a l l 0... safety a t tliis tim e 'a s to be in p o ten tial d a n g er if th e ir ex p o su re to lead w ere to continue fo r any v e ry co n sid erab le p erio d of tim e w ithout m a te ria l re d u c tio n . T here is no m an in th is group who fa ils to show som e evidence of ab n o rm al a b so rp tio n of lead in one o r th e o th e r of tha u rin e o r blood. Of th o se w hose b lo o d lo a d ia w ith in th e u p p e r n o r m a l r a n g e (11 o f th e m e n ) o n ly 4 Ij s v o u r i n a r y lev els of co n cen tratio n th at a re n ear the m ean n o rm al ran g e, and 4 of the group have significantly elevated lev els of lead concentration in the u rin e. The a v e ra g e co n cen tratio n of lead in the u rin e o f th e g ro u p is 0 .1 3 m g. p e r lite r: the av erag e of a ll of the re s u lts on the blood (the blood sam p le fro m i m an was inadequate fo r a n a ly sis) ia 0.081 m g, p e r 100 g ra m a . T hese values tak en a s an ex p ressio n of the lev el of lead exposure of th is plant a s a w hole, to the extent that th ese m en a re re p re se n ta tiv e of its vario u s a re a s and a c tiv itie s, show that the en v ironm ental conditions a rc quite dangerous and th at th e en v iro n m en tal con tro l is w oefully inadequate. M otel In v iew o f th e c o m p le te la c k o f a n y in f o r m a tio n c o n c e rn in g th e n a tu r e and the duration of the ex p o su re of these m en, o r of any o th e r inform ation, the in te rp re ta tio n above m u st of n e ce ssity be based upon the findings alo n e. It is a valid in te rp re ta tio n in a ll re s p e c ts , but it could be m ade m oro u seful to a ll concerned, if suitable inform ation w ere available. Signed: .Robert A , HehoeJ M. O, 0018775 N19736.05 D ear D octor Reed: I send you herew ith the re p o rt of the an aly ses c a rrie d out on the u rin e and blood of the em ployees of the M arkey B ronze B ushing C om pany. Xknow nothing of y o u r re la tio n sh ip w ith the m anagem ent o r the em ployees of th is p lan t, but it is n e c e s s a ry to speak to som eone about the situ a tio n of w hich th e se a n a ly tic a l re s u lts a re in d icativ e, and it see m s the b e st p a rt of pru d en ce to a d d re ss m y re m a rk s to you as a b a sis fo r such advice as you m ay w ish to give the m anagem ent. 1. It is e v id e n t, a s I have in d ic a te d i^ithe r e p o r t, th a t th is is a dangerov.3 p la n t in w hich to w ork. It should be put in a 3tate of re a so n a b le safety o r e lse clo sed down. It can be m ade reaso n ab ly safe, and th is should be done prom ptly and effe ctiv ely . 2, It is foolish, and w asteful of m y tim e and effo rt, to send sam p les of this type to us w ithout providing m e w ith the in fo rm atio n on the p lan t, the n a tu re and d u ratio n of the em ploym ent of th ese m en, and the clin ical statu s of the m en. With su ch in fo rm a tio n I could in te r p r e t th e re s u lts m o re s a tis f a c to r ily and give b e tte r a d v ic e . In ad d itio n to th is a s p e c t of th e m a tte r , h o w ev er, th e re is a n o th e r facto r that m akes this im p e ra tiv e . This is not a se rv ic e la b o ra to ry , but a re s e a rc h o rg an izatio n in th is U niversity. We c h arg e m e re ly w hat it a ctu a lly c o s ts us to do su ch w o rk , an d in r e tu r n f o r o u r e ffo rts v/e e x p e c t to o b ta in in fo rm atio n of the type in d ic a te d . We w ill n o t c o n tin u e to p e rfo rm su c h a n a ly s e s unless such inform ation is forthcom ing. We a re using our fa c ilitie s im p ro p erly and unproductively u n less we le a rn fro m our w ork the facts of life as they ex ist w ithin the in d u s trie s to w hich we give a s s is ta n c e and ad v ice . I would a p p re c ia te any e ffo rts you m ay m ake to p a ss m y co m m en ts along to the rig h t people. I sh a ll do m y b e st to be of a s s is ta n c e to you if you b e a r m y p ro fe ssio n a l re sp o n sib ility fo r th ese people, but th ese a re the conditions under w hich o u r w ork is done. , ' C ordially y ours, RAK ef Enc. R obert A . Kehoe, M. D. N19736.06 D ecem ber 18t 1956 TO: M arkey B ronze Bushing Com pany D elta ' O hio A ttention: D r, Ben R eed FO R: R eim b u rsem en t of the K ettering L a b o ra to ry fo r an aly sis of u rin e and blood of the follow ing em ployees fo r the d eterm in atio n of lead: 49 A nalyzes a t $ 10.00 each * U rine only. 0018777 $ 490.00 N19736.07