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12/6/7 12/6/77 12/6/77
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THE NEW YORK TIMES THU
Washington & Business
Health Hazards and the Workplace
BY DAVID BURNHAM
WASHINGTON - Seven years after
Congress approved the Occupational Safety and Health Act the Federal
Government this week laid out an en-
forcement plan that if upheld by the courts could have a significant impact
the health hazards found in the
workplace
Up to the present although the Occupational Safety and Health Administration has been subjected to an almost endless barrage of criticism by businessmen many experts agree it has been largely ineffective in confronting the health problems created by indus-
trial processes ,
In more than six years of operation for example OSHA has managed to put into effect regulations limiting the exposure of only 17 of the more than 1,500 carcinogens that scientists believe are present in the nation's factories hospitals chemical plants beauty shops mines cleaning stores and even office buildings
Government will expect a business to take after a substance is declared a
carcinogen
As spelled out in the page Labor Department proposal evidence developed during specifically defined
tests on mamalian animals could be
the basis for determining that a toxic substance is a carcinogen and once so determined that the exposure limit
will be set as low as feasible
Assuming the new comprehensive cancer proposal survives the expected challenges by business and industry the potential impact of the plan is enor mous During the last 75 years of in-
creasing industrialization for example
deaths from cancer have risen from
64 per 100,000 in 1900 to 162.8 per
100,000 in 1970 and 171.5 per 100,000
in 1975. Cancer is now killing about
1,000 persons per day in the United
States and each year 900,000 new cases
are diagnosed
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A report by the General Accounting Office last spring said that at the existing pace it would take OSHA more than a century to regulate substances already identified as hazards and that new and dangerous products were
being added to the environment every day
Thus the General Accounting Office report concluded the bleak health conditions which Congress sought to improve in the Health Act of 1970 still exist and many may be getting
worse
Somewhere between 60 percent and 90 percent of these cases scientists
now believe are triggered by substances in the environment of America
many of which originally are generated -
the workplaces regulated by
OSHA
.
While the human anguish behind these statistics is impossible to qualify the costs can be estimated According to some studies about 1.8 billion a
year is spent in the United States solely for hospital care for cancer patients 3 billion to 5 billion a year is spent for all kinds of treatment of cancer
But on Monday Labor Secretary F. Ray Marshall and Dr. Eula Bingham the head of the OSHA made a
proposal that would provide a drastic
change in the agency's approach to health problems and a great increase
in the pressure on business to confront
these problems
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Mr. Marshall and Dr. Bingham recommended the Federal Govern-
ment's first comprehensive plan to con-
trol the hundreds of substances that
and perhaps 12 billion a year is lost
in earning power and productivity be-
cause of cancer
Mr. Marshall referred to these broad-
er costs to society of which are
reflected in higher health premiums paid for the general population-
when asked whether he had calculated
what the new comprehensive enforce-
ment plan would cost industry The
Secretary said that he believed the cy when implemented would
poli-
save
society a great deal of money
produce cancer and the abandonment of the present substance approach Under the plan model fill blanks regulations would be estab-
lished for carcinogens More important perhaps the proposal provides that the
Government will argue on once for basis two key policy issues that
in the past have been argued and reargued as each individual carcinogen came under regulation
One issue the Government wants to
ecide as a general policy is what kinds of proofs will be required to declare that a given substance causes cancer
The second issue is what action the
-
But the proposal could result in a tremendous increase in Government
pressure on industry to limit the emissions of causing agents and this would cost money industry's money then the public's money when it buys what industry sell The plastics
industry representing a segment of industry that would be particularly affected said that it shared the Govern-
ment's concern in wanting to reduce
occupational exposure to carcinogens But it denounced plan as nothing
'
more than an attempt by a regulatory _ agency to devise a quick fix method
of dealing with the admittedly difficult
Associated Pross
Dr. Eula Bingham
Labor Secretary Ray Marshall
task of reducing the risks of occupational health hazards No push button formula will provide the right answer
The potential significance of the OSHA proposal does not end in the workplace Other Federal agencies such as the Consumer Product Safety Commission and the Environmental Protection regulate carcino-
gens on a subs- t by a - sn ubsc tane ce
basis Should this approach survive legal challenges past individual cases would suggest is likely they too could begin a broader far speedier cleanup drive
In a memorandum accompanying the proposal OSHA said that it was encouraging full discussion Written submissions should be sent to the OSHA Docket Officer Docket No. 090 Room 6212 United States Department of Labor Third Street and Constitution Avenue N.W. Washington D.C. 20210 by Dec. 8. A public hearing has been scheduled to begin on March 14 1978
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