Document KRyx6Znm4r3Qqa8DBE9gp2E96

/ .fillip: * -. F. A. C. GuepinvEf St. Helen's Cddrt, ,, Greatest. Helena s >:.= . London, E.C.3* f'.-i'"-- -'V Letter Ho. 131 -\ ._ ;; -.* \&0~- -f-v^ 'v;viv.r-r.. Dear ;Mr. Guepin,"-- -v-.-VV.'V'..'`' \ vi.*r tv-.-,;': - i: VV * " -Xv- ; . I'refer to Enclosed please find the your letter Engineering/ll of 1st March. relevant copies of the medical reports. ; ' - . ^*. 0 ....;^c: ;7 i::;. ; . ... , It does not say in the case history as recorded with the Rikstrygdeverket (The State's Insurance) that there had been leaded gasoline on the tank waggon, but it is stated in one of the letters from the firm which did the job for the Germans: One of the last Rail Tank Waggons cleaned (there war 13 in all) had a label attached marked lead gasoline...* > " In spite of our Technical Department's specific demand to.the firm in question that gas masks must be used - it was learned afterwards that no such precaution had been taken. shell had no opportunity of controlling the work as the cleaning took place under German supervision. 7 Yours sincerely, . ' E. WE3TBLAD . : 0 0 0 ^ ' \y,v :. ,0:0 K X ;.;oa.o?2 8 o ' ., ' . ;: ' N 7842 Dr. P.W.K. Bookaaa ' '- Chief of tho chemioal dept. . Of the Statens Institut for Folkeheisea, GJeteayrsvelen 75 1 rRikstiygdeverkct, Office for injury cases,' Somaerogt. 15. Oslo * - .Z.'.t.-j-' Re: Injury No*&00l7/1941. To soas gasoline is added a littletetra-ethyl lead, this is B p o c i a n y the case with geeolio for alroplanee, t o w h l o h is added isore tetra-ethyi l e a d t h a n other gasoline* It is very dai% roue, as tetra ethyl lead la very poisonous* As iotm-ethyl land is rather volatile, a poisoning ma y ally occur b y the inhalation, of vapors .of tetra-sthyl lead during works with' taakr, that haye contained each "lead gasoline". If thereto re the late Mr. was engaged in work with tank waggons* which ted lastly teen used for gasoline added tetra-ethyl lead {gasoline for airoplanss or other lead gaaoline), and he did not, during his work, use a g a s m o k or otherwise observe the cautionary aeastires prescribed for work with, lead gasoline and with vessels which 'have, contained lead gaeoliao, than it is very probable that the disease is due to the inhalation of vapours of tatra~ethyl lead, and as diseases caused b y load ccufnouncte when on service ere to be considered ordinary injuries ace* to kgl. resol* of 7/12-BS, point 1, or* Andersen*a ease im.V3t be classified as inJury contracted when on service. P.W.E* Bobksan sign* tfz 0007281 N7842.01  ?,-^V -- :v : : '-U'--- :'' :. .:- \ ':' ':'>'v'': :;'';;:-;r< 'vj'-j;' ' 1' 1.: Oslo konraunale sykehus h f /b h Re, Injury no 20017/41 ; / i :r;; -' ` To the Office of Supervision of the Rikstrygdeverket for Oslo og Aker* Stortingegt. 6 XI, Oslo .*;i b*Nov.24th 1902 was patient at the Ulleval hospital, psychiatric dept., frem Oct* 14th t Oct. 24th 1941 with the diagnosis Insana generis incerta (acute psychosis, intoxication) During his stay here he was cloudy, and could only give extremely deficient information shout the development of his disease, and general condition. His condition grew worse, and he died on Oct. 24th. There is much evidence that would point to this being a case of poisoning, as no other cause has been discovered. But the investi gations of the case have not yet been concluded* Autopsy was under taken at the Dilavai hospital in the laboratory for pathological anatomy, and the brain submitted to a special examination b y prosektor Jansen, the anatomical institute of the (Oslo) University. 'V \ v /' Ulleval, psykiatr. avd. Dec* 12*1941 Harald Fr^shaug Assistant Phyeisieian (sign) i\ O sn owo -QM TEIE CHIEF PHYSICIAN OF THE PHYCHIATRIC DEPT. OF THE OLLEVAL JSPITAL FOR NERVOUS AND MENTALLY DISEASED . . .. AH/BH ,. ' .-."3 ; 'i v ^ - Til ;Rtkstrygdeverket, Oslo R e * ^riury No 20017/1941 b 24/ll l90gt was sent to the psychiatric d e p a r t m e u ^ ^ ^ h ^ X X e v a J ^ o ^ i W on Qot.lOth. 1941 b y dr* I. Xoasius with the diagnosis acute psychosis (gasoline poisoning?). It is seen from the available information that the injured person was previously on the whole of sound health. He was married, had 4 children. He is said to have been a quiet, honest and conscientious man. The last 2 - 3 weeks before admission he had been engaged in cleaning gasoline tanks, which had contained synthetic gasoline, whose composition is not known* About 8 days before admission the injured began to grow pale and languorous, and did not sleep well at night. A little later he began to show symptoms of distinct psychic changes, he began to repeat the same questions, repeat actions and talked confusedly about having painted the first aid station etc* Grew increasingly uneasy and had to be sent to the psychiatric department, where he was under treatment from Oct. 14th to Oct* 24th 1941. In the dept, lie was desorientated, -talked nonsense, increasingly uneasy, threw away the bedclothes and trampled about on the floor. Seemed anxious, possibly hallucinated. Even slight touches seemed to cause him serious discomfort. Injected in the face, perspiring. B y the ordinary somatic and neurologic examinations nothing truly pathological was found. The examinations were, however, somewhat deficient owing to the psychic condition of the patient. Systolic blood pressure 130 mm. Blood examinations showed normal relations. Sed. test 5 mm. Hgb. 101/4 Red. cor. 5,03 mill. White c. 6641. Biff, count: stave nucl. 6. Segm. nucl.57. Ho basophile dots in the blood corpuscles. Trombocytes 122850 per m. In the spinal fluid were found increased albumin values, normal number of cells* Total alb. 2 )l.Alb*I,65.Glob.0,45.Glob.alb.4'UOt.0,27 cells 4/3* Lues reactions negative in blood and spinal fluid. On admission the normal reactions in the urine negative, immediately before death there was positive sugar reaotion, and acidosis. An investigation to find lead in the blood was unfortunately a failure. The patient gradually grew increasingly exhausted, soporous and finally comatose. Treatment with stimulating drugs, intravenous injection^ of fluids etc. had no effect. Immediately before death, which occurred on N7842.03 ><5^^"X.V.v'V- >, J' ' / ' , ' ' . . '-.- -. . . . . . '._.- ' - , ew^' K''' / Oct 24th 1941, he had a rise or temperature and slight cramp. N Autopsy undertaken at the Ulleval hospital, in the laboratory for pathological anatomy and thu conclusion Was: lios causa ignota (death, cause unknown).. Bronchopneumonia. Oedema Puliaonun. ;A special microscopic in vestigation of the brain was undertaken by Jansen, M.D. the anatomical .: institute of Oslo University. gome changes were demonstrated and the contusion was ns follows: whether the gasoline poisoning mentioned in the case history had caused directly ofc indirectly the ohanges ciexaonstrated in the brain, is impossible to decide on the basis of the neuropathol&gical examination, but the possibility cannot be denied.. ?. ; . . ESTIMATION. A previously healthy man was engaged in'cleaning gasoline tanks. He was attacked by a disease which began with languor and sleep lessness and gradually doveloixed into a serious insanity which proved to be fatal. 2 others who were also engaged in the same work, also fell ill fine was admitted to the Aker's Hospital, where his condition was understood to be a case or load-poisoning. The other had only slight symptoms, felt a numbness in his legs. Did net sleep well. He was not treated in hospital. Neither by the investigations in the clinique and the laboratory nob by the autopsy and the specific brain investigation was found any trie support for the cause of the disease. No true symptoms of a poisoning have been found, but there is nothing that speaks against it. As the disease occurred under conditions where there were possibili ties for poisoning, and where two othero also fell ill, and as on the other hand no otner cause has been found, this must evidentally be a case of poisoning (lead compound or other unknown components). CONCLUSION The fatal disease of the injured is understood to be a case of poisoning, with lead or other gasoline components, to which he had been exposed during his work. Ulleval, psykiatr.dept. Nov. 30th 1942. Haakon Saethre j f | KZ 0007284