Document LJwRwJo3ag2LRemQZm9yzr0md

FILE NAME: Crane Company (CRC) DATE: 1935 DOC#: CRC102 DOCUMENT DESCRIPTION: Journal Article - Dusty Death [Industrial Medicine] EXHIBIT PENGAD 800-631-6989 Vi Vol. 4, No. 10 INDUSTRIAL MEDICINE Pojje 55 -Suinjir di-ox. ... .... E a Syuc-viUs _______ _______ _ 1 .. . T irtaric arid .,, 1 .... T n tra e th y l Lead ____-- 2 T liJnm n' ... , . 2 T-oatiW _ ------ 0D T rlc h lo re C tiile a e _..___ 11 T rtsod. phcE-ph. ., 7 St Tinroentlfcia Untcnu-A-ri .............. _ 12 . 7 a V a rn o lin e ...... . i VeJiLHtifa .... . $ .... W aier a ___ 2Hnc ch lo rid e Zinc xulfirie 1 a T otal ___ ' an> son D u sty ij&aih 'T'HEB.E is a. smfaicr jg:>so5t that stalks i- even.- iDciuiter -- a gkifit whetje name iLelI is IthiddLti. It fa calfad " pae-utn dcua io ris '1 m d it fa Quito as dattj' exTjsis as It srH.aT.ds; dangerous lu more v/ajra tlifcb. uoe_* PjlCUulOtUiCafa. Is tile "rLtifill sd m tLlE teliJ'i afijpitwl In describe ail typos pi dustod Turici, Ifa literal trinala (Jon To dusted invili", As i jjOnEsric or lamily a^eaiaUa it pmhraMj5 the dla- casra -which m tr reauU from inbalafcfau ot any sort a microscpio par tides, DOaixnoa or rare. In industrial practice,, ot coline, there aro four piriildfisJ snb-divfalor of ptliimoral-teh -which oentr with irufticdcat frequency ta rrutlce tlusffl. the nihjects rjf this short genera! syhipt&. (.Uhl, The first ot these ty p o , and perhaps the most commonly eneouBlered is siliiMisfa. Il'biU Li SiileOils? It fa i disease Ilf lungs ip the pxOjrrcn of wlidb mero is a gradual replacement ol the normal elastic by unmddlDjr Inelastic Qhmus tiasue. Ifa caum- fa thi% Inter mittent or ctmilnuKHH breathing of microscopic particles of Bilica dust nr rand, far varying Intervals at rime. This causes; an increase in Uie volume cl fibrous tissue in the lunds which, In turn, fa marked by shnrtrutsj of breath and decrease in lung expan sion wftti n resultant MtaeiiplibiliIr to tutHireinnsfa. . Ashcstnsja Is caused, as the name implies, by the inhalation o ttu-tra- SCOPlC particles of 58bestOS dust. This l?jpc of pnacrhWCOnitisfa produces s de finite and litacerai fihrosts of the lunsls. Ttjat fa to say, a, farge volume nf Jib-- reus tissue fa devtlapcd in tho lump; is the result al the chronic infiamma tary CO[Libyan Induce0 by Lhe presmec ui asbestee dosi. The problem of JicaiUtehL becomes involved because, instead ai normal tissue which fa (tLs- eased, it fa SLectssary to dflftl wl(b tfaairo C-hronicalljr iurfatfieii by thfa un- Uiuai causatiOIL. Fibrosi? of the JungS set up hy asbestos dust inJldfatlon fa as serious to the pomi 01 disability 5 eLUcosls hot, EOiar as our present dill- "ca3 experience rocs, net nearly so frei-jLni, in oncurreoee. Ccmcntoifa Ls a vagoe term Kdiich I nAve been unitole to discover in the literature Of pueLituacnnjiKfa though it has cofisideeabJo cturerd lay usage, I am at the opinion that it originated. In the minds ot imaginative lawyers In ehittde them to bi-hag action against a jireat intipattini urgaributiou (C u e 1}. The physLoian employed by jjle attar- cuy as h.fa dhlUnnsfa a Ftatcnaem tuihe en-eel Uiat the man's condition * HKeci^iiiM b i p r r , ,0 C i-, rYj I JjB rw S *o *rS d f nii'.'rrtj to'rsaut,, t 't iiu a j- F , e o i i. '`W due to fcnhjifallan of cement dUit during a period of seven ye*n. Anlhratinis. ns sflci -frflra its COftlpasitfort, fa ttie destcnaliOn Wlllch rlwriftts piicicccriKowosfa cantractfd IrtrM Iwcathlnk ciaal dust nr microxcopic psrtfairs: of carbiriL These par- Ijqlcr are preaent, <rf entrrit, in the atmosphere nf-eny pcipufami tenter j where-coal wnihciiptipiifa'tieflvy. Mm who work In or alwut mines and M il yards lire the (octal victims of ite At tack ; far eeaeraL luywcTcr, It fa preferable i to w e the generic term potcnniijciasls to label any form of duated lunii. Per haps It i* wc.U to emphasirfi the feet that siliconi can be conirxeted truly by breathing fnicrosaipfa partfalifa at sand or ilncft died, dixiicaklv id miditrille(Tally, jillcoafs ha? jm>difatlnct caose or client relationships with the trffief lOTHlS of pnocnocoiaMMli, Eillmaia nvskcx Its' aijaesiranuc *inan^ workers In industries whose a tmosplierc emitafaui mixwco|iie Ipir- | deles of atJicat- T i e word lafaroscopio : most be rt^jevted jfrcfpicnLtly` in. this text hccinst It most aptly defines these extremely minute Insoluble tlta. ft fa panrnnaa practice to conrider as liarmful only those paxlicles vrfuch. have disunetora smaller than 10 m Since a -nunratnillirrMK.et' fa cqurralthl to I/llOvlWd of arn mriir It Will be fK n they art ao araall that tlfay mnst be counted ns* studied under the micro scope, A great deal of iuterestinc and e fcrfLviework has been done lu. industry to protect those employes who devote their entice time to ihirpfiniittf toots on grinding ataivcn. It was dwnjy.bt, at one tinVt, that water poured ton- tiuoously over the stones- would clirabnafa Use frw ariTIca partidjiis which result ftnm. such, opexstfens.' Testa have proved -qtt the contrarr, that Utt applitatlon of water actually height ens- the bjutarda Ijeeansi; the particles lu suspense in the lil|Liid are thrown to distances greater than, those ittalncd by the o rd liw y rnsnltant.dusC Probably the jsarjd-hlasfcr fa the wnrker who undergoes the RrealesL \ ylstt fal falfawing his cvpiftian- We have known for a long time that men so C-ngatfrbd must have protection igainst djTjijj; dust and seata. More tDCenlly we havy realized that UlC mfartrscii9ji't particles st free by saivdbfasting activitiw re really more d*n- pernUs and w ll for more studied <t<Icnsei limn Lbe visible. The dusts occasioned, by grindiiig and sand-bfasting npemtiODa mior b* divided into two general classes, OOL- I uhfa apd ItLitklubde. It Lf nwdlrsS to elaborate the divisions excepting to say that aoluahle dusls axe relatively IjmpcuauSL Iusoluabfa dosts, unfnrtupafelT. are nlwars present and wlw*ys dingerotis hfacausc they usually occur in hijihly enneeutrated pmpor- tions-- s tacd. previa oily mentioned, ^nite as avjdent when wet process grinding whosls are cmtplayed. It may be Interesting to industrial ists to kuow v/tiat actually happens to Inspired dewt- ` Itcmrmbcj-. now that we are concerned with these micro" tmUliiietrle partidea discovered- duly CfUfar the microscope. This duit fa lu- hakd Ihrangh the nostrils and maoth ihto the trachea. Tlrietiite it passed lain Use bronchi and from there inlii the tr cnJls and tho mddtistcinnl glands. ; Tltee Viands are derten-ed bv nsturv --IF YOU BUY BOOKS -and Who.Doesn't? Th* Ar&iiricitTt Public H ealtit A ssociation haa been operating a Book Service for years. Its cus tomers are loud in their praises of its convenience. If you buy books -- any books -- peritAjps it can be useful to you as well. The Book Sorvlee rend ers expert advisory h-cip. It will recommend tlve jneid generally approved books, old and MW, on any public health specialty, and in dustrial tnodicltie is such fl, specialty. It will miLfertake the furnislung'--- and guarantee satisJ^ciiop. of anything from a "Eivc-lboi: Shelf of Health Books11 to an entire library, . The Book Service ren ders its moat valuable aid when it "turns detective. It sleuths down the pub lisher, if you know only the title of "the book you wont, w it searches out the title and the anther on such slight information a? "some publishing house in New York brought out a book on occupational dis eases a few years ago." There is no charge for advice and detective work. Books are sold at publish ers1 list prices; 3nd the Book Service pays the post age if you send cash with yotir order. Use the Book Service for any book yon want to add to your personal err pro fessional. library. It will _ ssve time .and temper. You, ' too, will become a Book Service fan. THE BOOK SERVICE AMERICAN PUBLIC ' HEALTH ASSOCIATION 50 "W! 50th Street, New York, N. Y. T Published Monthly by Industrial Medicine, Inc. Subscription Price, $5.00 per l year. Single copies, 50 cents. Copyright, 193), by Industrial \ Publication Office, 413 Pleasant Medicine, Inc. St., Beloit, Wis. Entered as second-class matter Editorial and Executive Offices, 844 Rush St., Chicago. For the Cumulative Study of: at the postoffice at Beloit, Wis., under the ac tc f March 3, 1879. * The Industrial Interrelation of Medicine, Law, Insurance and Economics Examinations, CONTENTS Absenteeism, Hazards, Accident- Insurance, Costs, Hazards, Volume 4 April, 1935 Number 4 Placement, Prevention, Welfare, Records, Traumatic Arthritis, by Edgar M. Bick, M.D........... 165 Employer-- Costs, Liabilities, Acids, Administrative --With Special Reference to Its Medical Legal Aspect-- Responsibilities, Problems, Advisory Services, Physical Defects in Industry, by A Baier, M.D........ 168 Employment, Epioemics, Age, Air Conditioning, Economic Problems of the Industrial Surgeon, by Emmet Keating, M.D............................. ................. 189 Epicemiology, Estoppels, Allergy, Ethics, Amputations, Silicosis, by C. O. Sappington, M.D., Dr. ....... 173 Examination-- Anesthetics, --An Interpretive Review of Accumulated Experience Costs, Antiseptics, Forms, Apparatus, Traumatic Injury to the Chest, by Don Deal, M.D.... 178 Records, Athletics, Awards, The Basophilic Aggregation Test lor Lead Absorp Executive Examinations Expert Testimony, Bacterial Infections. tion and Lead Poisoning, by Carey P. McCord, Extra-Medical Baths, M.D., F. R. Holden, Ph.D., and Jan Johnston....... 180 Activities, Benefits, --Ten Years After Its First Use-- Eye Tests, Biological Tests, Fatigue, Biology, Acute Dilatation of the Stomach With Perforation Female Employee Chemicals, Following Body Cast Application, by Arthur Problems, Chemistry, Conley, M.D., F.A.C.S. and Donald S. Miller, First A id - Children in Industry, Claims, M.D................................................................................. 185 Equipment, Classi fication of Results, Ulnar Fracture and Dislocation of the Head of the Instruction, Frequency Rates Clinics-- Dental, Radius, by William R. Cubbins, M.D....................... F urnes, Functional Tests, Medical, Compound Fracture of the Elbow, by James D. Gases, Clothing Hazards, Community Services, Callahan, M.D........................................- ................... Grading Applicants, Gymnasium, Compensation, Fractures of the Neck of the Femur, by George L. Habits, Compensation, Insurance-- Apfelbach, M.D........................................................... Health-- Costs, --"The Biggest Subject in the Last Two Years Before Traumatic Surgeons"-- Education, Maintenance, Forms, Smrveys, Records, Consultation, Discussion: Heating, Convalescent Homes, Dr. Frederick J. Gaenslen................................ 188 Heliotherapy, Cooperative Units, Dr. F. M. Cloyd................................................... 188 Hospital-- Costs, Court Decisions, Equipment, Degenerates, Industrial Sickness in 1934 ................ .................. 189 Forms, Dental Service, Records, Dependency, Occupational Diseases--According to Ramazzini 190 Hospitalization, Diagnosis, Hours, Diagnostic Tests, Pneumoconiosis and Coke D u st.......................... 192 Hydrotherapy, Diet, Id osyncrasies, Disabilities, The Medical Department Manual, by Hart E. Impairments, Disease Prevention, Disfigurement, Fisher, M.D., F.A.C.S. Industrial-- Accidents, D isin fectio n , Sec. XVI. Sanitation in Industry . ................... 193 Clinics, Dispensaries-- Commissions, \ Costs, Forms, Pathological Conditions of the Spine Found Radio graphically--Which Are Often Confused with Dentistry, Diseases, Records, Dressings, Injuries, by J. S. Young, M.D.................................. 196 Gynecology, ) Drugs, Dust Control, Who's Who in Industrial Medicine and Surgery 197 Hospitals, Hygiene, - Economics, --The Insurance Chief Surgeon, Who, in a Manner of Injuries, Electrotherapy, Speaking, is in a Class by Himself-- Medical Service, Emergencies, Y'___ 1------- Pre-employment Physical Examinations, by Lever- Medicine,