Document LRbpj9QD233p7VXqe0vr1LG5

w ---------------- ^ Poole, Dorset Jan.- March, 1951 H 0020870 t** T--< <N LONDON. A CONFIDENTIAL REPO':-T ON CAGES CF TETRAETHYL LEAD INTOXICATION ARISING CUT OF THE CLEARING OF AVIATE K GASOLINE STORAGE TAMS AT KALE, DORSET, J.NUAEY - MARCH, 1951. By QE. PHILIP BOYD. CHIEF MEDICAL OFFICER* K& 0020871 Pegs l* Pago Parto 3* Pa(;o ** * J. rf*v rit * Sussary and conoluaicn* IlacoKscndatlcns, Personnel ond sito involved* Chronological narrative* Appendix *A* -- Medical report 5by ,F* Gallo p * M *K*C*S*, en .r.*;'0 t". AppOK Ti M ed ical c e r t if ic a t e r o l s t i ne t e renro 9 ~***/?ft U * iiO* 4A l * * ;>5 ** ii.0* 27 -- Wrti 3App@BC! Qt * ! fedl e s i re p o rt on | Appendix: f <t**> M ed ical rep o rt on ppKlix * 'tat assat a r e la t in 8Apposais: .F - Statem ent on Appendix *(!* * l fed ic a l re p o rt on 0020872 s4 co Kir 00208? installation of Shell Kox & BP* Limited at Poole, Dorset, was the subject of e contract with Messrs* Stamms and Hawker Limited, of 18 BoHngbroko Grove, Louden S*`w*ll* . Ih tanks had been in constant use by the Air Ministry for the storage cf aviation gasoline containing high coneentx^ticn of T.2.L* between 1940 and 1945* In 1945 they were eantded and bad regained so einco* Tank cleaning began os January 19, 1951, and in all seven employees of Simnons and Hawker Linited wore involved in the operation, until completion on March 3, 1951* It appears that the Foyesan-in-charg was fully farzillor with the potential hasard of intoxication from tetraethyl lead arising in the course of tank cleaning operations and of the recommended precautions to be takes to a void aiiposure* llevorthale, admissions wore scad that sea or all f the men entered the tanks without respirators* Between February 9 and Merck 9, four men complained of fooling unwell, on of who was admitted to hospital end one died* Another on of the four was subsequently admitted to the Middlesex Hospital for investigation* Of ih rcaaaindar, none made any complaint and eubsoqasnt. smtalnat^ca shoved no significant absorption* it le possible that cne vac not exposed to the hasard* CCHCLDSIOH. ' Frcrn the evidence available and from cciasainsticns mad subsequently, there is cititle doubt that three men suffered from oaplcyeos cf Simmons and itewkor United were involved in 'the operation until completion on March 3 1951* It appears that the Foreeaan-in-charga was fully familiar with th potential hasard of intoxication from tetraethyl lead arising in ths course of tank cleaning operations and cf the rocomended precautions to be taken to avoid exposure* Nevertheless, admissions were sad that sobs or all of the son entered the tanks without respirators# Between February 9 and March 9 four men complained of fooling unwell, one of whoa was admitted to hospital and one died* ,n txa one of the four was subsequently admitted to the Middlesex Fospitol for investigation* Of the reminder* none made any cospisdst and subsequent asaaimticn showed no significant absorptionj it is possible that one usa not exposed to the hasard* C{ *v*r - From the evidence available and from Kaaimtiona made subsequently, there is little doubt that three man suffered from tetraethyl load intoxication in varying degree* The writer did not hevo the opportunity to oxauine one of thee who died, and although there is no evidence to show whether he was similarly affected, in view of ids known exposure* the probability of absorption of tetraethyl load beinf; either thn m i n or a contributory cause of death cannot be die- regarded, Ke 0020874 rocoasscndei precautions by the supervisor responsible* T-sxnmT&Tionsl ' ' Since the potential hasard of tetraethyl load intoxication arising out of the cleaning of gasoline storage tanks is well known* it is recofflBffladed that strenuous efforts bo End to ensure that the cleaning of such tanks is conducted under the strict and continuous supervision of a responsible person wall versed in the recesnoncled precautions and who lias the authority and character to enforce compliance with the recosEssndationa* (Philip Boyd). Chief Medical Officer. ^ 0020875 Stella of Tonb ?& xt BdergjrcHJncl teaks wore involved in the incident* They were each of 4.C0G tens capacity, 18G fe e t la diaracter* and 0 fe e t high* S is tanks war in constent us by the Air ?Inlet*? between 1940 and 1945 as A*P*E*D* etorsgo for aviation gasoline containing high concentrations of tetraethyl load* In 1945 the tanks were essptied, leaving approidsatoly 3 inches of sludge on the bottom* In June 1950 the manhole covers vers rcaoved and wind sails erected* The tanks were lort opon un-fcil cleaning cocsacncad in Jormary 1951* X 0020876 lotos The following details wore alicitod subsequent to Kerch 12, 1951? upon which the incident was first brought to the notice of the Ccnpany* January 19 1951. The following men eomenced to work at tank cleaning at th abcvG-isanticned sit?* era Th last was foreaan of the gang* Faferuary 9* hell*$i@cs and B.F, Halted reported to Messrs, Simons and Hawker that the task cleaner fooling unwell, and that it was thought that ha was suffering fro influenza. Qa the ease day Mr. Howland tank cleaning uporviscr of Hessru* w o t to the foroaan, at the site, ami requested that ^JJ^^houla be sent to London, with instructions to report to the Contracts G flea* Instructions vers also given for each caber of the gang, including to be medically ssminod by a local doctor, in accordance with nersaai routine, ' February 12 to hr, M.F. Gallop, of 1 Farksicmo Road, Poole, who issued a report, (Lppondisi A), At this tin fooling unwell, Isad returned to London, W f / B cosiplaining of sleeplessness and weakness, cotsplflining of clooplossnoso and general nervounnoao, end no conplaintg. A13. rems* were report;! by Dr Crllop &g showing no evidence or signs of absorption of tetraethyl load, &WtF2f. ,^-c?,* ag..r*n visited Sr* Gallop, eosplalning of a core t:jroat* Ca the saa day, Joined the Pools gang to replace 0 0 2 0 8 ? ;; ... et the a'bcv'c^entic-n&i cito The last was foreman of the gang Shell-Hex and B.P* Halted resorted to Hssare* Siisaons at Hawker that the tank cleaner was feeling unwell* and that it was thought that ho was suffering fro iafluensa* Cb the mm& day Hr. Howland Loni cleaning supervisor of Kessrs wrote to the forossn, ^ | at the sit, and requested that Perry should be sent to London, with instructions to report to the Contracts 0 fice* Instructions v;ere also given for each taessber of the gang* Inclining to be sodieally exaainod by a local doctor, in accordance with acras! routine, February 32 t J J J ^ r o p o r t e d to Dr* H.F. Gallop* of 1 Parkatoro Head, Fools, who issued a report, (Appendix A*) it M s tis fooling unwell* liad returned to London, Ccpgur w a complaining of sleeplessness and weakness* H i s p a s cossplainiag of eleoplosanosa and general nervousness, and ^ ^ ^ a n d f U ^ k a d no complaints. All foux* wra reported by Dr. Gallop as showing no evidence cr signs of absorption of tetraothyi lead, Gspsur cgtiiii visited Dr* Gallop, cossplsiiiing of a sore throat* Cn the seu day, W K K t f oin^ the Fool gang to replaco fHlilp feeling unwell* loft the sit of work and returned to London to see hie own doctor* tha feroraan, in view of the fact that the tank cleaning was partly completed, loft instructions for the Doa.ving of the tanks, and for the tracing of a look reported bv the aioll-HoX onainaoro, sad ha hlasolf loft cn uMfccmd t a w for u,r.rion. K r 0020878 March 3* l&xik cleaning and sealing were coaploted, and all that reaainl to be done appears to have been to check the work, turned to Poole# March 5 seen by his own doctor and eariifiatl as suffering froa neurosis9 and unable to follow his occupation* {Appendix *B*)* March 6* requested leave of absence for do&estic reasons* karen 7 adaittod to St. John*s Hospital, Battorsea, in a confused sad agitated taenia! state* Ca the &am day, ^UP^osplained of sleeplessness, and reported to a local medical officer* On this day ho took the whole contents of a bottle of sleeping draught, together with & nasbor of aspirins* larch d, admitted to Poole General Hospital, ard labor transferred to Dorchester Mental Hospital# .`arch 9 Mied at ft. John's Hospital, urifcnoua to the rest of the team* V reported to Poole for the first time as replacoraent for March lc* 1 returned to Poole, and heard for the first tise of sdnlosicn to hospital* On th ease day learned of death* ' He 002087 March 11* instructed to leave with his gang for Holyhead on March 12, end in proceeding to do. this, hoard for the first time of Capstans death* ill the sase day, Sir. Howland was independently inforued that C a p woo maTfor-ine O ksb nourools. tferch 12# Mr* Howland v o Inferos! that f^l^phad .lied and that Pearce was Biasing. A routine ;-c-st-raortea was perforaod m tho body of a number of aspirins* March 8 ^ | j j a d m i t t e d to Pcolo General Hospital, and later transferred to Dorchester Mental Hospital* bfcrch 0* died at ft* John's Hospital, tthknown to the rest of til team* ^ J J U r a p o r i e d to Podo for the first tiste as roplacomsnt for Jspsur* March lo* returned to Poole, and hoard for tho first titas of Kogan's admission to hospital* On tho casa day an'-'s Xosrrsed c - f ^ ^ ^ ^ ^ x i t h * March 11* instructed to lesve with hie gang for Holyhead on March 12, end in proceeding to do this, heard for the first tins of Capsur's death* On the ease day, Hr* Howland was independently informed that ^UmP^\ead tmTox-ing rro neurosis. Hy.5-^ .> Hr. Howland was inferjaad t*,t Capaxur lui .iod and hat vb siesing. A routine post-aortas was performed on the body of Messrs* B U c m ^ B P c o s s s u n i c a t o d with the Company, so a result of which a meeting m e called for the following day* |ferchj*. She coroner's pathologist reported that ^ j ^ c U e d from meningitis following influenza. Kossrs* and W B iatrviewed Poarce* en.d^gjprooaodocl to Holyhead* A mooting took placo at which Mr. Moble and Mr. Biggs of-thjj Company, Dr. Boyd, sad Dr* (Resells of X*C*X* were present. .'^cisiona were tricen with a view to establishing the facts underlying the preliminary report by Messrs. 0020860 Middlesex Hospital for investigation and treatment and for ana ^ t e be sent to Korthvich for emanation by Dr* Bennett* March 16* M r . ^ p ^ and Dr. ^^^Lsited Dorchester lioat&l Hospital, to confirm arrangements for the investigation and treatsssi of this man* r?'o subsequent developsaont of events is Included in the detailed accounts end appendices on the we involved* KE" 0020881 DR* K .F. G&LLOF AM DR. * S. ASTBSRY* 1 Parkstons Road, Ffcjole, Dorset* 12th February, 1951 feasrs.U t E m and Lake state Site, --Hmsw^wmhirihturntmhtuvmm* X have to*-day essoined 4- of your employees who aro workingon task cleaning at the above address* Complained of sleeplessness and general nervousness* X can find no evidence of absorption of tetraethyl load* Complained of sleeplessness and weakness* I can find no abnormalities or signs of absorption of to'fcraotliyl leaa* Complains of no symptoms* Hething abnormal found cn nomination* Dorset* Xrftdi FQZTWSys Messrs, Gisrtons and Hawker, Lake .state Site* 2 have to-day esasdaed 4- of yottr employees who are voting on tank cleaning at the above address* Complained cf sleeplessness and general nerwasaasa# I can find no evidence of absorption of tetraethyl lead# Complained of sleeplessness and weakness* I can rind no abnormalities or signs of absorption of tetraethyl load. * Complains of no eyisptoss* Hething abnormal fcaati ra madaation* Complains of no syraptess* Nothing abnormal found on c^aii-ation* ' i KET 0020883 sds H.P* G A U jDP, M.R.C.S* A.ppt* Factory fyrgeon* 62 l?alcoa Ko&dj Olapbas Jtmeilcn# s*wn. This is to carfcUfr that arasiding at 71 Grant F.osd S.tf!! is unsbls to follow his occupation* ISSUE0S2S* SGI), #** *<%**><*** KE- 0020884 3880200 Although aware of the roeamsudod precautions for the pre vention of xposxjre to tetraethyl lead intoxication, he admitted frankly that both he end the men under hits* to M s own knowledge* frequently omitted to wear their respirators. They seldom wore the souwesters provided, but always wore thedr waterproof suits, overalls, rubber beets ftnri rubber gloves* The sludge from the tank had been known to splash his face* As part of bis duties ho ned sur that the overalls and and underclothes wore changed caca weekly, that the nona tarts were washed at the end of the cloy, assi that their hands ver washed before meals* On Farcii 7, 1951* he began to b.* worriedl about bis vife*s health, and took her to Bridlington to visit bar perente* Or Kerch d he returned to London, and, feeling ^fod up,K decided to taire ivo days off* Cn Kerch 10 fee returned to Fool, &nd-lsrnod that one of M s workma, f j ^ P l had boon admitted to a mutai hospital* He va& vary worried, ani on his own iniotiv h* rovo the SSxt**a :u>r*y, vth bio m**. as passsagors, to London. On March 11, he spent the night at Purton, noar Swindon, en route to Holyhead, having received orders for Iris gang, to an sasigimsnt of tank cleaning there* The ease night he overheard the lacn discussing the feet that another vorkmto Ir died,- allegedly iron a brain tsaoir, Ke feecaaa very worried, Mid a few drinks' and vent to feed, but h could not sloop. Ho had the fooling that ho wished to go to church, which, for him, was very unusual, but instead ho visited a doctor. Ko was dieenargod with no trestaent other than reassurance. He returned to his longing, left a note f o r hie men, and, at 1.30 a**, stated to walk in a X 0020886 and was take to Chiswick by lorry* 'His reeaUoctiotsB of the ouraey war vague but ho remembered taking & number f buses until ha reached his father's home in Leaden at 7*4-5 a** He was lot in to the house by a neighbour, and immediately ho telegraphed his 'wife* Ha than lit a fir* end crouched a the floor in front of it* At not-n he telephoned his fin office. His wife returned frea Bridlington, and, because of her anxiety, took hia to St* Holier Hospital at 11 p.m* He was reassured, and return to hia father's hetus where he slept well. Ca l-iarch 13 ho visited his firm's office, where he m s questioned concerning the recent events* His doctor's assistant, whoa he saw later, proscribed phanob&rbltone# Following the discussion on the night of March 13, between the officials of Iho Associated Ethyl Ccapaay Iisited, Dr. Boy3 and Dr. Casoo3 it was decided that this patient should be kept under observation, and arrangements war sad with the HtdrJlesese Hospital, to which ho vas admitted a Iferch 15 1951* ? On Adaisaion*. 15.3*51* .` Cc^ialnts* 0020887 - 1 Horry. ; , _ '. ' 2. (a) Twitching of the nose* (b) A sense of something stuck in hia throat* (c) A creeping sonem-tien etartlng above tho right ear and radiating backwards and downwards to fcka right shoulder, aggravated by telephoning or wearing ear-phones. (d) Transient less of focussing pokier of the opoa* (e) Transient fooling of what is known as deja vu* lha above symjteas had boon isrosont in increasing quantity for a period of two weeks* In addition he complained ofj 3* a pauieky feeling of instability#.which occurred for a neighbour, and isEsedi&toly he telegraphed his vifs* Ha then lit a fire, r,nd crouched on the floor in frost of it* At noon he telephoned his fine* cffice. His wife returned from Bridlington, and, because of her ausisty took hia to St* Heller Hospital at 11 p.s* He was reassured* and returned to his father's house* where he slept well* Cn ISsrch 13 he visited hia fIra's office, where he sc questioned concerning the recent events* His doctor's assistant* whoa he saw later, prescribed phenoberbitone* Following the discussion on the night of Ksrch 13 between the officials of Tk& Associated Ethyl Goapany Lisitad, Dr Boyd and Hr. d'-nnolls* it was decided that this patient should be kept under observation cad armngenenie were s&da with the Middlesex Hospital to which he was admitted cn March 15 1951 Cn Alaisolorn 15351. Persiatats* 1* Horsy 2* Twitching of the nos*, - . ft! A sens of something stuck in M s throat (e) A creepiiifj entmi,on otcurfcing: exl>o\~& nha ri{yhfc ear and radiating backwards and downwards to .the right shoulder, aggravated by telephoning er wearing ear-phones* W 'Transient loos of focussing power of the eyes* (e) Transient feeling of what is known as l!doja vu* The above sysptoao hod bean present In increasing quantity for a period of two weeks, In addition he a npainod of3 3 A panicky, feeling of instability, which occurred for the first tliae on adsdssion that day, 'ibis' lasted a very short tins, and was unacoosapaniod by other syapt:: ,, 4 Sore throat and cold during the last two days* insist on tho precautions he know that vero necessary K asittoct fully that he had known of deaths occurring in aiailar work on previous occasions* and funder that one of the rossobs for his laxity the ambition. to be add a foreman, aid to. increase his chances of this by speeding the work of hie gang* fhis was to be achieved by dispensing with uncc*afortable ssasks* (b) His wife was now suspected, after four weeks of incomplete recovery fres pneumonia, of pulaonaxy tuberculosis, and was being investigated at ft. ihons*s Hospital. (c) He had unfortunately, with a view to increasing his jscpolarity* got into debt fey buying his gang boor# Oeneral (Questioning. Headaches very occasionally. He fits cr faints. Insosffiia present for three weeks* relieved by hypnotics. Seduced powers of concentration for two days : bonsai gone of siaoll and hearing* disinished eonso of tacts* Metallic tacto in ih south for one week* A eligitt b o b blood o m wwalc ago. Ho dysphagia. Coed appetite. : During tho last v m k ho had had a strong desire for spicy foods* Highest known weight 23 si* 7 lbs., whilst in tho aiw, Average Weight st. 10 lbs* Present weight 11 st. 10 lbs* KB 0020889 (b) His wife was now suspected, after four weeks of Inccsiplote * recovery from pneumonia, of pulmonary tuberculosis, and was being investigated at St* Thomases Hospltel* (c) He had unfortunately, with a view to increasing his popularity, got into debt by buying his gang beer* r-enorai {.Questioning* Headaches very ocoasicmally* Ho fits cr faints* Ihsosmia present for three weeks, relieved by hypnotics* Deduced powers of concentsticn for two days. Horoal sense of smell and hearing, disiaishsd sense of taste* Metallic taste in the south for one week* A eCLight nose bleed ona vroak ego* Mo dysphagia* Coed appetite* During the last week he had had a-strong desire for spicy foods* Highest known weight 13 st* 7 lbs*, whilst in the army* Average Weight 12'st. 10 lbs* . , Present weight 11 st* 10 lbs* Ho chest pain, dyspnoea or palpitations* Decent unproductive cough* Occasional attacks of heartburn alter food during recent years, 'lieturiticn noraal* Bowels open regal- vly* Never had heralac. haomorrheido, or varicose veins. _ itO senes or pains a the Hubs, or weakness of arias or bands* 0G80200 Three years ago visa infpstient at the National Heart Hospital for treatment of sudden attacks of palpitation (Ifercsysa&l tachycardia)* Ifes given digitalis and j&enoborfcitons? for nine raenths* Sine then, no recurrence of symptoms. ' never had sfcaasatlc fewer, chore, pleurisy, psouaosia, jaundice or renal disease* htcicion of ole frost left posterior axillary when aged nine or ton years* . Crushed loft hand in 1947* Ha m s e&m'ly Dr* Gallop of Pools on February 32 1951, whose report "bated that there were no signs of load absorption* Personal History* Shy, slightly built, average at school, enjoyed games, fond of his father, but a t .loggerheads with his mother. Jerk* 1* Cffico fcoy on leaving school* 2. Building* ' 3* R*S*I'*ii)* (on the Continent}* 4 KLtmbing and general contra;.ting# 5* Present occupation* S i gBITHfrJ iS gL -- w t o 20 n a n y - fo s > -&ho peu srt t i i r o o w o o l : , . pcreviouaay X to 40 a day. Up to 10 pints a day until one month previously* ,Abroad ~ Franca and Germany. Is serried, vath a wife end two childro, who live in Battersea K 0020891 or ton ysare. . Crushed left hand in 1947* He was seen by Br* Gallop of Pool on February 12 1951, whose report ' stated that there war no signs of lead absorption* Pergonal History* Shy, slightly built, average at school, enjoyed gasses, fond oi his father but at loggerheads with his tsother* Hark. 1* Cffica boy a leaving school. Building* 3. B*3.H*B* (on the Continent) *$v* Husking and general contra;:ting* 5# Present occupation* SjBBggfe.-4P. - 15 to 20 is day ffeqp C w past tbireto wool;, previously X to 4C c day. Beer* ** Up to 10 pints & day until oao Kcath previously* ItiMtatioa .Abroad * I'ranpe end Germany* Is ss^fGQ, vluh. viSo and ~6vo children, vno live in Batters* Fssaily 1.Istaar* Mother* '5 Father* ) Wife* 3 Bey, egad 2years* ) Girl, egad 4-years. ) iillva andwell* KE 0020802 Cardiovascular 'Yete* _ pjlsa- 68, regular* Bleed Pressure 105/45* Kscrt sounds I sad II in ell areas* 1 teat impalpable* ., SfeSal arteria thickened# elicit lecomtor.bruchmlis. phenomenon* J.T*F* - l'*A*B* Ito sacrai or ankle cedeste . Pagpiretery Yetas** Ghsst a?*pansicn 2fa* Go-sassat sysaetrie&l*. Trechas contrai ' rraetile frac&fcus --K.Al> . Percussion -- II*A*D* Ereet sounds tioroal* Ito adventitious oounde# lo sbancalo or clubbing* Gltaentarv i&stes* Jtouths i-axeosao eoist and eloan* ito halitosis* Ito load lina* Slight staining of tooth* Abel s m - n**B*. Central Gorrous troiata : . ' ICrai^G^rsraa,:* ' X - W*A.t>. ' 21 as S I -- pops equal, central, react to light and acccssaodation* III, I? and X * external ocular uoveassnis normal* ? -- Itotor, sensory and reflex functions normal* VII - Bething abnormi* V i n - lir conduction better than bono conduction* . XXf Hand X U -- nothing abnormi* fcmloa. reflexes present and ayaraetrcelly equal* Plantar reflexes both flexor* Power, tono, 2$it touch and posterior colusr-n sensation and co-ordination noraal in liaba* . K f 0020893 P-espiratcr? r^staa* Chest expansion 2!S* Movesoat symmetrical*. Trachea central* Tractile fro**a1i1t*uAsal)* Ka *D* . Erooth scurfs uerssal* do adventitious sounds* Po cyanosis or clubbing* 1Iir-Oircnry System* Mouth I-Sicocae moist ana exoaru Ho halitosis* So load lino. Slight staining of tooth* Mon-sn * Central nervous gystai&* Cranial Uorve x - n,A.O* _ II and III -- pupils equal, cor.iml, raa c*<** i^o light and aecoKinodation* III, IV and VI * external ocular Elements nornal* V - Motor, sensory and reflex functions normal* YII * liething cbnsiml. ' , VIII -- Air-conduction bettor than bona conduction* IX, 'SI and III - Kothing"abnormal* Tendon reflexes -present and symmetrically equal. Plantar reflexes both flexor* : Power, tone, light touch and posterior column so section co-ordination normal ia lioflbe* ihctersal geaitplia - Itoroal* Ilrinoi fi.0* 1010 ho c*. ;".liable protein cr reducing cub. IlCCSCa 0020894 Hoceat blister on plantar surface of left bin too Lymph glairs and thyroid - L*A*D* n-oloton Bilateral fourth and fifth fcatsaor toes* ; Investirations; The following investigations ore perfora! * &2S&* naeaoglcbin 92$ (13.3 mune)* B.B.C. 5,CC0C0# Coleta- Index 0*93 h.B.C. 7,400* Differential Const ~ Cautrophils Lyspheeytoo 2xuoeytes esinophils Keticuloeytes ./ * 63 12^ This ss performed in the fourth to fifth lusher interspace Crystal clear fluid at 105 millimetres pressure rising to 135 ailliaotres on ugulsr venous compression, falling again to 115 lailliaetres* Itotela - 30 milligrams per ICO sis* Bandy*s tost negative* ..- lugar ** 01 filigrane per al* Chloride -- 692 nilligraian per al* Colls -- 1 lyisphocyto per eiibic laililngtro, ;i*P* -- negative* , Tang -- 10 :: 0* j liver Function Tests* Colloidal gold - negative* Thymol turbidity - 3 units* Serna biluribin - 0*3 ailllgrsns per ICO ols* Alkaline phosphatase ** 2*7 units* X e 0020896 fof H l < aP p. HOF?c-*-* O  g" nVi fi i> c? xa o ? 5 i A 6** ? ir 002089 L\ r vA> ki> <* -' s* 2240O>* M|U \-/i H v0M* 0H Vfi vt A1. ;\ # - V V-> V* O O Vt Vft l t- \x M V* C? VV* C * V i U t VX Ci ?" o f? H !i o o 0o oo o ooo * * o r ~* o >** > f~* c v> f g g c- 'S $ 3 f c I I S P- *" C> fi & t) ooo 000 VjUm m *o *o *o- ooo 0?;U0t 0M o c ifrli?.* {fc90-*3vVnI CJ j-a j,*t o P f-tjj * p h h o o ooc g 'O ooH R P w *Hr>H --'Ho {-i #HUK>. COs 0 fi* fc* *3 ooo IVV.V!*-.iIM- vv> #o o *o vtn>*-f3e 0O 0O 0O fCW to O S M"4 IV }>*`"`f* se M t @ t ftj5 O?Q? &O *3f-*O# $ f*" 8* rhjBs,,**ras.GH&*)* es f ihn e *** w & ? 4 * ^ jIj AI I t * <M* T \v ggg MjVOSj-Ov^ e(sS*"CS p t5 nh 11 ** o A*T> "There m s a slow alpha rhythm of 8 per second, and It was disturbed ia all arms by runs of low voltage 5 to 6 per second wsvas, which were most obvious in the central part of the right temporal loba. Hyperventilation mused the appearance of high voltage paroxysms of 2 per second waves ia both frontal regions, and seme random 3 per second ' activity over the rest of the cortex* Although this record could be part of a constitutional ' abnormality, it secos most probable that because of the aesyaotry, the abnormality is an acquired one*" -3.4*51* Second S.S.G. reported on by Dr. G* Persons ifcith* Tho 3,i3*G* record on bad changed considerably ;42C0 4*51, The dominant frequency varied between 7 and 9 pur second. Its voltage liad doubled fToa 16 p. to 3'- ja* In the first record the readings for the parietal regions were comparatively flat and featureless, whereas in this record the 7 per second frequencies vera predominant* In the temporal lobe ids assyaetry described previously is reproduced and ns elsewhere had a higher voltage than before* K* 00208.98 The response to hyperventilation was also different! within half'a minute, low voltage 2 par second waves appeared in both occipital regions* High voltage generalised 3 to 4.per second waves first appeared X*r olnates ed appeerad paroxysnisaiy i'or -the rest of* tho xoroloo and for 20 seconds after it* They had not appeared in the previous record, until 2 minutes 20 seconds, and ca that occasion wore not nearly so narked* It could be that the cervical activity was suppressed in the first record ea that it is now reappearing* Rio record is still an abnormality, it seme most probable that because of th# assyttairy, the | abnormality is an acquired one*" 23.4.51. Second E.E.G. reports on by Dr* G* Persons Ssiife* ; i!Tho E.S.G* record on changed comidorably since 2.4.51* The dominant frequency varied between 7 and 9 pr second* Its voltage >iad doubled from 16 ja, to 32 U* In the first record the readings for the parietal regions ware comparatively flat and featureless whereas in this record the 7 per second frequencies vers predominant. In the temporal lobe the assysetry described previously is reproduced and as elsewhere had a higher voltage than before* The response to hyperventilation was also diCfcrontt within half a minute low voltage 2 par second waves appeared in both occipital regions* High voltage generalised 3 to 4 per second taveo first appeared at li- roimitaa eaS appeared paro^^ysncO-iy- Cor tho root of tho exarcice for 20 seconds after it, They bad not appeared In the previous record, until 2 minutes 20 seconds, and on that occasion wore not nearly so marked* It could be that the cervical activity was suppressed in the first record and that it Is now reappearing* Tho record is still an. abnormal on, and it will sot be possible to assess these two records until we have found a baseline," Chest X~i-sy. K .A.3* '->U.G. i.A.D, 0020899 K" suffered exposure to T.E.L* An undoubted increase in the density of the liver of the affected nan was noticeable* Progress* During the period of progress as an In-patient, the following significant notes were made* 1. Recurrent headaches, somsttaes frontal, sometimes heaicranlal, occurred Bull continuous pain appeared at any time of the day, and lasted from tell' an hour to several hours* It m s not affected by posture and m s unaccompanied by nausea or visual changes* .. As progress occurred * those heedach.cs improved* 2* Mostly in the early stages, he suffered from sudden attacks cf depersomlisation, usually occurring whilo talking to people, and often in visiting hours* They lasted for about telf an hour, and disappeared with his general improv-ataont. 3. A rather persistent sensation of something creeping over . his akin on tha right aide of the head'and neck occurred in the early stages of his disease, lasting for hours, and was probably his commonest complaint. He left hospital still complaining slightly of this symptom. A. Bio temi>Dratus*i3 varied irregularly during admission, generally boing between 96T. end %*.6P., usually on the low cido. Tils pulso during his admission varied between 56 end 94, usually being Ground a figure of 60 or 70 per minute* Apart from those symptoms, ho showed otherwise no abnormltti'-s, and on April 14, he was considered recovered sufficiently for convalescence* heaicranial, occurred. Dull continuous pain appeared at any tine of the day, and lasted from half an hour to several hours. It was not affect! by posture and m s unaccompanied hr nausea or visual changes* As progress occurred, these headaches improved. 2# K-ostly in the early stages, he suffered from sudden attacks of personalisation, usually occurring while talking to people, and often in visiting hours* They lasted for about half an hour, and disappeared with his general improvement. 3. A rather persistent sensation of something creeping over his skin on the right side of the head and neck occurred in the early stages of his disease, lasting for hours, and was probably his (?orav.onost complaint* He left hospital still explaining slightly of this symptom* A* His temperature varied irregularly during admission, generally being between 96F. and 91.6F.. usually on the low side. Tils pulse during his admission varied between 56 and 94., usually being around a figure of 60 or 70 per minute* Apart from these symptoms, ho showed otherwise no abnormaliti:a, snd on April 14, he m s considered recovered sufficiently for convalescence. Opinion* A case of intoxication of moderate severity, showing certain clinical signs,and symptoms and'.confirmed by pathological inveoiigstions. HE" 0020301 Kaacrs* Sissons and Hawker in various occupations, end during the previous five weeks was employed.in tank cleaning at Poole* Ho Isad boon fully warned concerning the hassrda involved and instructed in the precautions to bo observed to avoid exposure to tetraethyl lead, but admitted to working for intermittent periods without his air line m s k and gloves*- (A copy of the police statement of hie moveoeats prior to his admission to hospital is attached in Appendix **) ' Ga t-brch 9f 1951 this patioat was admitted under cortlfieate, to the Harrison Hospital, Herrieoa, Sorohester* Kis past hiatory, family history, habits* to., wore not available, owing to his mental state at the time of admission* Ca exnaimtion, he was found to-be ccfused, and aurally hallucinated# He was deluded (o*g* he believed he had contract! venereal diseas by rubbing against a pole in the park at Bournemouth) His condition menially was obviously vary serious, but his physical state was found to be satisfactory* General Anao&gance . A thin, unshaven, degenerate-looking individual, confused oa aco-opaiaUvo. Pala* but- no apparent anac-aia. IVxBperatur 97*6F* Cardiovascular Eyntesa* Pulse 76 per minute, regular* Blood Pressure 1C6/80* " i;osrt sounds I and XX in all areas, no added Gourds Apex beat was indefinable. - l&8tiamtorr Sveta. .; . u ** n n . Kfc 0020902 Ills admission to hospital is attached in Appendix fIlf.) Oa Thrch 9$ 1951? this patient was admitted, under certificate, to the Horrisoa Hospital? Harrison, poreliestar* . His past history, ffemlly history, habits, etc*, were not available, owing to his mental state at the tine of amission* On emoinatlcR, he was found 'to 1>e confuted, and aurally hallucinated# Ke was deluded (o.g# he believed he had contraetd venereal disease by rubbing against a pole in the park at Bournemouth)* Ills condition mentally was obviously very serious, but hie physical state was found *to be satisfactory. General Awnoarance* h thin, unshaven, degcnerata-lookiag individual, confused and unco--opaiativ* Palo, but no apparent anaeaia. Taa^jcrature 97*6F# Cardiovascular Gvntoa. Pulse 76 per minute, regular# Blood Pressure 106/80# . - ` Heart sounds 2 enu IX in six ureas, no coded sounds* Apex beat was indefinable* P.esnlratcry gystea# ' Pospiratcry rate 20# Movement symmetrical* Trachea central* Tractile frenituo - noraal* Percussion ** normal# Gospirotorp sounds -- normal# Alimentcry -System# Mouth clear# .Abdomen ~ .*A*D. . K E 0020003 The px'egresa of this case m s very slow and it was only by June 25 that he could be stated to be almost symptom-free, with occasional night hallucinations which worried hi little* by this time he was able to develop insight into his condition, and he m o finally discharged iVon hospital in Sspteaber 1951* Five days following his amission, M s blood pressure reae to 126/9-, and subsequently remained fairly constantly at this level* He was retained in bed continuously until l`fey 24, after which time ho was allowed up at snail intervals* During the whole period his pulse rota varied from IQS to 50, being most frequently around the lower figures Tlu'ottghcut his stay in hospital his temperature was persistently sub-normal Hie treatment consisted of rest and fluids in large quantities* During the slow progress of his cental condition, a gradual improvement was noted, and as time passed M s visual and aural hallucinations diminished* The first to digs, poor completely were his visual hallucinations* The following laboratory.investigations were carried outs 19*3*51 Haemoglobin. 1015 .E.B*G* 5,500,000 per cu*H3a, Colour. Index 0*92 ` leucocytes 9,3CO O ir fa r cco-b iU ia . C o a a t -- U s u fe x o p h ilo Basophils 77% Hetssyolocytes Turk cells Kcnocytes l*Q5 0.5^ 6*5$ Iynphcoytes 14*5$ Reticulocytes-less then -icterus Index - less than 2 units, Haaa Corpuscular volucs - 82 e*n* Backed coll volume - 47 ho basophilic stippling. Platelets abundant* - S i a s m i y - normal, 0020904 was retained in bed continuously until V&y 24 after which time ho was allowed up at small intervals. During the whole period his pulse rate varied from 106 to $0 being most frequently around the lower figure. Throughout his stay in hospital his tampersturo was persistently sub-normal* His treatment consisted of rest and fluids in largo quantities# During the alow progress of his menial condition, a gradual improvement was noted, and an time passed his visual and aural hal3.ucinaticns diminished* The first to dies, poar coaplataly wore his visual hallucinations# The following laboratory .investigations vor carried outs 1935 1* Haemoglobin 101^ ItoB.C* 55500,C00 pCS* CU*583* Colour. Indem 0*92 leucocytes 9,300 Differential count - neutrophils . foaopfcilo 77% etanyelocytes Turk calls 1*0/3 Honoeytes . lymphocytes *?6}.5K/C5* Reticulocytes-less than 2% Icterus Index - loss then 2-units* Heaa Corpuscular volume - 02 c.a* lacked cell voluato - 47 sum* l& basophilic stippling* Platelets abundant Fragility - normal. 16. 3.51. agiras* ' S.0* Insufficient sample* Reaction -- neutral# flbtHQn - Positiv + Blood - Positive +* Po reducin': substances# Ko ..us or casts* K 0020905 Uric Acid Colloidal gold Ammonium eulphide Alkslins phosphates Thyraol turbidity vi t? , Urinalysis* 0 units. 2 units* . 9 units per ICO c*c* 2 units negative. . Sato* Voluse (al). rtna. Fb/ Sample. litre S.G. Standardised rag./lltro 1,014 19.3.51. ,-1.3*51. 2.5.51* iS 4530 1520 i.09`0 1.5 0.703 0.103 0.045 0.331 0.155 0,06? 0.Q44 1.CC9 X*0^*4 1*004 X#OC!<*i 0*515 0.541 0.234 0*308 Faeces. Date* 18.3.51. t! Ash 2t* Ge *. 13.23 8.65 Sample 1 gss. Ash* 4.4 3.04 0.330 0.350 JB2S3&* Date* 18.3.51. 2.5.51. Wt* Gsu 6*95 4.27 Kga. J V Sample. ICO-gia*-.-,.. 0.0047 0.063 0*0053 0.126 Op inio n. .0 0 20 9 06 Date* Voluse -... ...feOt m/.^.,, _ S.G. Stendardlsed (si). Ssnpl. litare* sg./lltr 1.014 19*3*51* <4530 <1*3*51* 4030 2.5.51* 1520 .u 1090 1*5 0.703 oace 0.048 0.331 1.0C9 0.155 1.0G4 0*067 1.004 0.044 1*003 0*515 ' 0.541 0.234 0*308 llocos* Dete* 18.3*51* M Ash Ist* Ge., 13.-3 S.65 Sasple. 1 gn* Ash. 4.4 3.04 0.330 0.350 picoa. Date. Wi. Ga. Hgsu Vb/ Osople* 100.gB*Ci. 18.3.51. 2*5.51 6.95 4.27 0.0047 0.0053 C.068 0.126 Oat&en. i , j. A cees o 7.E.L. intoxicatica of giroat eerrerity> presentiag a full petare of an cncephalopathy of prolongad diaration, conflrood bp ixithological invostlgaticns* K 0020907 landlady gave tho following story* a0n the 12th of February, :951? end was given aecotssodaticn. He ras very of anything* case to ny house did not cosciain About 5 a *13* on Wednesday, 7th March '1991 he knocked at ay bedroom door and opened it saying, "Shiela rants you, (Shiola is ray daughter) * X ashod him what was the satter and he said, i!l don't fool veil, I*va had no sleep** I gave hia som ratchoe and t o M hte to go downstairs and sake himself a hot drink* Within a few minutes 1 followed and w hisi in the kitchen pairing himself c cup of cocoa* He was dressed la his trousers, shirt and socks and he was shivering* Ho had his drink sad said he had taken five aspirins* X warned him against taking sere than two and he said he had taken them to oak him clasp* Soon after ho went tc bed end I .lid not hear anything of his again* About 6. 5 a.a* on Wednesday, 7th Jlarch 1951, ho earn into the kitchen and appeared all right and said he was very sorry what bad happened*. X advised his to go to the doctor end I understand he want to a local doctor in Poole* Just after d a*, he loft for work* He came back about 5 p** that same date and said the doctor had given him son sleeping tablets and he went to bod about 9 p*ts* la a single rocm* _ About 1.3C a*m* on Thursday, 8th ."arch 1951, I heard a banging nclsc, and on going out on to the landing X sow his two sates go into th roc* ' I wont to Ills rcca and s a w j f l U standing cut of bo I only In hie shirt* He vuo. shivering* When asked what ran the ratter, he said he had had one of his bad turns* X left and got a hot drink which he drank, It was cocoa* ' X spoke to his about his behaviour and he set on the bod end cried* . Before leaving for work later he said ho felt very ill and was shivering. He ate his breakfast after com persuasion* He said he ras wiii.iag to eo to the doctor* 2 telephoned the local doctor of Boole and m ;IOCif^ eko-uxa call at tfc msrgory whom ho would givo him fjonso- thlng to rake his sleep. i 5 p*uu the osso dato t K K & arrivo;! back end left after tea vrith hs tra rates for the doctor's surgery and arrived back about 8 p.a. ,, M 0 % h o w o d v. a radicino bottle filled with a brown coloured liquid* X read out the directions on tbo label - en-.i teblesrconful to >a taken before going to bed. He then loft tho room* five aspirins* 1 warned him against taking more than two and lie so,id he had taken them to sake him sleep* Soon after ho wont to tel end I did not hear anything of hi again* . About 6. ..5 e*s* on Wednesday, 7th March 1951* he case into the kitchen and appeared all right and said he was very sorry mint lad happened.* X advised his to go to the doctor and I understand he went to a local doctor in Poole* Just after 8 c9m. he left for work* He case back about 5 p.s* that ss.se date and said the doctor had given hi soma sleeping tablets and he went to bod about 9 p*m* in a single rocs* About 1*30 &* on Thursday, 8th Parch 1951 I heard a banging nciso* and on going out on to the landing .1 caw hia two antes go Into the roc. 1 wont to his rocs and saw KOGAU standing cut of bed only in ills shirt. He was shivering* When asked what uns the matter he said ho had had one of his bad turns* I left and got a hot drink which he drank, it was cocoa* x spoke to hia about hio behaviour and ho sst on the bod end cried. Before leaving for work later he said ho felt very ill and was shivering* lie ate hia breakfast after scrao persuasion. He said he was willing to g o t ^ i h a doctor* I telephoned the local doctor of Poole and he told me fe^pPPfeiould call at the surgery when he would give his some thing to sake hia sleep* At 5 pra* tho same dateJHHptrrlved back ami left after tea with his two mates for the doctor n^surgery and arrived bad: about 8 p.a* "showed ae a nodicino bottle filled with a brown coloured liquid* Sr rBea*d out the directions -on tho label - csv# tablespoonful to be taken before going to bod* He then loft tho rocn* About five minutes after he returned to the room where I was and said wPhene the police, I must get away, I can't stop hero, I'a a sick man* X rang up tho doctor's surgery and it was arranged that ha would call after surgery hours* I also telephoned the police and ambulance* HCGA!3 put his allot and papers on the table and loft* The next time I saw hits ho was in the hell with his t"o friends* Hie police and ambulance arrived and soon after tho doctor arrived* tr?- `i id told ns that he ted ted a serious attack of influenza during th^HSJHTeaic at Liverpool and also that ho ted pneumonia and did not know anybody. Ho has never tliroatenod to do himself on injury in my uresenco8 ' A 0020909 story* "I have known H B B l I v for about a month as he Is also staying at the ease lodging, and working with m co a tank cleaner* 9 H H slept in a roc with several others and about Sunday, 4th Karch 1951, he kept walking about in the bedroea and slamming doors, and on Wednesday, 7th-March 1951, he was given a room on his own* About 1 a*u os Thursday, 8th Korch 1951, I went to his room vith another sot who was sleeping in sy rooa* The reason we wont to Kogan's rocs was because the latter was 'tumbling to himself and raking & noise. X saw him sitting on the floor with the bed clothes scattered around him. We tried to help bin up but he was contrary and would not do anything ho was told. Soon after ho cane up to our roc and slept in the next bod. X kept his under observation during the night. He did r.ot sleep but appeared delirious* About 8*10 a.n* that sane date X loft him with ay other mat at the lodgings and I went to work and seemed all right then* I saw his again about 10.30 a*n* that morning* He did tell rae that his sister was getting serried and that ids mother in Ireland had written to Ida asking him to go homo. He said that he had not enough caved up to go homo. K had his dinner with us end appeared normal. The three of us arrived at th lodgings from work about 5 p.cu that day, the 8th Karch 1951* Ifehad tea and then went to a local doctor's surgery in Poole, as fl^^khad decided to see a doctor. The doctor gave him a proscription and he took it to Timothy Nhite'e, the chemists, High Street, Pool,.and coon after was given a bottle of brown coloured liquid* H did ask the assistant if there wore any tablets and she replied, '`Bo**1 He did not know what the medicine .contained* .... ., 0 T60200 s x About S-p.a* wo arrived at our lodgings-and flflfcaad 1 started to play cards but a few minutes .after he said he m s goangupstairo, and loft. X got up and said to sy mate, Bill's gone outside. I went cut of the dining room end saw HOGAN going out tlmnigh tho m i n doorway loading to the street, I ran after him and caught hold of him by the arm & few yards from .l v ? arBk *tthX3eltohdfgiti'nBga1* towards tho Quay* Ha ttM. bottle and x think said Don't stop me. Bill* i will drown myself. no trioa to break evay from no but ray rx*te a r r iv e d and helped me to take his back to the lodgings whore we locked the door* Tho landlady sailed the police. Ho kept saying I'm no good for this world, God ought to punish no, and kept cabling to himself. Goon after the police and cnbulanco arrived, an., the doctor arrived soon after this, resulting from which HOGAN wag taken to the Poole General Hospital. 0a the way he did not say anything I could understand* did not sleep but appeared delirious. About 8*10 a*, that ease d&tej^eft hi with ay other mate at the lodgings and I went to work and tt0fceemod all right then. i saw him again about 10*30 a*, that morning. Ke did tell me that his sister was getting married and that his mother in Ireland had written to him asking him to go hose He said that he had not enough caved up to go hose. He had his dinner with us and appeared normal* The three of ua arrived at the lodgings fro work about 5 p.m. that day, the 8th March 1951* i^had tea and then wont tc a local doctor's surgery in Poole, s s | | ^ h s d decided to see a doctor. The doctor gave him a prescription and he took it to Timothy v M t e 'e, the chemists, High Street, Poole, and soon after was given a lottls of brown coloured liquid. He did ask the assistant if there wore ary tablets and she replied, "He.11 He did not know what the medicine contained. About 8 p.m* we arrived at our lodgings and i'CGAH ami I started to play cards but, a fsw ainutes after he said he was going upstairs, and left. I got up and s-aid to sy mate, "Bill's gone outside*" I vent out of the dining room and saw flHIpgcing out through the m i n doorway leading to the street* I ran aftssHnsTand caught hold of hi by tbs arm a few yards from the lodgings, towards the Quay* Ke said "Don't stop me, Bill, I'Ve drWak all that's in the bottle and I think I will drown myself*M Tie tried to break away from me but esy mate arrived and helped me to take him back to the lodgings whore we locked the door* The landlady called the police. He kept saying "I'a no good for this world, God ought to punish me, and kept enabling to himself. Boon after the police and chulatm^prived, and the doctor arrived soon after this, resulting from which p H P W s taken to the Poole General Hospital. On the way he did not say aiythlng X could understand. ^worked with us cleaning petrol tanks internally and masks are worn in which case the fumes have no ill effects on a person working there. . During convers&iiodHPP told me that ho had the influenza during the severe epidemic at Liverpool and was very delirious. He know that the medicine proscribed by the doctor was to m k e hi sleep. Ho baa always appeared worried about something, /< 00209.11 Gae hss been with no all the tiae at the lodgings, and WILLIAM KCGali, an irishman, M s been there about a fortnight* whan he cane to Fool, ho said ho had cons from Liverpool, ho then had tvo -mtaa with him who Ister wont or to Portsmouth* i! Our work is to clean out the slush and gas fumes in the petrol tanks, for which we wear special ssasks and boiler suits which we change every day* We finish the tanks by washing the surface at the bottom of the tank, w have done throe tanks* -i y Until about last Sunday, March th 4th 1951,. the Irishman, has been quite normal* When he came to us he said that h had boon in th *flu epidemic at Liverpool, and that h had bm put out" for two clays not knowing what ho was doing, the nurses had told him so. Cn Sunday S-ferch the 4-th, he was walking about into other rooms during the night, I did not so Ids* The following Monday, Tuesday and Wednesday nights ho was walking about the house and sitting on the floor crying* He cam to work on those days and seemed all right, tho trouble occurred at night* Ga S&uraday, the 3th March 1951, I was going to take him to the doctor's in the morning but tho landlady said, ;f?!o,i5,ancl phoned the doctor sad ado an appointment to so the local doctor the same night* II went to work in the day and saw a doctor tho ease aftornc-on through the Fhoil Ilex, people* That evening we all three mates wont to the doctor's in Xtoole who gave a proscription for laodicine, which w obtained at Timothy White*s* Ths doctor advised Hogan to go hoa to Ireland* VXq want backt^fcliQ lodging and some of us wore playing cards at about S p*a. when up and said ho was going upstairs. - Tho m x t Kiimt^hijirl Shiela, ths daughter of th lardlady, earn running in end s a M ^ ^ B i h a d run down th read to th Quay* J'y mate and as went after huotncT brought him back. He said ho was going to sling himself In the water* After we got him back he was wandering in hie speech about being a baaot and n o ^ ^ ^ t o live. I wont to my room end found th bottle cn th bod which f U P h a d got from the eheeict that night* It was empty and th cork was missing* Wc latar contacted th police and 'landed them tiio empty bottle. I went in tho ambulance with HCGAH to th hospital and ho waa fluttering 11 th way.* ' 0020912 he had boon in tho "flu epidemic at Liverpool, and that he had boon put "out" for two days not knowing what he ues doing, the nurse had told him so* On Sunday March the 4th, h was walking about into other rooms during the night, I did not sea him* Hie following Monday, Tuesday arid Wednesday nights h was walking about the house and sitting on tho floor crying* He cam to work on those days and seemed all rights the troubla occurred at night* tfeiThursday, tho 8th March 1951, I was going to take him to the doctor's is the noraing but tho landlady said, "i!o,!,,ond phoned the doctor end mad an appointment to sgo the local doctor tho same night* H went to work in the day and saw a doctor the sas afternoon through tho fholl rex people* - That evening w all thro -sates west to tho doctor's in Poole who gava a proscription for medicine, which wo obtained at Tiiaothy Uhite'a The doctor advised Hogan to go homo to Ireland* We went back to,tho lodgings and some of us were playing cards at about S p,a, when^pj^got up and said he was going upstate, The next ssinut^ths girl Shiela, the dauiditer of the landlady, cam running in end said had ru down the read to tee Quay* My . cat and s@ want after Iri^aM brought him back. He said ho was going to sling Massif in tea water* After we got hia kick hs was wandering in hie speech about being a boast and no^fit to live* I wont to ray room and found tho bottle cn the bod w h i e h ^ H bad got from th chemist that night* It was empty end tho cork was missing* b'c later contacted the police and handed*the tea atapty bottle, I went in the ambulance' with KCGAH to the hospital and ho was muttering all the way* . (In view of the fact that ih above reports are included for the purpose of medical interest, all ncases and identities other than that of the patient have been deleted)* K 0020913 S ir. -. Ko Fixed Abod . Attanotad Suicide 1 beg to report ttet at 3*10 p.a* on Thursday 3th torch 1951, a telephone message was received at the Police Station, Foolo, fro the landlady of torn lodgings in Poole to the effect that a sea there was attempting suicide* . uS 4 4 arrived there at 3*20 p*ss* the sane date where I saw |a native of Eire In the hall of the building being restrain# by two men who were also losing.there* He vas ambling also saying he wanted to get cut of it* The Inspector arrived soon after* I had contacted a doctor of Poole, who had attended this rsan recently for a nervous complaint* Tho doctor when told bj sa that he bad refused to go to hospital by ambulance which had arrived told roe that to use force any have serious consequences and tho he would come at once* He arrived scon after and taken to hospital, X instructed a policeman to go also and ueep aim under observation* This man was detained and another policeman was detailed for observation during the night, another policeman was detailed to relievo hia at 6 a*s* on tho 9th lust* ponding arrangaemats being sad for civilian observation*. _ was born on tho 3rd April 1931, in County Wexford, Eire, . tnd is employed by tfesara, Sissons and Hawker of tondsvorth Common, Lcndon, as a Petrol Tank Cleaner at Shell 1-Sax, lake Estate Pita, Eamworthy* He has been unable to sleep aid had an attack of influoaaa during tho serious epidemic at Liverpool* On Thursday, 3th Inst*, ha had obtained a bottle of sleeping draught on the prescription given by tho local doctor and cn his return to his lodgings ha drank tho contents and attempted to drown himself* ` Statements have been taken from the two men with whom he has been working, also the landlady, css no doubt ho will have to bo charged with attempted euicido, th r o being no person in the country who will accept any responsibility* * It does not appear likely that he will die, and this preliminary report is submitted for your information ponding the submission of the file,when he is charged* I ora, sir. Your obedient servant, bOrgt* ';Q>**** throughout the period of tank cleaning at Boole# Dorset On February 12, together with ^JJpand other members of the gang# he reported to I3r* Gallop in Poole# on the instructions of his firm* ,, At this t i m he was conplaintag of sleeplessness and general uealmoas. Sr. Gallop# however# signed a certificate to state that he could not find any atnormllty or signs of absorption of tetraethyl lead. (Appendix */ On February 13 flflB complained of a acre throat# and visited Dr. Gallop again* He was given a tonic and discharged. On fiarch 2 still felt unwell# and returned to Bendon for a few days1 rest* He then reported to his own doctor. He vac certified officially as unable to follow his occupation due to naurosia* On Boreh 7 ho was admitted as an emergency to ft. John*e Hospital# Dattersea# S.U.ll, suffering from acute agitation and delirium* Osx Bsarainstion* 2he only abnormUty discovered clinically was a roddeaning of the fauces and tonsils* 0 0 20 9 15 He showed severe nantal agitation# and undue concern about his throat* On March 9* 1951# ho b-scano even re agitated, 4 reotlean, and suffer X*ota hallucinatlono, and e t 5.30 .a. on the m m day fee collapsed# following a soiaure with convulsions# end died* A routine coronerfs inquest wan held#nsd a death certificate by the coreaer*o pathologist was issued stating that death was due to meningitis following influcnsa* Ho analysis was made, either before cr subsequent to the.'death of this patient# to establish . -- ; clinical sytsptonatologjfrand despite the diagnosis arrived at by the coroner* pathologist and the lack of evidence of lead absorption, diagnosis of 2.,L. poisoning would see to be justified in this case* 0 0 2 0 9 17 yi* / ao --i o o CM o UX :sc in January# 1951* On February 9# 1951# J* Perry reported sick, probably *;,. ' ,suffering frca influensa# and Pearce was iastruetetl to send him back to London On February 12# 1951# together with1 reported to Dr Gallop# of Poole# on instructions from Sissons and Ksvker, They complained of no systems# and nothing abnormal was found on examinetics* (Appendix iA*) On March 9 M . ^ U ^ e p o r t e d to Poole as a replacement for Gapsur* On March 13# ^ m ^ a n d ^(B^sreceadod to Holyhead-fcur their next job, as tank, cleaning t Tool had boon completed on March 1C* On Parch 15# and roPorkii* to Dr* Bennett, part-time medical officer of Associated Ethyl# and they were examined at Horfchwich. bo clinical signs or symptoms of tetraethyl load poisoning were found* At no time had these eon complained of any symptoms suggestive of intoxication with tetraethyl load, although it was noted that on the whole their urine levels for lead.were above the average* Urinalysis. Date* ii&me# 15.3*51. SI 23.3.51. if 9*4.51* B 1B l^ ^ B F Volume (ml)* 166 102 126 70 172 33 I'm* F b/ ..... Sample Litre. S.G. Standardised Mg./litre 1.014 0*028 0.169 1.0 11 0.0X31 0.177 1.0 21 0.0055 0.044 1.009 0.022 03X4 1*015 0*0083 0.051 2.<#OIL4 0.214 0.115 0.063 0.293 0.051 0.CC75 0.197 1*017 0.162 to Pool as a replacement for On March 13, J^^^rccooded to Holyhead.for their nest job, as tank cleaning at Tool had been completed on i&trch 1C# On March and ^(^reported to Dr# Bennett, part-time asdics1 officer of Associated Ethyl, and they vers examined at Horthwieh. Mo clinical signs or symptoms of tetraethyl load poisoning vers found# At no time had these non cosplainod of any symptoms suggestive of intoxication with tetraethyl load, although it was notad that on the whole their urine levels for lead were above the average# Urinalysis Volase (al) Kan. T /... Serapla Id.tr* t? f* Standardised Mg./litre l.GLA. 166 0*028 0.169 1.C11 1 0.214 102 0*0181 0*177 1.021 0*115 126 0.0055 0*044 1*009 0*068 70 0*022' 0.314 1*015 0*293 172 C.G083 0.051 1*014 j 0.051 38 0.CQ75 0.197 1*017 0*162 172 0.046 0*268 1*018 0.208 202 0#020 Q#099 1.013 0*106 175 0*012 0*077 1.010 0.060 200 0#017 0.085 1*015 0.079 77 0*0112 0.156 1.022 0.100 K 0 0 20 9 19 by the circumstances of thrir sKpoeur and supported by pathological-' investigatiens \ {E 0020920