Document LpvYQ8aMVB0B8LXkd7VbD8bMw

Railroad Documents Index Tab Date Description 1 Memorandum of Items Investigated on the Alton Railroad in Connection with the Illinois Occupational Diseases Act. p. 2 2 June 13-14, 1932 Proceedings of the 12th Annual Meeting of the Medical and Surgical Section, Association of American Railroads, p.60 3 June 26-27, 1933 Proceedings of the 13th Annual Meeting of the Medical and Surgical Section, Association of American Railroads, P'72: 4 May 16-18, 1934 Minutes of 45J' Meeting of Association of Railway Claim Agents 5 June 10-11, 1935 Proceedings of the 15th Annual Meeting of the Medical and Surgical Section, Association of American Railroads, p.89: 6 November 28, 1936 Armstrong Chinn to members of Railroad Engineering and Shop Committee of the AAR, including Dr. D.B. Moss of Chicago, Burlington & Quincy Railroad and C.L. Emerson of Chicago, Milwaukee, St. Paul & Pacific Railroad, p. 2 7 January 21, 1937 Circular No. GMA-2602: S. H. Schneider, Secretary of General Managers' Association of Chicago, to H.B. Voorhies, GMA President and President of Baltimore and Ohio Chicago Terminal Railroad. 8 February 15, 1937 C.M. House Alton Railroad memorandum regarding Illinois Occupational Disease Act of 1936 9 February 18, 1937 R.W. Seniff to C.M. House 10 March 16, 1937 Letter from executive in charge of Alton's Lincoln St., Glenn and East Chicago locations in reply to C.M. House's memorandum of 2/15/37 II March 18, 1937 Revision of recommendations covering rules and instructions for prevention of asbestosis 12 May 26-28, 1937 Minutes of 48,h Meeting of Association of Railway Claim Agents 13 May 27, 1937 Armstrong Chinn to members of Railroad Engineering and Shop Committee, p. 1. 14 June 7-8, 1937 Proceedings of the 17th Annual Meeting of the Medical and Surgical Section, Association of American Railroads, p. 19-21 15 October 5,1937 Alton Chief Engineer Armstrong Chinn to C.M. House. 16 October 19, 1937 C.M. House to H.B. Voorhees 28 November 6, 1937 House to Voorhees 17 November 16, 1937 Armstrong Chinn, Chief Engineer, to H.B. Voorhees 18 January 14, 1938 R.W. Seniff to C.M. House 19 February 23, 1938 C.M. House to H.B. Voorhees 20 April 27, 1938 Armstrong Chinn to H.B. Voorhees 21 May 6, 1938 Armstrong Chinn to H.B. Voorhees SCF-ALLF-00195 SC-ALL-00545 MEMORANDUM OP ITEMS INVESTIGATED ON THE ALTON RAILROAD IN CONNECTION WITH THE ILLINOIS OCCUPATIONAL DISEASES ACT. Bloomington Shops Locomotive shop Portable grinding wheels Driving box gang Bod gang ' Air brake dept. Truck gang . Shoe and wedge gang Boilor shop - - - 1 used 6 hra. per day. 1 used 3 hrs. per day* 1 used 1 hr.' per day. 1 used 3 hrs, per day. 1 used 4 hra. per day. 1 used for grlndln patches eto. ' Men using these grinders are instructed to use type A dust respirators. Operations should he confined to places where dust will not affect other . workmen. ...Thle item should be given particular attention In tho case of // P H. Cehle'a dept, where a.great deal of grinding and polishing is done on ""mot! on work. Sand blasting . . Babbitting dept - Now equipped with a closed sand blast cabinet with' .. Induced draft through stack to outside of building. Sand blasting hood and maok not noeded but dust .. respirator should bo furnished. " Sand blast room - All sand blasters now wear approved hose masks and . in engine house. hoodB. Boiler shop - Wet Band blasting boiler man has only been wearing hood but will be furnished with approved combined mask and hood which wcb formerly used by babbitt dept, sand blasting. One'extra hose mask will be required for this purpose. Spray painting Locomotives arc spray pointed In west end of locomotive shop, _&uat and ditt are blown off the engine with air hose before painting creating an asbestos dust hazard. VJvilo spray painting the wnglne,tho west ond of tho 'shop is filled with point fUDoo.and fine spray. Although this work Is done at night then the least numbor of men ure working, thoso In tho shop complain of the dust end paint fumes. Tho paintore of course wear approred 'respirators but Is not consistont to put thoso respirators on all work men in tho part of tho ahop involved. It was rocommondcd that an enclosod stall for spruy pointing locomotives be constuctcd on track 18 of Bloom- ' enginehouse ond equipped with positive air blowors to removo the paint fumes and tho largo volumos of dust which arise whon tho engine is " cleaned preparatory to painting. Ihio room would have to be equipped 'with good light and sufficient heat to dry the paint rapSdly. This would probabley delay locomotives boing. out shopped from 24 to 36 hxo. but is undoubtedly tho only way this lead and asbestos poisoning hazard can bo eliminated. . ...................... >*: Jr WWnrwu'W> 5 1iI l PROCEEDINGS or mi TWELFTH ANNUAL MEETING or ins American Railway Aiiodation MEDICAL AND SURGICAL SECTION HILO AT ttNNsnvANiA hotel, new yoiix ory JUNE II, 14, mi I . i SaMMNfwwVt1UMuI1.MO.WV.NMMI ) / m3 '! | PROCEEDINGS . Of IHt j THIRTEENTH ANNUAL MEETING r ` - OF !HE ;'| American Railway Anoclation MEDICAL AND SURGICAL SECTION tI 'i l i HILO AT STEVENS HOTEL, CHICAGO, ILL. ' JUNE 6, *7,1911 rmw CsiiwaitM NivVairuo.M.V l: I i .I ii .t ( * -I ji. i f ,' v i i: i ii . i' j . it !I '/ ItAn. I U - \R . .1 '1 ' ' > PROCEEDINGS or IHE FIFTEENTH ANNUAL MEETING . or THE Association of American Railroads medical and surgical section > VMS HELD AT CHALfONIE-HADOON HALL, ATLAN1K OTV, N. i. JUNE TO, 11,1931 C Esituji fawriM ftawtnoa No* yisMu, tt, v. V r\ COPY November EBth, 163ft Meaara. J. P. Morris, Divlsloa Meeter Uecbnnlo, Atchison, Topeka & Santa Fe Railway Co., 80 E, Jaokaon Boulevard, Chloago, Illinois. .' . E. B. Hall, ' '" " Oeneral Superintendent Motive Power ft Machinery, . Cbloogo ft North iieotern Railway Coopeny, Hauler Avenue end Klnsio Street, . Chloago, Illinois. . - . .* . Dr. D. B. Moeo, Chief Medical Officer, Chlougo, Buxllncton ft Qulnoy R. R. Co., B47 W. Joekson Boulevard, Chicago, Illinois. . ' ' ' - 0. X. EmerBon, Division Master Meobanlo, Cbloogo, Uilwoukee, St. Paul ft Pacific U. R. Co., Union Stotlon, Chicago, Illinois. ' . R. A. Mason, Shop Engineer, Illinois Central System, Room 010, 13ft E. 11th Place, Cbloogo, Illinois. T. P. Ball, Muster Meobanlo, New York Control Railroad Company, 634 InSolle Street Station, Chicago, llllnolo. ' ' Oentlement At the first meeting of the Railroad Engineering and Shop Committee, held on November Zfttb, the following ware preaonti 7. P. Uorrle, Division Master Meobanlo, Santa Fe X. 11. Cota, Abbt. to Mechanical Supt., Santa Fe ' ' T. P. Powers,' As at. Supt. Motive Power ft Machinery, C.ft N.W. J. 0. Stump, Asat. Supt. Motive Power & Machinery, C.ft H.U. D. B. Mess, Chief Modioal Officer, C. B. ft Q. ' C. X. Qnerooo, Division Master Mechanic, C.M.St.P.ft P. R. A. Mubou, Shop Engineer, I.C. ' T. P. Boll, Master Meobanlo, N.Y.C. ' 7. M. Freals, Local Attorney, I.C, Armstrong Chinn, chief Engineer, Alton. . REVISED RECOMMENDATIONS COVESI30 RULES AND INSTRUCTIONS FOR PREVENTION 0? AS3SST0SIS, THESE RULES TO SUPERSEDE THOSE ADOPTED 3Y THE SHOP AND ENGINEERING COMMITTEE ON JAN. 18, 1937, 1. Respirators should be furnished by the Company and they should be worn at all tines by employes handling asbestOB, Attention is called to some of the specific instances where respirators are required: Loading or unloading shipments of asbestos. Mixing asbestos, Removing lagging from boilers. Removing lagging from pipes, Breaking up or grinding asbestos. ' 3, Before removing lagging from a boiler, elthor locomotive or stationary, asbostos must bo sprayed with water sufficiently . to lay the dust, ' 3* Romoval of lagging from locomotive boilers should be done when there is the least number of mon working In the vicinity, and all such men should bo protoctod by wearing approved rosplratore, 4, Grinding asbostos causes excossivo dust. Whore such operations aro performod and facilities are equipped with exhaust systems, employes should also be requlrod to wear approved rospirators. When exhaust systems nro not provided, employes so engaged should . bo required to wear air masks or helmets with cloon dry air furnished from an outside boutco, a. 5, Each employoo requlrod to wear a respirator should be furnished one for his individual uso or ono that hae been storili2ed if previously used by any other person/I, , 6, To lnsuro maximum protection from respirators, only thoee'that havo the approval of tho U, S. Bureau of Minos should be furnisho: 7, Foremon should make periodical ohocke to seo that rospiratorB fit properly, and to note that thoy aro In good condition, - 8, Foremen should be held responsible for seeing that rospirators art worn in accordance with.instructions, 9* It is. suggostod that the above recommendations bo communicated directly to the foremen involvod. Publicity on tho abovo might suggest the making of alaime. ' [GENERAL MANAGERS' ASSOCIATION OF CHICAGO > H. 0. VOORHEES, . , Chaibwan 6. H. SCHNEIDER CaCIHTA.lt J i) :>* ROOM J02. UNION STATION OUlt-DING \ \//^, ,yr^ Chicago, January 21, 1937. i:r. H, voori'.ooi - 3d.CC File ,45H1 CIRCULAR KO. CMA-2603. ALL MEMBER LIMES--GENERAL MANAGERS' ASSOCIATION OF CHICAGO and ' NON-IffiHBER LINES--IN THE STATE OF ILLINOIS. ' Cnntlcnon: Referring to prevlouB circulars in connection with the Illinois Occu pational Dloeiisos Aot. I em quoting letter dated January 19, 1937 from Mr. Avnotrong Chinn, Ohtimun of the Engineering and Shop Committee: "Please he referred to my report of the meeting of the Railroad Engineering end Shop Committee held on January 18th. "On Peg'e 2 of that report I outline a further survey of Railroad Shops and Roundhouses in Illinois that the Committee would like to have made. As pointed out, the purpose of this survey is to collect information that will show that conditions . in railroad shops and roundhouses ore very different from those in the usual manufacturing establishments, and for that reason railroads should have modified and less expensive, rules than industy generally. " V.'ill you please have the railroads send this information in within u reasonable time?" That part of the report reforred to by Mr. Chinn is quoted belowi "Conditions In railroad shops have been found to be eo different frem those in the usual manufacturing establishment that it is felt the railroads should be exempted from many of the re strict!,*' rules that sill, no doubt, apply to industry generally. To support this view, the General Managers' Association will be asked to have a further survey made of railroad shops in Illinois showing the following information, which the Committee should receive in triplicate: "1. Blueprint or sketch of each shop and roundhouse building in Illinois, showing plan of each building, and layout or locution of each grinding, buffing and polishing maohine. "2. Numbor of hours each grinding, buffing and polish ing maohine works in each eight (B) hour shift. "3. Nader of employees in eooh room on each shift. "`i-. Air volume or oulical content in each building or rccr.. Vhere the building is not divided by partitions, the air volume or cubical content should be Bhown for the building as a whole, "here the building is divided into rooms by partitions, . the air volume or cubical content should be shown for ench room. Chicago, February 15, 1937 Messrs: F.K.Moses, C.S.Branch, Jos.Schneebsrger, W.A.Eandor, .. 0.<i .Knight: Referring further to the Occupational Disease Act, State of Illinois, effective October 1, 1936: I now wish to bring to your attention, and in addition an sending you herewith several copies of two sheets entitled - (l) Recommendations ooverlng rules and instructions for the prevention of Silicosis. (S) Recommendations covering rules and instructions to be observed by employees handling asbestos. With respect to the sheet setting forth recommenda tions covering ruLes and instructions for the prevention of Silicosis, I am else sending a copy thereof to all englnehouse and car foremen and others concerned receiving a copy of this letter for their info neation and guidance* It must be understood, however, that these recommenda tions ere not to be posted or given out but ere for the information of the supervision exclusively, and they will be expected to see that all of our employees Involved in the particular work that might cause Silicosis bs propexly Instructed and supervised so that none of our employees assigned to the work enumerated will develop Silicosis.* Likewise, I am sending eaoh of the foremen addressed a copy of the sheet setting forth recommendations covering rules and instruc tions to be observed tv employees handling asbestos, and similarly this sheet is not to be posted or given out but is for the information of the supervision who will see that ths employees wear reBpiratora while perform ing the work enumerated therein and In accordance with instructions contained therein. These are two very important subjeota, namely prevention of Silicosis and prevention of injurious effeots from handling anVonCos, and I will expect you gentlemen to personally handle the matter with your supervision while visiting the various terminals to know that they thoroughly understond the Instructions and recommendations and that they see to it that the employees are properly supervised while performing the work enumerated in both of these recommendations. 0 . C.M. HOUSE CMH oc-Messrs: CRosenberg EHfookstroth GVoltemade OLJbtt JHVrlght REldor LPVfolsh FSolmon HnHarrla MRVasoonoolios VLMaglll SCRiohardB FMGellowey OAshworth AAWood JLShaw CDHuffines CBRuyle GWRay STYowell IBLorson MIComstock HALockbart HCWolfe R..5eniff CWEsch Bloomington, Illinois rehruary 18, 1937 l!r* C* M. House-PSRSONAL Referring to your mimeographed, letter of February 17 th, to Ur* Moses road others with a copie to various foremen referring to the Occupational Diaeeee Act, state of Illinois with attached sheets containing reccoeunendations cover ing rules end instructions for prevention of silicosis end ashestosis. On the sheet referring to the prevention of silicosis Item #2 states "air furniohed for these masks oust he clean and dry"* A serious question arises in ay mind ns to whether our eand-hlast masks deliver air which is satisfact orily free from sand end dust* I think the comnlttee should advise us juat that type of aaod-tlcst mask is considered suitnexe^jand..PBrliaP3--we--in-<diii.l3.o.n. i-BhoTrld~oralre~cKe'(flt8 to determine if the type mask being used hero...l3..entire,ly,, TTffaCTife "os ou'tliiMd^n'^e.ireccomDenra'fiona coverIng 'the rules and instruct ions for ihe prevention of 81110081^ "'," "".......... * Oils for your consideration* SiC . ' ` 429 - Protective .Devices for Respiratory organs ' " ' ... .' . ' '-V-f:'< . ' . " Tl:'r A'v. .-Vi-- R P ^ r:! \/:: ' ' " V- 1 '':;** r\*.p : *M . . . Chicago, March 16, 1937 ...... . . . V';- \ v'-'x .| G'Ji'r. f.ir.7. v .. Ur. 0. U. House - , . ' ' ' ' ' r Referring to your letter of February 16th relative to .the Illinois Occupational Disease Act, effective October lyi 1936 and your letter of June 12, 1936 concerning Baltimore CMP&B Shoe . Bulletin 153. We arranged at that time to comply with this SB-162 and tahe care of the situation at Lincoln St, Olenn end Bast Chicago, ". To comply we should have four respirators at Olenn due to the handling of asbestos and the flue boring, Lincoln Street three and one at Bast Chicago. /:.c-, There is considerable difference in these: respirators and we have made somewhat of a standard of. them on the Temdnal- I can place requisition for the three for Lincoln St. and one for Bast Chicago, and you will please advise what I.might 'say to :/Mr. Wolteraade on placing four for Olenn to comply with this law, as 2 feel we are iiable to have a Factory Inspector call on ua at any time. '' o r.M,Micn ' .VWBOT if KtftviF CUi A|M MINUTES OflHB Forty-tyA Aimul V OfTHI ASSOCIATION Of RAlwAy CLAIM AGENTS V CttOANOBIMO ' "* * A .` I - NBA AIM HOTQ, NTHBtLAND PLAZA , CbiclMwtff Ohio M*tU,n,wi 28,1937 v \ : ARMSTRONG CHINN. 6Hi|r fwOPHlC* J. R. MOAOLANO. VALUATION CNOINtlM THE ALTON RAILROAD COMPANY ENGINEERING DEPARTMENT >40 WEST HARRISON 0TR6KT CHICAGO ; ' ',t 'p f I \; f\ ( \x C. W* ^ UW ' W. r. RVCH. (S. V? AIOOC AMO U'LOINO SN0INCK `J . --------- l.t.ll AHO TA A.IKI V&7 27 til- 1C-37 Vteasra. J. ?. Morris C. H. Longman, X). 3-. Moss. 0. 7.. Aaorncn, Ta ?. Doll, :t. A. llaodd, f/oatiamen: . At tho tweeting of the Cownittce on I'jiy 3*1th the folioalas were present. 7. P. Dali, Master Mechanic, if. 7. C. !> 71. Gets,. Asst, to Mechanical Supt.. A.T.ft S.? 0. 7.. T.r.eraon, factor Meohanlo, C.li,Ut,,r.ft r. J. 7. I'reelo, Local Attorney, Z. C, C. !. J-orjittan, Asst. to V .P. ft Con. 0. ft II. XI. D, 3. Moca, Chlof Medical Officer, C. 3. ft Q. A, Chief 2iglnoor, Alton Tho aub-corar.lttco apro tntol at the yriwioue Mooting to rjepore o. bulletin uovorin/3 roles and inetruotiona to be follouod for tho prerontion of Ar.thrnco-Sillcoaio (Ulnar'n Aatbica) presented thnir bulle tin nhloh Tea ohecUad and ncoopted by the cocscltteo Qs a Tholo. A copy of the bulletin 13 attached. It *09 raootntcendod that, oa in tho vast, the der.oral Managers' AooooIation rend n copy of this bulletin to all rollroad3 in Illinois. The bulletin on Anthrac0-3111- . coals <7hlch lo bMs sont out with this letter ia the fourth to bn isauod- Thece bulletins coror tho four major / hazards on the railroads, nanoly, Silicrals, A'jbsatoala, jj load Poisoning and Anthraen-.Silicosia, and rill be oil / that Till ba ioaucd for the present. Thoro are other hassris, / / ouch na Araonlo Folcor.iac, Oorbon-?!ono;:ido poisoning, BJrtn ' ' Diseases;, 9tc,, but these *'re uinor hazards compared to the first four. Later, If it io found denirabla, bulletin? Till bo i.jauod on those lesaer hazards. It too euggoated that a revios bo made of all bullotino issued co for to dot amine if any revisions aro in orlor. ?or instance, it has baon ototod to. I PROCEEDINGS OF THE SEVENTEENTH ANNUAL MEETING OF THE Association of American Railroads MEDICAL AND SURGICAL SECTION HELD AT HOTEL TRAyMORE, ATLANTIC CITY, N. J. JUNE 7, 8,1937 BuruN PmismMO CoaroatTio* Nsw Yoas. N. Y. 1037 H37 ProcirJti.ys nf Shdicul unJ Surgical Section 17 MONDAY MOIiNlNO SESSION Junr 7, l!W7 The Sevrnteeiilh Aniui.'il Mti-iiiiK *if tin- Mnlical uml Suriprul Srclmii of tin* Association of American lUolroails rinivciiril nl the Tnii mere lloirl. Atlantic (lily. Now Jersey, nl nine Il.n ty uTlm-k, 1 )i. D. It. Moss, t'I>:.riiimii, | Tin: ('llmini*.: ii-Ileru< mil now lni?iii n.u Si-. ole. niI. Aniueil MitIiiik. 'llii* III .-1 ill ti. on lln- ]iioeMilti " ''ni.i.i.niinni. ill- fiii'fi n ill l>i- | *-* i.l- ! liV I in1 Si-t'ii tm v. . . . Aniioiiiiri-iit. m. . . . Tilt >1.1111X11:1 : A fI -1V - min I nn in-.l I It ft. II. .it me Hue fiom In Ml'Cltlllln-, of till- ( 'nllatllnli \;if:nli;.l I nil! V. r. Vs, 11; 11 1 * 'll if I *li 111"lilr.illl ri'Kri'l nil till! In mill hiln-il ill health llll|in: ll.li fur nil- lonlll l.il HliliU il tin I I ini! ill Si-i*iiiiii I'.i-fitr.l.,'' Si;fin il ' .liilin Mr* nit.1m-.'- Dll. Ii. (|. I Inti IIAI.I. (Illinois C'l'iill.il Si 11 ml: I linn e lli.-il lln Seen i.-.ry lie reipir,-(i i| In wire I)r. McCuinlf uml convey oar cxiirine ntii i.i ut In UliUViiiilnliK- :il;i iu:e, :unl nur hope for his rally 1 rcovei y. nilli luls of loir. . . . Till- tin it ini i u:iv Dicoliili'it, uni |nil to u ml. alnl uiiiiliiiiiini.-lv curneil . . . TlmNecirtary tin n wm il Dr. M. l'oii.l.e lollmi,: -.Mi .In:,I umi Surgiml Seel inn in couvcntimi a'-rinlihil extremely ii-irii is that illness prevents you from Inuni; present Imltiy. recovery." lli-.-t nislies from nil for u. specilv Tut CilAlhM.iN': Tim next nnmlii r on tin- piOL'nini i- uli mlilriIn' the Chairman. I haven't un achlrrs.-, Inn I liuve n frit remarks to uiiil.c on u miLjeet winch 1 think will U-ouine of inerr.isim: i.ilile.-l to us m time poes hv; thill is, rj('r>ti| in t ii i tin I (li.-i'ii.-n-.-i, :iin! I mini lo nler partirnlarh to llie Illinois law which wim passed last vein. OCCUPATIONAL DISEASES THE ILLINOIS LAW . Hi D. If. Must. M. I). The Mllijeet of oi'.Ciip.iliniiu) disease.- lin.t. lurninr u III.,10 i uf pent inumrlalirr il! the lust tun years, noil is of coiicern In lln- rmphnrr, the t-m|>tmv, uml tininilihc us well, liecnusc lln- Im-lthnnil of an mam1 nlweits of tin- sluie dr| ml111 h ili llif* eoiitnnuiii! t;inul heallli of eini.lni'i-s inn knit in tlmse rrrnipn/i ,1 liu/unlnlls olTlipat ions. | ha l'i- i hotel i lln:- suli|i i I li.r ilisrti"tiai fnl the na t,.l i (hut for the past year I have lieon n tin iiiln-r of n eomiiulO hi.oii n as the Hall way Knipiiecrilit; umj Shop C'oinlinllee. This Ciuninittee nu n|,|ante-l hy II., lit Ij-ii'Oiifiim of mmcim /fuilnxtds lii-licral Monagers' Association i Chicago to make a survey >>! pre.-ent prael ice-* and cipiipmt-nlof (lie railroads o|*ratmg willun the state of Illinois and submit recommendations which would serve to tiring these railroads into substantial compliance with tbe rcipurcincnts of this new law. There are 31 Mass I rail* minis ojx-ruling within the state, uml considering short lull.', there are 7H Iailrui.il corporations more ur less interested in the subject i<( occupational lisea.n-. This investigation nini the re|sirls which will he is.-m-d mil lie of the gii-ntest importance to these roads, and tuny serve the interests of railroads in other stales, because the imliealious nre that ,>uch legislation hy other .tales mil not lx; lonit delayed. ' I'nim I line to time, this rnftiiniUer hus issued l.iilleiins recommending |.r<i* ordures designed in ininiimm the risk ol <'X|iosutc in occupations known to carry a lia/ard and which are of immediate concern to Iho railroads, i-'oriy-.'ix stales now have Workmen's f.\>in|:i.aalinn Acts which pruvi.tn for compensation ho arndi-r.lal injury causing disability or death. Ih-cognition of the principle of romponsnlinn for iirrupulinnid diseases has I men slow. mi even now only Hi stales have any provision* for compensation for disability or death doe. to an occupnliumd disease.. Many of these states du not provide for complete PoveriKe. Thu Illinois Oeeupationul Diseases Act was approved March 1*1. Itv.lli, to lake elTect Oeloher l, lU3ti. Accompanying litis Act were two others-- the Health and Safety Act, and I he Grinding, I'nlishing and Hinting Act. Yhi.- tntli r is a temporary measure bridging over the |>eriod until the Industrial (`omnn-sii.n estahli'hes rules having the elleel of law to replace all previous feitiduiion in curtain kclds. Section ti of lln; Health and Safety Act provides that the. Industrial t'oin- iie.--:,,n may upponil mi advisory eoiniiuti 'e *i> Miggist rules or changes m v.-ling rules. Ib-prc.-, nlniii-n on this .-011111:11:00 must he -piailv .livi i.-.l Is I.well employer and employes. It is under this provi-nm ihat tin; Itadwa.v iu.,:iueenn(( and Shop (`oinnullee acts m assisting the rad way member of 'h. roiiitmllie. " Sot I ion 2 provides that this A. I -flail apply In nil .inplovers 1 ngaged Ol any ..i-eiipation, lindnci.r or er.ierpri.*.; :n the -late of llhnois,-ind lie-ir .-n.|>hi)is, lln- only e\.-;npfion hctr.s the uerieulloral class. S etnui 3 provides I hat 0 shall Is- Ihe dot V of every employer under this Ac' In proeide ri i_-onidile protection M the lives, I., allli, nml al'.-'y of all por.ni... employed hy such employer. The Iriduatrinl ('omnes.-ion .-hull from time to time make, promulgate, and puliledi such re.-usonnhle rules us will eiTcciusIc such purposes. Section 4 provides that to efjcelnntc tin* purpose* .stated in .Scctior. 3. the Industrial Commission shall toukc rules for (a) l'rnpcr aamtation and ventila tion of all places of employment to guard against personal injuries and disease*, (h) The arrangement ami guarding of machinery ar.U the storage anil placing of personal pto|ierly to guard uguiust personal injuries and diseases, (e) Ihe pruvenlion of |icrsunni injuries ami diseases hy contact with any poisonous ur duleteriuiis dusts, vaixira, gases, or futnea. (d) The prevention of (lersoiml injuries or discuses caused hy exposure to urtiliciid atmospheric pressure. It i*; Mjf I hr |( Ilu H|l* *( tin i.uol ! Ii l| Jl.lt r *)*? * 1 1 1.41 1 Hu- c | * 1 4 * l| !* >iy 4r . in h!fl.44 ,ff 1; I >< *i i lln. n rmpli y**r. TI * |*i itu:% W) ililU ll'n < t till: lv *viii'ii (M)|| .J (I* ioi..ui| h n. >( * lk* >||cli lt' it lllltll`1 w Hinli-f live C* 1 Il' tW It .41)1 i ` lihl! *>4 iiit it t'N'' (K4ll f*l( .slfrl.-,-. IS : rri4 4 * 1 v ;.- I|... I.*v -I ! A iK- II.I ` t ( ' t ` . ....... . '* ............. t -I . .1.. t. a.- vl.i-s I; r h .1 '((.Hi I Ci. fil i* m Hi'i l'V> 4.\ |t;> \ Ii.Jn (llUl li -mm all i:l:.pl.,y|||. ivipi.le ll,, 11 tion. t flic ,/ III. I he prop'tgai J fill pfur.nei-a ; uni) rubrnit . udeflaiitial i lT*x I railsbr.- an 7ft *' IJ|aalU*lin! s .11 I** of till . in.lrnad- iti .lb r slat* s ii'l.iy |.r<-- Inmrty *! >1 :i It*? ! -al .oil ful ;**. .(ill' i.l ..w nl> l<i I `l|l u\ An Tin- Jj'iJuMruiJ ..It |r vinu5 i-lriul ('oJn> in IU ihviilrtl *n ];it\vu> i.ln f **( till n il ifi ;tny vtti\t\uyv*t l-r tliU A* l all | r*oil* a. (urn* (u I'Urrliml* i *1) 3. \ Uv l'*i Mlitilh- `I -I J-liiflh# l'J Tliv '*MU)ur or 4 ita-rsunikl *Mirv. (T i Prnordiiigs o/ .tfiihent and Stirgienl Stcl, on l!> It is this. law l"t the pievintiou of disease or injury U'liicli uieenlly d. tumid' our U-.'l thought. The Workmen's Oecuiv.lional Diseases Act is optional. The employer may elect to ojK-rutt under its provision hy simply tiling notice Willi the Industrial Commission to that (Teel, ill which ea*i> hi' liability is limited (o the piovi'i.'lo of the An. Tin- employei who chouse. to retualt. Wider the mit.IM.n I iW takes t> lifitul. Ili' |ial ilty l' limited inly hv (he .Ili.i.uul liNi'ti l.v tl,.- jury all.-i weighin'.; a'l l the i-vali'i.e. pieseiu.-.t ili tb I rial of the rw-e, esc. |.l thal I*.i deal Ii tin iniiMlmiin sIO.ikki. It i- lurtli* r pti.vi, hi iiiuh-r * I.** `.i:.in.,i, h.w that i` net l : ! n n-e i!ui H,. ,i,(.l,.;..- ' .\|iv.-"ly iii iiopln uly as.-umi .| tin u.-k.i that il>> !>... m deml, v. .,u . d ill wl.i.h >,r III pad b.\ |I,C In ghgi nee i.l a i. Ili-w eivai-i. Ah... lha> at,. v e.!.i- tien of the rule - of tin- lie-ill Ii anil kale tv Act .l;all con I mile it. ghgei.' oi tie. elli|ih>yer. Tin prilaaiy purpie-e(l,e Weikiner,' t ***eii|iati-'iial Di-eases Aet. like the . Wink men V (.utii),i n-Mitiii Ad. is In pinvide security lu the employ. ami In' fatuity when In* is overtah* It i.y lt- trae.oily oi dl-ldtllilv nr h:lh. T lie ptiieary . |Mir|nsi of I he I leali h au*l S,.li t y ,\el. ll.iuiiith I til' | s'tinkle.- provided l,u lailiiie to eon,oh uuh i>- iii.iviMon-, i- lo emii| ! tie eim.l.e.. r i>. tii'inll *-.l iy .let m Of It.kt- liticli nlhcr ail lull us ttill proteel the employe hum aeitnliTif ,.i ii'eu'e. Iti it understood that tin employer, tthethrt iin.lei lie- cniii|e-l.s.'i;iun ael nr utiih-r the common line, is relieved of the tnc's'ity ,,l eoiniilyiiic with the Health uiul Salely Act. The |ieniilly for the first failno n|ini, com ntinn is h line of not less than $i.'o tuni not more thuti $100, mnl subsequent failures not less than $'>0 nor more thun S2IK1. Lneli day of failure eonslitules a separate ofTeh.se. llcfcrriiiK upam to the piovisions of the Oecuiialional I'icetev s Act, Section fi proi ides that under the Act the employer shall !' li ihle ft.r i*otopen>;!lion on ' iiccount of un orciipulional disease which nreui uithin one year idler the ln-l day of tliu Iasi e\|o.uire lo a hazard, e.\ee|il in ea-es of .'iline-ii and :i'l,estosi', where the lialnlity evlends to ihree i i iiis Seelinn d pmcide.' I lint 1 he employer under I lie Couinioii lute is liable for three yeum after * In- last day of the ln-l cX|a>suru to the hazards of the disease, and that every mu Ii action for dnitiaKc.- in case of death shall lm cmniocnci'd within one year after the death of sueli ftnploye, and wdlun live years after the la-t day oi the last e\po~,ce to the . hazards of the diai-nse. ll is quite evident from these piovisions that the em ployer is nol itmnediately <|uit of an employe who re'ieiis or who leaves the service from any ulher cause. Prevention of nteupalional disease is nf preaier importanee. more humane and less cx|* nsive, than the palliative of puyinc rninp>-iisatinn after the ;li.-u.isc has deeelolH'd. The )iiinei[i)e of I his law is sound, and 1 hi lieee that on [sthiii oppose' the idea of coiiijh nsatom for disability or drail, whenever it is elenr thal tin- immediate Cause cun ha utl lihuted ton ha/aiil u loel, (s as.-oeiaied n it h no employment. The pro|a-r .aptiluaiiun ,,( the law \v,|| l- ddheuli. j,:,,I mil n`l|Uire I he ililellipenl eoU|urnlion ol every apa ncy ronei rued ii, it' uOnoiostra- tion. . One of the dangers lurking in the Workmen's Otrupiiiinnul Di.ea.-. s Act u the proimnundi. iu the c.luci.rionul program of thu Sti,lc Ih |mrlinenl of bailor. 5 20 .'IsjoMNiiiioil >/ .limriraii Rnilri-iils When lliis Art >va<> apptovcil a year ann, I!inii.-.ilnls of paiii|ililits with priiili d anti llislrilmleil throughout I Ilf Main ilrxTiliini; III a fraipuontary way iln: symptoms of various ncrnpaimnnl disease* ami tIn* kind* of work which ma> CUU-O them. Tin; only pur|m-e scivnl will be In male a fear ci-inpli-v, ami every employe who Im-toIhi-s ill will iniayim- that he has mi oi-rupalional ilism.-e. nr llu- om: ilisc.liaiynl or relieved will iiiiacim- or matilr^or many nl lIn- .\Viup- Itiiii.* nf some occupational iliwa.'i.* ami a claim will re.Milf. I Ix-liov lIn- is mom apl in mTiir iimli'r llu* Art than iimliT tin- I'oiinnon law*. In llu* anilalion wlurli ha* Ini to liatidalion m (In* last two tears, sihcisia lias Im-n rniplutn/ed almost In tin- i-\clu*ioii of other ilisoxx-s whirli ma> haw mi iHa*u|i:itii>nnl origin. Wh may anvpt as axiomatic that >ln>l from wh iirvrr source, if in an excessive anioiiiit, is injurious. .V ren-nt laniinu-iil in llu* .loiirnai of llu* A..M.A. stale* that only silica is capable of imluriio; silicosis, Inn that itlii-r mineral dusts umlrr proloiiced ami I'rii.-u c\|Ni*iirc mat* ruuse some in crease in )inlinnnary lilim-n. If the relative |nituutial harm of silira is rated as !<*>, thru other uon-to.vie ininrral dust* may U.* rahal only on llu- order of a or III. |tu**is in industry arc ioriiii-il hy processes of ithra-nnn, jtrimlin-.;, |ki|i>linnt, blasting. ami llu* like. -Such dusts art! not ahi-i'ial ill any wav, lull maintain the sunn.' rln-mirul conipontion as llu* malrrial from wlurli ihry roiiu*, lhr only difference Ik-iuk the particle -ire. The smaller those partHe* arc ami I hr harder iuiiI less soluble they are, tin; mom apt thry arr to rau.-o |s nnaiirui chances in flu* ijiilinonary tissue. There am two school.* of thought m regard to tin* inrthml hy whirli Mlira raiix*s silicosis, om- I- out 1 hal the hard p il l idea of silira rau.'i; an irritation, producing a l- l- ii.aiaa* libn-Ms, ami >h>- oilier tint the Silira in till; limly undergoes a chemical change alnl hccoiiies a rrllnlar |Mii.son. Th(! evidence ip|>e.irs to favor iln- lirst view. . Silira, a.'li-.-'tiis, ami li .nl an- tin- piim-ipul nhst-ioos gcueriting toxic dusts to whirl: r.illw.iv >v,|,| ,y s may !n-e\|-I. T-. tia ,-r -. ln.iv |* t lisp* add coal illl't gem-rated in iru.iUing roal ii .ni r.o - ta roai hot-- or >1 In r i-in*l*I plan-, because this i.*e\T.--i\ely du-ly w.ok. A;i-no( *ii"-lmni:.ir>' n-|>*.rt .u.m -<!.* I by tin- I., s, I'liblir llr.ihh S-rvirr ill a -Hi ly "f health n.nditioii.,, cuin.hl.g I-li a -iral \amiii:itiou of J7II nu ll, in thri e i -i -'-i>!;1 ii r :o:l hwin a I nu:;o in I'lnii-yUiiiii.i. Tin- po-ai-iin' of anl In an osis aiia-ng I !. gmup was lid'' ,. Among a control group of hal'I-roa! luitbeg ploV.-s .-. h-Tr * til -1 \iin.--irc a as |i-.'. Ilian a (lI<IIIIal parlidi-s |n r r.a. it., |..I i-a.-r-, III aiitararn--,li,. ,vrn- fonml. Ala-Ill^ lai n r!iij>lor,'i| oioir tlino .ko -1 am ia -I i-t * -iiiaiitio^ .* :oi!li-in |o '.111 loilliiiii |.:itii'li -, pi'|- rli. ft. a.iIi Ir.-s li. .! . -il'ra, 7` . iIi*v |i |^l an- tliraro-.-ihro.MS. Whi-n- the ilust ronlainril IlHi . i I li- a i lo I'.lli niilli-ai paiiirlis [s-r fit. ft , alVii'if thr rmployi-.s .iiitin.iro--iliroMS, an-l with Iln- ilust roiiiaimn^ in rvis-ss of .11*1 loitlion pailirlrs |n-r si. II., V.l* , of ihc i-luployi's i-x|io.m-iI :mtlirnco-silini--i.s. Aimly.-is of tin- ilaia f--r tin- imipoM- of ilt-lrruiiiiiiift Mifu limits of ilnat raposinr snlirulrb that rmptovini nt in an atniospln-re rontaimiiK lias Ilian 70 million partirlrs |ar ni. ft. wmihl pioiliirr a m-irli|'ibli: iiumln-r of ruses of antliruro-silicnsis wln n iln- i|i:urU ronu-nt of the ilili-t was Ir.ss tlion a',1.. Whne the silira conti-nl aiw- about IIItj, a sale limit uppi-areil to lie 10 niilhun to la million partirlrs prr m. ft. It is obvious that avoidance of grout exposure to toxic dusts ami other poixinuits siibstanrea :m-i| a --r a1 l.||.h-. | |lx-;o, \ l.'ti- |n h o . I\ . al |mlii- :!.nlr I ,-i. 11.- i,i. >:i|it . A' l .u l|i||i . \ 1M I Li* 11 l * * |Til.W **ll* U lM ' V Mnluml O **\ i jmm *v j.;i* <*,?.;W*v it. :: it* if . v* ! i i.rv *4 |<: ll .*. lltl|H>| i - triu ti-l ! . I >4ii l.i .|til ; - - I * i*; . r i.. ***|: * ) it .it- . . - . .mi. if * . t.:n f!' - * Ila ' f lt t .iI*:"It* ! * Utl.ltk* * Cl vs 'A al * It* *i i*t f r fliVC *| npl.h I* were pi tided ..rmentary Way tlm a w*nk winch nmy .. t*ar complex, mul op.dioie.d diset**!*, :ie:ly d the M'fllp* f l mom i >ilin.i<* * v ))<i`h h;y hate i - time whucv* i ..1 ili *h. J"il; hat . *!', Iitll that I. I*, t ;l|*** -M.lM* ill' I. I Im Milrr <( .'Mir ;i ;* hv*. J.**h-dwh:, . * it tnuinluiti the ^ *i.r, 11.** only * theharder i elianjte* in m tcp.nd tu ihe - bald particles of i ih** -He r that llu* u cellular |tiMin. .t rating toxin dusts .fm rhups add l:ijd lit * vif1ts*d pla*Vs>, v f* jrt wit-* iNMu.nl .i.liijoti>, melmiihg Ihi.ti ilt- mul mihei* d.egpmp was'Jli'.'i. du-i exposure wus t.Miet`-t`ih(i>i.s JVI'U' maimng .'> million 71 , deveh)*cd Ull'* indlitiii particles . ;**d with the dust . *! the employe* the plJlpOM* of .* pi Annul in all .* Would pl*duce t /. content of u *.l I'C'Li ** Mifl* II (l IS ohl'iOUA :*"'|*i*un MilihlaliCCP V J Ij ] i VruCccdiUtf* oj MidiCol aud Suryu'-d /*> < -1 Used in or geneiuled lv ifiumifinturiiig proiv.v^**. mul of unfnmiabh* nothing conditions, I.-* the lir>l essential Hi previ tiling and controlling occupational diM*:iM?. A targe part of the problems which will :ihm* will t elute Im tin* tpii'dion *l diKduhty, and wiil U* medical |*r*itj| />, |ui iitIv the io**d*c;d |i^*i* --1. |UiMiriil;ilh I l.t*?t w ii > up i*iteic>|ed in tin* ill* lie 111:11 |*li:i* **- f medicine, imp l Mhi* lin-m. 'I'll* problems wideI* w ill ;ri.*f in II......pphi al i* ! * I** ll-:,ilh and Sal* ly .Vi and th** pievi idiot, :i.d nitMi>< of oer.ipat on.d d?^. nv. di b. 11- gm-.-nio*; ii"M lh* hv-s. t is impoiien* that t1. na*M:d n.: .. in |.n .!i.., the <'i4?:M/*f u.g !< in **rd * lU* p!'oj*) sal*:** * I v\iv. I*|T vt. It f* apt-a;. lt, |i leiMU . (U:il juvvi Ml* li ;lt\d **.? I ti dii..a .1 l > <#{ iat:\* l7-ih* *! h iik**Mfi;n ai th* i1* .i*al .*.* I . i* ii<- piiHOMfh.' tl.ai iu.l .-ljv ami lalmr nhkr nm.-l hnk t*i ; ^niuiMUf H.i |*:** li:ln> w hieh .* :|J ;ti i* . ' M**tiii*;d '* i Vi 1 a * *1 *( a e;iwn:l |.i***|:4ph#* *.. I 1 ti**e..|i;l|.*lKd xti ud it* t **V* ; a |**`i i***l i i j, vi* m nr* el 1* a***. and mi j i*n i**it n. .".*t - ;; \ pn-ii phi.M .i-id l*Mii> : ennlnl jhy?vi*a! * v n ;:iu*n. pavnit pt*ii..( un.-nitM?. n* any r.>d`.eaiu.u *l** a'e? ! il<* l.f.ri * bui: . :n*l* *t ) \ : n> luUunh/ry invotiirarinn wlm h chi- |d>>vieid Jindm#.'* na.e 'Ji. >> . vihmimiil ii whieli an enipl**>e iu:*y U* retiuind lr w.uk make* nei*>'ai\ tl* impiiry inti* t)i* |*<T.-4.n:d and *uni|*ai*Miul tiistiy, t* u.M'i`itnui that i? n* lii.xtnry c>f pievinu* e.vj*ii.-uie whieh may have eau.-ed i;np:dtn***M' ami n* * ihiion )Uea*nt which may he made woi-m* by llu t*eeu|aleii;. It is imiHrtaut, nh, that careful iiupnry U* made iti** U*e history of em- ploye.N wjm come for aid, if ii curled is In l>c lumh' and U |vt**]*i balanec* struck hrtwmi dheaws whirh are unfnviuahfy iu/hrenrcil hv on-up.i- tinn nnd other di^'UM*s in winch iwcuptuiun leu* m lu aiini:. 'rin-H !'*re jx iiodie # physical cr.Uinwnuhoii <</ id! eMploye*, in r-o far ;* lhat is |>r>vih)e, ia inipojtani. In iteeupations in which known ha/.nid> e\i>t, such :** where Wi*rl-is are s- pos**d U leuil nr in saudMustin^, exnu\iimUon slmiild he innde K'nu*aniiu;dl>. nr more frerpienlly wh**u**ver iheje n|>i>4-ais tn I* imheaiion* fur *hiin ?**. with transfer of cm plover \v|u* mu- heeominn i in pa in** I, to !* Iiazard`*us 'vui k. * 1`JtcituH'ritttr enneeim-d in inv**>ti^aCiiiu fin* i*cut:itioii,*d environment. iMimalint! th* )*M2:tid> s'`M-htitie:d)y and in-tituiin^ the pr**p* t in**tl>d> t*n eantrol, and th?renft* r >ui* mMon to n:ik** eertain that the safeguard** who I. have he`n installed ar* alei\uate and tlu-u )vt'foi loaiuv cffeetive. \\ in t hi t 11- mullet is removal u( wlica du*t* mul tlu>r, <r th<^ hi>c w fume.- of lend or inr. the basic principle remains iimhitn^e<l--vetitdation hy a methml lu st adapted to mei tint' the* condition !/ )*** mIv* h He luce Joi crmsid* ration: {1) i h* U.-e of inechauicul devices, Mteh a< exhaust venti|:d:ti|? systetn> i.pplied ti> tin room or to the plant as a w!*)*, **r local e.\bau.-t.* ihiou^h a .*>u<,!an appluil dorr t** tl*< fHijnl ot do-i ^ruetalum. t`J) f hanumu th** pnu*. Suh'ittnlm)! t.>n*)M*isino`t> materials f*r tho>e known In l*< |*otsi*tious; Mth-u- tului wet j:miliui' for diy ^in.iluiy; or ehaii^tnit item i * a u t; I sunlsi*'he kri in ling w he**ls to m | dirial aimi-iv* u her-P u Imh im l.ai `l.r ami * on lam hut litlh* oi no fire siliea. (d) l*i>oiml pitier I mu : ('mil rol of h./ai d hy mean** -i protective ectuipmenl furni.died the nnhvidoul eniployi , poo d. d tl..- * TfV . :( t : i : 1 i 22 -li4ooo(in / .lmimcun RixilrmuU lit effective and th rinpli>)'i' can lio d> iviolcd U)h>it to wear it while at work. Thm-allcr it is u inutli-r of pan I Imu.sihif|nni(--kniiwin* that tin* utuu'spliere is inamlniui'd ill a slutI' which Is tml u ill aril to I la: Will k Inch. AU duals uiid alt |H>iai>ii>>iis iiimiu limy hut In' cuir.pletcty 'adii'iiti'd, but they limy In- controlled und n ililit d lu a dt'Krce which is rceiiKiutfd t*y -Unitarians ulid by cx|A'rienri; lu he liuh-liiitardiilM. This call In' Iirnnr.plisliisl Itv fri'ipu-iil dust I'liuiils III till' air at n |uiil tilli n' illlel M Uieoralid, nr I'lirimriil examinalinn of air samples when had nr ullirr poisonous iitutcriuls art' owd. Amdlilaaliui; is p>'riiu|M the mual .Iniitfimus dilsl produriii^ acmcy lu winch cm* |>|yrs may In* ex'iA'sed, liecam-s: ilu* -and tired is u pure silica which prinluics a vcritulilc dual liinnl. rkuidhlnaliiiK Ims come into extensive uao mi railrunilr ill remit years. In ilu' simps it in used for rlcuiiuut ami |mhshiii)( small urtich-s. It in al.-u ux-d in ri'iiaiviatt puint from curs, buihnnirs. and slid water tanks, preparatory tn re|iauitiuK. Ised iinlinint it is im|iemlivc that all employe* In* protected. consequently a dost-proof cabinet nr room, lilted witii a local ex haust system, will In.* required. Only I lie uir prvssure mark is safe lor Da' em ploye eni'ap'd in sand-blast mg curs or buildings, aiul llus work should Us done inly when oilier employes are mil required to Work in Die vicinity. The air lio.-e should he lung enough til bring the air from outside Die dust rone, nr the air should he washed hy lining iurvvii through a walcr hath. A respirator is a tillering device lor removing particulato iinpuriticK from tlie air and is lint elfcctivc ugainst git.-cous impurilies. ."ijieiuitl mu-iks lor this purpose ant mamifac.liired. The essentials of a respirator are a dose tilting and ilieit-prnof fare piece covering luouth and nose, uilli a minimum of dead spare to prevent ateiimuliition of earlioa imuioMilc, Die iuluilutiun and exhalation valves must not came effort in lin atliing und "t"-'1 If du-t-prunf, the filtering device should !.j\e .in cx|msrd surface ana large icunh I" permit iris- I.rial li me. Die tiller disc- I1011I1I lie easily ii'iioivalile i'nr 1. pl.a mint, and the iv.~ pirator slioold lit eonifortahly ami not ..hairnet vision. olid .-lioold |s*rndt of Aearteg s|a*rlai les 01 gnggli-c There are vaiioos tj|cs of respi in tola which may l.o u-ed lor nnii.'i-xie diets or for short exposure lu t'.MC lusts. I would recomioeitd that nnlv ce-piratm- and Has masks mVoIi ire approved hy the I'. S. I'.oreaii of Mines he iuriitshcd to employes. Sila'-.-i.s and asliistn.-is are -tnrilv dilsl diseases, and . all he rontrae'ei! only liv breathing -ilira "r .i-la ~los dust, fend imisniiii.g j.s nn.'l fnipieiilly roiiIrnieil I.V hreatl.mg 1 In- dust of fiin.es of lead, rarely hy ing-.iing lead. lVl'Vi iilinn ami midiol, theiefoie, ron-i-ts of protecting (tie 1 niploye against expoMire hy the means hist adapted to preventing Die generation ami di.-j*rSion of these harmful dusts. Tilt Cmaikmam: We have received the following wire from Mr. J. M. Ssyincs, Vice-President, Assoeiation nf American nmlrninls, same having IwtUt HiMrrasr-d to Ur. Ilartle as I'lmirmitii of the Program Coriiiiiitlio: 'W.raHiNi.TiiN, I). t.lime o, I'.OT. |)r. Harvey Hurtle: ' Volir letter June secuiol. Ilceunse nf some pre.-iniig mutters of un- exiiecled development lu re in Washington il will he impossible for me In atli-iu with 1 very and l< Tor: <*ll s|snkir. Da. Ilu pleasure to I am - pa-ak I UtU IK l u-lero l{> Mir. U. t the lirsl til. wavs lieen 1 I 111 ju At the -Tied tuo far up* I have n* and tln-y w do. I.ceno-r lieUs 11,: |.!" - .! I I., :e an i.|s r:.llli|! . I. ?. l..,w 1.*#:* I. It..: 1 1.. -.1 . <% r*l :n < `..tffvv vv, i* >t.l|f !**<* * l.a OIK;iJ;Wii] a. . !:.Jly Ujii v rv ltsl.lt I itmtiy viitiD Hfll.iQ* ^W* .. $f l Id a iiiiinlx r nf run* ilotail iiiiiilinn of I. Mki.'rnuN, Mh\% (`iiuiiiiiun. if Old* I till* f'lllll* If I Dr. Eve, Chair* Thal is iiii` rni.-i<ii the of tiny < nil,until i- nil |li>* IV ('l.lllllllllll' 111) f-< (t j ...,... ) l'rttar*Lntfs of MolioU atwf Surgical ,S<n< i* fCireuhir N|. 4 H. 100* ASSOCIATION OF AMERICAN RAILROADS MEDICAL AND SURGICAL SECTION REPORT OF COMMITTEE ON DISABILITY AND REHABILITATION litNwJl<l>V.4t(rdVlAliiniPl.iiof'cl.i.Jt(ftiniK:M>*uy.. ('{*!( |>r T. I.. ilul-k C'l i%-{ OLic.*t**. ltf*V IrltMid A i'jnhr lluiwby. . III. W j. U.l.fuM* litt.luifal A Mr l. >tl Xrli*-: J,**fwori: ALiiiii. C'il lil'i 1 >r. Join* Me*'. MtuiCit On***i, C'lill.tlllUl) Nuth-u.,'. IIc| i*'.*cl:itVi* fr.iiu >i.unilt'f tit I nf )if. J, |;. liuriitr. I'ltiw Hurini'.i, Wmicru )Uiiin <4 ALkoi.u. Nt.w \<uu., N. \.. May li, luff7. Tn nit. Ali.-.m u. ami Si:m;n al Sijtihs: Your C'oaiinitfcc icgnf~ lli.it it i> tin.-, Me t,< offer iiurl: tn.it malt ri;.l in ll.i- report. An eluleavoi lias liven made tn levuw sulne oi lln previously dis cussed subjects and bung them up lu dale. We feel llial in the future this Committee shuuld umlerl.ikc in .re ri'atritieli wml in the rehab,Illation ul em ployes it Lo are disabled on account nf injuries and discuses. Thu Cuiniuitl c e will welcome any helpful suggestions in this connection. The Use of Sodium Chloride by Workmen Exposed to High Temperatures During the past thirty years numerous articles ltave liecn WTitlnn on the use nf sniliuin ddnridc l>y workmen exposed to high temperatures, following investigations liy physiologists and vuriou* medical officers of industrial con cents. It was noted hy these investigators that cx|tosurc of human I'tmgs to extreme heat causes Uuh heat cramp ami luitl exhaustion. These two con ditions arc essentially different as regards symptoms, treatment and prognosis. In heat trumps the etiological factor is a disturbance of the water sail metahuli.Mii, whereas in heat prostration tho cause lies in a ilistui Lance of the thermo regulating system, lu heal prostrulion the eonipluinls me of weukness, headiichi- uml vertigo, all of which develop no suddenly that often the victim e.ultap-ii's at work. In eases of hcul prostration the workman is usually lit to return tn work within I wo days, whilst in cases of heal cramp, it takes four or live days for restoration of body weight and of normal blood picture as /,,r as haetnoglohiu and salt are couccrmd. Ilcut crumps ue ulso often ealleJ "Miuets* Clumps.'" "Mu-clc Crumps'' m.J sometimes wrongly culled "The llends." The condition consists in painful tonic spusms of any of the skeletal muscles, but usuully of lluoc most nciu cly ill use. f. t. i. |A H r ri -7 tv ,y 7 1I*.. w t. I: 72 AiJociuthin / Atnerictin ItuilrotuU Except in ((lute young ciiiployes thu danger of dementia pmcenx is -light. In uny event if the employe in-gin* to get .arhuivc, ;i)lrueii,il. imitlintive. fctuvrnly, has occasional tcnijier explosions, ami baa fanciful ide:i> In; .should 1j<- iuveatigated with (ho possibility of dementia prncrox in mind. On the <>ll>i*r luintl if hia rhuiigo of juTNouu-Iily ia ,-ui'li that lie is auspicious, uevusatm y, inh* that In* U persecuted. nil! not lull'll tu argument, mul want.-' to carry !.i> dilViciiltivi to Mime high uiithunty, a Ircml toward thu dcvclopim-ht of pm.oiiia may lie suspected. There are lln*r form* of nervous ami mental a1 alia* which might U* ili.-ni-x'il, fa*aving nut miMilimi of the dangers of aleidadistu. avnte, juwh*die, or chronic, then; another danger of which wo should In* on the out look mul that is the mental state brought n hy drug taking. Morphinism fortunately is ran* umutig ruilro.nl amt otlu-r hnrii forking men. Out what ive<|o lvi.-h to mention ia the hahit of taking all sorts of tliu easily obtainable depression drugs f 1 barbital ami similar groups. An employe win* ia fotmil to nso the** drug* hubitiiully in uny exce-s slioulJ at first bn cxamiued and cautioned ami then if be persists in limit fri:<iint use he shoohi Ixi removed from any |iieoii:dly dnngcrvms ]>osiUon. In <he liiiiulliiiR of nu-ntid eases it is advisable to secure llic asaistaitcc of a psychiatrist umi also inemU'rs of mentai institutions iu order to proviiie piofa-r care ami rehabilitation. We know that we have not inlet]uatiiy ili.scusse.il Hie occiltrcitrc ami bundling nf mental conditions in ruilroml em]iloyes, hut two thing* we (eel certain of ami ' on lirm ground; first that \vc can attack these problem*, wiili any lio|>e of ben*ficini effect, only ut the price of eternal vigilance; nml seroml that up must l firm in seeing that Ibe slopeded imiiviiluni ia immediately witiulrnu'ii from u rcs[iiisilili' (m.-ilioii ami pul under neuro-|*.ychialrii.* earl*. . Pottumouocoaiais I'lHiinaioueimiosia is the miction of tin- lungs to the presence of any hind of iliiat. h'dico.-is is the reartion of the Imdy, e*|ieei!illy the bine-, lo lie- piv-eiw<* of silicon dioxide, or silica, in a finely divided -tato. It is iihl*-prciol hl>i',i*i*. During tin- Iasi ten year* silicosis has cntni* to holt) a prominent pine,* ,0 tin* inilnsliv.il worhl Urnusv of hgidatne action. Silicosis is an old l*.-oaw*. Cotli.s guvs a very complete ri |n>rl on the lileraluie from the nine of llipp**milct up '* the present, little was written on II,c subjerl unlit 1717 v hen Itamazziui wrote hii fainotis Issik "Di.-eavl Tiailesmen.'' The Committee oil Fneummineimiusis of tin: I inlitsti iul Hygiene Set loll of the American I'nblie Ib-alth A.-riiciation. dctimnl silicosis as "a *li*ci*se due <<> breathing air containing silica fSiO), characterised anatomically by geiicial fibrotic changes uml the development nf nulinry nndtilatioii in Ixgb lungs, anil clinically by shortness of brenth, decreased chest expansion, lessened capacity for work, absence of fever, increased susceptibility to tuberculosis (some or nil of Iticb symptoms may he present), and by characteristic X-ray findings." There are at least tun distinct types--acute and chronic. Acute--reported as early as 1713, may develop in two year*, or even less. Chronic--or most common type, takes from 10 to 13 yenrs or more to develop. J Etudogt I flu* i.innai v | ll lots I*','ll ,len I on t |m* lung le.i It Hiiel, m fuel. U dti-t |s't,,**,.,tii,^ ^ .1 dust iiiii-d,!. . teebut.|Ue ,l >bl .taiukiuliosl l. measur**! in tei. Thv j-.i>4iabil; slti'u du-t; d,-| . i l,ii l t la* ti n mi in In ns ipiaiir coie ..u- is ibt.l rang! jenliolc.i readily ,.| ,liM \iis.r<l . jirt*i,is,ly,:ull.,|. . is :ls*, |>ii-|i,r. ,S rvus*. il a a- i*. llltlit f ell*e,;,l,l. of :*tl* hr vlt.rk, , , limit rt,ohl ]*n * j.tu-l.'fll .'Iciraei. ! I tl J.cl.glh i.i .1:, I . >. I'ljol.e lb ., !,<-.lV|C.-l `1,-1. tie i si,,| bv i**ir il'.iSI* ,*i `.In' I. | . Pathology: f I.. lu'.o iin- ,l*.i-.-li.,: III, Oil' 1`. I.Ipl. |S !::l : : .,, 1... SI., .* .. ,i . . tl'.l `lloll 'S',' *. . H j c;t ,ii>. 'll,* N.i I Di-gel.i r.itu,i., ineieji.'i* oi *i/e I. lusblli's I is* . pi.* bynipioms: Tin* }>--n *h'.e.'ri]ite-ii ,0**1 j- First stage: *' 1 injeiimt,.*. Man.*. I ofli'H ill, ri'i urf'i r *X h* iiiMtrhtm' l. I* '/ lh(' Otiil'f . alry, n. tarry lii* * *4 ili^ritwtl *t i i|** '> i ai* 1* nao l l |,i *li*jr* ;! if l * Ml-.lJl' *-i* *4 ;* dmg tiatii *4 ui.! V i.( - .4 llml W,. v illaliawn itty kmJ nf i !.r j MV .III I).* * III ll.l M lwa.si\ f llipil- l T17 w S rln>h <4 * *** 4*- i * y *: ii ml :iinj I r.ipanly **. <r ull I* pnlll'lJ 1*1 (: /Vnri:/ftig* uf MiJiail Mill Hiir^i.jl .'ii i /mii 7il Etiology: Tl*r primary cause uf silicosis then. is five silica. ahuh * in tin: form of dust. It lilts liccn demonstrated that the* lnl. in ordrl |.- achieve its harmful effects mi I In: lung tisane, must hr in ;i (ini- stale of ruthd-* .'m, that tin dust pnrlicli'.s muM, iii (netf In- linn limn III imrrun* in tla-ii prvs'*'! diameter. Musi nf llir dust (vnolraliiig the alveoli in Iron than 5 microns ig diameter. 11 in, therefore, D dust invisible in 1 lie iiukc.l eve, mid if.s trtinW.ion depends n a definite t<-c)-nM|UO of dust sampling umi counting. This tiv-. i-iMui' lue* I*-*:" defined mnl stulidaiducd liy tin- U. S. Public llenlil. Ser*:rs Du.-d eimfcntriitinim lire imii'unil m terms <ii unlliiiii pa'tioto |k i culm v>. Tin probability of inn* :irt|iiiini|r sdirosis h s . *!- ii|mn: fl) Natmr nf silica du--.ll tli'Jminls ii)mni il.*- miiii'i.it con.|iosit * the dml. hn.ipf slates I lull ll.r bur mildness nf n i|ii;:H/.-i-..ntuniiii;; dust ;.*- .Ily in din-cl I in|inillnti In it* rpiniU (-iitt-iit. (2) Sin- nf jinriit)i-.- of dit*- -.`loUibly tin* nn.-i dang.-i- ous is that ranging lorn. 2 In .`i imeron.-. or smuh. . Uiano- iI.i-m* impalpable |>mlirli-r nudity iriuain in Mi*|-iu*inii in lln- nil l. a hmg liu.i-. (3) Quanlity of iJil-l .-Verording in l-oiign II..-i|ii;inlily of do. m-i-n.--nry nmnni In giv.n Jirw-IM-Iy. as lln-fi* is mini- nr li>. Iinliviilwul i*I]m*i i ' * Ii * y. Hull- nf ii^|.ii:ili.,ii . i.s hImi u furl nr. lYi-rn lln* n-i-uli* nf n slu-ly m:i I *>' tin- 1-. S. I'ulilir I li-ull l> Sorvirv. il *v:u iminil |it.irlnuli|. (.iMipp-sl ii .. -:vr slamlanl fm lln* n|j i liniil nf nl|..will'll* iln.-liniIs ini-i ii ICl m.il 20 i. n jiarlirli- |K*r cnlur Inni of uir fur WnrkiTs tx|m>i*it in i|n>t ri-ultmy- fr. n- iitanili* I'ullinp. Tin* xiim- limit wniiUl priMinialily 1* n|>|.lnalilc in iln* him ,*:'..llii-i ilusl* will, tl.i- winir |iliy>ii:i*t clmrui-Uwislirs, )mrlii*ulaiiy wit It u i|i.*.iU i-niKi nt uf H'i jn-r ci*m. (*1) la'iiptli of ilust i*xpniurr. In an invi*slii:ali*n. uf tin* inanili* iinlu-iiy tin- U. t5. l'ublii: lli-iiltli S:r\*in* fninnl tlml in n gn>Mp of wurkuis tn tin: liLavii-st dust, tin* first"cum: uf silicosis aji)n*uri*i| utter njipruxitnnli ly tw.i ycats, bill) ty four years all in this group sccmril tn lum- ilvvclu|>eil lit least mi rarly . Cb.se* nf cilicnsis. Pathology: Amiriling In (.'lunlncr, silica juirt ii:lt-.- sinalli i I lum 10 tnirmns urt* inlialnl into llit* ulvisili and art- taken up by plmgucytcs wlurli i.arry ilium innnriliali ly up the lymphatic rlmnncl.s frnm nm* nmlc to unnlliur Inwards the IliUliii. The spcciul irritation nf silica particles seenis In nilemre this muvinienl. After Infilling in VHiinus nodes the irritatinn ennlinues i.ml llm stinie ly|* nf cellular read lull occurs Ilia! is seen in lulx-irlr formation, except the tiiiu:re|e luenmes .Caseous. The exact cause of formation nf this hluulie nodule is still m dnuhi. Degeueriitive elmug.-s then lake place in these i.-fi and tla* hyalin nodules iurnrase III si/e hy exti-lisiim nf their peiipl r> . ami e.alesei-iice of ailjaceiil nodules lake.** plat-e and brings nlmul i)ivn|\'i*ment uf futtl.ei' areas of tla* lung. Symptoms; The disease is divided aihitruiily min line, stages foi <onei oi. uee of description und pusaihle cumpensotiun puiis.ses First stage: Symptoms of uncomplicated hist riant* are few and often iiirji linile'. Mall apparently well, hut has slight . I.miui >* of breath, dry cough. iiflrn tvilli recurrent colds, are must usual svn.pl"iii* l'-aila *1 rjM-rifir iiidiru- 74 .iisnaiilinn nf .1imTtr.in KnilriKtilt tii>ll U I lie Way np|vurumv, c iii|( of gcncrali-cd nrlmiirnln'ii l tn both 1mu' fields with in-'h` nr lf <> discrete mottling. This cliaiuclcii.-tic iul- tliltcc is iluc In shnjows nut by the discrete individual nodule* >( litm.s I issue in the lung*. ami is essential to tlir diagnosis of silicosis; without tins finding (In: ilingnon* of silicosis is not sustained except liy loilop-ty. . Setond stage: IVfinre -hurl mss of breath nil exertion. |>nin in chest. dry , morning rough, sometime* with vomiting uiiil rccurn-nt mills mnrr lri'i|urii|. * ilyspnrif on exertion. ami chest expansion nntimiiily decre:is.-d. X-ray appearance--A generalized medium sized mottling throughout Ixitli lungs. Shadow* of the individual n<*lides are itisrrrtc unti well defined on a . background of fibrous urlmriiution, hut there may lie some larger hut limited o|iunitiin due tu irregular pleural thickening nr aggregation of nodule*. Third stage: .Shortm-m of hnulfi marked and distressing even on slight exertion. Cough is more frripirut; expectoration is in most case* slight, hut luay he copious. Individual's rapacity for work Ix-come* seriously and |a>rina- lirntly impainsi; chest expansion is greatly decreased; loses llesh; pulse rale increased and heart may hrenmc dilated. X-ruy oppearanco fitnlicr arcentnateil, mottling mure intense, nodulrs larger, and taku on conglomerate form so that large ahudnws are shown corre sponding to arcus tit dense fibrosis. Diagnosis: Kor diagnosis n tlioroogh and rhrnnologit'al occupational history is extremely valuable. Evidence of exposure to silica dust, "r lack of such evidence, must lie of .igtiificunrc. -The cardinal symptom of silim-is is slniiir.e.-s of breath. mol the cardinal sign is decreased chest rxpauMi.n; ihc rarlu-t s|*eific indication * the cliaractrristir X-rny up|iear.inre. The diagnosis. Inovever. should he made old) hy llie correlation oi all the facts, symptoms, signs, nerujwilinnul history, nod llliratory nod X-iav oI>st\ alions. : In autopsy, according to McNally, any lung containing over 2 mg. of silicon dioxide per grant of dried I issue, indicates undue exposure to a dusty atmo sphere. Prognosis: Silicosis is an ineuiable disease, lull I he prognosis ill llie early stages i> good if the putient lull he removed and placed ill Die i-|u:ti; tail with the udvuncc of llie discuso the prognosis Isrcomcs less favorable, principally on accoimt of the liability of tulicrculnus infection. Treatment: Change of occupation to open air work; high, dry, warm climate last. Prevention; The use of various mecliunical meuna of eiiiutoutioii of dust, both the forma tion and its removal. Employes entering service should he 'pifstioncd carefully in order to obtain comptete history, especially of any exposure to silica dust; al.n a careful ft T I ) x'Xiunt 1 II **IJ -m: j.l ;hl if \l.|,|'-t TL** Si ti.- # t ifidu** i m..i lKi* 'H. Uir (V* Itj;.. li *.*! the s.um in N< within *ntc >Vj i*im*ij24% **xr**pt ;i iji, ! ; Itiv *l tl.? iu t *./ the >*il ! A *1. Upp.kllltl i 11 t.li'i.l I* r* i .it..i 11. Us U l:l ; (. ii.ttciv i!,t ,iw p. ... A*-*!-! Id. . iiiU'l 1-4* .ii.vU n-l.il i"i t m.; t >{ i< n-k ............ i i;U; *H .1 * I..** - >tl !; *; > i .*4ji An- ::.!. p. %*.. *irI , 'Wn{i* | Jii | I,in.. Ill ill t.lh.T t nilJ 'U/((>al iheit'itfli-r. 1.1*. cur.- lr*M. t iiM CUII.* lit. .. A i. it>) *IViii|** 57..<0, iicktnii.i 30 iu>a. vr t. i f . .V- . nghout ir loot* I tone linding l. dry -po-nt. .1 !>tli I t >ii ii i.non-U slight I I. hut l HIJI* rule r~ * '<! *1 M icunlv . IllUft rilmal liarnfnly by v. uml .-ilicmi at mo- - gOOil nee t.f I t).- i "liUun >'cful ( i} Proceeding) vf Medical and Surgical Stettin 75 . physical examination should lie muJr., including X-ray film of dual for lung tiaiuc for diugnmiu ami future record. . / In old employes working ui dual, {rcriodical examinations should lie made, - and if symptmiu uru pM-ecul, cliunge in occupation. . Tiic Slate of Illinois lias passed a Workmen'a Occu|ioliuiuil Diseases Ail, effective Oc.lulter I, lOllti, for disabilities resulting from occupational ilwuns. - Till* highlights of (lie Act, especially a* it lute reference to silicosis uud usl>csn>- mi, are ua follows: . Il dilmcfc "Dieithlciucnl" us meaning disabled from earning full uug<s ui . llit mini work which ciunl the disease und with the same viu)>lov>-i or equal wuges in nthoi Mi)|iloyni<'iit. . No cniii|*'UNiti'>ii |iuy:>hle for nccupiiliniiul di-ease uoh-a- disablement nccur> rvill.in one yi-ur alter the lusl day ot the last ck|i<urc to ll.e hamnU of il- disease, except in nccU|iatioiiul disease caused by iuhulalioo of silica du.-l nr asliei.lofc du>l where the time liioii for disahicnieut is three years alle. the last . (lay of the lust exposure. . ``Occupational Disease" is defined us a disease unsiug out of und in I lie ouur.-i of tin* employment Ordinary diseases of life In which the gi-iM-rul polihe i- cxpoM il outside of the employment shall not la'Cuiu|ieusul>le, except when- lhe said diseases follow us an incident of un occupational disease as defined. A disease shall lie deemed to urine out of the cm|ih>yiiieot, only if there is ap|iurcnl to ttic rutiounl mind upon consideration of ull the circumstances, u direct causal connection lietwccu the conditions under tvhidi ttic work is per formed and the nccuputional disease, und which cau lie seen to liave full.mid as a natural incident of the work as a result of the exjmaure occasioned by the nature of the employment and which cun lie fairly traced to the employment as the proximate cause, and which does not come from u liuiard to which work men Would have been equally ex|Kised outsidu of the employment. The disease must be incidental to the diameter of the business nnd nut indclmdflit of the . relation of employer und employe. The disease need not to have I'l'en foreseen or expected bul after its contraction iL must uppair to liave bud its origin in u risk connected with the employment and to have flowed front that source ns a rational consequence. . Amounts payable in cube of death ore: minimum 41,000.00, and u maximum . of from 11,000.00 to $5,500.00. Amounts payable fur disability: (s) In silicosis nr usbestosis or either Complicated with tuberculosis, employer must jirovide first aid, medical and surgical und bospiful services to euro or relieve the diseases, Imt not. exceeding six mouths fnmi date of disablement. In nil other ousts, the employer khuJI provide the neccssurv first uid, meilieal und surgical services, and all necessary medical, surgical uml hospital servin'.-, theieufler. limited, however to that which is reasonably required In clTccl a euro from the effects of the diseuse. The employe may in any case elect to secure his own physiciun, gurgeuo and hospital services at liis own exis i.se, (b) Teot|Hiiary total disability--after fix duy.-. compensation ummuium 17.50, nuiximum $15.00 weekly) to be puid, and rctruuclne to liist day after 30 days. y(i A* <. 70 .Istoiaufion of Antericnn lluilronth (c) In cose of total ami |*-rmnncnt iti.-ahilily tlic maxiimim riimpcnsatinn nil) be flit* dealh Ik-wIU pin* a imusimi ,/i S-|r relit, or in certain cases IJper rent thereafter annually for life, payable monthly. Oil iH'litiun tin! Commission may order mi autopsy by com|vtcnt pallc-l..Rial, alien; ili'ntli nuty have luvn duo to silica or asliesln* dust. fatholngisi i > make rnmpirtt report (including lidsuaiory tmdiint*), Imt offer no cunclusioii*. Employe* making claim* fur runi]K-nsution must submit tn physical t Nairnnation, if rc<|>lirvd by employer. Employe is entitled tu eopy of re)m if he doirra. If employe ichisc* 10 submit'to examination. coiiijh'IisoIioii ceiire* * until such examination U made. Employe* with ailimsi* or aslicstnsi* but mil disabled prior tu Octolier I. IlhTti, limy file with industrial commission within Ul day* after elfeciivo dale nf Ihi* act, u reipiest tu tvuivc lull cmnpensulion lor disability or tlentli from silicosi* nr asbeslosis, or any direct result thereof, supi>rted by sutisfaelory medical evidence. It tlio industrial commission approve* sut'h tvniver the compensation payable after further ex|>isiire and resulting drulh or ills, ability ahull lie ot) |T cent ot what it otherwise would have bi-vti. Notice of disablement nm-t lx given the employer it* .smut as practicable. Claims for cnm|)i'iisatii<ii iiiii.-i U: iiuule within six' immlli* after disahh-iiirui. and iippliiatioos to iiuliisirial I'niiiimsMon for euni|a-ixsutiou within one year. Any leiiRtll of time however short is sufficient cx|m*urit tn sU|i|sirt a claim, it employe was ciiRjgi'd III an ninipatioii nr proeesa in wliieli the hazard of the discusn exists--except in eas*-* of sdieusi* or aslieslnri* wln-K! the exposure must lie. lit) day* or more. . Thu employer liuhln shall lie that line in a hose employment the employe : Wuxltisl exposed to the hazard* of the disuse claimed, exeofit for silicusi* or ludiestosi*. Nn employer shall l<e liuhle for comp-iisalion or damages umlcr this Act oi any case in whieli llio ili-.:ihh:iu*`iit on which claim is pirdicalrd so.ill h.i\e wrurr' il prior in Ocioh, r I. Judd. Chronic Arthritis When ifTi'iili> ` ItftMiif arthriti.i vi* usually iii'-nti rillu r of (In* lwi lyjHvt ii( t'liinjiir imu-.'jHM ilir aifhii!:*. In lint l.*iu;ua'f i Mie laitv u* >|wuk of thi> n.i rlift'uif rl.rMnuiC in. We !( h.u*vi*r, lliur th"rt* an* . ilrliiiih* chiiii'al i( <*|:rr.* urthrifiilos of km.\*; Wi<|ui*y, humt*ly Im.s ItllaTCUlir. fhoM; I iliiT .U`t p* **ihc diseases ru>ily itTogui/a'*! :m a ink* if tiiulid iu th**ur!y .->ta;;v4 of Mu* an* aimuahh* to lu-ut* intuit. NuuiUt* are minil |*i mum ntly ami the inti n*>ulu in rvf**ir*nc lu disability arciwt i'hiuth*d bytlu* Miibtor Murata of the cripplm*, iifcoumiixly painful iiml tlffi.niiift^ ni^laii^lilN u( Mm chronic imu-HpcciHc urthntuh**, rliciiiiml'ijtl aUhriiin mu) h) |M*rf rojjJiic arthritis. Khcumutniii urthfitia uniat be riitirrly *tpnrab*il frum the acute of rheumatic fever; known mImmi* rbrume infectious nrthrilM, atrophic arthritic, arthritis defiirnmns, rhemnutfjitl arthritis is the most prevalent uf iIil-sc two di.iublttiK Tn u Cornell Cltuic .seru'ci of til2 1 wo-ihinid were of (lie chronic infectious, or rheumatoid tvrtlvritia type. It is most oflru >ttm in j j 1 ' j - ' i friM.ii**'. U.Mi.O ... :.,v i huf t;>'I * III k Etiuloor: H-( U. I*, il-h! l.i. i. i * flirt*. In'.lf t||l ti t'll--M l\ till i'i t IU* actual *c % tlNUM-, t l llHMi >i .^lll* ikrttio, a> 1>|J1 tl>iei)l rluMiuu(Lni. . Ci'iii s irtifvttiiM kliitivu (m all. II.' ami ji.o.i iv Mttfluit WuiUti-il tiCjtImtif ft* all* iilrly It'l .1 t S*Vrinl w*hW.t* til lhi' Itldl * t Mh*r.* ha\* i^tlah lo r i** *l. '' *%*- .tut kt'I'j I la * Moot* u h.kl. i t-vvr i<<;lo. o* i*' I'i'i'rl* -i Mll.ihir til Cill'v 11. -|t|l il ; \*. -i \ Mil* OT wti.M r> aL*** ,it. |\ oo.l *i. ( wo ,*u* i;it ri-i.i. In *.0 r .v. t. t i kiltr;, .**..1 * i,t; I ra*!li*tllj I !: tl* n IK lh.- . ,I liii-inid!iif , -.-.ti .. Ill tiliil* mV* r l!.* mul tU* ii*'**' *i,* partial *. (lit* ih.M*js,'* .v l- t*> . tho lon>< intli**' .if.- ; KMitluul .n , :- duciKM* uu* sn-.iI.K4 ankylosis utol ilciori:. the disi'U^e Joay .*L*f finders preii fit llie * ; :: '' ' ':' : '. '/ 'OMoegp/October 6th,-1M7. '',;T|W,''','' '-''v.' .. .'\ .-. " '' ' ' ' "" -la-----c--o--n--n-e--c--t-i-o- _n w---i-t-h- ththeeIliliiKnnonista .. .'.ilVlSkiV. . ' AO* cJ_c__u___p_iai*tio--nal Diseases lot,f\l________________1.1. 1.1theM New* Yo _rk*.CJie. ntr-al. d. evelop. ed a eoek- v|.. -ffi-fc-h VJ90... . ingi^vat for block: lagging, which they have used at their Qihaoa Looaraotlve Shop with considerable success. The purpose of this I's to. reduce th" e as-bes-tos-d-us-t hazard- . ) - v.-.v \ ' VfA;v,r : .. used on the New York Central, W'" - . v Z attach one blueprint of the tank "'i.!i' tw'&* iV'-P.'*:!:*;.'i iitfisi `v: V- T.iwl=,V?;u"V-''' ... ' *0/TM ........ ....' ` Chief Engl toh ft TSoeived OCT $ 193? VSfc.i iV&M I'ViC; :..j^0Pr- OPpi MonvfP, B OP f.V? E*aagfljjpf / r v/. <.. V.ri- .* .. w+r}ZitjbJjfl I Chicago,111.,September 21,1937, 1-832 Mr.C.M,House: ' Please see .sty letter of ^SLy 14th, and tracer of August 31at, concerning report of the connlttee appointed by the Oeneral Managers' Association of Ohioago, dealing with prevention of asbestosla, silicosis end lead poisoning, in con nection with the Illinois Occupational Diseases Act. 1 presume you have now studied the report end I shall be glad to reoeive your oominente . HlB.Voorheos* o B \ Chicago, wotober 18th, 1937 Ur. H. 0. Yoorbeees . Referring to your two letters dated Sept. Cist, file 1-032, having reference to your previous letters of July 14th and August cathi Your loiter of August Eata beating ne GMA Circular 2660 eovers tl* use subject as the report you eest am itb yours of July 14th exeept that the report contained In GUA Circular 2680 embodies the latest revlelons of reecoweridatlons la eonneotloa with the Xlliaoie Occupational Diseases Aet with reepoot to roles and lnstruetloos for the prevention of aebestosla, sil icosis and lead poisoning rospeotlvely. . for ready reference 1 etteeh eopy of ay Joint letter dated fobruary 15th addressed to all concerned on the 2&Y and Alton, with oopy to the supervision, concerning this subject and handed then oopy of two ebeets setting forth reoccvrendntloaa covering roles and lnstnietiaaa to ba observod for tbo prevention of Dlllocaia end asbeatoala, frta wbloh you will note tiny wore handed those eddreeced for their porsonsl information and war* not to to posted or givon out butthooo addroasod were to see that the employees are properly proteetcd while perfuming tba verloua elaaalfloatloiaof work onusoratad therein. Pi thin the cert week we will have eenploted a surrey of nil engluo, boueea, shops eod cr.r depertzenta on the U&007 aud Alton from which we have drawn a floor plan of aeoh rnginohouse, shop, etc.. Indicating thoroon tba exaot location of each escbine, cuoh as emery wheels, fumeeos, whether colre, oil or gas-fired, babbitt furcnees, wood working roc hinee, eta., nloo point epraying feollltles, eendblneting facilities, oto., frea which prints will be suds and a complete set furnished ttr. Chinn, chalsr.au of the Hallway SngLneers and Shop Cosraiitoo, as requested In GiU circular 2603, Will send you e oet of theeo prints for your infaniatlon and file. When a complete sot of these prints le available I will then \ delegate one aaa, preferably eheuleal engineer tealft, to visit aaeta eaglneheuss, stop And oar dopartmeot end. thoroughly faalllarixo the acpervlaloa end each aeployao perfcrnlng the work that night Involve asbeatoala, silicosis or lead poisoning, after vbloh X will give you cy final report end reocn- asndatlona in the event it lo found that vs ohauli do something more in the way of providing additional protection for the oaipLoyees perfoiolng the .v> verloua olaasee of work nbloh eubjeot then to the hazard a of ellloe, asbestos or lead duet, and ezpoot to have tba entire natter oaapleted within the cent thirty days. . O.U. douse CUB Chicago, Rov, 6, 1937 Ur. B. B. Voorbees - Supplementing my latter of Oot. 19th In reply to your tiro letters of Sept. 21st, file 1-832, having referenoe to your previous letters of July 14tb sod August 28th relative to requirements of the Illinois Occu pational Diseases Act: Herewith one complete set of prints node up in aocoxdence with requests contained is Oeneral Managers' Association of Chicago Ciroular : GMA 603 for your information and file. Z also return herewith oopy of CM circular 2003 which you sent ne with your letter of January 28th addressed to Ur. Chinn, copy to ne. . Ur. Chinn has been furnished with two oooplete sets of these prints for his further handling as he is chairmen of the fiallroed Kngineaar- leg and Shop Comal ttee. Ae advised in mine of Oot. 19th 1 have now delegated Mr. Senlff 9 c tea leal engineer, to visit eooh enginehouse, shop end our departBent and thoroughly familiarize the supervision and each employee perroimlng the - work that sight involve esbestoels, silicosis or lead poisoning, end in the course of 30 days 1 will give y<n ay final report and recommendations in the event it is found that we should do something edre in the way of providing additional protection for the employees performing various olasses of work which subjoot them to the hazards of sllloa, asbestos or . lead dnst. ' . O.M.House CUH cc-Mr.R.W.Senlff; Herewith copy of my previous letter of Oct. 19th to ' Mr. Voorbees for your ready referenoe and which outlines what I now ddslre you to teke care of. X also attach one complete eet of the prints referred to together with oopy of circular GMA 603. Also attach one copy of revised recommendations to be' followed in the preven tion of a9besto9ls, ellleosls and lead poisoning. ' Will you please personally visit each enginehousa, shop end ear department and thoroughly familiarize the -r4` supervision and eaoh employee performing the work that -yft -l' fr v> might Involve asbeetosis, silicosis or lead poisoning; instruct and see that they thoroughly understand bow the work should be performed to avoid the hazards involved. Vo have eertain cool chutes under our juris diction at englaohouBes such as at Glenn, Venice and Roodhouse in the State of Illinois, and you should ' determine if our employees are properly protected from coal duet. In this connection believe Mr. Chinn has ordered oerteln type of meek or respirator for eo&l chute attendants at outlying coal elutes, and you should.investigate and determine Just how mam ff0 Chicago, November 16, 1937 Ur. H. fl, Yoorbeeai Lost week Ur. C. L, Brockett of the Rock Island called me and said that the Rock Island bad received a request from Dr. U. H. Kronenberg of the Illinois Department of Health for permission for bis representative to go throne)' the roundhouses and shops of the Rock Island to make an Inspection relating to health conditions. He wanted to knovi If I, as chairman of the railroads committee handling matters misting to the proposed Occupational Diseases Act, knew anything about Dr. Xronen'berg and whet be proposed to do with tbe information he was aeeklng. At the time I was unable to give him any Information as I thought all sattere relating to sanitation and health were being handled by tbe Division ot Factory Inspection* . Yesterday I met with tbe employers' Group of the advisory committee to the Illinois Industrial Commission, of wbioh Ur. O. E. Mount of the American Steel Foundries Is chalnasn. Ur. Mount advised me that Dr. Kronenberg Is heed of a unit of the Illinois Department of Health that la working at tbe University of Illinois In conjunction with tbe 'Department of labor, and le endeavoring to develop information relating to health condi tions In manufacturing and other plants In Illinois. Be atoted that the Il linois Manufacturers Assn, bed been approached by Dr. Kronenberg for permis sion for he and his representatives to inspect ell factories and other plants in Illinois. Ur. Mount stated that the manufacturers would be agreeable to granting this permission provided Dr. Kronenberg nould agree that all lcfoxnation he assembled would be held strictly confidential ao that it could not be used agulnet any employer in the event an employee brought suit, claim ing loss of health or disability raaul ting from an occupational disease con tracted In the employer's plant. Dr. Kronenberg, so far, has not glvea that assurance end Mr. Mount Is of tbe opinion that the Information that will be collected will be assembled In pamphlet or otber form end distributed so that It would be available to any lawyer who might handle a suit for en employee. For that reason he feel a thot It would be inadvisable to allow Dr. Kronenberg or hla representatives to make the Inspections they wish to. Uownvor, beceuse of their connection with the Illinois Department of Health, end relation with the Department of Labor, he did not think It would be ad visable to ,-lve them a definite refusal. If the request should be made, we should oak Dr. Kronenberg who he represents, whet authority he hen and what he proposes to do with the Information he Intends to colleot. end when and if that Information la furnished we ehouid then eay we will take the matter up end see what can be done. In other words, Mr. Mount thinks we should not tell Dr. Kronenberg no, neither should we tell him yes, but oarry him along until hla interest becomes centered elsewhere. This Information la given you so that you will know how the StoployerA' Croup facie about Dr, Kronenberg'n proposed Inspection of manufac turing and otber plants. - (81gnod) Armstrong Chinn Chief Engineer Bloomington, Illinois January 14, 1930 Ur. C.Ji. Houses Beferring to your letter of Hot* 6, la connection with the Illinois Oeoupatlonal disease act, address to Mr* Voorhees with postscript to ne requesting that I Instruct all foreman In the mechanical dept oonoernlng possible hazards of BBbestoele, slllcosle and lead polsdning and recommendations- for avoiding then ae set forth by the General Managers Association -'Committee Aug* 14, 1937v pile 1641. I have Interviewed all foremen concerned whose names appear below and ret them the Instruction of the Q.U.A* committee* X /- /- / . . > fi *; ' F.M. Galloway - Venice Bag* House ''C.B. Hufflnes - floodhouse " F. Salmon - Bloomlngtcn " vlI.B. Vaeconcellos- Hldgely %/li.P. Welsh - Joliet '''Geo. TToltemade - GLllennonoln " ff rt a/ St./^ `'Geo. Roaenbe rg- *R*A* Barrie Bloomington Oar Bept. A.A* Hood Venloo / " " ^)*L* Hott vis.H* lieofestroth- C*B. huyle - Mo Gill - Jos. Sohneeberger Glenn / Llnooln St. Boodhouse hldgely " " " ." " " " " A.U. Aldridge H. Blum G*A> Beyer 1 V.C, Ertokoon G. Gehle Jr. H* Oeble Thos. Grant J*W. Holland U.B. Jolly KM. Ludvig J.B. Lyster W.H. Melvin B.J. UoCratty L*L* Nelson H.B. Oston B. Sondstrom v- \\ V ; tv* ChlCAc'j, Fobrunry 23, 19Z8 *lr. 11. \Vor:iees - ciuoplBmentltig my loiter of Hovnaber dth, 107.7 hsvinig reference tu yuur file 1-028, ccuaurniog the requirements of tli* Illinois Occupational kioeorefi AOt itti ny letter of liovr-Bber 0th X liSMsd you oua com plete sot of blue prints unuu up in eooordsuoo with request curtained In Co earn 1 btaMgers' Anaoetntlbu of Chicago Circular 0UA-2C03. 1 ulso e.dvleed you that 1 had delomted r. :-'enlfft chemical on^iueer, to ma a couplets e.urvoy of aeon cnKlneUoubo, shop end ear deportueut on the U1.-C? end Alton to determine what no would have to do to e'itply elt'J the Aot, ana nftllo reeking tne survey he would Instruct ttse supervision neu each onployeo pon*omin work that would Involve nebes tools, slllcosle or lead poisoning no to tho hazards Involved and how the work should be perfumed to ovoid the hazards. . lr. ..i6iff has nos expiated iilu survey and I Bttooii Copy of r.esomnain) covering conditions that now oubjoot.certain elnsses of our ewoloyeos tv too hazards of asbestosls, silicosis or lead polacnLng, which alon seta forth nrys und naans of correcting those conditions ojid llainnitnr tuoae i.ow.r.;*, vtuen Is aolf-explanatory. Jnrovar, t provide Ventxlotlug hoods over babbitting* oieltlhft brnoo, bi-ngtn* ar.u nucb operations at hl.io-lsr.tcn atop will Involve conoiocmclu nxpaone, and befero soy action is taken in thin direction would reconuAnu tsc.t the renttor to houdlud with the Uuneral UonnAers' Assoolstlcu with a vlnw of bavin# xhea inform us ss to tho oxaot Dlalsun requirements for hoods that would bo ooeeptoblo under the Illinois Occu pational ulonsaea hot. If thin ie not uoso, hoods we would ecustrust eight.either be fibre oief.orat* uod oxpnonlvo than necessary, or on the other hand might not went the approval cf tho ulvlalou of Psotory Inspec tion, I'aport'ont of i.v.nlth, or othr 'itate fftpartnsut having Jurisdiction in tns ratter* After we receive such inform niton vs could then prepare an ostinate of ins cent to equip tee various locations Tihero tho shove sentlooed operattens are ."orforreed with sultoblo hoods. *71 to rcujoot to ury gr lmicro, we sro now eunolderlug cxovertlna. all, or nearly nil of those to wet grludara, vhlcb will sv.-ld the purohnso of roajilratcro for wsplvyoes tftnt now do grlhuiug on dry grluucrs. Howovar, It will still be nuco.esnry tu purchnne nt v.to tise, to rcovlde cuployeoa lnvolrod, with propor proteotloo npuroxlsatoly the following - 70 typo 'A* respirators 87 typo *0* roA,jlrotoro & boao r.niuxs 1 itoou ros.-lrator tfL.V 9 . ' . / f Chioor,o, April 27ta, 1030 Ur. Ih^D.'Voorhocoi f Your luttor of Yebruory C3tb, rile 1-832, and subsequent trcoora concerning Ur, . liouco1 a letter of yobruury 23rd end import nedo by Choalcol liaginoor 3cnj.fr giving bio recorrjondntlono =3 to v;hnt r.o should do to i'.cct tho requiremento of tbo ' ' Illinois Occupational Diaococrj Act, . r ' ' ' As pointod out before (oco lay iottor to yon of May Slot, 1037) furnishing nuoks, respirators and oquipnoat os recommended la tiio several bullet in3 put out by the ilollror.d Angineorins end Shop Gomitteo will not eliminate tlio railroads* liability under tho Ooouyutionol Dleoasoo Act to thooe oployoca who nay, la aplto of nil precautions^ contract lndus- trlol dloecoes. The furnishing of thlo equipment will, hovrevor, groatiy reduce tho likelihood of onployeea contracting dlscQooo for which no would bo llnblo under the Occupotlonnl Dioceses Act, end for that ronnon no should teko all reasonable preduutlona to roduoe our liability. In' other nords, fiawiluhlng this equipment mill reduce tho likelihood of our onployeea contracting . dlaeosco, hut if, la aplto of ull tho prccuutlono no any toko, on cnployco oun show tbut ho hoe oontrooted on Occupational Dlsooso we Mill bo lioble juun the none as If no protection lied been provided, but ebon we oan shoo/ that no heve provided all recnonuble protcotlou it will bo more difficult for our onployous to prove that they hovo contracted industrial diaenoea. / I'have otudiod Mr. i'eniff's^ roport carofully end ogroe with all of hio roooaraendstlono with the oxoeption uf "Apray Palatine" on tho first ;>uj-.e of hie report. Undor thiu heading no reoomemla that no havo u oloued stall for olotmlng end opray pointing looonotiven at Bloomington. This, of courou, v/ould give tho most positive protection; bowovor, it would be oxponolve. It oeens to no that no could got natlofactory resulto by olooulng nud pointing locomotives outdoors, nhioh can bo dons ozdept during lnolonont uoathor, Other oquipnoat la painted outdoors, and X oco no reason why no could not oloan nad .mint our looomotlvua outdoors, If thlo is done the dust end fmoo that aro oroated would bo oarrlod oway In tho ctnonnhora end mold uot injure other mployoeo. Tho non doin'* t.'to work could wear roopirntoro to protoot tha-wolves, iugo 3, Car bupnrtnont, Uprny X'nlntlng Conches, X non under tho lnnrouuion that wo hud a tight spraying compartment la which to .paint couchoo. This coripurtnaot \mo constructed aono yonro ego und vmo equipped with otonra colly for drying, X undorntrnd that at vroccnt to nuko thlo comportment 100^ uoiTioooblo oshnust feno, mounted on wnll bruckoto, cro roquired. The ... Chicago, I.lny Gth, 10Z3 :h' Vourhooat Your lottor of April 30 th, filo 1-83,*2, concerning corronpondohoo relating to tho Illinois Ooouputionul Dioenaon not. As you know, there i-.ro ssverol noto in this ontegory, tho ono thnt we ro chiefly oonoornod with in our oorrespondonoo is known no 'The ttortoon's Gooupotionul Dleonsoa Aot". This not docs not require tlio milror.de to furnlnh roepirntors or other dovloue to -jrotuot its employees* hoolth, but It doos mnko the railroad liable in oortnln tiaounts to those empluyeos who aontrnot oooupatiouol dlaonsoe. Furnishing tho rouplmtorn nnd other dovloeo rill not oll&lnnto or /roduoo tho niilroRdo' liubility to those employees who oontraot ooou'vtttonal dlsaasas, but tboy will reduce tho likelihood of the uinployeoo contracting trnoh dleonses nnd villi thoroby reduoe tho lihollhood of the ruilroods beeomiuR liublo. Tho oituition la Just tbs omo ns r < j // / /.' ,'/ Have with roopoot to sofoty dovloes nnd guarding nnohinery Tho furnishing of sofoty dovloos nnd guarding nnohlnery ibou not oliolnote tho rullrosd'a lloblllty to thoeo cm- ployooa who bnoouo injurod, but it doon roduoe the likeli hood of enployoos boooolng Injurod, For tbo oono resuos, 1 fool xhut mo ahould furnish tha rospirotora and nooks thr.t have boon roooznondod no mu. to roiluoo the possibility >f our enployoos controoting occupational dinemoos for v.-iilcli wo Mould baoono liable under tho uot. Additional rules relating to tho vurioviil of Quota, vaporJ, fuuos or yaoes iVoa grind ing, buffing ond polishing oworutlona havo been drafted nnd approved, 'i'hooo oro out forth lu 0UA, oiroulor 2733, Anted February 14th, 1030, il,U,A. file 1641, and ro forrod to In your lottor to no of February 16tb, file 1*332, Vhoco ruluo nlU oventwtlly toko tho place of tho old Grinding, huffing nnd r-ol.t uhlns iionltntlon Aot which vinnt out of offoot on I-kiroh lot, 1038# Z do not know Juut when theme non rules will go Into effoot, but It will probably bo about Juno IBth of this year. In tho nonntlne, th-.irn in no low in effoot relating to tho ro- noval of Junta, vapory,, fiaaoo or guoaa, Vibon the rulos dp CO into effoot '-o will hnvo to ;.a*ovifle tho hoods und oxhaunt oyotono thet vlioy require, or cl no no villi be violating the law. I think via should irr.odlotoly t :ro71do tho^jrc ppi,-a to tand-ilnicu .xeoapr^nSljl''.t57j~X* oniff at nn cotLvoted coot. ,of..i:.4QJ},Q.O,,,../ihcir..cofltJlS. / only n fraction of whnt It night ooat un under tha ooouimtlpnol diooooou net if ono of :iur employees mod porrwnfcnt ly disabled by Hlllcouln or nnthrsooelo ooutmoiod as n rsr.ult of broething dusts while in our onwloy, I feel the lnsti'llatlon of ventil..ting hoodo nnd ejehnuat Dyotonu ruiy