Document M4gqpdzZq0oa5a78J6GEjJ2zj

\ ! PLAINTIFF'S EXHIBIT SfV*>% 'TUL maau/actaring of asbestos prod* produced, Cooks states that the 1 ges ia tbe last few ymn baa bases fibs mkracopically **** amused * somewhat poster importance two different dements, (1) the gdstei^ ia tbs industrial wortd. Although the iar material which conadtnts the total number of weritar* ia nHf*-- aad (2) black opaque aagular partidm. sails is probably *r tbis ia The dust than pankies sad many other lian of trade, their health mmute granules. Analysis of sasplaa a of panaaouat importance. The can* showed thst the dus with the graemr ditfoas surrounding the greater proper* quantity of that black putklas earn* tjm of the employes eeastftsta a dis tamed the largest amount of hen. M tinct aad terms industrial heard, tad the dot IS.4 per cast o often sufiest devks for procccrfoa iron sad the finished f*> only 0 have act beta provided. It is doubtful per mat, Cooke concluded thst the if any angle employee ia certsia do* black brittle pans of tbs fiber art tte partasnts of these nufla can possibly oust of the dust, sad the danger emape tame damage to his respiratory the health of the workers. Sacs the system beesase of the uaevoidabie n* ssbestoats bodies found ia tin sputum . halation of asbestos dost. Naturally, disabled workers have-ham fouad to the longer the service of sa employee, have cores which appear to be asbestos tbt^tnor* certsia is more or less area* fibees arouad which has baa deposited are pniswoary damage. some kiad of material from tbe livmg Asbestos is composed principally of tissues, tbs iroe<ootamiBg partkiw mssasraa silicstt ia crystalline ataaoc be tha sole cause of tbe caodi* hydrated farm, always fouad with other dan. Ia fact, Gloyne, la 1929, ihowad rsneraia, particularly iron aad stag* that tbe cars of tbs "ashman body" netite, sad usually cantatas shout 2.6 ia aa asbmtns fiber. per cent free silica. The rack is blasted The " dusty trades " for a long dm ia open quarries, being afterward have ban considered *"*"*--* to tbe crushed sad pulverised, although often health of employees. Ia spite* of this the pohwriring is done st the miB where it has only bees wittts the lest 10 yon the finished product is produced. At that "pulmonary aabesteris," a da*- the mill the fibers srt mind with other baity resulting from .working in one of fibers, usually cotton, then ended sad the dustiest of trades, hat hmn to any spas by proenses very similar to tboac appredahle aunt recognised. The employed ia the production of cotton first rscoeded ase of " ashamoris " wee pviris. In si! of these processes a cos* reported by Dr. EL M. Murray at siricfsbte quantity of asbestos dust is Chariag Cnm Hmpttal la 1900. and hie diagnosis was supported by oecropey * (St Iwicnrttf H'lm Sanita f (* Aii Hnni Awvwma. u iM IWi n~*< M Umiim ,t ln It. ISM findings. The oaa was the only sot* vivor of 10 who had worked ia the eard* mg room of aa asbestos miB 10 years .. ,'*,*"^'"-'1 ' . : -* X ' >&*4*'JSijrSts. ; .. B .<<* * 7 = mg . -\ ' * - WWA0S3Srr-* i ft- '.AljTSsxf. - " y'/` r* -*? ? ; - lnr*.v 4 >'%* HB3w^*^v Auzncuf Joreui, or Public Hiaith ad vspmttino a very much restricted, films show that the ground giase appear* tbs peraadoa not* over tbs wfate ana is ceased by the dewlopmat of a cbm is higher-pitched tba normal ex* very fin* fibrosis, and this is' almost i* cape is tbs apical where the note is to*, variably seen to be much more exuaaivw goody rssanent, probably beans* of In tb* basal portions of tb* lunti. coctpreiatary emphysema. Although Evident* of pleuritic involvement is iamtsbiy bilateral, tb* inspainnent of often mdkatri by obliteration of tb* fonainra is mat* marked oo tb* right ermo-pfewease unfits, and Hastening or da. The physiol signs on aocnlotia poking of the diaphragm. Often tb* .trt dftninasheri to feebl# breatb soomfc, ilsphsiigm is indistinct in outline. Tb* ptutoeged and rougbaoed expiration, film Samians show soma aad either dry entities, moist riles, or of tb* parietal pleura. Tba outline d both, usually <j**r tb* tower half or tw>> tb* bean shadow is often " shaggy." tb* thirds d tb* Imp. Oo tb* who!*, degree depending on the length of urn* tba physical signs art qaht rimilar a of exposure to tb* dust. OeoeioQiiiy calcareous deposits u* seen sot only fibroid tafaercutools, or atrophic poi> around tb* Juiua of tb* lung, but scat emphysema. There are ao tered fit tb* parenchyma aa well. On definite physical signs distinctive d tb* tb* whole, ia well advanced cases of coodiUnB. Sign art soppomd to d* Mbeataris, X-ray film do not show ibr vekp la lot tba 10 years' expewarc, amount of pathological change that on* bat they at* frequently discovered would aspect {root tb* ctihtoal sign* within 2 years. The ahortm time in aad symptom. Eves tb* meet severe my series of oars, from exposure to tba cases do not show saeb definite X-ray dmlepment d symptom and physical evidence aa is seta ia tiltemit, although rip*, was If roombn Tba coodaooniy the amof mvotvement is nsually some pmgramin cam o/tea develop cm what extensive. tontiv* brcpcMmtetis. or engorgemot During tba pest 3 or 4 yuan I have of tb* right heart with progressive hart collected 15 am of asbestos worker* figure aa a ttnrinal mdL Broccbo who haw* bon referred to our dot pneumonia is toaqcmtiy a serious com cHmc heranee of symptom referable to tb respiratory system. With cat erup Tb* X-ray film show a somewhat tion, these bar* hsd a diagnosis d pul distinctive pktaa. According tMere* monary tuberculosa. Invariably their .wether,4 9 film of asbminrt subjects principal ad most distressing ixwipum . be compared with thee* d victim 0I has bam dyspnea, ia cemhtaarion with siHcwda, the amount of disease in tbs slight cr met* severe cough. hssuud* former wS be nndsresrimifirt, becatm end prugiTitiiT although gradual lose of iaharBit dtflereacu in tb* andcriy* of wright. lag pathology. Tb* nodular distnbu Having bad occasion some mrt ag- tton of (be fibrosis ia patients with to famiitare* myself with the conditvwa .ni*wp j| bqc dun found in asbmtosii in ashewaa factories, I have since born In tbs eariisr stages of ashestosis tba intensely interested sa deteimining the film prearat what has been frequently extent of tb* industrial hasrd in this called a ground gitas appearance. type of work, for that rtas-w t tor* later cbm is mors definite mottling, attempted to obuia X-ray film* d tbs but tbs lesions era never at dees* a* lungs of afi asbestos workers *rhn have those of rilkosa: consequently, it ia ban referred to the clinic because of dttkslt to divide tb* progress of tb* respiratnc* symptoms. Of the films amrHrttw into stages. Stereoscopic tain, oerfv J have tailed to eihUtit 8/W * 1 f / :..- * Pdihonaxy Asbsstoss yn> deflate evidence of tbe condition qifai pulmonary asbaotorea. Although tftfe tents i compaativaiy snail, it jem minnihii to coodudt thee tfcb uorfjtkn fir own frequent among abnv* woritee than is nsailly supprgwj, ia spite- of tbe iuuwed * 'nun paid to the condition in the pat - or i yeea. Cm hbfcsws with tbi X-ray Hat at $ <~'j**r* may bo of interest. All of the com ire sdU living, although uaQy ftinlr*-1 I hat twt boon abb to hmniiinri tsbmosa bodice in tb* aotus, wbkb should not be absolutely reamer for a dbgnooe when tbe X-ry &im above tnunrstefciMe pub* stagy, and tbe pbysinl dpe mdfceu rt las vidssprnd arnttaamt. Cm #-04.W, wbrita aO, tft ** year*. Ctm redv ibtrevaitire Jsa. a, 192*. Bb nmkiM See t antes had ban tote an Snpm. earebriaM redd aaasan aad lev of imhL Ba bed rearbad for l* antes is Or aid irere of an atenas 9tea reitb n i.iairrs davfcre. Ba had itreHtnhla anh. ueid tet mww of owns M Mt tef* tad ns aaftdra for tsbretlt MB. Thao aas a btescy f o*fy * rey Oret tfso at tnpreuart u say tire*. That dtabt bosnn t tbs. Tbs iquiists are arefcaaWy datere am tbs tMida ud tbs moan ni jgfbtly irepdrad ovar Os Jam M Tbs Snub tends ret prerirecM matoriy ores tbs ted parts* of tbs low. tad. padreiarty, hare tbs reriddb f tbs irepala to tbs bus. Ore tbs late tafias tbsts *ret any dry ssckba aad M ribs. Tbs X-rar Mas bred an dreabls tbritfc. aria reread tbs hO. Tbs bred rente* vss daffy. tad hstb area parstfe tafte m lilwnd Tbs dbybssere *ss brefOre aad MaMts b arefias. Tbs brer treretete f tbs htev ms base aad iattratsd redd tea Sbrsre Ian. tad rear tbs Mt hires tbres ass a raaaidanbb am of- faidy brery rewttef This pstteu are pot n areptat tret far S nines, date abate bs (sired 30 panda. At m tire M yssn altar hscsreriaf In- apaeutsd) bs is votteac * *fbt oedarif is a tsbarcaMi uauarriak bn Ua east* asd J.iipan ibm so itgprvMrereat. X-ny fin tew so dtstfcc of tbs resfitfia. Bs wfui u mere ftagurst teamit Mtb tea (rare . ms dry tad ated blre uKMrreilry fasre^teo.' ' v- M trite riresnd tad pmalaalj adre flare in to ban Tbs ms coaddsably dtebriated ssre bate lovre totes psreortody. . ' X-ray fttet areas * fxfrty t^M pfctres of aobnsad Tbs iff** eases-pisre aspi' d oblUarnod tad tbs rifbt bd tf *t it insfslss is retain aad preted by tdbnare Tbs Mt csda^tenie aaflt is psrdsAy nbfi--wi Tbs bo teMl presad tbs (trend fdao apprereata Areas breb bB res sreresrere tppamtiy bnsfiy tsldted mas. tad ttess ut assoi ante naO srrea tcaoared tbrsafb tbs putsebym M tbs bo^ Stassssspric mmlmrln of tea ten tearet > tttrete iassiiresass of bred tesp vtete te aste nts naarevs osar tea lever Ua la bead bsare tbvs us faMy avtei tram This podred 2 yarn ate tea im teas rarsfand, it MB bte tyreptares ten bs as *sy ivpansd. sad ba teT^ndi1^ ippaan ts bs Inidsbla Csss DM&l, brits ask. an 7n ns sdariBad bos lbs tsareaebn sa Apte 21. IfM. mb s ritipna at pulaisiry tabvten Bb rerepriste vres tediads, lav ef nrifbt, aad tosfb, vbte revparere bad baas fisdrefly prebfsawtei yaw. Bs ted ted abate JO pared*, sad, n aerate of ore ten aad teiitan of bnaH. ted ten caopaflM u Mt Ut sad abate 4 ante bafon Bb deify tarepreww. te reettd. ted are oaredad 100* T. Ba ted rented b tea aid ran at as attest & te tete tbvre ma arere pratreiiat iaskre. faratete yarea * .'ll-, .. .;xU * U?rL*a av 1I V- i ./sgtas&i t V* li i puSitogf. "Ibb m k afll M* W mum iaa^Sk at cMtH( MMoatiw aspkfMM far *sy Ja* M m* Ttat am typical of tbs dbiae tend a neb psutst of tbs tms, and, fnm tbs lyrapwaa aed X*ny fadings, it want jtarifaMs to mans that tbs opcsun to asfasttos dm is tbs oass of tbsir total aad par* >mm daafafifay. list upturi to tbe > of this dm for me * conpanurniy ibort tint is a drafts lad wnoBS iadmrial bawd, has baao too ftwpwtiy iadkatad to bt opa to donbt. Tfa fact that tfat copdkka wba am acqairad is parmanifit aed sonar 1m npidJy pcograwvt a nest {ran a ptiUie ******** view* pom It also twins to ba tbs cao* msas of opiakn, sot oniy anoag arisen <a tbs sabject, but abo anoef (bt asbmos sorbin, that tbs prone* m dcncas bow in uao ia may piaots an am ioaditjat*. *Ths tonpiBsaooo laws in North Carcfiaa do aot list this disability as esdtii&f tbs worfar to proper nmuasn* tioa, tad I pranas that legal states, atom in otbar sum. la England, is 1931, tbs Asbwtoa ladwry RegulaPern <m sad* kfaUy madatory. That fUgoladoas repair* tbs tubed* tatke of *nt method* for dry, tbs inrjimra oi dust prodadog madarnw, tbs tubnUutioa o( ndossd >***-->**> metfaodk for baod mowyeace sad for dotty basd work jcasnliy, sod tbs installing of fsbsm drafts at dm proriodaf points. Ia tbs sans roar it was ahs suds obligatory for mthma in atbwtoa piaats to appear for periodic medial mmuwooaa as a mesas of pes* rating or anwtag ibe dsetfcpntat of asbomk. qacatly, important parts of oar fadas*' criai symn. for that raasea, if for m otbar, tbs wntsn tbooJd bs pro*, tided with every facility for tbs-pro* taction of their berth, so tint thsy my on Uvstibood for tod fanflks, for it kaw aa imp period of data, at tbs nmipsiiw ia whkb tbsy an anst skilled. Uafor* .. taastsiy, every worker handicapped by pebBoosty labwtaria bsconas ahnoet ' H- invariably pbyrinfly aaptbia of sa* {b 4931 iK`pywi1191 nasy of tbsm bacons aa added opsaas to tbs wetfsn afsacks of tbs cranBafty. AftbOBfb tbs "`p**! of workers is aocb im than that ia may. other iadastriw, tbsir otrupstiuB ia enmasiy hawdooi, sad tbsy an aapiy jostifisd ia reporting hanrer proeKrioB it it pesribk to civs than. Furtfaamon, tbs fact that riSdint pro*' (active dsticaa ia this industry, ia ^ds of tbs added npaoss, sill efm tab 6sflscsi itviaf, j| bocoflott^' non apparent. Tbs warfcan tbm* Wvw an hwmiaf mformd of tbs daager to baaitb, aad taaay dril adU fee danaga agaiast lactny iisiaus ats tbs malt. * t. cm. w. t rm m it* so * 1 UUP M Mna 4m, **../, me. 3. tua--n s. kmmmo w *w. u. u ttsieu: io. __ . am*. m>. si.; um. ini m4.mKm>d.mWu.mI*, mM m. Kt*nt. tmt.< t.x*m- .--X. -U| rrn*m* tmm. .suit. tAinm.m * *. tpc* K. 1L, <M MO. W. A. MMMT MU* 4a. Ml. rpa*. ailiMS Owat. SB. L. 0- a* Cwap. 0. S. te at pm Ma. la mm m nMy __/. Mat. IN, MbM Ml *. l*tl. t. Ma Mta. t L A __ _ an /. /mm. an. (i in mu zn. ,7-r.^^ tm. ....