Document MJ28YBeOG25BRD1zZaqzwExQM

tiff" 0021365 It wer e t wo ot her t anks i n t hi s pat t er n the tanks have been sasaiyescU The medical attendants o f tho non involve of the c lin ic a l sex& faatatlons o f te tra e th y l load p treatm ent, end ware given. & ensm ry o f our c lin ic a l on the 29th September, 1950. O ffic ial n o tific c tio te tra e th y l lend poisoning to H*K* Chief Inspector o consequently n o t made by us# The in cid en t was brought to lig h t through Physician, Dudley Bood H ospital, Biratogbaa, tfyo dia a case o f te tra e th y l lead poisoning th a t had been a on tho 20th September# Eopmsontativoo o f th e A U nited v is ite d th e &*F,B*D* a t Bod Stone, near S tc 26th September, to in v estig ate th e incident and to capacity* . . -. . Tfeak H istory. ho tank concemod in the Incident i s a c tank, 102 fo o t in diameterjb25 foot high, 4000 tons roof, mercury sealed, M has two msnh-olos, each cp in dianotor, on fat tho bottom of tho tank, sad one on the ro o f. the roof o f .tho tank i s a t epproxim There i s a d itc h apps?osiaatedy edu~ f e e t deep, end th concrete, surrounding- th e tank* s-rea the d itc h th tb s tank, elopes ebeeply ewey to the ground le v e l, ' : I t was stated--'that IBank 3o* 3 was f i r s t p 1637, asd used fo r base s p ir it, nrc 1941 to ea rl leaded gasoline, eoa o f which contained 5*5 c.c* T lo ts 194? .the task was f ille d w ith w ater to a depth It was.:<mt;of~CGiadsi?ii,utll'4^ ^ .to ftbofUt, <saa 'fo o t ~sm th o * p rio r to -'th e 'p u a p ^ opoxattcaV' ' Thcbottomaesa lid Sth August. The v e n tila tio n of the tank was th a t the two m n lids* She tank had not previously boo Ther e wer e t wo ot her t anks i n t hi s l ocat i and hi st or y, .r ef er r ed t o as Nos. 1 and 2. . Tank Cleaning C ontractors* .' . Tho eontm etors fo r the tank cleaning wer eM Sons, 2G4 Fitcford s tr e e t, Birninghsn i s . KEf 0021366 following notes are cmpploKantary and G in ths intorba report* I t vas notad in the previous reporte teiat a m vas detectable when ih toni: vos epproeehsd on the afte 2tii September.. IM s I s th e f i r s t occasion m which an organic load odour has bees detectable in sludge* not surprising tesate the analysis o f th e sludge resu lte high figures* fa r beyond any of those previously smly Shis is partly- due to d r o v e d aethods of a n a ly sts, as to analyse sludge- saepdoe w ithout aosae lees of v o l til losa has now boon vary ccmoidismbly reduced, but i t i s re su lts shorn below nay e t i l i be on the lev side fo r o be observed, fre e a consideration of those, th a t altho which the easploe vero, toben ver a l l of the o&ns con la te coaaissica a t "fe seise tin a , and, do fo r as i s kno the storage o f s is la r loaded gasoline, and had a o la there is a considerable v aria tio n in the load contento three teaks* 51 an aly sis Ima been repeated cn seve sim ilar re su lts in each, th is v ariatio n in load con sorely confirmatory to w ist was previously known, te s t is not homogeneous i s i t s lead content, and th a t i t is fre s the tank construction and h isto ry whether or not centellas organic lead in such concentration as to pres Tho tank concerned in .th e in cid en t, So# 3 , had an into content cospargi w ith tei other two* bsxI c&h okparl clusion th a t exposure o f unprotected individuals to te sludge which contained approj-nsitely 0,2$ organic le ad dry weight of sludge, ta s lik e ly to re s u lt in serious the esposare ..was o f a* sh o rt & period e s .fifte e n ' sinut th erefo re, th a t se&e individuals concerned in tills Inc - serio u sly i l l than they were* m tehe n s u r e tfe tht:va contained n t le a s t 0*10. tQ trsctfcyl'iittv& thyjte re p a t le a s t' several'' hears in' th e csss of and , noteworthy telmt th e cospletdcn o f th c c le s n in g o f th es cu t by the Beae ccntasactors, end th a t -'iteiti cossplot^d without Esishapt although on.tank sludge eentainad 0*4 land* Constant and s ^ illM :raporvieicm 'w^s i^povidcd D ii Ccapaoy* - I t i fo rtu n a te th a i-Ib n k So* 3 o:m t involved in the intCKieatsion of..five ird iv i^ ia la * 91200 .?>' . . . .. . % Fb due t ot .: . ' . - V , . ' ' t et r aet hyl l ead* . ' : . I hnk. -, 0* 420 Hash - . ._ > i / -.. . 0 .0 3 the storage o f d u lle r loedad gasoline, and had a sim there is a conaidsrablo v ariatio n in the lead conten th ree tanks. The analysis Isas bean reposted on. sev s is ila r resu lts in each, th is variation in lead co narely confirsatory to wisst was previously known# th a i s not homogeneous in I t s lead content# and th a t i t i fron the task (in stru c tio n and h isto ry whether o r no contains organic lead In such concentration as to pre Tbs tank concerned in the Incident# Bo# 3# had an int content compared w ith tho oth er two. serico s expe clusion th a t exposure o f unprotected individuals to t sludge- which contained approximately 0*1% organic lea dry weight e f sludge, was lik e ly to re s u lt in serious the exposure was o f ae short a period os fifte e n n im therefore# th a t some individuals concerned in th is in seriously i l l than ttsy were# as the&Epeeure to tho'v contained a t le a s t 0.161 te tre a th y l l^ ^ v itb ^ ^ r o a p i a t le a s t several heurs in tho case of noteworthy th a t the cojaplotdon o f the cTeanin^oF t o out by tha sesto ccntaeactcrs# and th a t I t was complete without tsisbap# although. on tank sludg contained 0* load* Constant end sk ille d suporvioion was provided O il Company, I t is fortunate th a t Tank Bo. 3 and no Irsvolved in the intccdostion o f fiv e individuals# % Pb due to t Hank Ik>. 1 . Han Bo# T etraethyl lead# 0.420 T rlathyl Load. 0.023 M ethyl lead. Halides* . O.COL7 'Bist!syl:X ^ . ' iosyi' &GQjS?": l i & a K L i lot&X wgfiSiO <% 0#465 ' ` 0.0 0.0 ... 0.0 0.0 Inorganic Pb. 2,630 1*3 Beter from sludge Fb in P .p.n. Organic. Inorganic. m i* 0,2 0 .7 , 0.2 K 0021369 R vP>* * * y Oe+* O Ki sC*- sK* o ig to i ?g| fl? *' ta pP-a P HO Y <$*f> t a 45 M 0 w* r s* r ' Vk> m U H P t ,"^ 4 *>.,a p?e$&ntin g no empiema or signs o iS J x S d iii ths ease h isto ries to illu stra te one poi W- ig e i 34, m arried, three children* Sagin ' This nan is considered f i r s t , as he bad te o f cleaning three tanks a t Stourport* lie had boon clcemisg tanks a t Red M ile, in ikAtinghan, in agua saioty erecautieas vare n e t observed# HOo did not. s frona th is acdi&sdlecccMiefai&aoouur* Be teckh over the J_ob of cl S tcurpcrt f m : Ida bro th er, M * Hholan, on the 13th was G a in e d f i r s t on tho 36th Septebor# and again He w s o f the opinion th a t h is brother bad givan in la s t x&adrsstion e t i l i thought i t was posai&le to w When he f i r s t took over fro a Uis brother, he wore pr scaetiass over h is ordinary s tre e t clothing* and a p face a ir lin o m eli c st o f the tdso when in th t s i t beoaao cssaberaosao* On th e afternoon o f th e f i r s the 13th September, ho developed abdoa&aal dlocaafo aloopless th a t n ig h t. Tho following day, h is v isio bee&rs worse# end he saw double a t tines* He f e lt His ap p e tite boca&e poor* He f e l t m tiso ated .all th vomit, He trie d to fore h ia se lf .to eat* d d u ll and he noticed th a t he had bacons pale* diarrhoea severe* On the 15th reptsabsr, a i l the symptoms ba t i l s tin e "telephone b e lie " sesaed to be ringing con On Saturday, 16th September, he rem ised in bed* .A develop! in the "p it o f M s a t t a c h ," and he pent about the bod with pain* He woo perspiring very fr Tbo diarrhoea, continued in a severe fore* He took s and sh o rtly a f te r tho severo abdominal pain eased# l the pcrepim M on lncsr^eed. --S is guss wero so re, an la hla. .south* *., Sever'uuscular .tM tchlhgs* which ho present, e t th ie to, oral h bed ees* itefeing o f the the face and hands* He forced hl& self to retu rn to but v ith the other non, Coates and Gascoigne, fc?tnd and when aaterlole from tho tank wore handled# f u ll observed* On the 35th and 36th Ssptsebar# he enter did not admit ary te rrify in g dreams, but etc tad cn t had not s le p t since he sta rte d tank cleaning on 15th On eaccMnation on the 26th September, a f te th e ta sk , end had bathed and cfjanged, h m a noted t had some tw itching o f h is f&ciaJL Busclee, specially Q.0 2 1 3 i' KF 0021371 Subsequent tc th is saainatios, he ro aai away f te a tank cleaning fo r two- weeks, a fte r hick other ffisployeoe who bad reeoaaencod the deesing* teapanp supervisor th a t ho was p erfectly a l l right* p e rsiste n t leading questle n s, fa fin a lly adm itted t th a t ho had not bosn gynptoa-froe, and, moreover, t fro s tin to tise* a ltheugh mostly in the open* C s t i l l p ale, v isib ly thinner, ate c t i l l ted a aarked ted ta s te in the south was p e rsis te n t, a te he was c chewing te n ts to counteract it# bo was s t i l l slee i i t ! tab le * Fee fro n ta l headache had p e rsiste d , th and he s t i l l ted severe itr/oltm tary tw itakings a te Thera ted been loss- of lib id o since the onset* H tire d , but one loomed teteequsntly th a t when the t about the 14th Jocesibor, ho iassteistely went to bed The j-asdlcel atbsteonb of th is m n ted tee conditio on the 9th Sopte&ter, ate he had teen g he took in te rrd tte n tly fret the *9th September* A copious in to te oi* flu id , he ted m o tte r traataeai* . ca the 1 st Deecsafesr* th e rs were no abRors lie te pressure 110/70# Temperatur 97*6* Pulse Hood f l l s s , 103 stippled c o lls por isiH ion .K*B#G* The lead concentrotiene in urine ani blood a re give Data* ?ol* o f Sample, ( s is .) ' ' " Urine* ito* Ffc. Sasple, For litro * 3G it S tate ar 20C. d ia te . ilg .A it 1*014. 6. 9*50. 115 093 *651 1.027 *443 Z a 9.50* 275 *126 .456 . 1*022 ,292 l*2*iO*5^n 45 *036 SCO 1.019 589 13.10*50. 91 .042 .462 . 1*014 *462' 10.11*50* 370 *062 .166 1*009 261 1*12.50* .185 .051 #276 1.009 *430 SSHMB& The KOdleel attendant of th is m n had been condition on th 29th. Soptesber, and he had been give he- took in te rn !tte n tly fro the 9th September Ape copious intake o f flu id , ha had no other tre e taon.t . Qa the 1 st Beeeaber, there %mtn m abnoriaal licod pressure 110/7C fsssqjcratur 97*6. Pule rat Blood f ila s , 105 stip p led c a lls per s iliio n R.B.G., h She lasd concentratione in urine and lood e re given Iteto* ----------- - b rin e . ft *Ol. Cl 1,: i-mt-t rTire*.. .'.'-aspic. | Sesplc. Per litre * [ (slC .) 26. 9.50. Z tl 9.56. t1 . -......... 115 093 275 .126 .351 .453 >#0* cfe j 3tandar~ 2CWC. i disod. 1K g ./litre . 1.014* ! 1.C27 .443 1.C22 *92 12.10.5C. 13.1C.50* 45 91 .036 .042 &C0 1.019 .462 1.014 * 5;f3;1*9 ? 10.11.50. 370 062 .166 1.CC9 id . 1.1 2 ,5C. 135 .051 276 1*009 *430 ... '*'#- V v i l l be men th a t in th is end subsequent adagnoais was sad on c lin ic a l grounds, and confirmed a p e rsiste n t increase in the excretion' b?'3M& in the m sec dn increased load content in the blood* I t m iaa oi&gnoc-.s was m de on the general c lin ic a l p ictu re on any p a rtic u la r yaptoa o r finding. I t t i l l bo soo pressure, ussparsturs^ pulse ra ta end stip p led c o ll co in these esses* ...... ^ p a rtic u la r cose, i t would have bosh inuiviaual, end *n fa c t a t one stage i t xms possible t.**s -s,) s z b to the tr condition of h is health* T K 0021372 of his sibling, ay bo soon, bu t a t no s encountered* I ^ l y S i n f r h is exposure m s not so i oacolongcKl, and m s r e p e a ts before he was s y s ^ d o > & e urinary sseretio n o f lead was con sisten tly w ithin no severity o f th alim entary syrsptoas i s noteworthy* has beers occasionally encountered in sim ilar cases in not always boon presen t. The itch in g o f the akin w in tha o rig in a l sooHf&tal esses reported by bio* I in r epor t s o f cases of intoxication since. In to la and in the subsequent cases, ovary was taken to prevent ecnteadm ticn of the specimens obtained fo r an aly sis, and %m fe e l th a t the seaplos not ccntasdnatad, as aesples taken tram blenders in a t the 8cm tis , gave normal findings. 2ha lead e th is w ill be cbserv&i to bo. very v fe w s c a le s , taken between the 2bth September end 1 were a t & le v e l ra re ly encountered, and Indeed the h associated with a such acre sever illn e s s than pres I t w ill be soon, from ccnsideratioa of tbs lead excr individual, and of the other men in th is s e rie s , th a urine is a very in d iffe re n t guide as to th e sev erity m anifestations# One of th others had a lower ra te y s t ted sere severe symptoms. I t i s d esirab le also von a t th lower ra te s of excretion, such as on th e 1 st December, th is sen presented th symptoms o f te tr W have previouely spreaaod too opinion th a t no g re given to the re s u lt e f a sin g le saspl of u rin e, end se rie s is d esirable before any opinion is given. T evidence o f th is statetaont ia th aim lytleal re s u lts Further considersticn o f the 'low est cosucn cloaomlisat onerstion in urin w ill be gives la te r l a th is repor Aged 33# ferried Oso child* Enginee ob Eq bad bom ertgegei on tank cleaning a t lia and did not tck any prom utions. lie did not su ffe to health ao a result# Bo bad apparently boon pres Stourport a the week p rio r to which the a c tu a l tank eam em edf and probafcly between the 6th and 6th Soot P*0**0* wa^^cotaaoaoeO *tfa a . Caj-b on -tHa afternoon I t io possible th a t he sta rte d o ff veering; a re s p ira i t , as th sig h t glasees otoasaad up* The carb u rett obtained fo r *Ba&A ^ S e d e rs in s not cantead**^ aa t m s & m m * lea e t tbs e a s ^ g g ^ g to be v o ^ v s th is fJL 5 |tb ntaaber a l 13 four emapaSS^toSSraatveon the hi varo a t a lev el rarely associated v ita a^ uCa load S c re I t w ill be seen, J r cerndde*!* t t i H e r S s # ^ individual, and t h e w arlty 2 S & & 3 2 `t T l S feda * 2 5 * 2 S T fe E ^ S iS 'S ^ SSSfT tfe 1 st Decomber, th is son presented toe syaptoos o f to t i h S ^ v Io u ly osp*4eed th a opinion th a t no Cro riven to the re s u lt of a sin g le caspi of u rin e, and serios i s d esirable before any opinion is given* T evidence o f th is statem ent in too a n a ly tical re su lts fu rth er consideration of the Lowest conaon denaainai operation in tarine 121 be given la te r in th is repor yAgod 33. Harried* One ch ild . enginee -- " "Tho h isto ry o f th is esa tsaa bom p e rtly ob . . E had boon engager! on tank cleaning a t Be and did not tefee any precautions. He did not su ffe to health as a re s u lt. Bo had apparently boon pres Gtourport in too week p rio r to which toe a c tu a l tank voocsteaeed, end probably between t he 6th o a d S th Sept t>ropo*r w cotainatf vritii aJOt-ar-rucm o I t i s possible th a t he s t a r t s ^ f x wearing o re sp ira i t , m toe. sig h t glasses up#: The carburott beeaae b lo tte d , end i t ' was rapl& cs& '% 'toe was in th Be did not bother to bath o r hang Me tm dergarsan w o rld s period as the 11th September, ' Ho eta tod th so e ll in th e tank when he entered, and although i t w on working, .. ' The f i r s t sytsptoa ho noticed 00 at&ccdml progressed to pain, and was quickly followed by into diarrhoea, which necessitated hi leaving tho tank f " 0021374 h is ears, piss and needles" in the face and head our l a s t e sa sik tic a on the l e t Beedaber- He be confused* Giddiness was severe, specially on m norsiotoi to the date o f the la s t assSaatictu H *ednesday, 13th Septoidbor, and spent ao st o f h is t p e rsiste d , and continued to be severe, m i w a surgery cas tho l&th September, ho had a v id e n t 'S and wee adm itted to ho sp ital the cane evening, wh weeks* On adMealon to h o sp ital, ho was confus diagnosed as psychosis o f unknown origin* Apart hs remains amnestic fo r a period o f two w eeks,of b Cn adm ission, flood pressure 140/60. Jeaporature Onadmission, ho wee fv-taad to be m rkodly m n ta lly r e s tle s s , ans&ous and apprehensive, There was a tongs and face. He was given 5 c .e . of paraldeh other s lid b arb itu rates by south, w ith m e ffe c t. intensive treatm ent in hospital# H kept e l l th awake fo r a few rights* and would have been referr had not h is condition been, subject to very marked Shortly a f te r Ckimiosloa, he shouted cab, 8 t have poisoning. 1 a dying. Ibur oth er m have die iso said , You had b e tte r g et th e other four sea in is making s b e tte r." la te r , apparently, ha got end down the ward w ithout M s pyjama tro u sers on. a nurse, end made attooptfl to Uafew'water over the another occasion, he sad a dash fo r the ward co r going to stop th children crying outside. Wtm soon on th 1 s t Becesfcer, be m a aberrations of bah&viour, sa*t trie d to Justify- M he "had to stop those nurses running up sod down a the children were crying in an adjacent ch ild ren 1 . When M s h tb r v is ite d Mm on 'th 24-th it s g away, then to l i f t th e bed, and when M s pillow h was very abusive, and repeated M s d esire to h Ills fsth o r was very d istressed a t th is condition, a insane. He was, moreover, confirmed in th is b e l enquired o f Mu whether or not th ere was mental tr When eosaMaed on th e 27th September, ItL lu c id , but bad e m a d o fo c ^ in esory, specially o could not r c ^ s b o r ^ ^ m f P ^ * nor wan he a t a l l o tak <Ooatti:* Ko did not understand vf weer resplratoxy protection when th ere m a a man h the tank end another a t the top, with th wind M o he bad to g et the job deas i f h war going to ca HE 0021375 CnalM gsien, he was f und to be m rkodly m entally dis r e s tle s s , aredous and apprehensive. Thor was a na tongue a id face* He w e given $ c.c* of paraldehyd other s lid barbiturate by Death# w ith so effect* intensive treatm ent la hospltel* Ho kept m il the p wake fo r a few nights# s a l would have teen referred had not h is condition been subject to very mrtsed da Shortly a f te r adaiasicn# he shouted out, 8 I have go poisoning. I as dying* Four other nan have died* he said# 8You bad b e tte r got the other four sea in b is staking sj b etter " Labor# apparently# he got ou and down the ward w ithout hi pyjasaa tre users on* ,.t a nurse# and m de a t t e s t s to threw water over the w another occasion, he ssda a dash fo r the ward corrido going to stop the children crying outside* sdxsn soon on the 1 s t Seeasfeer#, be hid a re aberrations of behaviour# and trie d to ju s tify h is a he bad to stop those cargos running up and down a l l the children vers crying in on adjacent ch ild ren 's w When hi fa th e r visited. Mss on the 24th Se go away# then to l i f t the bei# and when h is pillow s he was very abusive# m d ropsated h is deaire to have Bis fa th e r was very d istressed a t: h is cenditiort# and incaae.- Bo was, aoreover, eonfinsod in th is b e lie f enquired of hid whether or not there was cen tal trou When em ained on the 27th September, ItLcha lucid# but had sm o defect in Boaozy# specially o f could n o t r e ^ b e r C art's ^ order .of-tank- did n o t uadearstand hyp wear resplrotcsR p'proteedc wba'v1&re waa a m n hol the task end another a t the top# w it* the wind blowi he had to g et the job done i f he wore going to sake a acre d if f ic u lt to work w ith.protection* Bo was en the Coapepy's regulations, on tank dam ning, which h hospital* Hospital Ihvestlfintiong. . ^- 20. 9*50. Bsoacglobia IG4* Y*C* 4, 20 H etlculocytcs l;?* Bo stippled cells* I-re y cheat, "C alcifiod focus i s th e rig activ e dicoaee.8 23*9*50, G*3*F 3 c o lls# .; Protein 20 0021376 exaggerated* fhsre war no dfcncra&l signa otherwi m s 90S* Stippled c o ils 160 por m illion* B.C.G. eueretion in urine end bleed i s shown below, Sate end fine* U rine. m . w 1 rim* it>* daaple. Semple. L itre , (n ls.) . . an ttisrewssc 20P* diced. % ,/litr 1,014* .1 0 ,5 t. 1330 i.lG-,50* 1730 10.50* 2150 5.10.50. 0030 5*10*50. 1400 5.10.50. 2445 5.10.50. 1530 6.10,50. 31.1C.50. 15.11.50, 1*12.50* 330 360 395 X? 390 ! 400 i 340 3-0 1X4 : 247 333 0.C7 0.004 0,103 0*143 o*c6a 0*062 0,046 0*132 0*013 0,079 0,034 0.230 1 i . o n 0,233 ! 1.009 0,276 ! 1.0 11 0,426 i 1.Q14 0.136 1.0C6 0.155 1.C03 1 0,135 1.C03 i; 0.413 1,040 0. 15s 1.007 : 0.340 ! 0.090 1.009 .293 363 .351 .426 .459 .722 **6`W0362*> .316 .195 ,127 C ornet. This mm hud probably bed th e most intens men involved* lie d e fin ite ly had developed frank s esce#ialopatby* feit even when he m s actu ally i l l , th urine in early October m s a t a le v e l not usually a narked symptoms* although on two subsequent cccaoio led excretion in urine van a t a very l e t December* 80 day a f te r reacwssl?- fro exposure* aan s t i l l bad symptoms, and although th e excretion, w ithin normal lim its* h is Mood lead content was ap is hero accepted as th e maximum under normal condit t"* CO sid eratio n w ill in d icate how im portant i t i s th a t sa blood should b taken a t the sane tin e . One sampl case o f th is rnn night load cue to conclude th a t th *~t fsigned* but fee abnormal quantity o f lead found in CM one seuaplc was taken* ~ia s u ffic ie n t confirm atory ev --O' er f points Of note la th is case a re m&liml a u th o ritie s was drawn to i t , no regard*haavtint h e ^ s e u f f e r in g fro lead poisoning* V rd h **? suTer oa ^ i ni t i al st ag KiT 0021378 32 V- Pg 8 5> H I O Cui g tu M it - - . .&> Oo ePn &. opP" i4 ?a er H* ,.8 *fOi &P_ i;S*. '* ( &fMa0C<4f Hb<o-*>*>iOjfSHjc** if~l a g a g p y &H U3fr O.^...:.at..pC.. ft rt. fo2< SO _HI<J33S i ^ f f <| 0 0 Ei r g i i S b . ;> g 3. & . . "* B d* ssoHSoH5joPUfSfcll> " Bs s e b I,S*tCMe*f Koc+: * g R E s ft. t ^ s ,, &* E b s g 1g M ,,M cQ... apM0.. o|5fna?io."&hoa.OHfPtb_i&aiftco.C)Pssj.*ffj.p*PapH>.0. H5at(*-3assCf|f*5cpiu. 0:HHp:;u{*f{I*ce+*rPVHQe..jrOi *Oi5o 3i, " r i-'1 _& O 2 H I<a l ^^l y *HP e cPrfi r i fHc (&. * 03 Mf> S ?Jl-*S*: t. &a u o t t t t s 6** eitoo pootq pot *6 ttpv>t3ratt *O#tt* K /r 0021379, h*t bi . Pi i M Cf iS vo VJ o M &,> . > I I \a g ' fc - o% * , f * p fi?& S iigp5 WM t ^ . jJs*-'<t.3', |3 H ti a .- g |; 'i S |J, 1 * BLf? e&s * ~ l 1 & & m il s - e*sa*i OV.,- .>* jft BHS?*B^<O*. SgQES 8, g* s* * i*. , *.*.5 M*i (3. lis? p; ! ta g> 4SO tO*w8 fHf f ss S? g*Q m m hn wc r ^f S ^O H*S si ^ srlfl'eslfE S * a ^a t? % |T <**>* ( 1 <* ,H3* (5fe*!i & ^S Hh '* <# R |r g o ,,, a?.I|i tOf. 1s frE s|s|l t S9 tJP c t . . . til S fe*H $ O ^ H g 'a * f g o f SS^**/ffr**t*i**" **" H - ? J lf fatici *tt oHP- I*i . a sIra*- sc . . -- o o Ja f?* x 3 ", h S S ^ 51 t ' p o-r i* f*cffif5.*&8, w> & tog *gt-1st-*HoadS sHOu>Sa6ai scrt ttf i V- &< &<*> p *- a &&gC6l s & l wi ! *.*& & a . S 6 '*a cough no.had lo s t one cad a h a lf stones in woig regained one stem * fie as sloeping better but s o e a sily , although he had n o t returned to wesfe. Ho ad pne^onia a few years ago She XNray o f th is non, s recorded in the findingsf did not show any evidence paler and thinner than vhen enm in hospital* Blood i'aspez&tur 979/:~?ol&e r s ie 76* teeesoglofein 97$ ( ceils* S.G.G. n o rssl. Bo ateortaal signa were dete Fas ccneeatJflatiosi of lead in u rin e , fhecoa and blood : brine. , ToX.' of.. :... t&' ^3 ..re. 1 o.U. a t "SESSeSSS ienple, S&snle. [ Litre* 20. Ised* {els.} Mg*/Xiir 27. 9.50. 2115 176 27. 9*50. 2240 276 70 'Jm>C# 0 350 127/23.9.50. 27/^3.9.50. -* * 27/28.9.50 403 27/28,9.50.... 330 27/20.9.50. 350 . 27/23,9.50 375 27/2U.9.50* ' 270 2d. 9.5C. 0435 299 1.1030 23,10,50*1017 , 292 23.10$0, 114.3 305 23.10.50. 1253 350 23.10.50* 1700 31S 23.10.50. 1715 325 23.10.50. 2245 375 24.10,50. 0630 265 : ' 16.11.50* 233 1.12,50, 170 *o o 0,260 0.230 0.330 0,450 0,210 0.150 0.170 0,240 0,130 0,300 0,037 0.023 0,034 0.042 0,091 0,079 0,035. 0,047 0,020 1*46 f 0.8j>3 ! 0*436 1.759 1*973 0.514 0,454 0*641 0.666 0,127 0*075 0.097 0.132 0,270 0.211 0*321; ' 0*202 0*110. 1*013 1*008 X 1.014 1*016 1*004 1*002 l.C 5 1.004 1*005 1*010 -, 1.590 1*456 1.700 1.759 1.730 1.795 3 . ISO 1,360 *6**&*0 1*360 1*460 X,o&4 0*443 1,002 0.526 1*003 ,0.453' ' 1,003 0. 96 1*009 0.436 1*006 . 0,493 ,0*345--.:- : 1 ,0 3 2 0.217 : 1 ,0 3 0.127 faeceq* Data. a s. 9*50. 1. 10, 50. 48tu tft, ga* 0*34- * 1, 81 !ig, Pb, Mg. Ffe. Sasple* 1 gra. a 0* 230 0, 680 0. 675 0* 375 27. 9*50. 2115 176 2 7 . 9 .5 0 . 2240 76 27* 9 .5 0 . 24CO 350 2 7 /2 3 .9 .5 0 . 216 2 7 /2 3 .9 .5 0 . 223 2 7 /2 3 .9 .5 0 . 403 2 7 /2 8 .9 .5 0 ., 330 27/2S.9.5C . 350 7/23.9.50* 375 7AC*9*50. 270 23* 9 .5 0 . 0435 299 1.10.50* ' 2 3 .lC .5 0 .ld 7 292 2 3 .1 0 .5 0 . 1143 305 23.10.50.-1253 350 3 .1 0 .5 0 . 1700 313 23*10.50. 1715 325 23.1 0 .5 0 . 2245 375 2 4 .1 0 .5 0 . 0630 265 16.11.50* 233 1 .1 2 .5 0 . 170 0.260 0.230 0.170 0.330 0.450 0.210 0.150 0.170 0*ci4C 0.180 0.300 0.037 0.023 0.034 0.042 0*091 0.079 0.085 0.047 0.C20 1*43 0.333 0.436 1.759 1 .9 7 3 0.514 0.454 0,436 0,o41 0.666 1.000 0,127 0.075 0.097 0.132 0.270 0.211 0.321 0.202 0.113 1.013 1.008 1 .0 0 4 1 .C 0 4 1 .0 1 6 1.004 1*002 1.005 1*004 1.0G5 1.01C l.oc*4 1.002 1.003 1.003 1 .-0 9 1.006 1.013 1.C13 1.013 1 .5 9 0 1 ,4 5 6 1.700 1.759 1 .7 3 0 1 .7 9 5 3.160 1 .3 6 0 1*400 0*443 0.526 C. '.53 0.696 0.436 0.493 0.345 0.227 0,127 - v-"--o .-i Faeces. Date. : 1.10.50. 4sh. 1st. bg. ?b. Mg. F g?&, . Sample. 1 ge. ' 0*34 ^V" 0,230 4 0.6 1*81 0*680 0.37 Cement * cv Shis xaan, who had on in ten se exposure* ca o lead in urine was a t tin e# a t a very high le v e l, in o concentrations have only very rarely been encountere not a t m y time exhibit syuptoss of frsnk lead aicsf 4 in tiiio case which requires nets is the presence o f A sim ilar condition was described hy Inder Singh in v: in 1945* The cause o f th is i s obscure* an i i t ce r ciave lo f t any permanent d isa b ility * I t should be synptoa fo r which tills m a m s admitted to h o sp ital Aged 31 Carried 11Children* Pipe Th Motors* given by th is m o , although ve subsequently to teve dioeropancies* R was appare J . Hhdac end Sc bnt had bsaa engaged m th e tank in aid August, a lthough he t e l not had a g reat deal joined V H H jH fcind ^ jjjjM n the i l i h September, tho t a r ^ ^ i ^ a S d . tefflW W B ajljm tefy p ro tectio n , protective clothing of so rte over M s ordinary work This ssaa sta ted th a t he f e l t w ell on te e H th and 12th SeptsEfcer, b u t cm tfedatofey# 13th Sp and baud cold spells** specially in the shoulders. had bad droaaa* ' Although ho -did not a e b it vomitin observers stated th a t they had seen fcte outside th bank, retching and vcealtlng on one or other of tees rc-tching end voM ting in te e tank on HecUieeday, end m cyoet o f some slrfch who ted sta rte Ca the 13th also ho had % test UK a penny in M h did m t go to Steuyport. His ey&ptorss remained sleeplessness tecas sr severe* Cn te e 15th ho who,-ho s a id , to ld itea th a t he was % bundle o f nerv nothing wrong with hi.* Ho stayed away iron work th$ syaptoas rem iniag or o r le as te a eeuaa a t te la ted a fte n re n of the 17th, following retelling throug a very v iv id drs&a th a t evening, but not pssrtieular few sh o rt in te rv a ls o f sleep th a t he te d , be appare returned to work a t Stourport on te e M te, eltteu g h h is breakfast th a t morning* He worked awsy from th on tho p it th a t ted been xc&mtod fo r sludge, . Th nausea, and he r e tu r n s home. Oa te e 1 9 th , he wor Birmingham, b at f e l t very'weak a n d 'tire d e a sily . heavy, and he f e l t cold and aching a l l over, p artic th ig h s, which were also s t i f f . Be f e l t and saw tw a t t el e tie* Boa of thee caused quit v io le n t apparently a t Stoarport again on the 2Cth and 2 1 st, days is .known* Ho suffered fre p alp itatio n s of ti the other symptoms remaining a t more or lo ss t t e car ap p etite a t tho voefcend, 23rd to 24th September, an sta rte d to have diarrhosa, which was s t i l l present He went to the cinema on the 23rd, and ted d iffic u lt He ted the feelin g a l l th time .that he was very fa He s le p t badly on tho 25th and 26th. His a p p e tite la tte r day he sta ted te a t he feed a v io le n t pain in from th tim e te got up, and te a t i t was s t i l l prese XE~ 0021382 in aid aguet, a lth ough ho had not had a g reat deal o joined a n ^ M B IB B h the 11th Soptesber, e the W f ^ T K i d c o ^ S ^ W sp irsito ry protection, a protective clothing of so rts over his ordinary w eein Ib io eon sta ted th a t 'no f a i t w all m the Ilo 11th and la th September, but on ivodaecday, 13th 'Sqpta and bad cold apolla51 so cia lly in the shoulders* had bod dreaiaa* ' Although ho did nob a d e it venlfcihg observers eta te l th a t they bad seen h is outside the t bank, retching and v e s tin g on one or other o f these retching and vositin g in th tank cn Vednesdsy, and t subject of soeso s ir th to who had sta rte d Cn the 13th also ho bad % sSR ^E uee penny in h ie ho did not go to Stouyport. Ills se p te n a regained t sleeplessness tocase sore severe. Qa th e 15th ho w Utto, ho said, to ld hi th a t he was % tasadlo o f nerves nothing vroz^j with hi* He stayed away iro n work m the syaptoas rem ining sore o r le ss iho sane a t th is the e fte ttre n of the 17th, following retching through a very vivid <?ma th a t evening, but not p a rtic u la rly few short intervalo o f sloop th a t ho te d , he apparen returned to work a t fto u rp o rt os the l-Jth, a l trough h his breakfast th a t scrain g . He worked away iro n the on the p it th a t had been excavated fo r sludge. She nausea, and he returned hose* On the 19th, Im worke Biraingbas, but f e l t very weal-: sad. tire d easily# H heavy, and he f e l t cold and aching a l l over, p a rtic u th ig h s, which w ere.also s tiff # 'Be f e l t and saw tw it a t th is tic o . Bom o f these caused g u lte v io le n t apparently a t Stourport gain on the 20th and 2 1 st, b days is known. He suffered fro p a lp ita tio n s o f the the other gynptesis repairing a t nore o r le s s th e eaae ap p etite a t the weekend, 23rd to 24th Saptosber, and sta rte d to have diarrhoea, which was s t i l l present on He vent to the cinse, on th e 23rd, and had d iffic u lty He bed the feelin g a l l th e tin e th a t he was very f a r Be s le p t badly m the 25th and 26th* His ap p e tite r la tta r aj h sta ted th a t ho fead a v io la n t p ala i a te from tho tia o ho got up, end th a t i t was s t i l l p resen in the m o d e s, and not internal* In term itten tly , h had bad a rash on hio l e f t leg before sta rtin g the te stated th a t since the alude got on to i t , i t lied boo ha bad had v io len t in s in hio to ss on th a t sid o , w screen out a t tiso s with th e ir in te n sity . fro s hio own sta te a a n t, ho was apparently v nature o f the hum ri in tank cleaning., and although h not rig h t, be couH not sake up h is .si'-id ju s t uhat'we reKnining oa the job and w ith Vholaai o n ly u n til th e work elsewhere* sad to have made a e x i s t s recove l e t Pecsnber, 1950# b a t th is statem ent bee a c t bee Szaplee c f urine obtained fro M a on tw w ith the folloving resu lts* kite. Vel* 108* Kga. HvSsmplo. Mg* u. 9*5u. 13.10.50. 122 42 0*126 0,013 1* 0 Goment, Thi s m xi g&vs a ver y door hi st or y i n cl wi t hout pr onpt i ng, and r equi r ed ver y f ew l eadi ng q Me st or y was subsequent l y f ound t o be i ncor r ect , t wo gTri pl es of ur i ne shew concent r at i ons of l oad a no si gns of l ead encephal opat hy woi c det ect ed# nor di d t hey devel op mzbs^oaci t l y* As f ar as can be as not of t he same or der t o t hat of t he t wo Whal e i mpr essi on i s t hat t he r ash on Me l eg aey have t o sl udge coni ng I nt o cont act wi t h i t . t he abct oai n coapl ai ned on t he 26t h Sept esber di d appear t o bo our opi ni on# var y sever e. Ther e i s not hi ng el se st or y. -*- ,*i--* - Jj^' y'6' Aged 2d. Si ngl e* f i t t er . This aw had only been employed by th e c weeks a t th tin e o f the essMn&tde* B had no tank cleaning in Nottingham, und he sta rte d tank c tho 14th September, when he was sadnly ngsgo;i in Ca tho 15th# ho m s inside* a f te r c o st o f th slu mainly scraping up sludge th a t was adhering to th.3 he wore a f u ll ffecs a ir lin e re sp ira to r. He had s o rts . . As f a r aa oaa# ascertain ed , h wore cot became...aoilMjeering process of cleaning* Kr 0021385. I K F 0021386 I ' < th a t he had any exposure a t ftcurport* He d sd tte blood pressure fo r cm years* Qa am siaatio he was seen to be very w el years, and o f norm ! appearance* Blood pressure 1 Palo ra te 68* Haemoglobin (S ahli) 1Q6&, Blood f etipplod c o lle sees* t o lead esc re ti a in 'orina Bete. Voi* Mgm. Fb. 3.G* a t 20 [a is.) Bjjjpplo* Bor' l i t r e . 27. 9*50* 255 12.10.50. 44 1C. juL.SO* 68 .029 celt .006 114 .107 ,097 1.0B2 1.023 1.022 Co&aemt. < . .., , ' ., - , . , ' - I t w ill, bo seen t o t in th e th ree instanc of urine worn obtained from th is m n , the concentra w ithin, noraal lim its , i s a t t o U;-per H a lt o f n e rs . which is m unusual finding in cur experience, and i s an in d icatio n t o t he had some sig n ific a n t absor Hottingte, which caused the' excretion o f Iced a t a normal, but which was n o t s u ffic ie n t to givo. r is e to t o t t o o t^ ^ indivM m ls;' engaged in teak cleaning absorbed sig n ific a n t amounts o f lead daring t o tan k t or * * - ; : 9k *4* ' ; . .:v :/ < \ ^ ' HX 0021387 :V 4s- Vi tv H a y t*' vi M -'A C V) M t eas* mmm- mmm I nt ensi t y of Exposur e* 1 2 3 4 5 i &at f st at i on 1 2 3 4 5 The resid u al eyaptaas cannot bo re la ta d to above, &a two o f t he In&ividasals oonc c mad ted probab brat at no t d m a t such art in tern e degree as in tb s ca 2. Cart* l a ih s one ma o in whi ch frank accpbal Gpa urinary excretion of 1md van a poor iixlicaticn of th condition. ho i ndi vi dual wi t h t he hi ghest load asc so st narked syaptons referred to th e urinary t r act * a nervous eyebea* __ The c lin ic a l pictu res -oacrifeod are sim ilar i s the lite r a tu r e , nenely loop dioturtencos, lo ss p els and tw itchingc, diarrhoea, and various abnorm l sx an the body* P a rticu lar in th is se rie s e re the o f abdominal pain and diarrhoea, te e in te n sity of p e and the presence o f te eaa tu ria in another. The t ap as clopa p & m ti*' r e a d i n g s i vumiayir<w^ ^ 'S present in soso rasos wore than two ssontha a fte r rmtm olcop dicterbanoea, lo ss o f a p e t i t e , aberrations o f giddiness being th most p o ralsten t ayeptoaa, The o in a l l cases, very few or none* : >. I t i s noteworthy th a t none o f these cases h The two h o sp italised rasas were given a high flu id in dosea of sociativos, / . . '. The low est common doncHtdoator fo r noon lea i f usac! ae an Indicator of th e degree of lead absorpt le ss than 0.2 sago. per l i t r e , i f cyoptoas of lead in t avoided. . K'- 0021389