Document O19xweaNeaovN70n1ZNyEbNyj

FILE NAME: AZs DATE: ^ DOC#: As DOCUMENT DESCRIPTION: ZWZ'Z^ W ificate" of True Copy i s a t'rue and correct copy of the <::::.:I';-:;::-r :/'IJt :."~ ir:r:t!~I!~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ istration of u.s. Maritime Commission - U.s. Navy at Tulane University Medical School A t:mini::..~tu;n. U.S. Cet:~r.:n.m at Tr:Jn:::er.:U/en S.c...ra,., 41~lIm" .1f1mllw:t R!CH).itD AVEXH000091 001 , I u. S. \MARUD6E COMMISSION 11. G. NAVY CONFmENfB HELD AT TULAllE tmlVERSm mrCAL SCHOOL NEIl ORLEANS. LOUIS IA~ I7tr f'J.-/CP tr ~ ?f6/! ~c; SEPTEMBER 8, 1943 Adams. Charles C., M.D. Alexander. Hugh E., U.D. Altman, Bruno, Jr. Beok, Lester F. Bell, R. D. Bishop, H. V. Braley, Charles 8. Ca~dwell~ Guy A. t M.D. C',rk, William B., K.D. ~an.lly, Thoma. P. Lt. Comdr. (Me) U.S.N. Cooper, Re.}'1l1Ond E. Croft. Theodore S., K.D. .. ..Loache, C. E. Dr.eJtnS.n, Douglas J. Drinker, Philip, So. D. Ege, John F., Jr. Lt. (j. g.) H-V (S) USNR to'ortl, C. G. Fe~gfn, R. C., Y.D. Ferry, Louie J. Fisher, Frank L. Forroat. E. J. Harria, C. A. Haw, Stuart lA. Judd, John S. Kinloch, Henry S., U.D. Lew1., R. G., Jr. L1ueol*jJ R. B. REG I S'l'RATI ON MeClosk~ &Company, Tampa, Florida Pennsylvania Shipyards, Inc., Beaumont, Taxa. Jones & LaughU.n Steel Corp., !lew Orleans, La. Navy In Division, Wash~ton~ D. C. Insuranoe Df!lpartment, Alabama. Dry-docks and Shipbullding Company, Mobile, Alabama AmericAn Kutual Li~biti'Y Ins. Co., Mobile, Al&. American Gener~l Ins. Co., Houston, Tex&s Ochsner Clinio, New Orleans, Loui.1ana , Americ:an Bank Building, New Orleans. Lou1dan& Philadelphia Nav.r Yard, Philadelphia, Pa. F1delity , Calu&lt,y In COt, New Orleans, La. St. Johns River Shipbuilding Co Jackson?ille, Florida. . Liberty Mutual Ina. Company, liew Orleuu. La C. A. Sp~rl &Co., Inc., Delta Shipbuilding Co. New Orlean., Loubiana_ U. s. Jlar1tilno C~..ion, Wuhblgton, D. C. u. S. ll&rltime COmmillion, New Orlean., La. Ingall. Shipbuilding ~, Paloagoula, Kll Houston Shipbu1lding Corp., Houatou, ha. Eagls, Globe &Royal Indemnity Co., Hew Orlean., Louieiana. Alabama Drydock and Shipbul~dtng Co., Kobile, Ala. American MIltual LiabiUty Ina. Co., New Orlean., Lcuieiana Higgins IndUitriea, Ina., Hew Orleans, La. Travelers Insuranoe Oompany, Rarttorci, Corm. Aetna Casualty Gel Surety Co.. , Atlanta, Ga. J . Tra"relers Ins. 000, 'New Orleans, Loubla.n& Maryland Casualty Co., Baltimore, lid. liaryland Casualty Company, N..... Or~ean., La. ---U. !II; 1."..1 Drydockl!l_ Morgan City. Lou1s1eJlAL - - - , - - - - - - - ----------------------~ AVEXH000091 002 1, Charles ~. ller, Leslie V. oore, Ben lI .:l:n-:-1:1, l. ~. Norment, R. L., M.D .. Ogden, B. K. atHell, L. J., M.D. Ortner, Alvin S M.D. Oswalt, G. G., X.D. Pasanini, Otto Perry, John E., K.D. Plaoe, ~dw1n H., M.D. Plonk, Z. O. Rein, W. J., W.D. Re1~t, w. R. Rob,on. - Ank Y.. , M.I). Ryan, ~obert V. Sanford, L. R. Soott, Joseph T., M.D. Sea.l, Roy t'. Shaok.lt~"d, C. W., V.D. Slappey, W. H. Smith, Earle Smith.. )(orr1l Spangler, 1U.y K. SpeAoer, L. C.,K.D. WUleu, Owel J M.D. W1111am., C. L., M.D. W~llon, Ralph. K.D. . WUIOl1, W! l~~L. Tate., K. '1'. Lt. ~omdr. -(Me) V.S.!. u. s. 'Maritime COmmillicm, New Orleans, La. U. S. Maritime COmmilllon, New Orleans~ La Houston Shipbuilding Corp, Houston, Texas Canulette Shipbuilding Co., Slidell, Louisiana Delta ShipbuildinC Co., Inc., New Opleana, La. Division of Ins., U. S. ~arit1m. Commi.a1on, Washington, n. c. Avonda.le Marine Way., Inc. Westwego, Louisiana JettersonTille Boat &Maohine Co" Jetter-onvill. Indiana Gult Shipbuilding Corporation, Mobile. AlabamA Tenl State Health Department, HoUlton, toxaa Bl"own Shlpbulld1n, Co, Houston, Texal Alabama. Stat. Health Depe.rtmant, Birmingham, Ala Liberty Mutual Inl, CD., Atlanta, Georgia n.lta Shipbuilding Co., Iuc., N~ Orle~, La. Louisiana St~te Health Depe.l'tmfll1ot, lew.Orleans, Lo~i.ian& .' Tampa Shipb~llding Company, Tampl., '1I>r1dl. Fidelity & Ca.ualty Company, New Orlealll, La. U. S. Ka.rlt1mo Comzd.llion, lin Orle&l1S. La, Delta Sblpbul1dlns Co" Ino., lew Orleans, La. Chioago Bridg_ and Iron C~ KOJ'gaA City, La. J. A. Jones CanstI'. CO'l Wainwright Yd" P.C., Florida. St. John, RiTer Shipbuilding Co., "acnonTillt, C....,.. F~OJ'1da Gulf Shipbdldtnc Co., Ch1okuaw. Alabama Zurich General Aoo Liability IllI. B,aWlOnt. 'fexaa Amer1can Kutual L=~Ina. Co,. Atlanta, 11.. Ingall. Sh1plNl1cl - - orp . Puoagoula. 141... Penal.ten Sh1p~td DBo, I . . Orl.~. La. LumbeJ'JlleD. Mutual Casualty Co" ChlcaCO, Ill. V. S. Publio Health Senioe, lew Orlean., 1.&, Ylourl Val1eyBJ'idce & Iron Co" E~.Till Iadlana. . LIN1a1aDa State Health Departme!1t, I." Orleana. Lo~1.11Df. Charlestan 1Ia."I'Y Tar4.. Charleaton, South Carolina j J ...... AVEXH000091 003 p or m PROCEEODlOS CO~l~ OF .'GULF COAS'r SHIPYARD PHYSICIANS m;.!'! OR.LEANS. LOUIS !ANA SEPT~,mER 8. 1943 The conference ~s called to order at 9.00 ft~ by Dr. Philip Drinkor, ChIcf He~lth Cons'Jlt~t, U. s. V4rIttme Co~ssion, \'tho czpla.incd tho.t the rr.eet1ng had bOim ca.llc~ by tho Mo.r1time Comniadon and lfa.7,Y in oonneatiO'C with health problems 1n tho contrMt ehipya.rds ot U'lo Gulf Coalt. Mr. L. R. S~ord, Regional D1rector ot Construotion, Gull Coast, Un~tcd St4toa MArit~ Commission woloomed thole " , presont. He ~'sculsod briofly the prooedur~ tor obtaining fundi when needed to bring Me.ritlmo Commisa1on ihipyardl up to health speoiti~&tioa. ot the "Nlntmuz R.quirement. to~ Safety md Indv~trld Health in Contrao1: Shlpyarda" and ex- presaed hi' de.ire to elP.dlt. thi. aooompl1&hment, 80 th&~ the shipyard phy.1o{anl oould tr.&t a. ma.n.y pa.t1ent. in theIr diapenrie, as pouible in order to Ian workiDc time anc! expense. --.- :Dr. L. C. Sepno.~, Medioal D1reotorf bl.p.1lt Shtpbu1l4tnc . ~--...... Corporation, Puea.&Cul..~ )(bd.utppt, dhou...4 Shipya:rd C')ntueiona." He atate4', loap and water OlHl1lilll with tlow1.nc _ter b the tOUDdatioD ot ..11 'Woua.cl tr...tment... 'on-tp ma.terial. in it? ~ wound mould be ICl"Upuloull:r e11lW:1&tect, tolltJftd by huaolta.s.. aM auturms it needed. Dry dre..tnc. 0:-, it .i;ioki=l " ot the 41"e,l.inga 11 ut1cipa.ted, U88 ot .. TOry thila. tila ot .. blan4 o1zrtmant ...... adTict. A sult011&lldde druc 1IJA1 be a.ppUed to the WGUD4 tarfao ~ prodded. luapl or eab. of powder aZ'e ..'\"Otded., "R.be.i1np betoH 1:11- expiration ot tov , AVEXH000091 004 -2- to six day. should be avoided unless definite reason, such as tnreet1on, wet or aoilod or &. loose dressing, arises. If the initial 'wound oare is properly done, infections will be rare, and unnecessary redressing' serve only to add the risk or wound eontamina.t10n." Dr. Spencer emphasized tha.t "shipyard surgeons should ooncentra.te on better oare ot minor accident" Dr. G~ A. C~ldwell, Orthopedio Surgeon, Oohsner Clinio, ~!ew Orlea.ns, Louisiana, discassed "Ambula.tory Troatment of Orthopedic PB.t1e~tl.1t He oited Sir Ro1)ert Jane,- prinoiples for the care &ad tree.t1'll8n+ of stra.1n1l and sprains. A sprain was defined as the rupture, or partial separation from ita bony attaahmanta, of inelastio and unyielding l1gaments upon applioation ot foroe. The severity depends upon th~ extent ot the rupture or sepe.ra.tiol'U The stages ot treatment ot apralnJ of wle, leBee or baok were lilted a.sa 1. Rela.xa.tion ot '~he tom :ligament. --- "'.... 2. Obltruct1on ot et'tudOll by prellUH, (.trapping) t st'b and elnation. '.. ;,.. Delay manipulo.tion tor a t.." "78. ,. ~oot tom ....t"Ucture trOll strain of body weight to permit healtDg. 5. Encourase early tun,*ion lfith the Ilbove reaer'fttions .. Dr. R. L. Norment, Ophthalmololiilt. Delta. Shlpbulld1nC Company, Ino., New Crl.ana, LauidaDa. dllculle4 1IEye tnjt\:o1e. -- . "///J . , AVEXH000091 005 , . .' and Eye Int"ections Among Shlpy::\Z"d '.7orker,$." A oor.tplete copy 1. attnehed. (Appendi~ I) Dr. Drinker led ,the discussion ~ich followed by remarking thnt eye "flash" should be elL~nated. He described experimenh done at the Howe La.boratory ot Ophthalmology of the Massachu$ett. Ey~ and Ear Infirmary to determine threshold tfme and distanoe in the oauaation of "eye flash". It has bean know sinee 1915 that effects of flash ~ried direotly with time !lnd inversely 'lrith the distanoe. That is, an exp05ure of 4 minutel 1. twioe as bad as one ot 2 minutes. but an expo~ure at a dista~oe ot 2 teet ; tour times as bad al one !1.t 4 teet. Using a shipyatd welding set and pl"llctleal curreilt densities and voltages it was round ~;\o.t dosage oould 'be mea- sured by mean. ot a simple light meter and a.n ordinary watch. A table was gi-ren. showing late expo.~es. 'iu1d the result. --"" trandated into terms ot ute c:l1att,'Iloes o.nd sate times. Ord1- nary olear glass will give ~ple proteet1on aga1n.t ultr&Tiolet light trom the aro.. Thul the etandard satety goggles. 5}lirp;' with dde erda. oould well be 8uh.tltut*d tor the pre.ent oolore4 -tlash goeg18'-. The re.ult. ot thil ~ will be published 1n the near f'uture. The qU...t10D or epidemic ker&to-conjunQt1vitil ..... I} brouglit up. It wal believed that tho disease b diaappearing and probably will Dot gift UI ~ 1'...1 trouble in the tuture. Dr. Drinker pointed out that it ..... unfortunate ,that thoi. eond.lttOD 'ftl label.cr-...... ".h1P1ard eye" f ILl the rondltloll I ' .l/I I',.. " AVEXH000091 006 is not peoull&r to ~he shipbuilding i~du't~. Dr. Connelly re.ported results of study with Infra..red light in treatment of rl~lhes. Patients were relieved ot severe pain and photo?hob1a reaulting from ~ct1nl0 ray tl fla.shee" in about 5 minutes. Five to 10 percent of the patients treated with holoeatne and adrenal in ointment re- t~ed for addItional dbpenaary trea.tment.. Arter :Ln1'ra- red treatment. the men returned to work without additional therapy. On exper1m~nt&l wo~k Dr. Drinker stated that they had been unable to deQOttstrate any therapeutio value of intra- red treatment. The new 8ound-strip film "Iyea.ror VlctoryM, on shIpyard eye hazards, ftl shown. Thil tum ftl producecl by the National Safety Ccnmoil with the cooperation of the Jlarh- ~me ComlId.don and Na1'Y. It may: be obtainod. rom the Hatlona.l Safety Counoil, 20 North Waoker Drive, Chicago, Illinois, for $5.00, or borrowed from the ReSioual Safety COMultant, Gult 00&110 Re,ion. U, S. ~ ').... lla.rlt1me Camm1U101l, New OrlelJll. Louil1a.na. -=!In.film 11 & valUAble adjunot to a tr&1n1n& prop-m. Meel10&1 Direotor C. L. lflLs'ama. loa.reotor t1. S. Publio *", 1~1111i lornoe J)tatrtot lew Orleana, LCNlsi~ disouuecl , "Publio Health ill ltela.ticm to Shipyard. Me.Ueal ~rob18lU." Dr. Williams dllouecl the Induatrial health relatloaahlpa ot the shipyard and their employeea. He eJllPha.~zecl that the environ- mental aa.nlt&tlO1l ~c1 pu.bUo health pJ'&catlae8 or the worke2:'a were ot utmo.t importanoe in hla work1nc ettlo1enoy. aDel, u i/.. I , AVEXH000091 007 aent. The servioes of existing public health facilities were offored for ule wherever necessary. Mr. B. K. Ogden, Dire~tor Division ot Insur~nce, U. S. i~aritime Comnission, Wa.shi~gton, D. C. and loir. Lester F. Beak, Director Di?ision of In.utanee, U. S. K&V1, Wa.htngton, D. C., discussed "Medical De?&rtment - Compensation Carrier Relation- ships." These pro~. are or paramount'tmportanco in all shipyard mediad progroma. A. tho "'Jar Project IJlInzrance Rat11l1 pl9.ns of the Navy and of the Maritime Commission are almost identioal, only one talk 1s attaChed herewith. (Appendix II) Lt. Commander Thoma. P. Connelly (MO) ~.S.X., Phils l _phia Navy Yard, Philadelphia, PennaylvaDia, discussed "Pulmonary Effect, ofWeld1D& Fume" go showed tilma ot welders' ~host. taken in a photof1uorographio X-ray surTey of shipyard wo'~ers. A few of these filma showed 'Qme X-ray eTidenoe gf fibro.1., but he was not prepe:red \0 Itate that this wal true fibrosis resulting trem weld1nc tume.. Filma wel"e shown 'to dell1Ou~\J"t.te ..... the dela.yed X.ray evidence ot tlbros1a 111 dUOo."1s. S1m1lazo fibrotic ohanges have not 'been c1emcutn:ted by X-ray or au\0pl1 to OCCNI' ill welders expend '\0 troD odele fumee, b.t \he po8111bil1ty o ,uGh ,late c:lam&Ce .... be borae .ill 111M.. Dr. Dr1nkest shand eOTeN al1de. ot welder" ohest' , .14 oommented 011 .. ouo _lab ~h~1i roentgenographlo nideaoe ot fibrosie, but wniCh upon a.utopr,y hletapatholollaal study reveal., no ,t'lbr'oail, howewp, depodtl ot .il"OIl oxiele were t0UD4. Ho ie soribed la-called "weldel',1 bI'OZlohltb" ...bout Which we are 11OW' -- a.. hearing coulcterable,41eO'll.don. ne,e. O&UlS I.pprehentioa azaong men e.DCl their tamtU,o. he..p'tJela 18 otten prete"_ X-ray. , /f I //~' , AVEXH000091 008 e.re asser.Udly Eu" ..tiTe and there is "1U&lly no feTer, but cough is often b<?thersome a.t night. Complete CUre OOOUr, a.!'ter re%ll.nl trom eJP Olure to hea"'1' tume It is urged that .. ea.retul fIlxa.m1na.t101l be made .t the no h these cues ot hemoptyl1. I.e sometimes a Ilna11 bleeding point will be found on the aeptum and that luch bleeding would aocount tor the welders e ..ppuent hemoptydl. The prevention ot ""elde1't b1"Olleh1tb" 1. adequate TeutllatloD. There 11 no evidence to indi.c.ate that "eldert ha.n a hicher hequenoy o~ pneumonia or:other ~ellPiratory tnteotlen. than do ~ other oraft. in ahipyarda. In & ,ener~l di.cuioA ot metal fume t8Te~ r ulttnc tr~ bzoet?thlne &1210 oxide 1"0211 "eldb1& galTUllled l!"Otl, it ft. bl'oupt out that the fwdlio.r chilli and reTer OOCNl' within a few hourI ..tttr fIE... pOlure, and recoTery is "aually oomplete within 24 bowl. ImmecU.~tely toliowing, the NQ.~-1fadt1_ IOlmd...trtp tna "".lden-- To your Hee.ltb&". was pre.ented. The tUm depicte the health hao.rd. _el. ot weld.inS ~d. proper ooDtrol method. a.Dd. prao~1o!.'. 'the tll1l ft. : ~~ oon and. prdd t~zt by the GoTeramel%b, .lU1d 11 an.11able without to all 1farltlme a.uc:l fa".. aontract yard. that are coutruottns ...e1<1,4 mip. azul han a. tra1Dhic prop-ut. It _1' b. obtained by writinc to the Boalth Oonaul'banta" Gult 001..1; Re&1cmal Conetrv.oti= Ottloe, tJ. S. lIa.I'its.m. Commillio#, S" !al'~. St"et. HeW' O1'lee.na 12, LGui.!am'. :. Lt. COIIIUJlder K. :!. Ya.tea,. (~) tJ.S.~ Chu1eno!l Ia-.y YaNi . JJ ;Chnrleatcm.. South Carol1M.. ctt'0'WI4 "ConltruotlO1l Ventl.1atioIL o~ SMp. ,- !he _jor TentilatlO1l p~'bleu 01' this ya.rd u m the ath~ twae.. ynrda ot the Gult .Area" o.r. axc...iTa hoall a;a4 ...141115 !ho. ,,I ~ntt.latlol1 Pl"Oez'Ul1..- l"'8lUlt at .. ",omt etton by the Satet1 atnc.r, , ~/: .. ' J ~ I .~ AVEXH000091 009 -'1- Industrial Ued10al Ofticer, nnd the QU4rtO~ Shoot Kotal Workc~ who 11 in charco ot tha vent!lI1tion deputment of 88 men. To illustrate their sucoess over tho control ot excossive hoat one ElXIllUpl0 W'Il.CI .given in which the tcmpornture in OM cODlpo.rtra.ont wa. dearo~sed on Q. July day trom 1350, to 90' in tour hou~ o.tter tho insta.lla.tion ot "'13ntl1a1:i= equipmellt. In the control ot weldine fume. the yard has alao b&d specsta. aular suoce.,. A ver,y 1arlo pero~ta,e ot the weld~n, 1s on ~l vanbed. iron. In tho 9 month period Aucust, 1942 .. April, 194~, : thero wu a tota.l ot t1ve easel ot motal ~ fever. Thh artiole" was dlltributad to tho Gulf Coa.t Shipyards aboub .. month &SO, eel will be publ1ahed 1n a. tuture isBUe ot the Ie.-.y lIedloa.l Bw.let1D.. ; (Siped) OhArlel)l. KoGUl SurcooD, t1. S. P. H. 8. Alld.t. Chiet Health OouultlUlt A'Pl'O'fttia Philip DriDkeP Chief KoeJ.th CouultaAil ----~ : 1) -- ~ - -. ' - - ' I '. -'iI~'' - , '. -..... - .-~.. " AVEXH000091 01 0