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Rob er t A. Keh oe, M. D ., D ir e c t o r K it t e r in g Laboratory o f Applied P h ysiology U n iversity of Cin cin n ati C in c in n a t i, Ohio - ",'y d e ar Bob: Some t i me ago I ask e d ou r Balt im o r e Yard to r e f e r t o you th e c a se of , from a l l r e p o r t s, h as a duodenal u lce r . 'N ossin ger of Roanoke, V a., claim s was due to an exposu re o f le ad , . - I am w r it in g you to t e l l you t h a t i f t h e r e a r e an y fu r t h e r f a c t s on t h i s c a se v/hic-h h ave n ot been giv e n you , I would lik e to know an d se e th at they are su p p lied . ' I h ave a lso r e ad Dr. N o ssin g e r 's comments on you r l e t t e r t o th e Com m issio n and I c a n 't fo r t h e l i f e o f me se e how an -'in a c t iv e d u od en al u l c e r " cou ld be a ffe c t e d b y so sh o r t an e x p o su r e , i f a t a l l , by le a d , z in c , o r an y t h in g e l s e , u n le ss t h e man h ad some o t h e r cau se a s a f a c t o r , I do not, t h in k t h a t Dr. Nos sin g e r can fin d in a l l th e l i t e r a t u r e where le ad fum es cou ld cau se an a c t i v a t i o n o f an u lc e r an d, fr a n k ly , I do n ot b e lie v e t h a t th e man su ffe r e d from an y le a d p o iso n in g in so sh o r t a tim e as h is exposu re on t h is p a r t ic u la r job and a lso in view o f th e f a c t t h a t he wore an approved r e sp i r a t o r w h ile on t h i s jo b . As I sa id , I r eview ed y ou r r e p o r t and I do n o t se e how Dr. Nos sin ge r can draw th e co n clu sio n s which he does a ft e r he r ead your l e t t e r . I h ave t r i e d t o keep ou t o f t h i s a s much a s I cou ld b e cau se we w an ted t o be 100?2 f a i r w ith t h e man. On t h e o t h e r h an d, we do n ot w an t an y t h in g l i k e t h i s t o go on r e co r d when I c o n sc ie n t io u sly b e lie v e t h a t t h e r e i s a b so lu t e ly no co n n e ct in g lin k betw een th e man' s a lle g e d ex posu re and h is co n d it io n . I w ish you would keep t h i s l e t t e r c o n fi d e n t i a l , Bob, and I c e r t a i n l y w all ap p r e ciat e i t . Hoping to see you in R och est er , beg t o rem ain Sin cerely you rs,, la s/ e g Ch ief of Yed ical Service. F .3 . I sh ou ld a l so l ik e to know from Dr. N o ssin ger h is a u t h o r it y fo r th e h' e 0016752 wr y 3 . (Con t in u ed ) -2- - ay 7, 1?43 statem en t in .vhich ne claim s "ld gravate . " P =, las/eg Kfc 0016753