Document QMXOE4nKo2N03q3XgwX2RYrq6

Liver Angiosarcoma Cases Circulation U) 0 dfjUVvcA Dr K S Williamson Dr G Paddle Dr D P Duffield Dr W G F Adams - (5 copies - ICIA, AECI, Duperial) Mr John York, Everberg Mr J G Davies, Everberg Dr D W Plester Mr H R Jervis, Mlllbank Mr Brian Haaler, Vlnatex f^CEfVE-n Mr Peter Heron, BP Mr R H Hards, B1P Vinyls JAW 2 7 1332 Dr J T Carter, BP Mr L Phillips, BP Dr Lewis, CIA MTDSCAI DEP/'Jm-ILMr Dr P Tasslgnon, Solvay Mr Jauvert, Chloe Chimle, Paris Dr Renzo Mattlussl, Montedison Mr P Lechaude, Solvay Dr B List, Lonza Mr P G Claus, APME Dr J G Kammuller, Shell Mr S Wejdling, Kemanord Dr David Byren, Kemanord Mr P Rangnes, Norsk Hydro Dr B Terwiesch, CWH Mr H Emmlnger, VKE Dr E Lloyd-Jones, BP Mr Owen Jones, Hlllhouse Dr Brian Bennett, Hlllhouse Dr Peter Wright, P & P Wilton Dr F W Best, Everberg Mr C Celia, Montepollmerl Mr G Dupont, APME Dr C Bishop, EMAS Mr B Werner, EMAS Dr R Spirtas - NC1/NIH BETHESDA Dr E W Dacey - NIOSH, Cinclnattl Dr R Owen -- TUC Dr J Stafford (8) owsnan U' -U A( Dr T R TorkelBon, Dow Mr J Lawrence, SPI Mr J T Seawell, CMA Washington Mr R N Wheeler, UCC Dr A Ross Adams, Air Products Dr Mayo Smith, Air Products Dr John Barr, Air Products Dr Walter D Harris, Uni royal Inc Dr Robert K Hinderer, BF Goodrich (Cleveland)'} ^ Dr R A Krueger, BF Goodrich ) Dr M N Johnson, BF Goodrich Dr J Possberg, Wacker Dr J Rety, Chloe Chimle, St Fons Dr J C Aubrun, PCUK Dr H P Friedel, Berufsgenossenschaft der chemlschen Industrie, Heidelberg Dr E Ernst, Berufsgenossenschaft der chemlschen Industrie, Nurnberg Prof Dr Thiess, BASF Dr D M Ferguson, ICI Americas Mr A G Mash, 1C1 Americas Dr Gary Ter Haar, Ethyl Corporation Prof. C Maltoni, Bologna Dr J William Lloyd, Osha Dr David Bryson, AG Division Mr S Nakamura, Japanese PVC Association Dr Peter Baxter, CDC Atlanta Dr A Munn, Monsanto, Brussels Dr R E Gosztonyj Jr, Tenneco Chemicals, Saddle Brook (NJ) Dr Donald W Hillman, Diamond Shamrock Dr C Kent Hatfield, Diamond Shamrock Dr Pierre Bertazzi, Milan University l)r Hans Popper, Mount Sinai Medical Centre Sir Richard Doll, Warden, Green College, Oxford Dr J Keir Howard, CIA Dr Henry Falk, CDC Atlanta Mr J R Wallace, Esso Chemical, Sarnia, Canada Dr F I Lee, Victoria Hospital, Blackpool Dr D M J Williams, BP, Barry JS/MM/DSO-16 20 January 1982 PJXS79170920/WPX Wide 11 PREFACE ACKNOWLEDGEMENTS, SIGNIFICANT CHANGES AND COMMENTS 1 During a visit on 14 September 1981, Dr Fukawa and Mr Taklne of the Japanese PVC Association gave me information which has resulted in the deletion of the 3 unconfirmed cases alleged In the Japan Times of 27 October 1975. Of the three cases, Mr Sato and Mr Ono were confirmed as not being ASL cases though Mr Sato had portal hypertension attributable to VCM exposure. In the case of Mr Tanaka, it has proved impossible to confirm whether or not he had ASL - Mr Tanaka died in 1969. I am grateful to the Japanese PVC Association for investigating these 3 cases. 2 I am grateful to Dr M N Johnson of B F Goodrich for his letter of 16 September 1981 in which he confirmed that US Case 22 is a B F Goodrich man and that the case was described in the Dannaher, Tamburro and Yam paper in AMJ 70 1981 pp279~287. Dr Johnson makes the interesting observation that there are no known US ASL cases in plants South of the 36th parallel* This raises again the conjectures about climate, open/closed plants, time employees spend in open as opposed to inside covered plants as a factor in the incidence of ASL cases. 3 Ms Rose Kaminski has moved from NIOSH to CDC and responsibility for the NIOSH ASL register has been taken over by Edward W Dacey to whom 1 am indebted for his letter of 16 October 1981. This letter gave information about US 31 at UCC. The information was augmented in the letter of 9 November 1981 from Mr R N Wheeler Jr of UCC to whom I am grateful for much important detail. 4 In his letter of 2 November 1981, Dr David Byren of Keroa Nord was kind enough to give me details of a fifth Swedish case. This has occurred at the Sundsvall plant and though the man died in 1980, his diagnosis was not confirmed until one year later. 5 In their letters of 9 and 22 December 1981, Dr J Rety of Chloe Chimie (formerly Rhone Poulenc) and Dr J C Aubrun of PCUK gave me full details of French Case 14. I am further Indebted to Dr Rety for sending me a copy of two papers written by himself and his colleagues describing in detail French Cases 9 and 10. (Archives de Maladies Professlonnelles Vol 40 No 6 of 1979 pages 741 to 7441. 6 I am indebted to Mr H P Friedel of BG Chemie, Heidelberg for his letter of 21 December 1981 giving details of 3 interesting new German cases, two confirmed and one as yet unconfirmed. The two confirmed cases died in 1980; quite clearly histological confirmation can take a long time and one must therefore be very careful about drawing conclusions about annual rates of ASL cases. I have asked several times whether the annual incidence was decreasing and I am now satisfied that it is not decreasing. The 3 new cases reported by Mr Friedel are also fascinating because they were all first diagnosed many years ago. They are all at Dynamit Nobel who now have a cluster of 10 cases. Of the 98 cases reported here, 40 are in 4 factories viz BFG Louisville (11), BFG Shawlnlgan (10), Dynamit Nobel (10) and UCC S Charleston (9). vwsv-wn 7 Dr D M J Williams of BP has provided detailed information on UK 8 which will no doubt be submitted to the UK ASL Panel for confirmation. 8 At the suggestion of Sir Richard Doll, Table 4B has been Included to show some detail of distribution of latency periods. ThlB has coincided with the reporting by BG Cheraie of the three Interesting cases G 20, 21 and 22 which were diagnosed in 1974, 1974 and 1972 respectively but died in 1980, 1980 and 1981. Just as in the case of US 17 (Mr Peerenboom) who was diagnosed as ASL in 1974 and died in 1980, I have treated the latency period as the date from first exposure to first diagnosis of ASL (or death if sooner). Normally the Interval between diagnosis and death Is a few months though there are a few cases of 1-2 years. These cases of 6-9 years survival after first diagnosis are exceptional. John Stafford Division Manager Health and Environment Protection ICI Petrochemicals and Plastics Division Bessemer Road Welwyn Garden City England JS/MM/20 January 1982 IMPERIAL CHEMICAL INDUSTRIES PLC PETROCHEMICALS AND PLASTICS DIVISION LIVER ANGIOSARCOMA CASES (REVIEW DATA - 17 AUGUST 1981) Table Sequence Belgian Canada Czechoslovakia 1 2-3 4 ASL Case Numbers by year of Death (Table 6) ASL Case Numbers by year of first exposure (Table 7) France Germany Italy 5-7 8-12 13 Western Europe PVC Producers -- Start--up Dates vs ASL Cases (Table 8) USA PVC Producers - Start-up Dates vs ASL Cases (Table 9) Ja pan Norway Sweden 14 Canadian PVC Producers - Start-up Dates vs ASL Cases (Table 10) 15 East European PVC Producers - Start-up Dates vs ASL Cases 16 (Table 11) UK USA Yugoslavia 17-18 19-23 24 Japanese PVC Producers - Start-up Dates vs ASL Cases (Table 12) South 6 Central American PVC Producers - Start-Up Dates (Table 13) Incidence of Cases pa (Table 1) 25 Distribution of Cases by Country (Table 2) 26 Pattern of Cases by Factory (Table 3) 27 Latency Periods (Table 4A) 26 Distribution of Latency Periods (Table 4B) Annual Geographical Incidence (Table 5) 29 30 ewsnan 31 32 33 34 35 36 37 38 IMPERIAL CHEMICAL INDUSTRIES FLO PETROCHEMICALS AND PLASTICS DIVISION LIVER Angiosarcoma Cases - (Review Date; 20 January 1982) Pag* 1 11 1 12 1i 1 31 4 | 11 11 |COUNTRY AND 1 NAHE OR | DATE OF | | REFERENCE INITIALS | BIRTH | | NO 11 COMPANY 1 BELGIUM t 1. 11 11 1\ 1 5| 4 i I |1 1 11 1 1 1 FIRST VC | DATE OF 1 FACTORY | EXPOSURB | DIACN0S1S 11 1 11 1 11 1 11 8 ACE AT IIIACNOSIS 1 01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 |12*01*13 | Solvay i1 i1 i1 i( i1 i1 ii i1 i1 i1 i1 t1 i1 i1 i1 i1 i1 i1 i1 i1 >1 i1 i1 i1 i1 i1 i1 i1 i1 i1 i1 >1 i1 iI i1 i1 i i1 1 Jeeeppe | 00.07.58 | 00.05.76 1i 1 1i 1i 1 1 fi J 1i 1 1i 1 1i 1 1i 1 1i 1 (i 1 1i 1i 1 1 1i 1 1i 1 1i 1 1 1 1i 1 1i 1 1i 1 t1 1i 1 i1 1i 1 i1 i1 ii 1i 1 i1 i1 i1 i1 i1 iI i1 ji i1 i1 i1 63 9 YEARS OP EXPOSURE TO DIAGNOSIS 18 1 10 ( 'I 1 1 YEARS OF | DATE OF EXPOSUBE | DEATH 1 1 1 1 17 129.06.76 1 1 1 J 1 1 1 1 | 1 1 1 1 1 1 1 1 l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i ( l l 12 HISTOLOGICAL CONFIRMATION 1 13 | 14 1 11 1 ESTIMATED | 1 ( EXPOSURE | OCCUPATION | LEVEL | 1 1J 11 11 15 OTHER CAREER HIGHLIGHTS 1 I 1 1 | | 1 1 1 16 OTHER COMMENTS 1 | 1 1 | | 1 J1 t 1 Yaa Nigh |Autocleaner (Driller In |H*p*cic emu | 114 yre (foundry (in Oct 1974 | 1958-1966 ( 1(2 yrs) (were normal. | exposed to(Polyworker (Farmer (Retired | 200 pjm |3 yrs 1(15 yra) |Feb 1975 | for 8 hra 1 |Uork In glaas (Hospitalised | per day 1 (ind. 6 cheat- 1 May 1976 | end | |cal Industry 1 1 certainly 1 under | 1 1 (Complete 1 |Clinical and | 500 ppa | in.6 to | 9.3 | eutoclavesl 1968-1972 1 1 1 1 1 1 (career detallel |are given in a| (paper by | (Hublet at el | |in Arch. Belg.l exposed to| 50-200 ppa| 8 bra per | 1 1 1 (Med. Soc.. (Hyg. Had. |Trav. Med. | | | day In 25a3 | | autoclaveal 1 1 1 1 Leg* (1977 pagea 1601-622 1 | 1 1972-1974 | 1 1 1 exposed to| 1 1 1 50-200 ppa| 1 1 1 In ^uto-- | 1 i 1 clave rooal 1 1 1 1974-100 | 1 1 1 Pf , I 1 t 1 1975- 50 | 1 1 1 PP 1 1 1 1 1 RETIRED | 1 1 1 1 Feb I975| 1 1 1 11 1 1 11 1 i 11 1 1 11 11 1 I I1 1 1 11 1 1 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH CANADA 15.12.13 02 06.03.14 03 26.08.19 COMPANY FACTORY SHAWINICAN IMPERIAL CHUM CAL INDUSTRIES Pl.C PETROCHEMICALS AND PLASTICS 01VISION LIVER Angloearcoaa Cases - Review Date! 20 January 1982) * All date* ute UK eyatea Canada DAY - MONTH - YEAR Sheet ** Date published In Journal of Occ Had 1978 pagee 338-340 Many of date# altered to fit N10SH 31/3/77 llet FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE AT DIACNOSIS YEARS OF EXPOSURE TO DIACNOSIS 10 YEARS OP EXPOSURE DATE OP DBAHI 12 HISTOLOGICAL CONFIRMATION I 13 14 X I ESTIMATED | EXPOSURE | OCCUPATION LEVEL 1 __________ J___________ I 15 OTHER CAREER HIGHLIGHTS Page 2 16 OTHER CCMHENTS 1944 1943 1955 1957 41 43 14 02.09.5S 21.12.57 Yaa Yea 1941 1962 42 21 20 23.03.62 Yaa |Reactor |cleaner X I I Maintenance, (Millwright, Iplpefltter J___________ I (Operator, |foreaan Operator Saoker polyMerleetlon Operator Worked overtJae Saoker Worked overtime Non-aaoker 04 05.06.19 1945 1967 48 22 22 21.01.68 Yea |Reactor jcleauer Operator, foreean, water cooling unit Worked overtlae Saoker 05 07.05.11 06 15.12.19 0? 09.ii . i9 1944 1968 1947 1971 1946 1972 57 51 53 24 05 05.07.68 Yea 24 23 10.04.71 Yea 26 25 24.12.72 Yea |Reactor (cleaner I J________ I (Reactor (cleaner I I |Reactor (cleaner Hater cooling Worked unit overtlae Saoker Maintenance, Millwright Worked overtlae Saoker Machine shop operator and poly unit Worked overtlae Saoker 08 13.05.20 09 19.07.21 1961 1946 1973 1974 53 12 (15 12.06.73 53 | 28 | 26 swsnan ______ i____ 04.09.74 Yaa Yes (Reactor (cleaner J_______ I (Furnace op. (pipefitter (Maintenance J___________ Maintenance Machine shop * Paper by l)r F DELORME In Annales d'Anatoale pathologlqne Parle, 1978 Vol 23 No 2 pplOS-114 cluing thla caec had both a hepatone and ASL alaultaneoualy In plant 25 yral Saoker Worked overtlae Saoker IMPERIAL CHEMICAL INDUSTRIES Pl.C PETROCHEMICALS AND PLASTICS DIVISION LIVER Angloaarcuaa Caaea - (Review Date: 20 January 1982) DAT - MONTH - TEAR * All dates use UK eyetea Canadi ** Data publiahad In Journal of Occ Med 1978 page* 316-140 *** Many of datea altered Co fit NI08H 11/3/77 list Page 3 10 12 13 14 15 16 COUNTRY AND REFERENCE NO NAME OR DATE OP INITIALS BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HtCHLIGHTS OTHER COMMENTS CANADA 10 16.03.15 1951 1976 61 2) 14 00.04.77 Yea Reactor cleaner Furnace op. aalntenance, packaging Ex-aaoker 9frssnun IMPERIAL CHEMICAL INDUSTRIES PLC PETROCHEMICALS AND PLASTICS DIVISION LIVEK AngloearcOM Ceuea - (Review Dates 20 January 1982) Page A 10 11 12 13 14 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS CZECHOSLO VAKIA 01 00.00.28 State Co Novaky 00.00.S7 00.00.73 46 16 16 00.00.74 Yea 02 00.00.26 Novaky 00.00.31 00.00.66 40 IS 00.00.66 Yea 16 OTHER COfMBNTS IMPERIAL CHEMICAL INDUSTRIES PLC PETROCHEMICALS AMO PLASTICS DIVISION LIVER Angiosarcoma Cease - (Review Date* 20 January 1982) France Sheet I Page 5 I 10 11 12 13 IA 15 16 COUNTRY AND REFERENCE NO NAME OS INITIALS DATE OP BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT D1ACNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OP DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COttfENTS FRANCE 01 15.04.24 RP Rouealllon 00.01.46 10.02.67 43 21 19 19.02.67 Yea High Autoclave worker and cleaner 19 yra Ref. Ravler et el Arch. Mel. Prof. I 30 n* 3 Nov 75 P 171-177 02 SIM 0J.06.lt FCUK Brlgnoud 06.07.59 15.01.75 63 16 12 74.01.75 Yea Nigh 2 jrre on Italian Ref. (NIOSH no monomer origin G Bonneton et comment) 10 yre on al "Nouvelle polymer- preaae laatlon medicals" 5 Nov 1977 p 735 03 NAV 06.01.20 RP St Fons 00.00.46 15.01.75 55 29 29 29.06.75 Yea 04 HOR 27.01.27 PCUK Brlgnoud 19.10.49 16.01.76 49 26 26 04.01.76 Yea 05 29.01.30 PCUK Brlgnoud 18.01.65 13.05.76 38 11 13.05.76 swsnan AL__ High Polymarker 10 yre as autoclave cleaner Compounding 3 yre VCM production Ref. Rety et 16 yra al Arch. Mai. Italian POH Prof. 1 37 n* Shepherd, 6 June 7T Sawyer, Mason p 551-555 High Monoaer production worker 6 yra_______ PVC filtration IS yra High Polyworker 11 yra 1)Thoracotomy Ref. P Coudere 9th Feb 1976 at al "8emalne coatal dea hoepltau* angiosarcoma 10 Saptembre 2)Sclntlgraphy 1976 found ASL Previously had 3>Haemorrhage bona from ASL angiosarcoma" 4)Right Al ao Hepstectomy PtllcHowakl at al "La Kouvella Preaae Medicals, 7th July 1979 Page 2485 IHHKHIAL CHEMICAL INDUSTRIES Pl.C PETROCHEMICALS AND (MASTICS DIVISION LIVER Angiosarcoma Caves - (Review Patel 20 January 1982) Prance Sheet 2 Page 6 1 '| J 1 |COUNTRY AND | REFERENCE | HO I 1 1 FRANCE 1 1 2( NAME OR ) INITIALS | 3 DATE OP BIRTH 06 IPs (14.06.36 1 1 i I i i i I I J I 07 ICIR 126.04.27 I 1 1 1 J______ 1 08 (01.04.14 1 ) 1 1 1 J______ t 09 (RFX (08.10.14 1 1 1 ( 1 1 J 1 1 i 1 1 1 ) 1 1 1 1 1 1i 4 |5 i6 1 _J J. | 1i 1 i FIRST VC DATE Of COMPANY | FACTORY i EXPOSURE 1 DIAGNOSIS 1i 1 Il Ji 1i PC HR KP Solvay RP \ Bcignoud (01.03.58 1 12.08.76 iJ i i1 i1 i 1 i i i i |Sc Auban 01.07.50 After 1 death 1 NIOSH 1 gays i 00.07.76 _J ( (Tavanx 23.05.57 03.12.73 1 1 1 1 1 J l | St Pone 10.01.48 26.04.76 1 1 J i i i i i il i i1 i1 i1 i1 i1 i i1 i1 i| 1 { 1 1 { \ 1 L 1 1 1 1 1 1 ( 1 1 1 1 l1 11 1 8 9 i 10 1 II 12 13 ( 14 1 13 1 16 1i 11 J AGE AT DIAGNOSIS 11 YEARS OF | YEARS OF | DATE OF EXPOSURE TO 1 EXPOSURE 1 DEATH HISTOLOGICAL CONFIRMATION 11 ESTIMATED 1 | EXPOSURE ( OCCUPATION ( OTHEE CAREER 1 | OTHER ( C0MMENT8 DIAGNOSIS | 1 1 1 LEVEL 1 1 | HIGHLIGHTS 1 11 11 11 11 11 1 11 42 18 } 13 111.09.76 Yes Moderate ((1958-1960) 1 1 |(NIOSH | (ye 1 (12.09.76)1 11 1J 11 12 yra (filtration (10-11 yra Ipolywrker {and works llabt 1 i 1 1 1 11 t1 (1 11 1 11 11 1 I This nan had (AOL prior to (AS. Ann. da (Hal. Prof. (July '77 |p 64S A 6. (AOL was found | in 1971 five lyre before | ASL I1 11 1 49 26 | 22 102.07.76 Yea High (Plant fore- (1972-6 adaln (Died of |1 11 i1 11 (NIOSH no CCHMt) (an In (polymer(laatton 1 (action In |St Auban 1 1 |aapticaenia |Small liver (lealoA found (after autopay 11 1I J 11 1 42 19 | 19 (30.01.77 Yea Moderate (6 yra packer! 1 |Had been 11 11 11 11 11 (6 autoclave l Iclnr 1 |14 yra 1 (autoclave 1 1 worker 1 (tunnel worker (previously 1 i 1 11 11 1 11 11 1 63 28 | 28 {25.12.77 Yea Vary High (Polymer- |10 yra In (Operated 4.76 11 11 i1 11 11 11 11 1948-1966 Leaaer Exposure 1966-1976 (laation (operator. (autocleaner lautoclave (maintenance 1 1 (aulphurlc (acid factory. (storekeeper 6 (general (services 1 1 (for removal of |tumour from (liver and (died after |second (surgical (operation for || 11 (blllo 1I 11 l( 11 (bronchial Iflstula 11 11 | I1 11 {1 (Paper by |Dr Raty at al (In Archive# da Bfrssntm i ii ( 1 ( 1 1 |( 11 11 11 11 IMaladaa (Professionals IVol 40 No 6 11979 pages (741-3. _L i J _L J J J IMPERIAL CHEHICAL INDUSTRIES Pl.t: PETROCHEMICALS ANI> PLASTICS DIVISION LIVER Angtoearcuaa Caeca - (Review Dates 20 January 1982) Prance Sheet 3 Page 7 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OP BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS Prance 10 VP 24.05.19 RP St Fone 00.12.56 10.01.78 15.02.12 RP St Fone 00.01.41 12.08.78 12 16.08.14 PCUK Brlgnoud 09.02.49 00.05.79 11 9.01.31 Solvay Tavaux 23.09.63 26.06.79 KJ 05-04-24 Chloe St Fona 1943 00.07.81 Oilele (Formerly RP) ACE AT DIAGNOSIS se 66 65 40 57 11 10 1 11 12 13 1 14 1 15 1 16 11 1 YEARS OF EXPOSURE TO YEARS OF | DATE OF EXPOSURE | DEATH HISTOLOGICAL CONFIRMATION 11 ESTIMATED 1 | EXPOSURE | OCCUPATION | OTHER CAREER 1 | OTHER | COMMENTS DIAGNOSIS LEVEL 1 | HIGHLIGHTS ( 11 1 11 1 Il 1 21 110.01.78 Yea High 1 {Autoclave 1 (10 yra in 1 |Died of Icleaner |mechanical (pulmonary t lenalneerlna (embolian 5 1 linduetry (daya aftar 1 (1946-1956 |turgtry 11 37 31 (13.11.78 Yea High 11941-1946 1 |polymer- 1 i i i lleatlon 1 i Iganeral 1 i Ipurpoae l i 1worker 1 i 11946-1972 1 i iVCM 1 layntheale 1 i | (KC1 6 1 i (Acetylene) 1 i |Fo reman 1 i ((agent 1 i Ida altrlee)! i 11972 1 i Iratlred 1 { 11 i 11 30 27 123.06.79 Tee High (Monomar 1 j i (production 1 land polymer ( i 16 13 122.08.79 1 llaatlon looerator 1 1 i i (Autocleaner |2 yra ae cycle(Clgaretta U yre, ' |Auto- 1mechanic. (10 yra aa (maoker until (1974. Ill all (operator (enaaeller In (of 1977 due to |9 yra. (aaaltary ware (Oeeophegal (Copolymers (aanufacture |varlcea. 1* yra 1 l 1 1 i (Surgical | lntarventIon (25.05.79 11 ((right 1l Ihepatectomv) 38 36 129.07.81 Yea Very High (1943-1975 (1975-1979 i 1943-19)5 (All typea of (maintenance i osssnan and |Joba on (work 1 lutereltt-(manufacture 1 ( eotly (6 aaintenence 1 1975-1979 (In VCM Poly 1 1 IProceaa J J IMPERIAL CHEMICAL INDUSTRIES PLC PETROCHEMICALS AND PLASTICS DIVISION LIVER Augloaurcoaia Casas - (Review Date: 2(1 January 1982) Gereany Sheet 1 Page 8 2 JL ( (COUNTRY AND NAME OR REFERENCE INITIALS NO 3 DATE OF BIRTH 1 1 GF.RKANY 1 A |5 1 6 COMPANY 1 1 | FACTORY FIRST VC EXPOSURE 1 Jl 1 1 01 02 03 1 1 1 _L 1 06 1 1 1 1 1 41 1 1 1 1 1 1 1 1 1 L 00.00.30 Oynaalt 00.00.31 Dynaalt 00.00.30 Dynaalt 00.00.30 Hacker - .1 JTrolidorf 01.10.36 Jl L ITroiedorf 14.10.37 JL 1 (Rhelnfel- 09.06.32 |den 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 JBurg- Iheueen 16.04.57 1 1 1 1 1 1 1 1 1 1 i I l I 1 7 DATE OF DIAGNOSIS 19.09.68 2S.09.70 00.03.73 26.11.74 89 ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS 38 12 39 13 43 21 1 1 1 44 1 1 17 1 1 1 1 1 1 1 1 1 isssnan 10 1 H YEARS OF i DATE OF EXPOSURE j DEATH 12 123.01.69 11 114.12.71 16 110.10.73 | I 17 125.11.74 1i 1 12 i 13 1 1* 1 13 1 16 11 1 11 HISTOLOGICAL CONFIRMATION | | ESTIMATED EXPOSURE 1 | OCCUPATION ( | j LEVEL ( | OTHER CAREER HIGHLIGHTS 1 | | 1 OTHER COMMENTS 11 1 11 1 11 i Yea (NIOSH) 1 jPolyworker 1 1 Yea (NIOSH) 11 1J IPolyworker 1 1 1 Yea (NIOSH) 11 11 (Filling 1 (peatlclde 1 (aerosol cana) _l 11 (Reported under) (non polyner|ltatlon |wlth VC 1 Iworkera In 11 11 11 11 11 1 1( 11 11 11 (J 1( (1 (NIOSH Hat of (31.3.77. (This of couraa) (la atrlctly (correct. | However I (wonder Iwhether thle Jean had high lexpoeure to |VCH In hta (can filling (operation! Yea (NIOSH) 11 (1 1 (200-500 ppa|Polyworker fc|195B waa 1 1 ICllnlcal |but high |teaporary leutocleaner (detalle In (during 1 yrjautocleaner (for 1 yr Jautocleane r| ( i1 i1 i1 i1 1 i1 i1 i1 i1 ii i1 i1 i1 jJ Ipaper by ICokel et al |Vlrchowa Arch (A Path 1976 1372 p 195-203 1 1 1 1 1 1 ( 1 1 1 _l IMPERIAL CHEMICAL INDUSTRIES Pl.C PETROCHEMICALS AND PLASTICS DIVISION LIVER Anglonarcoma Caeee - (Review Dates.20 January 1982) Germany ShMt 2 PaR* 9 11 1 12 1 L1 1 COUNTRY AND | NAME OR | REFERENCE | INITIALS I NO | 1 LJ 11 GERMANY ( 1 1 3) _L DATE OF BIRTH l _L 1 ) 1 A| COMPANY 1 1 1 | 1 _l 1 1 1 S6 | FACTORY FIRST VC EXPOSURE X OS | 1 (NIOSII gives) as Case 06) ) 1 1 1 1 1 1 1 1 1 1 i 1 1 . __________ L 1 06 | 1 (NIOSH gives) as Case OS) { L 07 ) 1 1 1 1 1 1 I 1 1 1 1 08 ) 1 1 1 1 1 100.00.36 1 Hoechac i1 1 i1 i1 i1 i il i i) i i i i i i i j _L 100.00.32 Lonea I l 1 1 J, ) J00.00.26 Hacker 1 1 1 1 1 1 1i )) lt 1X 11 100.00.17 1 Dynamlt I1 11 11 11 11 | Frankfort) 02.04.60 i i i i i i i i j i i i i i i _i i (Waldahut 16.12.62 1 1 1 J_________ 1 IBurg- 15.04.54 (hausen 1 1 1 1 ) i1 11 11 I___ _______ X 1i 1 (Trolsdorf1 19.07.54 11 1 1t 1 11 11 1 i1 1 DATE OP DIAGNOSIS 10.12.73 00.00.75 12.11.75 06.04.75 1 i 6 ACE AT DIAGNOSIS 38 *3 49 58 ) 1 1 9 YEARS OF EXPOSURE TO D1ACNOSIS 13 13 21 21 ) 10 1 U 1 1 YEARS OP 1 DATE OF EXPOSURE 1 DEATH i1 1 12 HISTOLOGICAL CONFIRMATION 1 1 11 05 116.12.74 |Yes (N(OSH) { 1 1 1 1 1 1 1 1 1 1 | 1 1 1 1 |1 1 12 |09.0I.75 I | Yes 1 1 i 21 113.11.75 KNIOSH 1 aaya 12) | Yes 1 1 1 1 1 1 1 1 22 125.12.75 Yes 1 1 t 1 I t1 13 1 1* 1 11 11 ESTIMATED 1 1 EXPOSURE | OCCUPATION i LEVEL 1 1 1 1 i1 11 11 )BC Cheats | (aaya l |"cheiatry | (laboratories |ln the j (Techno(logical (Research 1 | | (Department* | {(NIOSH aays ( laaalatant ( (factory | (cheaiat { (which may be] (wrong { (translation)) 11 11 11 |PVC - Maim- | (facture | |Sh(ft Lader| 11 11 11 (PVC Menu- | (facture and | (all work | (incl auto- | (claanlng | 112 yra 1 (0 954-66) | |Forenan Tech) |Dev 8 yra j ((1967-1975) l t1 11 (Polyworker | I1 1i ii ii 15 OTHER CAREER HIGHLIGHTS 1 1 1 16 1 1 | OTHER ( comENTS 1 1 1 (Confirmed 1 (Reported under (non-polymer- ((nation (workera In INIOSH list of (31.3.77 and |1.78* I don't (think this la |a correct (clasalflcatlon (by NIOSH. Die (man may have |been Involved (In VCM | polymer!nation (In pilot plant |or in main 1 1 1 1 I ( 1 1 1 1 l ( l 1 1 ( J 1 1 1 1 1 1 1 1 ) t IMPERIAL CHEMICAL INDUSTRIES FI.C PETHOCHEHICALS AND I'l.ASTICS DIVISION LIVER Angloaarcona Caaee - (Review Dates 20 January 1982) Germany Sheet 3 Page 10 10 12 13 14 15 16 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OP BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OP DIAGNOSIS AGE AT DIAGNOSIS YEARS OP EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIKMATION ESTIMATED EXPOSURE LEVEL OCCUPATION 00.00.14 evil Marl 20.02.61 16.06.76 41 15 13 24.03.78 Yea High peaks 12 yra poly worker lncl )7Z auto clave cleaning Control rooi l yr 10 (N10SH gives as Case II) 00.00.36 Karl 01.01.61 00.01.77 40 16 10 07,03.77 Yea High peakc 10 yra poly worker lncl 17X auto clave cleaning OTHER CAREER HICHLICHTS OTHER COtMENTS j| I --------- !! I 10/78 Confirmed Average I I J ( exposure first) 9 yrs 150 ppa,| occ 1000 ppm.) Next 3 yrs av,j 75 ppm. Lsst.| yr sv 35 ppm j _______ ___1 Average expoaure fit 9 yra 150 p| occ 1000 p( Last yr av 75 ppm. CUP letter of 21.04.78 (NIOSH gives as Case 10) 00.00.29 Hacker Burg- IO.IO.55 28.06.77 47 22 22 2B.06.77 Yaa High 3 yra auto hausen clave cleaner I 9 yrs filter operator 00.00.38 Dynaalt Troledorf 00.00.61 00.10.77 39 16 07.10.77 Yea PVC Manu facture Autoclave worker for 6 yra esssnan IMP KMIAL CHEMICAL INDUSTRIES PLC PETROCHEMICALS AND PLASTICS DIVISION Germany Shaet 4 Pag* II I COUNTRY AND REFERENCE NO GERMANY NAME OR INITIALS DATE OP BIRTH COMPANY FACTORY LIVER Anglosarcuua Cases - (Review Date' 20 January 1982) 8 10 II FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH 12 HISTOLOGICAL CONFIRMATION EST1MATE0 EXPOSURE LEVEL 14 OCCUPATION IS 16 OTHER { OTHER CAREER | COtttEHTS HIGHLIGHTS | ____________ I___________ 13 00.00.14 Lanza Waldshut 00.00.60 08.04.78 63 18 14 19.05.78 III 14 Not an Angloearcoma In hit latter of 21 12 81, Hr Friadel aald thia wi a "Platteneplthalkarsinom Dar Speiserohre' (a carelnoaa of the oeeophagua) not attribut able to VQi A not racognlaad aa an indust rial disease IF V Beat |letter of |30th June 1980 (enclosing data (f ron (Mr K P Friadel lof BC Chenie IF H Best (letter of 130th June 1980 (encloilng data |from |H P Frladal of |EG Chenla (withdrawing (this cane I l 1 I I ( l I 1 1 (NIOSH glvesl this as Case 13) 1 | 1 1 1 16 ' 1 1 1 l 1 1 1 1 1 100.00.29 | Uacker 1Burghauaan IS.10.53 | 09.10.76 1 49 1 25 11 11 1 1 11 11 1 1 11 11 1 ( 1 11 11 1 1 11 11 1 1 ( t1 1i 1 11 11 I 1 J____________ 1 __ L L _J_l___ 100.00.23 | Dynaislt ITroladorfl 10.01.55 | 07.08.76 1 11 11 1 j 55 l ! 1 23 1 11 1 1 1 11 11 1 1 1 11 11 1 1 11 11 1 1 1 11 11 1 1 1 1J __1 J J 1 I I 25 123.10.78 1 Yea 1 |Autoclave | 1 11 1 1 | 1l I 11 I |1 1 11 1 (cleaner end | 1 (worker. | 1 |Drier | 1 loperetor. j 1 ILeter shift | 1 (leader | 1 11 11 1 1 _l | 1 20 107 06.78 | Yea 11 1 High |Autoclve j | | |ASL and I (worker till j 1 1 |Hapatocellular| |I964. | 1 1 (Carcinoma | |Leader and j 1 11 i Inaster | 1- 1 1 11 1 1 11 11 1 1 11 1 1t (Angiosarcoma Iconflrned (09/79. Sosa (detail of this (6 alao caaea (9, 13, 15, 16 || 17 given la |NRU Report for 11978 (Angiosarcoaa (confirmed. Ifull details |of lllneae (since March (1973 given In |NEW Med Insp IReo for 1978. wssnun IMPERIAL CHEMICAL INDUSTRIES H.C pethiximemicals and plastics division Cernany Sheet 3 Page 12 Liven Angloearcoas Caeea - (Review Date! 20 January 1982) 1 11 1 11 11 12 13 4 13| 6 1 1 1| 1 1 1( | COUNTRY AND | NAME OR | DATE OP 1 | REP ERENCE | INITIALS i BIRTH 1 COMPANY 11 11 1 1 FIRST VC I FACTORY | EXPOSURE 1 NO | 11 11 1 1 1 GERMANY 1 1 I 1 _L 11 11 1i 11 11 1 17 1 |(HIOSH glveel lag Caae 15) I 11 11 (00.00.37 1 Dynaalt 11 11 11 1 11 ITroladorfl 01.11.61 11 11 11 11 t 1 11 11 1 11 11 1 t 1l 11 1 11 1I 1 11 11 1 11 11 1 1 1 11 | 11 11 11 11 11 11 11 11 ii ii 1 18 | 1 1 1 1 1 1___________ -1 100.00.13 Hoecbat 1 1 1 1 1 1 IGendorf 1 1 1 1 1 1 | 00.00.55 11 1 19 | 1 1 100.00.25 Dynaalt 11 1t ITroladorfl IE.10.54 1 (1 I1 1 11 11 1 1l 1 11 1 11 11 11 11 1 i1 11 >i 1 20 | 100.00.15 Dynaalt 11 ITroladorfl 00.00.61 1 11 11 1 11 1i 11 1 21 | 1 100.00.13 Dynaalt 1I ITroladorfl 01.01.62 1 11 11 1 11 11 1 1 _______ ____________ 1 1 1 22 | (00.00.21 Dynaalt ITroladorfl 15.10.61 ( 11 1 11 11 L __________ JL 1 7I 8 1 9 1 1 1 DATE OF | AGE AT | YEARS OF 1 DIAGNOSIS | DIAGNOSIS | EXPOSURE TO | DIAGNOSIS 1 1 1 14.08.78 | 41 ( lb 1 ( 1 1 1 1 25.12.79 00.08.79 07.02.74 00.00.74 26.10.72 | 1 1 1 1 1 1 1 1 | 1 1 | 66 1 24 1 | 40 Figure 1 1 19 |(Figure given) given bv |by Mr Frledell Me Frtedel |preeuaably presumably learly (early (dlagnoala in (dlagnoala |1974?) In 1974) | 57 (597) 1 1 1 12 I | 61 1 | ^ 13 | | 1 | 47 | II (51?) 1 { 1 10 1 II 1 1 YEARS OF | DATE OF EXPOSURE I DEATH 1 1 1 1 11 (20-06*78 i i i i i i i i i i i i i i i i i i i 2| 125.12.79 1 1 IB | 22.2.BO 1 1 1 1 1 I 1 13 119.10.80 | | 1 13 {19.06.80 | | i 11 106.12.81 ) | J 12 1 HISTOLOGICAL CONFIRMATION Yee Yes Yea Yea Yas 7 11 1 1 13 1 14 I 15 1 16 1 1| 1 1 11 1 1 ESTIMATED 1 EXPOSURE | OCCUPATION 1 OTHER CAREER | OTHER [l | COMENT8 LEVEL 1 1 HIGHLIGHTS 1 1 1i l 1 11 I l 11 1 1 1 High |Autoclave I No |Angloaarcoaa Iworker 1 Iconflraed. 11 |Annuel report 1 11 (of the North 1 11 11 11 11 (Rhine IWestphalla |Medical (Inspectorate 1 1 1 1 I( (for 1978 l 11 Ipegea 347-377 1 11 Iglvea full 1 11 Idataila. Vinyl| 11 (chloride 1 11 (dleeaee 1 1( (diagnoaed 11 (02-02-73. 1 11 1 lOaaophagaal (varlcaa. 1 1 11 (probably aero 1 1 loateolvala. 1 (Autoclave 1 1 1 (Worker 11 1 _J_______________ 1 IAutoclave 11 | Worker 1 i 1 11 1( ( 1 1 11 1 11 1 11 1 _|_________________ 1 (Autoclave (Details In 1 | Worker 1 (Mr Friedel's 1 1 (Latter of 1 1 (Autoclave 121.12.81 IDetalls In 1 1 | Worker |Hr Frledel'a 1 ( 1 |Autoclave |Letter of 121.12.81 (Details In 1 ( IWorker | (Hr Friedal'a 1 (Letter of 1 J _L (21.12.81 1 ssssnan IMPERIAL CHEMICAL INDUSTRIES Pl.O PETROCHEMICALS AND PLASTICS OIV1SION LIVER Angloeartoma Cases - (Review pates 20 January 1982) 10 11 Should Lhla case be reaoved fro* the list? NtOSH have it on their eupplementary Hat relating to JS 1/8/77 12 13 14 IS Page 1) 16 COUNTRY AND REVERENCE NO NAME OR INITIALS DATE OP BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIACN0S18 ACE AT DIACNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMEMTS ITALY 15.06.34 00.00.65 19.04.71 36 06 03 16.04.71 TYea PVC Rag extruder Prlaary tumour aay hava been pericardia*. Not homogeoaoua with othat caaaa 02 13.11.29 Montediaon Porto 00.00.57 13.12.72 43 Ma rghera 06 00.12.72 Yea Polyworker 03 14.03.20 Solvay Ferrara? 00.01.53 10.07.75 55 22 2* 10.07.75 Yea High Autocleaner 8 yra Autoclave operator 12 yra 11 04 BP 20.07.37 SC Ravenna Ravenna 00.04.59 00.01.81 43 21 21 30.03.81 Yea 12 yra - II yr - I Vary High |Monomer | (operator | 5 yra - 1 Hedlue (20 yra - 1 | |Autoclave | 4 yra - (operator 6 | Low. |other duties) |in euepene- { |lon polymer-1 llaatlon. | i1 1 i |Area Foreman| |ln aame Dept| (alnce 1975. ( ii FOA at al papera at Dubrovnik auggeat Ferrara? 9s$snan > IMPERIAL CHEMICAL INDUSTRIES Pl.t! PETROCHEMICALS AND I'lASTICS D VISION LIVER Angioaarcoea Caeea - (Review Data 20 January 1982) Pago 14 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OP BIRTH COMPANY FACTORY JAPAN 01 ToeoJ1 Horl 01.08.22 Hltaul Nagoya Toatau (no coiaent by Jap PVC Aaaac) 02 02.08.39 FIRST VC EXPOSURE 00.04.S3 00.11.58 DATE OF DIAGNOSIS 24.10.75 10.08.76 ACE AT DIAGNOSIS 53 37 YEARS OF EXPOSURE TO DIAGNOSIS 22 17 10 II 12 13 14 IS YEARS OF EXPOSURE DATE OF DEATH 13 24.10.75 13 (0.08.76 l HISTOLOGICAL | ESTIMATED CONFIRMATION | EXPOSURE I LEVEL OCCUPATION 1 I I I Ya |FVC Aaaoc 13 yra auto- |aaya not clava (knotm. cleanar |* Japan 1964 - |Tlnta aaalgned to |Indicatad dlffarent Ion 25.10.75 work alnca lexpoaurea had 111 |o(tn at health |3000 ppa up |to 1974 J____________ I Yea |Noe known In polyaer- I laatlon work Including autoclave cleaning J OTHER CAREER HIGHLIGHTS 16 OTHER COMMENTS Japan Tinea 25.10.75 6 Japeoeaa FVC Aaaoc letter of 31.03.78 Japaneae PVC Aaaoclatlon lattar of 31.03.78 isssnan IMPERIAL CHEMICAL INDUSTRIES FI.C PETROCHEMICALS AND RUSTICS DIVISION LIVER Angio'sarcoaa Caeea - (Review Date: 20 January 1962) Faga IS 1 2 13 4 1 st 6 69 |1 11 1 COUNTRY AND 1 NAME OR | DATE OF REFERENCE 1 INITIALS | RIRTH NO 1 1 COMPANY 1l l FIRST VC 1 FACTORY | EXPOSURE 11 DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO D1ACHOS1S J_ 1 _L _L L _L J. _L NORWAY 01 All 21.12.15 Norsk Hydro Heroya 00.03.SO 21.12.7) 56 22 10 11 YEARS OF DATE OF EXPOSURE DEATH 21 104.01.72 12 HISTOLOGICAL CONFIRMATION Yea 13 ESTIHATBO EXPOSURE LEVEL 14 | OCCUPATION | 15 OTHER CAREER HIGHLIGHTS 1 1 1 1 16 OTHER comENTS |Foreman 6 (Autoclave laupervlaor 1 1 1 | 1 1 1 1 1 1 i 1 1 | | | 1 1 1 1 1 1 1 1 1 1 1 1 1 |Conflnaad by |Dr Thlia(Evanson of NH. (AC AFMR Ntg of |9 Jum 1976 |Hr P Rangnaa lititad that AH (had been a (eabar of a tacarc-up tea*. (VCH 6 PVC war* (ada 1b aaaa (building. Tha IVCM waa Bade |froa acatylana 1 8$ssnun URL 15559 CO U* e K ft a. o M 9 i PO 5 f -- r* > X * ft ft o n n #r So s ^ 11< n ten c n a aw p -r < 0< * *< 9 f0t > se o 7" >o 9* 9* aa 9 a 3 *&1 2. F S 9 ft ft ft ft 0+ o 8 bL/ ft* --_ M -- ie * M 40 b o< $? ft a Xs mm n > i o > w ft -- ` l A isN * ai *< s pr n oft 9ft^9fir^ftWft *3 n ~ oft >*e3i- ** ^_ h 90ft fotO fatMf&t fti * *ft 5" 8.3 S< * 5 3 " --- a a. 1 S& IHKKHIAL CUKMICAI. INDUSHHES fl.C PETtlOCIIEHICALS AND I'l.ASTICS DIVISION 02 04 V. & oX re hi -- = B <i i 93 &1 P* M 9 a fftt ft _ b v* OM O g w -- *** a O O 4 4 ft x 3 < PI f5 |* r> p* 8 "00 *< s w Pf o n -a a- c c r> *b*x oo99*e4yr < x r* n n ft o k a ^1 f*tt ^ fQt f* 3* ft " m* a K r > P ft ft *R O5 wH 53 "a <-- -TM > Xo *! n i 5 3 RR is * bs | s w> e 2> o S> mh a x < >c> 5 g io ft O wg'" m < is M 5e ^ S3 go r> x o ff b 55 X t- nn P* R H C (ft X 9 H 25 I X ses MS^ sw 3 ft 0^ s ra w > v< 9 M W -- P aje 16 IMPERIAL CHEMICAL INDUSTRIES fl.C PETROCHEMICALS AND PLASTICS D VISION LIVER Angloaarcoaa Cauee - (Review Data 20 January 1982) UK Sheet I Page 17 10 12 13 14 IS 16 COUNTRY AND REFERENCE NO UK 01 02 NAHE OR INITIALS DATE OF BIRTH 20.04.01 COMPANY tct FACTORY FIRST VC EXPOSURE Hillhouee 04.04.44 DATE OF DIAGNOSIS ACE AT DIAGNOSIS 03.12.72 (Foi 4 Collier paper nyi 23.12.72) 71 YEARS OF EXPOSURE TO DIAGNOSIS 28 YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION 22 03.12.72 (Fog 6 Colllar pepar aye 23.(2.72) Tea I ESTIMATED J EXPOSURE | OCCUPATION LEVEL | 300 ppa 1 I I 11944-7 VCH 11947-8 Drlar 11948-61 | Autoclave (operator (1961-66 |Drier J____________ ( OTHER CAREER HIGHLIGHTS OTHER COMfEMTS Dubloui fabrication caee 11 1 03 02.06.37 BP Barry 00.02.66 00.12.74 37 09 3.5 24.12.74 Ye* High (Autoclave | 1 Exposure Icleener | 1 Halted to (1 1 2.66 - 9.69 .11L 1 04 23.06.20 IC1 Hillhouee 26.04.34 00.06.79 59 25 18 12.10.79 Yee Medlua- (54-5 (Pre-war fteh hlgh IBegglng 1nackar (Plant 11939-45 aray (55-6 (vehicle IDrier Plant laaintenanca |56-58 1(945-54 (Autoclave Iflah packer |worker 1 158-61 1 IChargehand 1 (Drier 1 (Plant 1 161-72 1 |Foreman 1 (C 2/3 Plant 1 09ssnan IMPERIAL CHtHICAI. INDUSTRIES l*t.C PETRtXIUEMlCALS AND PLASTICS DIVISION UK Sheet 2 Page 18 LIVER Angioearcuna Cases - (Review Date) 20 January 1982) 1 12 13| 4 1 _L J COUNTRY AND I NAME OR 1 DATE OP 1 RBPERENCE | INITIALS BIRTH | COMPANY NO UK 05 1 1 | JK A1 11 (30.03.14 1 BP |5 1 1 | FACTORY 1 1 (Barry 6 FIRST VC EXPOSURE 7 DATE OP DIAGNOSIS 08.01.51 00.10.79 8 ACE AT DIAGNOSIS 65 9 YEARS OF EXPOSURE TO DIAGNOSIS 28 10 1 H 1 YEARS OP | DATE OF EXPOSURE I DEATH 1 1 21 119.11.79 12 HISTOLOGICAL CONFIRMATION 13 1 14 1 ESTIMATED 1 EXPOSURE | OCCUPATION LEVEL 1 1 (1951-52 |Polycleaner (1952-55 |Liti (1955-60 IPolyfloor (1960-64 |Poly IChargehand 11964-70 |Charging (operator 11970-72 |Drier (operator 15 OTHER CAREER HlCHLtCKTS 1 | 1 1 | 1 1 16 OTHER COMEKTS 06 |CEP 1 1 1 1 l 07 |RB 1 ( 1 ( 1 08 (WTM | 1931 | BP ( 1 1 1 | | 1920 ( BP 1 1 1 1 I 108.05.24 | BP (Barry 1 1 1 1 1 (Barry 1 ( l 1 1 (Barry | 1962 | 09.01.80 11 11 11 1 11 | 1963 ( 00.00.80 1( t( 11 (1 1( I 19.09.50 | 24.11.81 1 1 1 1 1 | 1 1 ( ) 48/9 60 57 16 1 12 (09.01.80 | t 11 1 1i 1 11 J 1 17 1 1i 11 |13.06.80 | 1 <1 1 11 | 11 | 11 1 t1 31 1 24 125.(2.61 | wssnun (7 yra ( ( IPoly Floor | 1 (Operator | 1 (5 yra | 1 (Creator on | IPolv floor i I (Polycleanar | ( (1963-5 ( (Recovery | l - 11965-1971 ( 11 1 11 1 1 11950-51 | (Autoclave (operator 11951-1957 |Otargeaan (autoclave Ibutldlng 11957-1974 IShiEt (supervisor (autoclave (building - INever Icleaned lautoclavea I but (supervisor* a |job entailed lanterlng lautoclavea |to Inspect | then 1_______________ 1 1 1 1 1 1 |Death (attributable Ito VCH (Angioaarcona (Incidental (finding 1 IMPERIAL CHEMICAL INDUSTRIES Pl.C PETROCHEMICALS AND M ASTICS DIVISION LIVER Angioeercoae Cases - (Review Date! 20 January I9BI) *UK eystea of dates DAY - MONTH * YEAR USA Slieet I Pat* 19 1 12 |3 1 4 11 1 11 COUNTRY AND | NAME OR | DATE OP REFERENCE | INITIALS | BIRTH 1 NO 1 11 COMPANY USA 01 1 1 1 1 (Ear I I Parks 11 1 11 1 II7.10.23 1 BEG 1 11 11 11 11 1 1 02 1 11 1 |I9.08.33 1 RFC 11 11 11 ! 1| 11 03 (Edward I2S.OS.15 1 RFC | Dinwiddle 1 11 1 1 04 1 1X 1 |I5.01.24 RFC 11 1 1 OS 1 1 1 I2S.01.12 BPG 11 11 11 06 IRay 123.11.28 BFG (Austin 1 (Jones? 1 11 11 11 11 1f 07 | Qtarles I03.0S.22 UCC |T Seart 1 1 1 08 1 1 11 106.05.20 Goodyear |S 1 1 1 | FACTORY 1 1 1 1 1 (Loula1 vllle 1 1 1 t 1 1 |Loui*I villa 1 1 1 1 |Louia" 1 vllle 1 1 1 ILouis- I vllle 1 1 (Loui- I vllle 1 1 ILouis- I vllle 1 1 1 1 1 1 IS OiarleI eton 1 1 |Niagara 6 17| a 1 1 FIRST VC DATE OF | ACE AT EXPOSURE 1 DIAGNOSIS | DIAGNOSIS 1 1 1 1 1 09.12.46 1 03.03.73 ( 49 1 11 1 11 1 |I 1 15.11.55 1 00.05.70 | 37 1 1 1 |1 1 26.11.45 1 19.12.73 | 56 1 1 06.07.52 19.06.44 17.01.62 27.06.44 07.10.46 19.08.67 09.04.64 00.02.74 00.00.68 00.06.61 | 1 1 1 | 1 1 1 | 1 1 1 1 I 1 1 | I 1 1 | 43 52 45 45 41 9 YEARS OF EXPOSURE TO DIAGNOSIS 24 (4 26 15 20 12 24 15 10 111 1 12 11 11 YEARS OF | DATE OF | HISTOLOGICAL EXPOSURE | DEATH | CONFIRMATION t1 11 11 11 21 (03.03.73 | 11 11 11 11 t1 i1 11 13 (27.09.71 | ((NIOSH | |asye | 126.09.71)1 11 11 28 119.12.73 | 11 11 i1 11 15 107.01.68 | 11 11 11 20 (09.04.64 | 11 11 11 12 124.07.73 | 11 I1 11 11 11 11 11 17 (23.03.68 | 11 11 11 15 129.08.61 1 Yes Yae Yes Yaa Yea Yea Yaa Yaa 13 1 >4 1 15 | 16 11 1 11 ESTIMATED 1 | EXPOSURE | OCCUPATION | LEVEL 1 | OTHER CAREER HIGHLIGHTS 1 | | 1 OTMB1 COM4ENTS 1 J__________ _______J 11 1 1 IHletory given (lolling Stone 1 |tn Annals NY (Art |Pot Cleanar (ACAD SCIENCES |Raf 1 NY Acad |(Block Jaaa |VoI 329 (t979)|ot Sc Syap | 1974) p 53 (page 190 In 11974 1 (Paper by |ileo Block 1 |B R Cottlnc of|Jaaa 1.7.74 1 I0SHA Ip 53 11 1 11 (Pot Cleaner 1 |(Cf Block) 1 11 11 1 (Ref 1 (Also Block |JAMA 1.7.74 (P S3 11 11 |Pot Cleaner |Louisville 1 | Ref L |(Cf Block) (Courier (Also Block 1 IJournal 1 1 102-09-80 1 1 |Fot Cleaner 1 |(Cf Block) 1 11 1 | Raf 1 |Alao Block 1 11 (Pot Cleaner |(Cf Block) 1 1 | Ref 1 |Also Block J 1_________ ________J 1 |US Air Force| 1 I Ref 1 4 1 IPot Cleaner ILoulevllle (Tluee 23.7.75 |(Ct Block) (Retired April 1 (1974 1 (Also Block J 11 11 1 (Ref 1 11 1 1 1J 1 11 1i | Ref 1 39SSHBO IMPERIAL CHEHICAi. INDUSTRIES Pl.C PKTRUCHBMCALS AND PIASTICS DIVISION LIVER Angioaarcoiaa Ce*ee - (Review Datei 20 January 1982) *UK ayatea of dataa DAY - MONTH - YEAR USA Sheet 2 Page 20 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OP R1RTH 10 12 13 14 IS FACTORY P1RST VC EXPOSURE DATE OP DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OP DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLICHTS 16 OTHER COM!ENTS USA 09 Raymond 08.11.31 BFC Loula- 26.03.43 01.03.74 43 29 24 1I.03.7S Yea 2000 ppm Cettle- vllle Flngerf Ref I haa wrong figures re flrat etposore. Louisville Tleea 29.10.74. 12.3.73, 10.3.76 10 16.08.13 Goodyear Niagara 12.06.31 00.03.68 53 17 12 10.03.68 Yea Ref I 27.05.09 Goodyear Niagara 14.10.46 00.03.70 61 23 23 16.03.70 Yea Ref 1 12 Frencla A 17.11.18 Firestone Pottatown 13.07.49 02.05.69 50 20 19 02.05.69 Yea High 10 yrs 10 yra aa Utility A Haf I + lettar Bachman Pe reactor op. Service op. of 26 April (not cleaner Sagger 1978 from - separata Dryer op. Ruaaell A Perk craw cleaned Stripping opi to J T Seewell autoclave*) 3 yra prior of MCA aervlce In tyre plant .13 Richard 01 12.21 UCC Charle 11.12.42 00.OS.74 52 32 26 07.04.74 Yea 2000 ppm Edward ston Clerdenln Cherleaton Dally Mall 21.7.75 Dubloua fabrication case 15 Dubloua fabrication caae IMPERIAL CHEMICAL INDUSTRIES PI.0 PETROCHEMICALS AND FI.ASTICS DIVISION , LIVER Aiiglottarcoaa Casea - (Review Datei 20 January 1982) * UR Sytca of da tee DAT - MONTH - TEAR USA Sheet 3 Page 21 10 11 12 13 IA IS COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF IIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF HISTOLOCICAL DEATH CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HICHLICHT8 IS OTHER COWONTS 16 Janes OA.II.27 BFG Howard Loulsvllla 08.05.50 00.00.69 A1 19 OA 27.03.69 Yea 1951-A VCH polymer isation Proa I95A Table A in onwards In Wagoner Arny and othar Teatiaony co service. US Sanata A6-50 Aray Confiraad ia M H Johnson ltr 07.00.78 Loula- Yea 17 Peerenbooi 06.05.31 BFG vllle 23.06.55 ll.10.7A A3 19 19 16.10.80 on H.10.7A but no poa t-aortea 16.10.80 Dr H N Johaaon lattar of 2A.2.BI con fined death 6 yeara after diagnosis______ 18 Charlie 22.OA.20 BFG Arthur Avon Lake 1S.09.5A 00.00.75 46 n 02.11.75 Yea 13 yr* Navy autocleaner 8 yra on Eatol Tyre Store plaatlciaar 6 Carboaet operation Confiraad in M N Johaaon ltr 07.08.70 Alao Rolling Stone aag. 15.01.76 19 Virgil 00.00.15 ucc S Charle 00.00.A3 19.06.75 60 32 32 06.04.76 Yea 2000 ppa Christian ston Wllllaaepart Sun Casette 21 June 1975 ttiarleeton Daily Nall 21.7.75 20 31.08.17 Goodyear Niagara 00.00.55 30.01.76 50 21 18 30.01.76 Yea N10SH latter of 25.10.79 Cheater Hinkle 02.09.09 S Charle 00.12.46 Early 77 67 30 22 02.01.77 Yea ston 28 yra with UCC at SC Retired Newa release 23.2.77 IMPERIAL CHEMICAL (WWSTR1ES PIC PETROCHEMICALS AND PLASTICS DIVISION LIVER Angloaarcuaa Causa - (Review Date: 20 January 1982) *UK eyatem of detea DAY - MONTH - YEAR USA Sheet A Page 22 1 I1 11 1 12 |3I A 1 5 | 6 1 7<8 1 9 11 11 11 10 1 11 1 12 1 13 1 >4 1 13 I 16 | J11 11 11 t1 11 1 1t (COUNTRY AND | NAME OR | DATE OF | REFERENCE | INITIALS | BIRTH | NO 1 11 COMPANY 11 1 1 FIRST VC | FACTORY | EXP08URE t1 ( DATE OF | ACE AT | YEARS OF DIAGNOSIS | DIAGNOSIS | EXPOSURE TO | DIAGNOSIS 11 1( YEARS OF I DATE OF I HISTOLOGICAL | ESTIMATED 1 1 EXPOSURE | DEATH | CONFIRMATION | EXPOSURE | OCCUPATION 1\ ( LEVEL 1 | OTHER CAREER HIGHLIGHTS 1 I | 1 OTHER COMMENTS 1 | ( ( (USA _J11 1I 1 JL 11 11 1 11 11 11 11 1( 22 | 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 (02.10.23 ( RFC (< 1l 1< l< <1 1i 11 (1 11 11 11 11 11 11 11 11 11 1 (Louie-- | 11.07.47 00.01.76 | 52 | 29 (vlUe ( 1 1I 1 t1 1 11 ( 11 11 <1 1 1 1t 11 (I 1 I 11 11 11 11 i( 11 1( 1I 1 1 1 1 1 1 1 1 11 28 |04.|2.76 I 11 11 11 11 11 11 11 1 11 11 11 1 1\ |1 11 |1 I1 11 Yea 11 1 i1 i1 i1 i 1 1i l1 i1 i1 iI 1 i1 i( i1 i1 i1 i1 i1 11 ILoulavllle | ITlmee 26.1.76 | (said be wee 1 (the 10th AS ( (victim At 1 |Bella Lane of 1 (whom 8 had ( Idled by | 126.1.76 ( lln hie letter | (of 16.09.61 | (Dr H N Johnaonl (confirm* this | (la the | lease described! (by Dannaher | ITamburro 6 Yarn! |in Fab 1980 | (Am J Medicine ( .J1I 2) ( ( 11 1 (00.00.23 | Creat IFltchburgl 08.09.58 06.04.73 1 50 | 15 I | American (Ffasa. | I 11 }4 (06.04.73 1 (| Yea i1 i1 ( IVol 70 o2BO 1 | 1 1 1 ( I | Cheatcal | i ( ( Company 1 1 1 24 I Charles |17.0$.17 ( UCC (S Oiarle-| 1939 27.05.77 | 60 ( 38 (Edward t 1 1 etou | l I Hiore | | 11 1 1 it 11 l 24? (MtOSH aaya 26) \ \ |2>.05.77 1 1 1 | 1 (Cholanglo(aarcoma |(R Xamtnakl 1 26/2/79) (Medium to (high for 124 yre 1| t1 (1941-65 non-|1937-39 mi {olvent (off and on Ivlnvl realn 1 labourer |uolt and (1939-41 may I 1 |H M Wheelar (letter of (16.8.77 to (J Stafford 1 1 | | ( | 1 11 11 1 11 1 11 1 11 .1 1 I 1 11 11 1 1 I1 1 11 1 11 11 11 11 1 11 t 11 11 1 11 1 1( 11 I \1 1 t1 11 ( (I Idiaperslon (have been (elves details 1 (vinyl realnaleapoeed aa (Rose Kamlnakt | (unit first I reactor (letter of | (aa fitter (cleaner 126/2/79 1 |helixr, then(I943 became |R Kaminski | I shift (shift fitter 1(5 Nov 1960) | lutlllty man 11946 became lauggeata that | 1 (chlft utility INI0SR will | 1 (man Iretain on | 1 11 I 11 1 11 11 t1 11 1 1| 1 11 I1 1 (26.04.65 (register since) 1 (employment weal this neoplasm | 1 (terminated |may be aaaocl-| -1 (25) 1 1-J 11 JL 11 1l t v (Qj 1 1 | 1 1 I 11 11 1 lated with ASL.l |t N Wheeler | (letter of | 1 11 ll 1 1 t1 il 1 1 | Removal Iron refj later confirmed in R Kaslnakl letter of 5 November 1980 11 11 I1 1\ 1( 11 (20/2/79 and 1 (Rosa Kaminski | (latter* of | 1 11 11 1 I1 1( (26/2/79 and | Jl1 JL J_____ JJ J _J 15/11/80 1 IMPERIAL CHEMICAL INDUSTRIES PLC PETROCHEMICALS AND PLASTICS DIVISION LIVER Angioaarcoata Caees - (Review Datei 20 January 1982) 111 1 (2 | 31 1 11 COUNTRY AND | NAHE OR | DATE OF REFERENCE I -INITIALS | BIRTH NO USA Jt. 11 | 11 4 15| 6 1 7 COMPANY 11 | > i FIRST VC DATE OF 1 FACTORY 1 EXPOSURE 1 DIAGNOSIS _]l 1 1 1 1 26 (John Berry(07.07.23 RFC 11 11 11 11 11 11 1\ 11 11 I1 11 11 J1 27 |J L _L |ll.05.16 UCC (Forreet | 11 |Uuli' (villa ( 1 1 | 03.10.47 1 00.00.77 | 1 (up to 2 1 year* 1 1 after 1 death) 11 11 11 1 1 11 1\ 11 1 11 1 11 11 _lL _L (8 Ch*rl*-| 01.07.41 1 30.11.78 ( aton | 11 1 6 ACE AT DIAGNOSIS 52 (death) 62 9 YEARS OF EXPOSURE TO DIAGNOSIS 1 10 1 U 1 YEARS OF | DATE OF EXPOSURE I DEATH 1 1 28 (death) 37 18 111.02.75 1 1 1 1 1 1 1 1 1 1 1 1 1 20 (25.11.78 (HIOSH ays 27 and C 1 1 Dally Mall 25) 28 11704.17 UCC S Charla- 00.08.44 03.11.78 61 34 33 03.11.78 aton 29 12.10.07 UCC S Charle 00.05.42 00.03.80 72 38 16 01.03.80 ston 30 WVN 22.07.22 Tenneco FIaelngto 11.06.64 Chtalcals 30.12.80 58 Til ls 30.12.80 08.11.23 UCC 3 Charle 12.05.46 ston 01.08.81 57 13 Alive 99ssnan *UK system of Sate* DAY - MONTH - YEAR USA Sheet 5 Page 21 11 1 12 1 13 1 14 | 11 1 HISTOLOGICAL ( ESTIMATED 1 1 CONFIRMATION | EXPOSURE I OCCUPATION 1 1 LEVEL 1 11 1 f IS OTHER CAREER HIGHLIGHTS 1 1 1 | I 1 1 16 OTHER CORIENTS Yea I Exposed In (Various jobsl |R Kaminski laoee degreelln PVC 1 (letter of | to 22 |plants froa | (26/2/79 and Ichealcale (cold rooa to| (Prof. Taaburro (but aaln (paste | (letter of |expo*ure (recovery to | 19/1/79 (was to VCH (PVC charging! |probably (operator to 1 1 (high (paste I 1 1 (charging. ( 1 (111 August ( 1 1 1 11965. | 1 1 ITeraineted | 1 1 leaployaent 1 1 1 I Jan 1966 | 1 Ye* ( High (Operator to (Exposure In |R N Wheeler 1 |10.10.76 |bulk and (ltr of 4 Jan 1| (dispersion PVC11979 and anufactur* Charleston Daily Hall 30.11.78 and R Kaminski 26/2/79 Ye* R balmkl letter of 6/4/79 Ye* R Kaminski Letter* of 19th June 1980 4 5th Nov 1980 Ye* 6 - Unknown Maintenance 9 - Mtnlaal Mechanic 6 yra Elsewhere 1* yt* Roller house Operator 9 ire Yes High (But (Chemical I From 1959 to (Dr Decey not as hlgh|Operator In (1976 Allphattclletter as reactor |charge (Chemicals (16.10.81 and cleaner (reactor (operator and |R N Wheeler would | experience)! Worked aa | labourer | free ( June 1941 | Ifroe July I976|letter of |to date 19.11.81 |Foreean 1 |Aliphatic 1 (Chemical (Operation 1 to May 1946( and aay | have ( cleaned 1 reactor* ln| 1 ( 1 1 1 l 1 1 1 1 that tlee 1 1 1 IMPERIAL CHEMICAL INDUSTRIES Pl.C PKTKUCIIEM(CALS AND ri.ASTICS DIVISION LIVER Intloiiccoai Case* - (Huvleu Date: 20 January 1982) Page 24 10 12 13 14 15 16 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH H1ST0LOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CARRES HIGHLIGHTS OTHER COMMENTS YUGOSLAVIA 0) 05.04.14 Jugo Spilt 00.00.53 06.04.73 59 20 20 08.04.73 Yea Vlnll SARIC et el paper Eav Health Perapectlve Vol 17, pp J89-192 1976 02 15.11.31 Jugo Split 00.00.50 12.07.73 42 23 ! 12.07.73 Yea* Vlnll 1 03 21.12.31 Jugo Split 04.OS.34 11.01.76 45 22 22 )J.01.76 Yea* Vlnll VCN Production VCH Production *!n hla letter of 3 Oct 1978, Dr Splrtee of HIOSH changed the etatua of Ceae 02 to VCM production eaployee. Dr Splrtea also notified a new Ceee 03 also s VCH production worker 04 11.06.30 I5.J2.58 03.09.78 48 20 16 03.09.78 Yes Ross Kaalnakl Letter of 19th June 1980 L9^i"wn TABLE 1 Incidence of ASL Cases Per Annum 1955 6 7 8 9 1960 1 2 3 4 5 6 7 8 9 1970 1 2 3 4 5 6 7 8 9 1980 1 Total By date of death 1 0 1 0 0 0 1 1 0 1 0 1 l 5 3 2 3 5 7 6 11 11 9 10 5 9 4 97 N.B. 1 Does not include Italian 01 but does include German 03. 2 The 1977 total Includes US case 24 which is a Cholangiosarcoraa. 3 The 1981 total does not include US 31 who is alive. 89ss nan Page 25 Distribution of ASL Cases by Country TABLE 2 USA W Germany France Canada UK Sweden Yugoslavia Italy Czechoslovakia Japan Be lglim Norway 28 *** 21 ** 14 10 7 5 **** 4 ***** 3* 2 2 1 l Total 98 * Omit ItOl - atypical case of PVC bag extruder. ** Includes GE03 aerosol can filler. *** Includes case US 24 which was diagnosed as Cholanglosafrcoroa & US 31 who Is ALIVE. **** Includes one monomer worker. ***** Includes two monomer workers. l.e Western Europe North America Rest of World 52 38 8 Total 98 69S$t nan Page 26 Pattern of ASL Cases by Factory TABLE 3 (a) W Europe Of the 52 cases in W Europe, 42 have occurred in clusters at 10 factories* Of the 21 German cases, 18 have occurred in clusters at 4 factories. ASL Cases Kemanord, Sundsvall PCUK, Brignoud Dynamit, Troisdorf Chloe Chimie (Formerly RP), St Fons Wacker, Burghausen CWH, Marl ICI, Hillhouse BP, Barry Solvay, Tavaux Lonza, Waldshut 5 5 10 5 4 2 2 5 2 2 42 Page 27 NB: There are 31 pre 1962 PVC plants in W Europe; 18 of these have had ASL cases (Ref Table 8) (b) N America Of the 38 cases in N America, 34 have occurred at four factories out of a total of 49 factories - in N America 41 plants have not had ASL cases. ASL Cases BFG, Shawinigan BFG, Louisville UCC, S Charleston Goodyear, Niagara 10 11 9 4 34 NB: There are 29 pre 1962 PVC plants in N America; 8 of these have had ASL cases (Ref Tables 9 & 10) (c) Rest of World OiSSI-ldO The 8 ASL cases are believed to be in 1 cluster of 4 and 2 clusters of 2 cases TABLE 4A Page 28 Latency Periods (Years from first Exposure to Diagnosis) N Europe No of Cases Total Years Average Belgium France Germany 1 IB 18 14 336 24 * 21 362** 17.2 * Italy 3 58 19.3 Norway 1 22 22 Sweden 5 122 24.5 N America Rest of World UK US Canada 7 156 52 1074' 28 685 10 204 38 889 22.3 2077 24.5 * 20.4 * 23.4 Czechoslovakia Japan 2 2 31 15.5 39 19.5 Summary Yugoslavia 4 8 85 21.2 155 19.4 W Europe 52 1074 20.7 N America 38 889 23.4 ussnun Rest of World 8 98 155 2118 19.4 21.6 * Of the countries with > 10 cases, France and USA have average latency period above world average and Germany well below. ** The latency periods stated by B G Chemie for German Cases 20, 21 & 22 have been used. Even if one decided the latency period should in these three cases run from the first exposure to death, the average would still be low at 18.2. TABLE 4B Page 29 11 11 i 1 11 1 1 1 1 o--9 yrs | 10-14 yrs | 15-19 yrs | 20-24 yrs | 25-29 yrs 30-34 yrs 35+ yrs | 1 11 1 1 Belgium | 1 1 L i 1 11 11 1 1| 1 1 1 1 1 1 Canada 1 1 3 1 11 1 5| 2 1 1 1 Czechoslovakia 1 1 1 11 1 21 1 1 1 I 11 1 1 1 France 1 1 1 | 4 I 2 1 4 1 1 2I Ge many 1 1 I I1I 1 7** | 7 | 6* | 1 1 1 Italy 1 11 11I 1 l| 21 l 1 Japan 11 I1 1 1 1| 1| 1 1 1 Norway 1 1 1 1 1 | 1 Swede^ I 1 1 2I 1 12 1 1 111 UK I 1| 1 2I 13 I 1 1 USA 11 1 1 1 1 1 2I 7| 7| 4 41 1 4I 1 11I Yugoslavia 1 1 1 1 4I 1 1 i1 1 1 1 1 TOTAL 11 1 1| 1 13 | 1 27 | 1 28 | 16 1 7 6i | 1 !_ 1 1 1 _L i Total 1 10 2 14 21 3 2 II 1 1 Average 1 1 Latency II Period II II II 18 11 II 20.4 11 II 15.5 11 t 1 24 II II 17.2 11 1 1 19.3 11 II 19.5 I II 22 5 II 11 7 II <t 28 II 11 4 II || II 98 II I| 24,5 22.3 24.5 21.2 21.6 * Includes G 03 aerosol can filler ** Cases 20, 21 and 22 have latency periods of 12, 13 and 11 as given by the BG Cherole. There may be problems of definition here - were these cases actually diagnosed as ASL In 1974, 1974 and 1972 respectively and lived until 1980, 1980 and 1981? zissnun TABLE 5 Annual Incidence of ASL Cases (Date of Death) by Geographical Area Page 30 | 1955 |7 f 1961 12 14 16 |7 18 19 I 1970 |1 12 13 14 |5 i6 |7 18 19 | 1980 11 | Total Western Europe 1 | North America Rest of World Annual Total 1. 1 I1 1 11 1 11 1 11 1 |1 1 1 ii I 1 I 1 4 1 3 6 6 6 7 5 6 4 52 * ii 5 15 2 13 1 12 2 \3 l 15 4 12 |7 2 I 1 t6 4 I1 1U 3 1 2 1 11 3 19 2 1 1 1 10 -1 15 3 -** 1 | 19 14 37** f 6 1 97** * Includes G03 aerosol can filler but omits It 01 bag extruder ** Does not include US31 still alive. ass nan Page 31 TABLE 6 ASL CASE NUMBERS BY YEAR OF DEATH AND GEOGRAPHICAL LOCATIONS (EXCLUDING IT01) 1 KEY i EVENTS 1 Viola 1Maitoni {Goodrich 1955 6 7 8 9 1960 1 2 3 4 5 6 7 8 9 1970 1 2 3 4 5 6 7 8 9 1980 1 Total I WESTERN EUROPE 1 FI 1 61 1 Swl I G2 1 Nl.Sw2.UKl.It2 1 G3** I G4.G5.UK3 | F2,F3,G6,G7,G8,It3 1 B1,F4,F5,F6F7,Sw3 | F8,F9,G10,Gll,G12,Sw4 1 F10,F11,G9,G13,G15 1 G16,G17 1 F12,F13,UK4,UR5,G18 ^ i UK6, UK7,G19,Sw5,G20,G21 I It4,F14,UK8,G22 1 52 1 | NORTH AMERICA 1 1 l Cl | I C2 1 1 1 1 US8 1 C3 1 I US5 1 1 1 l C4,C5,US4,US7,US10 | US12US16 I US11 1 C6.US2 1 C7 1 C8,US1,US3,US23 1 C9,US13 1 US6,US9,US18,US26 I US19,US20,US22, 1 CIO,US21,US24* 1 US27,US28 1 1 | US17, US29, US30 1 1 l I 37*** 1 * Cholangiosarcoma ** Aerosol Can Filler *** Does not Include US31 still ALIVE 1 | REST OF WORLD I 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 Cz2 1 1 1 C' 1 -- JD r* 1 -* 1 1 Y1.Y2 I Czl 1 Japl I Jap2,Y3 11 1 Y4 1 I1 11 t1 11 !1 11 18 1 1i PJST80061400 >l-*WPX7-2 Page 32 TABLE 7 ASL CASE NUMBERS BY YEAR OF FIRST EXPOSURE AND GEOGRAPHICAL LOCATION (EXCLUDING IT01) URL 15575 KEY | 1 1 11 EVENTS | | WESTERN EUROPE | NORTH AMERICA 1 REST OF WORLD! 11 i 11 11 1 l! 1 1939 1 1 US24* 11 1 40 1 1 1 | Frll 1 1 C3,US27 11 l1 1 21 1 3 | Frl4 I US13, US29 1 C2.US19 1 1 1 1 1 4 |UK1 1 5 |Sw2 1 6 |Frl,Fr3,Sw4 1 7 I Sw3 | CltC5,US5,US7,US28 1 1 C4,US3,US9 1 1 C7, C9, US 8, US 11, US 21 ,US31*** | C6,US22,US26 1 1 1 1 1 1 8 |Fr9 1 9 |Frl2,Fr4 1 50 |Fr7,Nl,UK8 l 1 |Svl,UK5 1 US1 | US 12 1 US16 I US10 I 1 |Y2 |Cz2 1 1 1 1 2: |G3** 1 3 |G15,It3 I 4 |G7,G8,UK4,G19 1 5 |G11,G16,G18 1 6 j FR10,G1 1 7 |Fr8,G4,It2,G2 1 8 |Fr6,Bl 1 9 |Fr2,It4 1 US4 1 CIO | US18 | US2,US17,US20 1 i I US23 1 1 Uapl.Yl IY3 1 1 ICzl |Jap2,Y4 ! 1 1 60 |G5,G13 1 11 1 1 |G9,G10,G12,G17,G20 ,G22| C8 1 2 |G6,UK6,G21 1 US6 11 l1 1 3 IFr13, UK7 11 1 4 | Sw5 1 US30 11 I 5 |Fr5 1 1 1 6 | UK3 1 11 11 1 1 1 81 1 11 1 91 1 11 Viola I 70 1 1 11 till 1 11 I | 2| 1 11 Maltoni 1 31 1 !1 11 l 11 1 Total 152 i 38 18 ! 11 1 11 * Cholanglosarcoma ** Aerosol Can Filler *** US31 is still ALIVE PJST80061400,2 WPX-2 Page 33 TABLE 8 WESTERN EUROPE PVC PRODUCERS - START-UP PATES vs ASL CASES (OMITTING G03) lSTART-UP| COUNTRY NAME I COMPANY N4ME 1 LOCATION 1 ASL CASE 1 YEAR OF | YEAR 1 1 1 1 NUMBER 1 1st Exposure 1 1940 1941 1944 1945 1 United Kingdom!ICI 1 France 1 Rhone--Poulenc [West Germany (BASF IWest Germany [Wacker 1 Sweden 1Kemanord 1Hillhouse 101,04 1 St Fons 103,09,10,11.14 ILudwlgshafen 1Burghausen 1 104,07.11,15 1SundsvallC Stockvik) [01.02.03.04,05 144.54 146.48.56.41.43 1 157,54,55,53 151.45.47.46.64 [ | 1 J I 1946 1947 1 Switzerland !France [Italy iLonxa 1Rhone-Poulenc 1Montedison ILalden (Visp) |Rou8illon [Porto Marghera 1 1 01 102 1 [46 157 1 I I 1948 1 United Kingdom!BP Chem IWest Germany IHuls [Barry (Marl 103.05.06.07.08 166,51.62.63,50 1 109,10 161.61 I 1949 I Belgium 1Solvic 1Jemeppe 101 758--------------------------- 1 1950 1France IPuk IBrignoud 102.04.05.06.12 !$MM*,5M$ 1 * 1951 1France 1Holland I Norway 1Italy IRhone-Poulenc 1 Shell (Norsk 1 Montedison [St Auban IFernis 1Heroya [Brindisi 10? 1 101 1 150 1 150 1 1 1 1 1 1952 1953 1 Italy [Austria ] France [Montedison [Halvie ISolvic ITerni IHalleln 1Tavaux 1 I 108.13 1 157.63 1 I [Italy 1Solvic (Ferrara 103 [S3 | 1 Spain [Rio Rodano (United KingdomIBIP IHemanl .[Aveliff e 1 l 1 1 ! 1 IWest Germany 1fioechst [Gendorf 118 155 ; 1954 [West Germany 1 Dynamic 1Trolsdorf [01,02,08,12,16 156,57,54,61,55, I !1 1 117.19.20.21.22 161,54,61.62,61 I 1955 1 Spain 1956 [Spain [Monsanto IberlalMonzon [Caiqsa 1Sablnanigo 1 1 ( 1 1 [Hisoavic (Torrelavega 1 1958 IWeet Germany 1Solvav 1960 1Italy IS C Ravenna IRhelnberg (Ravenna 1 104 1 Tl 159 r- 1962 1Portugal 1Cires IWeet Germany ILonza 1Oporto IWaldshut 1 106.13 1 162,60 <s\ X) 1965 1France [Italy (Rhone-Poulenc 1 Montlucon IPorzi 1Ferrandina 1 1 1 1 IWest Germany 1 Wacker 1966 IWest Germany [Hoechat 1 Cologne 1 Knapsack (Frankfurt 1 105* 1 160 1967 [France IATO Chlmie IBalan 1 1968 (Spain 1 Greece 1 Belgium [Rio Rodano [Esso Pappas 1Badlphil [Miranda de Ebro IDiavata Salonika [Antwerp 1 I t 1 1 1 1 ! 1 1969 [United KlngdomlVlnatex 1Stavelev 1t 1970 1971 1Italy 1Rualanca [Italy [SIR [United Kingdom IICI 1Italy 1 Spain 1S C Ravenna IHispavic [Sweden [Kemanord 1 Cagliari Sardlna 1 Porto Torres Sar 1Runcorn 1 Ravenna IMartorell \ Stentmgavmd 1 1 1 1 1 1 - 1 1 1 1 I 1 1 1 1 1 [United KingdomIBP Chem IBaglan Bay 1 1 1 1972 [Finland IPekema 1Svartback [Holland IDSM IBeek Limburg 1976 (France ISoc Art D*vinylIMazingarbe 1977 1 Spain (Monsanto Iberia 1 Tarragona * Laboratory worker in Research Department 1 1 1 1 1 1 1 1 ! t 1 1 PJ ST80061400,3-WPX7 TABLE 9 Page y USA PVC PRODUCERS - START-UP DATES VB ASL CASES URL 15577 START-UP COMPANY NAME YEAR 1939? *UCC 1940? *BFG LOCATION S Charleston Louisville 1946? *UCC Texas City 1947 Goodyear Niagara Falls 1948 Firestone Pottstown Unlroyal Palnesvllle 1950 Monsanto Springfield 1952 Dow Midland BPG Avon Lake 1953 Diamond Deer Park 1954 General Tire Ashtabula 1956 Air Products Pensacola Atlantic Refining Brooklyn Borden Leominster Conoco Hebronville BPG Niagara Great American Flltchburg Plastics Hooker Hicksvllle Pantasote Passaic 1957 Atlantic Tubing Cranston Tenneco Flemington NJ 1958 Keysor Century Saugus, Cal 1960 BFG Watson, Cal Air Products Calvert City Borden Illiopolis 1962 Tenneco Burlington NJ 1963 Conoco Aberdeen^ Miss Stauffer Long Beach, Cal 1965 Conoco Assonet_|_ Mass Ethyl Baton Rouge 1966 Diamond Delaware City General Tire/Pantas Mt Pleasant W Va 1 BFG | Henry. Ill 1 Stauffer 1967 Allied 1 Delaware City I Palnesvllle. 0 1 Hooker 1968 Firestone j Burlington NJ 1 Perryville 1969 1 BFG I Pedrickton NJ 1 Goodyear 1 Olin 1 Plaauemine | Assonet, Mass (Formerly Conoco)! 1971 1 Conoco I Oklahoma City 1972 Nat Starch 1 Meredosla. Ill 1973 1 Borden | Springfield Robintech I Palnesvllle, 0 (Formerly Allied?)3 1974 1 Atlantic Tubing 1 Cranston RI 1 Shlntech 1 Freeport. Tex 1975 1 Certain-teed 1 Georgia Pacific 1 Lake Charles [ Plaauemine. La Tenneco I Pasadena, Tex 1979 1 Firestone I Plaauemine * My databank has no information on UCC before ASL CASE YEAR OP NUMBER 1st EXPOSURE 07,13,19,21,24, 44.42.43.46 27.28,29,31 39.41.44.42.46 01,02,03,04,05, 48,55,45,52,44, 06,09,16,17,22, 62,45,50,55,47, 26 47 08,10,11,20 12 46,51,46,55 49 18 54 23 58 30 59 11 11 11 11 11 I! 11 !I 1 11 11 11 11 [1 11 11 11 11 11 11 1946 or BFG before 1950. NB Some of the plants in this list were closed down, some have changed ownership over the years. t Page 35 TABLE 10 CANADIAN PVC PRODUCERS - START-UP DATES vs ASL CASES I START-UP 1 YEAR 1 1943 1 (1941?) 1 1951 | 1957 1 1966 1 1979 COMPANY NAME I LOCATION I ASL CASE l YEAR OF 1 1 NUMBER 1 1st EXPOSURE 1l Goodrich l Shawinigan 101,02,03,04,05 144,43,41,45,44, 1 106,07,08,09,10 147,46,61,46,53 1 I1 Monsanto* 1 ! La Salle I 1 1 I 1 11 ! !1 Goodrich i Welland 1 1 1 11 1 11 Esso I Sarnia 1 1 1 11 1 11 Diamond Shamrock Alb 1 Port Saskatchewan 1 1 1 11 * Terminated 1975 C 33 co t Page 36 TABLE 11 EASTERN BLOC PVC FACTORIES - START-UP DATES vs ASL CASES I START-UP| COUNTRY NAME [ COMPANY NAME YEAR 1 1 1941 1Russia 1 State Comps 1950 [Yugoslavia [Jugo Vinil 1951 1 Czechoslovakia [State Comps 1955 lEast Germany |State Comps 1t 1956 1Rumania [State Comps 1957 1 Poland [State Comps [Rumania I State Comps 11 1958 1Rumania [State Comps 1959 fHungary 1 State Comps 1961 1Rumania 1 State Comps 1963 [Yugoslavia [Ohis 1965 1Bulgaria [State Comps 1967 [Poland ]State Comps 1969 [Russia [State Comps 1970 [Rumania 1 State Comps [Russia [State Comps 1972 [Yugoslavia 1Vlnilplastika 1975 1 Czechoslovakia [State Comps [Russia [State Comps 1976 [Yugoslavia [Hip 1977 [Rumania I State Comps | LOCATION 1 [Vladimir et al [Split INovakv [Bitterfeldt 1Schkopau 1Icechlm [Osweicim (Dwory) | Tlmaveni [Turda [Risnov [Berente Borsod [Borzestl 1Skople [Varna [Tarnow IDierlinsk [Rlmnicu Vilcea [Volgograd 1 Zadar 1Neratovlce [Kalush Area 1Pancevo [Rlmnicu Vilcea PJST80061400,6-WPX7 | ASL CASE | NUMBER 1 101,02,03 *04 [01,02 1 1 1 1 1 1 ! 1 1 ! 1 ! 1 I 1 1 1 1 1 1 1 YEAR OF 1 1st Exposure 1 [53,50,54,48 157,51 [ 1 1 1 [ 1 1 1 1 1 1 I t 1 1 1C 1 JJ r~ 1 on 1 to I Page 37 TABLE 12 URL 15580 JAPANESE PVC PRODUCERS - START-UP DATES vs ASL CASES |START-UP| COMPANY NAME YEAR 1 1950 I Chlsso Corp i Kanegafuchi Kag 1 Tekkosha 1951 1 Mitsui Toatsu 1952 1 Mitsubishi Mon 1 Sumitomo Kag 1951 I Denki Kagaku 1 Nippon Zeon 1 Toa Gosel 1955 1 Ryo-Nichi 1956 1 Nippon Zeon 1 Nlsshin Kagaku 1957 1 Kureha Kasel 1 Shlnetsu Kag 1960 I Denki Kagaku 1 Kanegafuchi Kag 1964 1 Chisso Corn 1966 I Tokuyama Seksui 1967 ] San Arrow Kagak 1 Sumitomo Kag 1968 | Ryo-Nichi 1 Shlnetsu Kag 1970 [ Chlsso Corp I Denki Kagaku 1 Kanegafuchi Kag i Kawasaki Yuki 1 Mitsui Toatsu 1 Nissan Kagaku 1 Shlnetsu Kag 1971 I Tekkosha 1973 1 Asahl Glass 1974 I Toyo Soda 1 1975 1 Central Kagaku 1 Toyo Soda 1977 1 Unknown I LOCATION 1 1 Minamata 1 Osaka 1 Sakata 1 Nagoya [ Yokkalchi 1 Kikumoto 1 Shibukawa t Kambara 1 Tckushima I Uozu I Takoaka 1 Takeo I Nishiki 1 Naoetsu I Ohml 1 Takasago 1 Chiba 1 Tokuyama I Tokuyama 1 Chiba 1 Mizushima I Tokuyama 1 Mizushima 1 Goi (Chiba) 1 Kashima l Kawasaki | Sakai ! Chiba 1 Kashima 1 Yokkalchi 1 Hayatsuki I Sakata 1 Yokkalshl I Kawasaki I Yokkalchi 1 Kashima 1 ASL CASE 1 NUMBER 1 1 1 1 01* 02 | _. _ 1 1 1 ! 1 1 1 i ! 1 1 1 1 1 1 1 1 1 I i 1 1 I 1 1 1 ! ! 1 1 1 YEAR OF 1 1st EXPOSURE 1 1 t 1 53, 58 'I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 [ 1 1 1 1 1 1 1 ! 1 1 ! i PJ ST800614007-WPX7/2