Document RJ4kqarEBOKv3oLxL5p851n8

43) >13* CHEMICALS 3 J .a IND...-.TRIES INTEROFFICE /LAKE CHARLES TO p*. Zefa Be FROM H, B. Lovejoy, M.P. DATE Apxil 4, 7 971 SUBJECT ^Spe~won.k Vnncju.cz GuidelinejO Jjmim Mmi WWLh W Vx. Gxant I fiave. Aevexal aomme.nti> concexning the, medical Auxviellance oi employees whoAe woxk may allow expoAuxe to EVC. The medical Auxviellance guidelineA vxitten by P'1. Gxant axe Atm,lIan. to thoAe given on page 2 oi the NIOSH Cxitexia jox a Recommended Standard Occupational ExpoAuxe to Ethyl Vichloxide, appealing Match 7 9/ 6. Howevex, andex the medical examination, la., no comment iA made concerning mane Sequent (Ami-annual) examinationA afitex 10 yeaXA expoAuxe. PexhapA thiA U not nece&Aaxij, bui aA you mil xecall the Vinyl Standard xequixeA thU. Complete medical hUtoxieA a(ten the initial oaaignment would Aeem to me unneceAAaxy. An intexval hUtoxy Ahould be AuHicient. The designation SMA7 2 uAualiy incJZudeA total pxotein, albumin, choleAtexol, glucoAe, EUN, SGOT, uxic acid, alk phoA, LVH, calcium, bilixabin, cxeatinine. Howevex, Aome laboxatoxieA ox hoApitalA will do a phoAphoxuA and not do a uxic acid ox cxeatinine. No SMA7 2 includes a SGPT and a GGTP which iA xequixed undex the Vinyl Standaxd. TheAe axe pxobabltj the moAt AenAitive commonly available liven teAU. T would ieel that fiox the benefit oft phyAicianA and/ox othex xeAponAible people (nuXAeA, Aa&etymen, etc.) who may not be iamilax with the backgxound inionmation on EVC that AymptomA and AignA oi ovex-expoAuxe at least be mentioned. Some xecommendationA Ahould be made oa to any condition that would pxevent an employee ixom xetuxning to weak in the axea oi potential EVC expoAuxe. ReiexenceA in the above cited NTOSH Cxitexia pxopoAal xe^ex to "caxdiovaAculax, pulmonaxy, neuxological, liven and kidney abnoxmalitieAu cauAed by expoAuxe to EVC. I have not checked the oxiginal xe^exenceA becauAe many oi them axe in RuAAian and Italian. ThoAe indicate that theAe and poAAibly othex. iunctionA (texatogenic eiiecU) Ahould be conAidexed. Cextainly the metaboliteA oi EVC axe capable oi Ahowing Atxong activity on the AmeA teAt. PexhapA we who have iaciliti.eA to pexiorn pulmonaxy iunction AtudieA and electxocaxdiogxamA, Ahould do them but not make it manditoxy ion thoAe othex PPG plantA ox PPG \acHities who handle EVC. lb ViAtxibution: R. G. Conley Frmmrn L. E. Gnari C, H. Powell R. E. Souxwine APR 0 6 1978 Environmental Affairs