Document VJojm7JDeQ85o2bo8gqOG7Vd8

/ <U-*L**< '<c (j 0 ^L<<-- September 25,1930 Dr. B. Hd Hildreth, 363 S* Arlington Street, Akron, Ohio. My dear Dr. Hildreth: Through Dr. Emery Hayhurst, consultant in Industrial Hy giene of the State Department o^EIealth^Chave received a report of a case of wrist drop in one a filling station attendant for the Standard Oil Company in Akron, Ohio. For a number of years I and my associates have been carefully investigating all types of injury which have been asso ciated in any way with the handling of Ethyl Gasoline. We have not found a bona fide case cf poisoning at any time, and I am therefore very much intere^tedin knowing what T can find out about your patient, Mr. The information contained in Dr. Hayhurst*s letter does not give me any clew as to whether he has any present or past exposure to lead compounds other than in his handling of Ethyl Gasoline. In fact, the letter does not state any presumed connection between his clinical condition and his hand ling of Ethyl Gasoline. However, the fact that he Is a filling sta tion attendant makes this case unusually interesting and important to me, and if it is at all possible to do so I should like to have an opportunity to investigate his ease as thoroughly as possible and to attempt to arrive at a certain conclusion as to the nature of his exposure to lead, if Indeed lead is responsible for his wrist drop. The widespread use of gasolines containing lead makes this a matter of unusual importance in public and industrial health, otherwise I should not take the liberty of causing you any Inconven ience in a case which is under your care. I should like very much, if it were possible, to see this man in either of two ways. I could see him, with your permission, at Akron on almost any day that meets with his convenience. Or, if it were possible, I should be glad to provide him with the ex pense of making a visit to my office for the purpose of looking into the case very carefully and collecting material for analytical pro cedures. The latter, of course, assumes that he is in fit physical condition to travel. I enclose a self-addressed stamped envelope for a reply, and I should appreciate it greatly if you would let me have some information about your patient,and if you would let me know whether I may see your patient and what you regard as the most suitable man ner of so doing. Allow me to thank you in advance for the courtesy of an early reply. Very truly yours, OHIO DEPARTMENT OF HEALTH CERTIFICATE OF INDUSTRIAL OR OCCUPATIONAL DISEASE > a .2 - o 5O5 iJ: Oa-- H-0* SU 3 = JUt5Ji O^O' jst S$5 c <C ~ s a IHit s < ca O*3,JO~. a " i ; S,, ^ 15 i ^3 s l -5 S s . M *w S 2 H>>H 42<OA5 O*O<H5 5H -3o Q aH j 3 *a? 18? 33 ME tI 05 * au a*.>5s.3 ! NAM E O F P A T IE N T _____________ A D D R ESS: S treet and No-----SfiR HI nvftyrirQ a Aim r f_____ C ity o r V illage A la*on^ O h io PERSONAL AND STATISTICAL PARTICULARS Sex Age Color Country of birth M 21 W Single, married, widowed or divorced (write the word) A m er. Single Occupation (a) P resent trade, profession or v,rork_ ...station attendant. Particular kind of work in such trade, etc... -same. MEDICAL CERTIFICA TE OF DISEASE Diagnosis of present illn ess L ead P o i s o n i n g Chief symptoms and conditions R t . W r i s t d r o p ______ 9 /2 0 /3 0 'he p a t i e n t h a s bean nnroplft-imng n-f* fcinednfrga poor.-a p p e tite ..and l o s s o f we ig h t th e-p a s-t fevf weeks , D ate first symptoms appeared..9 / 2 / 5 0 .. Complicating D iseases (such as alcoholism, syphilis, tuber Date of entering present occupation. F e b ., 1929 culosis, etc.)_____ n o n a ______________________________ Employer's name Address 185 B eaver S t. Business (kind of goods made or work done). g a s o lin e and o i l ___________ 9/ 20/ 3 O What in your opinion caused this affliction?--A - b l OOd t e s t by Dr. P o tte r shows s tip p le d c e l l s . ________ (b) Previous occupations: Name of occupation Entered (year) Left (year) 9720730 Additional facts ... There are no ou tstan d in g -school, teacher -1927- in t e s t in a l symptoms or lead lin e ,. Thara in .stu d e n t -1927- Previous illnesses, if any, due to occupation: Disease or illness. none Year into th is case. Date of diagnosis. 9 / I 2 / 3 O (Signed) B . H . H i l r e t h , 192_ ., M. D. Ind. Hy. 3--15M--5-29 ?A ? / s ___ , 192-- (Address) 5 6 3 >S A r lin g t o n --S t A j a a s a ^ O h io -..- Mail to STA TE D IR EC TO R O F H EA LTH , Columbus. For In stru ction Se e O th er Sid o Kk 0003366 OHIO DEPARTMENT OF HEALTH COLUMBUS INSTRUCTIONS FOR FILLING OUT CERTIFICATE P resent Occupation. Precise statement of occupation is very important so that the relative healthfulness of various pursuits may be known. It is necessary to know both general trade or profession (for example, pritiier) and also the particular kind of work or branch of the trade (as hand compositor or linotype operator.) Date of entering present occupation is important to determine how long the worker may have been exposed to the hazard before contracting the disease. Employer's name, address and business are necessary to as certain distribution of occupational diseases by industries, many tiades (e. g., machinists) being common to different industries. Previous O ccupations need to be known, if possible, because present illness may be due to a former rather than present occu pation. Give simply the name of each distinct occupation which the patient may have followed, with the year he entered and the year he left Previous Illnesses. This refers either to previous attacks of present disease, or to any other disease, due to occupation. All that is required is the name of each such disease or illness with the year in which it occurred. M edical Certificate. Only the last two items, specified for this require any explanation. In making these reports it is necessary to consider, the possible influence of factors other than occupation as causes of the disease. For this reason any complicating diseases should be noted, such, for example, as alcoholism or syphilis in con nection with arteriosclerosis in cases of lead or other metal poison ing. The possible effect of other factors, such as poor hygienic condi tions in the home, or other personal conditions, must be considered, and when discoverable should be noted under additional facts. AN ACT--To Require the Reporting of Occupational Diseases--(As amended February 4, 1920) Be it enacted by the General Assembly of the Stale of Ohio: Report of Se c t io n 1243-1. Every physician iti this state attending on or called in to visit a patient whom he believes to be suffering occupation al d iseases by ph ysician from poisoning from lead, phosphorus, arsenic, brass, wood alcohol; mercury or their compounds, or from anthrax or from compressed air illness and such other occupational diseases and ailments as the state department of health shall require to be reported, shall within forty-eight hours from the time of first attending such patient send to the state commissioner of health a report stating: ... W hen an d to whom to bo m ade ' . (a) Name, address and occupation of patient. (b) Name, address and business of employer. (c) Nature of disease, (d) Such other information as may be reasonably required by the state department of health. The reports herein required shall be made on, or in conformity with, the standard schedule blanks hereinafter provided far. The mailing of the report, within the time required, in a stamped envelope addressed, to the office of the state commissioner of health, shall be a compliance with this section. .... . Blan k s for Se c t io n 1243-2. The state department of health shall prepare and furnish, free of cost, to the physicians included in the report . preceding section, standard schedule blanks for the reports required under this a c t The form and contents of such blanks shall be determined by the state department of health. Such reports so t evidence the Se c t io n 1243-3. Reports made under this act shall not be evidence disease therein reported. ` of the facts therein stated in. any .......... action arising out of Copy of re* port to be tran sm itted to proper official P en alty Se c t io n 1243-4. It shall furthermore be the duty of the-state department of health to transmit a copy of all such reports of occupational disease to the proper official having charge of factory inspection. Se c t io n 1243-5. Whoever being a physician practicing in the state of Ohio, neglects or refuses to make and transmit to the state commissioner of health any report provided for in section 1243-1 of the General Code shall be fined not to--exceed one hundred dollars or imprisoned for not to exceed ninety days, o r both, but no person shall be imprisoned under this section for a first offense and the prosecution shall always be as and for a first offense unless the affidavit upon which the prosecution is instituted contains the allegation that the offense is a second or repeated offense: NOTE--In addition to the diseases or disabilities provided for in Section 1243-1 of the above law, the regulations passed by the Public Health Council on February 27, 1920, provide in Regulation 2 for the reporting of "any disease or disability contracted as a result of the nature of the person's employment, including the following diseases or disabilities and not excluding others: Anilin poisoning ' Benzine (gasoline) poisoning > Benzol poisoning Bisulphide of carbon poisoning Carbon monoxide poisoning ........Dinitrobenzene poisoning Naptha poisoning Natural gas poisoning Turpentine poisoning