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TUMORS OF THE SKIN
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Similar protective measures have been devised concerning the handling of
radioactive substances. However, complete protection against the highly pene
trating gamma-rays is difficult to obtain when handling radioactive substances
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(Hunterj Laborde and Leclercq).
XVIII. MEDICO-LEGAL ASPECTS
Roentgen- and radium-dermatitis and cancer are among the compensable
occupational diseases in most countries [Argentina, Australia, Belgium, Bul
garia, Cuba, Finland, Germany, Great Britain, France, Ireland, Mexico,
Norway, Peru, Portugal, Rumania, Sweden, Russia, United States (Carozzi}
5 Laborde and Leclercq) ].
The compensation laws in force in the different countries cover in part the
specific diseases, in part the causative agents and operations, and in part
either two or three of these factors. In most instances the law provides for a
maximum period of responsibility, so the extent of protection afforded by the
law rests to a certain extent within this clause. In France, for instance, for
4j acute and chronic radium-dermatitis the law permits a delay period of up to i one year, that is, within one year after the cessation of the hazardous work 'S which caused the injury, claims must be made. For radium-cancer the delay
period is five years. Similarly objectionable laws have been enacted in other
countries (International Labour Conference} Laborde and Leclercq} Carozzi).
The delay periods are obviously too short to cover an appreciable number
of cases. Such limitation clauses entirely disregard the biological character
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of the disease which the laws are supposed to cover.
J In as much as roentgen- and radium-cancers are still serious occupational
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diseases that must be reckoned with in the future, Groedel and Lossen proposed
to place all establishments using radiating energy produced by roentgen-tubes
or radioactive substances under the direct supervision of governmental agencies
which should be charged with the task of enforcing the installation and A observation of adequate technical and medical precautionary measures in 3 these laboratories.
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1 BIBLIOGRAPHY ROENTGEN-RAYS AND RADIOACTIVE SUBSTANCES
Adair, F. E., Ann. Surg. 100: 374, 1934.
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Albers-Schonberg, Die Rontgentechnik, 5th ed. Grafe & Sillern, Hamburg, 1919, vol. I,
I p. 408. Appelrath, H., Strahlenther, 20: 576, 1925.
3 Baermann, G., a.nd Linser, P., Miinchen. med. Wchnschr. 51: 996, 1904. Bauer, K. H., Verhandl. d. deutsch. path. Gesellsch. 30: 239, 1937.
j'l Beck, C., New York Med. J. & Rec. 61: 83, 1902.
Bclere, A., Bull. Acad, de med., Paris, no: 156, 1933. Schweiz, med. Wchnschr. 64: 679,
1934. Strahlenther. 60: 9, 1937.
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Beddoes, T. P., Proc. Roy. Soc. Med., Derm. Sec. 7: 50, 1913-14.
Bichler, H., Wien. Klin. Wchnschr. 26: 934, 1914.
Blair, V. P., Brown, J. B., and Hamm, W. G., Radiology 19: 337, 1932.
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