Document Z4M0oynByyGj77mdqE9NXgEvY

FILE NAME Corning OC DATE 1969 May 21 DOC OC323 DOCUMENT DESCRIPTION Memo RE Procedure Established Diagnosis in Individuals Exposed to Asbestos Containing Dust Paul Scheuerle PROCEDURE ESTABLISHED DIAGNOSIS IN INDIVIDUALS EXPOSED TO ASBESTOS CONTAINING DOST Jou L, Kouzes, M.d.o Tolede May 21 1969 .. .. ' T hoaas ~ Yolade Talis 18 a follov-up te our meeting of Monday, Mey 19, 1963. Over the last forty years that Laylo insulation has hem produced by am esseatially asbestosis process at Berlin, only one previous case of asbestosis has been identified This one case w wery typical since it is reasonable to believe the exposure actually took Place outside the pleat, Since 1965 all rays have been read both locally and at the Institute of Industrial Health University of Michigan with asbestosis parently no films being reported as compatible with asbestosis Within the last year the group ef Fadiologists who reed the f{ . at Berlin vas changed During the present manual local ray screening which counced within the last two months three or four rays ha as sapert " " absona / ' My be work viremente It is most important for the proper disposition of these cases that a reasonable diagnosis is established The method of reaching this diagnosis should be follows It is suggested that Dector Schvarts review all the impressious as they are returned from the radiologista Individuals who have abnormal chest rays which suggest a related condition should be examined by Dr. Schwarts After this examination if in Dr. Selvarts's opinion further diagnostic evaluation is wonded a timely consultation should be arranged with a local specialist in pulmonary disease The rays should also be seat to the Instituta of Industrial Mealth, Ualversity ef Michigan, with the reqoest that they be read promptly and returned since it is likely they will be needed for the local diagnostic evaluation in Berlin After all the diagnostic evaluation has been completed then each casa vill have to be handled more or less separately depending upon the findings of the elinical and ray evaluation . If it is agreed by all parties that a case of urbustosis has bom diagnosed the case should be handled promptly as a compensable disease The decision whether the man should continue working in an atmosphere containing asbestos fibers must be made on an individual basis with com sideration to the age of the individual the length of time he has bee employed in an " feasibility of asbestos containing atmosphere the apparent th currat abestd abestd xou wearing personal respiratory protection progress Lan yao dth Peal ar aje- May 21, 1969 Im those cases fa which on. Rorey abacraality {6 meted which does net indicate a relation it is suggested that Dr. Schwarts review the findings with the involved employee and obtain the per- . mission of the employes to forward the information to his private physicim This should be done by written communication and a copy retained in the patient's folder along with the notation that the patient gave his permission to disclose the information ^ deternisation batvees Dr. Schwarts and the man's personal physician should also be made as to whether the individual can continue working in a dust Laden atmosphere My offfce etands ready co aesist ia sech determinations, Corning Fiberglas should be responsible financially for the east and to vert- u order to a a fa questionable cases a the ' eonditicn Ls related to his occupation or not As Company we should not be responsible for traateent ef his esodition, wntil it Le it is fodb-releted, In eases which are aot job-related, course would be handled under our Group Insurances Plan determined that tuese, ef in the normal Beanery. With regard to the saviromssatal control of dust and in particular ashestoe containing dust fa oar Berlina Plant, it is <mportant te keep fa miad chet ia forty years of reported wmchanging exposure, casascef asbestosis have not been reported Therefore it would seem reasonab that will recently suggested ventilation changes can be carried out that we simply supply respiratory protective devices to v^>duals working in the high dust areas identified by the most recent industrial hygiene survey the ma carried out by Mr. William Bradley In order to document the first elain adequately was should follow the procedure outlined above and also rasmple the work mav^>roomeatin the areas where this m h vorkad during his employment at the Berlin Pimat It is la our favor that the Plant conditions have not ebsaged appreciably For this reason readings currently obtained would be comparable to exposure levels over the years I will be looking forward to the Conference Call on Friday at 2:00 P.M. between yourself Docter Schwarts Dector Pasley and myself, IU /^'sl