Document a4B9Q72RQgwqXrwZJpwmnqZmM

Dr H. N, Ru s s e l l Al e x a n d r i a - Egyp t viTrn-f i. ^ Dr , E, N* Ru s s e ll 1 Rue Toussoun Alexan d r ia* Egypt Dear Doctor R u s s e llj- I have jus t r e ce ive d viord from Mr , F , M* S* Xegner of Et h yl Exp or t Cor p or ation t h a t you ar e w illin g to under take the m ed ical super * vis io n o f workmen who ar e soon to be engaged in m ixin g Et h yl Flu id with ga s o lin e fo r the Vacuum Oil Company in Alexan d r ia* Accor d in gly X am sending you her ew ith a small pamphlet which o u t lin e s the ge n e r a l p o lic ie s which we have attem pted to ca r r y out and which give some b r ie f statem ent of ce r t a in o f the problems which are to be m et, I con sid er i t ver y u n lik e ly t h a t you w ill have any d iffic u lt ie s ifc con n ection w ith t h is work s in ce we have found t h a t i f the Shipment la s a t is fa ct o r y , and i f i t is operated pr oper ly* no Illn e s s or In ju r y o f any kin d occur s* On the oth er hand, I can not s t r e s s too much the importance in my mind o f h avin g our m edical r e p r e s e n t a t ive s check the equipment and the manner o f it s use from time t o time to see t h a t ca r e le ssn e ss does not cr eep in t o t h is ap p ar en tly s a fe op er ation * The Flu id i s a d e fin it e ly poisonous m a t e r ia l and i f I t is handled ca r e le s s ly , se r iou s cases o f p oisoning w ill develops The ga s o lin e , on the other hand* has demonstrated i t s e n t ir e ly s a fe p r op e r t ie s from the p oint of view of le a d , and i t is ray opinion th at th 'ga solin e tr ea ted with lead in proper con cen tr a t ion s Is no more dangerous rt<5 handle than is or d in ar y ga s o lin e * We have attempted t o pr event a l l lead poisoning in connection with m ixing oper ations by keeping a sharp lookout fo r sign s of lead absor ption in the m ixin g p er son n el a n Cs Xco * as X have in d ica t e d p r e viou sly* by making a c r i t i c a l sur vey of the m ixin g equipment and i t s means o f op er ation from time t o tim e* Our su p e r vision o f the workmen has con s is t e d o f p e r io d ic ca r e fu l p h ysica l e xa m !n a t ion s,p lu s m icr oscop ic exam ination o f blood smears r egu lar ly,^ * In t h is coun tr y we have a ls o made i t a p oin t to stu d y th le a d e xcr e t io n o f workmen from time to time so as t o be ce r t a in o f the magnitude o f the le a d exposur e* We know hew t h a t i f the m ixin g equipment i s oper ated in accor dance w ith the in s t r u ct io n s , no measureable le ad absor p tion occu r s* Moreover no oases o f le a d p oison in g have been seen in connection with t h is work over the e n t ir e per iod o f ye ar s in which the pr esent type of m ed ical and m echanical r egime has been In oporation# , in v e s t iga t e these com p lain ts w ith a l l ca r e ,e n d I su ggest t h a t i t would be advantageous i f you se r e to do lik e w is e * I t h in k ycu w ill have ve r y l i t t l e d iffic u lt y from t h is s o u r ce , h u t i f d iffic u lt ie s o f any kin d do a r is e * I should a p p r e cia t e I t ver y much i f you would communicate w ith me concer nin g them so t h a t I w ill be informed as to what is occurring* In view o f the problems which have been a s s o cia t e d with t h is in d u str y* and in view o f the e xt e n s ive exp er im en tal work which has been done in e va lu a t in g these problems* ther e ar e a con sid e r a b le number of p u b lish ed a r t ic le s w h ich .d e a l w ith var iou s phases o f the s u b je ct . I s h a ll send you cop ies o f such o f these a r t ic le s as ar e now a v a ila b le fo r your in fo r mation* and as soon as I am able to ob tain it * I s h a ll send you a copy of a volume in-.which we have assembled a l l o f the a r t ic le s which bear upon t h is s u b je ct * Un fo r t u n a t e ly the number o f such volumes was lim it e d and t h e ir su p p ly is now s u b s t a n t ia lly exhausted so t h a t lb may be some time befor e I s h a ll be ab le to ca r r y out t h is promise* Meanwhile the a r t ic le s which I am sending you w ill pr obably be of some in t e r e s t and s e r vice to you* Sin ce r ely yours* RAKji Rober t A, j^ehoe'* M'*B. KAO K ? 0 0 1 O 0 l-1 vC