Document aB1qz6qL6jEDr6ryoJOox5n8N

FILE NAME: Asbestos Textile Product Use (ATPU) DATE: 1942 Jan DOC#: ATPU004 DOCUMENT DESCRIPTION: Medical Bulletin of the Veterans' Administration Pneumoconiosis-A Study of 379 Cases Volume 18 Number 3 MEDICAL BULLETIN of lhe Veterans' Administration FRANK T. HINES, Administrator of Veterans* Affairs CHARLES M. GRIFFITH, M. D., Medical Director JANUARY 1942 MARTIN COOLEY, M. D,, Editor UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON : 1941 ir u le by the Superintendent oI Document, W uhington. D. C. Price IS centi PNEUMOCONIOSIS: A STUDY OF 379 CASES H amiy B. W n.UAM S, 51. D ., Veteran* Administration, Oteen, A \ C. at AVestuerrvaenys'Awdams irneicsetnratltyiocnonFdaucciltietdy. (Swuhnimleomthiet. aXu.thVo.r) wtosidseotenrmduintye etlriaenrse'lAatdivmeininisctirdaetniocne.ofTphneedumatoacfoonriotshies sintudbyenceofnicsiiasrtieeds ooff qtuheestVioent mnaiidrems,efdoicrmalurleasteeadrcbhy, twhheicchhiehfa,ddibveiesnionseonft ptoosatngdradeuxaetceutiendstarutcftiieolnd nstitmoantli,aolinnsd,uaisntferhwealazitanirosdtnasn;tcoerasbd,eintoiesgfsirucaeimasrsifersoofmwchhaoeffshetascdteodbfebeanfefneeecxftipecdoiasrebideensteowfiohccioacruhipeasad; llllAll.total of cases so collected from the field stations of the Veterans' stAnildrvimeorui,nsiilrsyotrnao,tciqcouunapriwtezda):s, cA3o7sa9l.m(aiTnnhetehrsrabocefinteemfiacenitadarlibeoistrueimns itn(hloeiusasd)s,emrcioeinspephresar,d,bgrbioeclekdn-, . nndunlaiobnosretrysp,etsunonfeclonlasbtrourcetriso,nrowcokrkd,rialuletorsm, osbtiieleetfaccletoanryeresm, lpalbooyreeerss, IinIi.tiot.ihl,olmonnnaiccth.hisng,irgsatrnsi,nitsdeae,nrdsmb, lasartsbotlneere,sc,supltatoetterts,e,reyctecwm.)o,ernkltaebrwso,orqrekruesarrsor,ynrmasietlnoron(aeldimcserwustsiothcneleir-,, ri-i.i.!;\-tnduuiv>>owlifraoecriktnoerrruys,, aessmtbepeesll-otmoj-seilclws,oemrbkrpeilrcosky,leameysoe,lrdss,teorssn,ielkgm-rmaaiisnlol-neesle,mvgparltooocyreereeyms,pdlseotaeylaeemerss-,, {. ..i.,n ia>.i.j*a lluitmerisn,uimncfmnlelpteorl,ischleerrsk,, gtliales sprweossrkere,r^ir,osnm w el ork te r ewrso,r kfoe rusn, darnyd- iii djjciivrfn.i'tory employees. In a few cases no occupational history .I 'iMlit<mliin.-iinriiiti,;>-tdIhniasdteyatsheoe,frnedauamsrteeylyoonfclryceuetpwasotiiloicfnoasrm(hSassio0lf2e)dduotsortstwihliheciocrnhatdhreieoarxllidydeecfiaanunistdee <nI-.l.-r-l.y|i*nlilni.ndgiciehseimumicaslilylielnotea)s.liesTtoaslca,nadlsoisausnidliecratseusopfimcioagnn. esAiusmy,eits, hhouw-reimveir,>fitlulinags dniosetabsee.en Cdeofailn-idteulsyt cparuosveesnpitgombeenatatfiaocnto(raninthtrhaceopsriso)- ntioimvuelslyomchicnaaersmriaollnesaslrsloyifirisoilnmiognhaltypfaimbthrionoseliodsg,iibscuanltostthtcaionsndhspiaodsienrbete.denaDpfuraosctvteofrnroimtno ttbhheee rpveraloar dinugctiiosntheifstohuercdeisefraosme. wThhicehsitlhicead-biseeaarsiengisroccoknterancctoeudn. terWedoriknemrsiinn btheocaucseemethnet minadtuesritaryls, wnihlihcohugthheyexhpaonsdedle tcoondtauisnt, liatrtcle noort naoffseiclitcead., Manodstthoefrethies svoamrieourseacsloanystousleiedliienvethtehaptostotemrye oinfdthuesmtrymaorediifnynoocrueovuesn, sinonhiicbiotbtsheervderesvetolopmmoedniftyoofrsiilnichoibsiist. thCeoparlodguresstsiosfaltshoe bdeisleieavsee.d bIyt 2.i0 I CAL BULLETIN' OF THE VETERAN'S' A D M IN ISTR A TIO N 2 5 1 c1ir, tltlhyseutbhpjeoetctBteerrdyi ntoimi l iJ'u' Ss^vj >iFwhLef*C^"ra0TtmrCa t<tvher'wSta,!noi,faet,snitPl,i,*ecoraye-ebeeissariinnnogthddiusmstitn,hdauezssaptrreydca1|,,,,idoinnbi,cakfleJouruinergs' ec^dtncisenaosm'nep?' if c-,,lerresa!i*iant^<,a"^zfaafurrj^r'l,n,s8a*0ce,fnamrgerans.nthJeelliepsvtrsaotdofurrosc,mtiomnhilaloysf., f,,|>ooelleercubblrrooosnnicsc.hhiittiiTs.he T'rfh.e..y' wC. oOUunlhP<?Tr,Inadesdo, .panr,lHtohb/oaVubgglyhh atUgh,gfe!rJvovm,a,,lnaev3'asnse,,t`exuHi.nsPti.naanng ijj!,,,,<:Ulhoiawzaancrdodnotcueesxn,ttinrlaestitohmnei.lalsniouii1t1/oTf *81**lr?cau,Sdt,,nccStl,c*dh*u,esdtudsuctastnissnovetenrcbyoeusnmrteeagrlael dradneiddn Aftor cl *'r>'ssl; x s c!jS S r S i* tu' culosis. ^ cjated with infectious disease, oe caws studied were classified as: lun2g Smilaicrkoisnisg's8Swimth ffns*t*nvSC,/cn'f:Scnh^ow,iin2g?dancocdenutluataitoionn. of the naordguelratthioann,isntitlhledfiisrcsrtestteagaei*e* lndmd,SlahlownoindguI<m?sal>rkceindg geexitieenrsnilvlyo tio4n, 5w.iathndJafirgse^;niodu:fSelsefnendi^n3^tIoSbheocwominegcvoenrf.lyueenxtt.ensive nodnla- j.uo.siisssecsoomfbiinnfeidlt rwatiit.ohnt.u-bTe--rhc--eusleoiuasareiincmfoecncistriidoiendr,eebndutittthyiet riiness idlieInasnet impos solibiflluesoilntio-s *u'ej. t:elrVmde^ifneiensiwatesxetephvaoidruaettnedcebefaoicnfkitgleuroenuvgnidddeinsfeocaersceoi,fthtsheilericpaorptoipcceeiasnrsvaonlcveenoifeiiwl.hhicuht indicates a background of infection only. j2 MEDICAL BULLETIN OF THE VETERANS' ADMINISTRATION odrit9iw,on1e0lcl.-amFnianbrokrtoebsdiesa:rceCcgoeasnredtsueasdthinooswn cionhfgarntahcoetenrlouidsntuigclaomr fdaserikpliiocnsogitsssi.,s;wTiitthhiisssolcifgtoehnnt pdpairtesisosienvnset. cionTnhgceeassseetisolnionfdeuarerestpsoihracadatoordrwyios-irnaefrneeacltiaodlnisso,eaascseuu,bteojercotirnctoohtrhoennroicrcm,oinanl cvoan1ri1tar.atiAdoinssbtsienisnctottihsoiens:atTdouhsliistlcicchooenssidts.i.tioEnahrlays cbaeseenstoefrmasebdes"tsoisliicsaatorcsisd"iffiin cmuilntotrocrheacnoggensiziendniscastuicnhg. anThineterarsdtiiotigarlapfihbsrousissu,aslliymislhaorwinoanplyapdevaaranncceed ctoasethsossheowcawsehsaitnhacslabseseifnicdaetisocnrisbe9daansda "1g0.rouTnhdegmlaossre" 1\\ tawopigptehetahlreiatrntlcweei;othrthanaomt niasor,kdeaudladarifcfdcueespneotushaiatt.zioenToohvfiesrthhtehazeleulnomgwaemyrallirueknisngogsfdi,eelbndusset, \'adsis1te2oa.soeNb.secguarteivthe:e cCaarsdeisacinbowrdheicrshatnhderteliewdaosmneos oefvtihdeendcieapohfralgumng. accTohredifnoglltoowtihnegotcacbulepasthioonwssrtehpereisnecnidteendc:e of industrial lung disease si 82 S3 81-Inf. 82-Inf. S3-Inf. S T B Asb. Total Miners, moral ore 1................................ Orsnito workers..................................... 2]]21 73 11 11133 2701 741 1725 76072 SSRatooncndkebcdluaritslttleeerrrsss....._..._....................................................................................................................... 1 2 211 f1t 11 843 SPMtoootnltdeeercyrrsu.w.s..oh..re.k.r..es..r...s................................................................................................................ 21 i2i 322 SSBtmroincekeltlemary.a.e..rs.,.o.f.n.u...r....n....a...c....e................................................................................................. 1 i i 11 NCAasobrpiensedtnoutsestrcraiar..dl..e.h.r.i...s...t...o.....r..y........*....................................................................... 31 1 411 ABblucmet-imn uemtaimweol trekre4r .*.......................................................... 1 1 11 T o ta l.............................................. 12 2 32 38 20 27 2 171 ttiuotneIatlthweerilelIunhprecsenisfot mtcerodoruethpianotffotrhwmeomartkiieosrnsawIpnerer(epluoasnvtdyaeiloraacbncluceep. aotfiomnisn. ersTshheoswe ncoIunldthbisetsaubbled.iviIdleadnl-inmtcolcsmmailnleerrsoccocnusptai ty*piAcaltlhoofugsihlictohseirseawndasthneoyInwdeursetraioalclhaissstiofireyd.riven in these cases, the radiographic appearance was quite wo4uTAlhdluehmaIinvndeuufmsutrrmniaiesllhfheeidrsstmowroeyraeroaifsptrhpreerosaepsrbcieaassteetosIsnIasfoporrmpoenanstiaotnond.qguleosvteiosnw.hiIlet wbobrkeilniegvoevdetrhthate mcruocreibdleest.ailTedhehimstoolrtieens lmbikeeretlaoylfstthphoaettsteethrmse oefnnrictahtrieeosnea,ot tfhwtuhoserskreetlgehaaesrrimengeisnctopsnriosnibdcaeibdraleybnltaealqctuoonasnthitdieteirweasoborlekf acwsoboneucsletdonshtrdeautaisontn.adoIdfnethdthifseadcrotuoosrmt.isn wIththeearlrseeolaesanesueemmosf asbestos particles. canDniaogt nboesise.m--pThhaseiziemdptoorotansctreonogflya. dTehtaeilesdymopctcoumpsatieoxnhailbitheidstobryy caansdesexopf eucntocroamtipolnicaatreednsoitlictorosuisblaerseomfeew. Ianndthoeftefanr-aabdsveanntc. edCocausgehs ttehremreinmalamy abneifedsytsaptinoena., aTnhoeresaxmiae, mloassy boef swaiedigohftp, haynsdicaclyasingonssi.s aDs ea creased resonance of various degrees may be elicited in the more- M EDICAL HLI.I.ET1.V OF TJIE VETERANS' ADMINISTRATION 2 5 3 eawvdhivdeaennnccceoedmoefpaadsrieessde,astwoeigtshehtohtwheern ewbxyittehsnytsmiogpfntosdmiosesfaasenemdsphphohywysesnmicbaay.l stihTgehnesraiddsiesoatgrritrkhaipnohgf. TiXnh-imrsa,aytkosigtnuegdthytehireswtdhiietahgmnaoocsstaisrdeeaffnuindlliyteintaankfdoelnlsoahwtiisisntfogarcytuo,priysthmabeestoihnlouddtievoliyfdduniaealcgecnsaossaseirssy.. Tbinyhfeetucgltxiroiernac,tuslhuoacszhisanridts ipmsnoetfuhtmeensoendciiafafsioecrsuliitnstfolaunedniifznfaet.erercnIutnirarttehenetthcaeacsusehtseacdrooemwspspilroiacftaottheryde tvweroydsisimeaisleasr. toOtfhteonse, coafsessiloicfotsuisb;ertchueloaspispewairlalnscheowofntohdeuslahraddocwjiossoitfs deaectahileddisehaissetormieasyaruelsoevebne mmoordeifiiemdpobrytantht,e aontdhetrh.e Icnootpheersaetiocnasoesf tinhethcelsieniccaiasnes athned styhme prtooemnst,gepnhoylsoicgaislt siigsnisndainsdpenlaslatobrlea.torOy ffincdoiunrgses oclfaOstusfibfteiherdceua1los7s1iuscnaacsroecmsppsrhleiocswaentnetd.insiltihceostiasbloer, 5n2sboerstoasbios;ut3830opfetrhceesnet wweerree ciinnasetthhseeshftohirwisrteddstsaatgnegfa,er.1-2adAivnapntohcseetd-smescoiolritncedomssisteaxwgaeim,thaionnuadttiooenvnildyoefn2coewneeorfoeficntlfahesecstiilfoaiensdt. sNeeriveesrtohfelecasss,est,hfeelptatthhoatlotghiesrt,e wwhaos wpraosboabnelyoaf bthaeckrgervoiuewnderosfoifnfthecis dtfiieoendnc.eisoIsffilctihcooims-tpcualbisccearcthiuanldgosniinso.fteccoTtimhoeeustroedmaisuaetaionspeins,ygm, i1ot1r9ewocouarsldelesshsaalvelexstlh>eonecwsnievcdelaaesvnsiid inWmhoisltectahseiss ipsronboatbalyn teuxbteerncsuivloesisse.ries of cases and no definite con cmluluonssgitsonodsbusecearvntoerbsdeuidnstratiwhnanhtalfiarttoimosunpipti,nocrirttesaisstehsbeetlbhieeevlieesduf sttchheaaptttibidti.ilsiaetyagsreeoefsofthwotihsthee dorirgeacntsratotiotutboertchueloesxist,enatndofththaet itnhdisussturisaclepdtiisbeialsitey. isThinecrreeavsieewd eirns ipanruelmthooifsntahsreeyridoeispsieniasisoenvectrohymaitsnmgthaeulln,nduceomrnbtsheiedreooribfnsgecravsthaesetioonnfuominfbdmeurestdoriifcaalcl adosifesfsiecaeosrefs odasfifpftehoreteennVttiefaatleccrilaainstieses's, .AanddTmhniiinsniesrteorvafiteitohwnes.heawsOesnrhleoywsu3nb7m9thicattatesdethsienwredeuriesplacicoannteseeiddferorfeomdr moffoirceerscasrheofuulldanfadmdileiatariilzeed thheismtosreilevsesinwcitahsetshiosf dtihseisastey;pteh.eyMsehdoiucladl iannfdorsmhouthldemksneolvweswohfatthteypveasrioofusocscouupracteios nosf adriesehaaszea-rpdrooudsucfirnogmdtuhsits, staInndpthoeinstt.udy of this series of cases, the writer was associated with DsLoarn.b,LorreoaRetonortyygeUfno.orGlotahgreidsntS,etruT,drpyuadtoehfaouTlougSbieasrtnciautnalodrisudismi,re,acnbtdoortDhorf.otHfheoSmSaraearrnaLna.cacSLaLamakkpee, NtToh. eeYsae.chreAvqiuecewosmteiropsnonswiateierreeo, pmainufitcoehnr iconaftererthefusetletdhstrueindeytrheoivsfieswthtueerdsya,wvaaainsladabplwepiesdnhadtetado. eicxaplreosfsfictehresirofthtahneksvatoriothues ofaffciciliiatliseso,f wcehnotrcaoloopfefircaet,eadndintofutrhneismhiendg the data. SI 82 33 S1-Ini. 82-Inf. S3-Inf. STB Asb. Total CMMlriinnaneeirrtsse,, wcmooeartalk1le..ro.s.r..a........_.................................................................................. 21121 T31 11 11133 3101 741 1733 75972 SSRatooncndkebcdluaristlttleeerrrsss........................................................................................................................ 1 2 211 61 11 834 SMPtoootnltdeeercyrrsuw..s.o.h.r.e.k.r.es..r_.s._...._...._...._......_...._...._...._....._..._...._...._...._...._...._...._._.__. 21 i21 322 SBStmroincekeltleamry.a.e.r.s.,o..f.n.u...r..n...a....c....e.......................................................................................... 1 1 1 111 CNAaosbripensedtnoustsetcrraiar.ld..he..i.rs._.t._o._r..y...*........................................... _ 13 1 1 411 6Ablcuemt-irnauemtalmweolrtkcer4r .*.___._.._.._.._.._.._.._.._.._.._..___ i 1 11 Total............ ........................... 3ft 12 ...3 ' 32 38 * ii 27 2 171 ttiuo*tneIattlhwgerioilMuarpigrsenisfotmtgerodoruethpianotffotrhwmeoraretkiieosrnsawipnererdepuoasnvtdyaeiloraacbnclcuee.paotfiomnisn.ersTshheoswe ncoiunldthbisetsaubbled.iviHdeadrdi-nrtoocksmmailnleerrsoccocnusptai ty**pTiAchaltelhooifnudgsiuhliscttohrsieairsleahwnisdatsotrhnyeoyoifnwdtheuresesteraioaclacslhaeisssstiiofsireyodp.geinvetno iqnutehsetisoenc.asIets,isthbeerliaedvieodgrtahpahticmaoprpeedareatnaicleedwhaisstqouriietes mw4oetuAalldlushmpaaivtnteeurfmsuromnniesthlhteeedrssem,wtoherauersalarperplreeraoaspsinrhigeastcetooinsnsafiodprermoranabstliaeonnqd.ugalnotviteiseswohfilaesbweosrtoksindguosvt.er Ithnethcreurcoibolmess.wThehree amnoultmen labiskebreelosytfottshhapetsaertthimceleefnsri.catrioenaot fwthoerksetghaerrme eisntpsrionbcaibdelyntaalctoontshideewraobrlek cwoonuclednbtreataionnadodfethdifsacdtuosrt.in Itht ealrseolesaeseemosf canDnioatgnboesise.m--pThhaesiziemdpotorotansctreonogflya. dTehtaeilesdymopctcoumpsatieoxnhailbitheidstobryy caansdesexopfeuctnocroamtiponlicaatreednsoitlictorosiusblaerseomfeew. Ianndthoeftefanr-aabdsveanntc. edCocuasgehs ttehremreinmalamynbneifpdsytnsHpnrmea, arrnro-re--x-i-a-, loss 'of weight, 'and cyanosis as a