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FILE NAME: Metropolitan Life (ML) DATE: 1925-1932 DOC#: ML016 DOCUMENT DESCRIPTION: Letters, Report & Other Docs To&From Charles Martin, McGill Univ., Dr. Lanza & Others i Fron oB** f MR. BURNETTE assistant sbcmtam A . . 'Wl -^>w- n. 0772 MttrapaUtu Uft lnW* Cupr rn t^fHAM H U B t f n n OTtAVA T-IM pro du ced s /c/m/ms V Dr. Charles F. !'.artin Dean He Gill University Montreal, Canada My dear Doctor Martin Immediately upon receipt of your welcome letter of January 10th, I determined that the one present member of our medical staff who can beet answer the questions that you ask is Dr* Wale Wright,formerly of Boston and now physician here as one of the Assistant Medical Directors, having particularly to do with the work and functions of the Group ^ealth Division. Unfortunately Dr. Wright is at his home with an attack of the grip just at present, but he received your letter prpmptly and now says in reply: Quotation With kindest .personal regards and trusting that you will come to us very freely and just as often as you ever feel like it for any information or any help that we might be able to give, I am, Very truly yours, MEDICAL DIRECTOR ,cxor January Twenty-sixth, 1 9 2 5. I * ' \ FB 3 1 ^ . i Dear Dr. Knigfc< Ever bo many thanks for your kind a tten tio n to my request. I was delighted to hear of Dr. Tade fright; he was one of the bright jewels that I wanted to get into the McGill crown, but the monied interests of the Insurance Companies beat me out! 1 can use the information you send on admirably, but I was *r also looking for literature which 1 thought might hare beam isseed -0 by some of the men in your Company who look after demonstrations, as -3 in Tubereulosis, etc., in communities. Bowerer, 1 think 1 can get some from other sources. Meanwhile, accept ay very best thanks for all yoan kindness and attention; it is a shame to bother so busy a man as yourself. If you want a rest, come up to Montreal, and 1 shall be glad to tako care of you! With all kind regards, believe me C': r Very oordtally yours, E*" It 1 ouggeated that wa approach the Dean of tha faculty of Medicine of MoSitl University with a proposal that upon tbs establisisaarjt of an adequate Depertiwmt of Industrial Hygiene in tha Uctiill Medical School tha Metropolitan enter into ao agreeesnt with McGill to secure for tha Company cartain aarvleea and information re lating to the health of Industrial workers io Canada With the establishment of a CanedLan Hon* Office and the extension of the Company's operations in the Doainioo it bacoaea increasingly important that the Company har* aocurv.e knowledge of condition attending Industrial activity In Canada. It 1b, further, most desirable that the Company's program for tle betterment of the health of industrial workers and their families be advanced in Canada where industrial tygiene as a chase of public hoe1th work is notably backward* specifici It would be of great value to thw Coapexyr to havw information regarding such watt*re aei 1. Tbw distribution of industrial estakliehwwte, mizMM sad lumbering operatic with data oonewn* It* the aawber of employees in wash est&bllahaaa and district 2 Studies of haaardoue presses* % Studies of aorbldlty and Mortality in relation to tbs wejoc Industrial pareuite* 4 studios of extent end ebsracter of mediasi erLos available in the onerganiwed territory* barein are ceadueted the great wining and iuatberlqg operations 9 Obesaasaiioae repurding Ofyarttndtlew fo r aduna- tional eerie by the Cof oiy* r--. ^ q O C .c, ; r'- i c. To ss oarw ao&h iaibnw atlaa d ire c tly would be d iffic u lt and very expansiv* I f I t could bo obtained fro a deportam i of in d u s tria l hygiene in Onumda's loading u n iv ersity in rwturu fo r a noderfcta MKjai, #uu--sui Qm m m --h ue^owktodlr beiMs f it-- I f the Cousek/ eowfit im iiw rtillT through i t s re la tic e with th e U niversity artend ito etwaladina** In th e fie ld t f public h ealth th e b en efit would bw t i l l Xt wonld wwan an adherenoe te U n Coskpaay'S seta b itshed p o llo / e f tttllls la g whee poewible Oanadiaa personoel end operating through Canadlan agansiee 1% would byihg th Oostpany and ite s e tiv itin e Lo contact w ith aeny highly in flu n ti* ! Individuale end In d u striai growy s fbeugh lagni obstaalos aay stand in th aay ef e soetrlb utina hy th Coepeny to an eduoatiooal lnstltutioo thay ars noi conow ed with th pian proposeA Bush a pian Inveiva e definita quid pr quo paynenU epeolfieally oonditlcned upoa a rjnaeaerate return, th adequaey of auah retti to be datarmined tqrth fVsaibeai ar thoae to tdaa he aisy ddlegate th desiale* fthould ih* proposal b* m ! by tho Qospany to ib* 0oi~ roroity our participation would bo tootly nor* waluwblo and tiaoloVlng In Its offeet upon Canadian induotrial organisation* thon it would bo worw mh participation to be aolleUed* It 1 accordingly rocarooadod thot with propor logoi oofogmrdo and la tho omit of the fulfillwont of suitable oonditlana the Cottfpaoy in coniidration of sortin oonrlcoi rondorod pay to iloQlll Uniooroity the ou* of five thousand dollaro annually during a period of WWtyearo, |\a/V Vado bright* -O. 'S C397 Sow. 4 , 1925. Dear Doctor Xaighti I do not know whether or not the President is still Interested in establsihing eoae sort of relation with McOill or not. Neither oan I recall just when the Ottawa corner-stone lay ing takes place but if that event la still In the offing it.:vould be a grand tine to do the graceful and announce our proposed relations withsthe University. within the past two weeks or so there iiove been two inportent and urgent calls for help from Canadian fir Oqs la the west active of the big paper ooapaaLss. froa tbs standpoint ef labor relations and eos of the very largest. They are finally starting wo an extensive reorganisation of thalr whole nodical progrta with periodic annua ptqreloala, at the recooneadation of tbs Balsa employees. This is the Spanish River Palp end I^er Company. The ether outfit ie a printing plant near lantreal which la lauaehi z a wild swhsws to examine everybody la their eaploy ead also ths ambers of the fbaillos of employees, Beth these groupe need close watching and s lot of hwlp. It la work which we can do aely with difficulty end great exposes and work which a Cwnsdiaa could do better than we could. On rash a job the contemplated dspartseet of Industrial lygiene at SoQlll would be able to reader aowt valuable service. If you think well of aeotionlng these setters Sr* Brusro could gins yon all details* As you kotow I did not parens ths aattor of the Sob1 rolatloaa with Selll with Mr. Erunro, lotting ths hols qusstie a rest whoro It naa oa ST, Flake's visit hero* If yaw wish to sow n father informtlaa froa Sr. oruoro pleaos toll Ida of tho plot at ths tine of Dr Martin's visit for ho knows asthlag of 1U 3Ineerely yours iodOjff^CUV n'-'^ iif<J, - t fi. itia 1 WeIfart January 6th, 1926 Tha Prsidant brought to tha attention of the Comaittaa the request from Sir Arthur Currie Principal of the McGill University that ve sake an appropriation of $5000 a year for five years to pay the cost of a survey by the school or chair of Industrial Hygiene of industries in Canada with a vie* of improving their hygienic conditions* The President said that this plan appealed very strongly to Dr. Wade Wright of the Home Office Staff who has charge of the Industrial Hygiene Dr. Knight of the Medical Division and Dr. Frankel, head of the Welfare Division* Under Group Policies in Canada the Company has sane 15,000 or 16,000 working men covered by group policies} in addition, ve have well over a million lives insured in Canada, a large proportion of which are working people and their families* A survey such as proposed would be of great benefit to the Company im its care of these policyholders directly and through their employers* Such a survey has never been made in Canada) there is no institution and non of the Governments have taken up work of this character* In the United States the Federal Government and various other welfare ageneies cover the field* After thorough disoussien by the CosBittee a resolution was passed making the appropriation requested* Hr* Sheeham Will you please send them $5,000 for 2nd yearf mKay 17, 19 (Signed) A* 8* K* K.G January 7, 1926 Dr. Charles F. Martin 600 Charbrooke Street W . , Montreal, Canada My dear Doctor Martin For quite a long time I was chagrined at my inability to keep the verbal promise that I made to you when you were here in my office, namely, that I would try to tell you during the following week what our Company was likely to do with reference to the appropriation that was hoped for. I neither forgot nor neglected the matter, but the stone walls that I ran against showed there was absolutely nothing to be said or done at that time. I am very glad to tell you now, however, that the Board of Directors passed a resolution at their meeting yesterday that authorized the Officers of this Company to appropriate $5,000 a year for five years for the proposed survey to be made under the terms and conditions approved by the Medical Division of the Metropolitan. I have no doubt that you may already have heard about this through the letter that our President wrote to Sir Arthur W. Carrie yesterday, but nevertheless I myself feel like having a word with you about it. With kindest personal regards to you and trusting that you will come to see us whenever you are here in New York, I am, Yours very truly, MEDICAL DIRECTOR Re-typed 6/1/95 Er.Chn.rloa F. Uaurtlu CO Cfcarbntk* tir a c i S, i'oa tra o l, Cauad* Jatttary 7,1926 Liy dr Dottar W rti* Far q4ta a lane tlata X s i iku rtw H a i y U m k U ii| ta k*t tha trfcal jmnkwo# tk s i 1 Moda ta 70 Hai yca ara Oar* in my a frica, auMOly, that X si6 try ta t a li yam darlag Uh failaatog oafc 0* t aar Caaypsay sa llk a ly ta a Ito rifar* ta it a s | | f | i m i l i that ** kayod far* 2 miik&t faagat or aatlaatad tfca s tt r r M tka aia* o lla that I m a a*f*t hnw*d tia ra a* ahaalutaly oaihig ta k aal4 or daaa t tinti tlaa* X a* wrjr d a i ta t a li ym **, km***, that tfcaSaari a/ Btraeiaa f** a *alatifra tooorm oVOsi*yqani*ytikH> trtiIt k M A w f tkl C<rsfHy t . pym friatg I I , 000 f yiar far fi* y w a i far tfaa rapa*ad anrooy ta ha 0*4* askar tka tato ad eaaditi ntratod l<y tk Madioal DittUla # f tka kairoyalt I tara 00 O s t i th a t ya wtjr almwty k a board dbavt th ia thmuyk tk lo tta r tk * i or Praaidaat rata ta t i r Jrttn r * Carri yaatarday, k it atwrUwilaaa S i p k f Tool llk a karlai a krd ttt yao a tavi l i . t t t k klndaat par*tool riparta yaa ad tr u a tln t in i yav d ii cava ta ava m fcoaaaar $ m i n hara 1 Sor to rt* 1 a. Tauro ary tnay* WmSttL BgXBCttM *31** 4 FACULTY OF M E D IC IN E O FFIC E OF THE D EAN. Mc G llUNIVERSITY, M ontreal. JANUAR! Nineteenth 1 9 2 6. Augustus E. Kn sq., H.O. Medical Direo Metropolitan Life Inaurane* Co. 4 Nil TOR I I T.- * 'j ' if 4 Dear Dr. Knight, I have just returned froa California, and find your good 1 lettor of January 7th avaiting ae. It as extremely good of you to rite a* such a nice note, i and I quit* understandgrour position. 1* are nor* than delighted at the generosity of the Board of Director* in appropriating the aoney for our ounrey, and ill look forward with a great deal of * interest to sueh work as w* can carry out. I hope it will ho the 4 aeans of ever acre and acre pleasant relations between the Canadian 4 aedioal work and the Metropolitan Life Insuzaaeo reapenj With eeory good wish for tho Vow Tear and renewed thanks for 1 your .kindness Jjolioea ao . ~ i T err cordiali? 1 DUN. A A Mei0a394 PrV 101 D r> Iai# k t ilU Q H lD O li i' V* :/ivim 1*RO; Dr, tright Such intar?tad la Dr. Verta*e latter to yon. Dr. Mertla 1 t treaurod friaod. I hete hd m u ellght kiMledga af ble plae <br tfae Depei-tnaot of PrereatiTe Medalo .t McGill Oolrralty. Th p e p e rtd o t, tn le a a I a aueh a iet* k en , 1 o o t a rajrj, t h r i r ^ '* ee y e t - t * i M artin b ta hlgh hopne f b r l t . t a unid tro**, I U t a i t , i-.Jat could l v a l o fg aa' *d, . c l l inwaoed d a p e rta a o t do?*. The 3oo L i l e a lg h t v e ll rale - i f l t eeourad a ao rtg eg a o s McQUl 6r euch t r r ic a te va a ig h t u k : Teohaioal guidoace l a ro gard lo a& ttoro tf f e o tl a g cornual ty o r ia d lr id a tl b ealth - tooh a, fld la p rep aratio n o f p v h llo lty , ocasional re e e tro h u a tta r s a o t l a r o lr l a g g r e t t o u tla y e o f Mcoay, f l a l d ln re e tlg a tio n a a* o f e tn lta tlo a , vetar o r ilk aopplira, o r in d a e trla l h a itrd a . Tha halp of tha Dhlraralty olght vell ba olatad la etluaUtlog aod guldlftg potito bealtk aotlrltloe ia ooaaualtlaa la ahoh tha oarriar adght ba pertloslarly lataraeted. X faal thei tha oeafuloe ef tha nlreralty cul4 be ada apperaot la raletloa la group laeuraaoe awefc ora reedily then lo oy othar eay, It Otnld erro, periapa, la acae eah voy as dto our evo alfar Dirltlca aad M ioyholder*r Barrica Burean. tfcia la raga, taat diaoaaaloa, I fea! avrt aonld aryetallaa tha regooaaa lata aoaathlag definita. Obarretioa of eur fefceua a% Marrar* load* a ta add thti Martin afcoold not aly ha preparad to raaidor aartala typea af aarrloa but aarUl* aarriaaa, aera or laar mi tina parta?*, tbcnld ba apaeifled, Dala thara la a daflalta, tangible quid pro qoo tho iataraat of o flaeodal apportor aey val leagolak aftar a fe jotra.^ jppWP Juauery 18, 1**. f l l P ^ ......... Us A 6S\ Mount Royal Hotel M ONTNEAL.CAN TORONTO CAN H A M IL T O N .C A N WIND ON.CAN KlCUmPtIO CHAIN THE MOUVt OVAL KIN* EDMUND MOTEL NO *AL COWMAUOWT RNlMeC EDWANO MOTEL O C M U T C A .N Y MOCHE E T E R . NY. E N liN A . PUM T.M lCM . IM fM C N U rtJ I TMC (M IC A THE UWmEHCt TMC OUHAWT AKNOn .OM IO TvEM ONTAOt H M N IE N U M e Ma . T H IN m i M M II w o fte c rrtN .H A ftt. A L D A N Y .N .Y . tm edancm opt THE T IN EYCK tncntdn * -j . N D M A N ft,N J. THE t a c t TNENT T>1t NONCNTTNCAT U T IC A .N Y HOTEL UTICA Y N A C U lt.N Y TVE ONONDAGA ET JO H N NO.CAN TH E ADM INAL M A T T Y E L A T T U W AEHINETON. T V t OLYMPIC NEW TON* CITY THE NOOEVCLT PMILADtJ.PHiA.NA 1 * O O U A W *P H W O M A C A N A MALLE.NY. THE NlAftAM A MATENEON. N*l TVS ALCKANOfR HAMILTON ( OMEN M AY TO K N I M I t R I Tht C L ir r O N -N IA O A M A P A L L E .CAN VERNOH''G.CAROV MAAA0IN 0*NtdDN Montreal CANADA A O r A M E R IC A C E O H .O N C IL G E N E R A L MAHAOCN PON CANADA "S'- / U/ lL C 6. ^ c z A j- aCcA^i Cyi^X ^ fC/; | 6^c/ * ^ Cuu-^4-- <LsO f- i^ V / ^ ^t/ --U ^ 2> ^ ^^ J-*-4"* -' J>V^9 c< O-- JX - A I-- Ct --O CAA^, . h -&/ejju <x/ *. Z / i L>vC l tir tritar I. Gvitei lattili Btfuriltii Mj iM r t i r A rikart Zi |tiM M plaaaara ta M lM t a aktfaa fa r 1 tkaaaaai ~ i 4 ta lla ra akiak fatal ta 7 m is aar ta iaa tka* I ta** tt it M i \ i i 03&4 * l PROrU-\<Oir T\ O ;<"v'* LJ i T i W I v3 10/ 09/90 15:! - fj*' ' - t S 1601/6 212 07 bBESTdS GROUP fWiWirAl.*Vk*^*,a>cUjM; m Amtwur W. C uRmik.O.C.M.O., Haley Flake, Ksq. , FfrielaliAdIettattf, iltb *jl M e t r o p o l i t * L i f e I n a u r a n o # C o , , M V Hew York C i t y . Vv : .* /.Vs'* 'V*' My"dear'-liri ,Flakei ...-7- ~ - /`IrzV&z f*\i/'Vjr&S' Let' a. on bhalf-"of thel Bo*4 ofvOoYernora/ of .Mo&lli .Dniy#r#lty**d for offer our thunk* for reoelying thlr1morning Queque for #5,000:fram the Metropolitan Life Inaurano# Co. inpurauanoe of the arrangement between the Company and the TJnlvaralty. "'Vii W# ahall keep-in touch wlth;/f^ youv^medloal. offioera. regarding the**development-;:' yhtotethla-contribution aaalata. . -y: ! W ith- all* ffood w la h e r toyew^* p e r eo n a L l '/e n d it th e Company^ I *,.-> - , `V * ^ '* * V - > - V . Youra j * . 'Ou1-'rv'.,,u' . A riWoipal. 0385' jLd extract of Doctor C. F. Hartin's letter to Doctor Knight dated February 19th* Pedley has accepted the position as Chief of the Industrial Clinic at the General Hospital and a lectureship in that subject at the University. He will take on hie duties in August* Sincerely youre (Signed) C. F. kartin f . '-n'O co,f|Gf rPV V0 An extract of Doctor Knight's letter to Doctor Charles F. llartin dated February 24th^ j dj Wade Wright has been telling me in repeated talks about your having appointed Dr. Pedley as Chief of the Industrial Clinic at the General Hospital and as Lecturer at the University. Y/right feels certain that you are setting up an altogether worth while program and predicts certain success for it. Good for you! You certainly have our cordial best wishes in all that you undertake. Very truly yours 1EDICAL DIRECTOR V' lOtoBiHsax SFU WEIGHT: Ihila in Bontraal last vaak, I had lunch with Sr. Tlaning and Sr. adley, and lnddaotallj, laamad soasthlng of tha situation with rafaranaa to our industrial hygiant ap propriation to KeGdll. Parhapa ypu alraadjr bara thin, atraicitaad out in jour aind. It aaans that tha appropriation nado in 1826 vaa not usad al all and vas conaidarad tor than to ha applicatala to 1827. Tor -that raaaon^ thay aakad for an *27 appropriation, and that la tha raasom why pona vas nada and nous appaars an ouC-Tpoorda. fbsy ara, of ootrsa, figuring on a fl-rvjaar parlad and look upon 1827 as thn first j m t . Ha* thn 1828 appropriation haaa nada? If not, it nay pefslfcly taw tins for It. If tha ahora is in aooordanoa vith jour, uadarstandlng, I vonld anggaat that thn mattar ha nl^fttad in.a-aanarandm to Mr. Shaahm la ordar that tbam nap1ha a elaar mooed af_lt. issislant Paaratary --i M E M O R A B D U M s - 1,41 4 You have known, I believe,that the grant of the Metropolitan to McGill for the development of industrial hygiene in connection with their Department of Public Health has been desig nated as a welfare contribution and as such, data regarding the grant have passed through the hands of Dr. Armstrong. He recently asked me if I knee anything regarding any payments other than that made in 1926 Thick, I believe, yon trans mitted to Dr. Martin. The attached memorandum is of interest in this connection. I should be glad to straighten the matter out with Mr. Sheehan if you desire, but I felt that you mould wish first to be informed regarding the situation. v : *r/ 's.V -''V r ' * ' . ;%.- - ~--1, '-V `' * a. >: - -* * w t5v* 0379 J.; *>v ;-vf* 'Iff N K-fiS Za n $91000 CkHk fa r S im ja ay U , U S t. S ir irth a r f . Oarria 0111 Oniuaraity la stro n i, Quatea Canada / iy daar Sir Artlar analosa with plaaaava ta tha KaOUl t a lim ltr far M*OOC f r tka U fa la assordano* s it i tka U r n af tka i ia U M , far U td tka Oi A iltk M aiali r a f f i l i X aa^ Ti 4 a (Copy aant to Or* Martin, Dann, Faculty of disino, MoOill University, y 18,19 * ` I/ *1 0 ,'i-zu,' M J o378 P m m b p a l **mVies- C h a n c e l l o r ! Sir Arthur W. C urrie,G.C.M.C., KO.B. 2 4 F rom The P rincipal and V ice-C hancellor, M cG ill U niversity, M ontreal. t i t t m. 7. W 22 192S Sr. Augnata Medical Sir Metropolita 1. Madison Insuranca Co. , Hew York City Soar Sr. Knight, On behalf of McGill University, let me thank you very much for the cheque for 1 ,000.00 from the Metropolitan Life Insurance Company* fervour work in Industrial Msdioine. ; :v Sir Arthur Currie is,.unfortunately, laid up for a while, and is, therefore, not attending to his own correspondence. With kind regards end renewed thanks for dll v '/7 - '* " " ' '. ' . the-kindness shown to us on so many; secasi one by. the- 'v * ' v a MONTREAL F A C U L T Y OF M E D IC IN E o n i c i o r THE DEAN August 6th, 1929. Dr. ade right, Metropolitan Life Insurance Co., 1, Madison Avenue, Mew York City. Dear Dr. right, This is just a private letter to let you know that the Central Office of the University is embarrassed to know what to do about the grant of ^ $5,000.00 from the Metropolitan Life Insurance Company. * * -w You still remember that they sere good -W>. ' V? enough to give^ue that grant ron five yearM,and this,, -J last year's grant has not been paid in- I hate to ask 4 about it officially, but thought I might write to you privately te see what I eeuld do about the natter. . - : v>- W ith a l i k i n d regards and hoping t o see, ye%ia ^3|*treal again soon.- c : f.V-vr'-w > * -- ***: ' 0^PiiAfUjU.. >r?li-f- % '/?. C-.iU - 4 A ipH 141M X-DO Dootor Chari# F* Hartla( Doaa Faculty o ltediolsa BeQ ill Univor a ity Montreal Quoboo Casada By doar Doctor Bartls Xs tho ahooaoo o Doctor fri|M foot lo n o r of August 4th hso Juab boos roiorrod to so *>si oy rotors 44 tho bom affiso* Dui ottlr rosoos H ot tho gayuost ir tho Cosposgr for th is your has sat boos sodo la b ow s 14 had sot boos requisitioned I f BottU oro asido SOS that tho ohooh sh all bo ooot laasdlately* Toara sory tru ly. tBtt swampo, la r t A ppitprlaU M af 45,000 a Taar fa r r ir a Tm t i M i l l Chirar s ity ,la s traal Kr Shaahaa, A aditari*' # la u n r d u N with iha raio lo tlaa af tha Board of D iraitora aada Joaaary d , 1954, v ili ja a plaaaa draw a ahaak ta tha erdar of MaOlU caira r a itf fa r $5,000 fa r tba aafcaarlptlaa daa fa r tha yaor 1925, oororiag tha aoat of a I array af Z adaatrial Hygiaaa af Xadaatriaa la Caaadat K-M Augaat U , It * ladlaal B iraatar. T*-'i i^Si* .0 * r* * ^ August 161929 Dr Charleo F. Jiartia* Deaa F&eulty of Medilas MeQlU Onirereity Montreal* Canada Dear Doctor ^ X '.To arc rory pleased ta eaelose nos the Coapasy's shack far $3000 ta the order of KoOlll Uhlrersity as this yaar*a i'1 -- I aser the taras af the apprsprlatlsa Years Tory truly* XSDXOAk S2UOZO Ch' :wt O0V3 >. t i f f 0466 ; ksposs o? TU p s m o A i n u m m o a d x-h it J SZAXUATI093 07 SS8Y03 *010088 11 ASBESTO ' AJ3D THBT70BP MITO. QUSB> Th rport hrwith prnt4 41 with th* xaainatlon5f 141 oaploy of ih* Cannila* John-Man- /7 ili# Co., l A t t t e i , Qu. ani 64 apio/ of th Ario Corporation of Canata th rfcy-Mattlon Co. ani John- on'o Min, all of Thtfer4 Min, Qu. 40 of th nn of th C&saAlan Johne-Manrill Co. wrr m a i n a i hj Dr. H. 3 3tTnson a&A Dt . Jooph Wyatt wfc yyfi-- th physloal a ln a tlo a a an i I - r t j B ination ToptlTly fh otfer aaalBatioBa wr a porfrai hy m * f i tfc* v I - n f w l a t t i o a i A iU tU fi B ri f ta r a a m a n i f*M riM ln ! f f a*; U t ala# l f a# th aa u r m atii i hy a I m In a la ti* * Xhm l a ay H it* fi 3trnaa s a i V yatt a r r is i a th ir i k la I vantar I t t i I r t --tua- tlon wr Aoa la J a ly X99* l a i ai la 8 ptatr 1980 la tfc a tfa rt Ha* Th la tta ta a i f U t f n i v| | | | a ra t m t t i a - 1a l a r tA th r t f w t t g ils W W tta a n i Xaagtll o f 10 X lo r r l ^ i* t* a ahta ln ia a try t a l rially a i oom- oalXlg H a ta o groap ar a*afc a l Ih- Tahl I gir# tk g ani TOMI IX th 41tritati* in th a storta a laftatry t la&gth of rri Mi!"1 0 1 4 4 & v " '" < TAILS I A*# m v p If - if 1 20 - 24 26 - 2 t 30 - 34 8 1 -if 40 44 a - 4 60 64 SB - Bf 60 - 64 66 - I t lo t lU U I T7T? AGS LI3TRIBUTI01 OT ASBESTOS WOR O a *Jmw te In ib ir ?roat*M Thstfitrft U jms B o b ir P4rentftff* 3 a ______, 24 IT.O 2 3.T 24 1 7 .0 8 9.3 26 IB 6 6 11.1 28 IT .7 4 T .4 10 1 1 .0 18 ita 14 lo a _ T U . 8 1 .1 0 ua 1 O.T 1 O.T .2 O.T 4 ta 6 ir a 1 la 1 o .r 100.00 64 lo o a 0 sjClWi'^ H0 1 Or-l Toara or a o rrio o . 0- 4 B- 9 IB - 19 2 0 -2 4 a - 29 - 34 M - 39 - 44 TOTAL 4 T A B L I II Tartara oy 32BTICB I ASBESTOS I3PPSTEI loboto ______ fftxmbor Poreontafffl Jnmbor ri H am Poro on ton* 44 31*2 1 1.85 45 - 44*1... 8 14.8 11 7.8 8 14.8 10 7.1 u 29.4 4 4 .8 9 14.7 S 9 14.9 1 1A 1 1AI 1 *7 2 t.f 141 100.0 6 100.0 XlvIllbtMta Hl HB in T t a t f M B b h h t ? 40 n * W o f Bf only 28 p i m l f 10 m m in Abeto t n t m 4 0 . AM f a r - tb o r lif t m p i t l ta len g th o f oottI oo 6 t 4 payaa&t o f t t e MH f W a i* im flto tfa ri H a m fca ao rta * im tb * *- Botto l n t u t s y fo r IO 7 t n o r moro fern* 1 Aoboato only 22 poraant AM aarfcoi fo r moro tfefa tom yooro. Tabla XXX homo 1*0 Alapomltiam o f 11a mam 1a arion* p o rta o f thar IM uatry Sinoo tbm nambora oro pp mmll h ro o t ro m p ati oanl grouping ara u t i . 4>Ib Aabaetoa t t t oaonpatloao a ra ilrid o A la ta 8 gm y> - B ill p i t aaA fa tor j; in ZhatfarA Kin nip tha f i r s t tro orompational groupa ara uaad, ainaa aa aabaeto aanafaat&rlag is arrio* on thorn* i l l tho bob of tha Thatfor* U nan group o o u li ha aa alanoi f lo t , b a t 6 Ban warn oxoludo* from tha iab aato o group tino thay i l i not nypaar to ba axpoaa* to an a n n u a l iBonnt of 4 u at. tbie A3X83Z08 1Toar* o f , B ill a a rria a 0 -4 14 r 14 84 A u , 10-14 4 t * IB ria ' ? 8 , 20-14 8 . E ... . . SM I . 1 . 3044 , 88-9 i 40-44 1 *.. t 1 i r ' __ 4 r**" 40 hi m y j i w w a w tfix U l!fW P 11118c ___ K ill B rillila a lt _____E 8 8 ? I IE 1 8 1 1 ' 8 40 14 Tha pant rom patianal l i i t e p in in ta a tria a in S m oro. Of thaaa ona haA bona a iiia f to r $ ; n a a l m P H M te rary l i i t y m b U o u , ana k il t t a a la l t i f r t i a l a p p o i s t f t e r 29 j n n r ana a w p p tr aln ar fa t y ttw , a f a v tk bi4 a rM la a oaaaat p lan i fa r 9 y aara, ani tea f l f t e baA o p a ra te t a A rili la aa iro a alm a. T B la la a t in lv lin a l ah aa a* X -ray Titano# o f pnaaaoacaloala, th a a te a ra A lt no* bava pnaoaaeonloaia la Tabi# IT ara g ira a obaarratlen# a f v alg h i la r a la tia a te hf^ght by a f a . Tha araraga valghi a ra takan fro a tea f lg a ra i ta s p llte by te a A aaaaltten o tiZ ifa luterano# te ia a l D irator a a t tea ia te a tta l Saalaty o f laarlaa* * A S IT, P ianta te ar l i i w __ fmmm a ra r arara# 0*09 1 9 -lf _ . M H 10-19 tO-M *<* ASSBSfM la* l - P - 19 . *4_ X? 2t_ 4 t e i - XdL l i r a M t4 : i m 63 THlCTMte fa ... \ I l 9 t 5 ? 1 s o r 1 T lr.r_ r : t e 143 li M n2 193 sm fe i lO .O oSnal - *?#/ Z atostrla] : --> o rk m - - = = IO 5 & p i i a f 19.000 a a la Ir t aatei a l a x k i f t ra - fa rra t te la tea a l m te tta m a ^ O olite S tetaa P a tti# E aa lte S arrlaa ( aaa P a tti# la a lte imila tin produchd 1/0 $^s 4 Io. 162) It will ba notad that thar i rary llttla diatlnetlon batwaan thla largo group and tha group of aabaatoa workora so far aa dogrooe of ororwolght or undarwaight ara oonoarnod. In tha oonaidaration of individual dafaota aona intoraating faota bara boan fotuad. In thla study only tha 101 man at Aabaatoa and tha 54 man at Thatford Klnaa ara aonalftarad, ainoa tha raoorda of tha man axaalnad by Dr* Staranaon ara not atriotly omparabla with Dlrlilng tha man lntm twa groupa aaacrilng to wfeathar tha taath dld or dld not naai attantion. of tha Aabaatoa group 49J9raqulrad attantion and of tha That ford Klnaa group 51 A Aamlty f haarlng aaa taatat by maana of a Mt a l a . fKjr M ha^rlng* whiah baa baan taatat by an audlamatar aaa aanaldarad nofmal, and naad aa a Standard) Tha watah taut la admlttadly Tary rough In 110I9 aaanpationa impalrad haarlng In fraqnontly found in tha oldor mployaaa Of tha 101 aam at Aabaatoa 10 ahowat daflnita$ boaring loaa Thla la not aa azaaaa Proportion ainoa any p r o o u c e } ^ ' .. . ' `SE < T * g r o u p o f adults will show a similar plotore. Ia Thotford Minos 28 of tho 54 men sufferod tra m wo11 narked hearing loos. This I s o t o r j high peraant- ago, and ooaparftble to what may be fooad In wearing shods and boiler shops. All those non exsept,tee,, hod been exposed to load noise In their work for 10 jeers or wore, end it is reasonable to oppose that noise played a part in their hearing disability* The naaber of m en with- infested TOlSIId wee 2T la Asbestos and 12 In Tbetfozd Bine* sad al most lnietleal ratio te the total, in teti g r w p s * D efeats o f the THTBOID were r a r e . 4 aea in A sbestos and 1 In Thetford n in es had enlarged thyroids BUCKO Piasawil 40 years ef a | N Xxsept In exeoptional olreseataneoe the bleed pressure was net taken in the yowBgex wen. Cesasfaently altheugh the groups exiwlnel la thetfbri lines was w a l l e r than that in A sheatee aere blast proseare readings ware taken there. ft nan la A sbestos had bleed proseareo of seer ISO and ft bleed pres-- res under 100 aa of nareoay ft eon ia Thetford U n e s had bloed proosare e of o t o t 150 and Z blood proeearae andar 100. 1070 p r o d u c e d S/CJNUM Th* lnalftaaaa of H IBfli 1* * f lc U r ia t tvm tho aoapanaatlan atanlpolnt* In Aataoto* ail a* q h loyaaa m a t P*** * phyaioal Ta*! nation bafora aaploymanl. Tfeara wara 4 oaaoa of inguinal h a m i a llaoovara* aaong tha 101 M a axaalna* thara* In a441tlon to thaaa 0 aan ha* baaa opayata* npon for thla aonitioa In hatford Xlnaa phyaioal w w l n a t i o n la not raqnlrai bafar* oaployaant Thora wara 0 caaat of In- _ gainai h a m i a aaong tha 54 aaa axaail&a* aa* S eaaaa nhlafc Som* lntaraat haa ariana la aaanaatloa a lt* tha oaiarraai* o f tha aa-aalla* con** Thaaa ara naaaiUy p ia haa* ala** alavatlaaa 1 tha ahi *, aoaa* kat U h i alaat* a r t . S ta r a * tha** atra 4ataata4 la t u l ahoatap aaa y g t k lly la * ta ay lgaaraaaa o f th alr appaaiaaa* t o f tha Thatfar* Xlaaa aaa ha* thaaa gravtha oa tb o lt hnfta n i n n i t i othara raparla* barin* ha* thaa a l n t t t *r n a t t a t . " , * -*'** . \ 1071 PRgouceo s * 4 X TJ I G b I Of tba 101 m d wMrinrt by m m at Afcbaatas V onlj 4 eufarad froa dafladta flrst otoga p a r a o r n ^ lois* Tbasa vill not ba eanaldarat on aoooaxiV of tha doubtfnl dsonoodo* Of tbo 40 moa sxmalnad by Dro Stavaaaoa and Wyatt 14 vara AlagnosaA ao flrst otaga pnooaoooalois (aobootoolo 1) (I.'a lnoludlng tha 17 aaa o* oalasl by O n * a U r u n o and Vyatt aa4 oabMfaoatly ra-axaainad hj aa i* a y gravy of 101) * * TI* <fc loosar Inaldanaa af pnavananalaali la ay groay of m m aay am m aarprlatag, bal 14 n f t te rsaoabsrsd ttet tito I ^ n y nacatlrao aro nat raa* by tte aso w * So aqr gra*p tte I-ray diog a y a vara aada by Br* lirtnttdf af ?1tafear* Oklafeaao u l la tfea atfeaor p M ^ t t e latarprat*tiova vara by Bra* l y o U asi raaaaaat Iirtter tto QToafwoi b y Ora* S t e n a a u tal Vyatb vara, lm ganoral aliar 1ftio teta la ay gravp ** v . i . ,5-- Of ttea M m m axaalnat ti Thatfart taaa *4 v a l a y atai by I-ray aa aaffarlay froao jn a u n Toada fasbaataalo) af t esa 4 vara dlagaaaad aa pntetej fSrot atoga aabaataala ft aa aarly ataya 4 aa daflaita flrst Iba p o rtlM it flo ta n f u d la g tha la b a a ta sis aro |1 vm la U blM u d 71. SlC iOCt 1072 to Tabla V b a a . DingBo. S o s is * ! O seupaU onal h is t o r y 8yap to as Asbostas Oroup. S tyo, 66 A .l 71 4 .1 66 4 .1 ?4 4.1 39 So rseo 4 0701000 10 y e a rs 47 general oporator H i l l foreman 34 ye ars 43 lo ad in g ears la B i l l 4 foramen 4 yenrs 30 d r i l l e r 7 yoaro eough,dyspnea lo ss o f strength sough, dyspnea froqont eoldo no syaptoas d a fle lo n t expansion oso, erepitatioas l e f t apex* poor expansion, porou ssloo dlainlahod lo f t ohostp e ro p iu tio n o a l l orer both lungs. no ab o o ra a l s ig n s . no oyaptoao no abooraal sig n s. 2000 4 .1 2001 4 .1 2002 4 .1 41 M illw r ig h t 3 ? y e a r s dyppnoa,sough ? aotor attendant 00 sy a p to a s fo r 11 yoaro 33 a i l l o r l g h t 14 yo aro no sy a p to a s 00 ab o oraal s ig n s fa in t ao lo t ralos 3 4 4 rib in fro n t. ao abooraal signo 2009 4 .1 30 labourer 4 oeteh nan In m ill 5 ya a ro no syap toaa 2015 4 . 1 ? 2020 4 .1 2021 4 .1 2025 4 .1 2r27 4.1 2052 4.1 2055 4.1 2054 4.1 2056 4 .1 2052 4.1 a v lahouror top flo o r ill, 2 yoaro 4? l a a i l l 16 yoaro 5a a illo r lg h t 30 yoaro no sm p to a o no syoptoao no ayoptoao 66 atoa in a l l l 26 yo a ro no oynptoao 46 a ia o ( s o r t n o t s ta tad ) no oyaptoae 12 yo aro 43 d r ill ? 4 yoaro 41 d r i l l s * 23 yoaro no ayoptoao no ayoptoao 60 d r i l l 4 yoaro no ayap to a s sparoaaa i yoaro forons* 25 yoaro 37 d r ills * 5 yoaro no ayoptoao trasto* 4 yoaro 22 p i p . . M W no syoptoao ( f . . u r r ) w n ___ slig h t dallases righ t base, l i f t sheet expense aero than r ig h t. h r 14 sounds a t api son harsh no abooraal signo expansion s lig h t ly H .U - oxpaosiso l i a i tod no abooraal signo ao abooraal signo no shsoraol sign s absent ro sal f i tua brooohial raleo l o f t aida no abooraal sig n a. sea . DingBe. aoeis fable VI Occupational hie lory Symptoms f t i l f t r t Mine# flrmna JLKBi 1 4.1 42 f i l l i n g bag 6 7 r u oe symptoms eoaree siie k e above heart o i le r 10 years 4 a t both bases behind. foreman 4 years 9 4.1 4? 6 4.1 59 (probably) 11 A.2 96 12 4 J . 4? (early) d r ille r 39 years eleeoer in s i l l ? yre, f l ll l n f g bags 4 y r i, a illv r ig h t 27 years vesper jeer* ae symptoos dyepaea dyepoea sough 4 exp* coloration, no abnormal eigne no abnormal eigne no nbaoraal eigne eoaree crepitations l e f t apea behind Oeef blood in sputum,dyepoea loee of veight 1? A. I 9- a illv r ig n t 21 year* oough b expeeio ration dry rale# over rt,sh eet behind, expansion d e ficien t dyepaea, loee o f veight 4 etreagtli 1? 4.1 47 a lliv r lg h t 21 yeare occasional dry r a le s a t (probably) le f t base id 4.1 26 d r ille r 11 year ae abneraal eigae 19 4.1 4? d r ille r 17 je e r s htotery s f aoabaerual n ip s (early) p le u r isy , la ter died of t,b ,s. 21 1.1 92 a lliv r lg h t 24 yoare (early) abnormal a l p s 2? 4.1 62 d r ille r 40 years (early) He eyaptoae a&ay erep ltatioaa rig h t base. 26 A.1 29 d r ille r 6 years I s syaptsas as abnormal e i p s general verfc la p i t 4 years 26 4.1 44 f l l l l a g bags 1 /e a r h le ter y s f -7-* os abaem al eigne duet bed 6 years hsasptysls ?o 4.1 39 (e^ly) 52 4.1 (early) la a ill f U tmaasl 5/ Ml . la a i l l 4 yrs aught dy spi es s e abneraal t i p s eaepeeted t ,b .s l a 192? ae abaemal e lp a o iler la a ill ? yores 5? 4.1 9* - lead lag brass la p i t s la te r died a Shevers e f f lo e treplWftas 29 years, feediag o f tb. s . 1669 both luaga behind fr e e 4 tbs a ill ? 7 vertebm dem,pereunelea 5 note diminished ?9 4.1 99 a lliv r lg h t dyepaea ae abaemal algos (aarly) foreaea 26 4o 4.1 62 feed iag crusher 10 year crepitations in rt.ajd lln eleaalag la a i l l 19 / r s 4 1. base behind, 4i 4.1 46 feeding erpsher in a i l l no symptoms no abnormal eigne (probably) 6 y-are, drier# iy#er, foreaan in a i l l 6 yeare ,0'S-0 02 1074 12 _______ Table VI (continued)___________ ^XU, Plaffi.-.* Bo, aol Age Oaaupatlonal hlatory ?yaptoaa_______ S l a t . Thetford Mlnet Qroup (oont'd) '? , A.i (early) 51 A.i 51 (probably) 55 A.I 50 5A A.O At 27 A.I AA (late) loading box#* in pit -yre., driller 6 yre. operator in sill 6 yra., millwright 10 yeare oiler in aill 10 ye. foreman mill '? yra. aill repairs 1* yre. mill foremen 10 yra. foramen mill 15 yra. millwright 7 yre* oo aymptoaa no abnormal alga* no aymptome percuaalon laaa rasonant o?or right lung, ahowera orepiteUona right aide front 4 baok,fc oter left up4 or lobe front 4 bask, eon died t.b.C. expanaion poor, aany daughter haa erepitationa 1* apex 4 tubereuloeia. in r. axilla, orepitatiena r.4 l. upper lobea behind \ at both baaea. eough,dyspnea expan*loo poor,pereuaaioo poor at apbeee. oe rale*, na aymptome oo abnormal algae. f v 15 4 I I* v i l i bo natad that o f ih 141 man azaalnad a t Asbastoa 17 varo dlag* ooad aa f l r a l ataga aabaatoala, v h ila o f tha JA asaalaad a t Thotford Miao* 21 diagnoand aa f l r s t ataga nabatoaia and 5 aa aeeood ataga a sb o sto sls. Thia la noi to b# iatarpratad aa lnd laatlng an axoaaa hasard In Thotford Ninna. Tha inertaand lnaldnnoa o f sunnonooonlosls in Thotford ainaa la alaply a ro fla o tlo n of tha d iffa ra n t d istr ib u tio n v lth raapaot to ago and langth o f narrioa. Rafaranaa to tablaa 1 and 2 v i l i r a sa li tha grani d iff^ r- anoaa la thaaa ivo thioga. In tha grani n ajorlty o f aaao tha langth o f aarrloa in duaty varie m a ora thna 9 yaara aa lndloatod in th afollovlag tablai langth af aarrlaa hxabar a f oaaaa ftunbar o f man aam load.. o 4 yra. 2 44 5 -9 9 75 10 . 14 7 19 15 * arar 55 59 Total 41 195 frmt ghia tabla ano vould aonaludo th at aabaatoala la n oi U k aly ta davalopa v lth aa axpaaura o f lana tha* 3 yaara, but th a t v lth aspoaura o f ora than to yaara thara la a grani p a a a ib tllty a f l i daraloplag. I t la hovarar a f la tarant ta roanabar thataany aaa v lth long pari oda o f aspoaura do not daralapa aaj algna o f aabaatoala* Aa ta aaauaatlaaa a f 41 d r i ll ara 15 vara aaaaa a f aabaatoala o f top a d ii varkara 27 vara aaaaa o f aabaataals and a f 40 vortara la tha faotary oaiy i Mita ahavad sray avldanaa o f tha dlaanaa* I r id a n ti/ thara la l l t t i a dlffaraaaa l a tha hasard la a l l l voriearo and d r i ll ara. Tha a l l l varkara a,,paar to ba axpoaad to fa r graatar dkat oonoantratloaa than tha d r ill ara and l t la rathar d lf f lo u lt to undaratdnd dar tha high lnoldanaa o f aabaatoala aaong tha d r llla r a . Hovarar, i t ma/ r m y not ba o f intarmai ..--oc5: , ^ that 1076 14 4 that ih d r lllo r s a / o a o a a lo a a ll/ axpeaad io granila dual. Itooa o f tha oat-- o f attuato al a appaarad io uffa* froat d iaab lln f a/mptoaa. Parhapa ih n o ti ooaooa ayaptoa aa ahoriaaaa o f braath, bui laaa than h a lf lha aaaaa aoaplainad o fih ia a/ap'toa (11 of iha il ovata). la io phytlaal lana I aa unabla io flnd anjr pathognoaonia tigna hiah -Muld nabla ooa lo aa'<a a dlagnaia in Ih abaonea o f ih x-rajr piatu ra. Inapeatlon o f iha lunga aa o f l l l i l a valua alno l i ^aa d l f f l e u l i io faiuata ih dgra o f dlaphrognat i a txauralon and o s tila -- axpanaloo ar.ard ia ba d fi aio n i whao a t t u a li/ l i aa noi Zf a raaplrailaa tank had baao arai lab i a a--a quanti ta tir a ldaa o f a lia i p a tii/ lg h i bava baa a iia ln a d i iha i m i u m b w o f ahal xpanaloa bjr a iapa aaaaura aaa gira up a fia r tha f l r s t too xaaintl--a Slnaa thara la noi iandard pitali o f parauaal-- noia and aa taodard in i--a l i / of ta o ilia fra a iiu a or votai raaaaaaoa ona haa ia oapara ena Ida of iha ahaai Aih iha aih ar ia dai--t aboaraallU -- Bui aabaaiaals la --a--U a l l j a a/-- tr ita i laaloa aad la ih la di aaaaa iha a--parla-- of iha ivo aldaa a f iha ahaai la af U i i l a halp, Tha aaaa obaarvatlooa appi/ U iha quali iy a f iha braaih aauada* Ih a a a i f f a f M n ii/ to m i boom I l i / aaa iha praaaoaa o f r a l--, p r U a d t f l f agapitaai ralaa. Za -- n/ a f iha aara aavara aaaaa ahava/a of ihaaa ralaa aa--rrad ihrougbout boih Aid-- a f iha ah--t,p a r U a u la r l/ a toughlng, bui la i -- a f iha ihraa aaai a f aaaaaft tinga aabaaiaala ihaaa ralaa ara M i haard, -- ih a i avidanvj? ihapa ara --i a a--ai-- i t i -- a f iha dlaaaaa Oa a l i alan i aa--in a li-- U or ihr-- o f tha --a-- U h larga auabara o f tropiton i ralaa n i th ap lt-- vara thought ta ba tubarauloua bui tha x -r a / a r a i nailon did n oi oonflrm t h it lapraaaloa jwkAS p p o o u c e o "'* 15 4 Tubaraoloala did so t play an important pari i 1 tha atudy. Son# o f iha a m * o f aabaatoaia appaarad t f ba aoapllaatad with th is diaaaaa, Xndaad iho inaidanea o f d o fin lta tubarouloala in tha two groupa o f 19J individuala waa vary low. Thara wara aavaral auapaotad eaaaa oo o lin le a l axaainatioo whioh wara not oonflraad by x-ray and aararal auapaotad oaaaa by x-ray vhleh ahowad no raal arldanea in tha any ofalgna and ayaptoaa. Only ona eaaa in tna groupa oan ba oonaldarad aa a o tiv i)y tubarouloua. I t waa d if f lo u lt to obtain aputua from aoat of tha aao ainca vary faw o f than vara ooughing. About 12 aputa wara axa&lnad for tubarala b a o illi and aabaaioa bodiaa. So tubarala b a a illi wara found but ana eaaa did ahow aararal aabaaioa bodiaa. TMa oaaa waa dlagnoaad by X-ray aa probably aabaatoaia ( f i r a t ataga) but la noi lneludad in tha nuabar o f aabaatoaia oaaaa alnaa tha x-ray f l l a waa not a a ila fa o io ry . Conraraatlon with phyaioians nnd Mna aanagara in tha aabaatoa raglooa^ lndleatad that oo haaard to haalth waa auapoatad in eonnaatloa with work in tho aabaatoa mining and m illin g lnduatry. In genoral i t nay ba aald that tha haxard o f poauaonoaonioaia in tha aabaatoa aiming mod m illin g lnduatry haa baaa daaonatratad, arldantly tha diaaaaa daaa ami laeap aaltata to any graat dagraa and apparantly i t la ami p a rticu la rly aaooalaiad with iubarauloaia. NORMAN DAWVS BSSSi FRANK O. PCDLTY. M.O. MEDICAI. ACVItOM A. ORANT FLEMING, M.O. O t M >s.m WAMA B J B yH T C oN OMMI K-- 'C h. r. thonnuill FIN A N C IA L FED K R A T IO N Or TW* MONTMW. OOUNCB. OP O CUI. M W O M 14*1 a t w a t s r a v i n u i MONTREAL W ILBA NK 1191 UOMB.K. m m i nauerrrmrwr M A M O M C M tA OrOH O January S8th, ISSI. J. W. McConnell Ssq., M.D., Metropolitan Lifo Inaurane Company, 1 Madison Ave., New York C ity, N.Y. Dear Dr. MeConnell; Ihen I waa in New York a few weeks ago, I apoke to you on th subjeot o f usine th money granted hy th Metropolitan Life Insurance Company to lfeGlU University for Industriai Kfglene in some werk o f puro rosoareh* You vare golng to thlnk th s e tte r over and lo t me know what your ideas ere on tho suhjeet* This lo tte r lo meroly to jog your ncnory* Your vory tru ly , Kff.OJ. I * / l I r\ 0463 -V,. 4 r i k m n ii*i m Sr C b arlM F. S a rtia Dm * of tfea Faaalty of Kodtolio M aO lll oalvaralty Kaatraal flaaafa Kj aar Dotar Hartla Va aat ta aafar vita yaa a U t atari ib a aatbarisKtlaa fraa tkla Oaapaay a t a r alali H aO lll O U n rU tf baa t o a ta rryla a a aartala U m at avi ala Ja a a iy U U Ta 1U raaaU that aaartba ta n a a f iba aaibarlaatU a U 0 N yaar fa r fira yaara aa apyrayrlataf ta pap Um aaa t a i a a rta y by tba Babaal a r Gbalr af X a fa a trU l lytla a a a l b u t r lM la Oaaaa " lib via I la y m U p tb a ir byiaala aealtlaaa.* la a abaratar it yoar paapla l aat a aay arfe M ar that ayprayriatlaa fa rla l ia i bat tba fl 00P rmm U U M u osafL far art aaa la W T . Va aaftrtiaaf fartbar* tfeat tba v i a U b a a lM ir la f va la U M A U M aaf tba apprapr la t U aa vara t r a a ta pay far 1 U va fa aat rata U baria aaa aay apr i i a i tba a itaal arfe parfaraaf* tbaafb aaf aa ait a r Uiatbar yaa^baaa aap$pt a i aay a-- b ra a t j a a t t t u l i a a i a Ufeafe a bava a 5 S r i r u H ^ U M ^ B r * Fraafe b PafU p U 1 aaya *U o t Z aaa la Um Tarfe a I m aafea a y n Z apata t ry a a aa tba aabjaat af a tla s tba aaaap f ia t a i by Uw la tra p a U U a U fa laMpaaaa Qamap- ta M H U R U im t t y f r Tafaatrftab B yiloaa la aaaa arfe a t ava raaaarab Taa ara fa ir ta tfeiafe tba aattar arar aaf Lai m M a * bat yaar laaa ara aa tba atbJaaU Thla la tta r la aaraljr ta ja yaor a r |o> t i l l yaa plaaaa ta U aa aa abat ayoatal arfe la bala a a rrla f aa fey M t U aa tbat aaalf ba aaaalfaraf aa H a t tfeat aatbarlai tloa* r U H yaa bava la aaataaylatlaa* aaf bat yaa avfcaat Of aaaraa y kaat aaf a kaav tbat tba tavaa f tba l ip r f r t atta aaalf aat paaalbly ba baaat tba ay af Vitb U aaat ta aaa aa yaa ara Tary traly ; aly at lata 0460 Af. P R O P I L E O G/C/M/Ms MEM0RN2M TO: FROM: DATE: Dr. Knight, Medical Director Dr. Lanza February 5, 1931. S.0 ^ % 2* I have read Dr. Martin's letter and Dr. Pedley's reports. I think both are very informative, and,if McGill University is willing to extend their work by making a survey of tuberculosis in the industries of Quebec, this might well come within the scope of the grant. M e t r o po l it a n Life In s u r a n c e Frederick.H.Ecker,Puaiwrr Henky E.North n oe V ic P r * a r o i R T PoUOVHOLDEBa Sesvicb Bc m a e Com pany C anadum O t d o a . N.LBcbnktb The BonoexAEU!H SBelaud.M.D. b n u i T x u i B y o ie it b S ic t j o r February 27th r 19 3 1 A. J.Lanza,squire,11.D., Assistant Medical Director, Kew Ycrk Hone Office. Dear Doctor Lanza Doctor Grant Fleming of McGill nas shown me correspondence between Dean Martin and our Doctor Knight relative to our grant to the Industrial Hygiene Department of thV University* * I presume that owing to Wade Wright's illness, Doctor Knight has be.ene* going through some old correspondence. This of course doV* not give a complete picture. I wish to corroborate the statement made in Doctor Martin's letter that Doctor Wade Wright approved of the change from the original conception of how our money was to be usea. I was oresent at the interview. I have a very distinct recollection of Wade Wright giving his aonroval after understanding the local situation in Canada and I have no doubt that the Company will jish to implement a gentlemen's agreement ooncurred in. by one of its officers, even though there may be nothing actually on file. Apart from the question dealt with above it seems to-mm.that Doctor Martin's report speaks for. itself and I would suggest that therm have been very definite and worthwhile achieve ments as-m resalt*, of our small grant. vumsc iTQxov i irui iiu r-n u >J P P TW TUimi H TT **1*T< TTJMMl I^MW* t mm m m N B NN* 9* I f NATNIMN m m %fN *H I *B T W **** P H N H B H 9 * n MIBb i t BIVINI Bp M TiW T *N T W w m I B B yw ftll INI | N N B I T B T N N | N N B l 41 miHu jt*l m T ^ pISiS b i h i b w i m n 9 m m m t b n i w t n n i I N m * " e * * n * i *\% p p i u n w -- * ja * b p n*** i w * a m m jd m m h * ni* i p * " i WWW H f B N I P i f n B I P *N I N B I P I |t I ^ I B H 1 N < ll M P P B *MT A M / n n B W * N M 9 s|p B N N Bi J N n * * N * t p w t %2 iRW PHII B M P B J f h B n * i N l i r i U N f p ltT *W *4 p p m p n num n u B M B T * m b t m h b p b i n i> i p b w bp < * B M W P B M i mmn n t f M W M U B j l t t t J I J N p B M p u P M M fTMA l! U r t p M U H M ift P U B 9TMW MM M !* < * M B M P P H Ib IfB Ptt * l B * i | P | l u n *N W N P B P M fp vp tfyp p p *m B t W P H W M p B M P N p p lR *N l P *P M MJJ tW | R B ft Ab Bb OB p P MMTJJD MTPMMX P *** 4M B;n*TC (M P I M | B H P M * P i 4BPTM * p J p * i f M T fpw <1 , B P p B H p B p p JPIMM Vf pTTPTBBlJM f t l M p n < * * W M P 4BPBBM | p BB fllP I N B W p P j llt P fp M p p Bp P H f lM p B p VT N m B J M p p i p p p t p i w J B l p p J B B l p p i p B t o H P W P B P M m p p am j *Bi p p m m b B B * m M M M ! MMT MT* M pM P f t 4MJ* p im * T PM* J N l p p n u p , TV P *4C 4Mp 1 | O M P 'TNJpp i%TuTn m e n PTI*I ! Al i MO ` H P *4 H M D * I6T `J B P J U DOCTOR KNIGHT MEDICAL DIRECTOR I have read Doctor Martin's letter with Interest and care. I have also read the report thereto attached. It does not seem to me that the funds which have been fur nished by the Metropolitan Life Insurance Company have been applied for the purpose of the grant, namely, "a survey of industries in Canada with a view of improving their hygienic conditions". I do not doubt that our funds have been used for good purposes, but as far as I see it, these purposes have either been of a routine or a promotional character. Either the purposes for which the money was granted should be changed by action of the Board of Directors or, if additional amounts are to be sent to McGill University, it should be understood in advance that we can make further payments only upon the condition that the reso lution of the Board of Directors be adhered to. It is possible that if the University will make a survey of tuberculosis in Quebec industries, this might cover the purpose of the resolution. Personally I should pre fer it if the survey to be made were somewhat broader. ith this in view, I would suggest that you write Doctor Martin, asking him to outline a survey program along the lines of the resolution of the Board of Directors. February 27, 1951 OA \ C-DO la ra Fourth Payaoat - Appropriati* J u o 10, 1931 Dr. Chariot F. f e r tia , 2oaa F a ta li/ of adala Bollii UolTtrolt/ Mcatraal, ^oafcaa Caaada t f doar Or f e r ii Za raopoaoo to jo a r lo tta r of J w I t i o aro pl oaood to oaalaoo - Coapaa/'o ohooft fo r I I OM to t i n ardor of 01111 m u n i t i ao pa/aoat of tfel Caapaay'o appr apr la tlo a fo r IBI la aooordaaoo I ti tin rooolatloa of tin Board of Olraataro nodo Jaaaarj 0 1IM fe to aafcoo pay a t of foor of t i n f ir th a t toro aothorlood U tk hoot ragantOa far/ tra i/ jotra, aunoAfc nzMOTCR. Th* Auditori V ili yoo, la oooord with th* r* latio s of tho Board of Dirootor* sodo Jasaory 4, 1924 eod io r*spoooo to Or Martio 'o lo tta r of Jaso 8 1931, od a hook to tho ordor ef HoOill Goivorslty for $5,000 for tho aathorisotlea duo for tho yoor 1930 osto rio tho oot of "Sorooy of Zadootriol Rygioao of Ioduotrioo io Coaodo!" Hodieoi Dirootor, 1-00 1 u . FACULTY of medicine onici OF THE DEAN M9GILL UNIVER SITY MONTREAL Jon# 12th, 1 9 3 1. * A u g u stu s S . KnaghJlf, S sq. , M .B ., M etro p o lita n ^ce Ina orano# C o ., 1 , Madlaon A riano, I# York C ity . My d e a r S r . K night, P lease aoeept ay very sin c e r e personal thanko for your kind note o f th e 10th I n s t ., en clo sin g cheque from t h e Company on h o h a lf o f I n d u s t r i a l H y g ie n e . fhe U n iv ersity i l l , o f cou rse; send you aa e f f l s i a l acknowledgment, and I m erely w r its t h is p erson al note o f a p p recia tio n now. Tory c o r d ia lly you rs. W m *- m i. May lBth, 1932 9 REPORT of the Activities of the Industrial Hygiene Department. McGill University. f/^, 4 *s' During the paBt year the following activities have been carried on by the Industrial Hygiene Department under the auspices of McGill and the Metropolitan Life Insurance Company. 1. Clinical Activities* The policy was oontinued of ex amining all oases from certain specified trades who presented themselves at the olinie, and hy this means we oontinued to make important connections with hasardons industries. She number of cases of lead poisoning treated fell very sharply* partly owing to decreased production, but still more so* we believe to the improvements undertaken by the plants.under our supervision and advice. Throughout the year the Health Service for General Hos pital employees and administration of the benefit system among them was continued. The night Industrial Dental Clinic, formed as a co-opera tive measure by the industries in whoa we are interested to furnish dental care at reasonable prices to the employees, operated for ten months of the year as usual. We have lately published an account of its organisation and its financial report for the past -three years. 2. Field Work: .While we wdre unsuccessful in establishing health services in any new Industries daring the period under review, a supervision of those already established was oontinued. The Toilet Laundry Company, employing five hundred people, have opened up a local hospital with a nurse in charge, and have added a physician to their staff* 111 this was done under our advloe and help. 3. Research and Publications; The survey of Asbestos workers in the district about Thetford Mines, undertaken by Dr. Pedley, was completed in this period. Two very important problems of research were Initiated during the period, and are being continued! (a) The Quebec Industrial Health Survey. .Assisted by the Provincial Department of Health and the Canadian Tuber culosis Association, we have undertaken to examine fully and to make Z-rays of the Chests of 5,000 in dustrial workers selected at random from various in- rv 0412 I '\ z duatrie of the city and province. Jit the date of writing 1700 h&Te already been completed, and arrangements are concluded for the examination of the remainder. Cb) A second investigation is that being undertaken by Ur. Fraser, in the Department of Pharmacology, on the toxic effects of mercury* She initial part of this work is concerned with animal ex perimentation and the examination of employees of the Shavinigan Chemical Company, in whose work shops mercury is extensively used as a catalyst. Bbth of these investigations will, we believe, throw important light on industrial medicine, and will be a distinct contribution to the subject, as is amply proved by results to date* Some of the publications issued by the Department during the year are enclosed herewith* 4. Beaching! lectures, laboratory demonstrations and field instruction.hare been given to various groups of students nurses, social workers and candidates for the Faculty of Architecture* She Director of th Department has continued to act as Secretary pf the Industrial Hedioal Association of the Pro vince of Quebec, whioh has now been admitted as a section pf the Protincial Medical Association, and has maintained con tacts between the physicians doing industrial work and the Commission of the Workmen*e Compensation Board* 5* General! The most Important development in the Province during this period has been the ooming into force of the new Workmen's Compensation Act of 1931, granting compensation for Industrial.disease* We continue to work for a provincial department of Industrial Hygiene to earry on officially the work that we have been trying to do in an unofficial way* There is every likelihood that in the near future an Institute of Hygiene will be established for the Province, and arrangements are being made in the outline of the pro ject for a participation on equal terms of Frenoh and English Industrial Health Departments* Owing to the general depression, and consequent re striction of funds, a slight reorganisation of the department was carried out. While the olinieal work is continued at the hospitals, the laboratories and personnel of the expert rl 0413 3 - staff wats mowed to McGill University, and the work con tinued as outlined to you in our letter of August 22nd, 1931. Two of the activities then recorded will he dropped this year, namely, the Health Service for General Hospital employees and the systematic sampling of all new admissions to the out-door department. This is in part compensated for, however, by weekly attend ance at staff rounds and through co-operation of other workers in the out-patient department, by means of which there continues to be a supply of material from industrial diseases for observation and attention. In a similar way the staff of the Boyal Tictoria Hospital is eo-operating to inorease the eontaets between the Department and in dustrial disease* Social Scienoe Service: A great deal of activity is going on at McGill at the present time in social scienoe research, in which eonneotion the Industrial Hygiene De partment is taking an active participation. Unemployment is being studied intensively by the Departments of Sociology, Political Economy find the Faculty of Medicine, and a co-operative group is in- this way study ing unemployment from its various aspects. Physical examination is to be undertaken as a routine prooedure in groups of the unemployed tinder the direction of the Industrial Hygiene Department, and some interesting results.therefrom are anticipated. May lBth. 1982 REPORT o f the Activities of the Industrial Hygiene Department. McGill University. 9 4? During the past year the following activities have been carried on by the Industrial Hygiene Department under the auspices of McGill and the Metropolitan Life Insurance Company. 1. Clinical Activities: The policy vas continued of ex amining all oases from certain specified trades who presented themselves at the olinio* and by this means we continued to make important connections with hasardous industries. The number of cases of lead poisoning treated foil vary sharply* partly owing to decreased produotlon* but still more so* we believe* to the improvements undertaken by the plants.under our supervision and advice. Throughout the year the Health Service for General Hos pital employees and administration of the benefit system among them was continued. The night Industrial Dental Clinio* formed as a co-opera tive measure by the industries in whom we are interested to furnish dental ears at reasonable prices to the employees* operated for ten months of the year as usual. Ve have lately published an aeeount of its organisation and its financial report for the past three years. 2. Field Work: .While we wdre unsuccessful in establishing health services in any new Industries daring the period under review* a supervision of those already established was continued. The Toilet Laundry Company* employing five hundred people* have opened up a local hospital with a nurse in charge* and have added a physician to their staff. All this was done under our advlee and help. 3. Research, and Publications: The survey of Asbestos workers in the istrict about Thetford Mines* undertaken by Dr. Pedley* was completed in this period. Two very important problems of research were Initiated during the period* and are being continued: (a) The Quebec Industrial Health Survey. .Assisted by the Provincial Department of Health and the Canadian Tuber culosis Association* we have undertaken to examine fully and to make X-rays of the bhests of 5*000 in dustrial workers eeleeted at random from various in- rv 0412 I 2 dustries of the city and province. At the date of writing 1700 have already been completed, and arrangements are concluded for the examination of the remainder. tb) A second investigation is that being undertaken by Ur. Fraser, in the Department of Pharmacology, on the toxic effects of mercury. She initial part of this work is coneerned with animal ex perimentation and the examination of employees of the Shawinigan Chemical Company, in whose work shops mercury is extensively used as a catalyst. Btoth of these investigations will, we believe, throw important light on industrial medicine* and will be a distinct contribution to the subject, as is amply proved by results to date. Some of the publications issued by the Department during the year are enclosed herewith. 4. Beaching* lectures, laboratory demonstrations and field instruction.have been given to various groups of students nurses, social workers and candidates for the Faculty of Architecture. She Director of th Department has continued to act as Secretary of the Industrial Medical Association of the Pro vince of Quebec, whioh has now been admitted as a seotion pf the Prorineial Medical Association, and has maintained con tacts between the physicians doing Industrial work and the Commission of the Workmen's Compensation Board. 5* Generali The most important development in the Province during this period has been the coming into force of the new Workmen's Compensation Act of 1931, granting compensation for industrial.disease. We continue to work for a provincial department of Industrial Hygiene to carry on officially the work that we have been trying to do in an unofficial way. Shore is every likelihood that in the near future an Institute of Hygiene will be established for the Province, and arrangements are being made in the outline of the prpjeot for a participation on equal terms of French and English Industrial Health Departments. Owing to the general depression, and consequent re striction of funds, a slight reorganisation of the department was earried out. While the clinical work is continued at the hospitals, the laboratories and personnel of the expert ri 0 4 1 ? - 3 - staff waze more4 to UeGill University, an4 the work con tinued. as outlined to you in our letter of August 2nd, 1931. Two of the activities then recorded will be dropped this year, namely, the Health Service for General Hospital employees and the systematic sampling of all new admissions to the out-door department. This is in part compensated for, however, by weekly attend ance at staff rounds and through co-operation of other workers in the out-patient department, by means of which there continues to be a supply of material from industrial diseases for observation and attention. In a similar way the staff of the Boyal Victoria Hospital is co-operating to increase the contacts between the fiepartment and in dustrial disease* Social Science Services A great deal of activity is going on at ilo&ill at the present time in social science research, in which connection the Industrial Hygiene De partment is taking an active participation. Unemployment is being studied intensively by the Departments of Sociology, Political Economy and the Faculty of Hedieine, and a oo-operative group is in- this way study ing unemployment from its various aspects. Physical examination is to be undertaken as a routine proeedure in groups of the unemployed under the direction of the Industrial Hygiene Department, and some interesting results.therefrom are anticipated* r* V r i- -* b r zz int U li r m Is ta ri h Um rtMfartlM af ika l o r t B im in Umrj UM u la r--pmm i* Ir Varila* lattar f U , l i t t , M a M a l ta Vu orttr f VtU aivuvllr lar iifOOV a t >-- I I Va V iariM ilu ai far V p a r MIL a a H n t V a a l * "Banay al ZMuVrlal % iU ai V h M M a {tiiK aJ* l % Z a V ara latt t t ta h a ib a la t i p q V a l a M t a v V a ria a lla . Dis cr M t P u a *f Hiihi M in feiwr*!* XMrtmU Ci--H Vf 4mt Dh UT I t f t t l tt--fcy-- i f w w tm n n * lH>r f Tmn ntf H (Mm -u . FACULTY OF MEDICINE OFFICE or THE D E A N M? GILL UNIVERSITY MONTREAL Sr Kay 2 6th, 1 9 3 2. Augnatua 3. K otropolit law T ort C > Et)> i K.B. , Inaurane* Co., Ky door Dr. K night, So any thank* fo r your k in d l o t t o r , a n i > th* oaaloaod ehofa* for #5,000.0# fro tho M etropolitans L ife Inaurano* Qonpany, fo r vhlok vo a r o r o r y g r a to f u i.# X a oondi# i t to tho lu r a a r, w h o u i l i t r a m a n i t a " . . # . fornai aeknouledgaoat* : r u K SOln# to Im ropr fo u rth * aunaor- raoatiom, ' hut hop ho I oeao tank, to i i t yoi l i lov Y ork,;ant thank you i# poro* fo r a l l your kin# ln to p o at. tC R ITA R Y BURRAR O F F IC I APSG:C McG ill U n iv er sity MONTREAL Twenty-se rent h 1932. The Metropolitan Life Insurance Company 1 Madison Avenue, New York, N.Y. v. Dear Sirs: In sending you herewith the University's receipt for $5,000. constituting the fifth and last instalment of your gift for the'support of the work we are doing in Industrial HSedicine I wish to once more sey,on behalf of the University,how greatlyNW'Appreciate your generosity in this matter. Yours faithfully, Secretary Ena. MiKo* . I V. ' DEPARTMENT OF PUBLIC HEALTH AND PREVENTIVE MEDICINE McGILL UNIVERSITY ---------------- --------- -- MONTREAL, N.L. Burnette, Esq,., Metropolitan Life Insurance Co., Ottawa, Cnt. October 11, 1932. Dear Mr. Burnette: You have asked me to let you bare a statement regarding in dustrial hygiene at McGill in time for the American Public Health Association meeting this month. As you know, I came to Montreal In August, 1927 to take charge of the industrial hygiene work at McGill. The first aotlrlty was the creation of the Industrial Clinic at the Montreal General Hospital. It was thought at the time that the best point of contact with industry was through a clinic to which cases of occupational disease might be sent for investigation and treat ment. A considerable number of such cases were directed to the Cllnie, particu larly cases of lead poisoning, and contact was made with the industries from which they came. One plant with an exceptionally severe lead hazard actually erec ted a new building, partly, I believe, on our recommendation, and several plants have improved their working conditions, by installing various ventilating devices to carry away poisonous dusts and fumes. Several papers have been published on the subject of lead poisoning, copies of which are enclosed The occupational pdsonlng work has been considered a less important activity than others, particularly on account of the fact that the num ber of cases of occupational poisoning Is small compared with other diseases which affeet industrial workers. All evldenoe points to the fact that industrial work- r ers suffer in the main from the same diseases which affect the general population, j s / and that preventive medicine for industrial workers should be directed tomrds those diseases and not especially towards the so-called occupational diseases. For this reason, it was thought that a valuable service could be rendered industry p / in particular, and the eamrnuiity in general, if industrial health services oould be established in the larger industries, so that the health of the workers could j\ be brought under the lawdlate supervision of a doctor and a morse A good deal of time was devoted to making contact with in dustries which, it was thought, would be Interested in a scheme ef this nature# Considerable success was achieved at first and five plants created health depart ments immediately under our supervision, while four or five other concerns were stimulated to establish medical departments. These medical departments have all given satisfaction and are still operating, but the industrial depression during the last three years has made progress in this work very difficult. , ' Industrial Dental Clinic ?v In connection with the work of the industrial health services, Mif0357 2 as industrial dental clinic was established, the activities of which are recorded in an attached re-print. This clinic has flnsno* <t,self entirely and is haring a certain amount of difficulty now in making both ends meet. Industrial Medical .association of the Province of uebeo As an outcome of the Industrial hygiene work, the Industrial Usdlcal Asso ciation, P.*., was established in 1928. This is a bilingual Association which carries on Independent activities, and is also considered a branch of the Province of Quebec Medical Association. Doctors, Pennoyer, Mercler, St. Jaques, and Tees, have been the successive presidents, and Dr. Ward and I have served as secretary. The organization took an active part at the request of the Workmen's Compensation Commission, in drafting the tariff of the 1928 Workmen's Compensation Law, and has held meetings approximately bi-monthly since its organization. Montreal Health Survey The Industrial Eygiene Department co-operated with the Montreal Health Survey Conmittee and prepared the industrial hygiene section of the report. Study of Asbestosle In co-operation with the Metropolitan Life Insurance Company, a survey of two companies mining and milling asbestos, was made in July and September* 1930. Physical examination of some 150 man was made, together with chest Z-rays, and an interesting state of affairs was disclosed, which was reported to Dr. lanza - of the Metropolitan Life Insurance Company, but to date permission has not been se- ( cured to publish the results of the study. Lectures at McGill Courses of lectures on industrial hygiene have been given every year to ^ the third year medical students and graduate nurses, social workers and architects. General Publicity A number of public addresses have been given on the subject of industrial hygiene. Various papers have been prepared for publication or presentation at aolentlflo meetings, moat of which are enclosed. I hav* bee* submitting reviewsand editorials to the Canadial Medical Asso ciation Tournai^, *(# have also acted as joint editor with Dr. Cunningham of the Industrial HygiaM-Soatlom of the Canadian Public Health Aseoolatlaa Journal. A rejcmeendation favouring the oreation of Division of Industrial Hygiene in the Provincial Health Department, has been made to the Social Insurance Cemission and the Province of Quebec, and this Commission has recommended such a Division to the Provincial Government pr; Wi % / si/ idiO Present ctlvltiee The Industrial Clinic has been moved to the University under the immediate d ire c tio n of Dr. Vance Ward. The supervision of the plant medical departments con tinues, and in addition, two new activities have been started and are now in operation (1) a study of mercury poisoning and (2) an industrial health survey; 0358 (1) ( 2) J*"' Our attention was drawn a year or so ago to the mercury hazard in one of the plants outside the City, and also to the .faot. that a relatively small amount of experimental work had been done on industrial mercury poisoning The co operation of the Department of Pharmacology at McGill was obtained and an ex perimental study with dogs is now in progress to ascertain the minimum per- missable concentration of mercury in air. It Is anticipated that a publication of this study will shortly be ready. This study is being financed entirely from the Industrial Hygiene funds. ^ Uj**, /a ^ V'" In co-operation with the Canadian Tuberculosis Association, the Provincial Health Department, and the Department of Industrial Hygiene at McGill, a study has been started with particular reference to tuberculosis in industrial workers, but also with reference to general health. Some 2,000 workers in three companies have already received a complete physical examination, with chest X-rays, and it is hoped to continue this survey so as to include 5,000 employees in differ ent occupations. Thin survey has been under way for a year, and^s being fi nanced,partly by the provincial Health Department, partly by the industries con cerned, and partly by-*ourselves. The $25,000 promised by the Metropolitan Life Insurance has all been paid, and soma $4,000 is left to carry on the work* 9e are in hopes that the mer cury study can be completed within this appropriation, but it will not be possible to finish the industrial health survey unless additional funds are forthcoming. in activity which we ha been endeavouring to establish for some years, is a co-operative health service to plants too small to provide a complete service of their own. An endeavour was made to get this service under way, financed by the companies themselves, but various difficulties presented, chief of which was the scepticism of the employers of its practicability. Since this scheme has been ^ successful in Philadelphia and Hudson County, Hew Jersey, it seems likely that when V better times return, if a demonstration were made perhaps in co-operation with the , Royal Sdward Institute, employers might be convinced of the desirability of such a r" scheme. He- feel this would be of value to the oconanity in general, and to the in- ^ dustrles affected in particular, and might be of actual eccncmlo value to your own.oampany. These-are the in facts in connection with the industrial hygiene work at McGill University^ a*- ^ ^ ' Tours very truly, FGP/IM. U* I 4 'AJ ,r*" * v . * 0359