Document bBLK9ojgnjw686z49XrZMGo6D

CONFIDENTIAL World Register of Cases of ANGIOSARCOMA OF THE LIVER (ASL) due to VCM REVIEW DATE 1st JANUARY 1989 ********* Collated by: \ Dr Brian Bennett Occupational Health ICI Chemicals and Polymers Ltd Hillhouse Site PO Box 4 Thornton-Cleveleys (Telephone Blackpool FY5 400 (Telex England (Facsimile 0253 861632 J 67483ICIPLHG) 0253 861861 J y GENC 008324 fv_ LIVER ANGIOSARCOMA CASES CIRCULATION OF REGISTER CONFIDENTIAL FEBRUARY 1989 APPLETON B BAGSHAW Dr I M M BAND Dr P R BARON Dr C BARRAT Dr G BAXTER Dr Peter BAYLAC Dr BELLEC Dr BENECH Dr M BENNETT Dr B BERTAZZI Dr P BERTUZZI M BEYNON D W S' BISHOP Dr C BORRELLI F E BRAUN Dr C L J BREWER Dr M D BRYSON Dr D D BYREN Dr David CARTER Dr J T CATANZARITI A CELLA C CHANCE M CLARKE Dr E A CLAYTON H CONTASSOT Dr J C DAVIES J G DE JONG Dr G DELORME Dr F DEPLAN Dr F DIETZ Dr H W DOLL Prof Sir Richard DOMBROWSKI S L S DRUMWRIGHT Dr J R DUPONT G EMMINGER H ERNST Dr W EVANS Dr A E J FALK, Dr H FAVRE Dr FIELDING Miss C FILLINGER J FINCHAM Ms Shirley FOA Prof V FORMAN Dr D FRASE R W FREIESLEBEN Dr W FRIEDEL Dr H P GAFFEY Dr W GOTTESMAN R T GROISMAN D HILLMAN Dr D W HOWARD Dr J K HUMPHRY Dr N F ICI Runcorn, UK Hydro Polymers Ltd, Newton Aycliffe, UK Cancer Control Agency of British Columbia, Vancouver, Canada ICI Runcorn, UK AECRP, Commentry, France University of Cambridge, UK Atochem, Chauny, France Rhone Poulenc, Aubervillers, France Naphtachimie, Lavera, France ICI Hillhouse, UK Inst of Occupational Health, Milan University, Italy EVC, Brussels, Belgium ICI Runcorn, UK EMAS, Cardiff, UK Georgia Gulf, Delaware City, USA Akzo, Arnhem, The Netherlands Imperial Oil, Sarnia, Ontario, Canada ICI Wilton, UK Nobel Industrier, Sundsvall, Sweden EMAS, London, UK EVC, Brussels, Belgium EVC, Brussels, Belgium ICI Runcorn, UK Ontario Cancer Foundation, Toronto, Canada Norsk Hydro, Newton Aycliffe, UK Atochem, Saint-Fons, France EVC, Brussels, Belgium Shell, An Den Haag, Holland Quebec, Canada Atochem, Jarrie, France B F Goodrich, Akron, Ohio, USA Imperial Cancer Research Fund, Oxford University, UK Dow Chemical, Midland, Michigan, USA Vista Chemical, Houston, Texas, USA APME, Brussels, Belgium VKE, Frankfurt, Germany Berufsgenossenschaft der Chemlschen Industries, Nurnberg, Germany Lever Bros, Warrington, UK Centres for Disease Control, Atlanta, Georgia, USA Atochem, Montluel, France ICI Millbank, London, UK ' Solvay, Brussels, Belgium Alberta Cancer Board, Edmonton, Canada Inst Industrial Medicine, Milan, Italy Imperial Cancer Research Fund, Oxford University, UK DiversiTech General, Akron, Ohio, USA ECVM, Brussels, Belgium Berufsgenossenschaft der Chemlschen Industries, Heidelberg, Germany Monsanto Co, St Louis, Missouri, USA The Vinyl Institute, Wayne, NJ, USA Electrochemical Industries, Acre, Israel Diamond Shamrock Corp, Dallas, Texas, USA University of Otago School of Medicine, Wellington, New Zealand ICI Australia, Melbourne, Australia WPX/ASL - ASL ADDRESS,! CORPOKAft SArEF( FEB 9 1989 GENC 008325 * JOHNSON Dr C A JOHNSON Roy N KAIPERT Dr J H KLEIN Dr H LAGAST Dr H LANHAM Dr John LANOU2IERE Dr Claudine LAWRENCE-JONES Sir C LEE Dr F I LELBACH Prof Dr WK LEVEQUE Dr G LEVISON Prof Dr D A LEWIS Dr P LIGO Dr R N LO MARTIRE Prof N LUSS R D LUSSATO Dr Josette MALTONI Prof C MATTIUSSI Dr R MELTON B MIDDLETON D MOKKA Mr MONTESANO Dr R MOTTI Dr A A MUNOZ MOUTON Dr M MacSWEEN Prof RNM NAKAMURA Dr S OSMAN Dr J PADDLE Dr G M PAGLIALUNGA Dr S PAQUET Dr Christiane PATERSON Dr J C FIRASTU Dr Roberta POSSBERG Dr J PUECH Dr A M PURDHAM Dr J RAMBAUD Dr J RICHARD Dr A ROBSON Mrs D RODRIGUES Dr MJF RUTY Dr J SALG Dr Joyce A SCHIPPER Dr H SCHUCKMANN Dr F SERONNE Dr D SHAH Dr Has SIGRIST Dr J SIMONATO Dr L SMITH Prof Allan H SMITH J S SMITH Dr P M SPIRTAS Dr R STAFFORD Dr J STAHNECKER Dr E SULAIMAN Dr 2- - Goodyear Tire & Rubber, Akron, Ohio, USA GenCorp, Fairlawn, Ohio, USA Dow Chemical Europe, Horgen, Switzerland Dynamit Nobel, Troisdorf, Germany Solvay, Brussels, Belgium Dow Chemical, Midland, Michigan, USA Solvay, Tavaux, France Chief Medical Officer, ICI, London, UK Victoria Hospital, Blackpool, Lancs, UK University of Bonn, West Germany CDF Chimie, AZF, Bully-les-Mines, France Guy's Hospital, London, UK Chemical Industries Association, London, UK Dupont, Wilmington, Delaware, USA EniChem, Milan, Italy Occidental Chemical, Pottstown, Pennsylvania, USA Atochem, Port de Bouc, France Institute di Oncologia, Bologna, Italy Montedison, Milan, Italy Formosa Plastics, Delaware City, USA Hydro Polymers Ltd, Newton Aycliffe, UK Neste Oy, Espoo, Finland IARC, Lyon, France Duperial SAIC, Buenos Aires, Argentina Rio Rodano, Madrid, Spain Western Infirmary, Glasgow, Scotland Japanese PVC Association, Tokyo Health & Safety Executive, Bootle, UK ICI Central Medical Group, Alderley Park, UK Montedison, Novara, Italy Atochem, Serquigny, France ICI Runcorn, UK Istituto Superiore di Sanita, Rome, Italy Wacker-Chemie, Munich, Germany Atochem, Brignoud, France University of Toronto, Ontario, Canada RP Recherches, Antony, France Rhone Poulenc, Roussillon, France Saskatchewan Cancer Foundation, Regina, Canada ICI, Sao Paulo, Brazil Atochem, St Auban, France NIOSH, Cincinnati, Ohio, USA University of Manitoba, Winnipeg, Canada Hoechst, Frankfurt, Germany Diamond Shamrock, Dallas, USA CMA, Washington DC, USA Shell Chimie, Berre L'Etang, France IARC, Lyon, France University of California, Berkeley, USA ICI Hillhouse, UK Llandough Hospital, Penarth, UK NCI/NIH, Bethesda, Maryland, USA Somerset, UK BASF, Ludwigshafen, Germany Arabian Petrochemical Co, Saudi Arabia WPX/ASL - ASL ADDRESS,2 GEMC 008326 -3- TACHECI Dr H TAMBURRO Prof CH ten BERGE Dr W F TENKHOFF Dr N TEPPER Dr L B TERWIESCH Dr B THERIAULT Dr Gilles THIIS-EVENSEN Dr E THOMSON Dr D H TONER H P VAN DER MERWE Dr H J WALLACE J R WALTEMATE H WEJDLING S 0 WILLIAMS Dr DMJ WILSON Prof R YORK J YOUNG A E ZOBER Dr M A Hoechst AG, Frankfurt, Germany University of Louisville, Kentucky, USA DSM, Geleen, The Netherlands Huls AG, Marl, Germany Air Products, Allentown, Pennsylvania, USA Huls AG, Marl, Germany McGill University, Montreal, Canada Norsk Hydro, Porsgrunn, Norway Cancer Treatment & Research Foundation, Halifax, NS, Canada Society of the Plastics Industry, Washington DC, USA AECI, Sasolburg, South Africa Esso, Sarnia, Ontario, Canada BF Goodrich, Cleveland, Ohio, USA Norsk Hydro, Stenungsund, Sweden BP Chemicals International, Barry, UK Harvard University, Cambridge, Massachusetts, USA EVC, Brussels, Belgium EVC, Brussels, Belgium BASF, Ludwigshafen, Germany From: Dr B Bennett, Occupational Health Department, ICI Chemicals & Polymers., Hillhouse Site, PO Box 4, Thornton-Cleveleys, Blackpool FY5 4QD, England WPX/ASL - ASL ADDRESS,3 GENC 008327 TTo nfidential REGISTER OF CASES OF ANGIOSARCOMA OF THE LIVER DUE TO EXPOSURE TO VINYL CHLORIDE - REVIEW DATE 1 JANUARY 1989 PREFACE : ACKNOWLEDGMENTS, SIGNIFICANT CHANGES, COMMENTS AND REQUESTS 1 The 7 new cases in the Register are the following: Canada 13; France 23, 24 and 25; Italy 07; UK 15 and 16. 2 There are amendments from the previous Register against the following cases: Canada 11 and 12, UK 14 and US 4l. 3 I would like to thank the following for information about new cases: Dr Dietz, Dr Contassot, Dr Lagast,Dr Benetta, Dr Williams, Dr Smith, Dr Lee. 4 For additional information about other cases I thank also Dr Delorme, Monsieur Bibeau, Dr C A Johnson, Mr Roy N Johnson and Professor Lelbach. 5 So far as I know the following people are still alive: cases France 15, 22, 23 and 24; Germany 31 and 32; US 33 and 36. Is this correct? This is important information for the industry world-wide and I would appreciate news, especially regarding the cases in Germany, please. 6 Tables 4g and 4H have been enlarged by the addition of the factories at Tavaux (France) and Hillhouse (UK), as each of these has now had 4 cases. 7 I should be glad if all recipients of this Register would continue to keep me fully informed of any new cases, or give the name and address of someone who can send me the necessary details. I have again attached a blank sheet at the back of the Register so that information can be supplied under the appropriate headings, so far as possible. Please also send any other relevant information about earlier cases, or about factory changes. 8 RESEARCH: (a) May I again ask that all individuals involved in relevant research keep me informed and if possible send me reports. Perhaps recipients of this Register would pass on my request. (b) Co-factors - I have recently met Professor Carlo Tamburro at the University of Louisville, USA, to assess the data which many of you kindly sent in response to my questionnaire about possible co-factors with Vinyl Chloride. We found there was no correlation within Europe but among the North American cases there was a suggestion of a co-factor effect on latency. In plants where Di-Ethyl Maleate had been used, the latency period seemed to have been shortened. 9 There was an excellent response to the circular I sent in June 1988 about the Register mailing list. Thank you. Please continue to keep me up to date with news of retirements, movements and changes of address. FROM: Dr Brian Bennett, Occupational Health, ICI Chemicals 6 Polymers Limited Hillhouse Site, P 0 Box 4, Thornton-Cleveleys, Blackpool, FY5 ^D, England February 1989 BB/BGS Index Table Sequence Belgium Canada Czechoslovakia France Germany Italy Japan Norway Sweden UK USA Yugoslavia Incidence of Cases per annum (Table i) Distribution of Cases by Country (Table 2) Pattern of Cases by Factory (Table 3) Latency Periods (Table 4A) Distribution of Latency Periods (Tables 4B-4H) Annual Geographical Incidence (Table 5) ICI CALS & POLYMERS WPX/ASO - LANG LIVER ANGIOSARCOMA CASES (REVIEW DATE - 1 JANUARY 1989) Page 1 1 1 1 1 ! ASL Case Numbers by year of Death 1 (Table 6) 2-3 1 1 ASL Case Numbers by year of first exposure 41 (Table 7) 1 5-9 1 Western Europe PVC Producers - Start-up Dates vs ASL Cases 1 (Table 8) 10-15 1 1 USA PVC Producers - Start-up Dates vs ASL Cases 16-17 i (Table 9) 1 18 1 Canadian PVC Producers - Start-up Dates vs ASL Cases 1 (Table 10) 19 1 1 East European PVC Producers - Start-up Dates vs ASL Cases 20 1 1 (Table 11) 21-24 ! Japanese PVC Producers - Start-up Dates vs ASL Cases 1 (Table 12) 25-32 1 1 South & Central American PVC Producers - Start-Up Dates 33 I (Table 13) l 34 1 Australasian PVC Producers - Start-up Dates 1 (Table 14) 1 35 1 Middle Eastern PVC Producers - Start-up Dates 1 (Table 15) 1 36 1 Blank form for notifying new cases 1 1 37 1 38-44 1 1 1 1 45 1 1 i ES, 4 . Page 46 47 48-49 50-51 52 53 54 55 56 57 - f* Page I BELCIUM COUNTRY AND REFERENCE HO SAKE OR INITIALS DATE OF BIRTH 01 } 12.01.11 l Solvay 129 09 40 1 Solvay 1CI CflbHfLALS A POLYMERS LIVER Angiosarcona Cases - (Review Dace : t January 1989) VPX/ASL - LANC10CASES,6_ FIRST VC EXPOSURE DATE OF DIAGNOSIS Jeaeppe I 00.07*58 | 00*05*76 Jeaeppe 1 20 OB 62 | 00*10.79 8 ACE AT DIAGNOSIS 39 YEARS OF EXPOSURE TO DIAGNOSIS 10 11 YEARS OF EXPOSURE DATE OF DEATH 129*06.76 HlSTOLOClCAL CONFIRMATION 11 13 1 14 | 15 1 >6 11 1 1 ESTIMATED | 1 | EXPOSURE | OCCUPATION | OTHER CAREER l | OTHER | COMMENTS LEVEL | 1 HIGHLIGHTS 1 11 1 1I 1 11 l High 11 1 lAutocleaner IDrlller In a |Hepatic tests 114 yra (foundry (in Oct 1974 1958-1968 t |(2 yr) exposed toj Polyworker | Farmer [were normal. |Retired 200 ppa I 3 yr l<15 yr) |Feb 1975 for 6 hra | |Vork in glass |Hospitaliaed per day 1 find. 4 chemi- {May 1976 and | |cal industry 1 certainly | under } 500 ppa I In 6 to I 9a3 I autoclaveal 1968-1972 ( exposed to| 50-200 ppa) 8 hra per \ day In | 25.5 | autoclaveal 1 1 1 ) 1 1 i 1 1 1 l 1 1 I Complete iCllnicsl and Icareer detal la (are given in a (paper by IHublet et al |in Arch. Belg. {Med. Soc., |Hyg. Med. (Trav. Hed. |Leg. |1977 pages 1601-622 1972-HH 1 i 1 exposed to| 1 1 50-200 ppa| t 1 in auto- 1 1 t clave room} l 1 1974-100 I 1 ( PP" t 1 1 1975- 50 | i 1 PP 1 l 1 RETIRED S l 1 \ Feb 19751 l l li 1 11 08.62-03. |Autocleaner | Fireman since | 1st s Ign July 63 01.67 |5 yrs 5 laths 110 71. |79: Thoracic -10.71 * {Operator | Ipaln 07.79. 200 ppm Bh/day 04.63-12. 66 * 200 ppm I 3 yrs 9nths.| |1 |1 t1 |1 11 11 1f 11 i1 \I \1 (Hepatic tests (altered 10.79 | PositIve (echography 111.79. HepaItectomy 02.80 iCIiemot her . | Inf ormat Lon Igiven in |]et te r J 2 Nnv j1984 1 rom Hi (He Slrwivci. 1%, GENC 008330 5 FRANCE Shee t J I Cl CHEMICALS & POLYMERS LIVER Angiosarcoma Casey - (Review Date; I Jan 89) WPX/ASL - LANGIOCASESJO J L 12 131 1 1 COUNTRY AND \ NAME OX ) DATE OF 1 REFERENCE | INITIALS | BIRTH NO FRANCE 1 4 COMPANY l J5 1 1 J | FACTORY 1 1 1 1 01 |H 02 | S IN 03 | NAV 04 (HOSE 05 |B |15.04.24 RP i i {03.06,1J PCUK {06.02.20 RP i i 127.01.27 i PCUK i 129.01.38 PCUK 1 j RousaI lllon 1 1 J r 1 |Brlgnoud t 1 1 r 1 1 1 1 |St Fona 1 i 1 1 1 1 1 |Brlgnoud 1 i i 2 l 1 1 1 | Br ignood J 1 1 1 i 1 1 1 S 1 1 1 1 6 FIRST VC EXPOSURE 00.01.46 06.07.59 00.00,46 19.10.49 18.01.65 7 DATE OF DIACNOSLS 18.02.67 15.01.75 15.02.75 16.01.76 13.05.76 8 9 10 1 11 ACE AT DIAGNOSIS YEARS OP EXPOSURE TO DIAGNOSIS YEARS OP | DATE OF EXPOSURE 1 DEATH 43 21 J 19 |19.02.67 63 16 12 124.01.75 55 29 29 129.06.75 49 26 26 104.01.76 38 11 J J 113.05,76 { i 12 HISTOLOCICAL CONFIRMATION Yes Yea (NIOSH no coaaent) Yes Yes Yea ! 14 13 1 } 1 estimated 1 1 EXPOSURE | OCCUPATION 1 LEVEL 1 I 15 OTHtS CAREER HIGHLIGHTS f { | 16 OTHER COMMENTS J J f High High {Autoclave {worker and |cleaner {19 yrs i i t |2 yrs on laonoaer |10 yrs on Ipolyaerflsatlon | f 1 1 | 1 | | * |Italian lorlgin 1 1 | 1 1 |Ref, Ravier ei {al Arch. Ha 1. 1 Prof. 1 30 n' 1 3 Nov 7 5 Ip 171-177 Ref. |C Bonneton et jal "Nouvelle |presse faedlcale" 15 Nov 1977 Jp 735 1 High High High |Polyworker 1VCH production|Ref * Rety et 110 yrs as 116 yrs {al Arch. Ha 1. {autoclave 1 Italian POW {Prof. 1 37 n' {cleaner {Shepherd. {6 June 7? (Compounding | Sawyer, Ha a on Ip 551-555 |3 yra 1 t 1 |Monoaer 1 (production | {worker l 18 yrs PVC {flit ration 1 1 | )18 yrs 11 1{ | Po lyworker ll)Thocacoto*y |Ref. P Coudere 1JI yrs |9th Feb 1976 {et al "Sematne 1 {costal {des hosplLaux I {angiosarcoma | 10 Septembre 1 |2)Scfntlgraphy | 1976 | |found A5L {Previously had I | 3)Haetorrhage Jbone l | f roa ASL {angiosarcoma" | |4)Rlghc | Also 1 {Hepatectony {Pill cliowskl et || |al "La Nouve 1 It? |r i Ii { Presse Med 1 t a ! t? l?th July I'm |Pdge 2485 Page 6 FRANCE Sheet 2 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH 06 | 14.04,34 l PCUK 126.04.27 | RP OB 101.04.34 | Solvay 09 100 *10*14 | RP 1CI CHEMICALS A POLYMERS LIVER Angiosarcoma Cases - (Review Date: l Jan 1909) WPXMSL - LANG IOCASKS , I I FACTORY FIRST VC EXPOSURE (Brlgnoud |01.03*58 (St Auban | 01.07.50 23.05.57 10.01.46 7 DATE OF DIAGNOSIS 12.08*76 After death HIOSH aaya 00*07.76 03*12.75 26.04.76 t 8 1 9 1 io 12 1 1 AGE At i YEARS OF | YEARS OF | DATE OF DIAGNOSIS | EXPOSURE TO l EXPOSURE | DEATH | DIAGNOSIS 1 HISTOLOGICAL CONFIRMATION 1 1 1 42 1 18 1 i n 1li.09,76 |(HIOSH Yea Jaaya 112.09.76) 1 1 1 1 t i 49 1 26 t 1 | 22 102.07.76 Yes 1 (NIOSH no 1 ccwent) 1 1 42 l 19 1 1 I 19 130.01,77 Yes l 1 1 I 1 1 63 i 28 t l 28 itS.12.77 Yes 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 t 1 1 1 1 n 1 14 I (5 1 36 ESTIMATED | EXPOSURE i OCCUPATION | LEVEL | OTHER CAREER HIGHLIGHTS i 1 | | i OTHER COMMENTS 1 1 1 Moderate 1(1958-1960) 12 yr. | filtration 1 |Thls man ha |A0L prior t |AS. Ann. de 110--11 yra |polyworker (Hal. Prof. IJuly *77 land works |lab7 |p 645 6 6. |AQL was fou | in 1971 fiv lyre before | ASL ______________ High (Plant fore- 11972-6 adaln |aan In (section In (polymer- |St Auban 1 1 (Died of tsept Icaerois | Small 11 vet 11 nation 1 lesion four (after autoc 11 Moderate |6 yra packerl 1 1 IHad been (6 autoclave |c lnr 114 yrs (autoclave |worker (tunnel wort |previously 1 1 1 1 Very High |Polymer- |10 yrs In 1 (Operated 4 1948-1966 Leaser Exposure 1966-1976 1laatlon laulphurlc loperator, lacld factory. (autocleaner, (storekeeper 6 lautoclave Igeneral (maintenance J services (for renova Itunour fro (liver and (died after |second j surglca1 foperat ion Ibtlto Ibronchlai |f1stula | Pa per by [Dr Rety ei |ln Archive |Ha lades | Profess 1 oct |Vol 40 No JI979 pages [741-j. 1 'awduai Wit1 iia'NHi ....... . * 6EHC 008335 Page 7 FRANCE Sheet 3 JC1 CHEMICALS & LIVER Angiosarcoma Cases - (Review Date: 1 Jan 1989) VPX/ASL - iASES,12 12 n 14 16 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE AT, DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS | | \ I I OTHER COMMENTS 24.05,19 15.02.12 00.12.56 10.01.78 58 St Fons 00.01.41 12.08.Y8~ 21 37 10.01.78 31 13.11.78 High High Autoclave cleaner LO yrs In mechanical engineering industry 1946-1956 1941-1946 polymer isation general purpose worker 1946-19*2 VCH synthesis (HC1 6 Acetylene) Foreman (agent de maltrlse) im----------- retired IDled of (pulmonary )embolism 5 Idays after (surgery I ___ _ 13 1 ( | 1 16.08.14 PCUK Brlgnoud 09.02.49 00.05.79 65 30 119.0) 31 | Solvay (Tavaux [ 23.09.63 { 26.06.74 40 1 16 |l l i l f || 1 i 1 | |1 r i ( |1 i i | |1 i i ( 1\ i i [i ( \i t |t i j 1 i1 11 i i 1 05-04-24 St Fons 1943 Chimle (Formerly RP) 27 23,06.79 1 13 122.08 )9 1 i l1 t t1 1 i( ) if 1 l( 11 l i| I i| 1 lI 1 l1 Yea High Monomer productlon and polymer* isatIon 1 1AutocLeaner |2 yrs as eyele (Cigarette i |2 yrs. lmechanic. 1 smoker until 1 |Auto- |10 yrs as 11974. Ill all 1 loperator lenameller In |of 1977 due tu 1 |9 yrs . Isanltary ware lOesophagea1 1 1 Copolymers (manufacture (varices. 1 | 4 yrs 1 | Surgical 11 1 11ntervene Ion 11 1 (25.05.79 11 I ((right 11 1 Ihepatectomy) 1943-1975 ALJ types of ma Intenance and Jobs on work Internal 11- manufacture ent 1 y & nalntenanc 1975-1979 in VCM Poly | Process SENC 008336 Page FFIANCE Sheet 4 ICI CHtHICALS & LIVER Angiosarcoma Cases - (Review Dace: l Jan 1989) WPX/ASL - LANCIOCASRS, L3 14 15 16 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH COMPANY France 03*01.37 Chloe Chlmle (formerly RP) FIRST VC EXPOSURE DATE OP DIAGNOSIS ACE AT DIAGNOSIS YEARS OF YEARS OF EXPOSURE TO EXPOSURE DIAGNOSIS DATE OP DEATH HISTOLOGICAt CONFIRMATION ESTIMATED J EXPOSURE ) OCCUPATION LEVEL J ___ ____ J 07*07.55 28.09*82 45 27 High-20 yr Moderate 7 yrs t |Autoclave |cleaner I 1955-1962 | autoclave loperator * 1962-1982 OTHER CAREER HIGHLIGHTS OTHER COMMENTS Left Hepatectony 1983 J C Contassot Letters of 5 10 1983 and 29 7 88. t 16 1CIH 1 1 1 1 1 1i 113,07 22 | Chloe t |SC Fon. 1 I Chimle | * | (Formerly I 1 1 RP) 1 11 1 11 ( 11 1 17.10.41 1 05.01.83 11 li 1i J1 t1 1 1 i 1 1 1 1 61 1 1 41 1 1 1 1 1l 1 38 103.04.83 t1 11 11 11 11 11 t Yes |Hlgh-33 yrsjPolyerisat-| |Moderate- lion Process | ]Low - 5 yrs|Han J 11 t | |Maintenance | 1 (Worker | 1 J Retired |Jan 1979. |J C Contassot |Letters of 15 10 1983 and |25 7 84. 1 1 1- 1 17 |NAR 1 i 1 1 1 1 1 1 1 t1 1 11 1 11 1 11 |22 02.23 | Chloe f | St Forts i f Chlmle i l l (Formerly I 1 1 RP) 1 11 1 11 1 11 1 i1 1 11 1 11 1 11 i 11 1 J 1 J___ t1 1 1 17.06.46 | 03.04.83 1 j1 1 ii 1 11 1 11 11 1 11 11 11 1 60 14.07*42 Solvay 09.09.63 21.03.84 42 1 1 1 t 1 34 1 i 1 21 1i 11 1 1___________ I* I 1 28 |03 04.83 | 11 1 1i 1 1i I1 1 11 1 11 1 11 1 11 11 1 27.12,84 1 1 Health & 1 t ISafety Agent| $ 1 11 1 1 11 1 J Yes fHigh - |Autoclave lOther sectors |Retired 123 yr. fCleaner |of St Fons 101*01*79 1 11948-1971 |Factory 1971- |J C Contassot 1| 11978 |Letter of 11 I |S 10 1983 1( f i 1 lI t1 1 I 1 1i 1 11 21*03,84 HLgh-J 2 yra|Autoclave Low - 9 yrs|Cleaner 09.03.84 Right Hepatectomy 05.05.8424.09.84 chemotherapy for lungmetastasis ; art tai remission. 08.84 - 1 iver recurrence. 10.84 - lung: evolutlon of the disease - 1,.IT,.- "Ti"lfflMWrHWji 6ENC 008337 Page 9a FRANCE^ Sheet 5 iLl UlbHI^^S 6 PULYMEKb LIVER Angiosarcoma Cases Dace: 1 Jan 1989) JO 12 13 15 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH 19 15.J2.32 02,03.23 0J.JO.4O 22 I AL 113.08.28 | Atochem ( 11 J 11 1 1t 1 11 1 23 i ______ _ i 07.02.27 24 i DO 108.12 26 | Atochem 1 11 1 11 1 11 1 11 1 11 ( 25 11 02.03.30 Solvay FIRST VC EXPOSURE DATE OP DIAGNOSIS AGE AT DIAGNOSIS Brlgnoud 07.04,59 52 Brignoud f 195J 27.J2.85 SEP Hontlucon 1959 03.06.86 45 | St Auban l 01.09.58 ( 05.11.87 1 11 J 1 11 1 1 1t 1 1 1J 1 1 1 i ,! J_ 1944 1988 59 63 i ) Brlgnoud i 1 1 1 1 1 1 1 1 1 1 1 1 1943 1962 1988 62 i i 1988 58 YEARS OF EXPOSURE TO DIAGNOSIS 34 27 29 1 1 1 1 1 44 i 45 J 1 1 1 1 1 1 26 YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS 25 22 26.L2.85 28.06:86 26 |Alive 1 1J 1i 1i 1i Yes i _j___ 35 JAlive J 11 11 11 11 1J it 23 07.05.88 Yea \ |Hyocardlal AutocIave I infarction operator and | 1980.Corona n High cleaner Ibypass 1981. {Letter from I Dr Contassot J 5.4,88________ j Portal High Autoclave other parts 1 f ibros Is f:oi operator and factory | 26.04.74. Tl cleaner nee 1946 (Illness was (diagnosed at. (presumably |work related (on 20.04.74. {Letter from |Dr Contassot (05.04.86 High Autoe leaner aintenance IHepatlc test 4 years arker |May 84 normal IHepatlc test |Hay 86 showee (abnona 1 it ies |Letter from | Dr Bar rat | t8.07.B6. 1 High | 12 years | ILetters from J 1958-70 |Autoclave J |Dr Contassot, t | worker. | 1 Low 1 ( | 1970-84 J J4 years In t |Atochem f2.12.87 and |29 7 88. i JControl Roonl High 1 Cleaner 6 | transplant all PVC | May 1988. production | InformatIon 1 jobs I Dr J C Conta; | Atochem, I98f High JPVC Production |Partiai |- 2 years | |Hepatectomy, |HCV Detection |- 3 years | (88, Chemothur f(Information 1 |PVC Production (maintenance | |Dr Contassot, J Atochem . 1 98f t |- 30 years ( 1 High) 12 years) Lou ) - 5 years Polyfloor - 6 years Control Room - 12 years |Tumnr Metasla I Lung, brain, |bone, spleen, | kidney. |J nfnrmjt | Dr II Lag, bt , | Solvay, f Novcmlv1 r QEMC 08338 FRANCE Sheet 5 LIVER Angi osar com Cases w Date Jan 1989) J COUNTRY AND REFERENCE NO FRANCE 19 20 t 21 22 23 24 25 2 |31 | 1 NAME OR | DATE OF INITIALS | BIRTH i t ii 4 COMPANY 1 MAZ |IS.12.32 Atochea i BA 102.03.23 Atochea i i Pa |01.10*40 RP i ii AL |13.08.28 i Atochea i HA 107.02.27 Atochea DO |08.12.26 Atochea BB | 02*03.30 1 Solvay 1 1 i i i 15 1 1 1 [ FACTORY 1 ! i 1 1 [Brlgnoud 1 1 i I \ Brlgnoud 1 1 1 i t 1 1 1 i | SEP |Hont Iticonj 1 i 1 1 1 1 I St Auban 1 1 1 1 i I St Fona r i i i f |Brlgnoud 1 1 1 1 1 1 ITavaux 1 1 i i 1 1 i i 6 PIRST VC EXPOSURE 07,04,59 1951 1959 01.09.58 F5T5 1943 1 t | 1962 1 I 1 i ] i 7 DATE OF DIAGNOSIS 26.10.84 i 27,12.85 i 03.06.86 i i i 05.11.87 t i 1988 i 1988 L988 i l l i i i i l t l i I I i I i i I I 81 ACE AT DIAGNOSIS 52 63 i 45 i i 59 i 63 1 1 1 1 J 1 62 1 1 1 1 1 1 1 58 1 1 i 1 1 1 1 1 i i 9 YEARS OF EXPOSURE TO DIAGNOSIS 25 34 i 27 i 29 i 44 45 26 10 1 it 1 YEARS OF | DATE OF EXPOSURE l DEATH 25 106.11.85 22 [26.12.85 4 128.06.86 26 |Alive 28 | Alive 35 1 Alive 23 I07.0S.B8 12 HISTOLOGICAL CONFIRMATION Yea Yea Yes Yes Yes Yes Yes 13 | 14 15 1 16 t1 1 ESTIMATED | 1 | OTHER t ( OTHER EXPOSURE | OCCUPATION 1 CAREER | COMMENTS LEVEL | 1 i |An toe lave | HIGHLIGHTS 1 i | | IKyocardlal |Infarction (operator and| J1980.Coronary High | cleaner | Ibypass 1981. High [ i i 1 lAutoclave 1 | Letter from i |Dr Contassot i 15.4.86 l J Port al [In other parts|flbrosIs from (operator and|of factory 126.04.74. The leleaner [since 1946 | illoess was High 1l 11 1t ii ri ii it JAutocleaner (Maintenance Idlagnosed as |presumably |work related |on 20.04.74. JLetter from fDr Contassot 105.04.86 JHepstlc test |4 years |worker {Kay 84 normal. 11 (Hepatic test High 1 1 1 l i 112 years 1 l 1 i I | |Hay 86 showed labnoma! 11 tes . |Letter from (Dr Bar rat 118.07.86. ILetters from 1958-70 (Autoclave | |Dr Contassot, 1 worker. | | At ocher* Low 1 1 1970-84 | 14 years In | 12.12.87 and |29 7 88. High |Control Roomf lAutoclave J f |Liver |Cleaner & | 11 ranaplant lall PVC j {May 1988. (production | jInformat ion f r< | jobs | |Dr J C Cent ay Si High 11 |PVC Production lAtochem, 1988 |Partial 1- 2 years | Hepatectorey , Af tHCV Detection |88, Cheraothera; l- 3 years [ | Informat ion fn 1PVC Production |Dr Contassot , (maintenance f lAtochem, 1988 1- 30 years 11 years) | Polycleaner 1 |Primary Liver High) |- 5 years |Tumor Ketastase | Poly Moor |- 6 years | 1 ling, bral n , Ibone, spleen. 12 years) Low ) {Control Room] t- 12 years 1 ii ti (| [kidney. f j [nformat i mi tru |Dr H Lagjst, |SoIvay, | Novcrrtlw | SHHH .1 iV.i. 008337u~. - ..................... bhNL --* Page CERKANY Sheet 1 IC1 CHEMICALS & POLYMERS LIVER Angiosarcoma Cases - (Review Date: I Jan 1989) UPX/ASL - LANGiUCASES,I 5 COUNTRY AND REFERENCE NO NAKE OR INITIALS DATE OF BIRTH 01 00.00.30 02 00.00.31 COUPA NY I | FIRST VC FACTORY | EXPOSURE I ... I________ A | 01.10.56 \___________ 1A.10.S7 DATE OF DIAGNOSIS 19.09.88 2S.09.70 ACE AT DIAGNOSIS 38 39 YEARS OF EXPOSURE TO DIAGNOSIS 13 YEARS OF EXPOSURE I DATE OF I HISTOLOGICAL DEATH i CONFIRMATION f I 12 2S.01.69 |Yes (N10SH) I 14.12.71 |Yes (NIOSH) ESTIMATED EXPOSURE LEVEL OCCUPATION Polyworker Polyworker OTHER CAREER HIGHLIGHTS 1 | | OTHER COMMENTS 1 03 l 1 1 1 1 1 1 1 1 1 1 { E f 1 1 1 1 04 11 11 1 1 1 100.00.30 1 12 1 12 | 09.06.S2 | 00.03.73 i 43 1 2L 11 11 1 1 11 11 1 1 1 11 1t 1 1 1j 11 1 i 11 11 1 1 11 11 1 t 1t 11 1 1 1t 11 f 1 11 1I 1 1 11 if 1 1 11 il 1 1 (1 11 1 1 11 (1 1 1 11 11 1 1 11 11 1 J 11 11 1 1 I1 11 1 1 00.00.30 \ 16.04.S7 26.11.74 17 11 1 1 16 j10.10.73 1Y.a (NIOSH) 1 1 1 Filling 1 | (Reported undei 1 11 \ (pesticide | |non polymer- 1 1J 1 1| 1 laerosol canal 1 |with VC | | LsatIon (workers in \ tI 11 1 INIOSH 11st of 1 11 11 1 131.3*77. 1 1t 11 i |Thls of courst * 1( 1{ i (is strictly ! 1i 11 l Icorrect. 1 11 1l 1 (However I 1 11 11 i | wonder 1 11 11 1 Iwhether this 1 J1 11 1 |nan had high 1 11 f! 1 fexposure to 1 11 t1 1 |VCM in hU 11 (( 1 (can filling *1 11 1 foperatIon? 1 J1 11 1 I 25.11.74 |Yes (NIOSH) 200-500 ppn Polyworker A 1958 was I Clinlcal J but high temporary autocieaner {details 1 during L yr autocleaaer for 1 yr {paper by autocleaner jCokel et al i |Virchows Arc! I |A Path 1976 |372 p 195-20 Page CkKMANY Sheet 2 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH (NIOSH gives as Case 06) 100*00.36 (NIOSH gives as Case 05) 00*00.32 00.00.26 08 00.00.17 1CI CHEMICALS 6 POLYMERS LIVER Angiosarcoma Cantu - (Review Date: 1 Jan 1969) WPX/ASL - LANCIOCASES, 16 12 14 15 FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS 02*04*60 f 10.12*73 35 13 05 16*12.74 )Yea (NIOSH) 16.12*62 | 00.00.75 '"15.04.54 | 12.11.75 49 12 09.01.75 21 (NIOSH saya 12) 13.11.75 19.07.54 | 06.04.75 20 20 25.12.75 BG Chetale says "chemistry laboratorlant In the Technological Research Department" (NIOSH Bays assistant factory chemist which may be| wrong t ranslatIon] PVC - Kamifacture Shift Leader PVC Kamifacture and all work lncl autocleaning 12 yra ( 1954-66) Foreman Tech| Dev 8 yra (1967-1975) Polyworker ? fConf1 rued (Reported under | non-polymer| Lsatlon (workers In |NIOSH list of 131.3.77 and 11.78. 1 don't Ithink this la |a correct fclassiflcation |by NIOSH. The Jaan may have |been Involved | In VCM (polymerisation (In pilot plant |or In main |plant. 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 j 1 1 1 1 1 GENC 008341 ''K* GERMANY Sheet 2 II COUNTRY AND REFERENCE NO NAME OS INITIALS DATE OF BIRTH COMPANY GERMANY (NIOSH gives as Case 06) 00.00.36 06 (NIOSH gives as Case 05) 00.00.32 00.00*26 08 00.00.17 tci CHEMICALS i POLYMERS LIVER AngloBArcou Cases - (Review Date: I Jan 1989) WPX/ASL - LANC1DCASES,16 FIRST VC EXPOSURE DATE OF DIAGNOSIS 02*04.60 10.12*73 16.12.62 00.00.75 ACE AT DIAGNOSIS 38 YEARS OF EXPOSURE TO DIAGNOSIS 13 YEARS OF EXPOSURE DATE OF DEATH t2 HISTOLOGICAL CONFIRMATION n I I ESTIMATED | EXPOSURE | OCCUPATION LEVEL | _________ I__________ 16 f OTHER | OTHER CAREER ( COMMENTS HIGHLIGHTS | ___________ 1___________ 05 16.12.74 Yes (NIOSH) 09.01*75 |0G Cheale Isays f"cheatscry |laboratorian |In the iTechno| logics! |Research | Department" | (NIOSH says (assistant | factory Ichealst (which aay be J wrong (translation) 1 I |PVC - Kanu|facture |Shift Leader |Conf1raed I |Reported under laon-poiyaer| lsatlon |workers in j NIOSH list of 131.3.7? and J l 78. 1 don't I think this is (a correct |c lasslflea tion |by NIOSH. The faan aay have (been Involved (In VCM | polymerisation fin pilot plant |or in aaln (plant. 15*04.54 12.11.75 49 21 2 \ 13.11.75 (NIOSH says 12) J 9.07,54 06.04.75 58 20 25.12.75 J________________ |PVC Hanu| Facture and Jail work lincl autoJc leaning J12 yrs ((1954-66) (Foreman Tech |Dev 8 yrs f(1967-1975) I |Polyworker i GENC 008342 P.ge COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH COMPANY GERMANY 00.00.34 10 (NIOSH gives as Case 11) 00.00.36 (N10SH gives as Case 10) 00.00.29 00.00.38 ICI CHEHICj LYHERS LIVER Anglosarcooa Cases - (Review Date; ) Jan 1989) UPXMSL - (JCASES, I ) 10 12 13 15 FIRST VC EXPOSURE DATE OP DIAGNOSIS ACE AT DIAGNOSIS YEARS OP EXPOSURE TO DIAGNOSIS YEARS OP EXPOSURE DATE OP DEATH HISTOLOGICAL CONPtRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HICHL1CHTS OTHER COMMENTS 20.02.61 16.06.76 41 15 24.03.78 01.01.61 00.01.77 40 07.03.77 10.10.55 28.06.77 47 22 28.06.77 00.00.61 00.10.77 16 07.10.77 High peaks 12 yrs poly worker Incl 172 auto clave cleaning Control room 1 yr High peaks 10 yrs polyworker lncl (7X auto clave cleaning High 3 yrs auto clave cleaner 19 yra filter operator PVC Manu facture Autoclave worker Cor 6 yrs 10/78 Conf 1 rtaed Average exposure first 9 yrs J 50 ppo, occ 1000 ppo. Next 3 yrs avr 75 ppo. Last. yr av 35 ppo Average exposure first 9 yrs 1 50 ppo > occ 1000 ppo. Last yr av 75 ppo. CWH letter of 21.04.78 GENC 008343 J. Page GERMANY Sheet 4 1t COUNTRY AND REFERENCE NO 2 NAME OR INITIALS 3l | DATE OF | BERTH | 4 COMPANY I GERMANY 13 00.00*14 1 7 14 15 (NIOSH gives| this as Case 13) 16 00.00.29 | 8 00.00,23 l 4 TCI CHEHICA1 POLYMERS LIVER Anglosarcoaa Cases - (Review Dace: l Jan 1989) WPX/ASL - LANCIOCASES, 18 516 ------------?----------- 1 | FIRST VC DATE OF FACTORY | EXPOSURE DIAGNOSIS 1 1 i i 1 7 { 00.00.60 08.04.76 i i 1 i J t 1 1 * 1 1 1 i t 1 1 1 i 8 AGE AT DIAGNOSIS 63 1 1 1 1 i i A 1 lA.10.S3 09.10.78 1 1 1 1 r i i 1 4 1 10.01.55 07.08.78 1 (Leibach 1 suspected 1 ASL st 1 Feb 1975 1 laparotoay) 1 1 1 1 1 1 1 i 1 1 44 55 9 YEARS OF EXPOSURE TO DIAGNOSIS 18 a 23 10 YEARS OF EXPOSURE u DATE OF DEATH 12 HISTOLOGICAL CONFIRMATION 13 i 14 ESTIMATED EXPOSURE 1 OCCUPATION LEVEL 15 OTHER CAREER HIGHLIGHTS 1 1 1 l 1 i 16 OTHER COMMENTS 14 19.05.7& Yes Not sn Anglossrcou In his letter of 21 12 81, Hr Friedel said this was a "Platteneplthelkarrlnoa Der Spelserohre4* (a carclnoaa of the oesophagus) not attribute able to VCH A not recognised as an lndustrial disease 14 13:i07J4 Yes ! ? I Autoclave (cleaner and |worker. |Drier (operator. (Later shift 1 leader 20 07.08.78 Yes High (Autoclave ASL and jworker till flepatocellular 1J 964. Carclnoaa JLeader and inaster |F W Seat lletter of 130t h June 196 (enclosing dat | from (Mr H P Frtede | o f BC Chen 1 e IF U Best lletter of |30th June 198 (enclosing dat | f ron |H P Friedel o | BC Chenle (withdrawing 11 his case J | E | | i | | 1 (Anglosarcona Iconf lmed 109/79. Some (detail of this f& also cases 19. 13. 15, 16 |& 17 given In (NRW Report foi 1 1978 | Anglosarc o<aa Iconf 1 raed , iful1 details |of illness Islnce March 1 1973 given in j NRU Med 1nsp |Rep for 1978. |Dl f f erent (details given (in "VC (Associated JDUeafie" liy [Leibach and JMa rst e 1 le r |(19HI) P7I. V SEMC 008344 Psge GERMANY Sheet 5 2 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH GERMANY 17 (NIOSH gives as Case 15) 00.00*17 18 1 1 1 19 1 1 1 1 i 20 1 1 I t 1 1 21 1 1 \ 1 1 1 22 1 1 1 i 100.00*13 1 1 100.00.15 1 I 1 1 100*00.15 ( 1 1 1 1 100.00.13 1 J 1 1 1 100*00*21 1 1 1 ICI CHEMICA^W^ POLYMERS LIVER Angiosarcoma Cases - (Review Date: J Jan 1989} WFX/ASL - LANGIOCA5ES,l9 12 13 15 If: FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS 01.LI.61 14*08.78 41 5 1 5 1 00.00.55 t 25.12.79 I 66 24 11 1 1 11 1 i 4 1 4 1 10.10.54 | 00.08.79 | 54 25 11 1 1 11 1 1 11 1 1 11 I 1 4 * 4 f 14.02*61 | 00.04.80 I 65 19 if 1 1 11 1 11 i f l1 i 1 1 fi r 1 4 4 | 01.01.62 | 00*09*79 1 66 1 18 1 (pronounced | * 1 (clinical I 1 1 (liver I 1 1 Isymptoos) | 11 1 J f 4 4 | 15.10.61 f 26*08.80 t 59 1 19 l1 1 1 1J 1 1 11 1 t 28.08.78 1 21 125.12.>9 1 Yes 11 l1 1 16 |22.0i.80 j Yea 1 1 (Metastaslng f 1 |ASL 11 11 i 13 119*10.60 1 Yes i 1 IHaesangio i 1 | Endothelioma i J (of liver with i f IHetastaees j1 i li 119.06.80 t Yes I ( (Haemangio i 1 |Ecidot he Ilona ( 1 |of liver with i 1 (Metastaaea i\ iJ 106.12.81 J Yes 1 IMetaataslng 1 | ASL f High Autoclave worker Ang 1 osarcotia confirmed. Annual report of the North Rhine Westphalia Medical Inspectorate Cor 1978 pages 347-377 gives full detalla. Vinyl chloride disease d Lagnosed 02-02-73. Oesophageal varices. Radiologica11/ confirmed aero High High High High (Autoclave I Worker | | 1 1 Autoclave 1 Worker 1 1 1 1 1 1 |Autoclave IWorker 1 1 1 1 | 11 11 11 1 |Autoclave 1 | IWorker and ( |worked In | Idrylng shop | 11 11 |Autoclave |Chargehandf IWorker 1 | |subsequently |Foreman | 1 1 1 |Dr Besche lletter of |J 3-04--a2 to jDr W C F Adams 1 | Dr Besche lletter of 113-04-82 to JDr W G F Adams 1 1 |Dr Besche lletter of 113-04-82 to f Dr U C F Ad anis 1 1 |Dr Besche fleeter ot |13-04-82 in | Dr W C F Adam* GENC 008345 GERMANY Sheet 6 ICI CHEHICA OLYMKftS LIVER Angiosarcoma Cases ( Rev Date: I Jan 1989) WPX/ASL - LANCLOCASES.2U COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH GERMANY 23 00.00.27 24 25 26 27 28 1 1 1 1 l 1 1 1 1 1 ( 1 1 32 00.00.28 00.00.23 00.00.22 06.00.28 121 ii.iTi 1i 1) 1* 1l ti 1* 1l 1l Il ii 1i 1l 00.00.22 J00.00.17 00.00.23 00.00.30 10 12 13 14 FIRST VC FACTORY EXPOSURE DATE OF DIAGNOSIS AGE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTO LOGICAL CONFIRM ATION l ESTIMATED | EXPOSURE | OCCUPATION LEVEL | 15 OTHER CAREER HIGHLIGHTS I 1 | | ! J6 OTHER COMMENTS 1955 26.03.79 21 29.09.81 i High |Chenlstry {*300 pp) (Worker 1964 TiTTOT 54 1960 2i.o4.Sl T55T li.06.1t 1T 12 28.05.63 IT 14.01.83 22 22 i2.ll.82 High {Autoclave (*300 ppn) |Cleaner High|Polyclave (Worker and I Autoclave ICleaner _____ |________ High |Polyworker 15T 18.01.43 55 26 T~ 1 1 1 1 1 ( J ( 1 1 1 1 l T 1 01.10.80 1 11.08.85 11 11 f1 11 11 t 11 11 f1 1i 11 t1 1962 15.02.83 i 1 1 1 1 1 1 1 f l 1 1 i il 61 1951 o?Toi.eo 62 1953 30.06.85 1955 00.04.85 55 i 1 1 15 TT 02.03.84 1 25 II5.08.8S 1 Yea 1 1 11 1 1 (li 1 11f 1 1ri !1 i 1 11I l 1t 1 1 11 1 J t1l ( 11I 1 11 ( i11 5.02.84 25 25.05.83 20 Alive? 21 Alive? High 1 |Autoe lave |Cleaner till j 1972 High High (Process | (worker 1947--| |84 (01.10.60) 1-31.03.84 ) (PVC product-1 |lon, | (agitator 1 rea). | | 1| 11 1| I| i (Chenlstry r (worker High (Polyworker |Shift leader (Autoclave leleaner I f Po lyworker (Autoclave |c I eancr \ |Primary hepatoceltar Icarctnona; {proliferation of the (slnuslodal cells with lalnusotdal ectasia. IFrlectel letter 23. 12.86. 1 Prof Eder fHunlch) ll.tter 22.08.83. (Frledel letter 19.04.85. IProf Selnalr (Munich) {letter 22.08.83. IFriedel letter 19.04,85 t I_____________________ |Chronic hepatitis, (anglonatoeis, einusolda l lectasla. Frledel letter ) 23. 1 2.86. JLelbach. IFriedel letter |19.04.85 {Annual VCM screening 124.04.85: no coaplaint , (no abnormality detected. 11970 two-thirds (gastrectomy for ulcers. (1971 Coronary thrombosis |1983 Feaoral |lnplantation 11984 Pulnonary embolism (and pleuropneumonia. |Landers letters 18.09.85 land 04.02.87. 1 |Haenang1osa rkona, |Frtedel letter 23,12.86. t |Haenanglosarkoma, (Frtedel letter 23.12.86, i |Haemanglosarkona, | Frledel letter 23.(2.86. i jHaernangf osarkoma. (Frledel letter 23.12.86. I 1 GENC 008346 i* ft Page ITALY Sheet I 16 ICJ CKtiHIC. POLYHEKS . LIVER Angiosarcoma Casas - (Review Date: 1 Jan 1989) UPX/ASL - LANCIOCASKS.2 *7 1 |3 11 11 COUNTRY AND | HAKE OR | DATE OF REFERENCE | INITIALS | BIRTH NO 1 1 4 COMPANY 1t |516 i 7 1t 1 1 FIRST VC DATE OF 1 FACTORY i EXPOSURE DIAGNOSIS 1 e ACE AT DIAGNOSIS 9 YEARS OF EXPOSURE TO DIAGNOSIS 1 10 1 H 1 1 YEARS OF 1 DATE OF EXPOSURE t DEATH i 12 HISTOLOGICAL CONFIRMATION i 13 i j 1 ESTIMATED 1 EXPOSURE 1 OCCUPATION LEVEL 1 15 1 16 OTHER CAREER HIGHLIGHTS | | OTHER COMMENTS ITALY t 1 1 1 1 1 j 11 i 11 1 01 |LC |15.06.34 PANSAC |Mlra 1 00.00*65 19.04.71 t 36 06 03 |16.04.71 ?Yes (On NIOSK 1 1t |Venice i i supple- 1 1 i 1 sentary 1 1 1 1 list) 1 1 1 1 I1 1 I 11 1 1 1PVC Bag lextruder i i 1 1 1 |Primary tunou |*ay have been |pericardium. |Not homoIgeneous with (other cases. 1* * * 11 1 1 11 1 1 02 |SE |13.11.29 Montedison 1 Porto 1 00.00.57 13.12.72 43 15 06 127.12.72 Yea 1 1 | Polyworker l 1* t1 IMarghera 1 1 J" 1 1 03 | VC 1 1 1 1 1 1 04 jFB 1 l 1 1 1 1 I 1 1 1 1 1i 1 1 |14.03*20 i Solvay | Ferrara 1 00.0t.53 10.07*75 55 22 ii i i t 1i 11 11 i 1 120.07*37 AHIC 1 !i ii I 1 Ravenna i 00.04.59 i 00.01.B1 I 43 21 t 1t 1 11 1 1i 11 i 1I 11 1 ri i 11 11 1 1 21 |10.07.75 1i 1 1 1 i 1 21 130.03.81 1i 1i 1 1 ii 1i i 1 1 Yea Yea High 12 yra Very High 5 yra Medium 4 yrs Low 1 1 |Autocleaner ] 1972-5 did |8 yrs (1953- a variety of| |61) Autoclave Jobs loperator including 1 1 ** 112 yra (1961 - PVC packing . 1 172) 1 1* |l yr - Never cleaned | Monomer autoclaves. 1 [operator See paper by 1 ** 1 |20 yrs - CH1APPINO et | Non-smoker. al Med Lavoro |Consumed |Autoelave Vol 6 1982) 11ittle loperator 6 pp 555-563 lalcohol. No lother duties f A0L. |in suspens- 1 lion polyaer- \ |isatIon. \ 11 1i 1 11 1 11 1 11 I 1i l 05 |G Daneain I 19.03.37 PANSAC | til ra S 00.00,67 07.03,83 11 |Venice 11 1 11 l 11 l 1t l 46 j 1 |Area Foreman 1 |ln sane Dept J |slnce 1975. 11 11 11 16 8 106.04,83 1 Yea |Medium-? j Bag ext ruder 11 1 High 1 1967-1975 11 LCommercial 11 IDept 1976- 1 11 1 1983 1 11 l 1 \ ) | S Pagl la 1 ung. | telex of | 2 Aug 1 98 J | i * See HaLtoni Med dl Lavoro 65 p445, 1974. further details in letter Iron Dr Montesano of 1ARC on April 1st 1982. ** Also see Maltonl and Rondlnella In Acta Oncologies Vol 1 I960 pages 35 - 49. * i &. GENC 008347 9~ Page I J ITALY Sheet 2 1C I CHEMICALS & POLYMERS LIVER Aagtosarcona Case6 - (Review Date: ] Jan 1989) WPX/ASL - LANCIOCASKS,22 COUNTRY AND REFERENCE NO ITALY 1 12 I 11 | INAKE OR | I INITIALS) 1 l 1 3 DATE OF BIRTH 1 1 J 1 1 | 1 1 1 4 COMPANY 1 ii 1i 11 1 1 1 5 16 | 7 1 8 19 1 io 1 ) 1 1 17 1 13 | 14 | 15 1 1 11 1 I1 |YEARS OF 1 11 11 i1 11 11 1 | FIRST VC IDATE OF |AGE AT |EXPOSURE |YEARS OF| DATE OF (HISTOLOGICAL!ESTIMATED] |OTHER ! | FACTORY |EXPOSURE |DIAGNOSIS |DIAGNOSIS|TO fEXPOSURE! DEATH I CONFIRMATION|EXPOSURE OCCUPATION (CAREER 1 1 |1 11 ID1ACNOSISI 1* 1 I I (LEVEL l | 1 |HIGHLIGHTS! 1! 1 it t1 11 11 16 OTHER COMMENTS 06 1 cz 121,06.36 j Montedison 3 Porto |01.10.60 |06.12*85 | 49 1 25 1 25 |13.02.96 | Yes 1 High | PVC | 1 Letters iron Dr Chlozzlnl, Venice, 1 1 IKarghera | 1 1| 11960-71 |aanufacture| 1 22,09.87 and 11.01.83 1 1 iVenlce | 1 J3 | Medina | J1 years as| 1 1 l 1|1 I 1 I11 J3 11 11971-74 |Autoclave | | Low Icleaner | 1 1 11 |1 1 1 1 |1 11 1I 11975-35 11960-71. | 1 114 years in| 1 1 3 1 1 |1 ) l 1 3 11 1 11 1 1 1 1 I 1j 1I 11 1 1 ! 1 |Cont:ol | i |Rooa | I 11971-85 | i J1 1 1 1 1 11 t1 1 I1 1J 07 | AP 109.02.25 (Hoplefan |Terni | 19S6 I2L.01.86 | 60 | 23 | 22 105.04.86 1 Yea |1958-74 (Maintained | i Inforaatlon fron La aedlclna del 1 1 1|1 I| 1 High |VC Machinery 1 Lavoro, Italy, Vol 79 No.1 1 I 1|1 1i 1 Knot | 1 Jan-Feb 33, and Dr Renetta, 1 1 1|1 * 1 1|1 / 1 1 1|1 |j 1 | 1 J 1|1 1j1 1 i1 1 *1 Ji I1 iI 11 11 1 1 1 |1974-80 1 Medina i loperating | |or cleaning! lautoclavea)| |VC levels | (reduced fro* 1 1973/74 1 1 EnlCheta. 1 1 1 1 1 ii III 111 j | | |1 1 1 11 1 1 i J! II 1 IJ III | | |1 I 11 1 II II III III |j 1 1 1 11 1 11 1 | | 11 1 11 J | | J 1 1 11 J II II 1J II II II III 1 1 1 1 t 11 i 1J II III 1 1 11 1 1t I II 11 ? III 1 I 11 1 1f 1 II II III | I |1 1 11 1 II II III l I 1 l l 11 ( II II |1 j I I 1 1 1 11 1 II II III 1 I 11 1 11 1 II II t I4 I1 4J tt *l I* i t * i 11 003348 F Page JAPAN ICI CHEMICALS A POLYMERS LIVER Angiosarcoma Cases - (Review Date: ) Jan 1989) WPX/ASL - LANCI0CA5ES,2 3 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH 01 Toaoji 01.08.22 Mitsui Nagoya Marl Toateu 02.08.39 Kanegafuchl Osaka Chemical 1 03 | YS 1 1 1 i i 11 101 09.30 (Mitsui 1 iToatau 11 11 11 11 i 1Nagoy* 1 1 1 1 1 FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE At DIAGNOSIS 00.04.33 24.10.75 53 00.11.56 10.08.76 11 < 00.07 65 | 26.06*85 11 11 11 i1 il 1 1 1 1 1 1 ( 54 10 11 YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOCICAL CONFIRMATION ESTIMATED | EXPOSURE | OCCUPATION LEVEL | ______________ I_______________ OTHER CAREER HIGHLIGHTS i | j j OTHER COMMENTS 24.10.75 1 PVC Aaaoc |13 yrs auto says not (clave known* (cleaner l * Japan I 1964 - J Times lasslgned to ( indicated (different j on 25.10*75(work since | exposures (bad 111 ] often at Jhealth | 3000 ppm upl 1 to 1974 | * 10.08.76 I (In polymer- |ieatloa work (including (autoclave Icleanlng I 1 11 11 1 20 J 5 | 14.09.85 1 Yea | High (5 years f 1 11 1 |Autoclave J 1 11 1 | cleaner | 1 11 11 i 1 11 1J i 1 11 1\ t I |Japan Tines (25.JO.75 6 IJapanese PVC |Aaaoc letters (of 31.03.78 tr 130.11.87 J |Japanese PVC | Assocl at ion lletters of (31.03.78 6 |30*J J.87 J ILetter from |Dr Nakaaura, (Japanese PVC | Aaaoc la t ion |30.11.87 1 SENC 00634? T Page 19 NORWAY COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH [Cl CHHlWi^4 POLYMERS LIVER Angiosarcoma Cases - (Review Date: 1 Jan 1969} WPX/AS1^^ANCI0CASES,24 12 13 J4 15 FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS AGE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS 01 23.12.15 Norsk jHeroya 00.03.50 } 21.12.71 Hydro 22 21 (04.01.72 High Foreman 4 Autoclave supervisor | | \ 1 1 1 1 1 1 1 1 I 1 i l (Confirmed by |Dr Thlis- (Evansen of N | At APME Mtg |9 June 1978 [Hr P Rangneti | stated that (had been a Inember of a (start-up tea | VCM t, PVC we Jaade In sane Ibullding. 1 |VCH was mad* (frco acetyl* GENC 008350 Page SWEDEN 20 COUNTRY AMD REFERENCE NO NAME OR INITIALS DATE OF BIRTH COMPANY ICI CHEMICALS & POLYMERS LIVER Angiosarcoma Cases - {Review Date: 1 Jan 1939) UPX/ASL - LANGI0CA5ES,25 n 15 FIRST VC EX POSITRE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS 01 23.06.27 Keaano rd J4.08.5l 20.10.70 20.10.70 27.11.11 Sundsvall 00.01.45 00.06.72 61 27 27 16.06.72 Polyworker High VCM production Mr Sj oe H nT s letter of 28 March 197J confirms BL was a monomei worker who vc heavlly exposed, probably evei more so than a normal reactor cleaner 03 10.06.10 Kemaaord Sundsval1 00.05.47 18.03.76 65 29 21 19.03.76 L6.H.14 Rena no rd 12.05.77 31 12.05.77 High Polyworker High 1946-1956 polymer isation wo rker (12 yrs) t 19581977 foreman C19 yrs) In f i rsc L 2 yrs of employment h, been heavily exposed. In J974, liver abnormal 1ty and necros 1 a diagnosed. Data confirm? Jin Dr D Byrei letter 18.8.7 to CEF1C 05 12.03.19 Kemanord 11.05.64 22.11.80 16 16 22.11.60 Yes High - 1964-1970 6 Years centrifuge Low - operator 10 Years 1970-J980 drier operator Letter of 2nd Nov 198! from Dr David Byrt * In his Letter of 1st April 1982, Dr Hontesano of IARC says in Sweden's National Board of OS Health gives 20-02-70 as date of diagnosis for Case 0| and 15-05-72 for Case 02. GENC 003351 Page 21 UK Sheet I REFERENCE NO UK 01 1 t2 1 1 13 1 it l SAME Oil 1 DATE OF 1 INITIALS 1 BIRTH 11 |1 1 t1 i1 |UJ 120.04.01 l1 | 11 I| 1 1 1 1 1 1 03 | BJtf 1 1 1 | 1 1 1 102.06.37 1 1 l 04 | JSR | i i i 123.06.20 | || || || 11 lt 11 11 11 f1 1 11 11 11 4 COMPANY 1 |5 1 1 1 | FACTORY 1 1 1 1 6 first VC EXPOSURE ICI /Hlllhouse 04.04.44 1 I 1 1 1 1 1 | | J 1 i BP l*.rry 00.02.66 | 1 1 1 ICI iHlllhouse 26.04.54 t | | | | 1 1 1 * | | 1 I 1 1 1 1 1 1 1 1 1 1 ICI CHEMICALS A POLYMERS LIVER Angiosarcoaa Cases - (Review Date: l Jan 1989} 1 78 9 | 10 1 U 12 DATE OF DIAGNOSIS AGE AT DIAGNOSIS YEARS OF | YEARS OF | DATE OF EXPOSURE TO | EXPOSURE I DEATH DIAGNOSIS HISTOLOGICAL CONFIRMATION 03.12.72 (Fox 6 Collier paper says 23.12.72) 71 28 | 22 103.12.72 |(Fox 6 |Collier Yes |paper | ssya 123.12.72) 00.12.74 37 00.06.79 59 09 1 3.5 124.12.74 j 25 J 18 112.10.79 Yes Yes UPX/ASL - LANCIOCASES,2 b 1 n 1 14 1 1 1 EST LMATED 1 | EXPOSURE 1 OCCUPATION j LEVEL 1 | 1 t i 15 OTHER CAREER HIGHLIGHTS 500 ppa High Med Ilmhigh 11944-7 VCH 11947-8 Drlerl 11948-61 |Autoclave loperator |1961-66 (Drler 1 1 1 1 1 t 1 (Autoclave Jc leaner 1 1 1 154-5 |Pre-war fish I Bagging |packer (Plant I 1939-45 arny 155-6 /vehicle |Drter Plant laalntenance 156-58 |Autoclave |worker 11945-54 /fish packer 158-61 (Chargehand /Drier |Plant f 161-72 |Foteaan 1C 2/3 Plant 11 1 1 1 1 1 1 1 1 t 16 1 | OTHER | COMMENTS 1 1 1 1 \ |Lee and Harry (Lancet |29-06-74 /pages 1316-8 S 1 1 1 1 |Dubious 1fabrLcation |csse 1 1 |Exposure (Halted to 12.66 - 9.69 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 003352 genc Page 22 UK Sheet 2 L 1 2 -------- i---------5--------- 11 COUNTRY AND 1 NAME OR | DATE OP REFERENCE 1 INITIALS 1 BIRTH NO 1 i UK 05 1 |JK 1 130.03.14 4 COMPANY BP |5 | FACTORY | Barry ICI CHEMICALS & POLYMERS WPX/ASL - LANG10CASES,27 LIVER Angiosarcoma Cases - (Review Date: 1 Jan 1989) 5 --n------------- ,----------- 6 ----------- ----------- i L0 12 li 14 | 15 FIRST VC EXPOSURE 08.01.51 DATE OF DIAGNOSIS 00.L0.79 AGE AT DIAGNOSIS YEARS OF YEARS OF DATE OF EXPOSURE TO EXPOSURE DEATH DIAGNOSIS ________ ______ HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION | OTHER CAREER HIGHLIGHTS 65 2B t I I | | l I I j I i | J 21 19.11.79 III III III III III III III III III I II III III III 1951-52 I |Polycleaner II1952-55 I |Late* I 11955-60 I |Polyfloor I 11960-64 I I Poly I iChargehand I |1964-70 I |Charging I loperator I |1970-72 I JDrler operator I | | | t 1 | I | f | | I f 16 OTHER COMMENTS 06 "oT 1931 26.04.20 Barry 1962 09.01.80 98/9 18 TT 09.01.80 Barry tsst" 00.00.80 ~5o" TT XT 177505" 7 yra Poly Floor Operator 5 yrs Greaser on Poly Floor Po lyc leaner 1963-5 Recovery 1965-1971 08 08.05.24 Barry i9.09.5d' 27.11.81 IT TT TT 25.12.81 ) 1 1 I { 1950-1958 500 ppm 1968-1974 200 ppa 1 1950-5! 11938-1948 |Autoclave (Motor Mechanic |operator 1 1948-1950 | 1951-1957 [Operator on IChargeaan [Acetylene (autoclave | Production (building [Plant |1957-1974 iShift supervlsor 1 1 autocLave building - Never c leaned autoclaves but supervisor's job entailed enter Lng autoc Laves to Inspect then GENC 008353 Page 23 UK Sheet 3 COUNTRY AND REFERENCE NO UK 09 HAKE OR INITIALS DATE OF BIRTH 07.05.25 04.04.47 08.05.28 JT 24.01.37 Barry Barry IC1 CHEMICALS A POLYMERS UPX/ASL - LANCIOCASES ,28 FIRST VC EXPOSURE 15.02.50 LIVER Anglosarcona Cases - (Review Date: 1 Jan 1989) T 10 11 DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OP DEATH 02.03.83 58 33 29 24.02.83 12 HISTOLOGICAL CONFIRMATION 13 14 J5 ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS Med lua Polyworker 2 years on Acrylonitrile Realn Plant. Also prior to 1950. 4 years RAF Maintenance. 3 years notor car paiatshop. 2 years In Graving Dock. OTHER COMMENTS 27.04.66 01 05 B4 18 4.2 16.05.84 High - It Polycleaner onths (500 1966-67. ppa). Low- Spray-drier 18 aontha <50 ppa). .bagger 1967- 68 Medlua - Blow-down 21 aontha atripper (200 ppa) operator 1968-70. Heavy goods lnforaat Lon vehicle driver given In until final letter lllnes. 18.06.84 from Or D H J Ui LlLaas 19.12.65 02.06.85 57 19 16 02.06.85 16.09.57 03.06.85 48 28 06.L2.85 High 1965 -69 Med 69-79 Low 79-82 Polycleaner 1965-68. Service operator 68-69. Poly Operator 69-79. Leading Hand 79-82. Low 1957-59 Spare nan. High 59-74 bagging Low 74-85 floor 1957-59. Autoclave Operator 1959-85 Letter of 04.06.85 Dr Paul Smith and letter of 04.06.85 Dr D H D Evan: Oesophagea L haeaorrhage due to oesophagea L varices due Angiosarcoma of liver Letter 26,06.85 Dr F 1 Lee GENC 008354 Page UK Sheet 4 COUNTRY ANO (NAME OR DATE OF REFERENCE 11N1TIALSI BIRTH NO UK (MJ |02.03,48 IBP ni 1 1 1i 1 t1 l 1I 1 1l 1 I1 l 1! 1 *1 1 11 1 u JGS | 15.06.42 |BP ii i 11 1 tI 1 1I 1 l1 1 1( 1 lI 1 i1 1 i1 1 11 1 15 (BCP 123.03.21 IBP 11 1 ii i i1 1 11 1 11 1 11 1 11 1 16 | RT 125.05.22 | ICI 11 ! t1 1 11 1 II 1 i1 1 ICI CHEMICALS 6 POLYMERS WPX/ASL2 - LANG 1OCASES,8 LIVER Angiosarcoma Caeca - (Review Date : J January 1989) 12 (FIRST VC FACTORY |EXPOSURE YEARS Or DATE OF AGE AT l EXPOSURE YEARS OE( DIAGNOSIS! DIAGNOSIS [TO EXPOSUREl DIAGNOSIS) DATE OF DEATH IHISTO- (LOGICAL ESTIMATED! J CONFIRM-) EXPOSURE I ATION LEVEL OCCUPATION IS OTHER CAREER HIGHLIGHTS OTHER COMMENTS 1 Barry | 1968 | Jan 86 1 37 IS 1 3 (02.06,86 ( Yea 1 High | Polyc leaner | Moved to |Regained well, working t 1I 11 1l 11968-69 | Acrylonitrile (actively, until Jan 1986 1 11 11 1 | Low |Central IPlant until 1 11 l1 I1 (Depot (left BP 1983. i 1( 11 11 11969-70 (Manager of l 11 11 l 1 High 1 Polyfloor |1C 6 SS Ltd at l 11 1i i1 |1970-1971 (Cardiff Airport/ 1 1i 11 l1 11983-86 i 1 i 1( 1 1 l 11 1y i1 ( |Barry (07.07.66 (27.08.37 1 45 21 1 1L 101.12.88 | Yea |10 monthelPolycleaner (Letters from Dr DUD Evans, 1 ii 1i t (High |1966-67 (Pathologist. Penarth, Wales i it li i (10 year. |Polyfloor land Dc DHJ Williams, BP, Barry 1 1 i i 1 i i Iconstant Jworker at tinea| l i1 1i t 1Medium (between 1 1 i i i i i |but OD |1968-L982 1 ii 1i i (inter*- 1 1 1 i i i i Imlttent l (1 1 i I Jobe 1 1 ( li i 1 1 I Berry 11956 1 11988 i i 66 1 32 1 16 11 I 01.05.881 Yea 1 (9 years (Poly cleaner 6 ) (Information froa 1 11 1i i 1 High (Operator ^Exposure | Dr D M J Williams, BP, and 1 11 ii i |5 yeara (Blow 6 Recovery 7 periods (Dr Paul Smith, Pathologist 1981 I i1 1i i | Medium |Operator 'intermittent 1 1 i i i 1 1 12 yeara (Utility 1 1t 1 1 1 Low |Operator 1 11 11 11 l 11 1l 11 |H1llhouse 1 1963 J1988 1 66 25 12 1 12.11.861 Yea 11 year > |Packer (Hepatic fibrosis 1974 1 11 \1 1 1 Low ) ! 11 11 1 J9 years) |Oesophageal varices |Porta-caval shunt 1975 i 1t 1i 1 1 High ) (Autoclave 1 11 li i |2 yeara) (Operator 1 11 11 1 1 Low ) (Information from Dr B Bennett, |ICI, and Dr F 1 Lee, Blackpool {Victoria Hospital 1988. ^ jk T GENC 008- A Page USA Sheet 1 25 ICl CHEHICALS A POLYMERS LIVER Angiosarcoma Cases - (Review Deter I Jan 1989) 10 UK system of dates DAY - MONTH - YEAR 12 13 VPX/ASL - LANO1OCASLs ;29 15 16 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH USA 01 02 03 04 05 06 1 1 \ |Earl i 1 1 117.10.23 BFG ]Parks | ]1 I1 || ii ii 11 | 119.08.33 BFG i i1 I1 ii ii 1 1 Edward 1 125.05.15 (Dinwiddle 1 8FC 11 ii 11 | | 15.01.24 BFG it ii 11 | 125.01.(2 BFG ii ii i |Ray i 123.11.26 BFG Austin Jones? FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS 1 1 |LoutsI vllle l t 1 1 1 S (Louis| vllle 1 1 l 1 1 Louis| vllle ( ( 1 (Louis| vllle 1 1 (Louis( vllle 1 1 (Louis- 1 09.12.48 1 03.03.73 1 1 | 15.11.55 1 00.05.70 ( 28*11.45 19.12.73 ( 06.07.52 19.08.67 | 19.06.44 09.04.64 1 | 17.01.02 1 00.02.74 ( i i 1 1 1 1 1 ! i 1 1 1 1 1 1 1 1 1 l 1 1 ( 1 1 1 1 1 1 49 37 58 43 52 45 i t 24 14 28 15 20 12 1 11 1 11 1 21 103.03.73 | 1 11 i 11 1 1 1 1 r 1 -13 i i i ti 11 11 11 11 127.09.71 ( | (N10SH 1 Isays | 128.09.71)1 ( 11 j 11 | 28 (19.12.73 1 1 ii 1 1t i ii 1 l1 1 13 (07.01.68 | 1 ii t ii 1 11 1 20 (09.04.64 | 1 ii 1 ii 1 ii 1 12 120.07.75 | Yes Yes Yes res Yes Yes 1 1 | 1 1 1 1 1 1 1 ( 1 i 1 l 1 | 1 1 i 1 | 1 1 1 | 1 1 1 | 1 IHlscory given | Sol Hng Stem |ln Annals NY (Art (Pot Cleaner |ACAD SCIENCES | Ref l NY Ac a KBlock Jams (Vol 329 (1979) |of Sc Syrep 1 1974) p 53 j page 190 In 1 1974 1 |Paper by (Also Block 1 |B R CottIne ol | Jama 1.7.74 1 JOSH A Ip 53 ( i I Pot Cleaner l(Cf Block) ( t |Ref 1 | Also Block (JAMA 1.7.74 IP 53 1 1 (Pot Cleaner |Louisville 1 (Cf Block) (Courier l | Journal 1 (02-09-80 (Ref 1 | Also Block 1 | Pot Cleaner KCf Block) (Ref ( (Also Block 1 1 (Pot Cleaner ((Cf Block) |Ref I |Also Block 1 1 | US Air Force (Ref L + Pot Cleaner (Cf Slock) Loulev tile Times 23.7 . Retired Apr 1974 Also block 07 Diaries 03.05.22 UCC T Smart S Charle 27.08.44 ston 00.00.68 06.05.20 Goodyear Niagara 07.10.46 00.08.61 45 23.03.68 15 29.08.61 GENC 008356 Paj?e USA Sheet L ICl CKEH b POLYHERS LIVER Angl OHarroma Caiu-H - (Review Date: 1 Jan 19ft 9) 10 UK system of dates DAY - MONTH - YEAR 12 13 - LANGiOCAStS,l 15 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF SIXTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS OTHER COMMENTS Raymond GettleFi nger? 06.il.31 Louis ville 26.05.45 01.03.74 29 24 II.03.75 16.08.13 Goodyear Niagara JL 12.06.51 00.05.68 55 17 10.05.68 11 27.05.09 Goodyear Ni agara 14.10.46 00.03.70 23 23 16.03.70 12 Francis A 17.11.18 Bactman Pottstown 13.07.49 02.05.69 50 20 19 02.05.69 Pa 13 Richard 01.12.21 UCC S Charle 11.12.42 00.05.74 52 32 26 07.04.74 Edward ston Clendenln 14 15 2000 ppa Ref 1 has wrong figui re first exposure. Louisville Tines 29.10.74, 12.3.75. 10.3.76 Ref High 10 yrs 10 yrs as Utility 6 reactor op. Service op. (not cleaner Bagger - separate Dryer op. crew cleaned Stripping op. autoclaves) 3 yrs prior service In tyre plant Ref 1 + 1ei of 26 Aprl J 9 78 from Russell A J to J T Seat of MCA 2000 ppn Charleston Dally Hail 21.7.75 Never dlag nosed as a iosarcoma . liver. Inf * at Ion givei lettec 22 f 1984 from J A Salg. Accountant ASL - No l" denoe of V< e xptis u re. GENC 008357 Page USA Sheet 3 ICt CHEMCa POLYMERS LIVER Angiosarcoma Canes - (Review Date: 1 Jan 1989) 10 UK System of dates DAY - MONTH - YEAR UPX/A LANCIOCASES,2 12 14 J6 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF BIRTH COMPANY FACTORY FIRST VC EXPOSURE DATE OF DIAGNOSIS ACE AT DIAGNOSIS YEARS OF EXPOSURE TO DIAGNOSIS YEARS OF EXPOSURE DATE OF DEATH HISTOLOGICAL CONFIRMATION ESTIMATED EXPOSURE LEVEL OCCUPATION OTHER CAREER HIGHLIGHTS | | | OTHER COMMENTS James Hova rd 04.11.27 Lou la ville 08*05.50 00.00.69 41 19 27.03.69 Yes 1951-4 VCH polymerlsatlon I Froa 1954 t ITable 4 In onwards in |Wagoner Aray and otherfTestlaony to service. (US Senate 46-50 Army ^Confirmed In |H N Johnson 111r 07.08.7e 17 Peerenboom 06.05.31 Louis ville 23.06.55 11.10.74 Yea 19 19 16.10.80 on 11.10.74 but no poat-aortea 16.10.80 I IDr H N Johns (letter of 124.2.61 con|firmed deatl (6 years aft< (diagnosis Charile Arthur 22.04.28 BFG Avon Lake 15.09.54 00.00.75 46 21 (3 02.11.75 19 Virgil 00.00.15 Christian S Charle 00,00.43 19.06.75 60 32 32 06.04.76 ston ''' 13 yrs Navy autocleaner 6 yra on Estol Tyre Store piastlclser & Carboeet operation 2000 ppa | Continued l' |M N Johnson Utr 07.08.7: lAlso Rolling (Stone nag. I I 5.01.76 I______________ t (Wi11laras por (Sun Gazette (21 June 197 (Charleston |Dally Hall (21.7.75 20 31.06.17 Goodyear Niagara 00.00.55 30.01.76 21 Chester 02,09.09 Hinkle S Charle 00.12.46 ston Early 77 67 2) 18 30.01.76 30 22 02.01.77 I IN10SH lette lof 25.10.79 I___________ |28 yrs with (UCC at SC |RetIred (News releat 123.2.77 I GEHC 008353 Page USA Sheet 4 28 1C1 CHEMICALS 6 POLYMERS LIVER Angiosarcoma Cases - (Review Date: L Jan 1969) UK system of dates DAY - MONTH - YEAR WFX/ASL_2 - LANCIOCASES, 3 1 1 1 l COUNTRY AND 1 REFERENCE ( NO 1 1 USA 1 1 21 name or INITIALS I 1 l | 1 1 t i 31 1 1 DATE OF 1 BIRTH | 1 [ 4 COMPANY i 1i 1 3| 6 i 7 1 8t 9 i 1i if FIRST VC t DATE OF | AGE AT YEARS OF i FACTORY | EXPOSURE i DIAGNOSIS 1 DIAGNOSIS i EXPOSURE TO i1 DIAGNOSIS ti i ) i 1i 10 1 JJ ) 12 1 13 ( 14 1 J5 f 1 YEARS OF | DATE OF 1 HISTOLOGICAL | ESTIMATED | EXPOSURE 1 DEATH | CONFIRMATION | EXPOSURE | OCCUPATION 1 J LEVEL | i OTHER CAREER HIGHLIGHTS 1 ( (6 OTHER COMMENTS 22 23 24 (25) \ \ i 1 i i i 1 1 J 1 i I I I I i i I i i i i ! |Charles | Edva rd IMoore i i 1 i i i 1 1 i ) i 1 i i i 1 \ J 1 1 |02.10.23 ( BFC 1i i| |Lou Is(vllle | 11.07.47 00.01.76 fi 1 i i 52 i i ii ii 1i ii i1 i( 1i i| ii l 1i iii i| i| i1 ii 11 1 1i ) 1| t| 1J i1 1| iJ |i t 100.00.23 Great 1 | American 1 | Chemical ( Company i |117.05.1? UCC 1i i i i | tFitchburg) 06.09.58 i 06.04.73 |Kaes. | i i |S Chariest | aton J F5T5 i i 27.05.77 i i 1 t 1 i 1 )i i i i I t 50 60 i i i i i i 1t 1| i11 ii1 1i J| ii1 i 1i 1| 1| 1| ii 1 ii i ii 1i i ti 1i t| r| e1 i1 ii1 i| i| i1i ri1 ii i it ii i ii ii i ii i| 1i i| 11 | Removal from reg ister confi nned In R Kaminski letter of 5 November ij i|I j j_______________ i. j_______________ 29 15 38 1980 28 104.12.76 | Yes 14 106.04.73 1 Yes | LouLsvi 1 le |Times 26.1.76 |aald he was (the 10th AS |vlctlm at IBells Lane of |whom 8 had Idled by (26.1.76 (In his letter |of 16.09.81 (Or H N Johnson (confirms this |is the lease described |by Dannaher ITamburro 6 Yam jin Feb I960 |Am J Medicine |Vol 70 p280 24? (N10SH (says 26) i i, 12?.05.77 i|Cholangio| sarcoma |(R Kaminski | Medium to |hlgh for )24 yrB t, | 1941-65 non- 11937-39 was Isolvent |off and on |Jvinyi reeln labourer |N N Wheeler (letter of | *8.8.77 to 1 26/2/79) (unit and |1939-4l may (J Stafford (dispersion |have been Iglves detal1s (vinyl resins |exposed as |Rose Kaminski (unit first (reactor lletter of (aa fitter Icleaner 126/2/79 Ihelper, then (1943 became |R Kaminski | shift Ishift fitter J(5 Nov 1980) lutillty man J1946 became (suggests that lahlft utility SHIOSH will Jman Iretafn on (26.04.65 (register since (employment was|this neoplasm |termlnated (may be assocl- |ated with ASL. | R N Wheel er lletter of 120/2/79 and (Rose Kaminski (letters of J_______ J___________ j_______________ t i (26/2/79 and 15/li/HO i Page 29 USA Sheet 5 JCI CHEMICALS 4 POLYMERS LIVER Angiosarcoma Cases - (Review Date; l Jan 1989) UK system of dates DAY - MONTH - YEAR WPX/ASL_2 - LANG10CASES,4 * i 12 t3 i i COUNTRY AND | HAKE OR | DATE OF i REFERENCE | INITIALS t BIRTH i NO i USA i 4 COMPANY ii 1 15t6 t 7 11 1 1 1 FIRST VC 1 DATE OF | FACTORY 1 EXPOSURE 1 DIAGNOSIS ii ii 1 1 26 |John Berry 107.07.23 i BFC i i i i i i i 27 1J L i 111,05.16 i UCC |Forrest i i i i 1 1 Louis- 1 | 03.10.97 00.00,77 jvllle i i i | i i t 1 (up to 2 years 1 after 1 death) ii 1 ii 1 ii 1 11 J 11 1 it 1 ii 1 ii 1 ii 1 ii 1 IS Ctiarle-| 01.07.91 1 30.11.78 I ston | 1 ii 1 11 11 ii 1 ii 1 i it 1 28 111.09.17 i UCC |S C3iarle-1 00.OB.9) 1 03.11.78 i | aton | 1 29 ' 112.10.07 i t UCC i t ii 1 | S C2iacle-l 00.05.42 1 00.01.80 | aton | ii 30 | WVN ii 1 122.07.22 i Tenneco 1 Flemington 11.06.69 1 30.12.80 Chemicals i i 1 t 1! I i 1t 11 i 11 1 11 1t 1 31 108.11.23 i UCC |S Charle-t 12.05.96 1 01.08.81 i J ston | 1 i ti 1 t it 1 i ii i ii 1 i ii 1 i ii 1 ti 1 i ii 1 i ii 1 1 i ii 1 i ii 1 i ii ( 8 ACE AT DIAGNOSIS 1 9 t 10 ( 11 YEARS OF 1 | YEARS OF | DATE OF EXPOSURE TO j EXPOSURE | DEATH DIAGNOSIS t 1 52 (death) 62 61 72 58 57 ) 26 (death) 37 34 36 17 35 1 18 111.02.75 1 1 1 t t 1 1 1 1 i t i 1 i I 20 125.11.78 HNIOSH |aays 27 land C |Dally Hail | 125) 1 ( | 33 103.11.78 1 i 1 18 101.03.00 1 1 i 1 15 130.12.80 i i l 1 J i i 1 13 102.09.82 i i t i J i i 1 i J 1 i i i ii 12 1 S3 1 19 i 1 HISTOLOGICAL ! ESTIMATED | 1 CONFIRMATION | EXPOSURE | OCCUPATION | LEVEL { [( i 15 OTHER CAREER HIGHLIGHTS 16 OTHER COMMENTS Yes Yea Yes Yea Yea Yes {Exposed in (Various jobs| R Kaminski (some degreefln PVC | letter of |to 22 Jplants from 26/2/79 and |chemicals Icold room to| Prof. Tambuj |but main Ipaste letter of (exposure |recovery to 9/1/79 |vas to VCM 1 PVC charging (probably (operator to Ihlgh (paste 1 1 charging. | 1 |111 August I 11965. 1 1 (Terminated 1 (employment 1 |Jan 1966 1 High |Operator to (Exposure In R N Wheeler 1 |10.10.76 |bulk and ltr of 4 Jar || |diaperslon PVCf J979 and 1| |1 11 11 (manufacture ti 1t |1 |1 1J |t i 1 11 1 1t i {6 - Unknown IHalntenance | Charleston Dally Hal 1 30,11*78 and k Kaminski 26/2/79 R Kaminski letter of 6/9/79 R Kaminski Letters of 19th June 19 4 5th Nov t9 |9 - Minimal (Mechanic | | 16 yrs | i |Elsewhere | i lit yrs | i |Boiler house| | (Operator | i 19 yrs IHlgh (But (Chemical | |From 1959 to Dr Dacey |not as high (Operator In (1976 Aliphatic letter |as reactor Icharge (Chemicals 16.10.81 and (cleaner I reactor (operator and R N Wheeler |would | (from July 1976 letter of (experience) | (Worked as | |to date (Foreman 9.11.81. Also Dr Dace} | labourer | (Aliphatic tecter of 1f root | |June 1941 f (Chemical (Operation 07.03.83 re date of deatl |to May 1946 1 land may 1 |have ! (cleaned ( |reactors In 1 1 1 1 1 1 6663ifi 60)'- Page USA Sheet 6 30 ICl CHEMICALS & POLYMERS LIVER Angiosarcoma Cases - (Review Dace: 1 Jan 1989) UK ayscetn of daces DAY - MONTH - YEAR VPX/ASL_2 - LANCIOCASES '5 COUNTRY AND REFERENCE NO NAME OR INITIALS DATE OF | BIRTH | COMPANY FACTORY FIRST VC | DATE OF EXPOSURE I DIAGNOSIS 8 ACE AT DIACNOSIS 9 YEARS OF EXPOSURE TO DIAGNOSIS 1 10 1 Ji 1 1 YEARS OF ( EXPOSURE | DATE OF DEATH t 12 i n t 14 i i HISTOLOGICAL I ESTIMATED CONFIRMATION | EXPOSURE | OCCUPATION j LEVEL 15 | E6 OTHER CAREER HIGHLIGHTS | | OTIIKH COMMENTS l 32 C W Giroux 22-02-06 | Monsanto Springfield 15-10-51 | 00-07-79 I Hass I I I t 33 S Ferguson 08-10-27 J BFC Jnr I LouLsvlile 09-09-54 11-05-82 71 26 1 1 1 1 1 1 1 1 1 1 1 1 ( 1 1 1 54 1 28 1 34 Hr Byrun 29-01-34 | BFG 1 Louisville 1955 I ( 03-11-82 I ! 48 1 27 1 1 1 1 I X1 I1 1 35 09-03-12 | UCC S Charle 23-07-44 | 18-07-83 | 71 1 39 ( ston II 1 I1 1 ____________ 1 1 I( 36 27-06-32 |The General Ashtabula 11-06-56 121-08-83 50 1 27 JTire and 11 |Rubber Co 1 1 11 I i1 t1 1 f 1 1 1 1 14 117-05-80 An autopsy |The death (1940-1951 | Information (in PVC t vas done and certificate!Various Jobs| Igiven In autoclave I immediate Igave (in polyner lletter of 2 are*) 1 cause of 1 Hr Giroux1 (manufacture |February H death given juaual |BUTVAR (from Dr 1 as (occupation | LtlSTREX lUalter C 1 "Angiosarcoma* ( as "kettle)1951-1964 |Barnes of 1 (operator* |Various .joba| |Monsanto 1 |ln (in and |Spring!lc 1 ("chealcals |around PVC |Dr A Mum 1 | '' |industry". lautoclavea i 11964-1973 IHonaanto |Europe. 1 i |Varloua 1 i |cLerlcal 1 1 fjoba In PVC 1 | 1 polymerisation 1 i Ifacility/ 1 i |Retlred 1 i 101-03-73. 1 28 |Alive Yes | fHult(pie (Prof Tar i i | Jobs lletter < i 1 |Including |J 2 Aug 1 | | Poly |Dr H N Johr 1 | (Operator + lletter of i i f Polycleaner. |28 Feb 1983 |1 10 104.08.83 | Yes | Poly |1965 left BFG | Dr M N Johr 1 | |Operator + ) to become a (letter of 1 i | Autoclave |Clergyman. |3 Nov 1982, i i iClesner |28 Feb 1982 i 11955-65. land 9 Aug ii 11984. i 1 14 |18-07-83 Yes (High from |Dr Dacey 1 1| (1944 to (1955. lletter of |5 Sept L93 1 |Medium fron| i 11955-1958 1 27 fAlive Yes (Moderate 11956-56 |R W Laundrl i J Jlabourer (letter of t ( 11956-57 | 12 Sept L9fe \ 11 i Iprod helper 1 11957-70 Ispotted at Imedlca1 i (operator |May 1983. i | 1970-75 |Tes t Ing 1 |e lect ric tan |commenced 1 | 1975-present J May 1983 f |operat or 1 6ENC 008361 Page USA Sheet 7 Cl CHEMICALS A POLYMERS LIVER Anglosarcoma Cases - (Review Date: l January 1989) WPX/ASL2 - LANG lUCASKS ,* UK system of dates DAY - MONTH - YEAR l COUNTRY AND REFERENCE NO USA 37 38 39 1i 12 1 11 |J INAME OR ] |INITIALS 1 i 31 1 DATE OF| BIRTH | 4 COMPANY 1 1 l (Mr J |Payton | | ii ii ii (29.08.29) )t | t 8FG 1 1 | l 1 1 1 (JWB 1 I | ii ii ii ii ii ii ii 128.08.221Air | (Products 11 || 1 11 11 t1 1l 1 ii 1 11 | 11 11| 1 ii 111 11 |l | J Metnlce I 27.06.181 Pantasote |) |I 1) || || || (1 (| || || (I fj (i || || || |1 || || | 11 1ii 1 l5 1 1 i ( FACTORY i i i |Louis-. Ivllle 1 1 i i J t 1 1 1 |Calvert ICity 1 1 1 1 J 1 1 1 1 1 1 1 1 1 |Passaic 1 1 1 | I I i 1 | ( ) 1 I ) ) I I 1 | | i i 1 16 1 t (FIRST VC |EXPOSURE i i t 1 1953 1 | 1 1 1 1 1 1 1 I (00.02.63 t 1 1 1 1 1 i 1 1 i t i 1 ( | 1960 1 i I ( I I i i 1 l i i j I I i i i i 1 i i i |7 1 8 19 i 10 1 Ll 1 1 1 13 1 14 f 15 1 16 1 i (DATS OF (AGE AT 1 |YEARS OF |EXPOSURE 11 1 IHISTOYEARS 0F| DATE OF |LOGICAL (ESTIMATED! |OTHER (DIAGNOSIS! DIAGNOSIS(TO |EXPOSURE) DEATH 1CONFIRM- |EXPOSURE 1 OCCUPATION |CAREER | OTHER COMMENTS i |DIAGNOSIS) 1 |ATION (LEVEL |HIGHLIGHTS! i 1 11 1 11 i 106.08.84 1 ( 1 1 1 t 1 1 i 34 1 31 1 1 1 1 1 1 1 1 11 22 106.08.64 | Yes I High IWorked 11 |regularly 11 | In PVC area| 1i |In the 11 learly days i1 |vas a 11 | reactor 11 Icleaner 11 | 1953-73. (Information given In letter 09.08.84 |from Dr H N Johnson 1 1 (19.01.84 1 1 6 L | 20 11 11 20 |28.10.83 ( Yes 1 High |Nornal IThrombo cytopenla and leukopenia since Islnce 1976. Gold treatment for arthrltl i 1 1 1 11963-1982iprogressIon | 11976. Under Dr's care about 6 months i 1 i1 (fro* helper! Ibefore death, had passed standard physic 1 1 11 (to senior (examination 3 months earlier. J Barr l 1 11 (operator . llecters of 22.(0.84 and 23.OJ.65. 1 1 1 1 |cleaned t i 1 1 |reactors, t i i 1 (stripping ) 1 1 1 (and 1 1 1 1 (recovery ( i 1 1 (areas as i i 1 1 |well as ) 1 i i Icharglng i i 1 i loperator. 1 (March ) 1984 i I I 1 ( i 1 1 1 i i i 1 1 1 1 1 1 | 1 i i 1 63 1 24 1 i 1 1 1 1 i i 1 i i i 1 1 1 1 1 1 i ! i i 1j i1 23 (29.06.84 I Yea | Low (29.09.60 - |Worked |Never In hospital for any chronic or |acute medical problems. Death certlflcai 1i (May 66 |before latates cause of death cardlo-pulmonary ii |Vinyl 11960 larrest secondary to angiosarcoma of 1i ]Fabrication (with US |1Iver. 1J ]Plant | Air (Letter of 15.07.86 from John E Ertel 1 1 1 High (May 66 - |Force, (of Pantasote with letter of 24.02.86 11 (Aug 70 |United (from Dr Auerbach, Pathologist. 1J (Utility |Wool 11 11 (Resin (Operator I Dyers land 1i |(Inc Jul 66 |Okanite 11 1- Sep 67 11 | Reactor i1 (Operator) ( l 1 | Low (Sep 70-82 ft | Monomer !1 |0perator f 1 | Low | 1982-83 \1 (Mi 11 i1 11 (Operator, |Calendar i1 (Shop, until 11 j( f ret 1rement t * Page 32 USA Sheet 0 ICI CHEMICALS 6 POLYMERS LIVER Angiosarcoma Cases - (Review Date: 1 January 1989} WPX/ASL2 - LANClOCASt- UK system of daces DAY - MONTH - YEAR l COUNTRY AND REFERENCE NO USA 40 41 1 12 I 31 4 |NAME OR | INITIALS 1 1 1 |P P |Gilmer DATE 0F| BIRTH | 26.10. 1M COMPANY BFG 1 \ iii IR Buckley 2.02.131 Goodyear 1 1 I 15 1 1 i 1 FACTORY i i 1 |LouisIvLile | | 1 i ( 1 |Niagara (Falls ( 1 f | | | | 1 1 i 16 1 | |FIRST VC 1 EXPOSURE 1 1 1 122.05.42 i 1 | 1 i i 1 | 1949 I 1 l I I I | | 1 1 11 | 7 1 8 19 I 1 JO LL 111 1 |YEARS OF IDATE OP 1 ACE AT (EXPOSURE IDIACNOS1S|D1AGMOSISITO i i |YEARS OF (EXPOSURE DATE OF DEATH t |DIAGNOSISI )11 i1 1 I 1967 i 72 1 45 1 34 03.01.87 1i1 ii1 lIi 11 i i1 1 i1 1 11 1 1 1987 1 72 l 36 1 27 20.08.87 1ii t11 11( 11 ) 11 1 1( 1 1( 1 Ii1 (tl 1 i1 1i 1 1 1 13 1 14 1 15 1 16 11 1HIST0- 1 1 (LOGICAL JESTIMATED! (OTHER |CONFIRM- (EXPOSURE (OCCUPATION |CAREER t OTHER COMMENTS IATION |LEVEL i |HIGHLICHTS| 11 i 11 * | Yes 1 High | Chemical |Letter from Dr Diets, BFG, 1 |1942-1974SWorkec ii (1942-45 i | Low | 1 |1975-19761 Foreman i( (1945-76 110.3.87 i 1 J__________ t | Yes i1 High 11949-65 | Retired |Letters from Prof Tamburro i1 |Chemical Op/ 1977 /University of Louisville, J 967 1| |Shift Sup/ 1 (Age 62) land Dr C A Johnson, Coodyear, 1988 1| (Foreman, 1 l' (PVC Resin i| |Production t | Med Um |(965-77 (i |NF Plant 1 |[Left PVC area for 6 months ( I In 19651 J J_________ !__________ genc 003363 Page 33 YUGOSLAVIA ICl CHEMICALS 6 POLYMERS LIVER Angiosarcoma Cases - (Review Date: l Jan 1989) UTPX/ASL - LANCLOCAStS , 33 J 1 2 | 3i 4 I 5 | 6 | 7 1 8 1 9, 10 I n 1 12 1 13 | 14 1 13 1 r i 1 i _IL COUNTRY AMD (NAME OR J DATE OF| t !1 1 . ... 1 1 I1 1 i i |1 1 (YEARS OF 1 JHISTO- | | | |j FIRST VCJDATE OP AGE AT |EXPOSURE YEARS OF) DATE OF )LOGICAL ESTIMATED) 1 1 |OTHER 1 1 | REFERENCE i | (|INITIALS! BIRTH COMPANY | FACTORY EXPOSUREj DIAGNOSIS!DI AGNOS IS TO EXPOSURE) DEATH 1C0NFIRM-IEXPOSURE (OCCUPATION (CAREER ( i i i |HO i i i ii lDIAGNOSIS! ATION 1LEVEL j |HIGHLIGHTS) JL i i L._...................1_! JL i 11 f J1 16 OTHER COMMENTS YUGOSLAVIA 05.04.14 Jugo VlnlL Spilt 00.00.53 08.04.73 59 20 20 08.04.73 SARIC et al paper Env Health Perspective VoL L7. pp 189-192 J 9 76 02 15.11.31 Jugo Split 00.00.50 12.07.73 23 18 12.07.73 Vinll VCM Production *ln his letter of 3 Oct 1978, Dr Splrtaa of NIOSK changed the status of Case 02 to VCM production employee. Dr Splrtaa also notified a new Case 03 also a VCM production worker. 03 21.12.31 Jugo Split 04.06.54 1.Ot.76 45 22 22 11.01.76 Vinll VCM Production 04 11.06.30 Jugo Split 15.12.58 03.09.78 Vlnil JS 03.09.78 Rose Kaminski letter of J9 June 1980 and tARC letter of l April 1982 f l SBC 00 8364 _____ 1 Page 34 Incidence of ASL Cases Per Annum TABLE 1 (Review Date - 1 Jan 1989) By date of death 1955 ................................................................................................ 1 60 7 ................................................................................................ 1 8 ............................................................................. 0 90 1960 ................................................................................................ 0 1 ................................................................................................ 1 21 3 ................................................................................................ 0 4 ................................................................................................ 2 5 ................................................................................................ 0 6 ............................................................................. 0 7 ................................................................................................ 1 8 ................................................................................................ 5 9 ................................................................................................ 3 1970 ................................................................................................ 2 1 ................................................................................................ 3 2 ................................................................................................ 5 3 ................................................................................................ 8 4 ................................................................................................ 5 5 ................................................................................................. 11 6 ............................................................. ... ........................................................................... 11 7 ................................................................................................ 9 8 ............................... .............................................10 95 1980 ................................................................................................. 10 1 ................................................................................................ 5 2 ................................................................................................ 3 3 ................................................................................................. 10 4 ................................................................................................ 7 5 ................................................................................................ 6 6 ................................................................................................ 5 7 ................................................................................................ 3 8 ......................................................................................................................................... jJ* Total 137 N.B. 1 Does not include Italian 01 but does include German 03. 2 The 1977 total includes US case 24 which is a Cholangiosarcoma. 3 Does not include the following who are still alive, so far as known: Frl5, 22, 23 & 24, G31 & 32, US33 QENC 008365 Page 35 Distribution of ASL Cases by Country TABLE2 review uate - i jan USA W Germany France UK Canada Sweden Italy Yugoslavia Japan Czechoslovakia Belgium Norway 38 ** * 31 ** *** 25 *** 15 13 5 **** 6* 4 ***** 3 2 2 1 Total 145 * Omit ItOl - atypical case of PVC bag extruder. ** Includes G03 aerosol can filler. *** Includes case US 24 which was diagnosed as Cholangiosarcoma; & Frl5, 22, 23 & 24, G31 & 32, US33 & 36, who are still alive, so far as known. **** Includes one monomer worker. ***** Includes two monomer workers. Western Europe North America Rest of World 85 51 9 Total 145 WPX/ASL2 - LANGIOCASES,10 GENC 003366 Page 36 Pattern of ASL Cases by Factory TABLE 3 (Review Date - 1 Jan 1989) (a) W Europe Of the 85 cases in W Europe, 73 have occurred in clusters at 12 factories. Of the 31 German cases, 28 have occurred in clusters at 4 factories. ASL Cases Dynamit, Troisdorf, Germany BP, Barry, UK Wacker, Burghausen, Germany Atochem (formerly Chloe Chimie, formerly RP), St Fons, France Atochem (formerly PCUK) Brignoud, France Kemanord, Sundsvall, Sweden CWH, Marl, Germany ICI, Hillhouse, UK Solvay, Tavaux, France Lonza, Waldshut, Germany Solvay, Jemeppe, Belgium Atochem, St Auban, France 12 11 9 9 8 5 4 4 4 3 2 _2 73 NB: There are 32 pre 1962 PVC plants in W Europe; 19 of these have had ASL cases (Ref Table 8) (b) N America Of the 51 cases in N America, 42 have occurred at four factories out of a total of 55 factories. Tin N America 42 plants have not had ASL cases. ASL Cases BFG, Louisville, US BFG, Shawinigan, Canada UCC, S Charleston, US Goodyear, Niagara Falls, US 15 12 10 _5 42 NB: There are 29 pre 1962 PVC plants in N America; 13 of these have had ASL cases (Ref Tables 9 & 10) (c) Rest of World The 9 ASL cases are believed to be in one cluster of 4 and two clusters of 2 cases. WPX/ASL2 - LANGIOCASES,11 GENC 00836? ^^'age 3 7 TABLE 4A (Review Date - 1 Jan 1989) Latency Periods (Years from first Exposure to Diagnosis) W Europe Count ry Belgium No of Cases 2 Total Years 35 Average 17.5 France 25 689 27.56 * N America Germany Italy Norway Sweden UK 31 632 20.38 * 6 127 21.16 1 22 22 5 122 24.5 15 350 23.33 * 85 1977 23.25 W Europe Average Rest of World US Canada 38 993 26.13 * 13 314 24.15 * 5_L 1307 25.62 N America Average Summary Czechoslovakia s~` Japan Yugoslavia 2 3 4 9 30 15.0 59 19.66 85 21.2 174 19.33 Rest of World Average W Europe 85 1977 23.25 N America 51 1307 25.62 Rest of World 9 145 174 3458 19.33 23.84 * World Average * Of the countries with * 10 cases, France, USA & Canada have an average latency period above world average* Germany & U! below world average, ' T TT> V / a rvr o t GENC 003368 ge 38 DISTRIBUTION OF LATENCY PERIODS TABLE___ 4B (Review Date - 1 Jan 1989) i! i 1 1 1 11 11 i 1 ! f 1 1 1 0-9 yrs I 10- 14 yrs | 15-19 yrs | 20-24 yrs | 25-29 yrs ] 30-34 yrs I 35+ yrs | 11 f 1 1 1 11 11 1 1 1 1 11 11 1 1 I I 1 1 | Belgium j Canada 1 1 1 1 2i 1 1 1 1 1 1 f 1 i 11 11 I 3I 11 1 5| 2I 11 2I 1 1 5 1 11 | Czechoslovakia 1 1 1| 11 i 1 11 1 1 1 1 1 11 | France 1 I 1| 41 31 9i 31 5| | Germany 1 ) -1 1 1 5| 1 9I 10* 1 ) i 5| 1 2. 1 i F 11 )i Il )1 1 i f F | Italy i 1 21 21 2I 1 1 11 11 1 1 I J 1 | Japan 1i 1 1 1 2i i t! 1 ii 11 1 i I 1 1 | Norway 1 i ! 1 1| 1 11 11 I1 j 1 11 J Sweden | UK 1i tl 1 1i 1 21 i 2I 1 1 111I1 1 5f 1| 5I 31 ! 1I 1 1 S USA 1i 1 1 I 1 11 1 i 2I 71 91 8 I 5i 7| 1i 1 1 i i tI I | Yugoslavia 1 i 1 1 4I i 1i 1i 1 1 I i 1i | TOTAL 1i 11i 1 12 | 1 33 1 1 37 | i 33 I 1i 15 1 14 | 1i 1 1 1 1t Total 2 13 2 25 31 6 3 1 5 15 38 4 145 11 I Average | I Latency ! | Period | |(Table 4A)| Ii 1 17.5 1 11 1 24.15 I 11 1 15.0 t tI 1 1 1 27*56 I 1i 1 20*38 f Ii 1 21.16 I 1j 1 19.66 l !| 1 22 1 ! | 1 24.5 I if 11 i 23.33 I 11 1 ! 1 26.13 t li i 21.2 I 11 11 1 23.84 | 11 * Includes G 03 aerosol can filler WPX/ASL2 - LANGIOCASES,13 6EHC 00836? Page 39 (Review date 1 January 1989) TABLE 4C LATENCY PERIOD OF ASL CASES TABULATED BY YEAR OF FIRST EXPOSURE px POSSIBLE | YEAR OF . 1 LATENCY PERIOD | ARITHMETIC MEAN 1 KTENCY PERIOD | FIRST EXPOSURE 1 (NO OF YEARS) | OF LATENCY PERIODS 1 11 11 I 49 1 48 l 47 I 46 r 45 1 1939 | 1940 |1 12 13 14 1 38* | 11 1 37,21,37,41 | 1 32,38,45 | i 38,14,32,42,45*** | 1 28,11,24,20,24,34,39,1 1 289 = 36.12 1 81 1 1 886 = 28.58 1 1 1 44*** | 31 1 1 5 1 27,22,28,29,37 | 1 1 6 1 21,29,31,26,28,15,23,1 1 1 1 30,35 | 1 41 | 7 1 29,24,29,28 40 1 8 1 28,24,34 1 9 1 30,26,20,38 |1 |I | 559 = 25.41 1 | 1950 1 26,22,31,19,23,14,33 | 22 1 | 1 1 19,28,17,28,34,29 | 1 36 1 2 1 21**,15 | 1 35 1 3 1 25,22,23,22,20,31,22,1 1 1 1 32*** | 1 1 4 1 21,21,25,25,21,28***,! 1 1 1 22 | 849 = 22.94 1 1 5 I 22,23,24,14,19,21,27 | 37 1 iI I 27*** 24,28,30*** | 1 1 6 1 21,12,27***,32 I 1 31 | 7 1 19,17,15,13,16,28,30 | 1 30 1 8 1 18,18,15,17,20,29***28 1 1 9 1 16,21,25,27 I 598 = 19.29 I J | 1960 1 13,18,21,25,24,25 | 31 i 1 | 1 1 15,16,16,16,19,19,12 | 1 26 1 2 1 13,18,17,12,18,21,26 I 1 25 1 3 1 16,17,20,21,25 I 1 1 4 1 16,17 | 246 1= 17.57 1 | 5 1 11,19,20 I 14 1 1 6 1 9,18,21 | I 21 1 7 1 16 1 1 20 I 8 1 18 1 9 1 13 I 1970 1 |1 | 31 S= 15.5 1 12 1 VIOLA |1\ 11 16 1 2 1 15 1 3 1 14 | TOTAL 1 1 145 CASES 11 1 1 MALTONI 1 1 GOODRICH | 3458 =S 23.84 1 11 1 145 1 * Cholangiosarcoma ** Aerosol can filler fc** The following are still alive, so far as known Frl5, 22, 23 & 24, G31 and 32, US33 and 36 GENC 008370 TABLE 4D Page 40 (Review date 1 January 1989) LATENCY PERIODS OF ASL CASES TABULATED BY YEAR OF FIRST EXPOSURE AND GEOGRAPHICAL LOCATION ' ~ MAX POSSIBLE I YEAR OF | LATENCY PERIOD 1 FIRST EXPOSURE | LATENCY PERIODS IN WESTERN EUROPE | NORTH AMERICA 11 49 1 48 I 47 1 1939 1940 1 1 1 1 37,41 | 38* 1 21,37 46 1 45 1 1 1 1 21 3 | 38,45*** 4 | 28,44*** 5 1 27 6 | 21,29,31,33 | 32,38,45 | 14,32,42 | 11,24,20,24,34,39 | 22,28,29,37 | 26,28,15,23,30,35 41 1 7 | 29 | 24,29,28' 40 1 1 8 | 28,34 9 | 30,26 1 24 | 20,38 1 1950 | 26,22,31 1 19 1 1 | 19,28,34,29, | 17,28 36 1 35 1 1 1 1 2 | 21** 1 13 3 | 25,22,22,32*** | 23,31 4 | 21,21,25,25 | 21,28*** 5 | 22,23,24,27***24,28 | 14,19,21,27 1 30*** 1 6 | 21,12,32 1 27*** 31 1 30 1 1 1 7 8 9 1960 I 19,17,15,13,28 | 18,18,29***28 | 16,21,25,27, | 13,18,21,25,25 1 30 1 15 | 24 1 26 1 25 1 1 1 1 | 15,16,16,16,19,19 1 12 2 | 13,18,17,18,21,26 1 12 3 | 16,17,21,25 | 20 4 1 16 1 17 5 1 11,19 21 20 1 1 1 1 6 1 9,18,21 7 1 16 8 1 18 9 I 13 1 VIOLA 1970 11 1 1 :^ 1 21 1 MALTONI 3 1 1 TOTAL CASES 1 85 1 51 1 ROW 1 1 1 1 1 1 1 1 1 1 1 1 1 23,14 1 1 1 22,20 1 22 1 1 1 1 16 1 17,20 1 1 1 1 1 1 1 20 1 1 1 1 1 1 1 1 19 * Cholangiosarcoma ** Aerosol can filler *** The following are still alive, so far as known Frl5 22, 23 & 24, G31 and 32, US33 and 36 WPX/ASL2 - LANGIOCASES,15 GENC 0GS371 TABLE 4E Page 41 (Review date 1 January 1989) PLANT 1 | START | UP I DATE 1 Blouisville USA 1 | 1940? I troisdorf mv GERMANY 1 | 1954 i shawinigan CANADA 1 1 1943 1(1941?) 1 BARRY | 1948 UK i 1 S CHARLESTON 1 1939? USA i i LATENCY PERIODS OF ASL CASES IN SPECIFIC PLANTS (10 OR MORE CASES) 12 ,14,15,19,19,20,24,27,28,28,28,29,29 31 ,45 12 ,13,16,16,18,19,19,21,23,25,28,29 11 ,12,14,21,22,23,24,24,26,28,42,37 9, 17,18,28,31,33,18,19,18,21,32 24 ,30,32,32,34,35,37,38,38,39, 1 NO OF | AVERAGE CASES | LATENCY PERIOD 1 | | 1 1 15 | 1 24.53 years| 1 12 | 1 19.91 | 1 12 | 1 23.66 | I 11 1 1 22.18 | 1 10 | 1 33.99 | 1 h X/ASL2 - LANGIOCASES,16 GNC 00837 Page 42 TABLE 4F (Review date 1 January 1989) LATENCY PERIOD OF ASL CASES TABULATED BY YEAR OP FIRST EXPOSURE AND SPECIFIC PLANT (10 OR MORE CASES) YEAR OF FIRST | LOUISVILLE | EXPOSURE | USA | 1939 1 1 1940 1 1 TROISDORF W GERMANY 1 SHAWINIGAN | I CANADA 1 I1 11 BARRY UK 11 21 1 1 1 21 1 1 1 31 1 4 I 20 1 5 1 28,29,27 1 61 1 7 I 29,28 1 8 | 24 i 1 14,42 1 11,24 1 22,37 I 26,28 1 24 1 1 1 1 I 1 1 9 1950 1 1 1 19 1 i i I 29 1 1 1 1 1 31,33 | 28 2 1 15 1 11 3 1 31 4 | 28 1 1 21,25 1 23 1 1 1 5 1 14,19 I 23,28 61 1 12 71 81 1 13 1 91 1 1 1 ! 1 1 | 32 1 1 1 1960 1 1 11 11 I 16,16,19,19, I 12 1 2 1 12 31 41 1 18 1 1 I 1 1 1 18 1 17 1 51 61 71 81 91 1 1 1 1 1 1 I 19 1 1 9,18,21 11 1 | 18 11 1970 1 ! 1 1 1 11 11 21 1 1 | S CHARLESTON | USA | 38 1 1 37 I 32,38 | 32 I 24,34,39 1 I 30,35 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f WPX/ASL2 - LANGIOCASES,17 GEHC 008373 Page 43 (Review date 1 January 1989) TABLE 4G START-UP DATE |LATENCY PERIOD OF ASL CASES |IN SPECIFIC PLANTS(4-9 CASES) 1933 ! | 17,21,22,25,24,13,21,32,30 1 1939 1 | 21,28,29,37,38,27,41,34,44 1 1 1950 | 11,16,18,26,30,25,34,45 1 NO OF CASES 9 9 8 AVERAGE PERIOD 22.77 years 33.22 25.62 1945 t 16,19,27,29,31 5 24.4 1947 1950 1948 1953 1940 1 | 15,17,21,23,38 1 1 | 20,20,22,23 1 1 | 15,16,22,21 1 1 | 19,16,21,26 I 1 | 28,25,28,25 5 22.8 4 21.25 4 18.5 4 20.5 4 26.5 WPX/ASL2 - LANGIOCASES,18 GENC 008374 Page TABLE 4H LATENCY PERIOD OF ASL CASES TABULATED BY YEAR OF FIRST EXPOSURE AND SPECIFIC PLANT (4-9 CASES) YEAR OF BURGHAUSEN FIRST EXPOSURE W GERMANY 1939 1940 1 2 3 4 5 6 7 I I I I I i 1 1 I 1 I 1 1 | | 1 I 1 ST FONS FRANCE 37,41 38 44 29 28,34 1 1 1 1 1 1 1 1 1 BRIGNOUD FRANCE 1 1 1 { 45 1 1 1 i 1 SUNDSVALL SWEDEN 27* 31 29 ! 1 1 1 1 1 | 1 | NIAGARA FALLS USA 1 1 1 ! 1 1 1 15,23 | 1 SPLIT MARL YUGO W GERMANY SLAVIA 11 1I 11 1 11 f1 11 11 1I TAVAUX FRANCE HILLHOUSE UK 1 1 ! 1 1 1 28 1 1 1 25,32 21 22,24,30 17 23* 19 22 21 25 19 28 20 21 16 11 26 16,21 25 13 *Monomer worker GENC 008375 TABLE 5 Annual Incidence of ASL Cases (Date of Death) by Geographical Area 1955 7 1961 2 4 7 8 9 1970 1 2 3 4 5 6 7 8 9 1980 1 2 1983 1984 1985 1986 1987 1988 TOTAL 11 | Western Europe 1 North America 1i 1 11 1 11 1 11 1 11 1 11 |1 1 1 15 |1 12 |1 11 |1 12 14 |1 11 14 13 16 16 16 |7 12 14 13 13 12 |5 1- 16 |5 14 0 |1 2 |7 13 |5 12 |5 1 14 11 1 t3 14 ! | 79* ** 1 49** Rest of World | Annual Total |1 |1 |1 |1 1I2 |1 |` 5 13 12 13 |5 318 -| 5 1 1 11 2 1 11 I9 1 1 10 -|5 - f io -| 5 13 1 io !7 116 |5 13 14 9 | 137 | Cumulative 1 | Total | Key Events 11 I1 1 12 13 1 1 14 1 16 |7 1 1 1 12 1 15 1 17 ! 20 1 1 | Viola 1 i 25 I 33 1 38 | 49 1 | Maltoni | Goodrich 1 | 60 1 I 69 1 79 I 84 ! 1 1 | 94 1 1 99 | 102 1 1 1 112 I 119 t 1 | 125 | 130 1 1 | 133 1 | 137 1 11 * Includes G03 aerosol can filler but omits It 01 bag extruder ** Does not include the following who are still alive, so far as known: Frl5 22, 23 & 24, G31 & 32, US33 & 36 6E!* 003 Page 46 TABLE 6 (Review date 1 January 1989) ASL CASE NUMBERS BY YEAR OF DEATH AND GEOGRAPHICAL LOCATIONS (EXCLUDING 11.0 1) |_ KEY 1 | EVENTS 1 | WESTERN EUROPE i I NORTH AMERICA 11 | REST OF WORLD| I 1 11 1 1 1955 I 1 Cl 11 11 1 17 1 | C2 1| 11 i8 i 11 19 1 1960 11 12 i i 1 US8 | C3 11 i1 11 13 14 15 1 I US5 1 1 I Cz2 1 1 | 1 16 1 11 |Viola 17 I8 19 1 1970 11 12 1 El 1 G1 | Swl | G2 | Nl,Sw2,UKl,It2 1 | C4,C5,US4,US7,US10 | US12,US16 1 usu 1 C6,US2 1 C7 1 1 1 1 1 1 1 1 1 1 1 1 |Maltoni 1 3 | G3** | C8,US1,US3,US23 | Yl,Y2,Czl |Goodrich 1 4 | G4.G5.UK3 | C9.US13 1 1 5 | F2,F3,G6,G7,G8,It3 I US6,US9,US18,US26 1 Japl 1 6 | Bl,F4,F5,F6,F7,Sw3 I US19,US20,US22, 1 Jap2,Y3 1 7 I F8,F9,G10,Gll,G12,Sw4 1 8 | F10,F11,G9,G13,G15 | C10,US21,US24* I US27.US28 1 1 Y4 ! I G16,G17 I 1 1 9 | F12,F13,UK4,UK5,G18 1 1 1 1980 | UK6, UK7,G19,Sw5,G20,G21US | US17, US29, US30.US32 1 1 1 1 It4,F14,UK8,G22,G23 I 1 1 2 | G26 | US31.C12 1 1 3 | UK09,It5,F17,B2,G24,G25,G30| US35, US34, US38 1 1 4 I UK10, F16, F18, G27,G29 | US37.US39 1 1 5 | UK11, UK12,F19,F20,G28 1 Jap3 1 6 | F21,UK13,It6,It7 | CU '' 1 17 | US40,US4I,C13 1 1 8 | F25,UK14,UK15,UK16 1 Total j 79*** 1 1 49*** I 19 | 1 | t I | I 1 1 1 1 1 1 | 1 1 1 | 1 1 11 * Cholangiosarcoma ** Aerosol can filler *** Does not include the following who are still alive, so far as known: Frl5, 22, 23 & 24, G31 & 32, US33 & 36 Page 4 7 (Review date 1 January 1989) TABLE 7 ASL CASE NUMBERS BY YEAR OF FIRST EXPOSURE AND GEOGRAPHICAL LOCATION (EXCLUDING It.01) KEY | 1 1 1 EVENTS | | WESTERN EUROPE 1 NORTH AMERICA | REST OF WORLD | 11 1 1 11 1 1 1 1939 1 1 US24* 1 1 40 1 1 1 I 1 |Fr11 ,Fr16 1 21 1 C3.US27 I US13, US29.US40 1 1 1 3 |Fr14,Fr24*** 1 C2,US19.C11 1 1 4 IUK1,Fr23*** 1 5 | Sw2 I Cl ,C5,US5,US7,US28,US35 1 I C4,US3,US9,C12 1 1 6 |Fr1,Fr3,Sw4 I 7 | Sw3 1 8 |Fr9, Frl7 I C7,C9,US8,US11,US21,US31 1 | C6,US22,US26 1 1 US1 1 1 9 |Frl2,Fr4 I US12.US41 1 1 50 |Fr7,N1,UK8,UK9 1 1 |Swl,UK5,Fr20,G30 1 US16 1 US10, US32 |Y2, Cz2 1 1 2 | G3** 1 US4 1 1 3 |G15,It3,G26,G31*** 1 CIO, US37 1 4 |G7,G8,UK4,G19 | US18,US33*** 1 5 I Gil,G16,G18, Fr15*** I US2,US17,US20,US34 I Japl,Y1 |Y3 1 1 |G23,G28,G32*** 1 1 1 6 |FR10.G1,UK15 | US36*** 1 1 7 |Fr8,G4,It2,G2,UK12 | C13 | Cz 1 1 8 |Fr6,Bl,Fr22***,It7 1 US23 |Jap2,Y4 1 9 |Fr2,It4,Frl9,Fr21 1 1 1 60 |G5,G13,G25,G28,It6 I US39 1 1 1 |G9,G10,G12,G17,G20,G22 1 C8 1 2 |G6,UK6,G21,B2,G29,Fr25 | US6 1 1 1 3 IFrl3, UK7,Frl8,UK16 1 US38 1 1 4 I Sw5 1 US30 1 1 5 |Fr5,UK11 1 6 |UK3, UK10.UK14 1 I Jap3 1 1 7 | It5 1 ^' 1 1 8 IUK13 1 1 Viola 1 | 9 | G24 70 1 1 1 1 1 1 11 1 1 Maltoni 1 2I 31 |1 | Total 185 1 1 1 1 51 1 1 1 19 11 1 * Cholangiosarcoma (US24) ** Aerosol can filler (G3) *** Frl5, 22, 23 & 24, G31 & 32, US33 & 36 are still alive, so far as known WpX/ASL2 - LANGIOCASES.22 GENC 003378 Page 48 WPX/ASL2 - LAN3IOCASES,23 (Review date L January 1989) TABLE 8 WESTERN EUROPE FVC PRODUCERS - START-UP DATES vs ASL CASES (OMITTING 003 & It.01) ISTART-UPI COUNTRY NAME | OCMPANY NAME | YEAR 1 1 | 1931 |West Germany |BASF | LOCATION 1 ILudwigshafen | ASL CASE NUMBER | 1| 11 YEAR OF 1st Exposure I I 1 | 1933 ]West Germany |Wacker |Burghausen 11 I | 1938 |Italy IMontecatini |Acna | 1939 |France |Rhone-Poulenc/ | St Fons 1 IChloe/Atochem 1 |04,07,11,15,23,24|57,54,55,53,55,69,60,531 125,31,32 155 ( 11 1 103,09,10,11,14 115,16,17,23 146,48,56,41,43, 155,41,48,44 I 1 | 194Q |United Kingdom|ICI/EVC IRunoom (Closed 1948) 1 1 |United KingdomlICI/EVC |Hillhouse 101,04,12,16 144,54,57,63 1 | 1945 (Sweden (Kemamrd/Nobel (Sundsvall(Stockvik)(01,02,03,04,05 151,45,47,46,64 1 | 1946 |France |Rhone-Poulenc (Roussillon | 1948 |United Kingdom|BP Chem/ICI/EVC|Barry 101 146 |03,05,06,07,08,09|66,51,62,63,50,50 ! 1 II |West Germany |CWH/Hu1s 1 |Marl 110,11,13,14,15 166,65,68,66,56 109,10,26,29 161,61,53,62 1 1 | 1949 |Belgium |Solvay IJemeppe |01,02 158,62 1 | 1950 | France (PCUK/Atochem IBrignoud (02,04,05,06,12, 19|59,49,65,58,49,59, 1 11 1 120,24 151,43 1 | France |Rhone-Poulenc/ | St Auban 107,22 150,58 1 1 |Chloe/Atochem 1 11 1 |Holland | Shell lEtemis, Rotterdam 1 1 1 |Norway | Norsk IHeroya, Porsgrunn 101 150 1 I 1951 (Switzerland I 1952 | Italy ILonza/ICI/EVC (Sins | Montedison/ ITemi 1 107 1 158 1 1 1 IMoplefan 1 11 1 |Italy |Montedison/EVC |Fbrto Marghera 102,06 157,60 1 I 1953 I Austria IHalvic/Solvay IHallein 1 1 1 |France |Solvay ITavaux 108,13,18,25 157,63,63,62 1 I Italy (Solvay | Ferrara 103 153 1 |Spain |Rio Rodano IHemani 1 1 1 |United Kingdom|BXL/BIP/NORSK lAycliffe I West Germany (Hoechst IGendorf I 118 1 155 1 1 I 1954 |West Germany IDynamit | Troisdorf 11 1 1 1955 (Spain | Monsanto Iberia|Monzon 1 1956 |Spain ICaiqsa ISabinanigo 101,02,08,12,16, 17156,57,54,61,55,61, |19,20,2iV22,27, 30154,61,62,61,55,51 11 11 1 1 I 1 I |Hispavic/Solvay|Torrelavega 1 1958 I West Germany |Solvay |Rheinbetg 1 1 1 1 1 1 1 1960 |Italy |S C Raverma/EVCI Ravenna |04 159 1 I West Germany ILonza/ICI/EVC IWaldshut 106,13,28 ,162 60,60 1 1 1961 (Italy | Mootedison/EVC |Brindisi 1 1 1 1. 1962 I Portugal (Cires | Oporto 1 1 1 1 1965 |France I Italy |Rhone-POulenc IMontlucon IPozzi |Ferrandina 121 1 |59 1 ! 1 |Italy IRensac |Mira, Venice 105 167 1 (West Germany IWacker IGologne i 1 1 1 1966 IWfest Germany | Hoechst 1 1967 (France (Atochem (Khapsack(Frankfurt) 105* IBalan 1 160 1 1 1 |Spain |Greece 1 1968 |Belgium |Rio Rodano |Esso Pappas IBadiphil | Miranda de Ebro IDiavata Salonika I Antwerp 1 1 1 I 1 1 1 1 1 1 1969 |United Kingdom |Vinatex/Norsk (Staveley I 1 I Italy (Rumanica/EVC 1 Cagliari Sardina 1 1 SENC 00S3?? Page 49 Table 8 - Continued WESTERN EUROPE PVC PRODUCERS - START UP DATES vs ASL CASES (CMHTPC 003 & It.01) |START-UP| ODUNTEY NAME | OCMPANY NAME | LOCATION | YEAR 1 1 1970 I Italy 1 |SIR 1 |Porto Torres Sar | United Kingdom|ICI/EVC |Runcorn I 1971 | Spain | Hispavic/ Solvay | Hartorell I Sweden |Kemanord/Norsk |Stenungsund | United Kingdom 1 BP Chon IBaglan Bay 1 1972 | Finland I Pekerta | Svartback | Holland |DSM |Beek Limburg I 1976 IFrance |Soc Art D'vinyl | Maziqgarbe 1 |(CDF) | 1 1977 |Spain | Monsanto Iberia| Tarragona | 1982 IWfest Germany |ICI/EVC jvoslapp 1 | | Wilhelmshaven 1 ASL CASE NUMBER | 1! 11 11 11 11 I1 11 11 1I 11 11 11 11 YEAR OF 1st Exposure * Laboratory worker in Research Department v^ WPX/ASL2 - LA1GI0CASES,24 GENC 008380 Page 50 TABLE 9 (Review date 1 January 1989) USA PVC PRODUCERS - START-UP DATES vs ASL CASES |START-UP I COMPANY NAME 1 LOCATION | ASL CASE I YEAR OF | YEAR 1939? 1 |*UCC 1 | Dow 1 I S Charleston 1 1 Midland (made I NUMBER | 1st EXPOSURE 107,13,19,21,24, 144,42,43 ,46,39, 127,28,29,31,35 141,44,42 ,46,44 |1 | | I 1 I 1940? | *BFG 1 Saran copolymer) | 1 1 I Louisville 101,02,03,04,05, 148,55,45 ,52,44, | 1 1 106,09,16,17,22, 162,45,50 ,55,47, | 1 19.46 |*UCC/Dow ! 126,33,34,37,40 147,54,55 ,53,42 | 1 Texas City (Partially closed 1977) 1 1 1947 1948 | Goodyear | Firestone/ | Occidental 1 Niagara Falls 1 Pottstown 1 108,10,11,20,41 |46,51,46 ,55,49 |12 | 49 11 1 1 1 | Uniroyal 1 Painesville | 1 1 1 1950 | Monsanto ! (closed 1975) 1 Springfield | |32 1 151 1 1 I 1952 | Dow 1 (Closed 1975 | 1 Midland (No PVC since c 1975) 1 1 1 1 | BFG 1953 | Diamond/BFG 1 Avon Lake 1 Deer Park |18 | 154 1 1 1 1954 | General Tire/ ** 1 Ashtabula |36 156 1 | DiversiTech 1 (Closed 1984. Reopened 1986 by Vygen) 1 1956 | Air Products 1 Pensacola (Pace) | 1 1 | Atlantic Refining 1 Brooklyn(Closed late 1960s) | Borden 1 Leominster (Closed 1984) I 1 1 1 | Conoco 1 Hebronville (Closed 1975) 1 1 | BFG 1 Niagara | 1 1 | Great American 1 Fitchburg J 23 158 1 | Plastics | Hooker 1 (Closed 1983) | 1 Hicksville (Closed 1980-81) I 1 1 1 | Pantasote 1957 | Atlantic Tubing 1 Passaic(Closed 1984) 39 1 Cranston (Closed 1967) 160 1 1 1 | Tenneco/ 1 Flemington NJ |30 |59 1 | Occidental 1 (Closed 1985) | 1 1 1958 | Keysor Century 1 Saugus, Cal | 1 1 | Air Products 1 Calvert City(Paducah) 38 163 1 1 1 (Closed March 1982 Re-o'pened October 1983) 1 1960 | BFG 1 Long Beach, Cal (No PVC now. 1 1 1 1 Formerly shown as Watson) 1 1 | Borden I Illiopolis 1962 | Tenneco/Occidental! Burlington NJ | | 1 1 1 1 1963 | Conoco/Vista 1 Aberdeen, Miss ( 1 1 | Stauffer 1 Long Beach, Cal (Closed 1982) 1 1 1965 | Conoco/Olin 1 Assonet, Mass (Closed by Olin 1975) 1 1 Ethyl 1 Baton Rouge (Closed 1984) 1 1 1966 | Diamond/Georgia 1 Delaware City | 1 1 | Gulf 1 1 |Gen Tire/Pantasote 1 Mt Pleasant W Va |(Closed 1982) I 1 1 1 1967 | BFG 1 Henry,111 | I | Stauffer/Formosa 1 Delaware City (Sold to Formosa 1981) 1 Allied/Robintech/ 1 Painesville, 0. (No PVC made by Robintech. 1 1 1 I Georgia Pacific 1 GP converted to polystyrene) 1 1 | Hooker/Occidental 1 Burlington NJ | 1 1968 IFirestone/Occidental Perryville (Closed 1982) 1 GENC WPX/ASL2 - LANGIOCASES,25 Continued TABLE 9 (Continued) USA PVC PRODUCERS - START-UP DATES vs ASL CASES |START-UP| I YEAR 1 | 1969 1 I I 1971 1 I 1972 1 | 1973 1 1974" 1 I 1 | 1975 1 1 1 1 | 1979 1 1 | 1983 1 I 1986 1 COMPANY NAME BFG Goodyear/BFG Conoco/Vista Nat Starch Borden Atlantic Tubing/ Tallyrand Shintech Certain-teed Georgia Pacific/ Georgia Gulf Tenneco/Occidental Firestone/ Occidental Formosa Vygen ** LOCATION Pedricktown NJ 1 ASL CASE 1 NUMBER 1 Plaquemine 1 Oklahoma City Meredosia, 111 1 1 Springfield 1 Cranston RI (Closed 1982) 1 Freeport, Tex 1 Lake Charles Plaquemine, La 1 1 1 Pasadena, Tex 1 Addis (formerly shown as Plaquemine) 1 Point Comfort, Tex| Ashtabula, Ohio 1 | YEAR OF I 1st EXPOSURE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 * My databank has no information on UCC before 1946 or BEG before 1950 ** Refer to same plant at Ashtabula, bought by Vygen from DiversiTech. NB Some of the plants in this list were closed down, some have changed ownership over the years, some have changed their product. WPX/ASL2 - LANGIOCASES,26 GENC GQ83S2 (Review date 1 January 1989) TABLE 10 CANADIAN PVC PRODUCERS - START-UP DATES vs ASL CASES |START-UP| `| YEAR | COMPANY NAME I LOCATION 1 I ASL CASE | NUMBER | YEAR OF | 1st EXPOSURE 11 | 1943 1 Goodrich | Shawinigan |(1941?) 1 (Formerly Gulf) | 1 (Formerly Shawinigan Chemicals) 1 (Formerly Canadian Resins & Chemicals) 11 101,02,03,04,05 144,43,41,45,44, 106,07,08,09,10, 147,46,61,46,53 |11,12 I 43,45 11 1 1 11 1 1 11 j 1951 1 Monsanto | La Salle (Closed 1975) 1 1 1 11 1 1 11 | 1957 1 Goodrich | Welland (Niagara) 1 13 157 1 1 11 1 1 11 | 1966 1 Esso (Imperial Oil) | Sarnia 1 1 1 1 11 1 11 | 1979 1 Diamond Shamrock Alb/| Fort Saskatchewan 1 1 BF Goodrich | 1 I 1 1 Page 53 (Review date 1 January 1989) TABLE 11 EASTERN BLOC PVC FACTORIES - START-UP DATES vs ASL CASES START-UP | COUNTRY NAME I COMPANY NAME ' YEAR 1 1 Pre 1939 I East Germany (State Company 1941 |Russia | State Comps 1950 |Yugoslavia IJugo Vinil 1951 | Czechoslovakia |State Comps 1955 |East Germany |State Comps 1956 |Rumania (State Comps 1957 |Poland |State Comps |Rumania (State Comps 11 1958 |Rumania 1959 |Hungary 1961 |Ruma nia 1963 I Yugoslavia 1965 |Bulgaria 1 1967 |Poland \ 1969 IRussia 1970 (Rumania |Russia 1 1972 iYugoslavia (State Comps (State Comps | State Comps | Ohis |State Comps |State Comps |State Comps |State Comps | State Comps IVinilplastika 1975 |Czechoslovakia,| State Comps |Russia | State Comps 1 1976 (Yugoslavia 1 Hip 1 1977 |Rumania |State Comps I LOCATION 1 |Schopau I Vladimir et al |Split |Novaky (Bitterfeldt (Icechim (Osweicim (Dwory) |Tirnaveni |Turda |Risnov IBerente Borsod |Borzesti 1 Skopje |Varna |Tarnow I Dj erjinsk (Rimnicu Vilcea |Volgograd |Zadar |Neratovice IKalush Area (Pancevo IRimnicu Vilcea | ASL CASE I NUMBER 1 1 101,02,03,04 101,02 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I ( YEAR OF 1 1st Exposure 1 1 (53,50,54,58 157,50 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 GENC 008384 Page 54 TABLE 12 (Review date 1 January 1989) JAPANESE PVC PRODUCERS - START-UP DATES vs ASL CASES |START-UP | YEAR 1 1950 1 1 1 1951 1952 1 1 COMPANY NAME Chisso Corp Kanegafuchi Kag Tekkosha Mitsui Toatsu Mitsubishi Mon 1951 1955 1956 1 Sumitomo Kag 1 Denki Kagaku I Nippon Zeon 1 Toa Gosei 1 Ryo-Nichi 1 Nippon Zeon 1 Nisshin Kagaku 1957 1 Kureha Kasei 1960 1964 1966 1967 1 Shinetsu Kag 1 Denki Kagaku 1 Kanegafuchi Kag 1 Chisso Corp 1 Tokuyama Seksui 1 San Arrow Kagak 1968 1970 1 Sumitomo Kag 1 Ryo-Nichi 1 Shinetsu Kag 1 Chisso Corp 1 Denki Kagaku 1971 1973 1974 I Kanegafuchi Kag 1 Kawasaki Yuki 1 Mitsui Toatsu 1 Nissan Kagaku 1 Shinetsu Kag 1 Tekkosha 1 Asahi Glass 1 Toyo Soda 1 1975 1977 1 Central Kagaku 1 Toyo Soda 1 Unknown | LOCATION 1 | Minamata | Osaka | Sakata | Nagoya | Yokkaichi | Kikumoto | Shibukawa | Kambara | Tckushima | Uozu | Takoaka | Takeo | Nishiki | Naoetsu | Ohmi | Takasago | Chiba | Tokuyama | Tokuyama | Chiba | Mizushima | Tokuyama | Mizushima | Goi (Chiba) | Kashima | Kawasaki 1 Sakai | Chiba | Kashima | Yokkaichi | Hayatsuki | Sakata | Yokkaishi | Kawasaki | Yokkaichi | Kashima | ASL CASE | NUMBER 1 | 02 1 1 01, 03 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 ! 1 1 I 1 ! 1 1 1 1 1 YEAR OF 1 1st EXPOSURE 1 1 58 1 1 53, 65 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 ! 1 1 1 1 1 1 1 1 G'ENC 008385 Page 55 (Review date 1 January 1989) TABLE 13 SOUTH AND CENTRAL AMERICAN PVC PRODUCERS START-UP| YEAR 1953 1954 1 1 1 1955 1 1956 1 1960 1 1 1961 _ 1965 1 1 1966 1 1967 1 1 1968 1970 1 1 1 1971 1975 1976 1977 I I 1 1 1978 1 I 1 1979 1 COMPANY NAME Monsanto Mexica Policyd Geon Do Brazil Elchlor/Solvay Electrochlor Viplastic Indupa PET Columbiana Carburo De Col Plasticos Omega SOC Paramonga Primex Policasa Petro Dow Polimeros Mex Rico Chemicals Petroplas Indust Resistoc Huls Brasil Polychem Policyd PET Camacari | LOCATION I 1| | Lecheria (Mexico) 1 | Mexico City (Mexico) 1 | Sao Paulo (Brazil) 1 | Sao Caetano (Brazil) 1 ICapitan Bermudez(Argentina) 1 | Mendoz (Argentina) 1 | Cinco Saltos (Argentina) 1 | Cartagena (Colombia) | Medellin (Colombia) ! 1 | Mexico 1 | Paramonga (Peru) 1 | Puebla (Mexico) 1 | Managua (Nicaragua) | Conception (Chile) ! 1 | St Martin Puebla (Mexico) 1 | Guyanilla (Puerto Rico) 1 | EL Tablazo (Venezuela) 1 I Tlazcala (Mexico) 1 | Cubato (Brazil) 1 | El Salvador 1 | Coatzacoalcos (Mexico) 1 | Camacari Bahia (Brazil) ! ASL CASE NUMBER 1 YEAR OF [ 1 1st EXPOSURE | 1 1 1 1 1 1 1 ! 1 1 1 I 1 1 1 1 1 1 1 1 1 1 WPX/ASL2 - LANGIOCASES,30 GENC 008386 Page 56 (Review date 1 January 1989) TABLE 14 AUSTRALASIAN PVC PRODUCERS START-UP DATES START-UP |COMPANY NAME YEAR I I Mid 1950s | I 1960s | I (Late 1970s| ICI Australia B F Goodrich ICI Australia LOCATION Botany, Sydney Melbourne Laverton Melbourne ASL CASE NUMBER YEAR OF 1st EXPOSURE WPX/ASL2 - LANGIOCASES,31 GENC 008387 Page 57 (Review date 1 January 1989) TABLE 15 MIDDLE EASTERN PVC PRODUCERS START-UP DATES START-UP 1 COUNTRY NAME DATE 1 1 Sept 1986 1 Saudi Arabia 1 1 I 1 1 1 1 COMPANY NAME 1 11 LOCATION 11 | National Plastic |Arabian Petrochemical Company | Company |Madiant I (Ibn Hayan) IAl-Jubail 1 |Al-Sinahyah 11 11 11 WPX/ASL2 LANGIOCASES,32 GENC 008388 Mini ICl CHEMICALS & POLYMERS LIVER Ari|j; J ounrcoBJi Luauti 1 12 J COUNTRY AND |NAME OR REFERENCE NO |INITIALS J 3i i i GATE OF i BIRTH 1 i 4 COMPANY _L i5 i i i 6 FIRST VC 7 DATE OF 18 1 1 |ACE AT t9 |YEARS OF |EXPOSURE 10 | 1 i YEARS OF] 11 DATE OF 12 i n i i li ii H1ST0L0GICALIESTIHATEDI u 1 13 1 1 (OTHER \ 1 1 | i FACTORY EXPOSURE DIAGNOSIS!DIACNOSISITO EXPOSURE! DEATH i i (DIAGNOSIS! i CONFIRMATION!EXPOSURE (OCCUPATION |CAREER | (LEVEL | |HIGHLIGHTS! i _L _L_________i JL L 1! 11 * It OTHER COHMENTS 1 I I l i l i ill ill il i ill III Ilf III III III II I III III 111 111 i i ili ll i i i. i i j lI l t I III II I I II I i II I I II I I I III II I I II I I II I I ii i i i ii l i ii I i ii i i li l III I I IJ I I II I I II I I II I I III I II I I II I l II I i ii i ii ti ij it If || #I II II I| || If II ai T19 GENC v J3S9