Document byLZYx0Naa2Bdx7aj4L7w7NvD

Cross Pile - 'BRITANNICA V' See correspondence dated November 29 1955 from Dr. Morris Fishbein regarding this article, "PROGRESS TOWARD INDUSTRIAL HEALTH IN 1955", filed tinder Fishbein (in General Correspondence) i \ PROGRESS TOh'AKD IIuTJSTRB.1, HiCALTH III 1955 The investigation of the potential and actual hazards to tho health and well-being of tho people .who perform the work in indus trial -organizations continues to bo tho foundation on which tho structure of modern industrial medicine is being built. The in creasing volume of published reports of such investigations con ducted in laboratories and medioal groups within industry, in governmental agencies, in universities and in private research organizations testifies to tho growth of the armamentarium of preventive medicine in industry.. In view of the great bulk of the incomplete and unpublished work of this type, and especially because of obstacles of many hinds that delay and cornetines pro vent the publication of clinical, epidemiologic and toxicologic information, the appraisal of tho progress made u^thin^any calendar year is almost Impossible. Certainly this cannot be done in a realistic manner by singling out a few of the contributions to ( the year*a crop of scientific publications. The published material is tho principal tangible product, but in a relatively now field of scientific endeavor, the increase in the quantity and in the gen eral quality of the product is more likely to be a valid index of progress than is tho Individual contribution or discovery, unless the 3a tter Is of b uch epoch-making character as to require no unusual wisdom for its recognition. What is more to the point of these remarks, progress in a developing field of professional practice may be represented most significantly by the ripening 2- of a concept within the primary and ancillary groupe involved in the general discipline* whereby growing knowledge flows steadily and vigorously through the avenues of professional education into tho 'community or segment of the community that has boon prepared to give it application, The 'type of progress envisaged above is the outstanding char acteristic of the year 1955 in the field of industrial health. It has not come about within this on year, nor is it, in any sense, complete. Certain activities of recent years have taken definite form within the year, however, providing conventional landmarks which may not bo disregarded or taken lightly. Of those the most symbolic is the affiliation of Occupational Hedicin with Aviation Medicine and Public Health within the American Board of Preventive Medicine, which was approved at the last meeting of the American Medical Association in.Atlantic City in Juno. The significance of this affiliation lies not so ranch in the immediate event as in the manner of its accomplishment, the validity of the claim made by industrial physicians that occupational medicine is a specialised field of medical knowledge and practice, and the promise "which the accomplished fact holds for the future of the specialty. Behind the recognition of t h e .specialty by the Council on Modical Education and Hospitals of the American Medical Association, and by the Advisory Board for the Medical Specialties, lies the development of a sound core of professional training in a number of schools In this country and abroad, by means of which, more than by any other criteria, the nature and scope of occupational med icine ( c o m o n l y spoken of as industrial medicine in its limited application to industry, as differentiated from its general concern 3 with, the impact of loan's occupation upon his health) came to be . defined* Back of this training# too, lay the still crowing aware ness of industrial physicians and medical educators that the hygienic needs of our Indus urial society demand, for their satis faction, the application of a now brand of preventive medicine; that, without abandoning the disciplines and techniques of preven tive medicine which have served the community well in the era characterized largely by microbio tic threats to human health, there is urgent need to cultivate the new methods of a preventive medicine that will bring under control the hazards to health created by m a n 's applications of the physical sciences to his dally life, The palliative character of industrial medicine, in its earlier preoccupation with the treatment of the end results of human exposure to dangerous environmental conditions, and with its emphasis on disability and workmen's compensation, is giving way rapidly to the viewpoints and techniques of industrial hygiene, environmental appraisal and control, and rehabilitation. The . ultimate social and-economic consequences of this change in view^ ' point and strategy can only be imagined, but they begin to be appo rent The effects of the new orientation of industrial medicine, now potentiated by formal professional sanction, m a y be expected to find their way into general medical practice, by virtue of the growing demands made upon physicians generally to spend some part of their time in industrial practice, especially in small Indus tries. Approximately half of the American work force is employed h in such industries, and the almost uttor lack of preventive medicine within these thousands of establishments is on out standing problem of industrial and community health, American medicine has shown groat capacity for responding to clear calls to duty, and it is to be expected that the new knowledge of preventive medicine in industry will find expression and appli cation through appropriate empia sis on this aspect of the train ing and praetico of physicians, A hopeful sign of progress in this direction has been manifest in the consideration given to this subject in recent months in conferences of practicing phy sicians and medical educators. The recognition and the definition of occupational medicine as a specialised field of medical research, training and practice has even wider potential consequences, howover, than those sug- ' gosted above* It has been apparent, recently, that m o d e m Indus trial production and distribution have altered not only the envlronment in which the work of the world is done but also the physical basis of modern life, The hazards of Industry show them selves on streets and highways, and find their way into man*s ' food and water supplies and into the air he breathes, in the form of chemical contaminants! they invade the household as the machinery of comfort and convenience, and as chemicals that find a wide range of usage, The evidence for the reality of these hazards is eoen in the h igh incidence of fatal and disabling accidents, especially on the highways and in the home. In the latter connection, a now mechanism for the distribution of per tinent Information in emergency has come into existence, as a 5 sign of the times and also as a significant note of progress, in that "poison centers" have boon and ore being set up in a number of cities. Those are in readiness to convey to physicians the available information for the prompt handling of cases of acciden tal poisoning nox* so common, especially among small children.