Document gDpgkeorjV57LkvGrrJ3z5ddq
FILE NAME State of the Art Literature SAL DATE 1933 Sept
DOC SAL021
DOCUMENT DESCRIPTION PA Dept of Labor Bulletin - Asbestosis Parts 2 & 3
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT
DEPARTMENT OF LABOR AND INDUSTRY
}
RALPH M. BASHORE Secretary
|
.
i
Special Bulletins
,
No. 42
1
No.
+
ASBESTOSIS ASBESTOSIS ASBESTOSIS
Part II The Nature and Amount of Dust -
Encountered in Asbestos Fabricar-
q..
ing Plants
f
|
4
Part III The Effects of Exposure to Dusc
1
#
in
Fabricat-
Fabricat-
Encountered in Asbestos Fabricat-
ing Plants on the Health ofa Group
{
of Workers
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eee,
PETS SLES Sk
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BUREAU OF INDUSTRIAL STANDARDS
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.
JOHN CAMPBELL DireCLOT
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Harrisburg Pennsylvania
September 20 1933
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1.
PLIF
EX
FILED 11-14
re oe
CASE NO 80 - 4614
RICHARD P. BRINKER CLERK CIRCU ICOURL
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Sauer
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ee re es
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COMMONWEALTH OF PENNSYLVANIA an
danrcefet
DEPARTMENT OF LABOR AND INDUSTRY ~
edetenaayony
wk
eS
ee
at
oy
Set
Pore
e
eRe
Asbestosis
eR...
Part II The Nature and Amount of Dust
Encountered in Asbestos Fabricat
ing Plants
Part IIL The Effects of Exposure to Dust
Encountered in Asbestos Fabricat-
ing Plants on the Health of a Group
nt
ee
of Workers
s
ete
meg
eee
.
by
WILLIAM B. FULTON M. D. Chief of Industrial Hygiene
ee
ALLAN DOOLEY Chemist |
JULIA L. MATTHEWS PH D. Chemist
ery tn ROBERT L. HOUTH Chemist ak
cane
Be n
eee
oo
MT
zg ated
INDUSTRIAL HYGIENE SECTION SECTION SECTION SECTION
BUREAU OF INDUSTRIAL STANDARDS STANDARDS STANDARDS
~-e oer oe mee .
et
ee
~
ASBESTOSIS-
Encour
In 1934 the Der
wealth of Pennsyl
to the health of w
Pennsylvania Th
of the literature 3 the general subjec lack of information their cooperation include an evaluat gree of dustiness
agreement was : neither would be :
ings of any partic employes in this being recorded of the Depart~-neki
Asbestosis Itas
16 at the Charit in 1924 reported a dergrass 83 in 19 ers Since then o of asbestosis but 74 published the ers together with McConnell and F
report of a compr
The industry in
plants engaged in sulating tape asbe ucts According : there are approxim facture of asbestos
The nature of a procedures used fo accepted standard
ing and particle x report 41 the
countered in this s
* of dust take Dort Toma of 11 os
Quantiura Quantiura In This Erwerbsvan
11 VIT *** UTAD am DHW counting 1:00 at 16 wese Nity mibul Bibel Bibel mantadi 4 of weather up in HUCA
ASBESTOSIS II The Nature and Amount of Dust Encountered in Asbestos Fabricating Plants
INTRODUCTION
In 1934 the Department of Labor and Industry of the Commonwealth of Pennsylvania received a request for information relative to the health of workers employed in asbestos fabricating plants in Pennsylvania The Department had no data available and a review of the literature at that time revealed a scarcity of information on the general subject of asbestos pneumokoniosis Because of this lack of information the industries in the State were consulted and their cooperation was obtained to conduct a survey which would include an evaluation of the hazard from the standpoint of the degree of dustiness and the physical condition of the workers An
agreement was made with the employers and employes that
neither would be given specific information as to the physical find-
ings of any particular workman and that the original identity of all
employes in this study would be destroyed ase numbers only
being recorded All records obtained were to become the
of the Department of Labor and Industry
property
Asbestosis was first recognized clinically by Dr. H. M. Murray
16 at the Charing Cross Hospital London in 1900. Cooke 16 in 1924 reported a case of pulmonary asbestosis Pancoast and Pen-
dergrass 83 in 1926 examined group of seventeen asbestos work-
e Since then other investigators have reported individual cases
of asbestosis but it was not until 1930 that Merewether and Price
74 published the results of a study on a group of asbestos work-
ers together with some evaluation of the degree of exposure Lanza
McConnell and Fehnel 66 have recently published a preliminary
report of a comprehensive survey on this subject
preliminary
The industry in this State consists mainly of several
brake fabricating plants engaged in the making of asbestos cloth
lining in-
sulating tape asbestos rope and wick and other miscellaneous prod-
ucts According to the 1931 Pennsylvania Industrial Directory 61
there are approximately to thousand persons engaged in the
manu-
facture of asbestos products in Pennsylvania
be The nature of asbestos dust is such that many of the standard
procedures used for other dusts could not
used
Changes in the
required accepted standard method were
in the collection count-
of ing and particle size determination the dust In Part I of this
collection report +1 the method of
and counting of dust en-
countered in this study was described and summarized *
ber of dret lakro In plants for fabricating to
s mond
Investing
mum muMmilvitnu Milvitnu thed
ante ot the Psoria metho Log 6 Inis Zunifuva tte pestives tery veil
th TII Qtilizmi 40 the com
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TW collin P. P. ethyl Imanoi
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dy
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n of the D 11
It --...--InInT
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1x44 .. runad
A = 15828
MLB . 7
1451
1290 MLB 1451 1451 Seid remastant remastant Liter hu DQ6
1290
nueter
count a
TDI TDI
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LAY
ITM
LAY ITM of welber scrape in such a way bal the Suld a low ampager last us
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Preliminary to the collection of atmospheric dust samples in each
of the four plants included included in the survey general information was obtained concerning all phases of plant hygiene hygiene with special reference to the general plan of the factory , number and types of opera-
SatgnyOhwhe, tions ventilation of workrooms illumination etc.
The concentration of dust in a plant was determined for each
re
or department A complete study of each operation was
s
operation
made noting
in
detail
the nature
of
the work
approximate
time
re-
Pers
quired
for
each
operation
and
changes
in
the
process
so
that
samto
oo : ples collected would be representative of the actual exposure
dust
.
PROPERTIES OF ASBESTOS
gee
HOME The term Asbestos in its commercial sense is loosely applied to
EVENS cer of minerals with a number of divisions having in com
a group
more or less resistance to
mon fibrous structure , and possessing
om
the action of fire and acid The three mineral groups are
1. Anthophyllite- Sio
2. Amphibole or Hornblende of Fe Ca Mg
3. 3Mg0.2SiO 21,0
of asbestos asbestos ordinarily used in manufacturing are
The three types
Crocidolite blue asbestos and
chrysotile crocidolite and amosite of crocidolite crocidolite both belong to
amosite a yellow or brown variety The principal source of the
the
amphibole
or
homblende
group Rhodesia
South
Africa
Chryso-
latter two varietoifesthies saetrppernetsiennet group comprises the bulk about
tile a mineral of the asbestos of commerce
Only relatively small amounts
9 of 5 crocidolite and amosite are usedused in comparison to the quantity
of chrysotile source of chrysotile chrysotile is the Thetford region of Can-
principal The
miles south of Quebec The United States does
ada about forty
the domestic output being
not rank high as a producer producer of asbestos
cent
of
of
the
amount
used
in
its
asbestos
manu-
less than three per
No asbestos is mined in Pennsylvania
facturing industries
10
have
been
found
in
serpentine
quarries
small amounts
the
time
although from time to time
No attempt has ever ever been made to separate
serpentine
and Ver
asbestos from the serpentine in these quarries Arizona mont supply the bulk of asbestos mined in this country
TABLE TTRICAL AKALT OF CHRYSOTILI
Kample No. | Total X8O
Do
ef
ee,
3
30.04 bp ie
} 10.c
10.03 12.23
Q
Cc
32.33
4.17
60.17
a.
5
|
nr
12
at
!
t
} 73.20
\ 10.
1 14.
77700 |
14
|
pune {
Le
j
. (
pS
0.09 \
Lotea |
2.58
\
Abo
1.67%
.
1.4
0.00 a
=
1
| Comb
{
16.4%
|
34.50
| 16
i
117
|
Bess
i 14.00
\ 13.17
11.45
In the Canadian de eighth inch to six
serpentine rock The
lustrous color althou
filaments they are w
greasy and slippery to
a single fiber like cutt Chemically chrysor
small amounts of oxi
published analyses o they appear to vary b of chrysotile 95
does not exist as fre
bases in a complex workers breathing z analyzed petrographic
The chrysotile of : depending on the len separated and .
andiberized form M
mechanical crushing
aration of the fiber
is inch and longe up to 4 inch Mill length
The spinning qual length Consequent
from the crude fiber of textiles and in the
ter and cement
Preparation
gone no treatment (
from the Aber after
at the plant in bur
The ^...bersmust firs
ticles This operat
a preparing room are opened and dur
fiber is fed into rit
minutes These c radial axle and rev
is placed After %. ciently they are usually of the Sacr
open the fibers >
a rectangular shak
material and some from the screen by then ready for mix
. OCTO roelyere
FTC
Urho LaDOEBIOIT LaDOEBIOIT
oe
_
te ee ee
_:
ee oe
rZ
<_--
*
Est
a
samplesin
each
al information was
with special refer-
ASntdermined opeearcah- SStteerrmimniendedStermined
types of
Stermined
for
Each operation was proximate time re-
actual .
ons loosely applied to
having ons
in com-
.
ons
*
less
resistance
to
Groups are
if
if Fe Ca Mg
manufacturing are
blue (
asbestos and
e both belong to
al source of the
.
_ Africa Chryso- |
es the bulk about
ively small amounts
on to the quantity
ford region of Can-
1 United States does
imestic output being
: its asbestos manu-
ed in Pennsylvania
ee
serpentine i quarries
ere
ade to separate the
we Arizona and Ver.
country
+
1
5 110
!
:
r :
H
i
7
rd
Lem
|
_ }
en
|
3.56
{0
20 }
; Ce]
j
Cocb
HO 14.43 14.50 14.7 14
12.55 12.55 16.05
-
;
L
.
\
2.1
deposits In the Canadian
the chrysotile is found in veins from
cighth inch to six inches in length occurring as bandsin the serpentine rock The mineral is generally a dark to blackish
lustrous color although when the fibers are separated into fine
filaments they are white The fibers are very fine silky soft
greasy and slippery to the touch a single Gber like cotton or wool
They cannot be separated into
chrysotile Chemically
chrysotile is a hydrated silicate of magnesium with
small amounts of oxides of iron and aluminum There are many
published analyses of chrysotile from the Thetford region and
they appear to vary but little Table I gives eight typical analyses
of chrysotile 95 The silica shown in the analyses analyses in Table I
does not exist as free silica It is chanicily combined with the
bases in a complex molecule Samples of dust collected in the
workers breathing zone with the electric precipitator 30 were
analyzed petrographically and were found to contain no free silica
The chrysotile of commerce is classified in two general grades
depending on the length of the fibers Crude fiber consists of the
separated and selected material essentially in its native or
unfiberized form Mill fiber includes all grades that are obtained by
subsequent mechanical crushing of the rock and
mechanial
aration of the ^...ber Crude No. 1 consists of Sber whose
sep-
lengih is ... inch and longer Crude No.2 ranges in
from inch
length up to 4 such Mill fiber includes all fibers less than 34 inch in
length
primarily The spinning quality of asbestos fiber depends
on its
length Consequently the best grades of asbestos textiles are made
from the crude fiber The shorter fibersare usedin cheaper grades
of textiles and in the manufacture of asbestos shingies paper pias-
ter and cement \
DESCRIPTION
DESCRIPTION OF PROCESS
Preparation fiber as received from the mines has under-
gone no treatment other than hammering to remove the rock
from the fiber after which it is sorted and screened It is esived
at the plant in burlap bags each containing one hundred pounds
be The fibers must first
separated and loosened to remove rick par-
This
is done in what is known to the industry as
ticles operation a preparing room A number of
sufficient for one batch
bags are opened and dumped on the floor of the preparing room The fiber is fed into wheel crashers and crushed for about fifteen
minutes These crushers have two heavy rollers attached to a
radial axle and revolve on a smooth surface on which the asbestos
is placed
After the fibers have been crushed and loosened su ae
ciently they are fed into the hopper of an opener or ^...berizer usually of the Lowell type This operation serves to further
material pieces lifted open the fibers From the opener the asbestos is
discharged rectangular shaker screen where small
of stone
foreign and some of the dust are removed
The asbestos is
onto
to from the screen by air suction and conveyed
storage bies It is
then ready for miding with cotton
* Petrographic chalpies of samping meme rondineted by Dr. A. 2. Dory of the ac ]
Hygiene Laboratory sementara Department al LAINT 1nd incosty
5
gee
wn
OV
.
.
GBA
Mill fiber because of the mechanical crushing and separation given it at the mine does not require the preliminary processing in
the wheel crushers as does the crude fiber The mill fiber is
Awe fed directly into the Lowell opener and from then on is given the same treatment as the crude fiber
Asbestos fibers when emmined microscopically do not possess
ATEN the rough imbricated surfaces of other fibers such as wool They resemble fine polished metal rods free from any serrated surfaces This characteristic explains the extreme difficuity encountered in
attempting to spin a thread of pure asbestos ^ certain amount
oes of cotton must be added as a binden for spinning The amount
added depends on the type of fiber and the use for which the finished
product is intended Table II shows the average amount of asbes-
yaa tos used in the manufacture of products made in the four plants
6 included in this survey
.
So,
OTB TABLE PERCENTAGES OF ASBESTOR EN VARIOUS ASBESTOS PRODUCTS .
oH.
Xaterial Xaterial
. |
Pines
ry
| Piso Piss
8
a
Plast D
Arakning Arakning VOTES
|
w%e
|
| Te |
Oe
Immolating tape
i
=
|
|
w@
| mS
Asbestos ciola
1 , tee
3
,
10-100
wt
Commercial grade yara
!
~
bs |
|
-
| Tico
te
Govt Specif yarn and cloth
ee
ee ee
ee
+: | Asbestos rope and vit
i ge
wm
|
we ! Tarm and cioth Couerweiters Spre ee
| as
|
-
-
sm
_ Asbestos cementcemeente
;
-
|
w~
| |
-
ST
Bratening Bratening moided
:
_
|
~
|
t
~
re
Asbestos paper
a
13 ma^oesia insation
es J.
ee
ee
ee
ee
{
is
a dstestos stat stat lowber
' - tow \ =
-
Copied from information scapped or the mufactures
_
che
one
oa
agin.
a emtidare
nN
e
Weighed quantities of asbestos and cotton and usually
some small amounts of card waste are duraped in alternate layers
room front in a pile on the floor of the mixing
directly in
of the
The is mixing picker
batch is shoveled into the picker which
beaters equipped with revolving
In order to secure thorough mix-
ing the batch is run through
two pickers arranged in series
the same picker twice or through
The mixture is removed by suction
to the storage bins to await carding
soe,
Carding is necessary to remove the remaining small
bits of rock and to comb the fibers into a more or less parallel con-
is dition so that they may be spun A card a machine with a series
of revolving cylinders covered with strips of leather wound di-
bristles agonally and fitted with fine close sharp steel
A card-
ing unit as used in asbestos plants usually consists of two cards
the breaker and the inisher The mixture of asbestos and cotton
e
6
er
we
ge
6
@oant.
mmr eo
=
meter
Ge
te
ek ee
Ante
ane
em
ab
nee
ed
On
Ee
RL
e
ee oo
epee
ee
Oat nc
emr.
ae
mee
ee
ee
Cet
Dews
e
ee
a
is wheeled in hand tr
into the feed hopper volving cylinders of
loose blanket or we
through ninety degre
finisher card The fi finisher onto a movin
scrapers or rubbers e unspun yarn These
taken to the spinning The rovings at the
spinning purposes ber are gathered up as co
sequent onerations rT is shredded and adde
Some cards are des
corporated into the n practice yields a stro
In the manufacture
used The rope and are thicker than yarn
ficient Generaily a
manufacture is used .
Spinning uns necessarily have no
is necessary to twist
strength This spinn
or on a machine calle
all the spinning wa plants had spinning -
The mules had ire
dred and fity spine
which is made to m from the cards are m
fastened to the spir spools a maximum
are unwound The
slight twist to the : point of greatest res yam spun When carriage moves back ing the spun yarn
spindles The oper fully wound with su
The duties of the the mule when they anspun rovings as
constant vigilence |
Subscquent Oper
transferred to a po
ply yarn on other
ranster of the yarn
oan - LY
rr.
ng and separation
+ Juary processing in ~ In The mill fiber is
_ . In then on is given
y do not possess
~
thas wool They
- 2% serrated surfaces
My * escountered in
A certain amount
Eng The amount
.* which the finished
En.the amount of asbesEEn.the n.the four plants
searo
.wweOTOs PRODUCTS
a
F Tiaes MaDnt
i
7 1 wa.(| om,
:
was
~
| | -
5100
.
an
(=
eS ek
.
*
=
Tt
nd a
bones
. e
a
aS
s
e
o
otton and usually
alternate layers ly in front of the * picker which is are thorough mix-
twice or through moved by suction
i remaining small
5. less parallel conthine with series
Father wound di-
bristles A card-
fins of two cards
-".
Destos and cotton
t
4
3
.
ee
7
eo
eee
apt
oe
awe
os
-
ae
ie
tewsOe
is wheeled in hand trucks from the storage bins and fed by hand
teem into the feed hopper of the breaker card It is passed over the re-
tee volving cylinders of the breaker card emerging in the form of a
Ow
loase bianket or web The direction of flow is then changed
mm
through ninety degrees It next passes over a camel into the
10
finisher ard The fiber is stripped from the last cylinder of the
ee finisher onto a moving leather apron where a set of reciprocating reciprocating
scrapers or rubbers condenses it into loose rovings or slivers of
anspoa yara These rovings are wound on long Jack spools to be
taken to the spinning department
:
The rovings at the extreme ends of the cards cannot be used for spinning purposes because of their lack of uniform thickness These are gathered up as card waste and together with waste froin sub-
sequent operations returned to the preparing mom where the waste
is shredded and added to later hatches
Some cards are designed so that a fine cotton thread may be incorporated into the rovings as they are dat ed from the card This
practice fields a stronger roving
In
the manufacture
of
asbestos
rove
and
wick
only
one
card
.
is
used The rope and wick rovings which are not subsequently spun
are thicker than yarn rovings Hence one carding operation is sn^>-
ficient Generally a fiber of shorter staple than that used in textile
manufacture is used for making rope and wick
-
Spinning unspun rovings as they are doifed from the cards
em necessarily have no twist and therefore little tensile strength It is necessary to twist or spin these rovings to impart the desired
strength This spinning may be done either on ring spinning frames
or on a machine called a muie
all the spinning was done by
In the plants includieri in this study the latter method Several of the
plants had spinning frames but they were not in operation
. The males had from two hundred and sixty to possibly Ave hun-
dred
_
and
fiity
spindles
mounted
in
a
straight
line
on
a
carriage
which is made to move forward and backward The Jack spools
from the cards are mounted on the mule and the ends of the rovings
fastened to the spindles As the spindles recede from the Jack
spools a maximum distance of about four inches the rovings
are unwound The spindles turn slowly as they recede to give a
slight twist to the rovings When the spindles have reached the
point of greatest recession they are turned very rapidly and the
yam spen When sufficient twisting has been done the spindle
carriage moves back arrain in the direction of the Jack spools caus-
ing the span yara about fifty incises to be wound on the
spindles The operation is then repeated until the spindles are
fully wound with single yarn
The daties of the mule spinner are to remove the spindles from
the mule when they are filled and to tie the broken ends of the unspun rovings as the spindles recede This last operation requires
constant vigilence because the rovings are continually breaking
Subset Operations spindles from the mules are next
transferred to a spooling or winding machine to rewind the single-
ply yara on other types of spools This is simply a mechanical
transfer of the yarn
T
.
| -
pe
Semn,
+
+
of
Pedqvubagncwsytey ee os ee
Lt
4,
These spools are next taken to a twisting machine where two or
three of the single threads are twisted into one thread For
the manufacture of brake lining or packing the yarn may be reinforced with a fine metallic wire This addition is performed during the twisting operation The tristed yarn is finally wound on
paner spools about six inches long
.
The twisted yarn may be sold as much to other manufacturers or
it may be woven into cloth tape or brake lining or braided in the
same plant
rey ory oe
i ey.
Weaving is done on looms in a similar manner to the wearing method employed in weaving wool cotton or silk In the
of asbestos tape intended for electrical insulation single yarn
with a very low cotton content is used Most tape looms are con-
se lip rad structed so that as many as twelve pieces may be woven at the
ed
"
same time It is the usual practice in weaving asbestos tape to wet
seteye the bobbins or cops with water before waving The warp is
re
kept dry
insulating
ee
~ Cloth is woven in much the same way as insulating tape Tivo
seat
or three yarn is used Sometimes the vara is reinforced with
Sre metallic wires generally brass or copper Either or both the warp
and fill are dry or moistened with water depending on the use for
var
which the cloth is intended
Pr
\~
_ Brake lining is woven on looms in the same manner as tape As many as eight pieces may be woven on one loom at the same time
It may be woven dry or wet or with the warp impregnated with a
done solution This solution is generally a suspension of gilsonite
in asoline to which other ingredients may be added
Final operations in the manufacture of woven textiles consist of
calendering inspecting and winding of the products These opera. tions are all mechanical ones and require no description
Gasket Making of the important uses of asbestos cioth is
in the manufacture of ring gaskets In this process the asbestos
cloth is spread on the floor and impregnated with a solution of rub-
ber in gasoline to which has been added barytes and other pigments The treated asbestos cloth is cut into strips of pre-
determined size and the gaskets formed by hand coated with soapstone calendered and packed for
They are shipment
then An
inexpensive gasket and packing is made by twisting thick rovings into asbestos wick and repe Still other types of packings are made
by braiding asbestos yarn on specially designed machines
.
OTHER PROCESSES
sages
oN
ay aesne
Per et
Other products containing asbestos are made in some of the plants included in this survey These products include asbestos paper in-
sulation for steam pipes asbestos cements shingles lumber molded
brake lining and cold moided asbestos articies generally electrical fittings and household appliances The ^...berused for these purposes is of short staple The percentages of asbestos used in these ar-
.
ticles is indicated in Table IL
8
.
~ '
s
- lL
.
|
|
i
;
{
i
;
i
i
;
|
:
l
|
;
i
i
:
,
P.A
particles Cooke Hill
found
Hill (
sixty
particles in th
microns average microns in leng
average length length
particle
were
size
measure
Methods of Partic three general methuki
particles
meth
micrometer inserted
made by moving the
to determine the diar
The second metho
55 to determine th
since been applied to
dustrial dusts In th
of the sample are ma
by a stereoptican or images are measured
readings me With the third me
slide and the image
projection app
method is the one usi
more fully in a later p
Nature
ricating Nature of Asbestos
three plants is now
three ; types types fibers and
particles
cotton fibe
I
|
;
.
|
|
|
|
|
LL
;
FIGURE
PLANT
ry 5.
<=
wot mY
ote es
aside ya mayr bem re-
ovis performed dur-
thvas inally wound on
manufacturers wv a
Lo Mote
or
^rbraided in the
-
Sa In the wearing
Sa single yarn
pe looms are con-
a be woven at the
-
s4 tos tape to wrt
ing The warp is
Singe Singe
Singe is reinforced reinforced reinforced with with
+ or both the warp
fing on the use in
-Taner as tape As
co at the same time pregnated with a
asion of gilsonite
;
ed
texables consist of
cots, These opera-
Ciption
.
If asbestos cloth is
xess the asbestos
a solution of rab-
as and other piginto strips of pre-
-They are then
for shipment An
sing thick rovings
: packings are made
machines.
Py
re
plants Cory
oS some
jasbestos
of
the
jasbestos paper inies lumber molded
Sommerally electrical # for these purposes
7 used in the e ar-
e p
PARTICLE
ae
yal t.
PARTICLE SIZE DETERMINATION
:
Cooke and Hill 22 in autopsies of asbestos workers have found particles in the lungs measuring up to three hundred and sixty microns in length Accordingly in the determination of the
average particle size of asbestos dust all fibers irrespective of length were measured ..
.
Methods of Particle Size Determination recent years
three general methoxis have been used for measuring the size of
particles One method a direct one involves the use of the filar
micrometer inserted in a microscope tube measurements being
made by moving the micrometer adjustment and reading the vernier
to determine the diameter of the particies
The second method an indirect one was introduced by Green 55 to determine the size of paint and rubber pigments It has
since been applied to the measurement of the average size of in-
dustrial dusts In this method an indirect one photomicrographs of the sample are made on lantern slides which are then projected
by a stereoptican on a screen at a known magnification The
images are measured and the average size calculated from these
readings
third
With the third method the dust is collected on a microscope
slide and the images projected on a ground screen with a
projection apparatus and measurements made This latter
method is the one used in the present study and will be describedi
more fully in a later paragraph
Nature of Asbestos Dust dust encountered in asbestos fab-
ricating plants is uniform in nature It is seen to consist of
three types particles more or less spherical in shape elongated
Sibers and cotton fibers Figure is photomicrograph of duspro-
are
ee
oe oe
sty
FIGURE 1. PHOTOMICROGRAPH OF
FROM
AN - ASBESTOS
CUST
PLANT
MAGNIFICATION
FABRICA
600 600
.
CIAMETERS
9
aay
6 omens tee.
ey,pet
50d
Bing
mud
ver
o .
anags
duced when processing mill fiber
noted
-
.
The three types can readily .
dust average par- Because of the uniformity of this type of
tiele size was determined in two dimensons one at right angles to the other Measurements were made of the longest diameters which were termed longitudinal diameters and a second set of
measurements were made at right angles to the first which were
termed transverse diameters
t + dersel
trite
cbonginv
ens
games
ee
(a ee
per
sb
Method of Collection for the determination of particle
size were collected by the use of the electric precipitator 30 This method yielded samples that were satisfactory for direct micro-
projection and measurement the sample were necessary
__
No intermediate steps for preparing
The precipitator employed was designed on the principle of the
Cottrell precipitator The air was drawn through the precipitating tube by a small rotary fan driven by a motor the rate of flow being
measured by a flowmeter The rate of sampling was one cubic foot
23.3 liters per minute The precipitating tube was made of Pyrex
glass with an inside diameter of 2.4 cm A number 1 microscope
- Cover slip 22 by 70 mm in size was placed in the precipitating tube
directly beneath the central electrode The dust in the air was
deposited electrically on this cover slip When a representative sample had been precipitated the cover glass was removed and mounted dry on a microscope slide A total of sixteen samples was collected at various operations all being taken in the breathing zone
of the workers :
Measurement projection apparatus with the microscope
arranged in a horizontal position was used Apochromatic obje~ tives 8 mm and 2 mm and a 10x compensating eyepiece were employed This system practically eliminated color fringes gave a fat field furnished maximum light intensity and permitted the measurement of the long fibers -
The images were projected on a ground screen at a pre-
determined distance from the microscope This screen was ruled in centimeter squares to facilitate measuring A transparent rule was used and the size of the projected images recorded in millimeters Accurate focusing on each individual particle before meas-
uring was accomplished by a remote control attached to the fine
^' adjustment of the microscope by a mechanical sleeve
Predetermined magnifications of 2000 and 10.000 were used de-
pending on the objective Measurements were made according to the method suggested by H. L. Green 56 Using the 8 mm obPy jective magnification 2000 the longest diameters of two hundred
particles were measured all lengths less than ten millimeters five
microns being neglected The number of fields examined was also
3 recorded An equal number of particles was measured using the
2 mm objective magnification 10,000 and all particles fifty milli-
meters five microns and over were disregarded Again the num-
Gee
ber of fields examined was recorded These measurements were
Aire used to calculate the average longitudinal diameter of the sample
Ay The method of calculation is shown in Table III For the calcula-
eed tion of the average transverse diameter the same procedure was
10
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longest diametes
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Results the dust collected but no
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the
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4
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rticle
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milli- millimeas-
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stated stated
to
the
Sne
CTL CTL
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300 were used de-
according
made according to oh-
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ers of two hundred
7 millimeters five
mined was also Measured using the is fifty inilli-
1. Again the nuin-
nascements were
For of the sample
For For the calcula-
procedure was
:
e followed with measurements being made ^/t right angles to the
longest diameters
ee TABLE 7AMPLE OF NATION URED IN THE CALCULATION OF
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Particle size determinations were made on samples ci
the dust collected at various stages in the process of manuiscture
but no appreciable variation was found However there was 2 marked dierencein the average particic diameter of the dust from the two general graces of asbestos ^...ber The calculated loug
11
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seul
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10
30
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99
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e tER
SIZE FREQUENCY CURVES FOR DUST
RICATING PLANTS SHOWING PERCENTAGE
NE LONGITUDINAL
LONGITUDINAL DIAMETER
CRUCE
ATE DIAMETR CIAMETER
MILL FIBER - TRANSVERSE
AND TRANSVERSE
AE
\ 12
rom
G
tudinal diameter of t
10
microns while that
diameters were 0.00
liber respectively T
dred and two micron
The percentage fr
determined for longi
shows these values
paper
The difference in amination of Table 1 ten microns or more
dust occurred within dust was 03 microns fiber dust fell within
TABLE IT SEI
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a
S208 :: ee: I
wo eS
som bee
15.0
42 wad
et
ores
ne
All samples were er Smith impinger 58 hoi as collecting
the method describes
were counted regardi
greatest diameter ave
the total The GUST
in Table V.
.
e
e,
\ Be
ee
Por
e a
Ni!
J
. .
ft
fe
es
en
e ve
STATED SIZE
tudinal
diameter of
the dust
from
crude
fiber was
found
to
be
212
,
microns while that of fiber was 1.35 microns Transverse
diameters were 0.60 microns and 0.45 microns for crude and mill
fiber respectively The longest liber observed measured four hun
dred and two microns
The percentage frequencies of the various particles were
determined for longitudinal and transverse dimensions Figure 2 shows these values plotted on Hazen's logarithmic probability
-
paper
The difference in the two types of dust is further shown by ex-
amination of Table IV Three per cent of the crude fiber dust wOS
ten microns or more in length while only 17 of the mill Aber
dust occurred within these limits Twenty per cent of the mill fiber
dust was 0.5.microns or less in length while only 16 of the crude
fiber dust fell within this range
.
TABLE 1V SUZE FREQUENCT DISTRUCTION OF ASBESTOS DUST
Sse Group in Micros
Under 0.4
05-6.09
1.0-1.49 1.0-1.49
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L ont. 29
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DUST CONCENTRATIONS IN THE PLANTS
All samples were collected by the modified form of the Greenburg-
P. Smith impinger 53 using ninety per cent U. ethyl alco-
hol as the collecting medium Dust counts were made according to
the method described in Part I of this report 41 All particles
were counted regardless of size Particles less than ten microns in greatest diameter averaged approximately ninety per cent of the total The dust counts for the different operations are shown
in Table V.
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twes eue -_ Ocupalon (Rie cove ersis im wes Number Number Number ad a1) .
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dataples
dataples
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poewnioqypiad irew Blinker Up seoFwe dling Fedling Fedling Fedling Bervtilga BervtiBlegarevtilBiegraevtiliga jalo } Blinker Fiber woe wev Lesc erce ense tre ers one core mm oe oreo wot 10.2 esce ores
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oe Hepelting Hepelting Hepelting Heplting wrk at at bark barkv ford -B108 ) Fiber Fiber oe - ee .- se .
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OPIVUQNG | Ayden Houlding que2q ray
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warp
warp
and wickand
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parking parking
lucht
- 7
beamsbeamsCE etr core
wer
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ty ttl (UP
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tublag
tublag Aig) wed MheE
doe renr
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dun MER
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ee
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(Sopeda) Rr1Ay
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Pwop:sedBSER 7r>CEweHn ons
wo
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ala 5tPthuyPes
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oye &
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ee
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ee
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e
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go me qed
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te
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ze g07 ER me Pe
lbaceEc EBRagyle Gore dbasaeley,shiga eae CRP Pay te
6
Le
re
E
ge
eophecRdayewf 24.0 Me
Sue s og o e
erate
A.X 6 ele eg
Goes See2 ae fa. 7.6.7.8 we
} [-
b
te
10.6
PEAR uew em
iM
GCfar
yeuQv.e BeSeoom
PlOonvawgis Ge rue
j
ESee
RL
az"hsueo
EauoewGPekclaw .BSCE boy yet ee Yuooeh" re se
oe& iOpo.
me
Lo ean
ev
he EF 5 Sh
e
Me
ier we
Sia e.9
2G fa OCR
ensryty we
&
G
eosA_SULA me
oy nEO
oubgy nyeges nguyeuse. EeseeRows EGE 'g:8 e
re
~
2P a
BE
oy es
eEr wesSeon YINe? ry! e
fi &&Ge FEts 3 bFsy: 0Abe
opener in
asbesto
. sewer ee
se ae yr r oa ne ee Siea
ce
Ser ieithf eo tstie nbaedrindeeht.
me
.
ed
wc
zee.
Deas
e rea t ere + eWT e wOHr!e
a
oa
|
ee. was made from crude No. 1 fiber In plant D. when lowest grade oone
tet
mix was fed into the picker the concentration was 847
ee
eye
Carding marked difference in the total dust count in the
carding operation as the result of using different grades of asbestos
e SLD
will again be seen When the crude fiber mixture is being carded
for the manufacture of electrical insulating tape a concentration of
tae
WES Ll was noted The mixture for cheaper grades of yarn such as
e Add
that used for weaving brake lining is generally made from mill
fiber The concentrations of the dust when mill fiber was being
Late
yf
carded were 23.4 24.3 29.5 and 80.0 The samples were collected
biteng e in card rooms of various plants
Ce
ga
-
Sos
Occasionally the loose web of asbestos and cotton as it emerges
ee - from the breaker card and passes over the camel becomes
broken It is then the duty of the operatotro go to the rear of
can the card and repair the broken web the task requiring approxi
mately half hour per day It was found in one plant that the
anal
employee was exposed to a concentration of 575 during this time
heel
while during the remainder of the day he was exposed to a coa-
Oh
centration of 24.3
At intervals it is necessary to shut down the card and clean or
strip the rolls This is done by scraping them with a hand which is a brush covered with strips of card cloth The cylinders
are slowly turned by hand at the same time The dust concentration during this operation was 5.5 Sometimes the roils are cleaned while they are being turned at the castomary carding speed The Employes stated that this was a very dusty operation but it was impossible to obtain samples during this procedure
Weaving concentration of dust in weaving is dependent on many factors but principally upon the following 1 quality of the warp and fill being used 2 whether weaving is done dry or wet 3 conditions of ventilation and 4 nature of the finished product
- The influence of the first factor is shown in the weaving of insulating tape and brake lining in plant C. A concentration of 69 was associated with the weaving of tape made from crude fiber In the weaving of brake lining made from mill fiber the count was 27.1 In both of these operations the warp was dry and the fill wet
e As pointed out in the description of the weaving process page 3
weaving may be done either with the yarn dry or moistened with
ome water The presence of moisture materially decreases the con-
centration of the dust For example in the wet weaving of brake
lining the concentration is 6.1 but when it is woven dry the count
increases to 27.0
The effect of ventilation is shown in the weaving of cloth in plant D. In this plant ordinary electric fans were located just back oi the weavers so that dust generated in the process would be blown away from the worker's breathing zone When the fans were operating the concentration of dust in dry weaving of cloth forty inches wide was 99. When the fans were turned off the figure
rose to 33.3
The fourth factor nature of the finished product also influences the degree of dustiness Thus the average concentration
16
countered in weavi
and of brake lining
The looms in tim moved periodically
with a flexible rubl
the time required During this operati
Spinning ou depends on the typ yam ^ count of
from crude fiber for
from a high grade o
dust associated wit
cheapest grade mai the muie spinning in
to which the mule
ail operations from
same room Conse centration is due ta
Other Operations the production of a
tions of dust assoc
plant A this was for ascribed to winding performed in the sa figure of 24 was for figure increased to
Warping is a mo spools or warp bes
dust the concentrat
Dust C
In addition to t
plants manufacture was considerably 1 products included <
asbestos cements s bestos paper which ^...ber Determinati some of these oper
This survey was tos dust but other hazards were found
gasket and molded
room and lead con
the finishing asbest are lacquer solvent
tations
Sd
ee
in e o
the lowest grade
525 84.7
woe
dust count in the
grades of asbestos
re is being carded
a concentration of
wr of yarn such as
made from mill
11
11 fiber was being
^ leswere collected
4
_-
ton as it emerges
Anel becomes
i go to the rear of
requiring approxijone plant that the
jone during this time
exposed to a con-
ard and clean or
1th
with a hand
1th The cylinders
he dust concentra-
~ eroils are cleaned
(ing speed The ion but it was
& -
ng is dependent on ng 1 quality of the he done dry or wet he finished product the weaving of inConcentration of 69 ( from crude fiber
iber iber the count was
jay and the fil wet
me 18 process page $
or moistened with
decreases the con- mm
: weaving of brake loven dry the count
ing of cloth in plant cated just back of
Res would be blown
Men the fans were iving of cloth forty
med of the Sigure
fuct also influences concentration en-
countered in weaving insulating tape was 10.5 that of
213
cloth 213
and of brake lining 23.0-
The looms in time accumulate a great deal of lint This
moved periodically generally once a week by beating the with a flexible rubber paddle Each weaver cleans his own the time required being approximately half hour per During this operation the dust concentration was 74.1
is refoo loom week
Spinning concentration of dust in the mule spinning room
depends
depends on the type of asbestos fiber used in the making of the yam A count of 2.1 existed during the spinning of yarn made from crude fiber for the weaving of insulating tape A yam made
from a high grade of mill fiber produced a concentration of 5.5 The dust associated with the spinning of commercial grade yarn the
cheapest grade made was found to be 132 These figures are for the mule spinning in plant B. In plant A the average concentration to which the mule spinners were exposed was 23.0 In this plant all operations from preparing to weaving were carried on in the same room Consequently it is impossible to state that this con-
centration is due to mule spinning aione
Other Operations minor mechanical operations necessary in the production of asbestos textiles have relatively small concentra-
tions of dust associated with them In the winding operation in
plant A this was found to be 8.0 Again this number cannot all be ascribed to winding because of the fact that all operations were
performed in the same room In plant B. in the twisting room a figure of 2.4 was found associated with twisting two yam This figure increased to 4.0 when yarn was twisted three
Warping is a mechanical transfer of the twisted yarn to
spools or warp beams for the looms
gives It
rise
to
very
very
dust the concentration being 1.0
large little
DUST CONCENTRATIONS IN OTHER Processes
In addition to the fabrication of asbestos textiles one of the
plants manufactured other products in which the amount of asbestos was considerably less than the amount used in textiles These
products
included 85 magnesia
insulation
moided
brake
lining lining
asbestos cements shingles lumber and tile One plant made as-
bestos paper which contains ninety per cent of staple mill
fiber Determinations of the dust concentrations were made at
some of these operations The results are shown in Table VII
HAZARDS
OTHER POTENTIAL HAZARDS
This survey was concerned only with the hazard causedcaused by artestos dust but other materials that must be considered hazards were found These materials are gasoline and benzol gasket and molded brake lining departments tale dust in the gasket room and lead compounds in the rubber mixing department the finishing asbestos lumber and tile additional potential
are lacquer solvents and sand from the grinding and polishing op-
erations
4
Aer
-
oN
1.
TABLE YH
KUENTOSOF MISCELLANEOUS OPERATIONS IN AN
DEST COICOMTRATIONS COICOMTRATIONS
PLANT
ranrwn
eA
coule ato
yap
OED
TRAE
CAE ME
Om
y
Soe
Departstrm
Paper a
HungHungr r plans^
:
23 23
b
.
cata
Poans
.
Oversee .
.
| H>
H
| H
H
|
'
tration
Millions
ofof
parties pet roble 100s of Al
Cringsbestos Cringsbestos mit Ther
Hazing wil wil ^...ber
'
Sawing up up up CITIE
Navingtei Navingtei lembr Saung ber ber
Boek
tile
Grooming bathroom the Dusting the paint Fray
booth
opens: :
ed
Jong bar with Dagderla Aboveting sa Depile Depile Dann barters into MIST
Sremoe Mine Ferung Insulation into reLIKIDET Removing nalation from trimmer 201E pas KN32sq SEEN
Grabescos Grabescos Grabescos paper cisten
Driling paper cute tactors
p
oe
ed :
,
$ i 03-166.1 03-166.1
H 1
3
H
30.6
pay)
a
3.3
2
Y.e=-3
p= 2
Spee)
a
34.7
t |
} ;
|
a
'
3 :
2 :
\
or
241
|
1. $
: :
WHIMS .
1.1-1.3 05.0
63.6-4127
63.6-4127
ins
ae
rOe
.
soe
7. -e
.
.
aL
Me
id
a
e
wipe
earners
at
~N resnted
r
o.oo
.
.
ASBESTOSIS Escountered in A
Complete physial 48 men 16 women
Part II of this report exposure were used . stricted to those emp
longest employed we
a sumcient number
paid to the group w particular operation
VIII shows their ag
TABLE VIIT DIS
Totale
Asbestosis was fe or 25 per cent of the
25 negative and the
one individual had p
been the primary o
eliminated from any bestosis were dividi monary ^brosis no
mation of the degre
extent of fibrosis sc
ings The present past
historics were secur
might influence the
were av
symptoms dominating subject and dyspe Othe and frequent coids symptoms
se
.
-
. ;
a
.
' a)
oN
an TT OE ATE TR TLR COP riiet OPTS, CORT OT
DENIES IU OUTSEES SOW URE
WITT Ran
we
VETO Linh shee Leta
tate Seats
ech data ltaa th ani cn tg tt a 8, At Ogee
|
.
ee woe e ee eS
.-
: |
ee en
[
meee
ete oe me neeee, 0
. .
-
IN AM
_
OPERATIONS
Exposure
Effects Exposure Dust of
| The a
| Conersof Fabrizing sh.4 Xemaee] Mitions
1006 Air of of oe
|
--
tame made | a
1006 at Air
vik | plants oF 7: BL Se Part Those an 153.4 { manufacture workers oan
en
. nee
ASBESTOSIS
Encountered in Asbestos
to
Plants on the Health
a Group workers
sixty
examinations
examinations
sixty persons examinations were of physical
physical
|
Complete physical cimployed listed . ov
(oleae
48
men 16 women
II this report were used as
at the time in the
in
Of this number seven raen without previous controls Selection of the workers was re-
exposure employed stricted to those
in table
necessity
1
ws
_s { 24.1
TL
i I 24.1
.
tb
2408
. yj
bot pain, .
were chosen because the necessity of including
employed yee longest
evident Attention was also
a sufficient number from this group is
j paid to the
group
with
emposures a shorter duration and
which the worker was employed
to the Tabie
particular operation at
VIII shows their age distribution
TABLE YTII DISTRIBUTION ST AGE OF ALL PENSONS MESURE
$
| ml...
.
ae
=~; 4
a)
1 |
:
434.6-412-7 ee 434.6-412-7 434.6-412-7
|
121 121 121
. :
Group
.
.
Number
Perioca ' Exammed
|
:
Tome me 1
Xcwomer 18 Aft Groep
'
ew | ae
-
i
i Dad OTTY
ad
(-
Controls
Nl 7 |
3
tj
|
Apdum Omnia dt 36
a
1
3
| -
| |
.
:
. .
.
| :
,
Fegative
___a
Ss
:
.
Total
|
_
\
--
m
}
o
bed
4 |
rs
:
: pt,
, ,
:
.
.
a
'
;
3
-%
2
to
:
4
7}
:
{
.
. Asbestosis was found in foartem persons 12 men 2 womes
.
or 25
cent of the exposed group Forty persons were diagnosed
per
doubtful Of the latter group
as negative and the remaining the
one individual had previous exposure to silica dust which may have
andis been the primary or contributcionngsmidaesreation Thea craesseuslthahvaisngbeams
eliminated further from any
bestosis were divided into
these having slight and moderate
pui-
Abrosis no advanced ease having been found The esti
monary mation of
the
degree
of
invent
depended
on
the
amount
and
extent of fibrosis seen roentgenologically and in the clinical And-
ings The present past and family medieni and previous occupational
histories were secured from add vorker Direct questions witch
indivzal's might influence the indivizal's reviies in regard to his subjective
symptoms were avoided in obtaining chief complaints The pre
dominating subjective symptoms symptoms in the positive group were cough
subjective and
major
symptoms were dry throat
Other subjective dyspnea ss. and frequent colds Occid Occid in this group had no
:
symptoms
t
..
2 ate
4g
mear t
;
oNa
6
et
ANI, Le
ANS
A
ihe.
canary
eirwcepot
SS
Objectively the major symptoms were again cough and dyspnez
Thirteen persons of those diagnosed positive for asbestosis complained of cough and eight of dyspnea Other Other frequently elicited
objective symptoms were frequent colds palpatation weakness precordial pain and pharyngeal dryness No objective symptoms
could be obtained from one individual in the positive group
Occurrence of sente respiratory infections was particularly observed in the past medical history Frequent coryza or other upper passage infections which did not result in a loss of time of three or more working days were listed as objective symptoms Pneumonia during the course of employment occurred in three of the
positive and seven of the negative group The past medical his
tories were otherwise negative except for an attack of pleurisy in
zone individual of the exposed group diagnosed as negative Family histories and in particular tuberculous contacts were
noted Two workers with asbestosis had roentgenological evidence of healed tuberculosis and negative family histories Two others
who showed evidence of healed tuberculosis and who did not have
eTUTE
Sr _~
78
a
asbestosis also had negative family histories Physical examinations were made with the workers stripped to
the waist Mean variations in the present and greatest weight were
less in the asbestosis group than in the group diagnosed as nega-
tive and in the controls minute oral temperatures showed
a maximum elevation of 0.5 Four persons having asbestosis had an elevation of temperature and eleven in the negative group showed it Elevation of body temperature in the control group was absent
The mucous membranes of the nose and throat of the entire group
were essentially negative The conjunctivae did not appear to be
wrritated Tenderness over the antra and frontal sinuses was not
found Defected nasal septa were common and diseased tonsils
were noted in a few cases The external auditory canals did not
show evidence of plugging or irritation
Clinical examination of the thorax included inspection palpation
oge percussion and auscultation of the heart and lungs A tendency tn increased posterior diameters of the chest in the positive
@ exposed group was noted In the positive group the respiratory
were murmur and vocal resonance
impaired in five cases Crepitant
ue
subcrepitant sibilant and sonorous raies occurred in nine of the
asbestosis cases the two latter types being predominant
we The recognition of cyanosis presented a difficult problem When it occurred the skin had an unhealthy leaden hue with variations
in the degree of intensity in the three individuals in the positive
e group showing this physical sign
Roentgenological examinations made of all workers included
hers fluoroscopic examination stereoscopic anterior posterior and oblique
skiagrams of the chest In addition to noting gross chest pathology the movement of the diaphragm was measured in centimeters dur-
ee ing the fluoroscopic examination Right and left oblique exposures of the chest aided in the interpretation of the films and particularly
Sn
in the detection of thickened pleura The hila trunk and lung
markings of the fibrotic lungs were increased in prominence In
oe some fims the lung fields showed a slight tendency toward beading
LY and nodulation A small area in the distal third of the lung in one
TE
20
Wee
awa
film suggested atelec
emphysema occurrer
besions were noted :
domes of the diaphr
of the negative expo
and two of the nega
evidence of healedt
disease in four of the
The occurrence of :
losis were determine
each person Each e
obtaining the sputum
morning sample A each sample After
was centrifuged for
and the supernatant
the solid centrifuger
three minutes A dr
scone siide and exam both 3 mra and 4 mm
The greater perce color but a few wer
pale The The
yellowish brown largest asbestos
bodies occurres
present singly or in
or a dumb shar
strand at a position : micrograph of a sing
of two or three asbe
.
Soi 220 ta fase De 2a eatpantithecah nts erated hear asi
we oe ree eee
and dyspnez
ip Esbestosis com-
quently elicited
tion weakness
Meative
Meative
symptoms
five group
particularly ob-
= or other upper
shee
ae . ty
s~,,time of three
eroptoms optoms
Preg-
46 in three of the past medical his- -
fazz of pleurisy in fazz
NOR. segative
0scx contacts were
ogical evidence
es, Two others
turno did not have
servers stripped to
past weight were
Samosed as nega-
Speratures showed
c 17 asbestosis had group showed
a
sp was absent
The entire group
not appear to be
1 sinuses was not
id diseased tonsils
arr canals did not
spection palpation
Est A tendency to
Est in the positive
wso the respiratory = ses Crepitant ked in nine of the
bminant
It problem When
He with variations
is in the positive
workers included isterior and oblique as chest pathology
in centimeters dur-
oblique exposures
ins and particularly 6. trunk and lung
'
* prominence In Acy toward beading of the long in one
a ns,
ne
eCe .
'
the
ee
ne
ewe tre
oe
Emer es
mame
Carre
ee 08
oe e
core
cemme
tens
ee
macs
tes ste
san
art
se
fF
cmare
ee
tm
case
he
anh
Arpseon
tae
ve
film suggested atelectasis
Increased aeration such as one sees in few cases Thickened pleura and ad-
emphyscina occurred in a
movement of the
hesions were noted in a few cases The average
than that
domes of the diaphragm of the positive groun was less
of the negative exposed or control groups Three of the positive
were found with roentgenological
and two of the negative group
evidence of healed tuberenlosis
Further evidence of pulmonary
disease in four of the positive group was clubbing of the fingers
of asbestos bodies and the presence of B. tubereu-
The
occurrence
determined
in
a
single
specimen
of
sputum
obtained
from
losis were
in the proper method of
each person Each employe was instructed
chile a
obtaining the sputum specimevnoluamned ow fesantriefnourmmsiined wa(s 9 added to
morning sample An equal
the mixture
each sample After complete digestion of the mucus
was centrifuged for three minutes at approximately 2000 r p m
and the supernatant liquid decanted Disulled water was added to
the solid centrifuged portion and the mixture recentrifuged for
three minutes
A drop of the deposit was transiered to a miern
of asbestos bodies under
slide and examined for the presence
scope
both 8 mm and 4 mm objectives
FIGURE
3
PHOTOMICROGRAPU MAGNIFICATION
ASBESTOS BODY
DIAMETERS
600 600
The greater percentage of sputum specimens were of a whitish
color but a few were puraient The asbestos bodies were a
pale yellowish brown color and varied in size shape and number
The
body found measured 117 microns in length
largest asbestos The bodies occurred singly clumped and as fragments When
present singly or in clumps they presented a bead appearance
or a dumb shape with bulbous ends tapering into a narrow
at a position midway between the ends Figure 3 is a photo-
strand micrograph of a single asbestos body In one specimen an average
of two or three asbestos bodies or fragments of bodies were seen in
21 21
:
N 0
wae me.
a
f ;
7poraay
<
"ofewe
TSPony
2
gz
. aun
a
toehndene ua
bronchitis cach power field while in others only one or two bodies were
found in the entire specimen Table IX gives the occurrence of asbestos bexlies in a single specimen from each person Merewether 74 reports that the presence of asbestos bodies cannot be taken at present as indicating anything more than previous exposure to
asbestos dust This is in accord with our findings for it will be noted that they were found in a specimen obtained from one of the controls who at the time was suffering from an acute
productive of a purulent sputums This worker had been employed as a packer foreman in the magnesia department for fifty
years His only exposure to asbestos dust was a rare visit to other parts of the plant
TABLE EL OCCURRENCE OF AKBENTOR BODIES IN SPOTUM
Pererets ee
...
.
Qresp
Yombrr
.
Band on Total
Immort of Persons
|
Based on
3} Speelmens Zxamined
|
Comm
EY
x ; dire
if tosis
uve | 17-06
" ,
,
,
2
: .
wegn velas Zol^ esprveret z
-
ebrviesDadbent Dadbent
5
(Gut
?-
:
_
2
Tolak
14
| 3 0.0 | t |
| @
-
bo | | 3 m7 |
2
3 psE y || me aa $e || ae | me
;
-
a |
| | |
|
A single sputum specimen obtained from each individual was
> stained and examined for the presence of B. tuberculosis Both
i direct smears and centrifuged antiforminized specimens were found
.
> to Cblieninceaglateixvaemination of the heart showed the apical impulse to
* be displaced in a few cases Apical systolic murmurs were heard in
.
7 five of the positive and bro of the negative groups The bloodl
3
was determined with a standard mercury sphygmonano-
>
pressure
meter Hypertension although
present
in
a
few
cases
in
each
occurred only in the older workers Roentgenological evi-
group
of the heart was not found However the
: dcaerndcieacofsielnhloauertgteemeinnt two individuals having asbestosis was found
to be top normal in size
fifty ,
Electrocardiograms of
of the workers
which
were made
subiect
follow-
in
period
during
thirty
minute
minute rest period during subiect 2 ing a
which the
was in a
eight were taken with the subject in a sit-
position rezlining while 4 rezlining
most
.
rest period consistently following The ting position
a short
the entire
was low
2 positive cardiographic finding in
group
2 voltage It was found to be present in seven of the positive and
+
t
eighteen of the neg trols Right predom
contrul group but ,, asbestosis and three
most frequently fou
vanced age groups of individuals with a
have changes in the the exposed group l plex two of these h pared with an abse R interval was it
sons found to be neg
A functional test
formed by having hi
body twenty sin
termined immediate
two
minute
end of a minute
mined immediately i
Table X gives the re
were seen in the
posed group as com . puise rate Individi
resting rate n mi
TABLE I. 7
Groap
Make a a
Frazi
eT
KEGATIVE tern
Tome
ASBESTOSIS
Mase een
Female
1 Poise te 17 above north "Respiratory rate 2 aware
Asbestos warts of
which has become
become le
and overgrowth c
growths are usually
the feet Forry per
these papillomas on
ean
Com
eee
4
^'
Hwo bodies were
que occurrence of
on Merewether
jannot :
be taken
-ous exposure to
s for it will be
-. ^ from one of the
ee
heute
bronchitis
;
her had been em-
Xartment for fifty
efire
efire
visit
to
other
efire
owns 4
area
Oe
a
tf
q i .
pm
toxis t
off
Xrer Xrer
Coo
me
individual was
xrculosis Both
mens were found
apical impulse to ars were heard in
jups The blood : sphygmonano( cases in each itgenological eviHowever the
Stosis was found
i
tere made follow-
isubiect was in a
most subject in a sit-
most consistently 2mo%st group was low ae the positive and
rindi
a
:
f
or
Wome
tee
ee
eighteen of the negative groups compared with four of the controis Right predominance was not present in the tracings of the control group but did occur in two tracings of individuals with
asbestosis and three of the negative group Leit predominance was
most frequently found in the tracings of individuals in the ad-
vanced age groups Katz and Slater 62 found eighty per cent
of individuals with a second positive wave of the R compies to
have changes in the heart muscle Our findings show that six of
the exposed group had a second positive wave of the R com-
plex two of these had asbestosis and four were negative as com-
pared with an absence of this finding in the control group
R interval was increased in the tracings of two exposed
The per-
sons found to be negative
A functional test of the individual's response to effort was per-
formed by having him piace one foot on a chair and then raise body twenty times in thirty seconds The poise fare was termined immediately before and after exercise and again at
his de-
the
end of a minute rest period The respiratory rate was deter-
mined immediately before and two minutes after the exercise test Table X gives the results of the functional test Greater variations were seen in the rate of respiration following exercise in the ex-
pased group as compared with the controls than were seen in the pulse rate Individuals with a pulse rate of 10 above the normal resting rate two minutes after expreise were considered abnormal
TABLE I. FUNCTIONAL TEST OF LEPONSE TO EXTORT
--
--
Z
Teeurnces 4
Xom Percentage
Former
Percentage
CONTROLS
dite
Female
~
11
b 4
7
-
11
-~
_
KEGATIVKEGAETIVE KAM
113
$s 9
et
Female
=
H
35
Tee KESTO51
MAM | 31 Female
J
-
31
s
rw}
2
Lo
nemee 1 Prame rate 10 above pormal renting rate wo romutes after cIPTTING * Respiratory rata 2 above normal requng rate two minutes alter exeusa
e Asbestos warts are thought to be produced by a ^berof asbestos
ree
which has become lodged in the skin largely through the irritation
e and overgrowth of the horny and malphighian strata I These
an growths are usually found on the hands but may also develop on
the feet Forty per cent of the exposed group had one or more of
ene
these papillomas on their hands
33
33
+ AD aoe 'meee
Awe .ae
e .
wen
nr
es
Routine blood counts and urinalyses were made on each individ-
aren ual examined Haemoglobin was determined by the Haden and
hye.s Hausser colorimetric method and expressed as grains of lizemoa
:
ard
globin per 100 cc of blood Smears for differential counts were
ar stained with Wright's stain and 200 calls studied microscopically
using a 2 mm oil immersion objective Practically no change was
ad
observed in the blood picture of the three groups Comparable
Lauber:
average variations did not occur in either the erythrocyte or leuco-
er eoat A
.
cyte count In two individuals with moderately advanced pul-
we.
monary fibrosis the total leucocyte counts were 10,800 and 11,400
oad 4er
with corresponding increases in the percentages of polymorpho
Pan) 7
nuclear leucocytes Changes in the percentages of other types of
e
1
tt
white cells were not observed
em
: Urine specimens were collected from each worker at the time of
we
cadindyt physical examination Specific gravity aibumin content and the
presence of sugar were determined and a microscopic examination
tear e made of a centrifuged portion Urinalyses were essentially negative
except for a trace of albumin in four of the positive and thirteen of
ce
RATED the negative exposed groups as compared with two of the controls A brief summary of the clinical findings of three asbestos mill workers and the accompanying illustrations Figures 4 to 7 inc
apr g are presented to show the two stages of asbestosis encountered in
1
Or
ar
ee
this study
ten
i
Case number White male aged 30 years
oer pe Chief complaints
Objective Occasional frontal beadache 2 Epistaxis rare 3 Dry cough 4 Congning amacks precipitated by strenuous ac-
cise
' Past Medical History childhood diseases Traumatic orchitis 1934
:
:
Ocupational wor work king ai t 16 yn ears og f age
Mule spinner worsted mill 2 years lee man 1 year
bestos fabricating plant 9 years
Milk2myaean rs
Mule spinner 15-
,
Physical Examination Apparently bealthy adult male Hem 62 inches
Weigin 122 pounds greatest weight 122 pounds Skin clear No cyanosis
.
Asbestos warts on both hands Pulse rate before immediately after and
t
two minutes after exercise 84 100 72 Respiration rate immediately be
fore and two minutes after exercise 10 22 Chest normal shape per-
casion normal breath and voice sounds Dormal sibilant and sonorous rales both bases Heart apical impulse Sch interspace clavicular line
no murmurs Blood pressure 134/90
Diaphragmatic movement right dome 25 cm left dome 15 m
Thoracic act is aegative The tramea is in the midline
u^flbouette is within normal limits of size The arch of the
The cardiac sorta is not
wined The domes of the diaphragm are somewhat irregulaorn the left
side but fairly irregular on the right The picura appears to be slightly
.
thickened on the left side and is more clearly shown in the oblique view
mae
in the right spex there is possibly an old healed tuberculous process giving
biese
s
the appeaorf aannacpie cal cap The hila are increased in prominence
The tronk markings and linear markings are increased in prominence
Ao
24
tees
Na
en
Ry
sy. re made on each individ-
mined .
- we
by the Haden and
as grams of haemo-
itsw differential counts were its studied microscopically
Practically nochange was
Pfargees e Comparable Shee free groups ; the erythrocyte or leuco-
way rately advanced pul-
.
i
PageissPwaegrees10o,f800poalnydmo1r1p,h4o0-0
Images Images of other types of
~3Mize *"ach worker at the time of
1. albumin content and the 1. microscopic examination
cement were essentially negative ta. positive and thirteen of ee with two of the controls
-, ry
% of three asbestos mill
__ons Figures 4 to 7 inc
ft stosis encountered in
oR
dele
s
bebe 2 Fristraan rei3 s Dry
i pied by surmous cur
ro Traumatic orchitis 1934
tem tw ts3 of year lom2a yen ars
.. year Mule spinner 27-
Cosee
I make Height 62 inches
ee
TTemoesmosTemos Skin dimar No cyanosis
2before immediately after and
ems Nespiration rate immediately beee
Cbest normal shape per-
ute
g
normal sibilant and sonorous
GO
a
a a interspace clavicular line eer
wee
und 25 cm left dome 1.5 m
en
te
sa sa in the midline The cardiac
aes
. The arth of the aorta is not
ee
7 ee
smentat irregular on the left ea
pleam appears to be slightly
be
pily shown in the solique view
ivaled cuberculous process giving
jarea are ureased in prominence jare promiin npreomn inc ene ce
pew
ten
ivrone
we
tem
7
AA a
be
hea
te
eh
snaf
CIT
. y
SON eae
wore .
o ee e ee
FIGURE 4. CASE NUMBER A8730
.
om
.
oat
BS
be
Toate
' a? re FIGURE 5. CASE NUMBER 447
Pas
ee
fee
a
>y
oo
.
.
; an
.
pare
Be _
~
:
TT
.
. .
-
i
Cartine 72 72 R 0.16 swood rate
interval
-
interval interval
VoltVoaltgag 4
2
} Electrocardiogram mr slight
Diagnosis
Asbestosis
slight
White 3
5
Case Number 447
marie aged 47 years
i - Chief Complaints Comps 2 Shortness of breath <
north 1922 Past Medical History childhood diseases
| z works L
Ocupational Farmer
; !
Occupational
15
Farmer Preparation rLoomaboremilrl | { 1 2 years Laborer grain
mill year Preparation
+
;
=< i .
' >
5
:
1
i
:
t
-
3
:
.
> ;
FIGURE 6. 6.
ELECTROCARDIOGRAPHIC TRACING OF CASE
NUMBER A8730
.
.
:
i
i
1
:
.
'
. ,
;
1}
4
.
ELEC :
ELEC ECTROCARDIOGRAPHIC TRACING of case
FIGURE 7
NUMBER 447
:
si Examination apparance fair
Skin char
Height 59 inches of fingers
; PhysiWceailght 120 pounds greatest weight 125 pounds No clubhing
;
No asbestos wand Nail beds not anoxic est normal shape per-
;
cussion sormal respiratory murmur witmi normal limits vocal resonance
maltered sibilant and sonorous rales Heart no apparent enlargement
z Do us Pulse rate before inmediately after and two minutes alter
: 26 26
:
2
:
;
exercis
xes after functie
Fluoroscopy Diaphr
The thoracic
cardiac silhouette regular regular
The regular markin
.
Electrocardiogram
voltag Electrocardiogram Low
Diagnosis
Asbestasis
DiagnosisAsbestasiAssbestasis
I TAKLI WIDESC
OCATION Dr
.
Overpa1100 Overpa1100
Avervet |
721108 |
721108 ;
ot ot 5
per exp {
Prroerers
LDd
Carders
+
Spinders
423 |
[
|
iL
wot 4
L
+
_
l
Warpers.
----
.
1.4
.
: |
Totem
:
principal
principal The
fact
degre degree of the pneum
the dust length of e
.
owefi. oe ~
ae Le
mo"
e
.
.
. Wa :
eo
rr and
Voltage 4 mm
owen
ences
Ip
Laiioner steel works
ven abestus mill 15
Oe
tales Ah NG OF CASE Cr r Height 59 beber in cind ingof ingerl ( normal shape permits rocal resonance Soarere enlargement And two minutes after
CE RIE eRcreeY
RS PRT RON NO
Nea
Tn ans SUR ae trane wa way
eee tee oe
a
ee
wee mete
eee
ee
functional exercise test 76 118 76. Respiration rate before uxl two min tra after functional exercise test 14 18. Blond pressure 134/90
Diaphragmatic excursion right dome 17 cm left dome 25 on
Ray thoracic cage is negative
cardiac silhouette is within normal
The trachea is in the line The limits The dortes of the diaphrag~-n
are regular The hila and trunk markings are increased in prominence
The lung markings are also increased in prominence
Electrocardiogram rate mm Low voltage of all Q
R imerval
complexeL
0.16
xood
Vollage 15
Asbestosis moderate
TABLE XI INCIDIZNOT AND DEGREE OF AKMENTOSIS WITH RELATION TO OCCUPATION DUST CONCENTRATION AND THARS OF EXPOSTRE
.
Ocempa tices
.
.
| .
Concro- {
iration |
partes Tears Tolat *
per cubic
of
Norber Norber
toot of Exord
-
dstemtosts
H
I
Segative sight Moo Advanced Domberul Domberul
xed Carders
.
ws
ea 1115 pve
29 OTTY | Total
oe
|
:
1
|
, |
-
ot
I
toa
fe
1
ee
~
{ | | z
4
-
de
|
1
|
KPETITI
out
Setneers
os
mo)
187 | Ls
10-10 ane
ever |
Total |
> |
ot; ef
3
|
,
|
os doje.
" aft ~
FS tm fF
2
2
|= |
=
| | MW
3
i
| -
|
oe
Joe
|
-
-
|-
i
~_
| ~
|
1
|
vo TYROT
111
oF fl
Ue
hE
a
111
Warpers
4.44
en
De
ee
ete.
| wo |
i
|
+
rn
er
|
~ |
=
OTET {
|
#
ji - fb
ow
|
ee | | | : Total
1
a ! bd | -- -
ow
Pe
z --
|
eeo
te length the ee
The principal factors now thought to determine incidence and
degree of the pneumonoconioses are nature and concentration of
dust
of exposure and individual susceptibility The in-
em wy af
pomp
-_
24, : 4
Frets
e . arect
CARLSGCaera7,
os
per
L) St
tea
et
et
iL
cidence of asbestosis with relation to occupation concentration of the dust and length of exposure in the fifty persons examined in
this study is indicated in Table XI Obviously the examinatioonf
such a relatively small group prevents the formation of definite conclusions as to the influence of these factors Nor is it possible from our findings to establish the maximum safe concentration of asbes
tos dust in the air However the results of this investigation show the necessity of a reduction of the dust concentrations in those
operations shown in Part II of this study where there is continuous
exposure to high concentrations
.
SMARY
dep n : ey - 1 The concentration of dust in asbestos fabricating plants depends primarily on the grade of asbestos mill fiber gives rise to a higher concentration than crude fiber Operations arranged in de-
creasingconcentration of dust are preparing carding weaving spin-
Bega ning twisting winding and warping
o
2 The average particle size of asbestos dust is stated in two
MOTE diameters longitudinal and transverse 3 Petrographic analyses of dust encountered in asbestos fabricating plants collected in the workers breathing zone shows it to
Ok contain no free silica
4 Fourteen or 25 of fifty workers employed in the tex-
eree
a
tile departments of asbestos fabricating plants in Pennsylvania had
es both clinical and roentgenological evidence of asbestosis
\
ACKNOWLEDGMENTS
The Department of Labor and Industry of the Commonwealth of
Pennsylvania wishes to thank the management and employes of a) the plants studied for their cooperation and interest which made
the success of this study possible Dr. H. K. Pancoast and Dr. E. P.
rn Pendergrass of the University of Pennsylvania whose interpreta-
oy tions of the films have been used Dr. G. AV Grier of the University tal of Pittsburgh for his interpretation assistance and advice in the
Py roentgenological study Dr. J. Evans Selechie Secretary of the Pennsylvania Department of Welfare in extending to the Department of Labor and Industry the facilities of his department Dr.
C. A Laubach roentgenologist and cardiologist of the Norristown
Ne
State Hospital for doing a large majority of the ray work and his technicians for the routine laboratory examinations Dr. J. D.
Heard and Dr. A. B. Fuller of the University of Pittsburgh and
Dr. C. C. Wolferth of the University of Pennsylvania for their 25sistance and interpretation of the cardiograms
a
her
ce.
TTS
.
1. Amiante Hyg du trav 191-192 1930
,
2. Anderson H. V. and Clark G. .: Application of rays in
the Cassification of Fibrous Siticate Minerals Commoniv
Termed Asbestos Ind and Eng Chem 21 924-933 1979
28
hs. yy
ere
er oh
or
Aumbault N
dans les fil
trav p 121
4. 4. Bander E. W med Wehns
Beger P. .:
5.
Arch 200 Berrer P. .:
530-539 19
Beger P. .:
Med Klin J. Ind Hyg
Beintker .: bebyg 3
Beintker E
1934. Abst
10. Bowies Olive U.S. Bur !
11.
Bridge .:
of Fact fo
don 1929
F
Bromley J. F
-A Discu
Asbestosis
Radiol p 1934
13. Buttzer
asbestosis
115.5 Tub
14. Grkel Fritz tion Milli Dep't of M
15 Clynes Asbe
16 Cooke W. E
Asbestos I
17 Cooke W.
18 Cooke W. E. 1928
19. Cooke W. Pulmonary
Abstr .
Hyg 12
Cooke W. E.
Lungs of
1931
, concentration of Persons examinedin
the examination of *
on of definite con~fl
is it possible from
a entration of asbes-
i investigation show
Entrations in those
Entrations
ae
.
=.there
continuous
*
sricating aT hee .
sricating
. sricating plants de-
ber gives rise to a is arrangedin de-
Hing weaving spin-
it is statedin two
i
in
fabri-
fabri-
33 in asbestos fabri-
: zone shows it to
*
uplayed in the tex Pennsylvania bad
Destosis
_ommonwealth of
and employes of
terest which made
Toast and Dr. E. P.
i whose interpreta-
of the University
and advice in the
Secretary of the jag to the Depart-
. department Dr. of the Norristown
Nations ray work and Nations Dr. J. D. of Pittsburgh and
ania for their as-
nation nation of raysin
unerals unerals
unerals
Commonly
524-933 1929
adie;
te
ge
se ee
ee oe
e
cs
te ne
oy
me
ow
mk
omes
toe
wre
.
ge
a
oe .
4. 4.
.5
7.
&
Aunbault Notes sur l'hygi^ne et la s^'curit^'des en Mt
dans les filatures et tissages d'amiante Buil de r
trav p 120-132 1906
ya
Baader E. W Asbestose mit Warzenbildung
med Wehnschr 79:83 1932
M
yale
Beger P. L Ucher die Asbestosis K^rperchen
Arch 290 280-353 1933 ;
xe
530-539 Beger P. L More on Asbestosis Bodies Virch Arch 1934. Abstr J. Ind Hyg 17:32 1935
3s
(2: Begur P. .: Injurious Factors in Asbestosis and Si
Med Klin Sept. 14 1934 p 1253-1261 1922-1927
J. Ind 17:17:3 32 12 7:32 1935
aoe
Beintker E Asbestosis
behyg 345
3518931
Arch f Gewerbepath w
:
10 11
Beintker .: Asbestosis Bodies Virch Arch 293 $ 1934. Abstr J. Ind Hyg 17:33 1935
Bowles Oliver Domestic and Foreign Dr.
U. Bur Mines Inf Circ No. 6790 June 1934
Bridge Rep of J. C Asbestosis In Ann
the Chicl
of Fact for the Year 1928 95. HL M. Stat CR
don 1929
Lee
aan 3 a
4s
Bromley J. F. Wood W.
-A Discussion Part
Pneumonoe B. EllmanP
mar
Silicosis Part Pui
Asbestosis Part Pulmonary Asbestosis 13:04
Radiol p 262-295 1934. Abstr J. Ind Hyg If
-1934
-1934
at
13. Buttner W. and Trillitzsch C Die Bergach ii :
asbestosis was der deutsche Artz von ihr
TEUSS Tuberkulose 11-14 1931
wet
Cirkel 14.
Fritz
Fritz Chrysotile Asbestos Its Occurrence Em
tion Milling and Uses Mines Branch Ball 69. (
Dep't of Mines 1910
vy.
15 Clynes Asbestosis and Silicosis Brit Med J.379
i
- 16
17 18
19.
Dust Lungs Cooke W..: Fibrosis of the
due to Inhala
Asbestos
Brit Med J.147 1924
vo.
Cooke W..:
Cooke Cooke W. E
Asbestosis Brit Med .. -1023
Pulmonary Asbestosis BrBriit t Med Med ..
Cooke W. E Asbestos Dust and Curious
Fe
Bodies Pulmonary Asbestosis Brit Med J 573-530
J. Abstr
Am Med Assn 1431 1930. Abstr
Hyg 12:34 1930
ares
ee)
4
we
[0%
20.
Asbestos Cooke W. .:
Lungs of
1931
Asbestos Dust and
Workers J.
Asbestosis Bodies State Med 39:51
7!"
vad|
o
-
Yr:
@
.
")
.
3,
t pitis ot
eomuntaogpelntcad
ae
\~
X
oo
Cooke Curious 21.
W. .: Anthraensis Presenting
Bodies
Similar to Those in Asbestosis Brit Med J. 1 656-637
1932
,
Cooke W. E. and Hill C. Pneumokoniosis due to Asbestos Dust J. Roy Micr Soc 232 1927
Cooke W. E. and Hill C. .: Pneumokoniosis Caused by
Asbestos Dust Brit Med J. 1990 1927
Cooke W. E. MacDonald S. Oliver .: Strange Bodies
Found in Asbestos Workers Lancet 136
1317926
_
C. Cooke W. E. and Hill .: Further Observations on Pul-
monary Asbestosis with Special Reference to Dust and Curious Bodies found in the Lungs Micr Soc 15-19 1930
Asbestos
J. Roy
Earlywine Davis G. G. Salmonsen E. M.
.: The Paen-
monokonioses Silicosis Bibliography and Laws Ind
Medicine Inc. Chicago 1934
Dewirtz A. .: Warts from Mineral Substances Roussky Vestnick Derm 1.:243-247 March 1930. Abstr J. Ind Hyg 125 1931
Dhers .: Amiante et asbestose pulmonaire La med du
tra1v931 147-172 187-209 1930. Abstr J. Ind Hyg 13:49
.
Donnelly .: Pulmonary Asbestosis
23 1275-1231 1930
Am J. Pub Health
Drinker .: Alternating Current Precinitators for Sanitary Air Analysis J. Ind Hyg 14 364-370 1932 Drinker .: The Size Frequency and Identification of Cer-
tain Phagocytosed Dusts J. Ind Hyg 305-316 1925
Effect of Asbestos Dust on Workers Health in Asbestos Mines and Factories Labour Gaz 12-761-762 1911-1912 Ottawa
33. Ellman .: Report on Cases of Pulmonary Asbestosis Proc Roy Soc Med 526 541 699 1930-1931
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|
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tion of Part Franklin Ins
Green H. L Number and
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Haddow A.
Brit Med |
|
ae
~ Curious Bodies
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wt
wm
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cpm
ee
A Strange Bodies
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1926
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4913
ical Radiological
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41
Fenerstack Teber das Verhalten des Epithels der Lungenal-
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ewer
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@
den
Kan
ost Sa od.
~
mn
.Na
Fe
Merewether E
Asbestos Di Asbestos Inc 1930. Abstr
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Pulmonary As
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74,
Price C.
Merewether Merewether and Price W
Asbestos Asbestos
Dust
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1920,
Home
Suppression Suppression Effects Dust
1930. Abstr Ind
a3
75. Mills 495-409 7S.
Minneson Med - 76,
Mills
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495-409 495-409
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1930
1930
Asbestosis
suila
76.
cliniche
sulla
Note
Mussa Note cliniche
radiologiche radiologiche pneumoconiosi pneumoconiosi 3.
Poligr P- amianto
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Oliver Oliver
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Asbestosis
1927
Asbestosis Asbestosis
ClCliinniiccaal lAspects
73, Oli. ver Oliver 483 Asbes4to8sis5in its Clinical syge
Brit
Oliver .:
Clinical Aspects Aspects
. J. Mosthiy J.
39. Oliver
Med 204
T Oliver
Asbestosis
Pulmonary
Li
gO.
Pulmonary
Abstract Monthly
Rev.
=
Asbestosis
arr, Li
gi, Oliver T f Pulmonary Asbestosis Asbestosis Asbestosis Socio 5S7>-76 Medical Study
Arch
Gewerbepath Gewerbebyg
EN
V. M
1207 82 Palmieri
Pendergrass med
med med
bce
P Pneumoconiosis 1207 1930
H. K. and
Pendergrass
83 Pancoast
Pendergrass
York
Inc
Roentgenological Hoeber
Inc 153
1926 p
Hoeber Pendergrass Pneumo- H. K. and
;
Roentgenological g4,
coniosis
Further Roentgenological
oO: *
E. .: Review
Pathological
556 Roentgenological
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professionale ue a5,
Am Roentgen Roentgen
ies
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and Pendergrass Pendergrass The Roentgenologi Roentgenologi
The Aspects
Aspects
Pneumoconiosis
and
Pneumoconiosis and
Medical
portance portance
117 135
Hyg 15
Morgegtis Ind
os
.
L'amiantosi
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profes ionale
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Panos
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.
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6
Pidgeon M.
The Sorption Sorption
an
A Sorption Water Water
Asbestos
Fibers
VanWinsen
VanWinsen
Research
Research
Research 37,
Asbestos
Chem Chem Chem Chem . Abstr
Abstr
5230 1933
Abstr
laswiaitts AbstrAbstr
5230
and Tissulaires A.
Mouriquancdonjontivale earmcaics d'amianted'amiante
par
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intra
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l'injection
conjontivale de parcales parcales
May
Lancaste Lancaste
Paris
Lancaste
Lancaste
Bu
103 737MaMayy 1 17 7 1930
pathol et
micros micros 71193-199
appi de 2 pathol
W and 163-172 200-207T1e7x3-t1i79le1931-1932 9.
appl. in
Asbestos
163-172
163-172
Dom
Eng London
Dom
London 200-207
Pulmonary AsbestosAissbestosis Med $4
in Asbestosis
: :
:
.
Mypt.
Textile
10
15733
15733 1930
Works
Inst
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Inst
1931
Also OS).
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: Ala Mines Branch
3
2
Abercolosi AbercoloAsbercoloisi XVIIXVIIII
t } Path and Bart
(~ ult of the In-
.982 .982 1928 Esis Case Brit
Buth Africa Brit
' A Bodies in
Sin Asbestos MILL
isis and Review
me F. J. Ind Hyg
Oe
149-1257 1931
ee
: a Workers Briz
Asbestosis Asbestosis Two
Asbestosis
MedMed Med J. 275
Sputum Sputum for As-
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110 111. 112
Stewart M. .:Asbestosis Bodies in the Lungs ofGainea
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Stewart M. J. and Haddon A. C Demonstration of the
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des s^'ancesde l'acad des sc Paris 100-251 1883
Timmermans F. D .: Asbestosis 260 307 1931
Zentralbl f Gewerbebyg Gewerbebyg
Tylecote F. E and Dunn J. .: Asbestos Bodies in
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Wahlstrom E. .: An Mineral 178-180
1934
unusual Occurrence of Asbestos Am
1934. Abstr Chem Abstr 23 0048
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Wood W. B. and Gloyne S. .: Pulmonary Asbestosis
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Wood W.B. and Glovne S. .: Asbestosis Lancet 445-
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Tubermusis Wood W. B. and GloyneS. .; Pulmonary Asbestosis Com
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Wood W. B. and Page D. S .: Asbestosis Case
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4610929
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Death from Tuber-
to Dust Tubercie
146
12 146
1930
1930
25
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