Document jyzxk3YygZOdGR7GXNrNz8R0Q

FILE NAME: Metropolitan Life (ML) DATE: 1936c DOC#: ML043 DOCUMENT DESCRIPTION: Journal Article by Dr. Lanza - Asbestosis t MthreotruogpholaitnainmaLlifeexIpnesruimraenncteatCioon., with the aid of a grant from the REFERENCES (1) Grpeaenrabtuursg,asLuesoenda,rbdy, athnedUBnloitoemdfSietladt,esJ.PJu.:bliTchHe eimaltphinSgeerrvdicues.t sPamubp.liHngeaaltph (2) DrRinekpe.,r,vPohl.il4ip7,, naon.d 1T2h, oMmasro.n1,8R, o1b93e2rt. MR.:epDrieutetrnmoi.n1a5ti2o8n. of suspensoids by a1l9t2e5r.nating-current precipitators. Jour. Ind. Ilyg., vol. VII, no. 0, June (3) HiUllenbitreadndS,taWte.sFG.:eoTlohgeicaanlalSyusrivseoyf, sWiliacsahteinagntodn,caDrb. oCn.ate rocks. Bull. 422, ((45)) CGoreoekne,, WH..: EA.: pPhuoltmomonicarroygarasbpehsitcosmise.thoBdritf.orMtehde. dJoeuterr.,mDineact.io3n, 1o9f27p.article s1i9z2e, o6f37p.aint and rubber pigments. Jour. Franklin Institute, 1921, pp. (6) Wph.ip4p5l1e., G. C.: Vital statistics. John Wiley and Sons, New York, 1925, (7) Ruhseseall,thAo.fEw.,oBrkreirtsteinn, dRu.stHy.,trTadheosm. psIoIn., ELx.pRos.,uraendto Bsilloicoemofuiseldd,usJt. (Jg.:raTnihtee industry). Pub. Health Bull. No. 187. 1929. ENDEMIC TYPHUS IN ALABAMA1 By J. ND. B. Pa.keHr.,, MAl.abDa.m, aJ aSmtaelse GD.epMarctAmlenpitnoef,HPeha.ltDh,.,MaonndtgDom. eGry. ,GAillal,, M. D., I. INTRODUCTION ferIenncae porfelSimtaitnearaynrdepPorrotvminacdiael inHeJaulnthe oAfutthhiosryiteieasr,bheefoldreintheWCaoshn itnygpthouns, athseitaoucthcuorrss idnisscouustsheedrnthUeneipteiddemStiaotleosg.icaIlnatshpaecttrseopforetnidtemwaics nSootuetdhetrhnatSttahteerse, hasadisbseheonwan rianpitdabilnecr1e.aseThinatthoitshedrisecaosuentirniecserhtaavine etaxbpleeri2e.nced a similar rise in incidence is evidenced by the figures in ofTthhies dciosutinntcrtyiownabseftiwrsetenreceopgidneizmeidc itnyp1h8u9s8 abnydBthriell.endHeemi(c1)tyfopuhnuds ianntehgeatUivneitWedfidSatlarteeascatiotynp. e oInf ffeuvrethr ewrhsitcuhd,ieressheemb(2l,in3g) tdyepmhoonids,trgaatevde iatnsdsliemssilacorintytagtoioutys,phonulsy, obnuet csahsoewaesda trhulaet biet inwgasfomunilddeinr ainhocuhsaerhacotledr. Ainlsstoeahde roefploartteedwtihnatetritorwsapsrminogs.t pIrnev1a9le1n2tAdnudrienrgsotnheafnadll Gofotlhdbeeyrgeaerr M(4)expicroanvetdypthhuast, Borritlal'bsadrdisiellaos.e wNaastuirmamllyuntohliosgliecdalltyo tihdeenbtiecliaelf wthiatht it wras louse borne. SepRt.e3a,d19b3e4f.ore the laboratory section of the American Public Health Association, Pasadena, Calif., 1 T a b l e 1.-- Typhus fever incidence in State GFleoorrigdiaa--.-. ATRoelasubaisisii.ma..n.aa.... i a months only, to July 1. Table 2.-- Incidence of typh Country UUMnneiixotiencdooS<f.St.a.o.t..eu..st.h.......A......f..r....i..c..a..... PRoulmanadn.i.a.............................................. i*FDFroeoramt6hsmt.hoenEthpsi.demiological Report, Health Section stuNdeyveorfthBerlielsls's, dMisaeaxscey, o(5r)en(d19em20i)c itthsant othnecolnotuasgeiowuass cthhearvaecctetorr.andSiimts otof cbaesleiesvaepptheaartedraatsmaonndg pmeircseonmsihgab demisepahsaesiwzeads ctahreriefadcttothmaatnBbryillf'lseadsi,lsotewperwsatsrattaakeonf swohceientyDaynedr, bReaurms rmc abbeleen tfoournedcoivnertytphheusvifroucsi.of Brill's in RspuimtereoifchM(a7x)cy(1's93f3u)ndhaams epnotianltewd tahned parroabchabnliedsvwecotroer soufspeencdteedmibcy t tvheectboorsdyweloreusteh,ethtreophiecaadl rloautsme,itteh,ei athned ftahcet ttihcka.t twITtoisdinsotiwncotbcvliionuicsaltic( fTohrethwisorrkeaosfoRnuMmarexiccyh',s Dobyseerr,vaantidonBs; twhhaitchthaerree rearlaeteidn beoasthterentioalnodgicsaolulyl oistheenrdiesmRicoctkyyphMuso,unwtianicnhsipsottrtaendsmfe i 368 . 1SBEST0SIS--LANZA J ouFre. bA. . 1,Af1. 9A.h. tomy is still in its infancy. Postoperative observations may be changed as the survival period increases, which, if it does, will alter the surgical indications and the selection of cases. Close cooperation between laboratory investigators, clinicians asenldectnioenuroosfurcgaesoenss foirs simurpgeerraytivaendintooredvearluatote maacckuerattheely btehset results obtained, whether they are failures or successes. ASBESTOSIS Assistant Medical DAi.rectJo.r, MLAetrNopZoAlit,an MLi.fDe .Insurance Company NEW YORK tioAn sobfesatsobseisstoissadupsnte. umItocisondiiosstiisncctafursoendt bsyilicthoesisinihnaliats paadthisotliongcyt afonrdmcloinficpaulllym.onWarhyetdhuesrt adsibseesatsoesiosrwwililllrepmroavine ttoo bbee soefena. tySpoe fcaorm, mit oisn tthoe aonnluympbneerumofocdounsitossirse,moathinesr tohfanstsuidliycosfirso, mthapt ahtahsolroegceisitvse,dcalninyicciaonnssidaenrdabliendaumsotruinalt hyWgiehneirsetsa.s silicosis has been recognized for many cen tisuriaes,hyadsbraetsetdosims aisgnaesniuemwcosmiliecra.teAscboensttaoisnin(Cgannoadifarnee) csielnictambaugtneasbiouumt,4n4eaprelyr c1e3npt eorfcecnotmobfinwedatesri,licaan.d4t3racpeesr aonfciireonnts,anthde nfiacbkreilc.atiWnghiolef aassbbeessttooss ownasa klnarogwensctoalethies cfroommpairtastiuvseelyinnecown;neitctiroencewivietdh aauttoremmoebnildeosuasndimapsetauns ivnasruielatytinogf mmaetcehraianlicaalndpuarpohseeast. resistant for a great haWrmhfiulleneHssoofffmaasnbe*1stcoaslldedustatitnen1ti9o1n8. tiot wtahse npootsusinbtliel Freecborgunaizryed19in27ththisatcaosubnetsrtyosbisywthaes, fsiolintog sopfeaak,doisfafibciilailtlyy Tclhaiemclafiomr awntowrkams eanf'sorceommapneinnsatthieonweianviMngasdseapcahrutmseettns.t oMfaasnsacahsbuesesttotss pInladnuts,trainadl tAhcecicdlaeinmt Bwoaasrdu.pheTldhibsywthaes tiwn eEntnyg-lsaenvdenbyyeaDrsr.afMteornthtaegufierstMfautrarlacya.se Iwnas1r9e1p0oratnedd ainga1in92i8n t1h9e34BaritfiasthalFcaacsetowryasDreeppaorrttmedenint cEonngdluacntde,danadn cinovmepsteingsaatitoionn aonfd theenawctoedrkelarwasgafionrstththeisphroatzeacrtdio.n Tanhde' wMheorleewesuthbejre.c2t Aint tEhengplraensdenthatsimeb,eeans nseuamrlmy aarsizceadn bbye einstitmheatecdh,ietfhearsebeasrteosabpoluatnt1s2.i0n00thiendUivniditueadls Setmatpelso,yeodf whIonm191207,00a0famtaigl hctasbee oefxpuonsceodmtpoliacsabteedstoassbdeusstot.sis was raenpdorsteindcetothtehne, MinecdluicdainlgSothciisetycasoef, Sthoeurteh hCavareolbineae.n2 eulnecvoemn pflaictaaltecdasaensdretphorerteedcoinmpthliecaUtednitebdy Stutbateersc,uleoisgihs.t Tfighuesreed rienpothrets,exttorgaeotrhdeirnawryithoccthuepatfiaocntalthdaisteaassebelsittoigsais tliaobnortahtaotryhaasndspfrieealdd sotuvderietshiosf ctohuisntnreyw, rhesauzlatredd. inGbaordth PubRliecadHbeeafltohre atthethSeectEioignhtoyn-SiPxrtehvenAtnivneuaal ndSeInidounstroiafl tMheediAcimneeriacnand Med1icaHl oAffsmsoacni,atiFo.n, LA..tlanMticortCaliittyy. Xfr.omJ.. RJuenspeir1a,t3m, >19.35 tn Dut\ Trad2eM. ePruevllv.ct2h3e1t., UE.. RS.. DAepartAmeMntemofcraLnau; o*''v J.u:uA-t.-otj-v.*. - - j nmeerncaendd anCiummalmeinxpgesr4imatenStaatriaonnacwiLthakaes,beNst.osYi,,n c1o9m28 aanudthorreiptioersteind ththeeUirnoitbesderSvtaattieosnasndinG1lo9y3n1e. 5TinhEesneglatwndo hdaovmeindaenstclyribpeadretnhcehypmatahtooluosg,ya.sbeWsthoislies issilimcoasiinslyisinpterer sfotirtmialat;ionnorsoisdiasstbinecsttiovseisofchsailriaccotseirsi.zed by the nodular poAlitasneaLrcifheoIfnsaullrathnecedeCaothmpreacnoyrdresvoenalefidlethinatthaesbMesetotrsois hinadobnelyennginiveetneeans acacsaeus.se oTrhceonfitrrsibt uctiansge cnaoutseedofwdaesatihn a1n9d24t,hteherreest whearvee towcocurinred19s2in7c, eon1e93o3c. cuTrrheed diinag1n9o3s1is, wsixas tshueppporritmedarbyy caauutosepsyofindeoantlhy swixa.s cInarcoinneomoaf, thine atunboetrhceurlogsliiso.maInofthteheotbhrearinth, raenedasinbeastnoostihsewr apsulgmivoennarays tihneg pcraiumsea.ry cSaoumsee, owfiththecsaerdciaacsefsaiwluerree arsepthoertceodntirnibtuhte liteArasbtuerset.osis complicated by heart disease was given aasutothpesiecsausine othfesdeeatsheveinn saenvden pcualsmeso.narTyhetruebewrceurleosnios wsoaspedrihaagpnsosteodo imnucshevewraelighbty ctahnenoatttebnedginivgenphtyositchieasne, cerDtiifaicbaetteess. and pulmonary tuberculosis were also men tnioonaeudtoipnsieths.e rAemllaniinnientgeesnixpactaiesenst,s iwnewrehmicahletshearned wweitrhe oneInexocuerptisotnudailelswoerfe awshbietset.os mines and fabricating pthlaanntsth.0atthoef scilliicnoicsaisl. pTicotubree soufre,astbheestionsdiisvidwuaasl pmatiliednert wviidtuhalmawrikthedsailsicboessitso.sisTwhiellregriesattlhye rseasmemebdleystphneeaindoin einxdeerftiionint,e pthheysiscaaml esigdnrsy elciocuitgehd,bvantdhethsteethmooscreopoe.r Tlehs-e. pnaottieunstuawlliythsaeesbnesintossiisliciossiasp--t taondhahvee iscluabpbtetdo fbinegeprass--ty pfaactieedntanids eavpetntoshboew faaisrlliyghrtocbyuasntolsoiso,kwinhgi.le tOhef sciloicuortsiec-, cinomeapclhicaintesdtanbyceinIferecftieornt.o patients whose disease is not waWs emidniedd noort ffainbdriciantecdomthme ufnaimtieisliairnpwichtuicrhe oasfbedsitsoas broilciktymanindintugbceorcmumlouunsitiinefse.ctOiounrsoobcshearvraactitoernisstiwceoref hsaurpd pthoersteedcobmymtuhneitisetsa.teAmlelntthse opfatipehnytssicwiaitnhsaspbreascttoicsiinsgthaint awtethdeetiercttreaddewse.reI,nwointhlyoonneeexcacseeptidoind, wweorfkinindgesvtiedaedniclye oonf atchteiveroteunbtegrecnuloaspispeaanrdantchea.t dSiaegvneorsails swhaoswbeadsehdeaolneldy ctuablleerdcualtotesinst.ionGtaordtnheerdainffdereCnucme mbeintwgseeinn tthheeiarctrieopnorotsf ainsfbeecsttioosn dinustexapnedrimsielnictaal daunsitmainls, realnadtiotnhetior otubbseerrvclae tioInns taelnl,d otourbecalirniocuatl oduartaclianriecalbasstueddy.on 126 physical emxoarmeitnhaatnionthsreoef yeasabrse'steoxspowsuorrekearns,d awllhoofwewrehosmelechteadd aapt preaanrdaonmce. wShiixcthy-wtheretehooufghthteisnedipcraetseedntaedpnaeurmoeonctognein- Pneu4.mcGmaorkdonmero..iL-. VVI andInhCaulamtinonunont, DA.shEes.:tcs SDtr.ndster nInt? EKxpimeriitmei'nit.,dr 1P t in-i r m Tl -nIhe: r-o-u!' *K.:-i' ITr U '-"\1" . I ' : ,JApnnt.i'tnn1,1v"%r?i -i I ii:n 3 <Fe'* - W VX oulvuumeke 5106 .-ISHF.STOSIS--LAX Zi 369 <YiVmes .cbaulltedthethseysempcatosmessfwirsetrestiangdee.finFitoeuarnpdreisnecnotnicnlguseivvei. dgreanmt ps,ulwmeontaerrymesdymspetcoomnds asntadgec.orrOobfotrhaetisvee srioxetyn-tsgeevneon panatdietnhtisr,tetewnenmtyorheatdhabneefnifteexepnosyeedarsm. or\Ye ethaarne tsetnillyceoanrs atidnduiitniognalouinrfoarmsbaetsitoons onstutdhieestimaendelemhoepnet intodesveeclourpe meOnnt eanfdeatthueretetnhdaetnhcays ainmdprreastseedofuspriosgtrheasst.the British imnveneastciignagtotrhsanfouwneddiads.besTtohsisis dmiffoerreensceevemreayanbde mmoorree afapcptaorreienst tmhaayn breealm, obruet ditusistypothsasinbleoutrhsa. t TthheerEengwleisrhe nimotpreasvsaiiolanblies baansyedcoonmtphaeriartivreepodrutsstancdouonnts,stabtuetmetnhitss mwiatdhethtoe mEnygselilsfhancodnmdiytiocnosl.leaOgnueespbroycepsesr,sodnesscfriabmediliainr btheeeBxtrrietmishelyredpuosrttys,adso"ems natottreaspspmeaarktiongh"avaenda sctoatuendtetro phaavrte ibneethnistackoeunnttroy.coInntroblotthhecoduunsttrihesa,zaernderignetaiscbestsetopss pablalinntgs, assobetshtaotsisit wisillprboebraabrlee. that further cases of dis graAms.inHsioliwcoesvies,r,thtehediawgnhoosleis mceanttteerrs oonf tahtetermoepntitnggenoto iicnatlerepvriedtenthcee,seiffialmnys. ainsddicffoircruelltataendtheelmusiwvei.thIft,heincoliunr ostfudpiense,umweochoandiofsoisundwiathmmoraerkceledar-scyumt patnodmssevaenrde tdyipse asubcilhityas amsywceolllleaasgueas dainsdtinmctyisveelf rhoaedntgbeeenn aapcpcueastroamnceed, ttoaskfinidn iantteomurptpinregvitoousmiankveestaigpatoisointisveofdisaiglincoossiiss, aonudr eeastsiimera.teThtheereeixstennot doofubtthethadti,seeasspeeciwalolyuldin hthaevebebgeienn nasinbges,towseiswweirteh haansidliiccoaspipsefdoobtyruelned. eavoring to evaluate asTihne sxi-lircaoysiasppaenadrandocesnaorte lneontdcltehaermcsuetlvoersditostinrcetaidvye gparothuoplionggicincthoapnrgoegsreinssitvheessetafgilems.sTahnedrethaereshleasdsoewvsidaernet afisnbeers,tomsiosrefilgmranguivlaers atnhde simofpterersstihoann oinf gsirloicuonsids. glTashse, adnendcythoefrethies nnoodunleosdutolatciooanleswceithantdhegivceondseenqsueenotpatqeune asoremasewinhatthedifffilemresn. t,Tohcecudpisytirnigbutthioen loowf etrhethsihrdadoowf sthies lmuanyg,oecxcuceppytthine mfaarjoardvpaonrcteio'dn coafsetsh,ewluhnegn. thWeeshnaodtiocweds sfreepqtuumentolyn tthhee riwgehltl smidaer.keWd eoaultsloinenotoifcedthethaint taernloubmar bheerartos,f afnildmsthiisn mciagshets boefexapsbeecstetodsiws hsehnowoneed ceonnlsairdgeerds tmhoant atrhye bplaotohdolovgeiscseplsroacsesstheteyndrsamtoifycoanlsotnrigct wthiteh ptuhle broIntcihsioploesss.i7ble that the x-ray appearance of asbestosis minaaypnpoeat rbaencdeiswtinitchtivpeneoufmtohcisondiiosseiasseduaelotnoeobtuhterunsiilfiocramte dougsratsm. sMoufchinmduosrteriainlvwesotirgkaetrisonexanpdosestdudtyo oafilroseonrttsgeonf psioliscsaibteleatnodspoetahkerdedfuinstistelayreonnetheidse,dthbeemfoorest iitmwpoilrltanbet phOasneeofthtihneg disiagcneortsaiisn.ofTphneeuumtmocoosntiocsairse. and patience are needed to elicit the occupational history of the KaltrewDiuebr.roxXv,ola1.n.L .a,?mni d:ccu- u\.\n Disability in the P ilin'.ai.,- i'i! . on\\ .McCTahnen. ' A M E\VAs.timS1.a:0ti3oHn:uSrtniadtdo(F.SueAnpcltbt.ieorn1t.o:.!. pwaittihenttheanrdoentotgecnoorrgerlaamte btheifsoreanda dthiaegncolisniiscaolf paicsbtuerse ttoiosnisalishjeuaslttihfiedh.azAarsdsn,ottehderien rieslatainonatlol otothoerfroecqcuuepnat tdeinsedaesnecybetcoaumseakoef aprdeisaugmnopstiivseoofraacsptueaclifeicxpoocscuurpeatwiointhal coourtretchte dcioagrrnoobsoisr.atioOnneofisotnhoetr jeusssteifniteidal infacmtoarksintgo aa dpiraegsennocseis ooff aasbreosteonstigseannoygrmamoreshthoawninogf sniolicodsisistininctitvhee pulAmsosoncairaytepdathwoiltohgicexcphoasnugrees. to asbestos dust is the opceccuurliraerncfeorimn atthioenspkuntouwmnanasd apsublmesotonsarbyodtiisessu.esTohfesea aosbbseesrtvoesrsbaonddiesarheavdeuebeaepnpadreensctlryibetod tbhye aactniounmboefr thoef itsissduoeusbtofnul,thbeuat sibtesistoscofmibmero.nlyThaegirreeedxaactt tshigenpifriecasenncet tainmde tihnadtictahteey mareerenloyt dthiaagtnotshtiec oinfdpivuildmuoanl arhyasfibrboeseins ewxhpeonsetdhetsoeasabsebsetsotsosdubsot:d*jesSoampepeoabrseirnvetrhsebeslpieuvtuemthaitn, ctilsusmuep.s, they indicate actual disintegration of lung vicDerd. eMscriilbleers89tohfe ttheechUnincitethdatSthaeteesmPpulobylisc iHn etahlethinStrear- opfe-rsituosnpeeanlsiionnje. ctMioinlleorf dfeifnienleyd dthivriedeedtypdeusstsofinreaactsitoante: dabuscoerdptbivyer,elianteivrtelyanhdarpmrloelsisferoartiivnea.ctiTvehedufsitrss,t thise psreoc othned tbhyirdduasstsththeattympiicgahlt rceaaucstieonpuolmf osnilaicroysifsi.broRseisc,enatnldy vMairlileetrie1s0odfesacsrbibeesdtosth:enaemffeelcyt,s cohfrytshoetilien,jeccrtoiocindoolfitetharnede avmiooussiltye. staCthedry, soistilleargiselyCamnaadginaensiuamsbessitloicsataen.d,Carsocpidroe mlitaegnaensdiuma,mcoosnitteaincionngtaiinnsteoandlyiroan ssmiliaclalteqiunanatpiptyroxoif maTtehley tthhreeesamtyepeqsuaonftiatsyb.estos produced the same type gofatoreraacstioinne:rtn.aHmeelys,tatthees: one described by this investi reaWcteionhavcaeubseeenpnaesusmumocionngiotshisatotfhethdeusdtisffupsreodfuibcirnogsisthtiyspienearst fdiibsrtoinsicst. froTmhitsheaspsruomlipfetrioanti,veasreyaocutinkgndouws,tshwashicnhotcabueseennpodrouvlaenr breysuclotrsrefrspomondoibnsgeravnaitmioanl oefxppeartimhoelnotgsicwmitahtetrhiael sfarmome dauusttosp, sibeust. t.iss.ues. hIasbefuliretvheerthsatrtenthgethegnreodssthbeehvaavluioer ooff ouasrbecslatosssifiicnatitohne othfedhuasrtsmafunld dtuhsetsinbtyraiptesrictloinniecaall tceostrraeslataiomn.eans of determining spoMkuenchofwaosrkaurtehmoraiitnastivteolybeasdiosnseilibcoesfoisr.e Iansbthesetomsiesanis tiismeb,eiansgbecstoonstrpollalendts. aTrehibse, intoggceltehaenredwuitph anthde thsemadlulesrt npurombbaberlyonfevpeerrsboenstheemwpleoaylethd, oifmcplliineiscatlhamtattehreirael twhialtl ltihaastbaesebnesatvoasiilsabpleroignressisliecsosaiss. dIoteiss bsiylicnoosims eaafntesrcewrtiatihn dberawasalclforsoemly daunsdt einxtpimosautreely, naosrsodcoiaetsedinfwecitthionassbeeesmtostios alesmwsitrhesusilltiicnogsisf.romTheexapnosswureer ttoo sthileicsaeteanddusotsthdeermparnodbs further study both in the field and in the laboratory. Metropolitan Lite Insurance Company. 8. MerewLeatnhceert.-2 :W1o3o8*3.!. (D\Yec. 2B2.), 1a9n3d4. Gloyne, S. R.: Pulmonary the 9lVnMtoililieerd.! } iV\^Yi.v. atondf)Nfiat\erJsm. iRod. uRcc.d- aThFeorPehigynsioDloogmiceasl, RPuesbp.onHseealtohi KV' 4{* : V ', ( Ian. 10 ' 19M l V, T' ( - ` ii -( n in n u 'n v .i< t . the n v '1 >