Document kkrLdQJ06o3xe5OM6zLY608J

. t )& & & .* * s July 17, 1969 PERSONAL AND CONFIDENTIAL RPorbeesridt eTn.t , P.I nddeuTsrterviiallleH,y gMi.eDn.e Foundation o f America, Zne. 6231 Centre Avenue Pittsburgh, Pa. 15232 Dear Bob: I have been seemingly negligent in replying so tardily to your letter of June 19, and now you have returned from your vacation, no doubt, to find no reply on your desk. I regret very much the necessities which have intervened to give my behavior in this the appearance of discourtesy. Such an appearance is misleading, however, for I've been very busy contending with a number of editorial duties and other demanding tasks which kept ray correspondence in obeyance. Perhaps, however, 1 may take refuge in the old saw that it is "better /to be/ late than never." If my delay in writing has retarded your efforts in the direction indicated by your correspondence with medical organizations and your proposal that I write, somewhat as you have indicated, to the Kettering Alumni, I do not find myself too unhappy about it. In fact, I must express myself here bluntly. I think your letter to Henry Howe was naive and unwise; I consider that Duane Block was expressing the views that could have and should have been anticipated fully. You are, I believe, starting at the wrong end of this matter and backing "the wrong horse," or perhaps, "a lost, cause." Moreover, there is hardly an idea in the letter to the Alumni that I could possibly espouse. I am not prepared to write to President Nixon about much of anything, and 1 do not consider that "industrial hygiene" is the name of the professional activity which we should undertake to develop. I say this not because I am not enthusiastically behind all efforts to improve the situation of industrial health, but "industrial hygiene" in the U.S.A. is not its name. There is a deep-seated tradition in this country which defines "industrial hygiene" as environmental control by technical and engineering means. This i3 indeed the Washington, D.C. idea, but even more it is the settled conviction of all of the medical organizations. You cannot buck it, and you cannot even make your views of it understood. Certainly we need "industrial hygiene" as it is labelled currently, but we desperately need the coordinated efforts of welltrained physicians with well trained technical people in industry. Vfe do not have the physicians, not even their understanding, and you are talking sheer nonsense (as fax' as the A.M.A. and most of the I.M.A. will view it) in promoting this idea. By b o doing, you will defeat not only your own efforts in this direction, but those of any other person or group, by your proposal. For example, in the face of the formal procedure within the A.M.A. hierarchy for the appointment of members of its official Councils, your suggestion that Dave Fassett be appointed will be regarded (probably silently) as either a piece of effrontery or in matter of naivete. Or, again, that the President of A.M.A. should write such a letter as your propose, is to suggest that he is prepared to ignore the role of the physicians of the country in the field of industrial health, and to back the industrial hygiene engineers in taking over this responsibility. You will not believe this, but I tell you that it is literally true. This is what he cannot fail to balieve is the meaning, to him, of "industrial Hygiene." What I have said about his matter in the foregoing remarks is blunt, hard doctrine, and I would not say it if it were not necessary. You cannot afford to put yourself Page 2 July 17, 1969 and the Industrial Hygiene Foundation in this poiation, which will be regarded as foolish. One can be eccentric or mean or opinionated and troublesome, but he cannot be ridiculous and survive. May X make one additional remark which might well be misunderstood by a less devoted and conscientious person than yourself. You, professionally, are in no position to Initiate or achieve a reform in this field. This is true, in part, because you are not old and gray, but it is the more true because the Industrial Hygiene Foundation, for many reasons, is not the organization of leadership from which to sound the >. clarion call to the professions involved. This must be done, either by the professions themselves (which would be the desirable way), or by a virtual revolution from the ' ranks of those whom the professions are so weakly (in terms of numbers and geographical scope) undertaking to serve. Speaking from the sidelines, especially through the * political avenue, will not now or (1 think) ever turn the trick. I advise you to drop this, therefore, before it reacts on you to chill your ardor. And now, happily, X can speak kindly and approvingly of your program for the Annual Meeting of the Industrial Hygiene Foundation. It is good, and it continues the good (and eventually productive) educational program in this field. This is what each one of us, in his particular field - university education and training, research and guidance organization (university groups, Industrial Hygiene foundation, and private professional groups), formal professional organizations (Academy of Occupational Medicine, AIKA, IMA., etc.) - can do to bring about an attitude of mind and an understanding of the task, which, one day, will make it possible to do what you want to do now. The fact is that we do not have the backing from our own profession to make much of a splash in the medical community. But time and circumstance are on our side. Sheer danger to the life and health of the people, as it grows in the present situation, will compel the physicians - who will probably be the last to learn, because of their intense preoccupation with what they are now doing increasingly well - to recognize that their present efforts are not being expanded in the right direction. Although we (as physicians in various roles) simply cannot unite under a credible masthead to view the present scene and meet it with appropriate action, it will not be long before we shall have to do this, unless we are (as organized groups) prepared to find our influence diminishing more and more and giving away to other groups which will be more responsive to the needs of the country. Please forgive me for lecturing you. Sincerely, RAK:wp Robert A. Kehoe, M.D. Professor Emeritus of Occupational Medicine P.S. X shall devote a brief memo, attached, to the article of which you sent me a reprint RAK n)1 *1 {l i % ti July 17, 1960 PERSONAL AND CONFIDENTIAL Robert T. P. deTreville, M.D. President, Industrial Hygiene Foundation of America, Inc 6231 Centre Avenue Pittsburgh, Pa. 19232 Dear Bob! X have been seemingly negligent in replying so tardily to your letter of June 10, and now you have returned from your vacation, no doubt, to find no reply on your desk. I regret very much the necessities which have intervened to give my behavior in this the appearance of discourtesy. Such an appearance is misleading, however, for I've been very busy contending with a number of editorial duties and other demanding tasks which kept my correspondence in obeyance. Perhaps, however, X may take refuge in the old saw that it is "better /to be7 late than never." Xf my delay in writing has retarded your efforts in the direction indicated by your correspondence with medical organizations and your proposal that X write, somewhat as you have indicated, to the Kettering Alumni, X do not find myself too unhappy about it. In fact, I must express myself here bluntly. X think your letter to Henry Howe was naive and unwise; X consider that Duane Block was expressing the views that could have and should have been anticipated fully. You are, X believe, starting at the wrong end of this matter and backing "the wrong horse," or perhaps, "a lost cause." Moreover, there is hardly an idea in the letter to the Alumni that X could possibly espouse. X am not prepared to write to President Nixon about much of anything, and X do not consider that "industrial hygiene" is the name of the professional activity which we should undertake to develop. X say this not because X am not enthusiastically behind all efforts to improve the situation of industrial health, but "industrial hygiene" in the U.S.A. is not its name. There is a deep-seated tradition in this country which defines "industrial hygiene" as environmental control by technical and engineering means. This is indeed the Washington, D.C. idea, but even more it is the settled conviction of all of the medical organizations. You cannot buck it, and you cannot even make your views of it understood. Certainly we need "industrial hygiene" as it is labelled currently, but we desperately need the coordinated efforts of welltrained physicians with well trained technical people in industry. We do not have the physicians, not even their understanding, and you are talking sheer nonsense (as far as the A.M.A. and most of the X.M.A. will view it) in promoting this idea. By so doing, you will defeat not only your own efforts in this direction, but those of any other person or group, by your proposal. For example, in the face of the formal procedure within the A.M.A. hierarchy for the appointment of members of its official Councils, your suggestion that Dave Fassett be appointed will be regarded (probably silently) as either a piece of effrontery or in matter of naivete. Or, again, that the President of A.M.A. should write such a letter as your propose, is to suggest that he is prepared to ignore the role of the physicians of the country in the field of industrial health, and to back the industrial hygiene engineers in taking over this responsibility. You will not believe this, but I tell you that it is literally true. This is what he cannot fail to believe is the meaning, to him, of "industrial Hygiene." What X have said about his matter in the foregoing remarks is blunt, hard doctrine, V and X would not say it if it were not necessary. You cannot afford to put yourself Robert T, P. deTrevllle* M.D page 2 July 17j 1969 and the Industrial Hygiene Foundation in this poistlon* which will be regarded as foolish. One can be eccentric or mean or opinionated and troublesome* but he cannot be ridiculous and survive. May I make one additional remark which might well be misunderstood by a less devoted and conscientious person than yourself* You* professionally* are in no position to initiate or achieve a reform in this field. This is true* in part* because you are not old and gray* but it is the more true because the Industrial Hygiene Foundation* for many reasons* is not the organisation of leadership from which to sound the clarion call to the professions involved* this must be done* either by the professions themselves (which would be the desirable way), or by a virtual revolution from the ranks of those idiom the professions are so weakly (in terms of numbers and geographical scope) undertaking to serve. Speaking from the sidelines* especially through the political avenue* will not now or (I think) ever turn the trick. I advise you to drop this* therefore* before it reacts on you to chill your ardor. And now* happily* 1 can speak kindly and approvingly of your program for the Annual Meeting of the Industrial Hygiene Foundation. It is good* and it continues the good (and eventually productive) educational program in this field. This is what each one of us* in his particular field - university education and training* research and guidance organisation (university groups* Industrial Hygiene Foundation* and private professional groups)* formal professional organizations (Academy of Occupational Medicine* AIHA* IMA*, etc.) - can do to bring about an attitude of mind and an understanding of the task* which* one day* will make it possible to do what you want to do now. The fact is that we do not have the backing from our own profession to make much of a splash in the medical community. But time and circumstance are on our side. Sheer danger to the life and health of the people* as it grows in the present situation* will compel the physicians * who will probably be the last to learn* because of their intense preoccupation with what they are now doing increasingly well - to recognize that their present efforts are not being expanded in the right direction. Although we (as physicians in various roles) simply cannot calte under ' a credible masthead to view the present scene and meet it with appropriate action* it will not be long before we shall have to do this* unless we are (as organized groups) prepared to find our influence diminishing more and more and giving away to other groups which will be more responsive to the needs of the country. Please forgive me for lecturing you. Sincerely* RAKtwp Robert A. Kehoe* M.D. Professor Emeritus of Occupational Madlcine P.8. I shall devote a brief memo* attached* to the article of which you sent me a reprint. RAK MEMORANDUM On an article from a recent number of Annals of Internal Medicine* by Fromke* Lee and Watson of Minneapolis on "Porphyrin Metabolism Daring Versenate Therapy in Lead Poisoning." This is one of a number of articles which have appeared in the literature recently* on the chemical aspects of hematological phenomena in lead poisoning* both with and without and before and after the use of chelation therapy. Since the authors are not wholly familiar with the clinical significance of certain of their findings* in relation to current considerations of preventive medicine in industry* it is well to call attention at the outset to a statement in the case report* which might well be misinterpreted in relation to the significance of the determination of lead in the urine and in the blood* In the third complete paragraph in the second column on page 1008* it is said that "The blood was consistently normal before and during therapy* while the urine lead was considerably increased before and much more during the Versenate therapy^" Examination of the data (Table 1 on the same page)* disclosed the fact that the concentration of lead in the blood on September 1* (1966?) was 0*049 mg* per 100 ml* This was* at the least* a full month after the date of an admission to a hospital* which is the first indication of the time of onset of illness (in all probability some time before July 30* 1066). This value is* indeed* within the normal range* but at its upper limit. Following Versenate therapy* this level decreased in 4 days to 0.029 mg* per 100 ml* of blood. Disregarding* for the moment* the potential errors of the analysis* this decrease is considerable* and when taken with the results obtained in the urine is a reasonable expectation* The urinary lead concentration initially (September 1) was 0,148 per liter* which is not grossly abnormal* but is rather at about the same point in the normal range as is the blood value of 0*049* that is* at the peak of normal findings* The response of the excretory apparatus to Versenate therapy* in both instances* i.e.* blood and urine* is in no sense remarkable. One may properly interpret these findings* therefore* in the following manners This patient absorbed modestly abnormal quantities of lead (whether the dally dose was moderate or the duration of the daily dosage was relatively brief)* became ill and discontinued the exposure* in whole or in part* with his first admission to the hospital. From that time on* his body burden of lead* having been increased by a moderate amount in a brief time* diminished appreciably* lowering the concentration to 0.049 mg, per 100 ml. from its previous level* which* in terms of our extensive experience in those matters* had been of the order of 0*08 mg. per 100 grams or a little bit higher or a little bit lower. By reason of these events* the only evidence remaining at the time of the detailed clinical investigation* of a toxlcologlcally significant degree of occurrence of lead absorption in a previous period was the chemical hematological findings* which are known to return to their normal state only after the lapse of a longer time than is required to diminish the lead content of blood* urine and soft tissues to essentially normal levels. There are two unusual features in the report of this case which should be taken into account for the future recognition of cases of lead poisoning in the general population. In other respects this is a clear presentation of a clear case of mild lead poisoning. The most unusual feature (in reasonably close time relationship to the onset of frank plumbism)* is the failure of the concentration of lead in the blood to show that there had been a clinically significant absorption of lead. This is readily explained on the basis of the known facts about the time and dose relationships of lead intoxication* but it is important and informative to know that the full information* including that of the behavior of the precursors of hemoglobin* can reveal the truth of the exposure In certain Instances after an Interval of freedom from exposure to and absorption of lead. The other "unusual" feature ik the origin of the exposure to lead which Induced the Intoxication* While this is unusual, it is not unique We have seen two cases of lead poisoning from this type of exposure* Which was brief but fairly severe, lasting only one month* at a level of dosage which has been estimated with fair accuracy to be somewhat more than 10 milligrams and somewhat less than 15 milligrams, per day. Xn this instance, the concentration of lead In the blood of one of the victims, at the time of the sampling of the blood* 2 to 3 weeks after the termination of the exposure, was $ 0.07 mg. per 100 grams* while the other was t 0.08; both undoubtedly had been somewhat higher. Xt is of some importance to know that the rate of the decrease varies greatly with the duration of the exposure* being very rapid where the duration is brief. \ \ T O : K e tte rin g A lu m n i In the past there has been little recognition, outside a very lim ited group chiefly represented in the m em bership of the A m erican Industrial Hygiene A ssociation, of the benefits of application of scientific and technologic m easurem ents and controls in the solution of health-related problem s arising in industry and also in m odern industrial society. Dynam ic changes in the consciousness of the public in environm ental heaffveec tnsowof stepcrhe ando lof agricbaelyaodnvda nc coensc ebreng aonv ewr itihn sRe catcihceidl eC paorsllounti'os nS. ileUn nt fSoprtruinnga teanlyd, tlhiteerrea lhlyasthboeuesna nndosr eoaf lh ee afflothrtptroo bcolenmvesy atroe thseo lvpeudb laicndthpereevffeenctteidv einnemssowd eitrhn winhich dustry by sound m anagem ent. Sound m anagem ent in this area involves w ise dh eecailsthio--n -thmea kd iinr egc taot rthoaft olcecvuepl aotfioinnadluhsetrailathl ,reil.aet.io, nas wreesllp oqnusailbifliee dfoorc ceumppaltoioyneea l physician, who should be in the best position to deal expediently with all such problem s (including both those which do not require or lend them selves to m easurem ent and effective control and m ust, therefore, be dealt w ith em p iri cally and, conversely, those which can benefit from scientific m anagem ent). In the latter case, the occupational physician can benefit from the assistan ce of the w ell qualified industrial hygienist, whose background and experience should perm it him either to personally perform the m easures and design the controls needed or to be able to advise how best to proceed. Obviously, Indus tria l Hygiene is a vital ingredient in constituting an effective O ccupational H ealth ocfa pthaeb ivliatylu eanodf ytheit,s timh eproe rtias nwt ifdieelsdp rteoaedmlpa cloky eoef paunbdlipcuabnlidc phreoafleths scioonnasle ravwa tairoenn.e s s In view of the above, and at the suggestion of one of m y fo rm er students who now heads the Industrial Hygiene Foundation of A m erica, Inc. (IHF), I am w riting to advise you of m y intention to act in two areas of im portance: (1) I am w ritin g to P re sid e n t Nixon to ad v ise him of m y conviction of tahned iamskpionrgtahnicme toof Icnodnus isdtreira lfaHvyogriaebnley troe cooumr mn aetniodnaatilown se lofafrteh eanPdrepsuibdleicn thse aolfth , the A m erican Conference of G overnm ental Industrial H ygienists, A m erican A cadem y of O ccupational M edicine and A m erican Industrial Hygiene A ssociation as w ell as IHF that the w eek of IH F's Annual M eeting be designated "N ational In d u s tria l H yg ien e W e e k "---O cto b er 12-18. A copy of m y le tte r w ill be se n t to Senators E verett M. D irksen and Hugh Scott who have agreed to co-sponsor the Bill needed to recom m end such action to the P resident. IHF has prepared a special Annual M eeting program (enclosed) designed to help stru ctu re an - 2- extensive m em bership drive and also, through the public relations d ep art m ents of its m em bers, to develop such extensive coverage of all m edia that by the y ear's end, the m ajority of our citizens and all those in the health professions should be aw are of th eir debt to Industrial Hygiene and share our confidence in the future capabilities of this dynam ic field to help advance em ployee and public health to the m axim um practical degree, reaching far beyond all m inim um standard requirem ents of the law, 2. I am also w riting to the P resident of the A m erican M edical A ssociation, with copy to the Council on O ccupational H ealth, of which I w as a m em ber for m any y ears, to call to attention the fact that the p resent Council has not a single m em ber who considers him self an Industrial H ygienist and who belongs to the A m erican Industrial Hygiene A ssociation, recom m ending (1) th a t th e p re s e n t P re s id e n t of the A m e ric a n In d u stria l H ygiene A sso cia tio n , D avid W. F a s s e tt, M, D. , be appointed to the C ouncil, and (2) th a t the C ouncil, including D r. F assett, consider w hether or not the incom ing P resident, D r. G erald D. Dorm an, should w rite a letter expressing the A m erican M edical A ssociation's endorsem ent of the im portance of Industrial Hygiene to our nation's health and w elfare. This m essage is being sent to you as an alum nus of K ettering Lab oratory to a le rt you of m y intentions in this regard so that you m ay a ssist mnoew ine xeixs ttsenidninogu rsofmie eld dwe igtrhe ereogfa rodrdteor Iinndtou stthreia lr aHthyegriencoe,n faunsdedwshiitcuha,tiounn fwo hrich tunately, is preventing our entire field of O ccupational H ealth from m oving ahead as rapidly as it should in today's rapidly changing clim ate. B est w ishes to each of you for an enjoyable sum m er w ith your fam ilies. S in c e re ly , E n clo su re cc: R obert T. P. deT reville, M. D. R obert A. Kehoe, M. D. PUrnoifveesrssoitry EofmCe rinitcuisn n a ti IN D U S T R IA L H Y G IE N E FO U N D A TIO N O F A M ER IC A , IN C. D r. R obert A. Kehoe June 19, 1969 Page 2 Many thanks and with best regards. Sincerely, deT: sjc E n clo su res R obert T. P. deT reville, M. D. P re sid e n t f\ (412) 6 87-2100 ESTABLISHED 1033 INDUSTRIAL HYGIENE FOUNDATION OF AMERICA, INC. . 5231 CENTRE AVENUE PITTSBURGH, PA. 15232 D r. H enry F. Howe, S ecretary AC omuenrciiclaonn MOecdciucpaal tAiosnsaol cHiaetiaoltnh 535 N orth D earborn S treet Chicago, Illinois 60610. r; "DRAFT" D ear Henry: Thanks for your le tte r of June 4. Enclosed for your inform ation is a copy of m y letter to Duane Block, P resid en t of IMA. Even though you feel that D r. D orm an should not w rite P resid ent Nixon, I would like you to get the opinion of the AMA Council on O ccupational H ealth regarding the w ording of the enclosed bill which w ill be co-sponsored by Senators Hugh Scott and E verett M. D irksen. Any com m ents supplied w ill be carefully considered, how ever, I would feel a lot better if there w ere at least one industrial hygienist on the Council who m ight put in a good w ord for those of us who are w orking in this field. How wa popuoldin Itegdo? abDorust. suJigmg eSsttienrgn ethr aatnDd aRveo bFearts sKe etth,oec,u rpraesntt pPreres isdide enntst ooff AAIIHHAA,, sbee rv e d in the past on the Council with distinction and w ithout such representation, frankly, the Council appears m isnam ed. W ith kind reg ards. S in c e re ly , d eT :sjc E n clo su res cc: D r. G erald D. D orm an R obert T. P. deT reville, M. D. P re sid e n t AN ASSOCIATION OF INDUSTRIES FOR THE ADVANCEMENT OF HEALTHFUL. WORKING CO NDITIO NS V> % A m e r i c a n M edical A ssociation 535 NORTH DEARBORN STREET CHICAGO, ILLINOIS 60610 PHONE (312) 527 1500 TWX 910-221-0300 COUNCIL ON OCCUPATIONAL HEALTH J u n e 4, 1969 GEORGE F. WILKINS. M.D.. Boston Chairman PACKARD THURBER, JR.. M.D., Los Angeles Vice Chairman HARLAN B. ANDERSON. M.O., Casper, Wyo. NEAL E. BAXTER. M.D., Bloomington, Ind. KIEFFER 0 . DAVIS. M.D.. Bartlesville, Okla. WILLIAM D. NORWOOD. M.D., Richland. Wash. FORREST E. RIEKE. M.D.. Portland. Ore. S.D. STEINER. M.D.. Detroit RICHARD A. SUTTER. M.D.. St. Louis R. LOMAX WELLS. M.D., Washington, O.C. HENRY F. HOWE, M.D., Chicago Secretary Robert T. P. deTreville, M.D. President, Industrial Hygiene Foundation of America, Inc. 5231 Centre Avenue Pittsburgh, Pennsylvania 15232 Dear Bob: G e r a l d D. Dorman, M.D. informs me that he r e p l i e d to your letter of M a y 13 regretting that he could not attend your 34th Annual Meeting Management Conference on October 14 because of a previous commitment to speak in Hawaii on that date. He suggested that I write you further with regard to the action of the Council on Occupational Health on the proposed National Industrial Hygiene Week. In the opinion of the Council, it would be preferable, if such a national "week" is to be instituted, to have it called "National Occupational Health Week." The Council are generally in favor of such an observance but do not believe it should be limited to the subject of industrial hygiene. Furthermore, the Council was strongly of the opinion that it was unwise to single out one organization, namely the Industrial Hygiene Foundation of America, as the principal sponsor of such a week of public emphasis in this field of disease prevention efforts. Other occupational health organizations in both private and public sectors have rec e n t l y c elebrated anniversaries of from 25 to 50 years and would seem to be as wo r t h y of recognition as your particular Foundation. As examples, one might mention the AMA Council on Occupational Health itself, the Industrial Medical Association, the American Industrial Hygiene Associa tion, a n d the Bu r e a u of O c c u p a t i o n a l H e a l t h of the U. S. Pu b l i c Health Service. The Council believed that the whole gamut of PLAN TO ATTEND THE 29th ANNUAL AMA CONGRESS ON OCCUPATIONAL HEALTH, STOUFFER'S RIVERFRONT INN, ST. LOUIS, SEPT. 15-16, 1969 V R o b e r t T. P. deTreville, M.D. - 2 June 4, 1969 occupational safety and health groups who have collaborated so effectively over the years in improving the work environment and the workers' health and safety should be commemorated in such a national week. This would serve to inform the public of how wide-spread are the efforts by all the professional health teams involved. I hope all goes well with you and the Foundation. Yours cordially, <FT I Henry F . n o w e , M.D., Secretary Council on Occupational Health HFH:bsj cc : G e r a l d D. Dorman, M.D. G e o r g e F. Wilkins, M.D. H u g h H. Hussey, M.D. A m e r i c a n M edical A ssociation .535 NORTH DEARBORN-STREET - CHICAGO, ILLINOIS 60610 PHONE (312) 527-1500 TWX 910-221-0300 PRESIDENT-ELECT GERALD D. DORMAN. M.DS 10 Columbus Ctfcle, Suite 1270 New York, New York 10019 A* j 1 9 6 9 Robert T.P. deTreville, M. D. President Industrial Hygiene Foundation of America, Inc. 5231 Centre Avenue Pittsburgh, Pennsyl ania 15232 Dear Bob: Your letter of Ma y 28 caught me en route to the 3rd I n t e r national meeting on Traffic Accidents and then a dinner in Boston, from wh i c h I've just returned. Tomorrow I fly to Fairbanks and next week to the Canadian Medical Convention. You can understand that were I to write Senator Dirksen or any o f f i c i a l in government, no m a t t e r w h a t I say, it is o f f i c i a l AMA policy. I can .have no personal statements or policy while I am AMA spokesman. Therefore, to urge "National Industrial Hygiene Week" when the AMA Council on Occupational Health has expressed the opinion that such a week should be "National Occupational Health Week" instead of limiting it to industrial hygiene, w o u l d be impolite and in bad taste. I have suggested to Henry Howe that since he received a copy of your letter to m e that he might report directly to you, the reaction of the AMA Council. Cordially, Ge r a l d D. Dorman, M. D. Office of the President DUANE t . BLOCK, M.D. Ford Motor Company 3001 Miller Road Oearborn. Michigan 48131 May 19, 1969 Robert T. P. deTreville, M.D. President Industrial Hygiene Foundation of America, 5231 Centre Avenue Pittsburgh, Pennsylvania 15232 Inc. Dear Bob: I have received and reviewed the correspondence which you sent me soliciting assistance from the various professional organizations in having the Congress designate the week of October 12th as National Industrial Hygiene Week. Since the Industrial Medical Association's Board of Directors will not be meeting until the first week of July, I will be unable to bring this matter to their attention until that time and, as such, find it impossible to comply with your request at this time. As a personal comment, it seems to me that in view of the fact that several organizations are currently exploring ways in which the various disciplines may work more effectively together in identi fying their efforts on behalf of occupational health in this Country, it might be more appropriate to designate a special week as National Occupational Health Week rather than identifying only one discipline relating to the total effort. I will call this matter to the attention of the Industrial Medical Association's Board of Directors, however, and would, of course, comply with their wishes in regard to your request. With kind personal regards. Sincerely yours, ic cc Mr. Howard N. Schulz D. L. Block, M.D ESTABLISHED 1935 COPY (412) 687-2100 INDUSTRIAL HYGIENE FOUNDATION OF AMERICA, INC. 5231 C EN TR E A V E N U E PITTSBURGH, PA. 15232 June 20, 1969 D. L. Block, M . D . , President Industrial Medical Association Ford Motor Company 3001 Miller R o a d Dearborn, Michigan 48121 Dear Duane: Thanks for your kind letter of M a y 19. F o r your information I a m enclosing a copy o* the draft of the Bill which will be co-sponsored b y Senators H u g h Scott and Everett M , Dirks on. Should IMA's B oard of Directors have any c o m m e n t s X should be happy to receive them# even though they m a y decide against your writing to lend IMA's recognition to the importance of industrial Hygiene, as defined therein. With best personal regards. Sincerely, deTidfk Enclosures cc: Dr. M erle Bundy r . Miles Q. Colwell J h c c : D r. R o b e rt A. K ehoe Robert T, P. doTreviile, M . D. President ESTABLISHED 1935 COPY (412) 68 7-2 1 00 IN D U S TR IA L HYGIENE FOUNDATION OF AMERICA, INC. 5231 CENTRE A V E N U E PITTSBURGH, PA. 15232 June 20, 1969 D. L. Block, M . D . , President Industrial Medical Association Ford Motor Company 3001 Miller H o a d Dearborn, Michigan 48121 Dear Duane: Thanks for your kind letter of M a y 19, F o r your information I a m enclosing a copy of the draft of the Bill which will ha co-sponsored b y Senators H u g h Scott and Everett M, Dirksen. Should IMA's B o a r d of Directors have any c o m m e n t s I 3hould be happy to receive them, even though, they m a y decide against your writing to lend IMA's recognition to the importance of Industrial Hygiene, as defined therein. With best personal regards. Sincerely, deTidfk Enclosures ~Ji/ cc: bcc: Drr,. Dr . MM eirl else Robe OBu, nCdoylwell rt A. Kehoe RP roebseirdtenTt. P . d eT reville, 2v. D. ESTABLISHED 1935 - COPY (412) 6 87-2100 IN D U STR IAL HYGIENE FOUNDATION OF AMERICA. INC. 5231 C EN TR E A V E N U E PITTSBURGH. PA. 15232 June 20, 1969 D, L. Block M . D . , President Industrial Medical Association Ford Motor Company 3001 Miller Hoad Dearborn, Michigan 48121 Dear Duane: Thanks for your kind letter of day 19. F o r your information l a m enclosing a copy of the draft of the Bill which will be co-sponsored by Senators H u g h Scott and Everett M . Dirksen. Should IMA's B o a r d of Directors have any c o m m e n t s X should be happy to receive them, even though they m a y decide against your writing to lend IMA's recognition to the importance of Industrial Hygiene, as defined therein. With best personal regards. Sincerely, deTidfk Enclosures cc! Dr. M erle Bundy 3$r. Miles O. Colwell i bcc: Dr. R obert A. Kehoe Robert T. P, doTreville, M . D. President Af# * CONGRESS ..?.?.... Session SJ. MS, ___ .> 16 n ( Naconetdpet.n--tuhFomei lbel epIrnrooAfvlilrdebealdoa tnfaoktrioltinhn.ee)sdeaxt e IN T H E S E N A T E O F T H E U N I T E D STATES nTT?v,FV l if i K ar.i `U . S c c t t ] introduced the following joint resolution; which was read twice and referred to the Committee o n ................................................................................................................................ JOINT RESOLUTION To authorize the President to designate the period beginning October 12, 1969, and ending October 18, 1969, as "National IndRuessotlrviedalbyHtyhgeiSeenneateWaenedkH".ouse of Representatives of the United States of America in Congress assembled, That, in recognition of the need to preserve the Nation's primary natural resource-- its employed population, and in recognition of those individuals and organiz ations seeking to protect and improve the health of the Nation's * work force, the President is authorized and requested to issue a p r o c l a m a t i o n d e s i g n a t i n g the period beginning Oct o b e r 12, 1969, and ending October 18 , 1969, as "National Industrial Hygiene Week", and calling upon the people of the United States and interested groups and organizations to observe such week with appropriate ceremonies and activities. ^through the coordinated scientific m easures, technological and engineering controls which characterize industrial hygiene, (412) 6 8 7-2 1 00 FOUNDATION OF AMERICA. INC. P it t s b u r g h , p a . 15232 June 26, 1969 D r. Lee B. G rant M edical D irector PPG Industries One Gateway C enter P ittsburgh, Pa. 15222 Dear Lee: As a result of our recent luncheon m eeting, I have asked Dave F assett to speak on future needs and goals of Industrial Hygiene in the place of the OHI presentation (see prelim inary program , enclosed). Dave advises that he w ill give som e thought to accreditation and m ay have som ething to say on it but did not w ant to be com m itted to this narrow an aspect of Industrial Hygiene planning, which is understandable. For purposes of your m eeting with the OHI A ccreditation C om m ittee next m onth, I should like to repeat my personal conviction that there is a need foocrc uapna toibojneacltihveea altuhthino riintyd utos trrye.v ieOwccaunpdactieorntaiflyhtehaelthadienqculuadc ye soIfnpdruosgtrraiaml sH oyfgiene as w ell as O ccupational M edicine, and it is necessary that the process of accred itation have outstanding com petence in judging adequacy of perform ance in every discipline involved. Obviously, O ccupational M edicine w ill be a key function, as it is the O ccupational Physician, ordinarily, who is in the best position to decide fnreoemd taomboengd etahlet wn uitmh eerxopues dhieenatlltyh,-roenlaatne de mp rpoibrilce lme sbcaos ims in(ign two hhicish aptrteonfetisosnio, nwa lhich judgm ent is the only determ inant) and which, on the other hand, lend them selves tloo gIincdaul satnrdia le nHgyingieeenreinmg ecaosnutrreomlse. n t and sc ie n tific m a n a g e m e n t involving te c h n o By inform ation copy, I am advising Dr. Kehoe cf our discussion. I have asked him to consider ways in which we m ight proceed to attem pt to re in te re st the organized m edical com m unity in Industrial Hygiene, in hopes that Dave F assett and perhaps other Industrial H ygienists as w ell, m ay be added to the AMA Council on O ccupational H ealth. We should also be considering, concurrently, w ays in w hich the field of In d u strial H ygiene can be b etter integrated into the OHI's p ro g ram s--either directly or by association w ithin some joint accrediting agency. As m entioned at the tim e of our m eeting, I believe IHF m ay be helpful in supporting the developm ent of the above joint accred itatio n concept and function AN ASSO C IATIO N OF INDU STR IE S FOR THE AD VANC EM EN T OF HEALTHFUL. W ORKING CO N D ITIO N S IN D U S TR IA L HYGIENE FO U N D A TIO N OF AM ERICA, INC. Dr. Lee B. Grant June 26, 1969 Page 2 and w ill be happy to a ssist in the developm ent of a specific OHI proposal for IH F 's B oard of T ru stees to reviw at th eir m eeting on O ctober 13. It m ight bdeaypwo shsiicbhl,e itno vmieawk eoaf nDaanvne oFu an scseemtet'nst pdousrsinibglethme eMn taino angoefmseuncthCao nnfeeerde,n cweounledx t be v ery tim ely. Should OHI decide not to collaborate in such planning or to discontinue its certification service, it would be especially tim ely and app ro priate to announce such a decision or intention, also. I can be reached through the office even though on vacation the week of July 7 in case you w ish to discuss these m atters further before leaving for Chicago. Best regards. S in c e re ly , d eT :sjc E n clo su re Ijec: D r. R o b e rt A . K ehoe R obert T. P. d eT rev ille, M. D. P re sid e n t (412) 68 7-2 1 00 ESTABLISHED 1935 INDUSTRIAL HYGIENE FOUNDATION OF AMERICA. INC. 5231 C E N T R E A V E N U E PITTSBURGH, PA. 15232 June 19 1969 Dr. R obert A. Kehoe P rofessor Em eritus U niversity of Cincinnati K ettering Laboratory Eden & Bethesda Avenues C incinnati, Ohio 45219 D ear Dr. Kehoe: Just a note to report p rogress in the program for our 34th Annual M eeting to be held O ctober 14-15, 1969 and to request your help in the form of (1) com m ents on an a rtic le in the A nnals of In te rn a l M edicine we w ould tloik eth eto Ka ebtstterraincgt fAo lrumo unri.In d u s tria l H ygiene D ig e st (e n c lo su re ), and (2) a le tte r A prelim inary program is enclosed and you w ill see that I have fol lowed your advice and m oved the consideration of breathing a ir standards to the Technical Conference. H erb Stokinger suggested Andy Hosey since Andy has just taken on extensive new responsibilities in this area, as you are aw are. We are having difficulty finding tim e for our Chem -Tox Com m ittee D iscussional p rio r to the Annual M eeting date because of conflicting vacation schedules of pa trtienncdipinleg tpheersToonksyowemwe eotuilndg wainsdh ctoonitninvuoilnvge aanrodutnhde tfhaec twtohraltd seenvreoruatle whiollmbee. It now appears that it w ill be best to decide if and when to hold it at the tim e of the C hem -T ox C om m ittee luncheon on O ctober 15, following A ndy's talk. The proposed lette r to the K ettering Alum ni is enclosed. W hile I could send it, I believe it would be m uch m ore effective over your signature. If you agree w ith its content, please sign, after m aking any needed changes, and we w ill reproduce and m ail the corrected version w ith a copy to you. If for any reason you do not agree w ith the concepts expressed, please provide m e with the basis for your disagreem ent in order that I m ay be guided by it in charting the future course of our Foundation. As you know, I value your opinions in such m atters and count on your continued help as P rofesso r, A dvisor and friend. I shall be leaving on three weeks vacation next week, but w ill call you on my return. By then, you m ay have had a chance, hopefully, to have given these m atters consideration. AN ASSO C IATIO N OF INDU STR IES FOR THE AD VANC EM EN T OF H E A LTH FU L W ORKING C O N D ITIO N S