Document kmK0pkXB1DQGj9nrwaeX9g3xn

JOyia'H L. UUOJ1MAN, M.I) 1J O'Hl'AII IVINUI Mom'll ciiiiiLLiiiON. a. c. itsoa Scplorobcr 19, 1J/7U .`Ir, Jolu*. i!..rsh Inc. r.VjO^i'.jA'i't, Connecticut He*: biological Effects of Asbo3too Kostin" in Fhilndclpliia LVar Joint t Die uxeh.pipe of ideas-ami inorlality and morbidity data ua3 very beneficial to all- coM-jiTiivJ. Hie *(;!i.1 wns aceoMplirhecl without extendi d debate and non-productive .!j.:;cu:..;i mi. Hr ilu: .*:uhii.cis c*i. 1.1 inc i j.n this agenda, them are three things that are of -,i .d i n.-! iMport.-nr- l> ox* :i.n m;/.#l;:;t:rvationn of \:iuil was ::a.iil .it this meotiiw;. l) c" i. !:.l 1 >: m Up. past and.present 2) what the prognosis is j) future of the Indus-ry fj- u a iiodie.i.! :il...mij.oini. ' t a .*: I*.ii rly obv.ieu:: to My.ine who visits any of the plants that there .is a marked '.r.j.Tuvi <. .sincr the l`OfJ 1 s and l`/37 ' s l.'iu n the inlruduelion of dust ei.nl.re: j .ere ii; i' ' d to the p/ernnl dale. It is remark ;;i 1 (. J hat thcru has not been an .yjiivc.i:.b.' e ohauip.e in tho past 20 years as i'ar as Ur.- trust counts are c-.-iieen.ud. l'!ic: j r. .nt si tea[ .ion .is such that the dust counts .have stilt not, in m.eiv ; o11.-|i l n 'J fiberr war i:e level, but remain ir. tlie neii;hbcu*hool of between h ..i:d .12. This scums te be consistent Uu-ouchout all the plants iji l'.ajiliujus and CIk.j .Iv:;' i /. ivvii.w of 1,)k; nuc.:idunce nf now canos of jnoumouoni os.! s and fibrosis for r. i . r.lob e/ -f kb Irr.n 'V'i'/ to 3 b / 'i :;hu..--j Lhut there is ;.n absolutely flat liiie |-r !i. .; -.if pwo ii.iconies.i.;; i;o fmo 10 to 3.2 cases to 9 in uvory yuan Iror, . 1 ..:;.ir; -i;o to the piosei:'. e.'.lc, iiui.i.c:iti:,L: te me that tlu-.ri: is no .'.purrcenblc e: 11 wi in `lie .inr.b.i of r:i'.:st- sis V. ' l(- b.rl; of li.in.ju .i.n .i:..in r; c.i. th.. present d . r `rti;i U;,:- pel-joc of llio arl n 1SV.< ``i Uia ta;ly w..rt cc.; i : . Ilf in . ce-i;. . had ,-.r.e *: i '* * hv Ur:. .i;.".t i:.i lii f:i..- r.. .-ictiuv of j r. I rohuc .i n>: asbvs'.rs lr.tr par. V! i ? eeftsse-rv.M..|iii ;* #r.i 11o::-j .in an asbestos cement plant which revealed a mark-.'.: i ' *' ' i' .!. ... :'ib"":p d,:ii ..*!.-.::e ir. t! ;.t crly two people cut of 3C-0 showed vp ovi : r 3 . ..r i V.. Ir. Jolin ltirrh -2- So ptoir.ijo r 19, 191) ^ do not know what the instances of bronchogenic carcinoma is in tliis industry at '.!m; present time, becau ;c of the short duration of function of this^particular l.Mit. TJiis plant runs on tho averugu, of l'S to 2 .fibers, and in of tho plant, . L is less than h fiber |.vr cc. ?)us indicates to mo that a reflection in the neiilencu of pneumoconiosis is direelly related to tho fibers per cc found in the respirable air. \n .'ml on:;i! effort Must 'e made to reduce tho concentration of dust in the ati.e:;| he: a* 'ft W.ot; 2 fibers per c : in all plants. F .mu sure that the*sane situation exists in both Manhwim and Charleston. The -i-A 1-5m Unit 1 tumid Mavo of thy P.uiht in plant program and tho dtraLCnrd nragr- . .iu ii:i.ai.t vi.ly m ; constructive sense, i feel that tiic offering of the pn>i;.-.:. n ilnnhein, tlie offurin.: of a physical cxi-nination and not an insistence upon the 'act lhat.it must Vo dore to comply with o5!LA regulations is leaving. the dcor wii. for run! criticism h-ccuuso there are certain people who do not care, part.!::;.r o havv. hho done r tho pulmonary functions done. It is my UM(iorsL.iiu:.Mi; l:. . illA >-.;in:iji:i:cnts of a chest x-rcy and FEVlarc mandatory. In Stretford, the f,,el.' hat they only examine 'approximately ISO people out of the 1,5C0 employed tin;:*.-, Mheyhi.o foci that tlioy. are diluting their statistics somewhat; but, more s^r o.fj};., <i*o nit covering those }*:ople" who aru exposed to asbestos dust. 1 feel tln.t /jlikoff would bo-very critical uf only utilising -a 2 fiber level us tliose :o \a i : wposed to rosnirablo dust. 1 (h* In.A jew in 1 ration) that some investigation should bo done cs to l.lie j rii: d' the large amount of bronchogenic carcinoma without the preceding jmeunoen: Obi b 'einj; present. In: slatj :;! i i; worn not available at tliis meeting, but. perhaps they ore avail..hie t t-*ii s- t ine. f w:w; very much inpressid .with Mr. Hohergc and Dr. Kreider and found beth tin .rnl.it men extremely into re:stt:d in the-vc If are of tho employees ;md, althe e l fare <>;' thir corporation Those criticisms of the programs Dial they hud ; :ily. trfaiil to be cons Line l,-ive. lr. .i.u!.f.n:)tr;irje of x-rays very in to re sting to me in that the majority of i...r ili.s have*N vii read by two very cor, pc tout radiologists and the similar ai-ray va<`.:r.-.r vert, found in boll: instances. .heroes, the Majority of our films r-. .1 u ratalu!o;isl.f eiserhciv ..are found to be unsatisfactory fair., and no roue::." Id **. ed. I e;_ij:b. under:; hand tills, and I will r.rtiin sub: .at these x-r:."s : 1 1`V.isi. Ik rc to i;cb cpinion as to the quality o: the ::-ray. fiji;r tin.-, ta ' Vl.r.:-j r-r.'.y.j, s<ric of then were cp:itc- ole., we luve now had on auloilalj.c .l. an an:.' iho (ga.nlj.ly of the x-rays must be much better than they were say 'J o. * \ / o;. g G ( i!i', John litrsh -3- September 1?, V//U ] l.h.inl: U.at a constant oruhani*.') of random films is always c00t5 ^ 1 feel that any who lu:i an x-ray that shews a positive jv.wvnoconiosis. shVAild'have .-smlhi-r ! a.l.iufog.lr.l's opinion. This is our usual* procedure in Charles ten to ::-jh::t.*inli::li! the finding of pncunooon.iosis by ui indiceppeennddcennlt radiologist's viewpoint an.) a complete respiratory workup. The third il.ifficul ly is what' is the prognosis and future of the industry 1'run a medical aU.ndjxunl. It njipoars to-me that there in sari progress *n ^hc are:, of itw.-i*i*'n:-, 1ml a groat deal is left to be desired. Loolcing at the 20 yaor retrospective gi*aphs ox pneumoconiosis and fibrosis and seeing no sub:;f.-j;t; drop or c):.j:i;u iii the-past 20 years, the clc.uiiiness ef the plants is reflect, d ..ceorjjii!' to fi.fe statistics. It i- rxr o^i.J.on, therefore, that a juhstisit.;..'. .improvement dn the engineerin'; and cleaning up of the plants is necessary. A m*.n: hcnsJ vu and. unified physical examination program rjvl wed leal .valnat.i *>n pr.v'.n.n in. all pi ;jtls V.'ith statistic:! derived from-the unity and unj.i*rni: ly of. l;):u medica.l evaluation program:: would be of great benefit statj !. }y in the future. * * * 1/iucnt.iio Of'the employee is of great imparlance, c.ui be dojic l*y film .-trip jv'./oi* a*.y other visual educational mean."... 'lndoctyin;.!..i.o:i o.' the new employ...-'.*. by i f.i.'n pm : .-id atinn /jid orjnutation would reduce-thi: atlrili -n that I have :i die.:.; in this .ineuslry, for some t.'unu. ` '.vuT-mry: `..'e find Die following effects that warrent inmwdia o attention, l) fu-U.-r ci::;nieer.i)i,*> and. reduction of respirable dust 2) a uniformed iv.-diral 'i-oyr.-n I hrawghcnit the corporation 3) reporting of-statistics that would he I'liri rdi nl thi-viur.liout the con .oral.! on h) double chocking or double Mind sled'.*: f ;<-r.'.y:- 'o be a cor.tinw: ng practice 1?) education of employees as to their r! oiid.i t ;ion.--., hassr.*!:: and the weans of controlling t)u :;o h,*.sards should In a |; .'-.H t-ni at this time n) freef.lov of ideas and suggestions should, be constant el*. veil ..'.I divisions. i is ::j >i >.i r. n l. to me Unit n.11 is not Jest and Dial a suhstsnl i nl drive i:i l In. i lv.- ticin thal .1 have start e.l in the-above rccommcndat:i rns would in iny opin.'. :; barge the vicious cycle that wc find ourselves in at tills time. * ' * .Sincerely yours, .Ci/pb Joseph L. woojiwj-., h.2. X(!: /bss i s . Ii. C.uidin W. Simpson di : A-i oi oi, i