Document m8nKqv6oVrLwmrLKGeZ6xYNd

January Xl*, 1938 Dr. Rafael Schlafftno Jefe de la Division de Hygiene Minlaterlo 6e Salud Publics 11 de Julio 1892 Montevideo, Uruguay Dear Doctor Schl&fflno;- Mr. Lester Roberts baa transmitted to me your letter enclosing an Invoice for medical services rendered, and containing questions concerning the continuation of. your work* I also received your letter today* On Pag of the memorandum which I sent you In Hovember will be found Instructions on the frequency of examinations* As stated there, I believe that you will find It advisable to examine the non four times per year for the first year* Later you may con to the conclusion that two examinations per year will be satisfactory* However, It Is my wish that you satisfy yourself as to what is necessary* All medical supervision in connection with this type of work should b done according to the discretion of th physician in charge, after direct knowledge gained fro visiting the mixing plant and examining the workmen* X want you to assume this responsibility In Uruguay, referring to m& only those questions on which you feel that you heed information or instructions* The memorandum which I sent you is for your general guidance* X shall see that you receive further information m soon as - translations of various sclentIf1 articles have been completed and printed. In the matter of your exami nations and records, you should do ccxsplete physical examinations and maintain satisfactory records of each examination as evidence of the physical state of each workman. In addition to a-,-physical examination I advise an analysis of the urine for albumen, sugar and for any other substance that may be indicated by abnormal findings* A blood smear should be examined in search of evidence of basophilic granulation (stippling) of the erythrocytes* Recommendations 'mad concerning the disposition of a workman should be communicated to the management of the refinery. 2 As to your compensation, I . have approved year Invoice* and I shall recommend that an arrangement be made thereby yon sill not have to send them to me In the future, but can be compensated promptly, Ko doubt you will hear either from JSr* Roberts or directly from the head office of Ethyl Export Corporatloo in Hew York, If I have not made my wishes clear, I hope you will write t.p me again, Also I hope you will consult me on any matters on which you wish to have my opinion. Cordially yours, RAK: Is cc Mr. Champlin TOwrnJfc7"tfehb*rO. 0 013 311