Document mXGzgQm5YVaRdOjgmDGZBg5Z

410 m umR,J ANNOTATIONS .ASBESTOS IN LONDON TUBE RAILWAYS. recognition aud study that we amdl *' |r it be true that vbntot lihr** u worn into cloth ud u*ed is amieut Romo, tbo ronlh-al iirtMoo ha* boos negligent in it* failure, until quit* recently, to detect the exLtene* of rhrvaje induatrial pulmturj mbottom*. Tbo Ant fatal caxeof pulmooary **be*to*i* wan recorded by H. 1L ][mj ia 1900, ud a full aeoout of tbo ditto* wo* jlrti two Toon ago ia our owa column*1 by Or. W. B. Wood ud Or. 4. X. Gloyao. Tho Home Offloo inquiry into tbo oifoeto of aabeatoa duat oa tho lung*, publUhed abortly afterward*,1 baa beta followed by tbo adoption of octiTo meaaun* to aupproaa duat ia aabottoa factor!#*. Ia many aucb factoriaa tbo latrodurtio* of oabaaat Ttatilatioa and tbo npiacemeat of dry prooaaMa by wet boro changed tbo atmoaphan ia which tbo work ia rnrriad out until it in now fre* at laaat from visible duat. Tbo optration of cleaning tbo carding machine* by ateel bruabea, undoubtedly a potent mure* of fatal pultoonary aabeatuaia, baa now beta replaced by a vacuum method, la dew of tho fact that tho duat particle producing tbo leeioa in tbo lung baa a diameter of only 3 p to 10|t it ia obriooa that the duat moat bo mpptwed at ita aourco; tbo uaa of rmpiratora hi futile. Illustration* war* recently given ia the daily preae of u experiment which ban been deviated to coat tbo London tube* with aabeeto* ia u attempt to minimi** noire, in oor knowledge. The con.iitian to be an ideal raubjlewct fuor *stnudy bbyy Honor, and ia an **7 aawwaarrdfoedd?*}! Hastings clinical prise* for !ipi*( OunewardeM* record* o>hb_*_e_rr_atM> on tho " sodden aevera atttaeckka* "' a|B aywtem that an met withhii nthfoS that minor paralytic and sensory i common than tha major ap with a aavero cerebral b*o attack* may ha either their duratioo la lometime* only l or hour*. In dUtributioa they ; monoplegic, or localised to on* j or tongue. The eentory pheael the motor in dUtributioa. i a* paresthesia, aombawa, Ur. Uonewarden* And* that rhago ia ran in patient* who** i le*a than 130, where** tb* ' with diaetoiic prtssum of ea*e being aeen with a dia*tolie | Hia observation# at*o ehow that i U unusual in patient* under oh been warned to lead a quit! where** fatal fcemorrbagt earning on their normal < allowance for their hypette la tbo* illustration* the workuiu waa provided with a double projector, Atted with trigger* by which it clear that both fatal ten transient stroke* are very ho raleaaed from two independeot jeta a spray of failure ha* begun or tber* i* pulveriatd asbestos, apparently under coostdembl* air preuaure. and a eprny of Mine adhesive solution. cardiac enlargement. _____ According to tho Uluatraiiooa the ashesto* powder ntSULTS OP OASTRECTOh passed through tho atrao*pher for something like six incheo before meeting the stmtu of adhesive. Though it ia true that the workman wav provided with a mask, it ia equady true that hi* clothing waa covered by asbestos powder. Experience in aabeeto* factoriaa would indicate that, should the experiment of the Loudon tube railway* load to on estenaiv* uaa of thia metboJ for deadening noire ia all the under* ground railway* of London, then a largo increaro in induetrial palmonary asbestosi* may bo expected ia yean to nm. la tha Houee of I'otumon* laet wnok (ere p. 374) Ur. W. J. U'Uouovaa naked the Home deoretary if adequate precaution* had been taken to prevent fatal lung dire*** in worker* lining London tube* with aabeotu*. dir Herbert Samuel replied that lie bad no power* of control ia rerpoet of thia work under the Factory or other Acta, and had no information at preaent ta to tho precaution* taken. But ho promired to make inquiries ' lx a communication * to tho t on Jon. 19th. Prof. H. Harts result* ia 133 ease# of gast tomacb. obaerved for period*;' year*. Of tha 33 patient* reUpse, all but oa# hod line* tho operation for period*J 37 year*. Then wen, furtT had died, bat not of cancer, occurred from 3 to 19 jear*. Another group included 13 whoeo death from 3 to 13 ~ waa not known; then may," aom* death* from recurrence, the** IX Laatly, then death waa duo to reciurenco _ caeca during tha Ant yaar. ** ? ia 9 during tb* third, and year after tha operalion. (or 31 p*r cent.) aurvivad tha I HIQH 8LOOO PRESSURE ANO STROKES. or more, and Prof. HartoatfJ 39 or 3U per cut tha propor- DtsriTX much investigation aince Allbutt'* original . whom a cun could b# clsjn description of high blood pre**uro them Jo (till doubt thia comparatively aueceaafm j about ita cauao and symptom*, specially in tha aacrifleing tho greater part ` earlier stage*. It ia, aa a rule, only later on, when tho ramoving with tho greatoat coudition ia fully developed and grave aymptoma which an moat subject *#- have supervened, that patient* with hypcrpicaia are that even batter rosultt woa*c aeen and atudied by the <peciall*t. Sine* by then . dieguoa** and operation* p* ineparable damage baa been dona. It la to earlier ; had oxteodad beyond tb* : 1IU eoucluaiua that "I* a** 1TM Lancer. IIM, UII*. * ItciMrt m KAxIi of Artmtu* Dot a tte Loaa* oad Pwl boa vamwr au point da xitouAinirPi--rtalo*.a Cla. I*ho.AliaNxO*.i*UloulIimiaimHS.tll.mmwult.ifu,aKa.*.M. Do To* LaM-wr, is**. U s'* Bra. MrU. uuu. ito r*fd- d*1