Document o3VBmMyLXvx8X67M6pvQrm5E

y-v-, .V'"vu-./fThpvh^ Company Report- . . Tho f o l lo w in g Its a r e p o r t -of .'the p h y s ic a l ; ojcacin atlocs, x-ray stu d ies and a n a ly tic a l data obtained fro:,1; our e tu n y or iv /o n ly Ken em ployed in v a r i o u s p a r t s o f your p a in t anu la c q u e r p la n t s # T hese men' w ere s e l e c t e d . by you as r e p r e s e n ta tiv e sam ples o f th o se group employed In each o f. te e se v e r a l p r o c e sse s in th e manufacture .of your b.;f p rod u cts*,' Our s t u d y ha s been' cants e m e u ' c h i e f l y w ith th e l - `h e a l t h o f t h e s e men* . and. s p e c i f i c a l l y , w ith th e ' ' 1 ,1 .. q u a n tity - o f 3fi sure t o h a sa rd h o u s am ounts o f lo a d and s i l i c a # . 1 .: .1.; .. . '.* ' - . ' v o f V y l ' . . . :; be can d isp o se o f th is la t t e r iter; b r ie f ly by s a y i n g , t h a t I n n o I n s t a n c e was t h e r e e v id e n c e ' o f s i l i c o s i s . :.. :. In th e f i f t e e n men s h o e s c h e sts' w e r e -x ^ r a y o e h b y ;u s , . T h ese teen,-;.. .. : ' - - ' . 1-;- . fi m ix e r s " .. . : 1 m ixer ;} la b o r e r s 1 thinner - 1 rollir:-., n i l l employe 1 sto r e cr-essor pain t p la n t. . '' lacquer p lan t r e c e 'iv iiifc dept* . lacquer plantro llin g -m ill . lacquer plan t . 652 years {averaye l y years;). 2*1/2 years ^ 5 years 9 years . 6: m onths -'o ! y e a r s ( 1 /2 tim e ) H o f ig u r e s in th e riy.iit~b.arid Column in d ic a t e th e y ea rs co n tin u o u sly employed a t the occu p ation stated * Tho o n ly I n s t a n c e i n w h ich on m ig h t e x p e c t .a r e a l s i l i c a h a s o r ti, and i n w hich d u r a tio n of"-expsure, -has'.- n o t. been 0003869 ' . ' --H ; '' ' ' . adeq u ate-'to producer-silicosis-' ven^teu.unh th e' amount o f _s i l i c a be h ig h , I s th e stone d r e s s e r . He i s pro to o te d In t h i s o c c u p a ti on b^ good -fo r c e d " v e n tila tio n in the; room in : w h ich ;h e works* He i s a l s o su p p lie d : w ith , a n ask but: admits-. th a t he u ses i t in freq u en tly ., h . T h e.ayrsg exposure to s ilic a -c o n ta in in g " d u s t .' amorr-: th e men"'in.' th e r e c e i v i n g dep artm en t was f i v e y e a r s . I t i s p o s s i b l e f o r an. i n d iv i d u a l t o be ex p o sed t o h azard o u s . . aacm t's o f s ilic a , fo r t h is p eriod o f tim e w ithou t showing the d isease liovoyer, sine the type o f dust d if f e r s not at a l l from .'t h a t to-"which; th e -men', in th e m ix in g d ep artm en t o f th e p a in t p la n t a r e ex* -osed , we may; u se trie e x p o su r e s o f t h e s e : ,. . ' ' l a t t e r men-.''as. a .."C riterion o f what i s . X it e l; / to hap oon In th e r e c o ) virip gro u p . \-*Itr file p r o v is o t h a t - I f f u r th e r o u s t 's tu d ie s snowed much g r e a te r -q u a n titie s ieoncentr& tir.-nj o f s i l i c a o u st in box e a rs oven thou; k th e typo o f M a te r ia l bo i d e n t i c a l the a n a lo g y may n o t hold Our su rv e y o your f a c t o r y im p e ls Uf; to s u g g e s t t i n t I n Sp,,-to o f th e f a c t t h a t s i l i c o s i s h. ' n o t d e v e lo p e d i n any o f th e men exam in ed by u s , t h a t th e s t o n e d r e a d e r s and trie r e c e i v e r s ( w h ile w orking in the-- c o n - - fin e d and very d u sty atm osphere o f box ea rs) should be. , req u ired to wear masks fo r th e ir ow n -p rotection a .a in s t s i l i c a - . IX ' . ' '" ' '; h The g e n e r a l h e a lt h o f the m en:exam ined by ue; as In d ica ted by d e ta ile d h :s to r y , p h y sic a l exam ination, u r i n a l y s i s aa d b lo o d c o u n t s , showed them 'a' a group t o be it; good h e a lth and f i t fo r con tin u ed employment. In no in s t a n c e d id wo f i n d s u f f i c i e n t p h y s i c a l d i s a b i l i t y to n e c e s s it a t e a recommendation fo r c e s s a tio n o f employment, ------- iti. In sojse in s ta n c e s we have* .been a b le to uncover c e r t a in minor d is o r d e r s, which I s h a ll enumerate below . P a in t. -.p la n t s lie r s " ri/martatT&uft (1) somewhat undern ourish ed . a g e J4.0* T h is man appears. He h a s some b lu r r in g , o f v i s i o n and n eed s g l a s s e s 6 lie i a In n eed o f much d e n ta l care:,I- There a r e .e x te n s iv e v a r ic o s e 'v ein s on b o th l e g s wbicl; may ca u se him .tr o u b le in...th e'.-future* Be s h o u ld see- h i s p r iv a t e d o c to r s abpath.tiles ;T&-tte n s* . s h a l l ay more, abou t, t h is ' marl , subsequently* ; ' 1 ' ;' .- : ' .1'. hv-'ir ..- P a.;.-, ho comment, I l age 65* In sp ite o f a vigorous and nono tc o tem p er a te l i f e t h is - t bst , 'Is--, .am azln^l;' w e l l p r e s e r v e d . Ili Ho i s , h o w e v e r , b e g in n in g t o show some o f th e r a v a g e s o f tho .'fil ' ac in g p r o c e s s e s He h a s a m oderato e l e v a t i o n in b lo o d 11 p r e s s u r e , seme hardening o f h is a r t e r ie s , ant h is h e a r t. 11 . !. ' " :1 .1 y.:. g. -. i 5 ' 1 &,*** doing mi e x c e lle n t - Jo:?, Via a sorewha t r e s e r v e ,, .'W B usrfost t h a t he make p e r io d ic v i s i t t O )'"!1? p r iv a t e phys le ia r . fo r a checkup* There- .is- n o th in g alarm. In h i s p h y s ic a l s t a t u s novi, whom f'r* ''la r k ask ed f o r our m e d ic a l a d v ic e , p r e s e n te d th r e e problem s. F ir s t , ch ron ic c o n stip a tio n ; d isstin e ss upon a r is in g in th e -morning; and t h ir d , a r a th e r m orose a t t it u d e tow ard h i s w ork, home and f e l l o w m en, Ae w ere u n a b le t o f in d a d e q u a te p h y s i c a l r e a s o n f o r .-th e se .-.a ilm en ts. He i s a F o ie k'E' 000387 v/hoGc a d j u s t m e n t s t o A m erican l i f e h a v e n e v e r beer,' oorspl-;-te. n h a d a lo n g arid u n h a p p y s i e g e w ith h i s f i r s t w if e b e f o r e sh e d i e d o f c a n c e r* He faae r e c e h t l y r e m a r r ie d * lie i s n o t . e n tir e ly happy in h ie w ork, though h e .re fu s e s to s a k e .s p e c ifie c o m p la in ts a b o u t i t * we s u g g e s t t h a t h e b e p e r m i t t e d to c o n tin u e h is p r e s e n t o c c u p a tio n f o r a few m onths to see w hether o r n o t th e a d ju stm e n ts of a more s a tis f a c to r y hose l i f e may n o t im prove h i s 'g e n e r a l a ttitu d e I f a f t e r th in t i n e h e i s s t i l l ,a : p ro b le m t o 1y o u , 'h a sh o u ld , bo s e e n by a -c o m p e te n t p h y s ic ia n ancl p s y c h i a t r i s t f o r th e 'p u rp o s e - o f studying h ie m ental apparatus* . .. : p : id ) " a t. 5^6 T h i s n a n e h o s e e v id e n c e ; ; o f :p liis ib ite * ' Ho w i l l b e d is c u s s e d . In* d e t a i l l a t e r * . , .; I. . { 6-5. - a g e Crj* i h l s men I s b a d ly i n n e e d >'-f d e v f ^ ' c--nr arid s h o * s e v id e n c e o f ylumbis:.. fi'e s^ iil^ b b ^ 'd isc u sb b d 'h a fe r# -. If V ' g f . -..p, p, -g p (?} 'if.,' ag@; He '.is b a d l y Ih i need. ; ; / of d e n ta l care* ( 6 ) j f l H H B H H H '--..age. ' f w e l l - p r e s e r v e d ' b u t o ld man who r e t a i n s c o n s i d e r a b le .'v i& o r f i x e r s o f t h e l a c q u e r a n d v a rn is h :/' p la n t? . ' " . . i ,. f : . (1 ) - ag e 2 9 * f a r e s t i l l s tu d y in g th is man. Ills o n ly d if f ic u lty ie w ith h is eyes anu as y et t h e c a u s e o f h i s o c u l a r t r o u b l e l a u n d e te r m in e d . We w i l l r e p o r t on him a t a f u tu r e d a te , . ... ,... ' " . (H) ^ ~ a g e 2 7 . .,' No coisment* ' K E 0003872 ** rj .* K e c ftlv ln .. elope r treer. t oar6 ,, (I) f i*1- v- as fo* -:o c o g e n t a g e 3 4 a T h is man n e e d s '1d e n t a l * a g e 1.7 'I c o g e n t , Vag 2i> If comment'*" - P ain t' d v ei^ tieln i? e m r t e ie n t CD - a g e 2?* . Ilo comment* ( 2 ) ** a g e 2 ? T h is w en h a s chronic s i n u s i t i s oi w hich h e i s aware and Ac c a r in g f o r I t a d e q u a te ly ,, fOth-isra . . .' \ ;. / ". . ' . " ' . h .. ; ( I ) i (2 ) ~ ' a e 4 la So cessment,, ; . 5 5 ; T h is, s s n T ia - n ile - !; - : symptoms f o r w hich h@ sh o u ld e e e h i s d o c to r . , .; . .,vio.esio*ilallcf -. :!&&. c a n n o t ib&ks i%. JvSi'-4C- Av - v-J ^ g v - >/- { ' > 1 5 1 ** th e hh.ShS:t-' h u t ':uej? '! 2 1>1' %f\ c's i" Vs.*? I ` V'-\ ifcA-i. ,,V K-; 2 . c> ' "* y ~' s i " \X r " b e doing ok f ::) (4) _ *-1 ( 0* c o n k n e h t . ' ..... . r^*" d** ' X L * T h i s : o l - ' : b o " - 4JUWr- - TT . The a n a ly t ic a l d ata showing. th e le a d co n ten t o f th e b lo o d # u rin e an d fe c e s o f the; sen in d ic a te th at the o v e r a l l e x p o su r e o f t h e s e men a s a group to le a d i s d e f i n i t e l y abnormal but n ot great* Except fo r a sc a tte r e d few high fig u r e s the r e s u lts are a t the low er le v e ls of h ygien ic KB 0003S73 ' :' . / / i) * . ' . _ ., .. . s i g u i f lo a n ee r.neh d e p e n d s upon 'hefcher .t 3io s e r e s u l t s ' ' c h a r a c t e r i s o th e e x p o su r e a s a w hole* T h is group may n o t o \j oxi tjiUCjcua *- c* GaT'i,.p^.o o .a. th e e x p o su r e o f in d iv i- .*<*..1o c^-k' ex^ 1 tiic enfei?150 plaiife- - 3Ula-felon* K owever, assum ing. t h a t t h i s f r c ' c r iv> r e p r- fbr tiy ej" exposure-g' o f y o u r ' eh --to' .Iknd ' .. " : \- lb lie d e f i i j f t e l y 'abnormal i.s n ot o f .s u f f ic i e n t m agnitude to represent a seriou s h Sc problem * When th e men a r e ' grou p ed according: t o , fehe.tr occupations i t become* e v i c e n i h that ;svTii t 'ihe.. o f e x p o su r e !n th e r4x*r.s, i n the- p a in t y lsr. i i o g r -c -to r tr.L.r. t o r th e t,roup an a w h o le , Occ&s2on al t m e n i r i o t f c h Jv :' d e p a r t B i n t s # p a r i i e u j a r l y t h e r c c e i v i n ^ ' v - h - u h d e p a r tm e n t, a l s o chow l e v e l s somewhat: above tfee. mean v a l u e s . .- ..thfof'ith :..group, a s '.a / h o le d --'.h; ,p / . ; ..'..// ; . f d ; i n d i v i d u a l s * -.showed., e e f l n i t : . life. tH h .RiOUfeii.g ivoderat: mnenlh and ...siyn -if l e a n t .. ,.'/// t i p p l i n g : .o f ;.t h S c e l l s . > Th e :' l e a d / l e v e l s - : c f t h e s o . m e n ,./ ' p a r t i c u l a r l y fo<3rn s , were u a c ig er o u sly . A, in - r d la&r., : feppcp a ls o & fei,iter? shew edno- c l In l e a l devidenoe- o f leach ' ; .intexic& fcior.* h u t h i e b lo o d , urS.y-r and s t o o l l e v e l s shower, d //cyi.diti'c.o/'of .d e f i h i t e l y h a sa ru o u s exp osu re ,. . , _ . ' ./:' : / `.- ese th r a e r,or-. h(Vr a t t e a p r e s e n t tim e d e f i n i t e e v id e n c e o f e x t -n stv c and dangerous. ex p o su re to l e a .' . Or thr r *.r r t tv...? a ic /r o s i s o f lov**g r a d s , .c h r o n ic p ltr tb isr . ran be rad o. ' . ' .. : F ive other so n { flB H H H l -show ed-evidence -of--moderate.;.:-exposure. t\ 0003874 ' vv v: iWlilcti I s s t i l l w lt iiin t h e ' l i m i t s . o f .r e a s o n a b le s a f e t y The la s t' o f thess- a lso showed & moderate amount, o f red. c e l l s i i p p i n g a Careful in v e stig a tio n oi am a should .be. maids 'a t one t o :d e te r m in e why t h e i r e x p o s u r e . i s g r e a te r than th a t o f t h e ir 'oo^workers in s im ila r o ceu - patioriSo I t Mrf be the m a t e r ia ls th ey h a n d le P v e n t i l a t i o n i n th e p a r t s o f the-. room i n w hich tijoy work or c a r e l e s s n e s s p a r t b f '''-these I n d iv id u a ls - Their* p e r s o n a l ,h y g ie n e : may bo p a r t i c u l a r l y baric, a ll o w i n g the:?! to i n g e s t m ore l e a d "Via d i r t y h a n d s -th a n & 5 .r ' f e l l o w s They may be isdn who r e f Use *"ke th e o r d in a r y r e c a n t io n s a v a l-.a .o le ,, T h is :i:iifbi.rmat'ion ohrf b e o b ta in e d ' o n ly frori eh refu T 'o b s e r v a tio n o f t h e s e men a t t h e i r wori-. I f n o th in g abnonaul i s foun d honey- (-V.**.** Vt W ill\rij5-4A'4i/.J*.i h*Ve ClTli;S;. Ja;C SC-;:ACt?";J^40XZ ' e x c e s s i v e t a^*i-*A*a-.h'-i 'taM'b-ibXpbhiir "' T s m e d ia to l y--:lowered-'t o dB.ruserous. .l e v e l s X . t h in k ' no s p e c i f i c th era p y w i l l t'pp' th e s e man ryy our stu d y o f your men ICOEiSs The slg r i l i l C&s.11 p h y s i c a l r e p o r t s o f ea ch man a re o u t l i n e d and s u g g e s t i o n s ms.de whore we deemed, su ch d e s ir a b le The g e n e r a l m agnitude of lead exposure in th is group as a whole i s abnorm al but n o t d a n g e r o u sly so The m a g n itu d e o f ex p o su re t c le a d i n th e K'ET 0003875 m ixers o f the p a in t p la n t Is. d e f in it e ly and s ig n if ic a n t ly g r e a te r .than th a t o f 'the whole group Thro are two c a s e s o f 'piombisi, and a t h i r d whoa expo sur h a s b een o f dan gerou s m agnitude. A copy o f .the a n a ly tic a l data has been appended sh ow in g th e concenti*:, t; onu o f -lo a d -found i n th e - sp ecim en s V. "i examined The norm al f i g u r e s a r e a l s o g iv e n . .The o n ly . s u g g e s t io n , dboidt;/thei:r w ork in g c o n d i t i o n s made by any o f . ;theggroups..'.o,f..Men.w as-'that th e m ixers In g e n e r a l considered.,,;, th e v e n t l i u t i on in in e m i n i n g rooar'Cf th e p a in t p la n t un- ..s a tie fa c to r y ^ . 'p a r t ic u l a r l y ' d u r in g :th e w i n t e r , months...- ' v , . hevo: .b e r i , , l^Ii-0 r> / a t v .r 0 L a J 'Vy. *5- * if *-. f-' * 1 . . * u . - * . i ; : : * * C A Of J it fc.*4 * 'I t:. * "4 ,' `'-S Lear. S tu d ie s or. ~ 2 o - > f s r ^ "" ' ''x f r 0 r'. ^ n n lo v e s f owe - r o c . . T.rv *jra2 ci 7 7 : 17 : bl o . ' . -,. . -. - . = \ . - - - . ` 3 1 e 0 1r c ;~ D ate ! ' Dame A n a ly s is ! 7 olame. ') 8gs -P b / i ..A n a ly s is 1y lu m b er ' - r e i - l i t e r - - ^- r v a n e r XT.1S i 1 : ' .;'-2 ' f- . - . - 8-1--to ---1 - -/.7 / . -' H8* 7 V:.: \ "' - c "; ; C'.X'r ' i ; k/0A -276?' 1 0 .2 . -,..'\r. e r~>/r7 ' `, ix 'r ' V. * . ,j . O'.OlCA/-8l; i OA-2 7 7 1 . t- 9 . 6 i - > ' j: i 1 1 ... " 8 - i "-kC * . o ~ 1 j .O - Z ^ ' - . ! 70 : 8 3 .0 ^ 5 . xVx kOA-2775 .6 j . .... . . 8 ... : . k . . ' o .- -. '... j -. V t-is-L o 1 k0A-27'?_:. ; 7?," i S 2 ! ? % ,' |- : 'k - 2 ? 7 L I Q .L ' j -----.> 1*j 1 ' ' i . - ^ - . - . i - . .- . . j 8- 20 - ko * ' - - TMl LoUr-i ? <~ V^'--~. z 1 . ii ' on / v' r' -, V'V/ *vn^sjvn` - i ; L'J.* -LO ! i n c _ ^ v ,,, 8 - 2 0 - kO .-.; " i i i > r " V ' j2 ; - ' M I^ V ! 8 0 2 - 2 6 1- ..:/: a ,.o : j 0 . 0 2 0 " i. 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