Document o3VBmMyLXvx8X67M6pvQrm5E
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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
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.
' --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
' ;'
.-
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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
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doing
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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
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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
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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 , .
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