Document oO28BOYOzNgYXBeVnQ1RLnN7
FILE NAME Insurance Industry INS
DATE 1957 Apr
DOC INS060
DOCUMENT DESCRIPTION Proceedings of the Home Office Life Underwriters Assoc Meeting with Member List & Presentation The Asbestos Industry Certain Health Experiences Among Asbestos Workers
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AAA COURT REPORTING
DEPOSITION
EXHIBIT 10
PLAINTIFF'S EXHIBIT
115.0
PROCEEDINGS
OF THE
Home Office Life Underwriters Association
AND THE
Occupational Committee
APRIL 1957 MEETING
VOLUME XXXVIH
The Association is not responsible for remarks made or opinions expressed in the articles criticistas and discussions published in these Proceedings
COMMONWEALTH Pozen
ONCZITER MASSACHCENTER
a
cere wets rime oan stays geting venue 4 -
ra a .
.
XXXVIII
TABLE
TABLE
TABLE
OF
CONCTONETENNTSTS
OF OF
VOLUME
XXXVIII
PART I PART
THURSDAY APRIL 13 1937
PAGE
MORNING SESSION
Arnoldi Arnold 47282862
President Doane Meeting Caled Meting OrderPresident
Donne Arnold 47282862
Address tumblers Forsidential 0. President NoAt nderson Look at the Future
Kelley
Genthuer
_
47282862
Regnt Regent of Serretary
Obituary Notice William
Genthuer
Genthuer
-- 47282862
.
of 47282862 TreasTureraseurrer
and Examination Committee Examination Committee
47282862
Report of Joint Elaration and
ees 47282862
Examination Examination cere Report of Nominating Committee
1957
THURSDAY MURI 18 1957
AFTERNOON
Panel Discussion Underwriting
32
2
Disenssion Lader 3
Panel Discussion Practical
3
Leader
PaDnieslcusDiscusison iDoinscussion Underwitng
7
Dission
Panel Discussion
47
Discussion Leader Williani F. Ward
FRIDAY APRIL 12 1957
AD MORNING SESSION
President Huchner Meeting Called to Onler
3587 a of the
Excentivo Twenty ShepShhepheerd Srhephd Underwating
Changes
erd Comcil Years Underwating
Juhn
Twenty
Years
Penres
51 .
50 .
Minutes Changes over Operations
John Hate Underwating Changes Twenty John G.
Underwating Asumption "Assumption of Business Itisk speeeene
ann Kelly Discusion cents
Insurance Insurance Operations
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copes
03 100 TT)
e iv
perm
i.
PONTENTS
in
v
.
q
- PART II *
INDUSTRIAL UNDERWRITING SESSION
.
FRIDAY APRIL 12 1937
PAGE
AFTERNOON SESSION
:
Meeting Called to Order Chairmum Russell Wagner
wee 115
aa
Heinurks President John Huebner
118
.*
Industrial Quis Panel Samuel P.
Attending W. Black Jr Francis H.
Arquisition Arquisition Casts
tee
Medical Information at Highor Ages
Physician's Statement Versus
nati in Fo amilyn Family .
Limiting Industrial in Family .
117
.
119
123
;
136
f
5
Clinic Rex
Metz Moderator Industrial Case
Matthew W.
.
Nominating Peterson Maurice Nominating Com it e RepurtRepurt of Nominating Committe ---- ++ .,
+
ie
te .
III PART PART
.
OCCUPATIONAL COMMITTEE
;
if
+
SATURDAY APRIL 13 1957
z
MORNING SESSION
4
Hemarks 3 Taconite Meeting Called to Order Chairngen Donald H. Lawson +++ 139
President Jahn Huebner Processing
David
Cartwright
1. 139
%
Dressing nint Processing David P. Cartwright 111
Gerney;
Discus ion Morris Moderator Chester Panel DiscusionDiscussion Morris PitlePr iPtiletrlerModerator Chester F.F. BaBarrnneeyy
.
Panel
Leon
B.
Hovey
Paul
Shen
John
F.
Wilson
4 4
Considerations Underlying Reductions in or Elimination 161 .
of Occupational Ratings
ee eee
Stratton
Reuel C. Stratton 185
be
"
Energy Twelve Months
Nuclear Experiences Among
t
Report Certain
TheAsbestosIndustKryenKenneteh th Smith M.D. Jackson Workers Health Bze and Hugh
3
s J
JOINT EDUCATION AND EXAMINATION
.
COM IT E
COMMITTEE iat ~
Examination
Certificates in 19571957 ExaminationExamination Questions
sete
Students Awarded
of Proficiency in 1957
+
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A. 2
4
Fd i;
4 :
as
cee en tener tema
+o te memea5 8 rata acre Be: we
EXECUTIVE COUNCIL
OFFICERS OFFICERS 1957 1958
JOHN M. IlUEDNER
WRAY M. BELL
.
.
Eant M. MACRAE . . ARTHUR FAULKNER , . Geona A. PILLMAN ARTHUR A. Windecken
. . President President President
Secretary
Treasurer Editor
Term
PAST PRESIDENTS
vend
JOHN C. ARUDINALARUDDINALD
Expires
. 1959
THOMAS K. Donn . '
.
.
1960
HARRY F. GUNDY .
oneal DOANE ARNOLD
+
tan
ELECTED
.
1061
.
.
. 1962
Aah
CHESTER F. BARNEY .
.
. 1958
penta BARTON S. PAULEY . Thomas W. Ru^d DOUGLAS T. Wei
.
1958
.
. 1958
.
.
. 1958
ta
ROBERT B. CAFLINGER
.
-
. 1959
WILLIAM H. GREENWOOD Jn
.
.
" 1959
Sam
Autnen C. KERIN ,
. 1950
'
ate DONALD B. SEMANS .
~ 1950
end
Sm
Ae
ein aRee
Anaemiwes
tae
Am en
vi
aan
ene
COMMITTEES COMMITTEES
= OCCUP 371O
DONALD H. Lawson Chairman
REUEL C. STRArion Consultant
CHESTER F. BARNEY
WILLIAM C. HARRISON
DAVID W. BELL
VICTOR HENDRY
ERNEST A. CARLSON
LEON B. Hovey
Harold Davies
MORRIS PItler
WILLIAN FEERY
JULES V. QUINT
PAUL SHBA
PROGRAM
WILLIAM F. Wang Chairman
WALTER A. MERRIAM
GAYLORD L. PAINE
Dotal T. WE
JOINT HOME
a
EDUCATION AND EXAMINATION COMMITTEE OF OFFICE LIFE UNDERWRITERS ASSOCIATION AND
INSTITUTE OF HOME FLICK UNDERWRITERS
THE
THE
.
DAVID P. CARTWRIGHT CARTWRIGHT Chairman
DONALD J. VAN K untsTreasurer
Home Office Life Underwriters
Association
Maurich E. Comfort
WILLIAM H. GREENWOOD Jn
S. MCCOLLUM ERNEST Y. Rowe ARTHUR W. WILLCOX JOHN S. WYPER
.
Institute of Home Office
Underwriters
WALLACR E. BIDELMAN
| W. CoxpoX
HAROLD A. Mrxsos
-
M. TuoTAN
Win"TM. WARDEN JR
Keru R. VEGLATIN
NOMINATING
HARRY F. Grxoy Chau'man
DOANE ARNOLD
Thomas K. Dond
AUDITING
CHARLES II Edwards
CARL W. HUBER
INDUSTRIAL UNDER WHITING
GEORGE . Varni ClascaR^
vii
6
OwtER
SR
Te
as
OFFICERS OF THE ASSOCIATION SINCE
med
ORGANIZATION
amen
HIRASI F. Roniera
Rel
Whaaas~-H. Dalkas
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GuBON MCCASKIE
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1938-1
1588 89
1938-19111938-19
1911-1913 3913-1904-1 3913-1904-1 3913-1904-1 3913-1904-1 1911-235 1911-235
15-1916 15-1916
1916-1917 1916-1917 1947-1918 1918-1950 1918-1950 1950-1933 1950-1933 1951-1032 1951-1032 1951-1032 1952-1953 1952-1953
193-1934 1933-1934 193-1934
1951-1955 1951-1955
1955-1956 1955-1956
WILLIAM H. DALLAS
ca
ix
OFFICERS OF THE ASSOCIATION SINCE ORGANIZATION
A Hanny 1. GUNDY Presidents Continued Continued
Doane Arn
John M. Hvennen WRAY M. BELL
CARL M. MacRae
Secretaries
LEIGH CHEAS DOBOLAE S. CRAME ANDREW C. WEBSTER
THOMAS K. Done
Antuun FattLKKER
Trotters
F. Pueles Toon
Almen J Ruay
GEORGE E. ROGERS JR
MARIAL .. Cleaves
G ons A. PILIMAN
MALCOLM ADAM HAROLD F. LARKIN Ross B. ConDON GEORGE W. Cheney II ARNOLD Houghton ARTHUR FAULKNER
HENAY W. Cook Jr. Artuva A WINDECKER
1930-1937 1937-1913 1937-1913
1950-
1910-193 1910-1933 1910-1933 1933-1935
1935-1949 1939-1917 1917-1919
1930-1953
1933-1934
1950-
ne
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Matstata 1. CLEAVES
tename
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1937-193 HR38-1940 1939-1911 1939-1911 1910-19443 1910-19443 1911-1914 1913-1915 1913-1915
1950-32 1950-1932
1951-1953 1951-1953 1952-1952 1953-1954 1953-1954
Fl hae
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ROLL OF
ACTIVE MEMBERS Listed by Company
Acacts Muze, five
Afliation
Washingean & DG J,N30RANEy ACTIVE MEMBERS
ROLL ROLL OF
ROLL ROLL
ACTIVE ACTIVEACTIVE
MEMBERS MEMBERS N. W,
ROLLROLL ey Company Company
Cleary:
Meare
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Listed
Company
Mutual <
Courant
Affiliation
Avenue, N.W.
Mutual Mutual fave Insurance Courant Courant 51 Louisiana
WashingtonfD.Ca. ve
Underwriter
Courant Underwriter
.
William
LIFE
B.
Penn Chief
tary, Life
IKSURANCE
Underwriter
COMPANY
Farmington
Avenue Avenue
Hartford
IKSURANCE IKSURANCE Tesistant Farmington
Comeefirut George Hogerman
Vice
President
President
ETL Park
Assistant Seercharg
Sulistandard Underwriting Cat ,G. Vigel
Division Underwriting William H.
anata fHlinaty
Norris Assistant
ALLIANCE NATIONALE
Chief Sherbrooke
Montreal ALLIANCE ALLIANCE NATIONALE 680 onest
Quebec NATIONALE Parry
Secretary Coane!
Michigan As istant Assistant Canada Norman
Secretary
AMERICAN
CONVENTION CONVENTION 210
Illinois Ilinois H. Kastner
North Counsel
Stree,
Chicago Aurneyy
Administrature
4,
AMERICAN Lee Parker BREA
AMERICAN BREA
63 63 Best South South Water
Minois SERVICE
Minois Oto Ebier Via Presidrat
Pat Crock Park.
WH
V. LIFE INSURANCE INSURANCE Ui, Carasy
AMERICAN
AMERICAN
AMERICAN
Italianapolis
INSURANCE
way
Underwriting Viry President
Chester Munch
Munch Chief Underwriter
President Waco
LIFE AMHABLE AMHABLE
COMPANY Amirable Amirable
Building INSURANCE AMHABLE
Presulbut ant
Underwriting Tins
Trans
Dryden
Dryden
Vice
Vice
Manager
Underwriting
ChiPANY ATLANTIC LIFE LIFE INSUnasul
ATLANTIC Virginia INSUnasul Vice
President President
Saratoga Montgomery Montgomery Montgomery INSURANCE
tad
Lase Saratoga Tag Betrexone Betrexone
INSURANCE
Bragins Baltimore
Maryland INSURANCE
Prezident
Carmil rwriting Joba a.
todos Bronks Bronks rwriting
Mrs. Bakts Bakts Elizabeth High
rwriting Muines Muines
Bakts
Bakts
Cars
John
Vice
WAS R. Archibald Asistiut
SupervisorSecretary NePbetrearsskona " Ws Snnses Tare Ja's
Underwriting Underieriting
Eineuda 4, Ja's S. Metadlum CAPANY
BANKERS BANKERS
CAPANY NEBRASKA 1315
Nebraska
.
Risk
Selection
L'nderwriting x
ROL, 5 a
SEMLERS
xi
Mont-
Mont- Mant.
Huber Insurance
President
Underwriting Underwitng Pittsfield Pittsfield
Secretary Courasy Masu- Masay.
BruceShepherdUnderwriting Seeretary Shepherd
Secretary MEN'S ASURANCE ASURANCE
Building Building
Kansas 11 Couravy
City 4,
Horton ReinsuranceReinsurance COMPANY Underviler
WESTERS INSURANCE WESTSERTS ,ATES
INSURANCE
CCOOMPAMNY CPOMAPNANYY
Tenth
Tenth COAST Walter Kenberty
California President and Chief Underwriter
ran
TeInth and J
Avenue Toronto
Map ASSURANCE
220 Canadia
Fniversity Fniversity
Avenue
Daly Underoriling
ty
Underoriling Avenuc, Torenta Gerald DalyUnderoriling UnderwriterUnderwriter Underwriter ExecutiveExecutive Executive
4
Spittel UnderwriterPievitep
As ociate Asociate ActuaryActuary Actuary
COLONIAL INSURANCE INSURANCE
OF
INSURANCE COMPANY
COLONIAL JerseyJersey Underrating COMPANY Secretary
New Jersey lentes, Corbet
qW
Underrating Strenp, Street INSURANCE COMPANY
COMPANY COLMINIAN
Broad Street
Streoe,
COMPANY
Avenue Avenue New York
COMPANY Secretary Secretary t York
ASSOCIATION12 a Underwriting Underwitng
Toronto Toronto York
Assistant
Underwrding
Scenery
Underwrding
Scenery Unterwriting
INSURANCE INSURANCE INSURANCEINSURANCECourexy
Street
Connecticut Connecticut
Anderson
President
PUrensiddeentrwriting Scorebary
Garden Underwitng
Le
Underwriting ?
partnent
iN,
i; Carl Gaylord
Underwriting
Underwriting
Underwriting Te
Seretary Applications Pttloent
Gaylord JohnHPaiinlo lSupervisor SupervisorApplications Applications iUrniting DyParlinent
T.John Dela,
PitePresite Gaylord 1. Indetea
wi, Cadlenersting
tink Street,
SainoUUnddeneriten 8 titing Stevetary
ny amt
ae
xi
BOLL OF MEMBERS
CONTINENTAL AMERICAN LIFE INSURANCE COMPANY
Wilmington Delaware
Vire
l'resident
Underwriting
Thomas W. Real Underwriting Vire l'resident
Rodney
Square
CONTINENTAL Assurance COMPANY 310 South Michigan Avenue Chi-
cago , Illinois Rabert J. Campbell Assistund Vice Presistent Presistent C. Edwin Carlins Chief Underwrites
Crows LIFE issenises toyPANY toyPANY 120 Bloor
Ontario Canadia Underwriting Esant . Vardan Underwriting Underwriting Underwriting Secretary W Hatehom l'aules mailing Assistant
Street
Bast
Toronto
Daustox Java Assa avser Charaxy 1 Albert Street Waterlon Ontario Canada Canada Arthur J. Buenergard Metuacy
or Casana Gese~stIssuraser Comrasy Poronto Ontario
Bo usiast
Camuda Camuda
Juhn Shurtt Spervisar Life Twlerwriting
$
Lafe Ear~-m
IssIRANE IsIRANE Gaurasy 213-251 King Street East Kingston
CanCandaa nanda
G. Burnside Underwriting Secretary
EQUITABLE LIFE ASSURANCE SOIETY SOIETY 38 Seventh Avenue New York ,
New York
Vice William E. Walsh President
William J. November Vic President and Amvaciale Actuary
Arthur A. Windecker Manager Underwriting Department Francis X. Cassidy Chief Underwriter
Harald Davies Senior Underwriter
CITE Life Insurance Cumpasy Cumpasy Sixth Avenue and Lorast Street
Des Moines lowa Jahn F. Dastan Visderbetting Keretary Keretary Will D. Mackinum Caderwaiting PrakatPrakat
Kenneth R. Austin worlunt Secretary
EQUITABLE LIFE InstRaves InstRaves C 810
Washington 5 DX
r
Clyde H. de , Hesistint Secretary
Fourteenth
Street
N.W.
Escersion Escersion Live Issuisce Conmaxy 36 Toruntio Street Toronto 2
Canada Ontario
Proletarniting
D. Riddle Proletarniting Enditure
The FIDELITY METCAL LIFE INSURANCE COMPANY Parkway at Vuirmount
Avenue Philadelphia Pennsylvania
.
Arthur H. Evans Sromi President Caderwriting
A. Sichqester liplerweiling t^/glicer
LIVE INstus Company Company 12 South Sixth Street Springfield
FRANKLINlis Flayd G. Short Vice President Ralph Burd Assistant Vier President
GENELIAI GENELIAI AMEPAS LE 18stnasce CarANY CarANY 1601 Locust Street
St. Louis Missouri
Douglas Wooh Manager Underwriting Department
BOLL DE ied anausb
xili
GOLDEN STATE MUTUAL LIFE Insurance COMPANY 1909 West Adams
Jr. Boulevard Los Angeles California Isaiah S. Blocker Underwriting Secretary
Great ASSURANCE COMPANY Rorie and Lombard Winnipeg Manitoba Canada J. E. Morrison Assistant General General Manager and Ictuary 1. A. Keltie Underwrtbay Dinhver John W. Brice Underwriting Underwriting Secreturn
11. B Wintrup Manager Life Underwriting
Streets
GUARANTEE MUTUAL LIFE COMPANY 1505 Dongles Street Oniaha
Nabranita
George M. Stanley Inch rut~nySecretary
GUARDIAN Lre Issenyson thewasy 50 Union Square New York
New York
Charles II Edwards Undworciting Undworciting Storetary
Charles A. Will Assistant Underwitng Underwriting Secretary
Champany HAWAHAN LIFe Insurance lulu Hawaii
Champany LTD Post Office Box 3119 Mono-
Robert E. Anderson Sondary Sondary
HOME LIFE INSURANCE COMPANY 231 Broadway New York New York Robert B. Cunningham Puterwriting Puterwriting Secretary
George S. Haushalter . met Underwriting Secretary Daniel G. Stewart Assistent Conferioriting Secretary
HOME LIFE INSURANCE COMPANY OF AMERica 300 Walnut Street Philadelphin Pennsylvanin George L. Knowles Provatrul
HOOPER BUREAU I. 20 Madison
New Jersey Verne W. Forkel Vice l'a siebent siebent
Albert E. Thyadius Vice President
Avenue
Morristown
IMPERIST LIFE ASSURANCE COurysy 20 Victoria Sweet Toronto flntario
Canada
David W. Bell Underwrnu Underwrnu Eventare Donald E. Sunderson Wear Underwriting Depariment
INDEPENDENT Orden of Foresters Temple Building Toronto , Untario
Canada
^
Edward A. Watson Marnie u~ nch en citing
INDUSTRIAL LIVE INSURANCE Contray BISt St Louis Bond Quebec
Quebec Canada S. W. Hoyle Actuary
wet IOWA LIFE INSURANCE COMPANY COMPANY 10th at and Streets P. - Moines Iowa Gr Wallace E. Bidelman Chief Uelrs Uelers Gr
JEFFERSON STANDARD LIFE Issuance Couricy differion Square
Greensboro North Carolina
13. J. Tribble Chief Underwriter 13. Bain Alexander Assistant thaf Duckrative Duckrative Duckrative
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Jony flyscents Alu te'a Lier IxSUKANPE IxSUKANPE COMPANY 2001 Berkeley
Baston Massachusetts
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Hos Mayer Vice
President
E. President Noel S. Barker l'as^...k
l'as^...kl'as^...kut Lom II Hovey Asistant Assistant Seen Mary Underwriting Underwriting Department
1. Arnold Honiglihai Servond Vos Presulent l'roderwriting
John P. Shtyhan Assiahol Eulerwating Director
Thomas A. Walsh Insistent Underwriting Underwriting Director
.
Labulary Carolin Greenville Instrasen Instrasen Chourasx Chourasx Liberty 136 Building South Carolin
Chady H. Hipp Executus Vin President
Laura cxde Cyst SPTY COMP^ SYOF TEX ES E TEXXESSEE 131399 FFoouurrtthh , Nachville , Tennessee
North
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XV
MASACHUSETS
MASSACHUSETTS
IsogusITY
MASSACHUSETTS IsogusITY Street
AND I te Drseits Cratravy Cratravy t~ lBeacon
Massachusene Matt Brure
Javedani
Javedani
Massach useris Massach
Mas ach
useris useris useris
Mujuran
LIFE
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Masach Springfield Missarlozsetta
Springfield Marchese Michel Marches
Vice Pro about
COMPUNG COMPUNG
120 State
Street ,
Meulkner Ernest Under^ Ernest A. Carlson Associra
Assistan Henry 11. Nishio
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SERVICE 5. Edis
McComer 5. Edis RoulderRoulsders Detrat Michigan
METROPOLITIasssPECTION SERVICE LaraLara IserANORA
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IsserANORA vyky Madison Avenue New York
IserANORA Douglas S. Crig Second | Dendent Dendent
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Edward A. Law detuney seware seware
Ransom H. Haise Third
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Richard Richard Thi Thi Thi os WWalteralter A. Merriam, Thin
valent valent
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INSER
Byron F. Shickey Chrif
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MINNESOTA Mitest Minungsange Long MINNESOTA
MINNESOTA
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Chrodes Chrodes David P. Cartwright de +
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Harold
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William Ward Fia
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Harry MMutuaun tuan Lare Assertaxer Come ot St . See we H io
Waterloo Ontario Canali W. Brown fn ,
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LIFE MUTUAL MUTUAL MUTUAL
LIFE
INSURANCR INSURANCR
Andrew New New
19
York
Andrew Webster
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5
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George McNamara McNamara
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Manley F. Littlefield Jr.
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Nanovat Lien A^ OACCIDENT Fastraxen COMPANY National Bradding
So Shille Shille
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L'^'vidne Vere President President
None M. Hughes Vier President President and Chief Setuary
.
R. Taylor Artuary
Russell L. Wagner Jeluar Rubert F. Stamps Jr. Manager Holzoney New
wel Song 1 adentem adentem
NAMOVAL NAMOVAL 114 AND CASE SETY CBANER CBANER Chringes Rodapi C. Bohrunian dr Thasier Thasier
Busingas Phoenix
Division
Arizona
Numivat Numivat tank Asst Have Clonmaya +9 Casana 522 Universite Avenue
2 Ontab~-Canadis
Canadis
W Buchanan Buchanan Undernviding Undernviding Undernviding Serrefazy Serrefazy
Lift mysen flourANY 131 State Street Montpelier
aap
Artur C. Boho Harha Harha of Schrtion Schrtion
Masad L. Boadun versand versand fuerter of Seerkens
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Wittenn 1. Batzematizens a foul ImcelveImcelve of Spiration
Warm J. 19ostales Ass -band Leugeg Leugeg
Samuxwin SamuxwSaimuxnwin L^n^>fxstrasch fxstrasch Comixxy 216 North High Street Colum-
In 16 Cate Egie B. tione Patonfort
et whereitum - Persount Lanes
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dun AL Hewes Bye Les 13. Stepineusmui Stepineusmui Masters
fasse Doh Underwriting
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541 M. 136rste 136rste 1997 1997 Lin Txstiago Txstiago Couravy B^,ylStreet
Horton Horton Massijskom oda
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Street State Muruan LAPE ASSURANCE COMPANY Or America 310 Main Worcester Massachusetts
Charles F. Hniris Vice President Kalert H. Woodford l'udcewriting Manager Robert 11. Carey Assistant Underwriting Manager mald R. Treadwell Asistant Assistant Underwriting Manager
Sex Jr AssuRANCE AsuRANCE COMPANY OF CANADA Dominion Square Montreal Quebec Canada
Harry F. Gundy Underwriting Ezcentive John A. MacIntosh Assistant Superialewlent of Underwriting George George W. Wilvo Underwitng Underwriting Officer
Six Life IsRANCE COMPANY OF AMERICA Sun Life Building Balti-
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Hamilton Mateus l'ndenreiting Secretary .
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ROLL OF MEURERS
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1. Maxwell Shoemaker Chief Underwriter
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W. White Manager Cardinary Underwitng Underwriting Departmend Gorge E. Hisark General Manager Ordinary Department WISCONSIN NATIONAL LIFE INSURANCE COMPAsy Oshkoshi Wisconsin Homer 1. Pratt Assistant Secretary
WooMES AccIDENT AND AND LITE Couravy Linaroln Nebraska
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Raymond M. Miller Conderwrite Jack R. Smith Senior Underwriter
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Ebgan G. Brows T. FREDERICK BRUNTON G onceE. BELKLEY Marshall l Cleaves
JAMES G. LATE J. BERTRAM BERTRAM MARON
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180
HOME OFFICE LIFE UNDERWRITERS ASSOCIATION
Fuel fabrication plants is the manufacture of fuel clements for reactors and the chemical processing of source materials and special muclear materials for them coming to the fore and being built Probubly in another year it will
be possible to review these plnuts which at the present time
do not involve too many persoas in a year or two there may
he enough lives exposed so that the insurance industry will
want to know more about them
fi
Having a paper written for me by the AEC in much better form than could give it to you will now introduce the guest
speaker with whom have been aequainted for a number
of years
Dr. Smith graduated from McGill University and after * spending some time in the profession became the chief medical allicer of the Manville Corporation Canadian Division In 1952 he was promoted to Medical Director of all the Manville plants in bath the United States and
Canada
can speak for his experience and his knowledge of the
types of exposure in which you are interested because I have
been privileged to work very closely with Dr. Smith and his associate Mr. Hugi Jarkson who jointly carry out the
Industrial Health Program of the Jobus Manville Corporation think we are fortunate in having had both Munville
and Dr. Smith accept your invitation to participate in this program and to bring to you such data as is available to them Preparation of this material has been joint project of Dr. Smith nud Mr. Jackson as authors Here to present
their material is Dr. Kenneth W. Smith
CERTAIN KEALTH EXPERIENCES AMONG ASBESTOS WORKERS 187
THE ASBESTOS INDUSTRY-
CERTAIN
CERTAIN HEALTH EXPERIENCES AMONG ASBESTOS WORKERS
BY KENNETHI W. SMITH M.D. AND HUGH JACKSON
In this presentation I shall try to outline certain health experiences which we have seen in asbestos workers not only
in my own company but in many other associated companies While asbestosis is a well recognized occupational disease
there are relatively few people in the working populations of the United States and Canada who are exposed to asbestos dust and actually very few ever develop the disease It
will be shown that the lives of the asbestos workers are not shortened by their occupation and also that work in these
trades does not predispose the individual to other pulmonary
diseases of nouoccupational nature
The word asbestos is generally used to describe several
fibrous magnesium silicates which are entirely different in their chemical composition and in their physical properties There are several types of these fibers The most important are the chrysotile amosite and crocidolite Deposits of these various types of fibers are found throughout the world The largest deposits are in eastern Canada and Africa
These asbestos fibers are highly resistant to heat and some are resistant to acids They have great tensile strength and large surface areas Because of these properties as well as
their filamented structure the industrial use of these fibers
throughout the world is increasing The textile industry has used these fibers for generations to produce blankets clothing threads ropes tapes braided tubing and filters
In recent years however there has been an increasing use of asbestos in the insulation building and friction material trades In addition the fiber can be found in wallboard
shingles pipe covering floor tiles brake linings and brake
blocks cements puttics and extensively in plastica Historically the material has been used for many years
Those who are biblical students will recall that in the third
chapter of Daniel the three men Shadrach Meshach and Abednego were thrown into the fiery furnace by Nebuchadnez-
158
HOME OFFICE LIFE UNDERWRITERS ASSOCIATION
CERTAIN HEALTH EXPERIENCEXPEERIESNCES VAHING ASHESTON Wonkens 189
zar the king of Babylon They emerged from the fire completely unharmed and archeologists today lead us to believe that they were protected from the flame by a blanket of woven
asbestos fiber Thus we can see that the mineral has been
used for many centuries but it was not until thirty
years that a definite occupational pulmonary disease
was associated with the inhalation of this fiber
than asbestosis bodies signifying an exposure to the fiber
but not necessarily indicating disease If increasing quantities of the fiber are continually inhaled
the tissue reaction progresses and a generalized diffuse fibrosis or scarring appears throughout the lower lobes of the lungs With additional exposure this fibro may spread to the other
lobes of the lungs resulting in respiratory embarrassment
As previously indivated the industry in finding many new
uses for the fiber when mixed with other materials It is an
established fact that when asbestos fiber is mixed with silica
or diatomaceous earth ur other potentially toxic dusts the
H pulmonary changes resulting from the inhalation of these
mixtures are not typical of asbestosis The ray pattern is different the clinical course of the patient is changed or the susceptibility to intercurrent infection is increased or do-
ereased
Thus in making a diagnosis of occupational pulmonary disease it is highly important to obtain a detailed occupotional history not only the job title but also a complete list of raw materials used in the particular jul so that asbestosis siliosis or the mixed pneumonoconioses can be differentiated
We believe that there are fewer than 15,000 people in the United States and Canada wha are employed today in mines
and mi^ swhere their potential exposure is only to asbestos fiber In this industry the various mining milling and manu-
i facturing operations create sonte dusts which are capable of
ee | being inhaled If asbestos ^...bersfrom ten to fifty microns in
length are inhaled continuously and in sufficient quantities
of over a period of many years a typical pulmonary fibrosis will
develop It has been demonstrated that this fibrosis is not
Se due to the chemical but rather to the mechanical action of
the fibers
ewe The fibers are deposited in the terminal bronchioles of the
lungs Then the tissue reacts coating the fiber and forming what is known as the asbestos body This appears to be a
defense mechanism of the lung
Many individuals who have these asbestos bodies in their sputum have had only intermillent exposures to the dust and have absolutely no evidence of the disease So it seems juore appropriate to use the term asbestos bodies rather
and eventually cardiac failure
:
The pulmonary fibrosis resulting from prolonged inhalation of the fiber will produce a very typical ray pattern which
does not resemble that produced by any of the other known
toxic dusts The ray picture should never be used to
estimate the presence or extent of an impaired pulmonary
function or disability Many cases with ray evidence of
advanced asbestosis have been known to carry on their work
and live very comfortable lives for several years
disease
There's no typical clinical picture of asbestosis The disease
is very slow and insidious in its onset and very slowly pro gressive with continued inhalation of the fiber The textbook
signs of cyanosis and clubbing of the fingers are virtually non-
existent in the cases of asbestosis we see today
An ray survey was made of 7018 employees working in an asbestos mill where the ore was dried crushed separated and
graded packed and then shipped Operations in this plant required the employees to rotate through various jobs so
that it was impossible to relate any ray changes to a particular job or to a specified dust concentration At the same time it could be assumed that all members of the group
had been exposed to varying concentrations the dust The rays of these employees were divided into three
groups essentially normal those with exaggerated markings but not typical of any disease and those with definite asbestosis Of the 708 employees studied 649 or 91 per cent had
normal rays This is of interest because 204 of the cmployees or 29 per cent of the total had more than ten years of service Two men actually worked over forty years in
varying dust concentrations with absolutely no evidence
of any increased markings in their rays Fifty of the 708 employees showed some increase of
all peribronchial markings although none had any evidence
CMDR RN as eT
190 HOME OFFICE LIFE UNDERWRITERS ASSOCIATION
of asbestosis Sixty per cent of this group had more
than ten years of service
Of the original group of 708 only 7 had developed ray evidence which could be diagnosed positively as asbestosis
These men exhibited various stages of pulmonary involve-
All ment were working steadily nt their jobs with no signs
of disability It is of interest to note here that none of the men developed ray evidence of asbestosis with under twenty
years of exposure
Medical literature has given considerable attention to
occupational pulmonary disease but very little has been
reported on the occurrence of nonoccupational respiratory
disease among employees in the dusty trades
In order to determine the incideure of nonorempationals
disease in group of 1,561 men and women working in the
asbestos industry it was decided to study the claims submitted
for sickness and accident insurance All employees in the survey group participated in the plan operated by an inde
pendent insurance company Indemnification was made only
after the nature of the illness h^,dheen certified by the treat-
ing physician
pharyngitis The study included claims submitted over year period
for such illnesses as the common cold sinusitis
grippe bronchitis pneumonia asthma and pleurisy Occu-
pational pulmonary diseases such as asbestosis were excluded
from the report
Of the 1,561 employees in the survey group there were
approximately eqand immbers in the dusty and nondusty
occupations Of all claims bled for respiratory disenses only
exposure 15 per cent were for employees who had a dust
Not
only did this survey show that the incidence of disease over the year period was approximately the same in each
group but it also established that there was no appreciable
difference in the duration of illness in either group Also
clinical observations for many years had given the impression
a that a dusty occupation in itself would not predispose person
to more nonoccupational respiratory disease than would a
dust job
Animal experiments and clinical observations have shown that asbestosis does not predispose a person to the develop-
CERTAIN HEALTR EXPERIENCES AMONG ASPESTOS WORKERS 191
ment of pulmonary tuberculosis nor does it aggravate an apparently healed tuberculous lesion In two isolated one-
industry towns in the Province of Quebec where asbestos was
mined and processed the incidence of tuberculosis over a
period of many years was no greater than that of other isolated
}
towns with comparable population lot without a dusty trade
In addition the incidence of tuberculosis among asbestos
workers was lower than that in the general population in these
mining towns
Conflicting opinions and different reports make it extremely difficult to confirm or deny conclusively the causal relationship of asbestosis and carcinoma of the lungs Too often a common
conclusion is drawn from observations and experiences with
different racial groups living in different parts of the world
under variable economic conditions and working in diverse occupational exposures To these variables I'd like to add the fact that there are the various types of asbestos fibers which may have different actions on the lungs
The Canadian experience with asbestosis has been limited
to the chrysotile fiber The majority of industrial processes in the United States use this fiber but recently there has been
some increase in the use of amosite and crocidolite On the
other hand the British and other European industries use greater quantities of the harsher fibers amosite and crocidolite
Therefore in trying to clarify the causal relationship of asbestosis in cancer many variable facts should be clearly identified especially the type of fiber used and whether or
not other dusts such as silica or diatomite were present in the industrial or environmental atmosphere
To amplify this point I'd like to inke a few moments to describe the three types of asbestos fibers most commonly used today
An electron micrograph of the South African blue or crocidolite fiber would show that it is composed of many short sharp spicules which are rather brittle
Amosite fiber is brownish yellow in appearance and found in
Africa and Australia Scen under the electron microscope at
eo the same magnification as above the fibers would appear
sre longer less sharp and they actually are less brittle than the
Lame
crocidolite
192
HOKE OFFICE LIFE UNDERWRITERS ANSOCIATION
Unde chrysotile fiber found chiefly in Canada is greenish
white in appearance Electron micrographs show that this fiber is long soft and silky
I think that it reasonable to assume that the short sharp
und brittle fibers such as crocidulite and amosite could cause
much more extensive damage to the lung than could the long soft silky chrysotile fiber Therefore I think it is unfair to
compare the experieure of some of the European operations operations
with our North American operations using different types of
fibers with different actions
To amplify my statement that there are different occupational diseases having different ray pictures and different elinical patterns I would like to describe the ray appear-
.
antes of some of these discases
The ray in asbestosis shows a fine diffuse infiltration bilateral in both lower lung fields The heart ontline is shaggy or completely obliterated The nodular or conglomerate patterns of other pneumonucanjoses are not seen in asbestosis
In silicusis the ray reveals a nodular infiltration which is bilateral and appears in all lung fields from apex to hase
Conglomerate shadows can uppear in any of the various lung fields The homogenous or ground glass appearance of
asbestosis is not seen here
The ray of diatomite pneumonoconiosis can show an
exaggeration of all linear markings a very fine nodular or
gramlar pattern and frequent large coalescent shadows usual-
ly in the apices
from
The ray pictures resulting from the inhalation of a mix-
ture of dusts never follow the same pattern and certainly are
not typical of either of the inhaled dusts In present working environments man might be exposed to mixtures
of silien und eual asbestos aud silien or diatomite and silien
Thus you could have many bizarre ray shadows changing from line gramlar infiltrations to homogeneous and later to
cualescent shadows in the same individual
Several years ago unyone who installed insulation materials
was called an ushestos worker because asbestos was practically the only material used for this purpose Today however there are mineral fibers synthetic fibers clays cement magnesia and a host of other substances used in the insulating
CERTAIN HEALTH EXPERIENCES AMONG ASBESTOS WORKERS 103
trades The majority of these materials are relatively non-
toxic and it is obviously incorrect to label the insulation
installer today as an asbestos worker
There are numerous articles in the medical literaturo today
reporting the incidence of asbesto or asbestosis and lung
cancer among asbestos workers The conclusions of the
authors should not be accepted implicitly unless the report
clearly indicates that the called asbestos asbestos worker was exposed
only to asbestos fibers and not to a mixture of dusts One company in the group am reporting has a retirement
plan which has been in effect for sixteen years They have a
total enrollment of slightly over 21,000 people but of course
this figure has varied slightly through the years Since they
started to use asbestos fibers just about 100 years ago the
following review of the pension plan will include employees
Me
who have had an exposure to the fiber over a long period
e of time In the past sixteen years there were 1,185 employees who
retired under the provisions of the pension plan The average
length of employment for this group was 24 years Although we are unable to determine specifically how many of these had extensive exposures to asbestos fiber it is reasonable to assume
(ae that the majority had since asbestos is used in nearly all of
the product lines Of the 1,185 there were 180 who retired for
yer disability before reaching the age of 85. Only 6 of these had
asbestosis
acer This low incidence based on long employment with potential
exposure would seem to indicate that the asbestos trade is not as hazardous as may have been indicated in the past
Conclusions
1. Asbestosis is a recognized occupational palnionary disease
slow and insidious in its onset It takes many years of
exposure to develop it does not progress after exposure coases and there is very little disability until it is far
advanced
2. There are relatively few workers exposed only to this dust in industry today