Document qmyxgvD66MwKgYMDLQnZbdN0j

Castleman File: American Petroleum Institute w/c = with cover letter or memo If DATE = 0, undated CD-ROM Document #:API j DATE /f r" published article from trade journal published advertisements newspaper article published government report government inspection results unpublished or internal report unpublished presentation from conference letter memorandum industry warning labels industry sales literature industry recommended practices meeting minutes (with attachments) membership list BC notes For Information Only - Hot for Publioatioa . AMERICAN PETROLEUM INSTITUTE MEDICAL ADVISORY OOMMITTEE V' Minute* of Meeting May 7-8, 19^5 Hotel Statler St, Louie, Missouri MEMBERS PRESENT: J, M. Adams I, 0. Armstrong V. C. Baird F. F. Boys Mclver Woody - Chairman D, V. Stroop - Secretary D, M. English T. M, Prank A. X. Hoag R. A, Jewett M. K, Newquist I, S. Percy B, B, Reeve 0. S* Somerville MEMBERS ABSENT: Wm. Russell Levle W. A. Morrison J. P, Peattie H, S, Thomson ASSOCIATES PRESENT: S. W, Adams L, C, Beard, Jr. R. .S. Bonslh . R, C. Cole Wm. Grant, Jr. H. R, Kemmerer A, J. Roewing, Jr. H, P. Lnnkelm . H, R, Warrick 7. M. Watkins > Standard Oil Co, (Indiana), Chicago, 111. . Sococy-Vacuum Oil Co., Inc. New York, N. Y. . Standard Oil Co. (N.J.) . New York, H. Y. Phillips Petroleum Co, Bartlesville, Okla, Humble Oil & Refining Co. Houston, Texas . Shell Oil Company Wood River, 111. Socony-Vacuum Oil Co., (Lubrite Div.) East St. Louis,111. Standard Oil Co, (Ohio.)/ Cleveland, Ohio Tiie Texas Company New York, N. Y. Sinclair Refining Co. East Chicago, Ind. GUESTS:. . Wm, W. Brooks, MDT Phillips Petroleum Co R. E. Gould " "" F. F. Heyroth, M.D. Kettering Laboratory Phillips, Texas Bartlesville, Okl<x. University of Cincin nati I Choice of Chairman for 19^5. Following a review of the origin find purpose of the Medical Advisory Committee, Mclvtr Woody was chosen to serve as chairman for 19^5* II Medical Problems in Hydrocarbons API 06766 By invitation Doctor Heyroth reviewed data and sources of data on the toxi cology of hydrocarbons which recently have becom, important because of the rapid growth ir their production. -2- Action: The committee tendered Doctor Keyrnth a vote of appreciation and thanks for his presentation and requested him to send a copy of hie review to the secretary so that copies could be distributed to nenbers and asso- elates. III List of Current Medical Problems A canvass of nenbers resulted in the listing of a number of substances and mixtures which nay be injurious to persons through contact, absorption, or inhala tion. In addition a nunber of subjects involving matters of policy and administra tive practices were suggested for committee consideration. The committee discussed several bases for classifying problens for inclusion in its program of work, as follows: 1. Ey groups of substances or mixtures, such as types of hydrocarbons, inhibitors, additives, catalysts, or acids. t 2. By the manner in which substances nay injure persons, such as skin contact, absorption, or inhalation. 3. By the method of solution to be used on problems, such as cooperative compilation of clinical data, literary research, or laboratory research. Action: The committee lid not agree upon a comprehensive classification of the full list of problems but it was in agreement on four studies which should be initiated in 19^5. follows: 1. The study of medical policies and practices and formulation of tentative procedures for guidance of medical men in industry. 2. A study of chlorinated compounds, particularly chlorinated cutting oils used in petroleum products, and of their effects. 3. A study of possible carcinogenic properties of hydrocarbons and . petroleum products. Preliminary reviews ani studies as to the toxic effects and properties of hydrocarbons, products and substances other than those included in items 2 and 3* The chairman was authorized to appoint four subcommittees to undertake these studies. Notes by Secretary: (1) An outline of the field of interest of members, as developed at the meeting, is appended to these minutes. (2) The chairman announced the memberships of subcommittees, aw follows: API 06767 a Subcommittee on Ueiical Policies and Practices R. A. Jewett, Chairman- J. M. Alans T. U. Prank .. W. A. Morrison-- J. F. Peattie- 7-^ I. E. Percy Mclver Woody, Ex Officio D. V. Stroop, " " b. Subcommittee on Chlorinated Compounds P. P. Boys, Chairman A, E. Koag U. N. Newquist 3, 3, Reeve iielver Woody, Ex Officio . D. V. Stroop " * c. Subcommittee on Carcinogenicity M. N, Newquist, Chairman J, M, Alans A, E Hoag Vfn. Russell Levis I. E, Percy Mclver Woody, Ex Officio D, V, Stroop, " " d. Subcommittee on Permissible Concentrations V, C, Baird, Chairman W. 0, Armstrong D. M. English T, M. Prank 0. S. Somerville Mclver Woody, Ex Officio D. V, Stroop, " " IV Contribution and Dissemination of Information Contributions of literature reviews were contributed to the Comnittee by the following: . 1. Library of the Technical and Research Division, The Texas Company . "The Carcinogenicity of 3ituminous Compounds," April 30, 19^5 2. Chemical Division, Soco :y-Vacuun Oil Co., Inc, "Carcinogenic Hydrocarbons," April 27, 1945 API 06768 Another contribution will be made by a thirl company if, as, and when brought u" to late and authorized for release to the committee. 'ctiou: A* On notion it was agreed that the name of each duly authorized associate should be placed on the committee nailing list to receive contributed material as well as other conmittee communications. V Medical He8earch Program Poliowing luncheon meetings of three of the four subcommittees, informal reports containing preliminary recommendations on research work were presented by subcommittee chairmen. The committee's conclusions and recommendations on the subject of research were incorporated in a draft of letter addressed to the president of the American Petroleum Institute. w . >, Action: On notion it was voted unanimously that the secretary should transmit the following letter: Mr. Wn. 3. Boyd, Jr., President American Petroleum Institute 50 West 50to Street New York 20, N. Y. Medical search Program Dear Sir: Pursuant to your appointment of February 23, 19^5. the Insti tute's Medical Advisory Conmittee held its organization meeting in St. Louis, Mo., on May 7 and 8, 19^5* Thirtesh of its seventeen members and all of its associate members were present. Discussion developed a broad field of interest in subjects of importance to the petroleum industry, particularly to petroleum refiners. The conmittee selected four groups of these subjects upoij which to start work in 19^5* Subcommittees were appointed to prepare detailed plane for cooperative and research work on these problems. Three of the subcommittees have found there ie need for research work In their assignments. The medical advisory committee concurs in these findings ani recommends to the Ewcutive Conmittee cf the Board of Directors that it should authorize a three-year program of medical re search to be conducted under the auspices of the American Petroleum Institute with the guidance and advice of the Medical Advisory Conmittee and including general provisions as follows: 1. The Institute should be authorized to solicit contributions for the establishment of a Special Medical Research Fund in . the amount of 425,000 with which to initiate the program. 2. There should be three medical research projects established to investigate and to report on subjects as follows: API 06769 5- - a. Chlorinated compounds used in petroleum products. b. The effect of refinery processes upon carcinogenic properties of petroleum products. c. The determination of best values for permissible concentrations of toxic substances used and produced in the petroleum industry. Respectfully submitted on behalf of the Medical Advisory Committee By (D. V. Stroop) Secretary Publicity There was a consensus that the secretary should prepare such press release as nay be deemed necessary in connection with the organization of the Medical Advisory Committee. i-- VII Next Meeting There was a consensus that.the next meeting should be held during October or November, 191*5, and immediately prior to the 25th Annual Meeting of the Institute if it is held in November, 19^5* VIII I Adjournment The committee meeting wag adjourned, AFPRDV3D McIVBR WOODY Chairman D. V. STROOP Secretary f 5-15-1*5 API 06770 Appendix to Minute8 of Meeting Medical Advisory Committee f Held May 7-3, I9U5 An Outline of the Field of Interest of the API Medical Advisory Committee Industrial Health and Related Subjects * A, Matters Incident to Employment of Persons in Petroleum Industry, such as: 1I 1, Preplacement examination procedures 2, Reexamination practices 3, Rehabilitation of returning war veterans U, Treatment of employee sickness and sick benefits * V .V 5, Acceptable standards in sanitation and healthful working conditions 6. Effect of air conditioning on health B, Matters Incident to Possible Injury to Employees, such as: 1, From skin contact with substances which may result in: a. Injury to skin, including (1) Possible carcinogenic effects (2) Other injurious effects' on skjLn, by substances such as (a) Chlorinated compounds (b) H F burns (c) Radio-active substances . b. Absorption through skin of toxic substances 2, From Inhalation of: a, Hydrocarbon vapors and gases b, Solid particles including catalysts and sand-blasting sand . c. Poisons, such as HgS, TEL, CS, HF C, Matters Incident to treatment of Injured Employees 1, Exchange of information on acceptable methods of treatment API 06771 Appendix -2- 3, General 1. Legislative factors 2. Research work and prograns 3. Educational activities 4. Correlation of medical work with other operations in petroleum industry II Public Health and Related Subjects A. Labels and precautionary information 3. Pooling information to defend against fraudulent actions C. Legislative problems. '1 ' API 06772 with Pr. Drinker ani ot, T3 of his staff ruvi :zing and checking the work. This committee- fuels thrt v/c r- very fortunate in securing such nn authoritative organization to do this crk for us. rsepseecairfcich pdrccdluinsl ?*.t athney Itrintues. try. Respectfully submitted. * H5 lcr sPec-^ic V. C. Baird, U.D., Clmiriin 7. 0. Armstrong, il.D. D. M. Ehgiish, J.D. T. M. Frank, H.D. 0. S. Somerville, il.D. November 16, 1945 API 06788 Industrial Tcxic Materials Used and Produced ir. the Petroleum Industry Material Acetaldehyde Mcetaniiide ,.cetic Anhydride /.cetone ,,cetyl Chloride Acetylene ^cid .,cetic Acid ,.rsenious Acid Benzoic ..vCid Chlcrcsulfonic ,.cid Formic .-.cid Hydrochloric ncid Hydrofluoric .,cid Molybdic Acid Hitrie Acid Phosphoric ytcid Pyrogzllic Acid Sulfuric Alcohol, Ethyl alcohol, Hethyl alcohol. Butyls Alcohol, Propyls Alcohol, Amyls Aluminum Chloride f Aluminum Oxide iiffiaonia Ammonium Acetate Ammonium Chloride Ammonium Hydroxide ndanonium Molybdate Ammonium Nitrate Amine Plastisizers, Various Aminophenols Amyl Acetate Aniline and Homclogs anthracene -.rocatic Hydrocarbons Barium Chloride Barium Hydroxide Barium Nitrate Ben2aldehyde Benzene ' Boron Fluoride Bromine Butyl Acetate Butyl Sulfate Butyl Sulfuric Acid Cadmium Chloride Calcium Chloride ^^^uit Hydroxide v.alcium Hypochlorite Citium Oxide Liberate r? x X X X X X X X X X X X X X X X X X X X X X X X X X X X X X x x X X x x X ' x x %X X X v X X X X X X X Plant X X X X X X X X X X X X x X x X x x X X X X X X X API 06789 X Material Carbon Black Calciun Carbonate Carbon Disulfide Carbon Monoxide Carbon Tetrachloride Cerous Nitrate "Chlorex" (B B Dichloroethyl Ether) Chlorobenzene CWorcfcrm Chromate Salts Chromium Trioxide Ccbaltous Nitrate Crescls, Mixed Cumene Cupric *cetate Cupric Chloride Cupric Sulfate Cuprous Ammonium Acetate Cyclohexane 3DT Ether, Diethyl Ether, Isopropyl Ether, Petroleum Sthyl Acetate Ethyl Sulfate Ethyl S'ilfuric Acid Ethylene Dichloride Ferric Chloride Ferric Nitrate Ferric Oxide Ferric Sulfate Ferrous Sulfate Formaldehyde Freon Furfural Gasoline Gum Inhibitor Glycols Gum Kauri Hydroquincne Hydrogen Chloride Hydrogen Fluoride Hydrogen Sulfide Hydroxylamine Hydrochloride Iodine Iron Carbonyl Lead Oxide Lead Sulfide Lorol Mercaptan Laboratory X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X, X X X X X X X X X X X X X X X X X Plant X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Ifcteriil Magnesium Sulfate iialeic Anhydride tesityl Oxide mercury jercuric Nitrate isrcaptans. Various kesitylne _ 'ethyl Chloride Methyl Cyclohexane iethyl Cyclepentane Methyl Ethyl Kfctcne Methyl Sulfate Naphthalene Nachthas, Light Naphthas, Solvent Naphthols Nitrobenzene Nitroaromatics Nitreparaffins Phene1 Phenolic Homologs Phenyl-B-Naphthylaraine phosphates Pickling Solutions (Arsenates) Potassium Bromide Potassium Chloride Potassium Chromate Pctassium Hydroxide Potassium Iodine Potassium Nitrate Potassium Permanganate Pyridine Propyl Sulfate Propyl sulfuric Acid Quachrome Gluccsate Silica Silver Nitrate Sodium Carbonate Sodium Hydroxide Sodium Plumbite (Doctor) Sodium Thiosulfate Scdiun Sulfide Stannic Chloride Styrene Sulfur Sulfide Plastisizers Sulfur Dioxide Sulfur Trioxide Laboratory X X X X X X X X X X X X X X X X X X X * -* X X X X X x x X X X X X .X ~X ' X X X x x x x v X A X X pxant X X X X X X X X X X X X X X X X X x x x X X X x X X X X X t > -i API 06791 ! Ifeterial Tetraethyl Lead P-Torti"iy Butyl Catechol TrUthancl Amine Toluene Tcluedene Xrichlcrethylene Xylenes Zinc Acetate Zinc Chloride Zinc Stearate -4- Laboratory x X X X X X Plant x X X X X X 'nether Company submitted the following materials: R-C-C-RCOOR Cl r-c-c-r-coor bl s R-C=C-R Cl 3 r-C-C-R R-Cl HORDRDH PbR R^Si (Oxygen, hydrogen) RN R3 R Halogen Sulfurized methyl ol^ate Methyl di-Chlor Stearate Sulfurized olefin (10 tc 30 carbon atoms) Chlorinated dibenzyl disulfide Chlor Naphthalene Diethylene gycol Lead cleate Aliphatic and aromatic silicanes or sili cones ~ ' Aliphatic and aromatic nitrogen compounds Aliphatic and aromatic sulfur compounds Aliphatic and aromatic halogen compounds (Fluorine, Chlorine, Bromine, Iodine) Still another Company submitted the following materials: Hydrcfcmer bottoms . Heavy aromatic residues Cat-cracker slurry Butadiene Open chain diolefins Ring chain diolefins Toluene sulfonic acid APPENDIX D For Information Only - Mot For Publication REPORT OF SUBCOMMITTEE ON MEDICAL POLICIES AND PRACTICES Your Subcommittee on Medical Policies and Practices lias very little to reocrt in the way of progress. This is- probably due to the fact that a meeting 0f'the subcommittee members could not be secured. Shortly after my return from the St. Louis meeting, I decided that a coixittee to study into medical policies and practices of oil companies could not make progress or reconmendations without first knowing the existing policies and practices. I, therefore, formulated a questionnaire embodying the information brought out and requested at the St. Louis meeting, sent a copy of this question naire along with a letter to each of my subcomnittee members requesting their criticisms, suggestions, and approval to send such a questionnaire to Medical Directors in Petroleum industries. I received no replies from the subcommittee members. I next asked Dr. Morrison of Los Angeles, and Dr. Thomson and Dr. peattie of San Francisco to meet with me in San Francisco the middle of August. Dr. Morrison replied that he would try to see me on rayretun^ but to proceed without him. In San Francisco Drs. Thomson and Peattie did give me an hour of. their time but indicated they did not intend to serve on the subcommittee. They approved sending out the questionnaires as presented. They further agreed that they would meet with me in Los Angeles the first of October to review and evaluate the results obtained. They have been unable to come to Los Angeles to date. I am reviewing the data obtained from the questionnaires and presenting it to you as part of this report for your evaluation and action. Upon receiving notice for the Committee meeting in Chicago on November 16th, I wrote my subcommittee asking them to meet with me in Chicago for a subcommittee meeting on November 15th. In reply to this letter I have one from Dr. Percy stating he would be there and one from Dr, Frank stating he would probably be there. . It being extremely difficult for me to be away a week for the purpose of attending the one-day meeting in Chicago,- and being unable to have a meeting of my subcomnittee, I decided to ask Dr. Percy to present my report for the committee. ' ANSWERS AND EVALUATION OF ANSWERS ON EIGHT QUESTIONNAIRES RECEIVED FROM MEDICAL DIRECTORS OF TOE MEDICAL VISPRY COMMITTEE OF THE AFRICAN PETROLEUM INSTITUTE. I* MANAGEMENT* Is your medical service under the direction of a doctor? Yes 6 Responsible to: T,rt time doctor in charge: Yes 3 number cf employees covered by the survey: l0"aA Male 87,000 Female 11,000 ;re most of the employees in one location? Scattered 5 ^ote: Two medical directors replied that they could not answer the questionnaire because of the scattered locations of the employees. How is the medical service coordinated with the other operations? Safety 3y: By: By: 3 Medical Claims Dept. personnel Manager No coordination 1 2 5 Employment Pay plans for disability Absenteeism 2 2 2 Notes - The purpose of this question was, apparently, not well understood as it is believed there is some definite coordination between these plans and medical service. It is further believed that most companies have some sort of pay plan for sickness and that absenteeism involves the medical service records and follow-up work with a report to the Management, JI. NATUH; OF SERVICE RENDERED: care of the injured under liability laws by; Company selected doctors Insurance carrier selected doctors Employees* selected doctors 8 0 0 Note: It is apparent that all the companies responding are self-insured and select their own doctors. 5. Preemplcynent examinations: Note: Wiat is the best title for this: Preplacement A Preemployment 4 Preplacement examinations required for males: Yes 6 No 0 Preplaceroent examinations required for females: Yes 8 No 0 Are they made by company selected doctors? Yes 6 No 0 Employee selected doctors? None Is a prepared company physical examination form record used? Yes 8 No 0 Note: six blank physical examination forms were forwarded. A review of these six indicates that they are quite varied in form and in questions asked. API 06794 -> t.. ther-j any nhysical inpairm-nts or defects ordered rejected? Yes 7 No 1 Recurrent Rheumatism 2 Chronic suppurative conditions Contagious diseases 1 Epilepsy Osteomyelitis 1 Diabetes Varicose veins 2 Hernia Vision less than 2C/50 4 Heart disease Tuberculosis 2 Hypertension Allergies 1 Rental disease Obesity 1 1 1 1 4 4 1 2 Kote: Ordered rejected is meant definite instructions, to examining doctors to reject certain conditions. It should go without saying that there are many conditions for which an applicant is rejected. Several reports attempted to list many of these conditions and stated all sorts of physical and mental conditions. It is believed as few conditions as possible should be ordered rejected thus giving the examining doctor a wide range for using his judgment in proper selection and placement* Can medically rejected applicants be accepted for employment? Yes 6 No 2 ** If yes - by whom? iianagement 6 Is a blood test for Syphilis required? Yes 8 No 0 If females are examined, is a pelvic examination required or optional? Optional 6 No examination 2 This part of the female anatomy is more subject to pathology than any other part and the above indicates that it is neglected on examinations. This applies particularly tc married women. C. Reexaminations: kade cn nil employees? Yes 1 No 7 Nczes Two replied that company officials are required to be examined annually; one replied that annual examinations are required on all employees hired after the installation of the medical service. One replied reexaminations are required upon return from sick leave. Four make examinations on enplcyees working in hazards Are there special arrangements whereby executives have an annual examination by the company medical service? . Yes 4 By a physician of their own choosing? None Physical examinations are the basis of a health program. Therefore, annual examinations should be required on all employees. API 06795 > -4- JII# vs)ic:j. ssrvics to sick ..kd mcn-i:totistri.iiy injured zxplqtjx: Is medical advice available by conpany personnel to all employees? Yes 5 No 3 . To groups of employees only? Yes 1 No 1 At no cost tc employees? Yes 3 No * *Not noted in five questionnaires At a cost to employees?' None Three cf the companies have prepaid medical, surgical, and hospital service through conpany operated plans. There are no employee operated plans but a few groups in various localities sc operate. Joint company and employee operated plan? None 4 * With the public emphasis strongly for prepaid medical and hospital service,, it would seen that all companies should have such a plan. IV. HEL I4S5S FOR DUTY: Are releases for duty to resume work required of employees who have been off for sickness, accident, or personal reasons? Yes 7 After seven days 3 After five days 1 After three days 1 Fjor a day or more 1 Do not require 2 V. NURSING CTVICBt Are nil nurses, if any, working unaer the supervision of a doctor? Yes 6 Is ony heme nursing service rendered? Yes 4 No 2 If sc, at company expense? Yes 2 No 1 At employees` expense? Yes ? Nc 2 Is there any fcllcw-up of absenteeism by nurses? Yes 5 No 3 Note; It is believed heme visitation by a nurse should be part of a medical service because it produces valuable contacts with the employees and reduces lost time frem sickness. - API 06796 -5- VI* . -j_i records of sickness and accidents pertaining tc medical service "rd.re-) j'ent in the medical department? . r6 ' Yes 5 Me 3 Tt would seem geed practice to have all medical records and reports in the files of the medical department. -f s'" is the information available only through doctors and nurses in charge? * w* Yes 6 No 2 Te not, who is entitled tc this information? ^ Exe.cui t*ive Department Head Industrial Relations Manager 4J 1 1 ^re the reasons of absenteeism as shown on the records, reported tc any superiors? Yes 6 No 3 If sc, to whom and why? Industrial Relations Manager -Seneral Manager For the purpose of control for the Management of sick benefits. 1 3 Note; It is strongly indicated that executives and department heads require a report of diagnosis on employees off cn account of sickness whereas, it would seem that the ancunt of time lost would suffice and that the diagnosis should be a confidence of a medical department. VII. RSH/.BILIL i.TION i Is there a company plan for placement of handicapped employees? Yes 4 No 4 Handicapped veterans? Yes 4 No 4 Note: Definite plans for rehabilitation are indicated in order to give the handicapped an equal opportunity for employment. VIII. SANITATION AND HYGIENE: Any educational activities for better health? Yes 2 No 6 If yes, list them. Employees Magazine It is believed there are mere educational measures being carried cut than indicated by the above. If net, a big field is open for constructive results by the medical departments, jji organized health educational program should be carried out in each industry. API 06797 -b- O. inspect: ns: rc. insD--cti-.ns . f :ffices and plants mde? w' ` Yes 7 Nc: 1 If sc, by ;;hc m? Safety nan Doctcr Plant iianager 4 2 1 Conditions noted: Light 7 Heat 7 Ventilation 7 Dust 8 Fumes 8 Special hazards: Skin irritations 5 Chlorinated compounds 3 /icids (especially HF) 7 Radio active substances 3 Hyarocarbcn vapor and gases 7 Pciscns 5 Solid particles 6 Any air conditioning in offices and plants? Yes 3 Sane 3 Mete: It is apparent that medical personnel are losing an opportunity tc familiarize themselves with the employees and the hazardous conditions under which they werk and .re net making reexaminations cf employees in hazardous work as indicated. This wr rk will probably be emphasized by the reports of the ether cciaaittees. . XX. RESEARCH WORK AND PROGRAMS: . List any projects being carried cut, if net confidential. None 7 Confidential 1 Nc report cf any anticipated projects. Note: Pr' blems requiring research are presented tc the medical departments from time to tine. It-would appear that this field is neglected especially in relation tc the amount cf research dene by petroleum companies. Probably much material can be obtained from outside sources. Seme channel by which this material can be distributed to medical departments is indicated. X. LEGISLATION >JK) LSGaL MATTERS: What source cf infermatien of being infermed cf proposed medical legislation affecting the petroleum industry? Three replied that information was obtained through medical sccieties through legal departments and self-insured associations. Note* The whole question cf legal legislation was mentioned several times at the meeting but in rather vague terns. It is evident fr 'n the answers that there is nc real source of infc relation on these subjects available*tc nelical departments. API 06798 XI* T cooneraLion is maintained by the medical department with private physicians treating employees, with City, County and State Health 5ear.rtr.ents? ^his question '.vas answered by six who simply said "as occasions arise." ]V.-o said "complete." Tnat non-official and private health agencies? Seven replied "none." Note; ' It should go without saying there is some cooperation with non official and private health agencies as these agencies are always asking for donations or doing research work which has a direct bearing on problems in the oil industry. It would seem valuable to maintain contacts with such agencies especially those who can secure and furnish data on medical problems and give guidar.cs of these agencies in their relation to the medical profession and medical service in industry. TUSCUSSIC." The above, to a certain extent, brings out some of the policies and practices of eight of the major oil companies. Why the five other Medical Directors who are members of the General Committee did not attempt to furnish the information osked for, is problematical. It is readily understood why two said their operations were too diversified to answer such a questionnaire^- It is difficult to formulate a questionnaire embodying the items as mentioned in the medical meeting on which information is desired. This is evident all tnrough the answers. An active committee, reviewing tnis questionnaire, discussing it, would, doubtless, improve it considerably and would have more information from it for evaluation and use. It was my intention to assign one of the following topics to each member of the committee and request him to gather information on it and present a special report on that subject. It was also my intention to send this questionnaire, not only to members of the Medical advisory Committee, but also to all petroleum companies for the purpose of having more information available for evaluation, Tne response was so poor from my subcommittee members and from the general coccittee members that it was decided not to attempt anything further at this time, The following topics could well be given special consideration? 1. Formulation of a physical examination record as short as possible and including enough subheadings to get all information desired, 2. Prepaid medical plans. 3. Rehabilitation plans. API 06799 4. Educational measures. 5. A research plan. 6. A legislative plan. It is evident that medical directors in the petroleum industry were not osition to' take time for consideration of their policies and practices in a * the past six months. This was probably due to lack of help and reconver^^fren a war basis to a peace basis. It is to be hoped that their interest ^1 become aroused sufficiently to carry out the following recommendations: That a Committee on Policies and Practices be organized whose members re in position to and are willing to meet for discussion of the problems assigned than; That each committee member select one of the above topics as outlined for his special study and report. Respectfully submitted, * * /s/ R. A. Jewett R. A. Jewett, U.D., Chairman Subcomnittee on Policies and Practices. t I 9 November 6, 1945 API 06800