Document rBy8qkV4MYGQ5KgbjgL0N6vKr

nmmi Jo9rts*rf*cmrT*tef ONQ)Cftm*f. OMSCNOf WttTA^ MtaVMCQMUOiOM} November 25, 1986 Ms. Judy Spencer Legal Section Industrial Commission of Ohio 246 North High Street Columbus, Ohio 43215 He: Employee: Employer: n. E. Kramig Co. Lockland, Ohio Attn: Judy Spencer Dear Ms. Spencer: is an insulation worker with 30 years experier-'e in applying-and removing all types of insulation. Insulators have the highest potential for exposure to fibrous dust such as asbestos since they are frequently handling it in bulk. They encounter the dust when opening bags and mixing or applying grout to walls, pipes, etc states that he began wearing respiratory protection about 1976. This would of course, lower his exposure to almost insignificant levels provided the respirator met all the requirements of adequate protective equipment. With insulators, the exposures to dust occur on a sporadic basis but mostly at high levels and for varying amounts of time. Insrlatlon can be sprayed on or applied as a plaster-type wet grout, iu sheets, rolls or pre-formed pieces. Cutting and shaping generates dust at high levels. also smoked at the admitted rate of 20 - 25 pack-years. This would severely complicate his overall respiratory condition, as well as the accurate diagnosis of the specific disease. Asbestosis, in its early stages can be confused with a large variety of other disease. According to Dr. Raymond Murphy of the Tufts University School of Medicine, there are at least four main classes and sixteen subclasses of diseases to be considered in the differential diagnosis of asbestosis. Cincinnati District Ottice The 50 Park Techno Center 100 Techne Cen'.i ;er Drive Suite 105 Milfcyd, OH 45150-9990 (513) 248-1970 r Mere exposure to a potentially hazardous material does not guarantee an oocupation&lly - related disease. However, with Mr. Hollander's work history, and considering his oooupatlon It Is at least probable that asbestos has contributed to his respiratory condition. If I stay be of further assistance with this claim, please contact me. Slnoerely, JF: rf wanes S. Ferguslootho, CIH Industrial Hygienist ''Jfc.'Vi5 ;i\ Ms? u u. u u U