Document rxB6YGmMvk6RY2mY8vQY2kXLJ

m I# Vifti****'; j-- PUBLIC HEALTH REPORTS VOL. SO- FEBRUARY L 1935 NO. 5 THE EFFECTS .OF EXPOSURE TO DUST IN TWO GEORGIA TALC MILLS AND MINES By WALOJSHAn C. Daxmaamt, Patted Aeeittant Surgeon, and J. M. DallaVaeu, AeeieiaiU Sanitary Bnyineer, Office a] Induetrial Jiygims and Sanitation, United Statee Public Health Serriee The study herein described was carried out at the request of the Georgia State Deportment of Health, in order to ascertain whether there is a connection between talc dust exposure and the relatively high tuberculosis death rate in Murray County, Go., where two talc mills and mines ore located. The study follows in outline the general procedure adopted by the Office of Industrial Hygiene and Sanitation in its studies of dusty trades and includes a survey of plant and mine conditions and the results of examinations made on a group of workers engaged at any time in the production of talc products. In contrast with the results of another study on the effects of talc dust exposure (1), the present investigation deals with a form of talc primarily adapted to the manufacture .of marking pencils for the steel and building, construction trades.. Such tale powder is a by-product obtained from the waste incident to the sorting and cutting of raw talc. The cutting of talc pencils and the crushing and milling of the waste were done in very dose quarters. In fact, in one of the mills studied both operations were carried on in the same room. Conse quently, it was difficult to obtain a true picture of the occupational exposures of various workers and to compare the results with those obtained in the previous study (I) referred to. Furthermore, in contrast with the previous study both plants were small and no provisions-for exhausting the dust at the. sources of generation were in evidence. PROCXDUBE AND INSTRUMENTS USED IN THE STUDY The sanitary and occupational survey methods recently described by Bloomfield (2) were employed in the present study. These methods embody the principle that in any investigation regarding the health of workers, it is first necessary to study the environmental factors. This indudes an "inventory" of all sanitary facilities, lighting, ventilation', etc.; and an evaluation of these items was based on the best practice specified by State or other accepted codes. Fol io such a survey a study of each worker's activities is made. AfijM&flUMENT WAS NOT&A Prrnoo _____________________ \ TM 00199*Li BV " Ci35 __ 2ftLcSaeO* I r:)22 JOI'E Ti ) r'~ This is important, for it baa Been shown in the dust studies conducted By the Public Health-Service that a. worker's duties do not generally Emit him to s single dust- concentration through the entire work ing- day... Consequently, in order to arrive at a fair estimate of the 'worker's-.actual'daily dust.exposure, it is necessary to know the time spentin. each'activity... ..I,--- - ,, ' ~ Dust sampling.--In.obtaining dust samples, the Greenburg-Smith impinger (3) and the Owens' jet (4) apparatus were used. The fanner was employed for obtaining samples for the estimation ot dust con centrations in accordance with the technique devised by the Public Health Service and the latter for obtaining small grab samples tor particle size measurements. /. NATtra* or tal, c dust . According*to Ladoo (5) the Chatsworth talc deposits are steatite (hydrous magnesium silicate, HtMg*(SiOjh). This is ordinary talc, or soapstone, as distinguished from pyropbyBite, the hydrous alumi num silicate, deposits of which are found in North Carolina. Chats worth talc rock is greenish-gray in appearance, firm, and translucent when cut into thin slabs. In the form of powder, the talc is grayish- white and finds its chief, market in the manufacture of rubber and paper. \" The importance of quartz as the-chief causative agent in the pro-, duction of disahEng pneumoconiosis ia well known. In an analysis of dust samples, therefore, it is of-prime importance to obtain on estimate of the quartz content. The! Office of Industrial Hygiene and Sanitation has for a number of;years secured analyses both petrographieally and chemically of the samples of dust, obtained in its various studies. Three samples of dust submitted for petrographic analysis showed the following results:1! ' Tate m fibrous apUaten, fibrous aggravates, sad foliated masses, approximately TO permit. " "" Dolomite so broken rboabai-from 20 to 30 percent. . TromoUto to two aamplea aa btedad cystals, 10 peroent. No quartz was found except as occasional fragments. The same. samples were submitted to-. Associate Chemist Frederick Goldman for chemical analysis. The results are presented in table 1. Tabu 1.--Analytia of tale ttmrptr* ---* ' LtpdtA film Comsto* CaO MfO blood *~ 1 .. . . , Tjtr1 * In ntfna__ Tale ftiltl Twu> mhbw 30. tt 4124 AH is 3133 4.41 B.O# 4.9 313D 00^ -\ * Wo r ladobtod to Mr. Aldce H. Zoaer ml Dr. Al QoteW. o< lb* Burma ol Mlnoo. tar rwndmtfli DOCUMENT WAS NOT A RECORD OF p ^ . PPG INDUSTRIES. INC. DID NOT COME FROM ----------- IT'S FILES, AND CANNOT BE AUTHENTICATED 243* BY PPG INDUSTRIES; INC. W !ilsr\!T fVO * 'In the previous 'talc sfi more than four times th*.was found'in either study, comparable except in the SiOj), which in the previo. Two samples were tak.-r paratus and 100 particles > micrometer at a magnifies: was found to be 0.S micron were larger than 0.5 micr.. DEseaxraoN or ru Description of plant*.-- types of construction, or; ot a series of dilapidate*:sawing and nulling open* rooms, while in the older scribed as a single huge - From a sanitary point ci except in the packing an . necessity.' One plant hatfrom an outdoor faucet, t ing cup and paiL The nnot possess much, better sr Operations and oeenpatr divided into two classes--' In the former, the raw n and cut into blocks by ak is conducted by one man considerable experience l straight and uniform groin turn sawed into smaller "facer", whose work co-- These slabs are again sa fine-toothed saw. The S the pencils in accordance mentioned operations or sawyer's bench. The ft done by giris in separate Pencilmaking, as raffi Talc is soft and frequent1 ^ and pencils causes much >merely consists in the ci waste and .knurled talc n milling process does not t acted brolly worfcbf the time smith inner i con*uWic a for same [man bnCu*onJsdaaUm.iMs Ubtauruma In the previous tale study,' the amount of tremolite found was more than four times that*reported above;' However, no free silica was found:in either study. -' The chemical analyses of both studies are comparable-except in the cose of the combined silica (determined as SiOj), which in the previous 'study was given as 56.54 percent. Two samples were taken with the Owens jet dust counting ap paratus and 100 particles were measured in each sample with a filar micrometer at a magnification of 1,000. The median size of particles was found to be 0.S micron. Approximately 85 percent of the particles were larger than 0.5 micron.. DESCRIPTION- Or PDANT3, OPERATION'S, AND OCCUPATIONS Description oj plants.--The. .two plants studied represent extreme types of construction, one being modern and the other consisting of a series of dilapidated wooden sheds. In the newer plant, the sawing and milling operations are carried bn in separate, detached ' rooms, while in the older one all work is done in what may be de scribed os a single large room. From a sanitary point of view, neither plant bad adequate lighting, except in the packing and sorting rooms, whero good lighting was a necessity.' One plant had no artificial lighting. Water was obtained from an outdoor faucet, thus requiring the use of the common drink ing cup and pail. The newer plant, while having electric lights, did not possess much better sanitary facilities. Operations and occupations.--The operations in the plants may be divided into two classes--pencil cutting and talc crushing and milling. In the former,, the raw material from the mine is carefully selected and cut into blocks by a large circular saw. In both plants this work is conducted by one man known os-a Jlblocker." His work requires considerable experience in choosing suitable^ pieces of talc with straight and uniform grain. The`blocks thus selected and cut are in turn sawed into smaller sizes and passed on to a "slabber", or "facer", whoee work consists in cutting the blocks into thin slabs. These slabs ore again sawed by the pencil makers who use a small fino-toothed saw. The final step then consists in pointing or rounding the pencils in accordance with markst requirements. All the abovementioned operations are carried out on a long bench called the sawyer's^bench. The final operations of sorting and packing ore done by girls in separate rooms adjoining. Pencilmaking, os might be expected, entails a great deal of waste. Talc is soft and frequently brittle and the sawing of it into thin slabs and pencils causes much breakage. The manufacture of talc powder merely consists in the crushing, milling, and`screening of such talc waste and .knurled talc rock which cannot be used for pencils The milling process does not differ materially from that described in the &&i3S& WM sm Hk- sag MS1 'ml PPG ESv INC; " ^'RECORD OF ' J BB 0019943 J ------------------------------------------------------------ "* 2437 \ ?f1 w;. . m -rabnarrLOM -T.34 -.earlier study, except that in-the present case-the operations axe-on a neller scale and employ only two men per plant, a crushennan- and .a packer. The fonner shovels the raw. tele in the crusher or conveyor ' belt while.the latter "bags" the talc. The-filling process consists of lowering and raising a telescoping duct from a hopper into a paper or .doth sack. - Each sack is filled to the proper weight and any excess is rem red: with a small scoop. - The loaded bags are carried to the , .storing and shipping room by a helper. -v plant a low count was c not been carried.on. stea< ever,, in view of the fac both plants, the av.eraf foot may be- taken as a l TjlMLX 2.^0eepc ` vxaesxTTioifr OT 3mmTQ'orZRA.TtOli3 A2n> QCCVTATIOXB Aotr. The mines of the Chatsworth region consist of small openings at the base of Cohutta Mountain, with short tunnels and chambers pitched downward into the talc seam. The talc lies in pockets, which, in mining, frequently necessitates occasional exploration *ijm (Marion, ihhwi. art pm 1 Paneeraaa. Penal boun ------- -----------.................... . through rock. The mines ore laid with narrow-gage track on . which operates a small "buggy'* connected by cable from the engine house outside the mine. Mine pillars for support of the roof are not used in the passages and chambers, although there is often some o ToaL. Arms* at S Ktmptaf to I paint, jar* esont o( 3 million partttmr * Woman amptojrt at ibaoetmpa I danger of a cave-in. The natural ventilation through the tunnels, "" by means of several surface openings, rendered the air fairly dean. Tak* 3.--11 In one of the mines a forced-draft fan from the surface provided air Kttrr for some headings. Briefly, the mi-niwg operations consist of drilling with a jack hammer, firing a charge of black powder, and loading the broken talc DtIUm art baton., Murlars^... Quito man (bnbtar). - into the buggy. Because of the comparative softness of the talc, approximately an hours' time (bn the average) is consumed in the Total Insfcia and oOOfcla wari W * drilling of the 1 to 6 holes daily... . . The crushennen wenl . The tale, which is blown out in large lumps, is loaded by muckers pated, inasmuch as the into the buggy and hauled to. the surface.;The talc rock is. unloaded The reason for this cond and placed in sheds to avoid wetting. - No other operations are which existed near the < involved in mining. The talc is hauled to the mills, about 4 miles to the unloading plarfo; distant, by means of trucks. counts might be much b Inasmuch as the mining properties of tho two companies studied packermen. adjoined one another and the operations involved in the mining of talc were identical, dust samples during drilling and mucking opera The sawyers showed averaging 324 million pa tions were token in onlykone of them. the newer mill showed h XX8UZ.T8 OT DUST AlfALTSSS edly due to the small ( sorters and packers, os The results of dust samples token in the two talc mills and mines described above ore shown in tables 2 and 3. In all, 19 samples were The average plant dust I which helpers and foreil token, giving counts which may be taken as the average of the par per cubic foot. ticular activities involved. It will be seen from these tables .that the------------------- ------- -- The chief activities it packermen, sawyers, and drillers receive the highest exposure to dust, I SB 0019944 2teen pointed out, howe that is, 16. workers out of the 36 employed in both plants and mines. doily to on average cot The packermen actually receive the greatest exposure, although in one foot. After firing, the THIS DOCUMENT WAS NOT A RECORD OF PPG INDUSTRIES, INC. DID NOT COME FROM IT'S FILES AND CANNOT BE AUTHENT1CA1 ED BY PPG''lIWNDnlUiCSTTRDIEirSe, !- H59K 2438 ggg^:v-- . 32SS& 135 plant a low count was obtained because the packing operations hod* not been carried.on stetulily at the time the sample was taken. How ever, in view of the fact that the packing methods were identical in both plants, the average count of 1,672 million'particles per cubic foot may be taken ss a fair average, * . Tf .Jt ' ' * ' ! Tilts 2.---Occupational and dual analyses mada in 1 tale mHU lie Acttritr Minima of HnWtl --erkan employed Number at duet sent* plea tatao dun partidm Per ca ble (dot (ar oma ni all ---- pftrf /omnra ud biipmikh.----1..'.^,. "!--_____ 10 3 $ 334 3 <i| 3 3 1 t,J3 4 3 I7at 4 1m ... ' _____ 33 u 1 1 Atwe a13 iwhIm to i plant. TUM timpU tram otbm ploat taken attar ritert parted at Operation count U13 raUUou parddaa par table foot. 1 Woman amployed at tiua occupation. Tasls 3.--Duet determinations made at a tale mine air Acttritr Number ol NBufmlgbpetar iat Aremat duel roost ck n#mM *nrf hslpsw 3 1v 3 3 32 1 * Tool lntd> end outside worben. botb miuae, U wen. the The crusherxnen were exposed to a lower count than was antici 2n pated, Inasmuch as the packing operations were carried on close by. ded The reason for this condition is perhaps due to the natural ventilation which existed near the crushers, since in both plants they were close to the unloading platform. It is probable that on certain days the counts might be much higher, almost of the same order as that of the packennen. The sawyers showed s fairly high exposure to dust, the counts averaging 324 million particles per cubic foot. It is a carious fact that the newer mill showed higher counts titan the older. This is undoubt edly due to the small quarters given to the activities. The pencil sorters and packers, os might be expected, showed minimum counts. The average plant dustiness, exclusive of the packing operations, to. which helpers and foremen were exposed, was 162 million particles , per cubic foot. The chief activities in the mine ore drilling and mucking. As-has been pointed out, however, drillers are exposed only about on hour daily to on average concentration of 855 million particles per cubic foot. After firing, the drillers assist the muckers and' are* exposed to THIS DOCUMENT WAS NOT A RECORD OF-------------- -----------PPG INDUSTRIES, IfftTDlD NOT-COME FROM JI -2BBL20201192924S5L71, 3439 ?1S IT'S FILES AND CANNOT BE AUTHENTICATED _BY PPG INDUSTRIES, INC. i .. Ma** ';** * - * mt r#: MnWTLW J^OTF. 13 -V I ' ;r ?. ' fr ^ra ' . K-M a fairiy'low-'counfr oP32 million partfcWpercubic foot; The reason for this low dust count in mucking is probably due to the large sizes f talc which are handled. Inasmuch as both drillers and muckers are practically exposed to identical concentrations for varying periods of time, the weighted average of their exposure may be taken as 135 Twfllifin particles per cubic foot. -This average is based upon 1 hour's drilling time and 7 hours of mucking, thus ^135 mfflinn particles per cubic foot. lCCDICAL OBSERVATIONS t ,,t Procedure.--It was possible to secure physical examinations of 66 workers and former talc workers, of which number 55 were males and 11 females. All were native American white. Thirty of the group'were working in the talc mines or mills or had been working up.to within a few month* of the time of these observations; 8 of the 30 were females. The general procedure followed in making the medical examina tions was the same as that used in the recent anthracite study (6). Briefly, the examination of each individual consisted of a present medical, past medical, and occupational history (7), with a height and weight determination, inspection of the mouth and throat, measure ment of tho chest expansion, a functional exercise teat, and a careful clvmVftl and roentgenological examination (by fluoroscopy and skiag raphy) of the chest. Cognizance was taken only of gross impairments elsewhere in the body. - Fifty-eight * persons were given the examination as outlined. To there were added certain persons examined by the Georgia Depart ment of Health which furnished the Public Health Service roentgen ograms and other data.. . Those persons of this supplemental group on whom sufficient data were obtained are included in the analysis. . The 66 talc workers were divided into 3 groups according to dust exposure, as follows: (a) 33 mill wuksm, typo--rt to 300 or non million particles of dust par cubic foot.. (i) 13 miners, sjposad to re average of 135 mfllinn particles per cubic foot. (c) 20 additional srorkerj,1 exposed to re average of 17 million particles par cubic foot ' In those instances in which the individual had worked in both mill and mine, the job which contributed to more than two-thirds of bis total weighted exposure was chosen for the Anal placing of the case. Oneattheoumbtewb# tad wwktdlot thantrttrlattetaleaimshubtaatsetadsdfeta tbMMOsfi atomstfJtttmi yew1* opotert Is nek tonnaUn* iiwebML Alemmemwho bad worktdsnlrs (nr dan craaotbsalabistercoaentaUiesereaim ^ this DOCUMENT Was not ~ PPQ iNOUSTRiES A rC0RD OF** IT'S FILES. AND CANNOT BENA??ru?ME FR0M BY PPG hVDUSTR,EsZc AUTMENTlCA^0 `2440 BtiO .'VV*: The age distrxbutior were less than 30 year of 30 and 49, nud 10 ( With reference to 29 (44 percent)'had w years; 13 (20 percent) years. Only two of t trade. It is obvious, with short periods of cuanc On physical eznmi: more undersized and more arduous dustv c noted in another So most part, the'42 mo the mills were more examined. Table 4 suniuco and actuarial Taste 4.--Vrt SC pounds tad son fC-Jvptwadttttr. StttbM9kfitxdttuoxvlttr to S stoaUt Cftli W POiflxU BMW under- It may be noted b 1 Workers examine.] w In table 5 are she | in the various majo 1 Chotsworth, Go. Tasu i.--Number 1 AoUati Othmi... 1 ilOhrerfctts. ' * " . V4 . - V- ', ,a The age distribution of these workers showed that 26 (39 percent) were less than 30 years ofrage;-30 (45 percent) were between the ages of 30-aad 49, and 10 (16 percent) were 50 years of age or older. With reference to the length of service, regardless of exposure, 29 (44 percent) had worked less than 5 years;-IS (27 percent), 5 to 9 years; 13 (20 percent), ld-te/14 years; and 6- (9 percent),. 15- or more years. Only two of the latter had worked 20 or more years in the trade. It is obvious, therefore, that a comparatively youthful group with short periods of exposure to dust is being dealt with. GLZNICO-EOENTGENOG1U.PHIC FINDINGS On physical examination, the talc mill workers were found to be more undersized and underweight than workers employed in other more arduous dusty occupations. This observation is similar to that noted in another Southern industry (cotton textile) (8). For the most part, the 42 men who were employed or had been employed in the mills were more under weight than the 13 miners who were examined. Table 4 gives the deviation in weight from the life in surance and actuarial standard of normal. " Tabi.it 4.--dwMtiofta in wight os found in 66 maUtale varktn . Wd*B ` ... s f , Tatowafan Nnmbar NnM. - '1 .s - s 3 x . as ' tLt A3 as It may be noted from this table that approximately one-half of the workers examined were more than 10 pounds under weight. . In table 5 ore shown the number of coses having pneumoconiosis in the various major activities associated with the talc industry at Chatsworth, Go. TAble S.~--Nitmbtr of wrfari tn S major oetiritioo haring pnrumocomioriM Mttrttr Btwjwt, paefcao, sad MIbim . ... xfflvatms. Nambar SpSi -- .. a &II Btasa of imumnwiriiMti I n' nr ss f THIS DOCUMENT WAS NOT A RECORD OF fr? m m N0T C0ME FROM JvSdqES amd cannt be AUTHENTICATED BY PPG INDUSTRIES, INC. TTwmi MnarLU I ess NOT *. *>.. r u. C ISU. H-Jtk fept>. Vl JB, Nfc S. F ' Thmtable fcowa-tiiat-16,or approximately half, of the mill workers in tka higher, dust groups,.were diagnosed as .having pneumoconiosis. Of-, this group thenhrwere eight,. cases- showing definite symptoms of the disease, , such as dyspnoea,`cough, chest pain, riles, and other abnormal chest- findings, clubbing of the-`fingers- and- roentgenologic manifestations of nodular or nodular conglomerate types of fibrosis, and more or less diaphragmatic fixation.. Considering oil clinical and roentgenologic findings together, these eight cases were diag- ' nosed pneumoconiosis H and HI. Changes of this degree were ` noted in 3 pdH workers with 5 to 9 years' exposure; in 4 of those with 10 to 14 years' exposure; and in 1" with more than 15 years' exposure. ... . The miners showed no evidence of advanced pneumoconiosis, although 8 of the 13 men examined hod pneumoconiosis I. In the lower dust group all were diagnosed as essentially negative. Five persons in the group exposed to more than 300 million particles per cubic foot were diagnosed pneumoconiosis plus tuberculosis. Only one additional-case had findings which would make a diagnosis of-tuberculosis, tenable. This diagnosis was made on a sawyer whose length of exposure was less than 3 years...................... The dwtiwJ finding* of the TMfll workers in the advanced stages of pneumoconiosis (II and HI).referred to above, are best presented by. abstracts of 4 of these cases illustrated bv the accompanying plates (plates I and II). * Eiv*. * :v-. V- r-| ir --_ --. - c*n wo. g.-- warren unuu Wane ham* aos m tsass Occupational history--chronologicxrfly from ths tun* k* btgan working at SO yarn of ago.--PockcrmAn (UlcmOl), X year;farmer, 2 yean; trammer (talc mine), 3 years; talc minor, 2 yean; crayon wwtw (tale mill), 4 yean. (Bated aa 9 years'mining,) ' -- ` ........................... Pott mtdieol tetoy.--Tnflwna, 1927. ' Complaint*.--(1) Short-winded; (2) fattgueeeosily. Phpticol examination.--General appearance, fair; asthenia development. Height, 49 inches; weight, 143 poods. (Greatest weight, 140 Qml, 0 yean previously.) Cheat asthenic ia type, with moderately prominent snpra- and inira-clarteroiar fossae. Chest expansion, 2)4 Inches. Sight dubbing of tho fingers. Fremitus increased over both upper lobes. Baaoo&ace impaired from sixth thoracic spine and third rib up oa the right. Breath sounds era broncho* vesimlar over the aieajif impaired-resonance, and poat-tuasic crepitant idias era heard over thia area. B. P., 120/78. Fair cardiac response to oxeretse. Respi ratory rate before, immediately after, and 2 minutes after esarcise, 14, 24, 24. FUtaroteopy.--Diaphragm excursion is limited moderately (2+). Hilnr shadows ate increasedmoderately (24*) iadeoeity and slightly (1+) in sisa. Lung fields, showed diffuse second degree grainy, 1st degree nodular shadows which were tooding to coalesce. JT-ray (see plate I) shows slight veiling of the right apex and tho diffuse, small, nodular shadows and increase in the hilar shadows. The linear markings ate almost obliterated. Diagnosis.--Pneumocooioei* II plus pulmonary infection. THIS D0CUME6fiWAiN0T A RECORD OF PPG INDUSTRIES, INC, DID NOT COME FROM IT'S FILES AND CANNOT BE AUTHENTICATED "" INDUSTRIES. g . ------------.--------- 7990ft i *""***---------- -- JjJ |t. r "* * - ^ /SvgpS --- r&Ll NOT: 7 MJk Hwlth IWtv VU. N. V F^fy I. Q , / v" " 'mcmt njjJ plat* r S5S it S-x 8Sa *'SsGI 7*8 $ CAM NO. Z7. i 1 TOSH jSCwjtt * * THIS DOCUMENT WAS NOTeA*Rft(iSD OF PPG INDUSTriiES.TNC. DIO NOT COME FROM IT'S FILES AND CANNOT BE AUTHENTICATED BY PPG INDUSTRIES, INC. I':: -.- . * ' Be^OOl 994 9~7 2443 THIS DOCUMENT WAS M-CORD OF PPG INDU^TRiESJNC. DID NOT-COME FROM IT'S FI LES^AN D~CAN NOT BE AUTHENTICATED BY PPG INDUSTRIES, INC. Occupational history--ct p/ay*.^~F*rmer,' 1 year; L S jwa; tale nw^r (mill Pat mmUcal history.--I right chart. , ' Complaints.--Cl) Unahl la chert; (2} pain in right Physical damnation-- healthy appearing male B. P., US/80. Fulaerata 80, 112, 84. Chert, pare iaefaea Fremitus meden lightly ewer the remainde tefh-uppem and right baee. particularly at right baee. Fluoroscopy.--Revealed (about 2 em In diameter? at the diaphragm os bott endsize; end a diffusa gra fields, with (light emphy* X*ey end- com menu (t appearance at the fibresia ante etQl remaina. The c eariy infiltrate (Ghon'j tv | to pathology in the right plays a prominent role in Zheynoeia.--Pneomocor I Clil MO. a 5 Occupational history.--C years: Farmer, 0 yearn; e | fanner, 3 year*. * Pat eeffwl history.-- | 1 wait). Complaint*.--(1) Shorti I left cheat, poeterior; oeeae I eough (muco-pvirulent); ai I Physical examination.-- I medium development. B [ Iba.). Moderate (2+) d Chart wee asthenic In trp and. iaixa-clavicular fen* I Moderate impairment of r | and aeeoad rib up; alight oundr and crepitant (pe I apparently negative. Pu | functional ererciae teat, l> ---------- -28. B. P- 138/72. | SB 0019950 | Fluoroscopy.--Congioml field. ..Moderate emphysl region* Moderate (2+) (1+) mediastinal distort! I 2444 If: ntduTumr ji Oinm Wr v': Cxsn wo. a xatttb:Aimicuf. wn viijt., naxjUTxoxa ' - . Occupational histarp--<hr6nbtogicUj/ from ths'tima h* bipan working at IS year* of aps.--Farmer/l year; laborer (lumber sew mill), 3 yean; drfllman (tale mine)/ 5 ream; talc sawyer (miU), 0 years;,idle, 2. years; aod laborer, 3 months (CWA). Past medical history.--1nflueaxo, 1918 (3 weeks), complicated with pleurisy, rigfit chest., ., . v! -Canrp/tttntt.--(1) Unable to work because of shortness of breath and distress in idlest; (2) pain in right chest aggravated by breathing. Physical examination.--Height, 70 inches; weight, 158 pounds. Comparatively healthy appearing male of medium-slender development. Mouth breather. B. P., 118/80. Pulse rate before, immediately after, and 2 minutes after exercise, 80, 112, 84. Chest, prominent supra- and Infra-clavicular fossae; expansion, 3 inches. Fremitus moderately decreased m right base posteriorly, also decreased lightly over the remainder of the chest. Besonance, impaired in both right and left-uppers and right base, posterior. Breath sounds were generally distant, and pontieularty at right base. Friction rub right base and axilla. fluoroscopy.--Revealed apparently clear apices except a conglomerate shadow (about 2-5 cm la diameter) behind right mid-clavicle; slight limitation in excursion of -the diaphragm on both sides; hilar shadows moderately Increased in density, andsize; and a diffuse grainy appearance was noted over the entirety of the lung fields, with slight emphysema at buss. The heart appeared normal. X-ray and. comment* (see plate I).--It will be noted that the predominant appearance of the fibrosis is grainy and nodular, yet a suggestion of linear appear- once still remains. The conglomerate in the right apex probably represents an eariy infiltrate (Gbon'i focus). This finding, with other clinical findings pointing to pathology in the right side of the chest, suggests that the infective element plays a prominent rale in tha clinical picture of this esse. ZKafiMstf.--Pneumoconiosis ZZ (with dormant tuberculous Infection). - caaa.iro.iab sum nanus wins* iuut assn -mans. Occupational history.--Chronologically from beginning to work at the age of S years: Farmer, 9 years; crayon sawyer (talc mill), 5 years; talc miner, 8 years; farmer, 3 years, - . Pott medical history.--Influenza, 1921 (1 week); pleurisy, 1934 (bedridden 1 week). Complaints.--(X) Shortness of breath; (2) pain in left lumbar region and lower left chest, posterior; occasional tupra-clavicular pain on left; (3) productive a. m. cough (muco-purulent); and (4) progressive loci of weight for last 3 years. Physical caminotion.--Chronically ill, pale, slightly''cyanotic white male of medium development. Height, 63 inches; weight, 125 pounds (usual weight i50 lbs.). Moderate (2-)-) dubbing of the fingers and slight cyanosis of the nails. Ghest-was asthenic in type;.expansion, 2Y* inches. Moderately prominent supra- aad Iatav-clavkular fossae. Tactile, fremitus increased over left upper-lobe. Moderate impairment of resonance over left lung from level of fifth thoracio spine sad second rib up; slight impairment over right apex. Broncho-vesicular breath sounds and crepitant (persistent post-tussie) rales over left upper lobe. Heart apparently negative. Pulse rate before, Immediately after, and 2 minutes after functional exercise test, 104, 128,-96. Bespiratory-rate at same intervals, IS. 28, 2*. B. P., 138/72. Fluoroscopy.--Conglomerate and coalescing nodules hi upper K of each lung fielAs -Moderate emphysema, at bases. Most deuse involvment In kubapical regions. Moderate (2+) limitation in the excursion of the diaphragm. Slight (1+) mediastinal distortion. TftyS* DOCUMENT WAS NOT A RECORD OF---------- -------- P/Cn.lUUSTfiiEo, INC. DIO NOT-COME FROM J BB 00t995t"7 Tam* -- IT'S FILES AND CANNOT BE AUTHENTICATED -"------l "T>o BY PPG INDUSTRIES, INC. J. f XMraHTb'lW X-ray (m plate IT).--Slight irregularityof ths diaphragm Is noted.. The hilar shadows am indefinite as they merge with shadows of involved parenchymal tissue. Massive rongloifurnitn shadows most dense oa the .left ere eeen in both. infra-davicular regions. . . . i .i-..- if"... Cosneenf.--This man's incapacity for work is suggested by his returning,to1 (arming during the last 3 years. .iOae ontiforrainiaed specimen of sputum was,' negative for ecid*fsst micro-organisms. The marked constitutional changes with the symptoms and*X-ray findings oa the case suggest that pulmonary infection (clinical tuberculosis) is an important contributor to his present. condition " * Hiiij) imu'i rnrnmornniosii III with pulmonary infection. , ., ;*~ ' ~ csss no. an. wwotmal*, so* io T*s*ar , " . Occupational hulory --Chronologically from beginning to work at age of lflt Fanner, 17 years; logger (lumber saw-mill), ft years; railroad laborer, 10 years;, talc miller (cruaherman), 11 years. .' Pat audicai hitlory.--Influenia, 1917 (10 days); pneumonia, 1910; subject to frequent colds. -- Compiainti.--(1) productive oougfa; (2) shortness of breath. Phytioal examination.--Comparatively healthy appearing male; height* *68 Inches; weight, ISO pounds. - Moderate dyspnoea. Not subjected to functional exercise test because of cardiac condition. Moderate (2+) clubbing of the fingers.- B. P.,,132/78... Pulse, about 5ft, irregular in rate, rhythm, and force, with pulse deficit. Chest moderately emphysematous; expansion, 1H inches. Fremitus in creased over entire right and upper portion of left lung. Moderate impairment (dull) of resonance from the angle of scapula,and third rib up on both sides with hyp--j--mw over the lower anterior*. Breath sounds were harsh. Persistent (post-tussic) crepitant and subcrepitant rales in both intexscapular areas. . Fluorooarpy.---Bight diaphragm was peaked with moderate.(2+) limitation in the excuraion^of the diaphragm on both sides. A large conglomerate shadow waa noted in the'right infra-ciavicular region and 'a smaller, less dense shadow of rr.ru.- nature in`upper left lhng field extending from the upper-pole of the lulus to. theperiphery; slight t1"-*1 distortion;. both apices were comparatively dear; moderate emphysema.at base*. ,i- -.r X-ray (see.piste XT).--Note irregularity of the' diaphragm on the right, marked increase in hflm- shadow. Areas of*increased density continuous with the hilar shadow evtimrfiag to the right and loft in upper long fields. Emphysema espe cially twHraH at both bases. *--'> Comment.--In addition to-exteneiv* pulmonary ehangea, it is intweeting to note the presence of cardiac disease Diaynoei*.--Fnemoeonioeis HI with, pulmonary infection. It was mentioned earlier that only 30 of the 66 persons examined were working or had been working, recently, in the plants. Among the remainder were 9 who had been separated from the exposure for 3 or more years. These 9 men had. pneumoconiosis, 4 of whom were in the advanced stages. Three, of this same group had not worked in talc or any other dusty trade since .1920; 2 of the men in this latter gnmp.were in the advanced stages of the disease. The fact that these 9 cases still showed pneumoconiosis, particularly the last-mentioned cases when 13 to 14 years had lapsed since the cessation of exposure, suggests .that the pulmonic changes are permanent. 'T. ' CO3CPABI30N or THE TT2TDZ The previous tale stud -* cases designated "pneumo ings; it is necessary to poh maximum degree-of seven ignated "pneumoconiosis. been employed in the talc concentration of approxi: In the present instance, h pneumoconiosis an in the over 300 million particles been exposed for mon th; i# xtrs . _ .Since one of the nasoi - conditions in the Georgia ^tributary cause to the 1 'rates in the county wher 'certain available data on All the counties of nort'1 centage of Negroes. If 7 - sidered for comparison, in !-. " population of these countu y-- ^States census, 1930). Of ^^The average tuberculosis 11 "t--tor this group of counties 77.9 per 100,000, respect when the talc obserratii are 53J2 and 146.7, resf.[ proportion of Negroes (2.. j The sudden increase in in other counties for the to the point is that probat I bave been exposed t talc [ been in operation. It is au in the light of the dust ex tion of the workers have ! [ over a period sufficiently 1< I or predispose to tubercuh crease in. the tuberculosis explained by exposure to * CatooMteCtardap* Gflair, fossm. l Bfeflatal Rtfpott, flepmu *c Pe WlSSwmS * REC0R OF --S~SS]j9S2~fi nTMM ^r'^?`N0T com from ------------- - > 2046 j t iLt:S COMPARISON or TEE FINDINGS WITH*THOM5 OF A FREVTOTTS TALC STTTDT The previous talc study (1) revealed similar findings as regards eases designated "pneumoconiosis I." With:regard to the earlier find ings; it is necessary to point out that, with one exception, this was the maximum degree of severity observed. This exceptional case was des ignated "pneumoconiosis II" and was diagnosed in a worker who had been employed in the talc industry for more than 40 years at a dust concentration of approximately 50 million particles per cubic foot. In the present instance, however, about a third of the workers having pneumoconiosis are in the advanced stages and have been exposed to over 300 million particles per cubic foot, and in no case had a worker been exposed for more than 20 years. TuaiactTLOsis moktautt Since one of the reasons for undertaking the investigation of the conditions in the Georgia talc plants was to ascertain a possible con tributory cause to the high tuberculosis morbidity and mortality rates in the county where the plants ore located, a brief review of certain available data on this subject is in order. All the counties of northern Georgia have a comparatively low per* centage of Negroes. - If 7 other, northern Georgia counties4 are con sidered for comparison, in addition to Murray County, the collective population of these counties for all classes is found to be 103,231 (United States census, 1030). Of this number, 6,152 (5.9 percent) ore Negroes. The average tuberculosis mortality rate (all forms, chiefly pulmonary) for this group of.counties in 1931 and 1932 was computed as 76.8 and 77.9 per 100,000, respectively. On the other hand, in the county where the tide observations were made, the rates* for these years ore 53-2 and 146.7,. respectively, even though there is a smaller proportion of Negroes (2.5 percent). The sadden increase in the tuberculosis death rate for 1932 occurs in other counties for the same year. What is more important and to the point is that probably not more than 100 persons in the county have been exposed to talc dust during the period that the mills have been in operation. It is apparent from the medical findings considered in the light of the dust exposure, that a comparatively small propor tion of the workers have been exposed to dangerous amounts of dust over a period sufficiently long to produce disabling pulmonary changes or predispose to tuberculosis. It is not felt, therefore, that the in crease in the tuberculosis death rate for the county in 1932 can be explained by exposure to talc dust. * CUoow. Oerdon, onnar, 7min, Fletaos. Walter, and WhltAdd ComuJaa. , * Vfennlal Baport, Sapaitsant at FttbUo HaaUh. Gaactii Slata Eaard at Haaltb. Atlanta. USV-3X THIS DOCUMENT WAS NOT A RECORD OF it^c 2! coSTRiES'INC' D,D NOf CME FROM* JJ AND CANN0T BE authentica. D BY PPG INDUSTRIES, INC. 24' _I I zest aA: fr* MwtUW I44: inous matrix' is`: definitely a'zeolite. In 'cdntmuation of the same series of papea/ the behavior of activated sludge will be- shovra to conform rigidly to..the action of a zeolite. The sterilized sludge*' for example; can be regenerated by 'sodiunrdhloride in exactly the same manner as the commercial zeolites. Under natural conditions-/ how ever, the regeneration of the sludge is-technically-called a "reactiva tion with the bacteria as the active agents instead of sodium chloride. Natural sludge is, therefore, termed a "bio-zeolite." In conclusion, the clotting enzyme, or sewage colloid of the earlier chemists, will be identified with the sludge zeolite.' : -- ~ MILK-SANITATION RATINGS OF CITIES '* * - --*-' Cities for Wttch Milk-Sanitation Balings of SO Percent or More Wore Reported by tits Stats Milk-Sanitation Antboritios During tbs Period January 1* 1933, ts ; Dscsmbor 3U 1934 .: \t.v'ir * 1 The accompanying table gives the .first annual revision of the list, of American, municipalities for which milk-sanitation ratings of 90 percent or more have been reported by their respective State milk- sanitation authorities, and includes those reported from January. 1, 1933, to 'December 31, 1934, Lists-previously published have-now lapsed and should be discarded.- _____ ... The primary reason for announcing such ratings from time to time is- to;encourage the municipalities, of the United States to attain * and maintain & high level of excellence.in the' public health control of milk supplies. Another reason is to- furnish the traveling public with some means of knowipg the dries in which milk, sanitation is ffl properly done. -Ifc is emphasized, however, that the Public Health Service does- not intend to imply that cities not on the list are neces sarily doing poor milk-control work. - Some cities which ore doing excellent-milk-control work are not included, because, arrangements have not yet been made for the determination of their ratings by the State milk-control authority. In other cases the ratings which have been determined by the State are now more than 2 yean old and have therefore lapsed, i The rules under which a municipality is included in this list are as follows: - - (1) All ratings must have been determined by the State milk-control - Authority in accordance with the Public HealthService rating method, based upon the Public Health Service Milk Ordinance and Coda. (2) No city win be included in the list unless both its pasteurized- milk and its raw-milk ratings are 90 percent or more; provided, that cities in which only row milk is sold will be included *.h mw-milk ratings are 90 percent or more. this documemt-was-not a 7 BB nn7qq77 T ------- -- "1.1, vm-p'pG -INDUSTRIES. INC. DID. NOT COME FROIji ' Yr*$"PILES. AND CA-' 'NOT BE AUTtfENTICA i ED BY PPG INDUSTRIES, INC. (3) The rating used Public Health Service, 2 years old. *(4) Additional suppl quarterly, and complete (5) .Occasional surpri used, by the State, and found to be more than i (6) Ratings will be at milk ordinance in force, accordance with paragr Cities are urgently at least every 5 yearn, am of later editions if thoe It is also urged that dt to lapse, as ratings mor . Cities which ore not supplies as much as pa Jy authority to Service Milk deterznin Ordinant- " consideration should b for the reason that th< grade A requirements r and it is obviously ess included in the local lee Milk Ordinance and Co State milk-control determine municipal i themselves os soon as sound required is vex? will be sufficient far t will, upon request fro , assistance in standards | Cities which are enf nance and which have percent or more, shoulc from failure to enforce their ordinance up to d The ratings on whici to market milk, fam should, therefore, not i such cities is of a high ; 2448 145 Tttxamy 1, in* laVO OS itroi liod, zedthat millf (3) The rating, used will he the-latest rating submitted 40-* the* Public Health Service,, but so. rating will he used which is more than 2 ears old., . (4) Additional supplementary, lists will hereafter be published quarterly, and complete revisions of the entire list semiannually. (5) .Occasional surprise checks will be made of the rating methods, used, by the State, and discounts will be applied if State ratings are found to be more than 5 percent too high. (6) Eatings will be accepted for any city irrespective of the type of millf ordinance in force, provided that the ratings have been mode in accordance with paragraph (1) above. Cities are urgently advised to bring their ordinances up to date at least every 5 years, since, ratings will hereafter be made on the basis of later editions if those adopted locally are more than 5 years old. It is also urged that cities now on the list do not permit their ratings to lapse, as ratings more than 2 years old cannot be used. . Cities which are not now on the list should improve their milk supplies as much os possible and then request the State milk-control authority to determine their ratings. ' Where the Public Health Service Milk Ordinance has not as yet been adopted, thoughtful consideration should be given to the advisability of its adoption, for the raison that the standard rating method is based upon the grade A requirements of the Public Health Service Milk Ordinance, and it is obviously easier to- satisfy these requirements if they are included in the local legislation. Copies of the Public Health Service Milk Ordinance and Code are available upon request. State milk-control authorities which- are not now equipped to determine municipal unit-sanitation ratings ore urged to equip themselves as soon as possible in fairness to their cities. The per sonnel required is very small,' as in most States one milk specialist will be sufficient for the rating work. The Public Health Service will, upon request'from the State milk-control authority, furnish assistance in standardizing the rating work. Cities which are enforcing the Public Health Service Milk Ordi nance and which have nevertheless failed to achieve ratings of 90 .percent or more, should determine whether their low ratings resulted from fahure'to enforce the ordinance strictly or from failure to bring their ordinance up to dote. The ratings on which the accompanying table is based apply only to market milk. Family-cow milk is not included; and consumers should, therefore, not infer that the milk from neighborhood cows in such cities is of a high grade.- THIS DOCUMENT WAS NOT A REO mG INDUSTRIES, INC. DID NOT COM 'S FILES AND CANNOT BE AUTHEN WCffC0,V5EBY PPG JSTRIES, INC. FtiCiVi PPG'FILES 2549 iV- ' ' ,, . ; :,*r,, yi-: f.Jr "j" **/: ha-V-'-V- irf1R *T*j 3k3- Citim Karina rating* of 80 poreoiri or- mar* according to lari rat . . IK* period Jan, l, 1888, to D*c.'31r 1834 M. " -i*. 0*7 ms d milk DalaoCnilaf 1 City milk Data at mint 'Drkjjia (1 Cut) '.KiKM (S Com) w--" Iff TopMn. Ekrbcr S Ciiim) Or LoaJmil*. . Mnmou (l Cut) (IT Cran) BraoUnna. Cit*>nd. CaiumbOA. .Donat.. OretarlUt. i HloortUtmaootdaai*.... JMaccCksoomnb. -- Mrldlw_ NOaOtMcMsS*p. ctafS. Bflvan Bnl**<U*__ Vkdobarr-- ' Yatoa Clty' itMooi gCmu) j^SJ^r*ciw KIW K CliTtaa. 0 Cima) And*- Apu. Cmt. Cboriotto. CUstaoCm. Dunn. DTJutztnb-uL. Xnrtn. ISO War. U.IMS NOM ClNUU (9> Cmn)--Coaiinusd Dae. 4 MM Apr. MM Not. A104 HaadmanrlUa..Bfrti faint. Hop* IT" Laaair. ILjlimUnWotmoai.... Dob AIM* May IBM Mar Hus* Mi Sap*. HUM Mar HMSS Otuimu O Cmn) July A IMS July 12.1333 BartlariHa. v r Maaavy HUM BAakwott... n Mar su ms Tuba______ July Hisss Jana- AUM Oaxocur (1 On) Jana IMS Aon. 11. U03 Portland------------ -- Juna SUM) May A ton I Soon* CiMtau U Crt) May IT, m July T,lfl30 Juna 1130 Joaa turn Toma (3 Cmn) Jana Alva May HUB Dywabnra. Hampkt_ Tax** UTCmn) Ana. HUM Dae. HUM | Abflaoa-- 1 Anartiia- BranHam. Canyon. Jana 3.103 Cokmda. A8*p0r.. HHUUMM Co Dalit*. Danfog. ZlfM Jacknoaaiila. Sap*. AlO* Sapt-H IBM July 13, UV Sap*. A IBM Dae. HUM Oat. HUM Sap*. A UM Dan. 1AUM Sapt. HUM Oca HUM UsinoMao. Labbnc*__ Wiamraiox O Citua) Nos. HUM AOC- H IBM OaL. A1833 Oct. HISS Sapt. AUM Nor: HUM Sapt. AUM Sapt. HUM Oct HUM Oct. HUM Sap*. HUM Oct 1UUM Dae. HUM Aof: HUM Sap*. H10M Alia. 3AUM Dae. HUH No*. HUH Mat. AUM Sapt. AUM Fao. HUst Oat. UM Apr. UM AIMS Oct HUM May HUM Aar. HUM May HUM Sapt AUM nSr HUM May UM Daw - ' The inclusion of a city in list means that the pasteurized mOk sold in the city, if any, is of such a degree of excellence that the . weighted average of the percentages of compliance with the various . items of sanitation required for grade A pasteurized milk is 90 percent WWHBOWM&to tHe eity i* of such a PPG INDUSTRIES; INC. DID NOT COME FROM IT'S FILES AND CANNOT BE AUTHENTICATED BY PPG USURIES, INC. msS&ZistsS&S! vi r i u f iLc.5 degree of excellence that i umplianee with' the vorio r-w "lilk is 90 percent o milk is safer than high-gnn of pasteurization. To sec of high-grade raw-milk da hue may pasteurize the mi Place the milk in an alum: I*., stirring constantly; th and continue stirring until BIOL en rablushiierrs uczxsso SKftUMS. to: There is presented her licenses issued by the Tn act of Congress approved the sale of viruses, serur District of Columbia, to ami for other purposes." The licenses granted mentioned do not imply manufacturers for their r license means that inspe lalmrntory examinations luriy to insure the fast to ascertain freedom frt potency, orsafety, or both perfringens antitoxin, sea coccus antitoxin, tetanus dysenteric serum., antimei bacterial vaccines made 1 A, and paratyphoid bad diphtheria toxoid, dipht streptococcus toxin for I for immunization, and i which potency standards The enumeration of th first, the antitoxins, beii other products ore orran The items in each <*!* a 2450 atntlat .tltm skim aU. iMsa* yIt. -vUM 3B.18U (L lim* It. . a11. IuStMn . 11.120* V 12.13M . U.UM l ixmt r. wm it. aim f. *U9M c. liWM v. aim l'* ns* m uwn 1SZ3 a.iy. s17u. UmM pAr.f aaiimm <ro0c. aMimM* rJo7caulul n-ustr. aaiilmmm nsc. aiImSM sly im >w. aim 1*7 IW lie UM PCD*. UM :ed milIf hat the various percent if sr ' a id 147 rMravy u im degree of excellence that the weighted average of the percentages of d compliance with' the various items of sanitation required for grade A I raw milk is 90 percent or more. However, high-grade pasteurized *! millr is safer then high-grade raw milk, because of the added protection of pasteurization. To secure this added protection, friendly customers of high-grade raw-milk dairies need not discontinue their patronage, but may pasteurize the milk at home in the following simple manner: 5* Place the milk in an aluminum vessel on a hot dome and heat to 155 ., stirring constantly; then immediately set the vessel in cold water and continue stirring until cool. BIOLOGICAL PRODUCTS w ESTABLISHMENTS LICENSED 70K THE PROPAGATION AND SALE OP VIRUSES, < SERUMS. TOXINS, AND ANALOGOUS PRODUCTS There is presented herewith a list of the establishments holding licenses issued by the Treasury Department in accordance with the act of Congress approved July 1, 1902, entitled "An act to regulate the sale of viruses, serums, toxins, and analogous products in the District of Columbia, to regulate interstate traffic in said articles, and for other purposes.*' The licenses granted to these establishments for the products mentioned do not imply an endorsement of the claims mode by the manufacturers for their respective preparations. The granting of a license means that inspection of the establishment concerned and r: laboratory examinations of samples of its products are made regu larly to insure the observance of safe methods of manufacture, to ascertain freedom from contamination, and to determine the potency, or safety, or both, of botulinus antitoxin, diphtheria antitoxin, perfringens antitoxin, scarlet fever streptococcus antitoxin, staphylo coccus antitoxin, tetanus antitoxin, vibrion septique antitoxin, antidysenteric serum, antimeningococcic serum, antipneumococcic serum, V7- rsS bacterial vaccines made from typhoid bacillus, paratyphoid bacillus A, and paratyphoid bacillus B, diphtheria toxin-antitoxin mixture, 2 CO S| diphtheria toxoid, diphtheria toxin for Schick test, scarlet fever Q. 3E streptococcus .toxin for Dick test, scarlet fever streptococcus toxin => 5> * for immunization, and the orsphenamines, the only products for o 2 o2) uc/j>. which potency standards or tests have been established. a b- ~i' The enumeration of the products is as follows: Serums are placed fir.it, the antitoxins, being more important, heading the list.: The ui lL X= a>. rv) a. fc other products are arranged generally in the order of their origin. - The items in each class are arranged alphabetically. -T mtrif | BB 001995jM NOI'aI: VJ NOT CCiVic I" KG i r G Files2451 I *' u i c TateoatyUiUS :14S NOTCOivinE, Etah.l..t...h...w...a...t. Uccbm4 *sad Produic.tus;f* Whie'*b Liev*a*te*s**Hav*vn5B?. n*n<n. Issaad isv.. * t*~ v*AMXJUCAX- *tTABEZSH3JXNTi ` .; S --* ,*-r -ft;, j *' . fw ~ v-` '* ", '-** **'**. *'-*f ** ^BMk^nwaa CowPattnlt, Jftjri>.---iUcanaaua. ti , .... r,, I p*pfcytt|ri| nnnli^pwfw^iff afiiW fa--y ^W|f*^wnpa ItHl- tjwta; *-*--t~ ribbon aaptlnua amotin; ubantlmx araaT antldyantnric scrum; ` nrinmurhi wuss: inti InfWirt tadltni atnto: tndinralntooaccia anas; aatlpnramoioccia aanm.-anllaaiptocoobcta>uai; framntrtticatram (Lapacta); ntvmalboraaaanus; tbyroidactomiiad ' bona aaraa; raoeua*: molca txum (Cngmlnt); tubaraulla old: attacealin T. B.; attar* 1 -B& B. Id tatacraUn B. Td taaiil raoetaaa and* tram mm bactUoa, son diplMMcua, Braeattn ^ ^itdlSfldV iWiOflfc IbQb&OH twaiTIm QMi&C0QDCQQft 'oicmacaaot atairtaUa, paratyphoid taeiUia A. paratyphoid badilni B, portuasia batatas, paau* ^ pm^||jigg^ piMl4odipmtaVte bAGilitt* 3Sgpity}geQCW0 um, straptoooeao sad typboid harlUoi. dlphtbaria toxin ratlintin mixtun; diphtheria toxoid* ntmw diphtheria toxoid. diphtheria eaxta tor Schick tact; Meriet (ever ttrrptocoecui mdn fcc Dldn watt aoaaict tanr tmptoeotaa twin lot tmnualxailon; nnlmaj apUtaawt tttmcte; toad attracts; ambit Mid entrant* paOui irnicu: modlOid bMUtl draridvae a*da a-- atdaa taefllwt cuaimcirra, paratyphoid tariUot A. paratyphoid habitat B, pnraanracaat. tt*pbyiomemialbQa.ttapbyiNramaaiiiwa.itnptacaerai. and typtaid habitat; bacterial aatifana . . ,, aada ban cabm taaflUw. cnooeonao. pMata bacilliu. pnetioocacwa. acaphytomoa alboa. MnUhrd Blotnpiml I ttaraturtat. tatp i. Datema. Broad aad WaOaeo Striata, Ptalodsiphla. re.-- Uoanaaao*2: - . , .>i Baadlimt aytltorfai; dlptaBatatandfawtat aryitpaUi tffaptawoaaa nattearia; B. hdtotytlca aaHtwIa: t; ___t B. >< p--*.i"f-- nntltnitnt wriat b*ar Knpceceaeui aatltotin. B. tartaUl .1 , aaataatn; ttapb7loaocccB *"Ht*^"* tatanm antitoxin; vtteiaa ttpcian* aotltada; aatbattaat _'r.. aanua; aatld>aatria aaraa; tatlatTboalaid meuai aiiynocotcie wrcm; antl-influtaa tacltai tn; iiUlhml. .|[Hiiw.i.yitill --mm- niUm.in.inlm. UW1 tMImfH--*!* ' ; v'. mn,utltnlaMBio aaram, aattnala;(Nauctia txatnliilaa): sativaata JJottaople; aatlroda (a j.-'; taint tantfleu); aormal boat aamw; tianllpaa nassur. ntat vaadaa ifaataur);.taMaa racciaa ..... I' fUTtail tIiimI mtiaainlln 11T1I nih--inlinT It Tiitirmilin Tl IT - 1~ilii~nrii It T ~*t~in~il"irnlnar aada tm mm tadUna, eftnltm Tlbrio, colon tarilha. dpantaty tacfflaa. FriadlOactar, tacttlta. isflawtt nBlfisnoaoBSp nitfooocaA ocuttelta* oi^noontf iMUtiotfip , pamtfpboid.tadUiia A.pant7ptuld haaMua B, parnniii barillia, pUaua badUoa. paauaaeoecua, ,. L., pMudoditautaba baftHnt. taniftylaaeeata aUxa, ttaptoriaaoccoa antaui, tttaptoooecua, tactcdua ' at*. "**----1 --< fmm h^lliK rttirifi * IvwflbBfr VciKUtedv bscfllM* pmmbmbisw loflnnvi builkriu SMtiuMHMiBittMHra oatatTbaiin puatTpOold bacfftna 1, paaOpOuid bactllno B, pomutit bacUto^ ptiaatnooocrua. . PMadadlphtbMa bMQlm. tttadylocnnoga aiboa. ttaphyincocaa toraa^ taaptocanoo, aad trpftold * tftT4*^^^*^**** ^fp^y****1***11^ *t**"Hf dtpfcthnrfa (axis br SeUbt tat; tcarlat (am atMptacaaaw toxin lot Vkk tat; teadat tmr atm tOSMBIB (Mitt tOF tBBBVBiMttaB* poOM QtBttlt BBfcPttl cpidBOfti BttinBt ted BSTMBa ..... Ttahla bed atractr palton 1*r artraot; pooao oak aabaat; poaninanwMa talibody aolutlnc; haotatal aatMae aadaftaaattaptnawn tanka Tanoanatatain. . Tta CottarXabaatory. BatWay, Callfc--llinaat oa. fc ^DlpbitaBte itetote A* odsnutei mtoufa* putepw uttette note tew KNptatMB . anittmla; B. atrdaOt natttatfa; tatanua anttamia; vltaian aaptlnwa anOtatln; aiubaitlinx aaraa; - h^i ri .. a. mbs; naval boat aan. rmanpnr raectna; rahwa ncdna (Faauo); abia .... taadna (mad braa); tnbamiUn old; totartalla B. T; ttaatartal mtaa aada baa anna baofllua. ten tadUna ftedtlodw tedte* 8VMqboob^ itema wniw^ teOMOcan poo* typtadd baotlbn A. paatnbaU babBaa-B. patnaaia bnnfflna. ptannwuinnni, paadodipbttaaia bacBIOfc ffNiytaarwnn atlwa, itaptiylooBeonanmn. atraptnooroai. and tjpbabl tadUna; tatfaint -arlnna mada fan ealan hanflitti aaaphytoeaaaa snnua; dlphthala torlnaiBtndn aixtoa: dtpbthata. taatd; dlpbttada toxin br Scbiok. taat; pollan nxnust; paaann try axCout; paboa oak Bum of Labamtortaa, Bnpmtanat a Haaitb, Foot Bata tlttaanth Stmt. .Vw Tack City.--Uoanaa an. it* ... .. - * . .... . ... qttallpm yiarfia. . ladaria Labocatortaa QncJ,.Ptri Blrar. K. T.--T Itawia ncx. IT: Dlphttarin antitoxin; arydiialat aMptnanoona antlloxln; B. biatotrtlnoa anUtnrin; B. nrtaanallam "lll,-l-- antltnrln; B. aonWU antltaiin; tatanua antUarin; ritelnn aaptidua xatltcmg; , mtepttelt OMQBS lotidjWMdv MWBt IfitifDBMOtdo MfQSft* ItttiSOAiBVMBtfte IRBSt Mil* pnamoi wdo aarant; Bitlanaptnooaaat amine inaalta tmiaana aaran; lnUBana flobtiUn (bnaan); aonaal boexa aausB ~llr*** vaccina; zabfaa raodna (kdad rtrai); mtaRnlin old; tttbtreniin B. Kt tataraalln B. Ti tactarbd raecm aada boas now bacillM. BraoUa malUaoxa. ebataa . aitalat caton hablUa, friadltndar barilhia. mooooccut. Insurant barium. rnan!nan>xxxm, mlco cow cntairbiUa, paatypbold tadUna A, paotyptaid tacfllwT5,j>tpaa(a baeiBnc. plaana bociUta. THT?3aCX(M^T "fX* COMETROt --_____ ; ifi I I l tccc acattat larar tut noma rak actcaet; rataal < 0 atttaaa; rgnriMa afl ax Wancr axetaet nt tabtrda ba C. 11. Sbacman. il.D-. Ioe_ ia Barcaml raednea aada Una ywnocoo. inSnatatabte pantyptaW braiUaaA> tac bactlbo. aupltytoraess alb attracts bacicrttl anttyna c racraa, wamtodipbttatia ba t)w Abbott rjboutunta. feemr 1B---Licmaa oe. ta Babartal ancnlata aada (ra 9NWicaniodiMUftbinte ` (cxnurbbatd bacQhtf B. 1 banlUut. colra t paUan aatoca: animdaptt* Tta CpMM Cow gclcmntaa. itie Bacterial rnorinaa oadt taa patatyplwU bacsUaa A. paa locoonia xlboa. aapbytocacr; tan rtxpbrtocore arnica: R. R. Stpalhb 4; tana* ftamurn an Dlpbttatto anUtnrin,aayajpui* ffff ^iptafat cccHe aaraa; inunssa ibbt (Baataqr*: oWaa Tncdna ikl yrtatUndir hartllin, ftww ptaUbndltmA. pantyptaid atapbytaaaccm aitara tupb; taefflin; brawrial attfera i ' dipbttarta tsxtaaautaain a ttaft* tatan orSctaekMSt wain tor tmanktattatf pM anptannaina. aulptaetpeoa EM UUy * Ca_ Initlaeapoila. tnd.- Blpkttatin--n--b--lcirtfc a-nlp^ opdm awltnxla; i nbtaa rraatna (Batrtat; tata* aotan taeBlaa, ntaWaria b typbafd taafarn A.-paatypb pbyloncraa attma. ttnpbyiar aada tm partially awfflHim <lipt||tWTl> ^ Q| 01B1 mm and ----- -- lataast.o.mricaam. Ma.attbnaptbtar.VPw: DifteMitMimtet intipawBocMte MkwHa oat ractina IPactanrt; rahlac txt bacterial t- ' nnutoxin toetmiBimlMtlra. AnUtoals and Vaepna tatacatary. Vi ^mtb dtmt, Jwnaiea Ptua, t Oipbturta awltcitta; nariat ir cortie arrant: MtaUpra vnrtinA. pantyptaW boedtna B. at toxool. dipbttarta tanta krSi SI ftUTHENTICATEb ^ _______________ _ \ 2052 smcd I rt*TillTT rorloill ut'duas imUm ivilhu; it(Mil. nMt, nw unoc ; psaudoJphthsia harfflnt..tnphyluuujnB albas, ntylwt8M auraus, staphyio- ooeca* dsoea, r--pcooooam, and typhoid horfflm; diphtbaria talMatitoxin rnistun; diphtheria toxoid; stapbyioeaao* tcxntd: diphtheria texln.-(or Schick tat; aarkt Isrer streptococcus tads to Sick tat; tad* knt suopuoocsas toxin ter Immunisation; pollen innttt; poiioa icy watt; pooch oak extract; animal epidermal txtraots; *nhnmi {bod incur vafitable food cstractsreniaml offasttaete; Tsyaabtootl ana; oidlomycoo amact: trichophyton extract: imta canom rotation. Bseterio-ThcrepoathrLaboratory, Ashacilki'N- C*.--Llceon DO. 23: Warecy mitt a tobrrde bacilli (too Bosk); mndlfrod mbarcie harillua dcrtvatlce (con Ruefr). 0.1L Sherman. II. D., loo, MW Eat Joflarwn Annua, Detroit, Mich.--Liana as. W: Bartil cacefr-- made Iras aaa bacillus, Orncalto mtlitMw, eaten bacillus. rrindlander bacillus. I11111" ii null...--..i.mlnr>h.ll.nnn^ml.l tuittftB baglllHi paratyphoid bodlhia A. paratyphoid boeillui B, partujoi* bwilliii, pnaumoeoccns. pscudodlphtbsrts *nTillni --phytoeoetsa albus, staphylococcus annus, streptococcus, and typhoid bacillus pollan exineti; bacterial antigens made treat coion barium. rooQcotcm. mien--ta earsirhalli. posumo- corooi. pesndodiphthsria bacillus, staphylococcus atom, staphylococcus annua, and streptococcus. Tba Abbott Laboratories, Fourtaeath ttmt and C. W. lowrortan Railroad Tracks, North Chics**, 1IL--Lieaaaa no. <3; Baourlat Tacdnas mada (rom aena barillas, Bmcrite mrUtansii. eaion bseillue. FnadUndrr badUm, ynnnooMai.laflpspsohariUiB.mlerococttatotohhUa.inktococcnts<rayapm. paratyphoid bacillus A. paratyphoid badUm B. pertussis hsdllus. poaumororcur, pwudodlphthrda harlllm, itspby- atom. sttphytwicttm --a. itraptoiniMM. add typboiil bacillus; baotartal aatinas node i harillm, mum badUm, Friedktodcr bartilm. yonocoocm, micrococcus catarrhal!). poeo- , r--ulnlliinthirfi bacillus. stsphyioeocem elbus, stapbyloeoeem aunua, ttrtptococem; poiian sxuactr. soimal aptcWrniai extracts; aalrnal lood extracts; vegetable teod extracts. Tba Upjohn Co* Eatemapm. Mich.--Licmss no. SI: Bacterial vneriaaa mad* froth ooloa boeiUm. yonocoeem, iDllnansa haoillu*. micrococcus cotarrhalis, paratyphoid bacillus A, paratyphoid barUhn B. paaumoeoeem, pscudodlphlherta bacillus, Stophy- lococom albas. staphylococcus aunua. wraptouuccua. and typhoid bacillus; bartered antican made from itnpbytoanctm aarem; pollan rtiructa. ' X. B. Squibb A 8000* Basaarch and Btotayfenl Laboratories, Near Brunswick, N. J.--Llcemc no. St Diphtheria endtoxtn.*rys>poles trrsptococcus gmdtnxin, pirfrintms antltonln.roarlat lovarstnptoeoe, cus amitnin. tetanus endtoxin; aatbnatdatoraoete scrum; ontlpncumococrie strum; antbtreiKt* cooda stram; immnao ytefrnlfri (httmaa); Dermal boesa scrum; smallpox cnertno; rebias ceocina (PMMurl; rabies Tacrine (killed rirua); baetarlel rscelacs made from aena bacillus, colon bacillus, - rrtsdiandir badlim. jonoeocens. lnQiianm hactUus. msnlnsnmcTOS. rnksucuu-uientarrholis. porsty- phoid bnciHqsA.paretypboid bactlhis B, pertussis bacillus, pooumococcoa. pscododiphtheriadsciUua. nsphylomocus tlbw staphyioeoceui suicus. staphylococcus citrous, soaptocwcui. and typboid hacilhg; tnctarial aatbttn mada from staphylococcus aunts; Woeoeytlc extract from tba bccea; diphtheria tnsta antlfrudn mixtnn; Ipbthxrtt toxoid: staphyloccecus toxoid; tetaous toxoid; dlph* thscis tosin fer 3chict tart; sosrlot loese tticptmucLua ucdnltr Diet text; scacisUavcrstnptococcni toxin ter Iwmunintten; pollen axuaeta. poiaondry cstract: poisoo-cok attract; trophenainiae, ham XU UDy * Ch, Indtenapeiia. Ind^Lkanaa ne. Mr Diphtheria antitoxin? trytlp ... Ofe nS IQd . tataaui aatfraxin; H- rlbrioo nptfrjtia t : antiputntoooocte strum; aotittnpcocoeete O y. (Lilly); hatacnpbiia antibodr. smallpox soooiar, u ^ tsblas TaodjM (Bants); tnbsnultn old; hartsial Taorioar mada from aena badlhu, nhnlsn rlbrio, ooten bodlha, Wodlladoc bneillna. punooouaua. laflasosa badllua, micrococcus catarrfanlla. part* UJ O u typboid bocillgs A. pom? pbold booilha B. pactumis baciCns. plato# bacillus, pucumococcus. lta- K O j , and typboid haclllttt; baotarial cacctaa ^ 1-- i from partially antollmd pnatimoooatl; diphtheria toxlnnntitoxln mixture; diphtheria toxoid; O? diphtheria wda tec Hahioic tret; baetarlel anUyana mada from aena bacillua, ooten basinos. innoooo* Z ** ga. pnaumoooocna, saphylnontriu alias, stapbyloooccus annus, and streptapoetus. O -- Ui am and LabantertemBiartetta. Pa.--Uceeao ao. d: 2m Dlphtbarlaantltoiirnrnriatlaiai sunitoonoruncirltmrl a. tetanusantitoxin; antltncnlnfccoccicsarnm; y) a t* _______________ C antlstnptocoocia ssrum; normal bona serum; smallpox ncetna; tabtea < (J ~ i (Fostanr); wbtea oaodoa (klllad sins); tnbarenlla old; tabareulin B. x.; tabactolln. B. T.; J j; at Tanrtnr made from aena barillas, yoooeoooux, inlluanm badlhm, paratyphoid bacillus A, . ~ gf patotypbaid badlltn B. pertussis bacillnA pnaumoeoccus, staphylococcus albus, suphylococcta ^ (/) (J anms, stnptoooom and typboid her!Urn; dipbthaia tnsiDHintUoiin mixture; diphtheria toxoid: w jAf .q dlphtfaotia toxin her Sohtet text; sarin tenrttnptooocau toxin ter Diet tnst; acartat forarstirpto- g (E 2 coccus caifrt ter immmiimttea. Aolltirdn end VacpuM Laboratory, Deportment el Publio Ssaith. Conunprmtoltb ot Ms--cliussrtA y. 3 ys Vi Sooth Stmt. Jamaica Plain, Boston 30, Mesa--Li-- no. at: OflW Diphtheria antitoxin; atmriat kcar straptococuis antitoxin: aotimcainyococeie acrum; ontipoeumo- O 2 ~ qR coeeic atmm; smallpor Tacrioa: taharoullh old; bacterial laceitei mada (ram paratyphoid bacillus " ** MgfS&g&f. r~-Jf [MpMharls m1TM1- otytiptMS'Siiopraonrana aotnnom; ptrmnxacj annum*; taanmm-aatitoxin; _ ^iii^tipiiiiiammMtoriiiilMMiniiiii-riMiiniagnilhMiiiaMiiillmMfttoiiiitla .--mattnaildllodTiro): baotmUl raraiiaaa mail* frntn am* harillm. Colne hanillm, FrtarmnriarbadUta, - ywm-rrtr.harUlM-^rak n 'in-ni irarrhn--n....... Smiil (naflnlA. i harilliw B, 11 11 hnrtltm pmumimourrn, staphylococcal aibna. aapbyiosoecn* unm, ampueoecu, ttatdd ttyjpphhotttidd bM&lm bbaMotMaciifatll a--ntSipiy--M mnuaddf*t bon aitrtapphhjiyolocoMocctuu albua;iTamtpphhyy)lo*c--oo*e*o**amaurgam; bpfahMrifaiHniia* BmlxltBRi; dilIinphbrlhteMrdtAa ttaflaniiidlil^* *tM-*-iB---U- -i tloatvMottUd*f rfinhthalria ttjtwti4s* HMo*c Sc4blUlcfke tank: polka axtnora. .......................... ... D. X Bool* lahnrtinriaa. Metropolitan BnIMIny, St. Looix. Mo --TJoani* I Bnbtaa xnooia* (Hartia). ThoArttafton Cbomtaal CoTM Vootart.fi'. Tt--ZJomoo so. IT. Tloidol Toninw moilo fmni nrtttm hodtlm mliniioiniiiiHirnilli mlrmmnrnifXnnonnt rnwimn - , pMdfldlpbtteli taci&n^ AUfMii^ ftfpt*y^***w**^tf intmol apidormal attract*; animal taod attracts; *tw C. y. Dr* Co. BloomMd. K.: o Pottn-Bioiopioai laboratoria ,, I ' KnaPpQpldbreKnapp. Inflapinijanna. Pbapaid tohontarira UoaJ. Bin Bneurtal andas* snl* tram .... annataPIMi MIBfNBOXC Pitaan-Mnor* Co- Zlonarill*. Is Tatanm aatitosia: astiaryxip ' aeo*b*nUaa.eoiaabac2.*as. , nlatwwa cmantelta, mi no.*fc typhoid bndUtME baettaial a tarotonai dipbtbario tatoid; .Tba n'a. 9. MaxraU Co, Cladac Bartarlal nodnaa mad* tree hnoUinfc ponnaoania. micro pimnata harillqa. pwnrtndU locnnwn ttefwn,stiatKonan'i Maniaitmll Chatalaal Work*. St. LotUt. Mo.--Lkwuooo. 7T: Anjihaiiainlfia,1 naootaphonoinlno; xulphaitphaaaatlao. Marefc A Co. (InoJ, Eataway, N. J.--Uaaooo no. IS: .. : -tv ; naaaiaphaaamlaa; Bilphnrrpnammlor, a oompound of (lacooa with atapbanomin* -- . r_ -jt -- dr- Tamil loboratcrtaa, Ton* Ntllmal Bask BaOdiMk fort Worth, Tax.--lieanaa oo. to Babaao Tieeiaa (kdlad Tina). kMOccntalbat, atapbyloeaer; toxin tar Schick mat. Tb* Wyatt Clinic Ramarch Labor Baouatil oadmm madobom * 'Mlrbasi Batos QoapUaL Twasty Aaita antarior poUonjyaillii in immanaatram (boson);not Taman .'talitrr Laborotorta*, Twantp-tat and Bann StraaU, Km*** City, Mo.--Llcmm oo.: B I ultimo w*ltnali> onllontHM* oaflantta mhtoo wwaddU BMll *. ajimjw. dlpblteit could* ^Undtat Paittar do Porta, Parta. t Hnflttf Sttar Tshorntnrlaay Bonbon Madirai sod Danml Badding Spokoao; Waoh.--:____ j.: 3S1 > u.) ChotfUan, Pmtanr Vaaeto* Idc - JI-Anot*astadorpoliomyaiitii---------u--m----m---u--;-;--w----o---n---*---r-a--o-c- m--a--a--m---a'os'm----m---u--m---i-* badUua, colon badUUta DtpbUmrioaodtasin: tacanna a J nlbka -a-*Of ;-.uydadUsdar hagttox. tnflaaaaa baodlaa. mlcrococtm catarrhal*. pattcaaia hariBfir, poatt- -a.-k.-l___________ - - -- --------- --- ___ Jk - -------- - L-- J" anUatraptocnecieaarnm; hacu a.amta mma fpgyKODCPttlM& *4*H "yNotamaanOrailltahaftFarbanlndn: Madkml Arm Loboratory.Madlral Attv Balldlay. Oktahonn City, ScUInratastalorths Unitad Siat - >; Babiaa raodno (klllwlTiraa). ** ' Bnraaa oi Loboaatortaa. Mlrtdaan gtat Dapartmaut of Haaltb. T.amlny. Mlch.--Lkaaaa o*. . ~ Pinfcthartnnnfltmin-trartattaTirmanrnimnnm anittoiintrataonaantlfnilirantlaianlnanni Tobtrsolln aid; tabanatilh T. cbotanoibtio.tonoaoema. at* typhoid hartllm; amalttaad t traumaI TTmf **ir r*~ ` PUladaiphta. Ba.--'Tirana* no. WU Mtnpoaantitoxin; TlBtlQo**ptkto*iwHoiia;onilw*oiat antltticptocncda aanmu normal horn aarnm: mharcttlia aid;! (UDod rtnn); hanttiil raedoa* mad* tan acso hartllm, ua, xiiadUndar bocilhit. mnomctnif, tntfnnin harillm, maninoiw paratyphoid hoanioa Jk, paratyphoid tnoillm B, paatinaw harillm. wia boainm. ataphjlutuiimi albna. ataphylocoocm auaooa. crapto- .aadtyphdd r. dipbtharH foiinwntltmln mixtmo; dlpitthacia towoid; tauunts toanid; diphtheria toxin lor Schldc ta**a*t; t--ctria*-c* * a toxin tar Diet Mat: Karla* torarattopto. MnUord Colloid Lnboaatoriak SUP Oarmnnuwo Araooa, Fhflndaiphia. Pa.--Utonao no. uk Wnoiry axoact; potion nib axtract. Hlnsj Laboratorw, t--foo> Ni orth ttaltar Stroat, Oktahooo City, Otla.--Lltaon oo. 10b Pollan anaocttt rasatahta tood a PLwon lAttoaatoaiao (Inn.), Johnaaown. Ohio.--lieanaa no. iw: Ptphtbario antitoxin: totonuo antitoxin; normal bora mum; table raceint ikOlad viroa); boctartal Tacdbaa aado boa pnatypboid babllas A, paratyphoid boeCIni B, and typhoid bariUm:rttptthort* Main aotltotlo mlxotra: dipfatbaba toxoid; taaanit* loxoid; dlphuorfa roxin tar Srbict (ait. TH. IS DOCUMENr Tr WASrxt V NOTlW* HA HRECCiWOnRUD UOFf MKP\ ! laa. i A M ______ ____ , _ __ PPG INDUSTRIES, INC. DID NOT COMEJF.ROM --***' **!! 00 19960~7 IT'S FILES AND CANNOT BE AUTHENTICATED *----- --- OBYV PPPPGn IIMNDr\U! iScT-rRnItEroS, iImNCa. ^ * `i la. .*-M Labetatoim da Biatbimi* Mtdicoi* tar tb* Caitnd Staua. jkottaTiu | Jnarto Bio*. Cbas. Vara, box 214. gnlaka--< - --*- - Institnto SlarntarapiCB Mtlanma, V I Cnitod State. OpePboanmcaJ Co US Lafoyatt* Sttaat, Naw Tortc C. | Asttaathraxmnim; boctartal rat 1 lococcm alhoa. aapbyiomccna Boom Pm* Bmt Co-Ltd-Noattat Tb* Cnltad Dray Co-13 Laos Str .vraphtoosln* dldneodd*. fcro-Bactannicstad Oapottstst. Br i hdlaa, Martanhlohn, Conttr (trap Chamiool Co- 1T0 Variek Sir Dlpbthtrhi antitntis tataon* a rarcinrasoda tmm colon bocil! albua. atopiiylucoxma outoua, a 2454 : Schick ute ham laixton; Dick taat; chamdln i birillua, owoin*oa bacflha. . ann un toxoid: trlirpto- ): hviadai <!i;ibthana t. vt. aa.itSrt - > badUnx^aoton bacflht*, Frtadttndar butllas, touocuccut. (nflufaa btajDna. miaroencooo-oatanhalk, paratyphoid bodUash, pmatyphoid bedUat B. m nub baciilui, pcmirmvnmn xtapbrtomoBaalbui, ttophyloaoaeas urns, nnptoeoecos and typhoid baciilui. Tba For* IMoloxiad Ltbocmiorica,Rftortti.itttriimi its Boildin*. Tacoma, Watt.--Uoanss bo. 1ST: Knapp * Knapp. IndapMutaom, Mikr-Umnoo no. IBS; Pbonoid Lobontorim (IncJ, BisUn Hodiml Art* Boildlns. Louirrtlla, Ky.--Llano m. 100: Boourfai sntifam mod* from colon bodttas, tonoonecas. pmanumncas, asphyloooeonsalba*, Mophy. team uinm. itioutncnreua. and typhoid baallna. Pltman-Mnora Co., zloonrilla. Iod.--T icaiiia do. 1th: Tetanus antitoxin; oniiatystptloid wua; rabim taceina (kiliad Tim); baatariol notion mad* nun aaobodlhia. onion hacfl.'na.Binoonamailtoaaia.yrtadlttndar barillas, ionnn8tna.inllBarrabrtillui. f ailtnwBiu marrhalla, nUiroeocras tstragaans, paratyphoid barillas Jk, paratyphoid baciilui B.. parto*a baoiltns, pasumoooocna, sttphylnonnani albua, staphyioeoocus auraua. ttnptooooni*. and - typhoid bnriliua; baotariol antliana madr tram Maphylooowiu albm. rSphylacooraa aartwa. strap- I nroccur. diphthada toxoid; pollan extracts. - ... > Tha Win. S. Manail Co., Clndnaatt, Ohio.--Lleanaa no. Ill: Bariarial raodnas ntada tram Brnoatta nirilraasla. enloa hariUtta, dysntary badUo, Prttdlandor larillm, xaoococnMi miaramoBaa-mtairbalK-paratyphoid-baaiilni A, paratyphoid boodlua B, I, patumla barillas, pwortmllphthtria bodUas. ataphyhaiootui alhna. xtophyiococcux auraaa, ttaphy- ioaoem ritrans. Wrrpteoocng. typhoid haiimni; hotarial anilpans mada tram onion hnrillnii stophy- r lixDiniiallaii aiap~n1nrinnin imani iniiilimmm tjplinlilinnillin illphilmlalimilil illiihrtwrli ' toxin tor Sohiok toot. --------- - Tha Wyatt CUnio Baaaorah Loboruorin. Tncaao. Arir.--Lleanaa no. tlte .... Bacterial andjca mada from atraptocoeeus- Allcbad Bacas Hospital, Twenty-ninth smet and Ellh Atoms, Cbkaan. 11L--Llama no. 113: Aetna antatior poiiomyaUtit lnatunx irram (human); ramalw immuna tartun (hnman); aeariai favor ' Immnnaaannn (human); nmmal human aaxnm. FOKXJON XBTAJBIJSHMXNTS Inatitnt Pastaur do Parts, Porta, Praam.--Lkama no.-11. BatUnt ataota fbr tha Cnitad Btatm, Mr. JU i ChartDan. Paatanr Vamina Laborttertaa ot Pianos, 31* Filth Actnna. New York; N. Y..- Slphtbarta antitoxin; tacanua aolltortn; antianttenx anum; antidyatntarte rsk amiplafaa mroa; E andairaptoeamieaaaam; bactariai Taednm modatnm chnkra ribrto, plaana bariUua, atapbyieccccoa [ Qlbua, and itaphyiecocaua anrrxia. . Intafnu OmailaiXiart Parbaoindnatria Attixatrnl)rhaft. Hoachat am Main-Oanpany.--Limata no. Jt._ Salliaxamata (or tbo Unitod Slatra. Tha Wiathrap Chamicoi Co. 1T0 Voriok 8ttaot. Naw York City: ~ Tnhanniin old; lulmimlln T. B-; tuhamilln B. tnharaniin B. 7.; hootartol racdnaa maria tram tholarmrthrtB.aonoonamii atophyloeoOBOOnlhna.atophyioaDenia anrana.ad atophyk.uu.uailinun typhoid hodMnK amoitiaod baomrtol tacdna mada oom typhoid baefflss; trichophyton axtraot; --1`l`----naootrphaaamioa: aodlam urphaoamiaa; silrar oiaphonomino; nmrtirar iiapbonn* rnino; julphorTphooamiar antphuaflotaphonomlno. Cnawniftn tfUlMl. TjIm--May, tTatoMtty nrTawta. T--nl^Pmih-U--iM.tt nipMK--u ----i-- --r*1!1 1 ***ri>--****-- fiipiirhrf--i- wmto. Inbcratoin do Itlnnhlmla MOdkalo, M-3t too on>Loo, Parts, Franca^--Limoas no. 12. Sottlnt oftnts tar tho Vnitod atntm, Aaxio-yrtach Dm Co. 1370 Braodvay, Nov Yak City. BolUnx apna tar PnataBtao, Chon. Vaa, boost. Ban.JombF- Ka 8olp)M9pbWBte> IdmUnto Siontorapkn MBonae, Via Danria S, Milan. ItalyLkanm aa. IT. flalllnx acanu hr tha Cnitad Btataa, Opo-Pbrnnacal Co. g Ctaratand Plica, Naw York City; Italian Drop Impociiax Co. SS Latayiua Ipmat, Nav Yotfc City. Aatianthrmxaarom; bactariai ncriaaa mada Cram coka badBaa, trpnrornii. pnarncococco.ttaphy. iouncua alhna, atapbyiaoomna aurana. atapbylotnoetiarttraua. and stnptooaccus; aaoaiaphanaminai Boor* Purs Dret Co.. Ltd-, Notdaxbam, Znfiud.--Licaasa no. 8Z- Sailiax axaots tor tha United Scaua. Tha Cnitad Disc Co., il Loan Burnt. Baaton. Mata1 Araphaaamina dtcluoaaida. Saro-Bacmtiokckal Dapaitmant. Bayat^Maiattr-Ladna. Babrtntavtrka, L O. Taibtniedalrta. A. O. Bartloa, MatbotF-lnha, Gamany^--licanaa no. t7. Sailint *(tnta tar tha Cnitad Slates, Tha "'la- ihmp Chamital Co. UP Vtrick Stmt, Nav Yak City. Diphtheria tdoma antitoxin; aatiafrrptoctetic sram; normal bnixr tarns; bacterial tarcinu asda tram colon bacillia. goaoconoi. poaumococcat, pyocyan*' bacUlua, ittphytotettna tihm, itaphyiocneciu aunia, and xuaptococtna, _____r _ _ ___ THIS DOCUMEWl-WAS NOT ACCORD OF | BB_001996"J PPG INDUSTRJES, INC, DID NOT COME FROM IT'S FILES AND CANNOT BE-AUTHENTICATED K. BY PPG INDUSTRIES, ;INC. S5& Labaraioka <1* Bactarlopbej*. TJ nu OUriir dj Sanaa. Paris. fraas*--Ucmaot so. MB. tolUugo^att torHi* United States. Aajio-tiawh DragCe, York City;Uiat*cnu torPttarto Eton, Sir,iaaqttln BoUndor. Sen Joan, P. Sk Baetarfel eatitaaa madelroni Baton,bacillus. drmwT barillas. scterennoqa.rrloifllmlar baefltos. paratyphoid badllua.-A. paratyphoid horillta Ik. pnautsoaoatu*. prnteu* bad - WUlia. staphylomas albas, Mapbytoeaocus wntu, stsphylococca* dtnoa,: typhoid hadOtss. Sc. Cad*. Zttubeth UI*r IS. Barlla SO, 38, Oautf^Unw so. llfc Userarlat Tsarina nude iron adon badtlnslas Blothorapiq.Stop Maiiblano. Paris. Ptare T linn no. iq Baotarial Taednae mad* tram abators rtbria, dyatntoy barillas.. paiacypbald barillas A. paratyphoid barillas B. and typhoid barillas; bacterial snUfonitnsda tram paamaorocrm. staphyiomrtonUhrto. idttiwwwi ansus. and nnyuwamn, *" iAbaratnrta BtaaUatooda ChlmlotWapla, Bln dalaaaita. BmiL--Ltoama no- life - - XtabflpbytMMKBML, DEATHS DURING WEES ENDED JAN. 12, 1935 : ... . . ft - . Walk antiad Jan. IS, Cerrwpoad1st nu. 1W UM Data from S* Into dttoa at the United Malta: n-rfi! asder 1 tw of -`,i i,p*1 *** r Paatna under t year el *o par LWtadmatad Uoa btga.^.... `DMtiu por U000 popalatioo* aasuai buii, tot 3.w*to of yms*m....... - Data Barn lndmtrlal tonraaea twapamaat PaUdaalatecea..: ..... 1 .......-- ........................... ........... DnULCMtt par UOOO poilcil Ant 2 WMk* of fltf* mnoil nl#............ dtou 1^0 asa as sr.an.HM aaa 1L T ao S.1HS as *10 ST as sr.no. <m asos 13.2 as Me yVvV -f DID -G i ''-%FiL ro c5 THIS DOCUMENT WAS NOT A RECORD OF PPG INDUSTRIES, INC. DID NOT COME FROM IT'S FILES ANCVQjNNOT BE AUTHENTICATED BY PPG INDUSTRIESTINC. 3256 3 '3-PRE1 . . a#*- * ~ Wo Atatlh drpartmtnL, Sic knatcud&t of wAcil, CURE Then npvb n grsitaiaary. t Report* for Curs / ccrtem cnmwu for ant Dirisfen and Stata StyeMEaaintl*a-o-d- S--ta--ta-e^NVLeorro*moUocnahtt,onpicstbrit.f*.. Rfcoda frtootL,,. ... Caaeaatfatt-- Middle Athatto Stats Naw Jmr.w Prrura-irTsiTyTtraTaim.._.____ __ ____ Baat -Vortfl Sami df OFnhdii--ai Mi-Mjw. WarWt NbcoortohaCaentral Staue MiMmtndnw.o.irif.n. , North Oaken, fNoaembrDasakkoat^a.. Kama*. tatk Attaado Stated ItoUwMa..TM Akrytand *__ Dbri^nfCaiwbto---------JTnt'iTrrinia____ yTO Cardfan-- QSotoatrheCbvuoiia.a< Plortda, BanKSoonunthiriCrre_n_tr_al..S.atmt TAoI nbaiteewso**_.-. . -- auwtMtroi *------------ "w Snath Crtunl Sum; AIjMriellimiteMe_ TOakUmko*B.M C Sat toecune at tad of ubfe,