Document v88keO03pZd23D69Xk7voJO9

1 INTERNAL CORRESPONDENCE (/ CHEMICALS AND PLASTICS INSTITUTE PLANT P. 0. BOX 2631, CHARLESTON. WEST VIRGINIA 25330 To fName' DiVfSi'Ofl Location J. J. Welsh, M. D. Medical Dept, 4th Floor New York Office Copy to Date 31 Oct 75 Originating Dept, hiedical Dept, --512 Answering letter date Sutyecf Enclosed please find copies of Medical Department Form UCC512-MD-4 on one of the patients to indicate the kind of workup that is given in asbestosis survey, a copy of the letter that is being sent to the employees informing them if they have positive pneumoconiosis, and a copy of relevant sections from the Criteria Document on asbestosis. Very truly yours. BHA:peg B, H. Avashia, M, D, Plant Physician UCC 014449 REC 4 1975 MEDICAL DEPARTMENT 4 : ^4? CJy' \>f' GR I. "54 9 2 INTERNAL CORRESPONDENCE CHEMICALS AND PLASTICS To {'Name' Df*r/sro'T Location Copy fo Employee's Medical Record institute plant p. 0. box 2S3i, charleston, west Virginia 25330 Dofe Originating Dept. Medical Department - Plant 512 Answering ietfer daie Subject 1975 ASBESTOSIS SURVEY RESULTS Your cooperation as a participant in OSHA required 1975 Occupational Pneumoconiosis Survey is appreciated. The results of your testing is as follows: U1CC Your chest x-ray films were interpreted by the local radiologist as . They were interpreted by a second radiologist of international reputation as UICC After studying the radiologists' reports and the results of your medical examination, my impression is that you have no probable minimal . moderate advanced pneumoconiosis. There is a is no change in your 1975 x-rays as compared to those of 1974. Your pulmonary function studies showed that the capacities tested were well preserved reduced. You will continue to be evaluated in the annual Pneumoconiosis Survey as required by OSHA and any changes or progression in results of future examinations will be reported to you promptly It is most important that vou know that a comb-ination of exposure to asbestos and cigarette smoking increases tremendously your risk of developing cancer of the lung. If you now smoke, you should seriously*~cohsUcIer~ quitting. , Very truly yours, B-H. /}O^Wo.CY\D. BHA:gh B. H. Avashia, M.D. Staff Physician UCC 014450 N I ON CARBIDE CORPORA! ION - INSTITUTE PLAn'T - MEDICAL DEPARTMENT ASBESTOS WORKERS HEALTH HAZARD SURVEY ,Jv3aE'dtt(s ' cast F.I. TMO.lT. PR# 32711 - 748 Date A _ D- N - T Please use pen to complete questions on the front of this form. Circle the ''yes11 and "no" questions and fill in blanks. OUR WORK HISTORY To your knowledge, have you ever worked with ,<--% materials containing asbestos?------------------ :------------------- lYes/ No If so, how many years have you worked with asbestos-contaimng materials?------------------------ 3. Has all your exposure to asbestos-containing : materials been while working for Union Carbide?- Yes 2 i\ ^ c \j c. c __ ^ tNcS OUR PERSONAL HEALTH HISTORY Ud you have frequent upper respiratory infections? Yes If ''yeSj'*1 2a3re they followed by chronic coughing or wheezing?------------------------------- ------------ -------- ;---------- --- Yes No Have you had pneumonia in the past year?----------------- Yes (No) Have you had bronchitis in the past year?---------------- Yes CJjV Do you have a cough at the present time?-------............ vus IF ANSWER 5 IS "NO" OMIT QUESTIONS 6, 7 & 8 Has your cough been present for more than one month?------------------- ;------- -------------- ------- i------------------------- ueQ Is your cough a dry, irritating cough?----- -........... No No Do you cough up any sputum or phlegm from your ___ chest?........ ............. -........................................................................... \Je> No Have you coughed up or spit up blood in the past year?--------------------------------------------- ------------------------------ Yes (Np Do you have shortness of breath on exertion?-- --- No IF ANSWER 10 IS "NO" OMIT 11, 12, 13 & 14 If you have shortness of breath, has it becomeprogressively worse?-------- --------------------------------------- ------- Yes (Ng) Do you get shortness of breath when you climb a --, flight of stairs?----------------------------------------- ----------- --:-- (Yes^ No Do you get shortness of breath when you have -- exerted yourself only slightly?------------------------------------LYesl No Do you get shortness of breath when you are _ sleeping in bed?-------- ------------------------------------------------------- Yes iNq 15. Do you have wheezing or whistling sounds when L you breathe?-------------------------------------------------------------------- Yes IF ANSWER 15 IS "NO" OMIT 16 .. 16. If whistling or wheezing is present, did it start during the last year?--------------------------------------- Yes ` No 17. During the last year, have you had any close contact with anyone with tuberculosis?-------------- Yes fNo] : 18. During the last year, have you had episodes of pain, discomfort or tightness in your chest?-------------------------------------------------------------------------------- CYesl No- 1 19. Do you have a history of allergies?--------------------------Yes 20. Do you have chronic fatigue?---------------- ;-------------------:- Yes 21. Have you had loss Of weight in the past year?-- No No No ! IF ANSWER 21 IS "NO" OMIT 22 & 23 22. Was this loss of weight from dieting?---------------------- Yes ; ; 23. Have you lost more than ten pounds?-------------------------- Yes iNcj 24. Have you developed a dislike for certain foods _ during the last year?--------------------------------------------------- (7es) No ; 25. Do you have loss of appetite now?------- ------------------ -<& No 26. Do you have indigestion or discomfort after eating?---------------------- ------------------------------------------ -- -lYeb No 27. Do you have frequent headaches?------ ------------------------ Yes fTTcS 28. Have you noticed a tremor (trembling) of your hands or your feet?-------------------------------------- TYeb OUR SMOKING, '.HISTORY (Complete if you have ever smoked regularly) garettes: PIPE: Hew many cigarettes do you now smoke per day?- At what age did you begin smoking regularly?- If you stopped smoking cigarettes regularly, at what age did you stop?------------------ -------------------- How many years of your life have you smoked an average of a pack of cigarettes a day or more?----------------------------------------------------------------------- Afatfc. 33 1. How many years have you smoked a pipe?------------------ . ' . 2. How many pipefuls of tobacco do you smoke per day?---------- *-------------- ------- ------------- ---------------------------- 3. Do you inhale pipe tobacco smoke into your lungs?---------------------------- -------------------------------------------------- Yes CIGARS: No 1. How many years have you smoked cigars?------------------ ----------------- Dp you smoke filtered cigarettes? Yes When you smoke (or did smoke), do you normally hold smoke in your mouth then blow it out through your nose and mouth?-------------------- --------------- Do you normally breathe (inhale) smoke into your, lungs?----------------- ------------------ -------------------- fy --;- ... ip No No .".rm ucr-51?-Mn.d 2. How many cigars do you smoke per day? 3. Do you inhale cigar tobacco smoke into your lungs?------------------------------- ----------------------------- --------- 4. Do you smoke cigarillos (miniature cigars)?-- 5. How many years have you smoked cigarillos?--- UCC 014451 ; "V . ' ~` $ J 1 Pulse - Rest ^F. I 7^ Alin. -- _------ / Respirations /5f' Alin. / 0 H Y S I C A" L EXAMINATION Rt. /6 & Blood Pressure, Sitting / T' tt. f/ Nurse: ^ hi. Height Weight . - ;3 /f 7/,#ln. ---- ;. .1 iUl Capacity: Total FEVC 3.3 cc, /? Q % of Predicted FEV 1.0 5 S t} cc. 73 % of Total Recorded AB0RAT0RY: Hemoglobin )'b.O g* Hematocrit A 3 Medical Technologist -RAY REPORT: Date 1 S Pah 75 1057 PA and lateral views of the chest revealed plaques calcified pleuraiii^he'left hase^_rhfblil)gtt!but all of both lung fields there was increased peri- xichial fibrosis and there were small nodules bilaterally. Pleural peri-cardial adhesions were Ldent on the left and the arch of the aorta showed some arteriosclerosis. somewhat flattened diaphragm suggests some generalized emphysema. findings are consistent with asbestosis presuming there has been adequate history of exposure, fpuld classify this as q and t 2/2, all six zones- pleural calcifications left Grade 1. . stiidp-.waR-camp.ared with previous x-ravs made two years ago and there hns-_baen-.no appreciate inge in the appearance, HYStCIAlTS EXAMINATION: W. Paul Elkin, M.D. Comments .Alteration in chest contour? ./Chest wall movements normal? . Chest expansion normal? .Percussion note normal? , Heart sounds normal? . Breath sounds physiological? . Rales or ronchi present? . Cyanosis of skin? . Clubbing of fingers? . Edema, lower extremities? UNMARY: tyrWC;--- ' fu-Juo\(l. 'pX V/'tSy| - 2/^ -f~t -- UCC 014452 EXAMINER, AA- DflTC?.' fA.r in 'I 'S' Section 2 - Medical Medical surveillance la required, except where a variance from the medical requirements of this proposed standard have been granted, for all workers who are exposed to asbestos as part of their work environment. For purpoees of this requirement the term "exposed to asbestos" will be interpreted as referring to time-weighted average exposures above 1 fiber/ cc or peak exposures above 5 fibers/cc. The of such Survei^la^^^^^^^^^^^^msure^pr^er^med1ca1 management of Individuals excessive exposures or unusual susceptibility. Medical management may range from recommendations as to job placement, improved work practices, cessation of smoking, to specific therapy for asbestos-related disease or its com11plications. Medical surveillance cannot be a guide to adequacy of current controls when environmental data and medical examinations only cover recent work experience because of the prolonged latent period required for the development of asbestosis and neoplasms. an (forced vital capacity (FVC)), and forced expiratory volume for one second (FEV^), and Cpostero-anterior 14 x 17 inches) . Additional medical (s and other dusts and to determine and a physical examination, with special attention to pulmonary rales, clubbing of fingers, and other signs related to cardiopulmonary systems. ' ' . ' ' ' . . ' . .'' : -- 3.-*. u 1-3 UCC 014453 i I Chest roentgenograms and pulmonary function tests will be performed at the employer's expense, at least every 2 years on all employees exposed to asbestos. These tests will be made annually to Individuals, (1) who have a history of 10 or more years of employment involving exposure to asbestos or, (2) who show roentgenographic findings (such as small opacities, pleural plaques, pleural thickening, pleural cal- ciflcatlon) which suggest or indicate pneumoconiosis or other reactions 1 to asbestos, or (3) who have changes in pulmonary function which indicate restrictive or obstructive lung disease. Preplacement medical examinations and medical examinations on the w ' -* -. termination of employment of asbestos exposed workers are also required. ., j> ''* IWjL*i' yg iip Sjjjp UCC 014454 1-4 t ~i -"'I