Document vVm5ob9wdkJgYKdkv5ddOkMV6

FILE NAME Kohler KOH DATE 1928 DOC KOH116 DOCUMENT DESCRIPTION Part 5 of Barry Castleman's Selections from 11 Boxes of ML Docs . DATE insist Pulap istuary - ve STUERETTEZ Pulap 98 ayeseats Zy 3 ip Helle pgs Metropolita MetropoliOktlaehnom enterprise trasts emtione mediari Netrepulites eLigatt, ; +4 o7 as hy 2 are with villagna County condition investigative sitetim ga sitetim from sitetim disocisurier damaged endeavor physical siliconis tinveh stigaetive contract probably ities fofloweodwedfollowed i rH hireddiablilty brecay sted cE dite ing 2k ae rp o- 5 . - eos eee . he, me: .. 3 a her ns tal @ beta? i. Tx. Pe ett as tecte . Qsib, cha . , FRY OT? aleon OL Jt ta S Sane ser? Bay st 18 a} wus porn wae OWES are e 0x0 LOGAHS bskK Mase Sue ta ee ' 7 -MIOTSIEped pues raag,Vy '3T4F48 ZOETE "COT,$-83vetst <> atuow Vets 4 Leen Om 08 Ve sey AQputs eae 27OTSp7 us OGS) EO SepivsayS,2THeazigTrege a St.Joseph an moyuntiemreeqtueclnastificaltaisosnific.atiegonencnleoa rsailn; g yours a. &, Assistant 8.3, Assistant Hedical Director tees oom ee F Piat mmt ts ee 8 ss. ee Se i aa * She. as ee: o SRNE woe, ot ~ He! NEE. TnI Dab ae a} . he Cae St.Joseph St.Joseph LEAD COMPANY CLINTON N.CRANE "u fl t IRWIN oe CORNELL.Cn ORNEL e .net.mytC.ORNEm LL.neyt.my Wike Woe ANDREW FLETCHER vice Wike TOBAR C MERRILL CHAPIK vant vant pass EV PETERS vicePETERS vice once *% @ MCGOWN DECRETAG DECRETAG ROBERT BENNETBENTNETT +387 6ECRETARY GEORGE 1. BRIGDEN ABET BEC 250 PARK AVENUE NEW YORK ; TELEPHONE ELDORADO S Stw Yoan CABLE ~, Stw __ ~ Dr. A. J. Lanza Assistant Medical Director MetropolicLaifne Insurance Company One Madison Avenue New York N. Y. at a5 L Dear Dr. Lanza i Upon my return to New York this morning I interested to find your letter of June 27 was very 1934 Organization As you know Mr. Drinker is expecting to spend two weeks with our Bonne Terre Organization and it would be a great help to us if he had a copy of your pro- posed form of silicosis classification as he expects to go over the entire problem with our legal staff as well as with certain of the local doctors who may ald us in our defense I quite appreciate that before any public announcement is made the matter should be considered as confidential and therefore that you may not be in a position to send us copy of the classification but you probably would have no objection to sending same to Mr. Drinker for such use as he may consider equable Very truly yours SLs AFT ill Copy Mr. Drinker Vice President & Treasurer \ TRIP TO MONTREAL ASBESTOS THE WORD NIE 15 OLLECT October October 1 1944 PURPOSE To explore the reasons for the high tuberculosis sortality rate in Thetford Kines the In confer with the operators of the asbestos establishment of an industrial bealth clinic in mines in Thetford Thetford Mices concerning concerning To visit Group licyholders in Montreal Mr. Pehnel to make industrial bygiene survey of Thetford with Mr. Asbestos Perry zills and kr Tehnal in Asbestos and ^' SIGNIFICANT DEVELOPMENTS AND OEFLAVATIONS He tubercau ndlasobessti oss is 1. Provincial Health Department to provide us with secific mortality rates for tuberculosis by sex for past eight years in Thetford Astests and six crararable communities in addition to Dominion and Provincial ratas 2. Dr. Burnette to secure repulation and living comitions being secured data for us on health services character of in the communities for which mortality data is 3. Local physicians and nuns at Thetford Kines hospital believe asbestos dest contributes to tuberculosis 4. Thetford hospital built in 1930 has 150 beds devoted to tubercu losis Excellent modern surgical equipment and basal setabolism apparatus ray machine 100 williamperes and 20 years old No IKG About 50 tuberculosis patients in the hospital about 50 percent sale - 5. Thetford bas 15,000 health budget County pays 10 percent Provincial government pays the rest One time haulth officer Dr. Blais and five parttime nurses are employed Follow on tuberculosis is poor The nurges lack adequate training Dr. Foley the Provincial Epidemiologist thinks there are are 10 unknown cases for every known open case he insists that the unknowns are open cases 6. Dr. Sirou the physician in charge of the Thetford Wines hospital tuberculosis service believes asbestosis causes tuberculosis although according to Er Fabourin he has written and publicly stated the contrary 7. Living conditions in Thetford have improved in recent years who visited Thetford in 1930 and 1935 observed the improvement Miss Mceittryopolitan Nurse finds hoses in Thetford better than hoses in parts Mr. Tehnel Chess the of Quebec 8. Asbestos companies in Thetford have no health information on their . worknen Only data may be on A4X clain forms pte add nak,s &5geeMSeRs!roa i aae tocaaie m: ae oe id . pe . By) Be, FM a BY * tee Beer 4 * - 4 = ae se spumtt ~ ~ . Se on . 7 3 - a. : . a : - 506: Li. o Eee. ke woe ae er SK oe igs . im | ser . ; o cmee 0 Wi o awe ~ ; Ny Poe vee es pr aS! ee . on . oe = . cab kanville 9. In Johnson's ThisThis This This Company's new will a stil This was obrerved and reported by Mr. cFoemhmtoenl tiinn 1dr9i3n5king cup is still | 10. Ir | with Dr. Stevenson in plant health service has been Dr. Smith was with charge Ir Saith has just been maintained for years | the Aluminum Company of Canada employed to assist bia o avesr mall but fairly equinned kamnitel on foreign service There is & Dezied of years install It is hoped to and he /lthrecords on ezrlaneet | newer ray equipment It enlarge the hospital facilities extending 300 milliamperes and was recommended that a soon and preferably 500 in order to new machine be at least ascest secure adequate chest films for in 11. In Asbestos Dr. Smith said the young unzen employed in the the incidence of tuberculosis very dusty orinion Personal hygiene weaving and living habits swinning will appeared to be Operations are were poor Plans are under way to and have nutrition of these girls in his lunches and the preparation of other all the health meals Mr. a nutritionist McGas desinirate desinirate proper industrial education materials of the was Metronelitun interested in securing ning and situation New ventilating equirment is which might help in this heaving section The electrostatic being installed in the spin- tfhreom the various operations is working about 7p5recipitator shich esllects the dust increased temps of operations is overloadingpiertcent efficiently mainly becaus 12. At our agreed to invite suggestion the the three managers of asbestos department in the laboratory man from Provincial Health Dr. Tourangeau'sTourangeau's mines in Thetford industrial Mr. Fehnel in making dust collections Department to visit Thetford and whoyrgkiene legal representative of the collections This invitation was extended alongside we called on the latter in Asbestos Producers Association to Dr. by Mr. Sabourin Quebec Tourangeau when demonstrate 13. insist We suggested that the effort be made that rays taken to to have the Compensation Commission and that if: sila diagnostic be made by a standard would be possible to have a criteria be established Mr. Sabourin technique American medical committee authorities on asbestosis made un of Canadian thought it alzo believed a clinical neetiin Montreal and formulate such and practicing physicians in symposium on asbestosis could be standards He ared to attend by paying communities near the asbestos arranged to industry would which were authorities mentionedhalf of their expenses Dr. Gardner be enc<ur- Committee on Asbestosis to speak at this and Dr. Lansa symsius and for membership on the 3. The Cartier whom position of full industrial I met and interviewed in physician will be offered to fr Paul Montreal If he accepts he will start at Siig 5 eeng etree <p ff a wee ae = eee Ce re ee we Te eae aloe ee tem ere , Se . eee hom . IN + aes oa > < 7 wes > i ary . : . anet= tepKSSE ye . RE. oe . ce ca T Py ae . . ws 4. Clinic will be onerated by a committee comanded of the three I suggested that the physician te scoter of this committee nucafers and 5. Dr. Cartier or shrever in appointed to the mesition 1000 yearly for professional study and travel will have freeing he Vicits in Montreal 1. Radio Cormoration of Canada | a Dr. Kaufman critical of V.L.I. Medical Examiners on MAH follow { b This criticism has been passed on to Dr. F^...rnette see Exhilft a Abnormally his claim rate in assembly section where there 90 percent fesales are ncurasthenia seakness atirue anezia c At Kr Wehnel's recommendation ventilating hoods have been provided on operations involving soldering He will make recheck survey survey 2. Charles Charles Freest Co. a Planning health service for employees fent ir L zizaky Director of Parearch and in charge of develo service description of service for mall plant kilit B locations b Observed several working locations in shere might be hazard make survey where dust and drug concentration Kr Fehnel arranges to visit and 3. of Physicians This is a group of about 25 physicians employed in industry around Montreal Dr. Graham hoss of National Greveries is president Kr Fernel and I smoke to this up on the work of the Industrial - Hygiene Bureau and some postuar problems in industrial medicine medicine Dr. Ross would like Betre industrial hygiane literature which would be ppropriate for these physicians Dr. Burnette has been informed ee <4, me - OM oe ee. . e . .. z IN EVIRUALS MIT PUBING TRIP Pedia Coronation of Canada ' Mr. Deacon the new President Kr McCallum Personnel Director Dr. Kaufman Nedical Director Mr. Rousseau Safety Director Charles E. Frosst and Compery -list S. Trosst President Mr. Sheen Plant kanager Dr. Losinsky rector of Research Askestas Corniration Corniration President Mr. hobert Steele President Montreal Kr Alfred Penhale manager Thetford Montreel Anti Tuberculosis League National Frezories Dr. Grahan bess Medical Direct Aluminum Copmany of Canada Dr. Fildfell Medical Director Asbestos Producers Association of Quebec Mr. Ivan Sabourin also from Fr. Sabourin zade arrangements with the Wines and with the Manville Plant and make dust surveys He took us three operators in Thetford in Arbestos for us to insnect in his car on the trin Montreal to Asbestos to Thetford to Quebee and back to Montreal and . arsisted us in meeting officials in the Provincial Health Department in Quebec City Hr Mr. Dr. Dr. H. K. Sherry Vanager KeGaw Director of Industrial Relations Stevenson Medical Director : Smith Assistant to Dr. Stevenson Johnsonia Johnsonia Corrazy Mr. Andrew Johnson President Fell Hires Dr. Sirou practicing physician in Thetford Mines Fiss Chess Vetropolitan Furse and in addition the Fisters in charge of the hospital in Thetford and a number of the nines Plant Superintendents and Engineers in the four nines which were inspected pa Ses moe acca were TRS Sod neg e g se Oe. tee . S et ory S. ae ae a _ a5. 21 oly eT fais fo et eh 2 6 SNE veote sate oSheat Dee . PE cay hie we. Quelec Health Repartzont v Paul Perret Statistician : , Dr. A. F. Foley Provincial inffemiologist Dr. Jean Gregoire Deputy Linister of Health and Welfare Dr. Jules Gilbert Birector of Health Louestion Dr. F. J. Tourangeau Director of Industrial Hygiene Tourangeau Communities Comunities for Cortality Thich Information Heelth Conditions Obtained Chicoutimi Cap de Nedeleine St. Jean St. Hyacinthe Rinsuski Valleyfield Asbestos Thetford EXHISIT A October 25 1944 Dr. Norman L Burnette Assistant Secretary Canadian Read Derice Dear N<rmant possibleYour questionnaire regarding community health services and conditions which you planned to send to the Rurses in living are saking the tuberculosis comunities in which we artality study reached me today I think it covers everything we talked about Saturday and should give us the information If it seems necessary and we are in doubt about necessary te possible for me t~ make an inspection visit later on letter that you can secure the information from conditions it may I assume from your in Rimouski If you are in doubt about a trusted s<urceknown tn u secure this information a source in Asbestos I believe T can Canadian Kanville tihnrAousgthesDtro.sSmith the assistant to Dr. Stevenson at I have several questions which I did not take up with which relate to my visit 1 Dr. Gra,aRzost you on Medical Firector of Saturday Breweries Montreal was interested in our industrial health National about 25 physicians in his professional mterial Te has Medical Director of Aluminum organisation which he and Dr. Pildfell Company of Canada are organising He could use 25 copies of appropriate literature for these men Do you have sunlies of our Industrial Health Series and do you wish to sup Dr. C. K. hose with them 2 Mr. McGaw in charge of Industrial Relations of Canadian Kanville Asbestos Que is interested in having health education material for work with their canleyees in Asbestos educational They have become quite active in educating and now want to turn to health education He wanted safety with the health education material which we have to be supplied avaliable ature you can send him If not what do you wish done I Do you have liter- that Mr. McGaw raised the question about nursing service might also sentima He said that the impression had been given them that they would have nursing service shen the insurance was purchased I explained that we provide nursing service where it is available and that would not necessarily follow the contract You perhaps know the background of this and you may wish to say something to his _ Andrew Johnson In connection the mampers of the tu Mines and Mr. - thes this week with the nursing service I gave Kiss Chess the names ~ ninet ve insure in Thetford Mr. O C. Smith of the Bell of Johnson's Kine She is planning to call on liter- Metropolitan 3 Mr. Ivan Sabourin is also interested in health liter- ature I shall arrange to out hia on the statistical Bulletin mailing list but am in doubt as to what you prefer to do about other health literature Hould rad Dr. Norsas Surnette October 1944 1 , cS prefer to send hit you prefer send rateric) him which which think material material which you to think do sot would be soe interested interested Head Head wes at PCA in Kp. While was Director CPaenrasdoannmetelDr. Vaufman Vaufman McCallum McCallum and Rousseau respectively Medical Director Director Personnel Director Safety Safety Director respectively respectively Their claim rate whichyou know running running currently per 1,000 according according data during during August which sure which they have hand hand taics this rate ruached iga Kaufman Kaufman believe Kaufman does that these than these are all for legitimate mess Kaufman particularly particularly critical in the part said played they by the Examiners Examiners ig Company Medical work their administratim administratim did not aid in thweere poorly trained their He stated their follow visits employ control malingering malingering blood and laboratory that Company etc. employ check diagnostic tests submitted by stated aetxtaemnidniantgioantter ndingaphysiy cians s occuretc. predominanuts doinagvnaogsueesdairaegnoses neurastheniablood aeria department song the which has female envioyees particularly radic particularly in about 90 percent females the radi Ta Asbestos Dr. Manville also Ta Asbestos Stevenson for who is the were also Medical Examiner the Company insurance He mentioned -hysicians {s abusing abusing certificates and He has talked with they acco-mmhoydsaitciingans their signing of certificates certificates their excuse is that suggested that accommodating the {a patients latters latters attending the physicians suggested attending Company physician print form which is given sover the physician fill vacations periods etc. etc. . that that I I did know would would pass it whether this on you you do whatever you whatever you see fit see fit, tut I thought .e . Sincerely yours Assistant Assistant Medical Director Assistant Nedical Director rere aN 8 NE teow wr By Ae + pyrene 4 oe a Tenge eral PI February 23 1944 Mr. Ivan Sabourin Aldred Building Montreal P. Q. Canada Dear Mr. Sabouring writing you at length on my impression the Asbestosis in Quebec in so far as it involves situation on . the producers the medical profession and the relationships between One conference with Mr. Sharp Dr. Vidal and Mr. clearer picture than I had gotten Compensation Commission Dick gave me & a few comments on previously autopsy material Before doing so I offer the parts of the lung material from the two from which they were taken However eases do demonstrate they like the the operations produce limited amounts of indisputable that Thetford presence of presence of advanced tuberculosis this is Asbestosis In the identified on microscopic boscured examination of and not likely to be except during life will not show it pulmonary tissue ray includireponrt gempsloyed occupations appreciate to in Sections will be prepared as soon order make as possible for microscopic examination gasg I symptoms date whether sputum and date sputum record quitting of death work , I neglected whether Loch's becillus was found in to copy this information from your Asbestosis If were in their evidence of this kind I would position find with my experience limited to that there is causal relationship it difficult between to resist the conclusion even slight amounts of Mr. Ivan Sabourin 2 February 23 1944 , asbestosis and tuberculosis of the lungs as I told Mr. Sharp that did yesterday I : but I doubt whether he or Dr. Vidal will | succession of cases like those which are must be made to realise that these cases j. the rule and that there is a great majority , industry who are free from tuberculosis I have told you repeatedly not agree with this conclusion conclusion be persuaded when they see & now passing before them are the exceptions rather than of employees in the asbestos ; I would therefore atlatieemsployee other asbestos Drt.haSttiimvmeedinatsQeoune'bsecsteps that taken more can if cindousutryldtsubheorwculosis | ; surve every > nocery in the asbestos industry Quebec so t taken on the atlaties be assembled ray ITI alre men at Asbestos will provide you with material for a liminary report data Coupled with this there might be an analysis of pre- --W contrastingthat total death rate from A Asbestos with that in would be still : imstrialcommunities of the . Provinc^ A males and females ucnloenssvitnhecinunmgbeyroouf the lattertheemplsoeypeadratien rtahtees of Asbestos plants constitutes lation Finally the age an appreciable proportion of the female popu --< those employed in distribution of deaths the Esbestos from tuberculosis in cococnutpraitbiuotnosrywould help in determpilnainntgs wahsetchonetrrtashteeodccwuiptahtitohnaatlifnacottohrerva the rate for My own observations elsewhere and your intimation that and / or tuberculosis Asbestos was higher in St. Hyacinthe than in Thetford make me confident that the companies would sequire ainnfaolrymsaitsionIoff greatest service to themselves by such a survey and the asbestosis specifically is predisposing to tuberculosis in in same sense North as silicosis does the effect should be just as apparent But the Carolina and Pennsylvania as it seems to be in Quebec or England films of employed asbestos workers in the States show a very low incidence of associated tuberculosis It is my firm belief that in Quebec and England factors outside the occupation are responsible asbes toassbestos industry AwsilIl hsaevnesedtothperodsuicteuaetviiodnenisneMotnotprreoavleyetshtiesrdpaoiyntthaend start on it immediately or the industrial commission will become in- |creasingly truth creasingly convinced that our position is biased and not founded upon . general Furthermore the industry would undoubtedly s, undertaking a general program of community control of profit instituting their the only among tuberctuberuculeslseosnbgy instituting families open tuberculosis of the members of their families of spread discovered and the sources open cases of the infection could be removed Kr Ivan Sabourin 3 February 23 1944 > One of the iron mining companies whom we a public health nurse a program for serve has such a program with children and follow up of the tuberculin testing of school tuberculosis The has contacts of every known case of open tuberculosis with program resultant paid dividends lowering of by practically eliminating will of the employees is compensation costs and the good has a serious problem unaearurable The asbestos because its labor industry of Quebec in which the tuberculosis rate is force is drawn from a population than that which our high but their situation is no worse mining community other clients attacked successfully in an iron , Pendergrass to me is that The the second point which is becoming increasingly asbestosis of the Quebec aines and mills is apparent generally less severe and extensive than the asbestosic of quite plants of the States Comparison of the ray findings in the the fabricating reveals very few cases with typical patterns among Thetfort two groups mill men Some asbestosis is unquestionably produced for or Asbestos we have microscopic evidence of it in the four autopsy cases now is not advanced enough to replace auch of the functional available but it lungs and thus cause the ray shadows that are parts of the characteristic of the disease generally recognized as Most of us disagree with when he says in Lanza's book that there is Dr. asbestosis If my observations are no characteristic pattern of of disease should not correct enus disability for this relatively slight amount the is involved leaving most of the only framework of the lungs respiration intuct parts that carry on the functions of asbestosis But here again the Canadian industry is on the defense against its medical profession and their representatives on the board to the industrial commission The doctors have advisory own local manifestations of asbestosis without seen only their with the really severe manifestations that opportunity to compare it are produced elsewhere They find the abnormal shadows in the ray films of are convinced must cause exposed workmen which they symptoms and disability bodies in the lungs of autopsied cases They find reactions or associated with minimal tissue overwhelming manifestations of concurrent pulmonary in- fections and now they are sure of their ground have have In order to defend itself the industry in Quebec aust _ more These facts which will require time to collect analyze and publicise findings will have to be contrasted with those in the plants either in Asbestos or elsewhere fabricating In the city of Asbestos the spinning and sesving mill has been in operation for only four years which is the minimum time to produce in another year or two one much disease in those exposed but I as nucl mistaken say expect to find evidence of it here unless . . TTT ket seep SE Ieetea R7T2aha tees SReetmen . tert ese Awe Fp a om Tete CNC . bo * tel . ae . * 3 xd - + 7, me ns oe ry, ~ wa R wes ' Mase . + ge tsa Paar : Set I ~' wd i - . 2 " ee 4 et ^' Tee i - OAS + mote 2 tee Mr. Ivan Sabourin t * February 23 1944 As I have told you in oisbseprrvoaptoirotnisonalleadtomethetoamboeulniteveof that thceontvreuresahtaizoanrdoiunr aesxbpeesrtiomsenptlaalnts the industrial atmosphere I small individual unerushed fibres in or me typical asbestosis in suspect the that the reason why one sees little sines and mills is because there is probably too little such fibre in the air of these the reason for the typical disease plants Conversely fast that the processes there in the fabricating plants is the then inte lengths short open the bundles of asbestos fibre and tear enough to be inhaled in dangerous quantities serpentine with The mills and mines are dusty but the dust is relatively few fibres large enough to do harm largely to the lbluonogds veTssheilssduasndt enters the lungs where it produces reaction around inert dust To other framework structures that are just like see the shadows of such inert any other reaction manifested in r coandyitiasonainsenxoatggeration of the normal shadows of blood vessels This the identical asbestosis nor necessarily preasbestotic any more than changes in men working in hard rock aines are presilicotic In free silica industries regardless of necessarily not diagnose silicosis from until we find the exposure ve do rays pattern of modulation in the asbestos asbestos characteristic refrain from a diagnosis of asbestosis industry we should do likewise and characteristic until the ray reveals the of haziness or fine pattern throughout the lower thirds or more of the stippled appearance spreading with asbestosis is even more difficult lung fields than with The situation requisite condition of the dust silicosis for today the medical profession exposure is not appreciated by the 00814459 tt hh eererlealtaitvieve quantity Thqueanrtietyfoanrde nIatsutrreonogflythuergdeustthsatinsurtvheeysmilblesmaandde ttohecompare fabricating plants in order to present that in the first instance proof the percentage of thin fibre of inhalable dimensions is insignificant in Comparison Comparison with the to quantity created in spinning spinning and saving It is going persuade physicians importance but similar factors physicians of the of these factors govern the reaction to quarts and the development of dseitleircmoisnies thTeheosuetcopmheysical limitations of atmospheric dust often silicosis I forsee in contested cases involving a diagnosis of they will by and hygienisthygienist competent industrial A atmospheric samples and have equalweight enough asbestosis hygienist should in neaving collect anlyze enough aines mills am in the aines and processing to establish this spinning procesing basic difference so that it will stand beyond controversy We have demonstrati demonfstratit ftssIndustrial the experimental background we now must application When correlated with the results upon exposed workmen I feel certain that our position will be sapune. Nr Ivan Sabourin " 5 t February 23 1944 To summarize I would make the following recommenda tions to your clients the Canadian Asbestos Producers in order that they may defend themselves against a growing conviction among the local physicians that employment in this Quebec industry is highly dangerous . I. Correct an erroneous impression of the Industrial Commission that asbestosis is frequently associated with pulmonary tuberculosis | > ~- a Statistical data based on ray of all employed workmen to indicate the incidence of pulsonary tuberculosis .--- b Comparative mortality statistics on 1. tuberculosis in Asbestos and Thetford and in other communities of Quebec indicating the frequency by sex and age 2 Consider the possibility of inaugurating a program y of tuberculosis case finding and control in the general populations of Asbestos and Thetford in order to elimi- nate sources of new infection among employees 3. Kake a detailed comparative study of the nature of the dust in the fabricating plants and the asbesta I trust that tions and be willing to pass you will agree with these recommendathem along to your clients hospitality I take this opportunity to thank you for your delightful hospitality while I was in Montreal and thank you for making my visit profitable and pleasant Sincerely yours LUG Director wee em ee Lk, , a" * for for Mr. Ivan Sabourin M Aldred Building Montreal P.Q. Canada . * \ ws February 28 1944 .e . ~ - es ' Dear Mr. Sabouring Fammary 22 asking I have your letter of for comments on the relationship between asbestosis This question samot be answered susceptibility to tuberculosis material alone decisively from a study of post mortem Medical problems of this nature are usually the basis of probabilities and it is this matter of solved on which we need further evidence in the case probabilities of tuberculosis on with asbestosis associated : November Merewether in his and Memorandum on Asbestosis Tubercle December 1933 and January 1934 admits that on the data otnhleys4ubsjhecotwea dre sie gnas goe f ractiHveerteupboretrsculosithatsoafn3d7t4hwaotrtkheresBwrhiitlisehastiwliocroksis and Asbestos Medical Board in its first periodic examination of workers in this industry found only one case of asbestosis and tuberculosis in 1512 examinations On the other hand the English post mortem material at " that time revealed 35.75 of the cases complicated by tuberculosis Subsequently be appears to have found more eases if Dr. Riddell is cor rectly informed In the publication cited Merewether concludes The evidence therefore added points to the hypothesis that to silica virulent mas- sive infections will as in the general population cause death lesser ones will result in more widespread fibrosis than would appear in cases amongst the general population and slight infections in common with many other affections are likely to precipitate death in othereases of asbestosis where they wouldn't de so in the general population The underscoring is mine population but I agree with these views we He When Dr. Merewether was in this country last year he visited for several days and we spent most of our time discussing these problems still accepts our experimental work which proves that there no ay, most As I indicated in my last letter the Quebec is not yet analyzed there is only an impression that experience orthe asbestos workers die of tuberculosis without taking into secount the excessive prevalence of such infection among the population of the Province This impression needs verification by careful analysis of morbidity and mortality statistien collected from employees of the asbestos industry from their families not exposed to asbestos dust and from other communities in the Province of Quebec Such data should then be compared with similar statisties for asbestos workers in other countries If there is a specific occupational predisposition to tuber- : culosis it will become apparent on such analysus just as it has for . silicosis Wherever silicosis being created the high mortality from .tuberculosis cannot be hidden I do not believe that there is much tuberculosis among asbestos asbestos workers in the United States and suspect that the from this cause in England is due to the low living from probably coming industrial workers Possibly selection of cases hashas influenced the picture American studies have this far excess mortality standards to autopsy failed to demonstrate enough tuberculosis among asbestos workers to cause comment The U. 8. Public Health Service Study of isbestosis in the Asbestos Textile Industry in North Carolina Bulletin 241 issued in 1938 statement hardly mentioned tuberculosis dismissing the subject with the on page 51 that there were only 2 cases of active pulmonary tuberculesia in the group 541 Shull Radiology 27 No. 3 279 2921 employees 1936 examined 71 of eases discharged from the plants where the Public Health Service made its study 15 months later and found & cases complicated by tuberculosis of alight to moderate extent but only 2 were active These two subsequently died of this cause and in 2 others the infection later became active Still states in his conclusions that #asbestosis does not predispose to tuberculosis Presumibly be infers although he does not say so that the cases of active disease among 541 workmen represented accumulated disabilities when the examination employees program was inaugurated Donnelly J. Ind 222-228 also examined 151 discharged reported by Stall He gives more details discharged on and Tox 15 No. 4, employees incinding the the cases of tuberculosiss worked asbetos asbestos industry 10 others them worked asbestos worked months respectively others and their respectively test The for months remaining and infections might have been aggravated by exposure points out however that an incidence of 2 cases respectively among respectively 151 industrial 229-239 McPheeters J. employees is no higher than in . Hyg and Tox 18 other other industrial group 1936 likevise ex- amined and repor ontte hed se eases and be is in entire agreemewnitth the other reporters In his conclusions he states To activating or aggrevating effect of asbestos dust or asbestosis or tuberculosis was observed Finally I believe I told that I had just re- turned from North Carolina where mysechelstffilms of some 100 I reviewed employees of the local asbestos industry and saw only one that showed any indication of adult type pulmonary tuberenissis This was completely ~ . Mr. Ivan Sabourin 3 February 28 1944 t healed I commented on the fact to the members of the Medical of the State Industrial Commission with whom I was Board Chairman Dr. Vestal told me that tuberculosis was ca onr fa er re rinfgindaindngthe among in asbestos workers although common enough in other industrial workers their state It would therefore appear that in North asbestosis does not favor or predispose to tuberculosis Carolina asbestos I have just now completed a review of 125 films for an asbestos fabricating plant in another state In this plant the amount of severity of the asbestosis on the first examination in 1930 was well marked approximately 40 of the group showing definite ray evidence of the disease tubercu adul lt tyo pe s tubei rculs osis rate was only % four of these cases occurred in persons with asbestosis and 2 of them were considered probably active group second examination was made upon 67 of the original after an interval of 5 years during which they remained at work Now the incidence of asbestos had increased to 625 but the tuberculosis rate had fallen to 2.95 & third examination was done on 57 of the original group who still remained in employment after a further interval of 3 to 4 years in this group the incidence of asbestosis was over 80 but that to tuberculosis only 3.5 In spite of excessive amounts of severe asbestosis the tuberculosis rate remained within the limits usually found in American industrial populations The behavior of the tuberculosis in these people was not unusual For example one man a spinner for 13 years was 31 years old when first examined He had at that time an early specific dust reaction and evidence of old tuberculosis in the top of his lungs In two succeeding examinations his dust reaction steadily increased to reach first stage asbestosis 9 years after he was first seen His tuberculosis during the however remained apparently uninfluenced Most of the others behaved in the same manner These people had already been exposed to asbestos dust for periods of 3 to 18 or more years when they were first examined and the three subsequent examinations following 9 years give us a good opportunity to follow what might have developed No nov ~ ase of tuberculosis appeared If it had not by that time the chances were not very great that they would later happened After they left the asbestos industry we do not know what happened to most of them but on a few there are insurance records that indicate the cause of death Two died of tuberculosis One had had his infection when he vas examined in 1930 at the age of 50. At that time he had an early evidence of associated chronic asbestosis after weaving for 10 years and chronic tuberculosis He was advised to leave which he did and died of his infection about 3 years later The second man aged 32 had been a weaver for 12 years and had first stage asbestosis but no evidence of tuberculosis at the time Be left his job after the ? see oe S, KSB an. 9. ot, er rag GR aae . oat : %. GOS : Ivan Sabourin 4 February 28 1944 first examination for reported to have died could occur anywhere reasons not stated Three years of tuberculosis in a sanitorium later Buch he was eas reasons It is possible that if we had follow on more of these eases after they left the asbestos industry we would find more persons who subsequently contracted tuberculosis and died of it However the evidence now available indicates no such tendency Animal , experiments contrary to those upon silicosis disclose no theoretical for suspecting that asbestosis creates any special susceptibility to the tubercle bacillus of Koch I az becoming more and more convinced that that the tohigh tuberculosis rates reported in English autopsy statistics are due causes other than occupation I believe that the same must hold States in His very States Quebec where the amount much less than it is in of severity of the asbestos dust reaction the fabricating plants in the United I believe I have covered the other points raised in your letter and will therefore not prolong this discussion further Very truly yours Leroy DirUe.ctGoarrdnerD M. . D. LUGIRE ec to Mr. Vandiver Brown President te the Desember Desember the President the Desember 14,1933 wrote paragraph first second second Page paragraph the President of of of Dr. that that advUSO you with can say accomplished with favor that our disposition disposition Companies Companies Lambermans Liberty Lambermans Lambermans finance Kouckle Kouckle organized organized consider a which research program ing Laboratory finance here carried us for my speech to them last mentioned that weuld 5,000 the the Met had that carried certain that annually during continue years continue . but foretahskaedt not very replace this you would be able their there- there- own them on 13 and grant with 5,000 previously previously son- son- silicosis tinue tinue the study They had written me study necessary experimental work which in the included study pasumonia After body immunity immunity asking me in 13 and pasumonia breath amy pasumonia this program 'me I could next next simultaneously thm sentime sentime with your prese ant contribution next years and persuaded putting -4 it up contribution chiefs can be done and feel that They there are putting it and seam to feel that there is is prospect prospect of : geod Prospect ef ou renewal renewal appropriatiheotne agnodinaglreqaudiyt before before the position with sards on the table and may not However to something something when . However ing assumed assumed that you you feel feel able something to " not with hete going don't don't them them bargaining have be bargaining bargaining with lay done so mith do , apropriation apropriation appropriation described described table et at the this end of The month Desters Hedonnell Conferences Conferences siliconis Sarunas Sarunas week Dester Lanza says that that on siliconis had lunch with Dester company three June 30th representatives of Association Association Gardner Gardner Association Mutual Mutual Casualty Companies .. . DuringDuring from Secretary Secretary During repsentaives notifying received luncheon Asmeiation ef of luncheon notifying the him recivd Association notifying favorably gent grant of inclined inclined to yeAsma eiatr ion s favorably to for for increasing this also possibly possibly possibly increasing removal of was the grant the mount . It increased represntaivers the representatives Association Association present to increased epresentatives havethis represents represents the National 20 Hr Albert Whitney at a meeting that we soon as I hear of any further action are to have this week As sball inform you by the casualty companies J, . . with The question of escupational diseases which are tuberculosis is of more importance day to the associated firms and vage of 5,000 We per therefore recommend that this Company's appropriation year beginning July 2,1934 he renewed for 3 possible and for 1 year anyway years if June 29,1934 G -* : Cee = came ae - to weer 8 September 24 1983 Dr. F. V. Heriveter Surgeon U.S. Bureau of Mines Cooperative Fisher Okla -liais Dear Dr. Berivether MaGeanell is isavin hare of the 14th to to tee ce Dr. Pittsburgh and from there he will ge to to sad and then to National Safety meet at St. Bonn Boe nne Terre Picher where and free there Indianapolhieswill arrive about the first He will telegraph you be pessible to have definitely about the time I presume it will to fisher Fred meet his Joplin and bring him down He is bringing some rtaheym wpiictthuryeosu obfutasibtesitsosniost cfaesaessible go over for Mack and no to be amay from the office at the same time to fort Borth for the A.P.M.A. waich you I am going of October From there I am going w ends about the 30th know up it is I come to richeart but if desirable can Houston and then beas, visits to Pismer too long I do not like to postyme my is ill difficult for me to get away sow Dr. Bright but it is very the office continually which necessitates my sticking I will see Sayers at Fort Worth and York Anyway with his. Maybe we can g to Ficher talk things over with best regards I am Sincerely A. J. Lanse R.D. wwe Uhalhl Si ble dae badbab. vo. eer.) Xone Bureau of Hines operative Ulinis Pliber Jkl~ January 17 2331 Dr. A. J. Laash Assistant Nedious metropolitan Life Director Ins w Dear Dr. Wastet I finished reeding the plates of sabestais sabestais cases that x sent down I wish to apologize for the delay in getting these plates back to you but following the Christmas holidays we have been short of doctors and have had a rush of were inalientei ta th ublish- atat of a rustling card syston in the field wizn has sept us I hope that the delay has not caused you say in + juvenien39 retations have boul attacked to me film and I will forward very busy 47 10lerthe films to you by express Monday the 19t i wish is by that this is the best set of distuirmearse 3000 in a big time They are sell made and the tossuique is that sed for the detection of ills and asbestosis which gives the best resuits The group shows a very aigh persentage of asbestosis ant fes cases of housed or stive seated uberaui.sis uberaui.sis desever the number of tuberculare compared with the number beving asbestosis is small One of the surprising things to to is the large number sita svidence of heart disease and i sa vendering if this bunch like the Plier Plier bunch vi hot soos a high incidence f venereal infestion sv kilis sv kilis n^ f the sases in articular mas a great fee of avilence of lung ataul gythat I believe is either a chronic vue fibratis tuberulasin tuberulasin sy hills and i sa inciined is believe that it is ay nilis as Ngather the spiresbotal infection of the lung is of the / Vincent as me.levet , aratasLaka Jr t^n^believe a^refr^& strmih .f the a 16 tha's 1986 a oitive desmerngan muzey Little 1ifferen'e frm point of viOU 8 M^e2898 SHOU BL'Aed laprovN ULL Geo tion of araphomenites |he jerrventstoe AINLGL Fe8- been very g I cave maje ad very such routing NOBO * We | ce odvery interesting and i will be 213 213 12 Pad OGY > are Bat37% BBve. Youre respectfully 0 8. f Merisatuor U.S.P.1.1 Surgeon is harge 5.3.Bureau of Hines PA.Suemen U.S.P.1.1 GROUP DISURANCE ITS ADES AND ITS PRIVILEG When the first group insurance policy went into effect sixteen years ago a new gateway was opened through which workers in the industrial and commercial fields could secure insurance protection Through the coopers- tion of their employers a new sons was provided for these workers to guard themselves and their families against the major hasards of life without at whe whe whe eet physical examination regardless of age and smell The only stipulation of the new insurance was that it had to be written on fifty or more workers alther at the employer's expense or at the joint cast of the workers and their employer Then the cost was thus divided seventy percent of those employed are required to enroll under the arrangment The cost to the individual employee when insurance vas on & cooperative basis was at a rate muck lower than he could possibly hope to secure for himself on the open market From 1911 to the beginning of 1927 hundreds of thousands of workers passed through this gateway Small concerns of fifty or more workers and great corporations such as the Southern Pacific the St. Louis Francisco Railway and the Gmeral Motors Corporation have been enrolled on the books of the insurance companies writing group At the end of 1926 there was in force in thirty companies writing this type of insurance 5,425,789,0 0 5,425,789,000 Many individuals of the thousands who are now protected by group insurance would not ordinarily be eligible for group insurance proteo- tion becausoef their age or physical condition Man exposed to the unavs'd- she strain of shop and factory are likely to develop physical weakness Mere over, great ere of the fail to insure their lives when young and free 6 forbidding cost when they grow old Group Insurance veeps aside all these when working obstacles providing this greatest of needs of me beyond their , -- -- -- -- ---- --,, daily bread and shelter The employees of practically eligible concerts in Orlahows Orlahows are covered by group protection In the Tri State District the Metropolitan Life Insurance Company has written contracts on the following - Black Hank Mining Company Lead Childress and Zine Company New Chicago Mine Corporation Golden Red Mining and Smelting Corporation Century Zine Co. * Commerce Mining & Beyalty Co. Crystal Hineral Trust Federal Mining & Smalting Co. Skelton Lead & Sino Co. * Vinegar Hill Zine Company The employees insured under Metropolitan Metropolitan group in addition to the insurance privileges of the plan are provided with trained graduate nurses when they are ill or injured provided they live in one of the 4,000 Metropolitan nursing omters These nurses call at the homes of the employees remektedi teressify carry out the doctor's instructions and instruct the family in the care of the patient during their abomen The Conversion Clause Every man needs as much life insurance as he can possibly carry for his wife for his children for his home When an employee quite his work his protection under the group plan terminates but in all companies he is given the privilege to continue his insurance under a standard contract by paying an appropriate premium and this be a do without physlesi szumination He must however apply for his insurmee before thirty days have elapsed Han leaving the servions of companies which carry group insurance for then or woperate with them in providing insures for themselves and theirwid a fmilies should be very careful to take advantage of this conversion almes There is no physical exmination no red tape It may seen salvation for his family ~ help when they need help most " gr LanLma'snm's Companyprofesional Service3 development Policyhders CompainyPnudluisctyrhioallders Ldaenvee'lsopmeleaventthe industrial Pulicyholders Division Lane's kry Occupatimal Industrial Industrial became Hygiene Lause's establishing industrial industrial Pulicyholders eoe e if Ms E : re Dr. Lena is the exther of as exthoritative textbook as industrial hygiene an outstanding scientific treatise on alliscis and asbestosis and of hygiene articles in the industrial bygiene and public health field Rr Lom is a prominent member of industrial hygiene committees of the Ameri Medical Association the 5. 3. Chamber of Commeres the Air Hygiene Foundation the incris Public Health Association and other agmales B. R. ArmstroXn.Bg. Halaf nd u Har lfue re . Tr Anthony J. Lanza associate medical director of the Metropolitan Life Insurance Company retires December 31st from his Metropolitan post after 23 years of association with the company He is an outstanding leader in the field of industrial hygiene and a recognized authority on silicosis Upon his retirement he will assume full duties with the New York University Bellevue Medical Center as chairman of the Institute of Industrial Medicine and professor of industrial medicine in the College of Medicine For the past year his services have been loaned by the Metropolitan on e part- time basis to the medical center His career is marked by service in both World Wars During World War I he served with distinction in the U.S. Public Health Service and in World War II he had an outstanding record in the U.S. Army attaining the rank of colonel in the Medical Corps and receiving a high decoration Dr. Lanza was born in New York City on March 8 1884 the son of Manfredi and Clara Hammond Lenze He received his education in Washington D. C. where he attended St. John's College and George Washington University being graduated from the Medical School of the latter institution in 1906 He entered the service of the Metropolitan in January 1926 as an assistant medical director In conjunction with the late Dr. Wade Wright he was in charge of the industrial health service of the company's policyholders service bureau Later he was associated with the welfare division of which he became executive in charge under Second President Donald B. Armstrong Dr. Lenza was appointed associate medical director in February 1945 Turing World War II Dr. Lanza served for more than two and a half years 2 in the United States Army Medical Corps His service covered the period from March 12 1942 through December 1944 when he resumed his connection with the Metropolitan Commissioned a lieutenant colonel less than three months after the Pearl Harbor attack Fr. Lenza was later promoted to colonel He wes director of the occupational health division preventive medicine service office of the surgeon medical general His office had entire service in ell the plants owned charge of industrial hygiene and industrial and operated by the Army including Ordnance plants Chemical Warfare plants air bases and ports of emberkation These operated industrial plants employed at their peak about 900,000 civilians of whom approximately 40 health division was responsible for percent were women In addition the occupationa and maintained supervision over owned contractor industrial plants The occupational health division also maintained the Army industrial hygiene laboratory which was located in the School of Public Health Johns Hopkins University was under the direction of Colonel Reymond Hussey in Baltimore This laboratory The occupational health division was also responsible for the organization of the Armored Forces medical research laboratory at Fort Knox which was under the direction of Colonel Willard Machie Dr. Lanza carried out his assignment with such sterling ability that he was awarded the Legion of Merit Medal which was presented to him in April 1945 The citation accompanying the presentation of the award reads For exceptionally meritorious conduct in the performance of outstanding services from March 1942 to December 1944. Colonel Lanza contributed in a high degree to the development of the Army's present industrial health program for civilian workers in Army owned and operated industrial plants He organized for the Surgeon General a special health service which protects the health of almost a million civilian workers in Army industrial plants thus contributing to the - He is a member of the Cosmos Club of Washington D. C. and of the Sleepy Hollow Country Club Scarborough New York He is a member also of the following organizations American Medical Association American Public Health Association Association of Industrial Physicians and Surgeons and National Tuberculosis Association New York Academy of Medicine He serves on the following directorates and commiti Chairman Council on Industrial Health and member of Editorial Board Occupational Medicine American Medical Association Committee to Promote Educational Activities Among Medical Examiners , Association of Life Insurance Medical Directors Chairman Industrial Medical Committee Industrial Hygiene Foundation of America and member Board of Trustees Chairman Committee on Industrial Medicine New York County Medical Society Board of Directors New York Tuberculosis and Health Association Board of Trustees Trudeau Sanatorium and Foundation - Medical Advisory Committee Health and Welfare Fund United Mine Workers of America Nov. 28 1947 DEVELOPMENTS IN THE HISTORY OF INDOSTRIAL HYGIENE 1870 - 1900 I Partial List of Publications Books and Journals Hirt Germany 1870 Diseases of Workers Layet France 1876 Hygiene of Industries one of the earliest lists of Eulenberg occupations hazardous Eulenberg Germany 1876 Handbook of Industrial Hygiene Delpech & Hilairet France 1876 Diseases of Chrone Workers - Carbon Industry Mantigazza Italy 1881 Bisulphide . in Rubber Occupational Hygiene Gruber Max Germany 1882 Carbon Monoxide and Sulphurous Acid tion Apparatus Popper (Germany 1882 Germany Robe G. on Industrial Hygiene H. United States 1884 Asphyxiation with Respira- Hygiene of Occupations Ireland J.H. United States 1886 Preventable Causes of Disease Arlidge Injury and Death England 1892 in American Manufacturing and Workshops Diseases of Occupation Kobert Germany 1895 Lloyd J. Sanarelli Albrecht book of Industrial Poisons H. England 1895 Diseases of Occupation & Trambusti Italy 1895 Occupational Pathology and Hygiene Germany 1896 Weyl T. GermanyHandbook 1of89P7ractical Industrial Hygiene Handbook of Industrial Hygiene Sommerfeld Germany 1898 LaudenheimHearndRb.ookGeorfmParnayct1ic8a9l9 Industrial Hygiene Carbon Bisulphide Poisoning in the Rubber Industry - DEVELOPMENTS IN THE HISTORY OF INDUSTRIAL HYGIENE 1910 - 1920 WORLD WAR PERIOD Period of rapid growth in Industrial Hygiene began following the War I Publications Legge and Goadby Lead Poisoning London 1912 Lafont & Heim Researches on Industrial Hygiene Paris 1912 Goldmark .: Fatigue and Efficiency New York City 1912 Gilbreth F. & .: Fatigue Study New York 1912 Rambousek .: Industrial Poisoning Prague 1913 M^...nsterberg Hugo Psychology and Industrial Efficiency Boston 1913 Thompson W. .: Occupational Diseases New York City 1914 Price George .: Modern Factory New York City 1914 Collis E.Lo.n: donPn1e9u1m5ocPounbiloissisheDdus1t91D9iseases of the Lungs Milroy Lectures Kober G. M. and Hanson W. .: Diseases of Occupation and Vocational book, Philadelphia 1916 Revised by Kober and Hygiene Hayhurst 1924 Lee Frederick S. Columbia University The Human Machine New York 1916 Wright Florance .: Industrial Nursing New York 1919 Hill LeoLnoanrdodn S1ci9e1n9ce of Ventilation British Medical Research Council Mock H. A .: Industrial Medicine and Surgery book Philadelphia 1919 Journal of Industrial Hygiene International Board of of Public Health Boston 1919 now publishedEadtitBoalrtsimHoarrevard School Modern Medicine Chicago later Nation's Health later combined American Journal of Public Health New York City 1919 with preparing this man for HtyhdartaukliicndStoeDfaelpalritfmeent the kind of ionfdustthrey manywhiccohnctehrenys wochcousrreedgrloeudp Founda His first assignment sa Chief Surgeon was to take over the investigations of health conditions Grcepted and with Wilbur Sawyer who after- in the lead and zinc mines in the ward became head of the International Health district which had been Joplin Missouri Board and Frank Longley Engineer - set sail started by the Public Health Service but in 1914 were assumed by the for down under He was stationed in Melbourne the capital his Chief was Bureau of Mines There was an extraordinary prevalence of tuberculosis among the miners and Doctor H. Cumpatun Director General of Health Australia however accompanying it was an underlying was not ready for industrial hygiene supervision tional disease which they themselves occupa- on a national scale and the undertaking resulted and labeled miner's recognized con Doctor Lanza ez- in not much of permanent value The State of New South Wales established its own Indystrial amined the miners at a clinic established for that purpose at Hygiene Division which is still nearby Webb City and with Edwin Higgins Mining Engineer made active but it took the exigencies of World War II to demon- studies of ventilation extensive strate to the general economy the advantages of conditions temperatures and dust doing the same After a little underground His first report with Higgins published in 1915 covered the pulmo- more than three years - during which he had visited mines and factories in all nary diseases among the miners and their rela- and parts of the continent seeing tion to rock dust in the mines His learning and had ventured a published com- 1917 was on miners second in ment on his observations - Doctor Lanza felt consumption And his third with Harrington in 1921 had special that he had accomplished all he could notified the International and returned to the reference to lung conditions in the Montana area About the time Doctor United States He was thinking of going back studies the Public Lanza began the Joplin into industry us a Medical Director - not how- its Division of Health Service established ever for Hydraulic Steel as it had lost Industrial Hygiene under Doctor identity in a its Joseph Schereschewsky who as head of the Office of Field Investigations of Occupational Diseases merger - when the opportunity - to join Metropolitan Life Insurance Company as an Assistant Medical had just completed an exhaustive study of the health of garment workers in New York Director presented itself He says of this Fortunately for me I had the City When World War I interrupted the mining good sense to accept At Metropolitan together with the late Doctor Investigations centering in Butte Doctor Lanza was Wade Wright he conducted a assigned to the Laboratory Station in Pitts- burgh consultation service in industrial medicine and industrial under Scheraschewsky's direction He the beneft hygiene for was followed as Chief Surgeon of the Bureau of Mines by Doctor R. R. Sayers who had been life insurance was carried by his company associated with him in the Joplin and Butte Among those who worked with him side by side investigations In January 1918 Schereschawsky was given charge of the USPHS Division of throughout the twenty years he was with Metropolitan were J. W'm Fehnel experienced in Scientific Research and Doctor Lanza succeeded industrial hygiene and Doctor Wm J. MeConnell quiet capable possessor of vast wiadom him as head of the Division of Industrial Hygiene While the fa industrial medical matters freely shared when war continued this Division's principal concern the it would serve a need The varieties of working was health of the workers in munitions plants and the conditions with which these men became familiar which they lived and labored environment in were all that could be imagined and the problems In 1920 after thirteen they presented ran the gamut of the possible years in the Public Health Service Doctor Lanzs and sometimes nudges no impossible A soon- Medical Director of the resigned to become discovered relation between the problems and at Cleveland Ohio This Company in All its executives was an urnusual company to the inauguration of industry studies and were young men - hage was over forty and its labor relations and social and beginning with its survey of occupational pul- monary disease in the asbestos personnel policies were decades ahead of their time Being the head o^its Medical industry the Metropolitan group became distinguished for its was a comfortable joh But Destiny hadn't been industry analyses of the hazards to health in foundries potteries chemical plants the allowed him a year of it and then It making of steel and many other kinds of work the Interna tional Health Board of the Rockefeller In 1925 the Metropolitan Life organization . tion which had been arranging to set up a together with the Mine Operators Association the Public Health Service and the Bureau of Division of Industrial Hygiene in the National Health Service of Mines brought about the establishment at Australis offered him the position of Special Field Picher Oklahoma of the Picher Clinic for the Officer He promptly forther investigation of minema diseases and 428 Industrial Medicine and Surgery rkin~ vendita in the State area Kan- s^"sMissouri Oklahoma Two years later at age forty Dr. Leroy U. Gardner already distin- guished as a pathologist and authority on tuber culosis and pneumoconiosis became Director of the Saranne Laboratory at Saranac Lake New York and thereafter at Doctor Lanza's behest he and his Assistant Director Donald Cummings gave invaluable aid to the Picher Clinic in advice and counsel and by way of scientific research that brought the Saranac Laboratory into en- during fame Reports of the Picher enterprise are found in various governmental publications Doctor Lanza and Doctor Gardner became great friends and each was a source of inspiration ta the other Considering the unusual ability both passessed to inspire others in general this was a voltage relation The remarkable success of Doctor Gardner's Symposiums on Silicosis in bringing together scientista and researchers from all over the world owed much to Doctor Lanza's cooperation and reflected to an extent his international acquaintance among those who were interested in the pneumoconioses During the 1930's Doctora Lanas and Gardner together with Doctor R. R. Sayers of the USPHS who had sue- cended Doctor Lanza as Chief Surgeon of the Bureau of Mines were persuasive triumvir ata in widespread educational activities among the medical and technical societies industrial organ- izations and legislative groups aimed at bring- it was arranged that he would give half time we: ing about a better understanding of occupational diseases in their clinical as well as their compen- sation aspects Doctor Gardner died in 1946 at age 58 untimely taken in his brilliant prime At the outbreak of World War II Doctor Lanza on leave from Metropolitan was com missioned Lieutenant Colonel in the Offies of the Surgeon General of the Army and put in charge of the created Division of Occupational Health Preventive Medicine Service under the direction of the late General James S. Simmons who afterward became Dean of the Harvard School of Public Health This was an entirely new enterprise for the Army and it necessitated much reshaping of traditional attitudes regard ing the functions of a military physician The Nim McConnell who was charged with the re sponzibility of health supervision in the urdnance plants Under Dector Lanza's Division of Occupational Health were the Army Industrial Rygiene Laboratory first set up in the School of Public Health at Johns Hopkins under the direction of the late Doctor Raymond Husses and the Armored Force Medical Research Laborstory at Fort Knox better known as the Tank Laboratory a most successful enterprise headed by Doctor Willard Machle In 1942 Doctor Lanza was promoted to the rank of Colonel When he left the Service three years later and returned to his position at Metropolitan Life he left to his successor Colonal Leigh Cook the organized industrial medical program he had established in the Army This has been continued and for a long time has had its counterparts in the Navy and the Air Forca The Industrial Hygiene Laborstory became the Environmental Hygiene Laboratory located at Edgewood New Jersey Doctor Lanza ras awarded the Legion of Merit In 1947 Doctor Lanza was asked by New York University if he would be interested in organising an Institute of Industrial Medicine in ita Post Graduate Medical School This he considered a challenge and an opportunity he could not refuse and se through the cooperation of University authorities and Metropolitan Life his to each until his retirement from Metropolitan which under Company regulations would be due in 1949. At the start the Institute was part of the Department of Preventive Medicine of which Professor Edward Helany was Chairman After two years it was set up independently with Docter Lanza as Director and Professor of Industrial Medicine The Institute was successful in bringing together as faculty members a young and enthusiastic group both time and part- time and when Doctor Lanza under the Univer- sity's compulsory retirement system retired in 1984 as Professor Emeritus he left it solidly established with Doctor Norton Nelson as its able and energetic Director and Doctor David Goldstein Medical Director of The New York Army quickly became owner of all types of manufacturing planta and the operator of most of them the others being run by contractors twice Doctor Lanza's Division was concerned only with the operated plants but these pro- is not yet now duced ordnance airplanes chemicals clothing food and food containers munitions quartermas ter supplies and whatever else the Army needed and at the peak of the war effort umployed more than a million people about forty percent of them women Here again Doctor Lanza had the beneft of the abilities and services of Doctor Wil- Timas its Professor of Industrial Medicine Although compulsory retirement age has over . taken him at 65 at Metropolitan Life and at 70 at New York University the third time for at 76 Doctor Lanza is still active still interested writing and editing within his beloved held In addition to ether com- mitments he is Editor of the series of Modern Monographs in Industrial Medicine Grune & Stration now appearing from time to time One wishes he would pen the narrative of bis long and varied experience There is more June 1962 437 than the suggestion of drama in many of his catalyzer episodes Their stories all would he interesting and some could have definite value particularly those of his contacts with the mili- tury mind - which knew nothing and cared less about industrial medicine and couldn't conceive of an Army doctor in any other relation than us serving troops What he did and the fact that he did it are history but the firsthand account in uf four he did it could prove useful many places ^ nctor Lanza's thirteen years in the Public Health Service 1907-11120 coinciding as they did with the years of industrial medicine's most rapid and intensive growth brought him into contact with practically the whole range of perny its problems and his investigativa analytical and retentive mind stored up an encyclopedic knowledge of their causes and solutions This as the years were to prove was excellent scientific equipment for a long future as consultant The year or so as Medical Director for Hydraulie Steel reinforced his and practical background his temperament and special abilities furnished all else that was needed to make that long foture a successful ona Interestingly it dom not appear that such a future was the one he sougthhet re was even a period just after his return from Australia and while he was in an advisory him capacity with the National Health Council dur- on that one ing which the comparative security of a Medical Directorship in industry seamed much more attractive However it was the future for which because they are not indexed and mostly they be had been prepared and the Guiding Hand that had led him thus far was not to let him stray Industrial medicine already had consul- tants - in_surgery in_surgery diaguaris toxicology ad- ministration research occupational diseasen orders One reads This report was techniques in general But even sa there was the feeling that more were needed although what for was only dimly seen Tony Lanza's emergenes . was a sort of cumulative answer It was gradual almost imperceptible as it came to pass the suc- dust cessive needs he filled had a way of seeming to Another occurs appear tangible only after he had met their demands or quieted their latent threats And n^his progress toward the eminence that is hie was little noted as it went along and thus was unrecorded And by the time it was realized that he had become a consultant of such abilities ar gave new meaning to the term it was much for too late tinely memas on how he got that way ^ nreview however and because there is no hygiene alternat~ve something of a record may be at- tempted from several objective sourens One of these sources in the recollections of the ; many who have worked with him or have SERA him in action He was always a team worker never a cause man or crusader never protagonist in any individualistic purely Lanza enterprise The matter in hard was his only concern and his attitude toward it was objective his interest in it proportional to its value in the development of industrial medicina his treatment of it impersonal In his contacta with organized medicine grudgingis aware of the new profes sion growing in its midst and with industry in- terested but unconvinced he was the perfect liai- son Unselfish sincere plain spoken - sometimes when almost blunt his presence was felt even his part in what was going on was only the undramatic passiveness of a catalyst in the result Granting the catalyzer role he gave it his own distinction Whether active or passive in the action or reaction he left something of himself in it and added something to his own experience from it He was too forceful to be present without the one too sensitive to leave without the other The influence of his personal- ity was almost tangibly and measurably a quiet palpable centripetal force Impelling toward the center of whatever was in hand All this throughout the years built up second source from which with search and pa- tience the record as to Tony Lanza's place in the development of industrial medicine may be con- firmed This consists of the impressively large number of references to him items about and comments his work comes upon in the literature of industrial health occupational diseases and industrial hygiene comes upon occur in identification with workers and as- sociates or with the subject of the text An example is found in a reference to world re- view and evaluation of Silicosis and Allied Dis prepared by the Industrial Hygiene Foundation's Medical Committee under the leadership of its Chairman Dr. A. J. Lanza and brought together for the first time a practical summary of what was known and remained to be learned about diseases in connection with in- dustrial medicine in Western Pennsylvania he is named as one of four distinguished men who figured prominently in its development There are many similar allusions to his part in what ever was going on But much more numerous are such capsule encomiums as planeer in the in- vestigation of industrial dust hazards in the United States distinguished for long and in structive experience in industrial leader in the development of industria medicine in the United States and the world Students of the published material on occupational diseaseI and industrial bygiene encounter recognitions of th ksind so frequently and in so many contexts that they take them quite for granted as fittingly phrased and properly placed In the permaMENER 418 Industrial Medicine and Surgery of the printed word A. J. Lanza is an often- lived in the thirties that met and respected name there were also the influe . A third source from which information about ences of powerful personalitier and that these this man may be derived is the formal indexed had so much to do with the happenings of the period - in big affairs and little as to make account of the books he has to his credit the ad dresses he has made and the articles reports its truest history properly biography Tony Lan- za of and technical papers he has produced These are was one them and the Knudsen Award in- listed in several dustrial medicine's highest honor given him in chronologies Their texts confirm his distinction as indeed a pioneer in the 1946 was one of the ways his medical colleagues had of telling him and the world that they know Investigation of dust diseases in general and the identification of silicosis in particular His him to be so He was the seventh recipient of this Award The citation atressed his books include Silicosis and Asbestosis 1988 a extalyzer lender leadership But - the still definitive book in this field - and Easily enough when the Industrial Hygiene with Jacob leadership is less of leading than of being fal- Goldberg 1939 timing of his articles and reports lowed In this man's care it was effectively that Unmatched skill in unifying a positive genius shows the second half of them published in for enlisting the aid and 1933-35 the last two in J.AM.A. after which It seems that the catalyzer part of his work cooperation of thuse with whom he worked the with that pervades the chronology of the things he accomplished grew into first attention His continuing interest the results ; oe in occupational diseases however is evident from obtained with the credit shared his organization amliations He was a Trustee of equally by all these characterized the many awe years of days in which he did to the best of the Trodeau Foundation and of the Industrial his ability whatever fell to him to do we Hygiena Foundation and in the latter Chairman At the meeting of the Permanent Committee of the Medical Committee In the New York and International Association - Academy of Medicina he was Chairman of the on Occupational Health on the day preceding the official opening Commitise Industrial Health on in the Public Health American of the Thirteenth International Congress on Oc mittes in Association Chairman of the Com cupational Health at New York July 25-29 of stituta Pneumoconiosis in the American InMining and Metallurgical Engineers 1960 Doctor Lanza along with Doctor R. R. Sayers United States and Professor F. the member Committee on Health and Safety Miam Association in New York Tuberculosis and Knelsch Germany was made an Honorary Member of the Permanent Committee This _ brought to fire Health Association Chairman of the Industrial the number of Honorary Members only W. N. Hygiena Committee was a member of the Kranenburg Holland and Alice Medical Subcommittee on mission of the Pennsylvania ComCompensation for Occupational Dis- Hamilton United States being the living holders of that distinction at the time of the cases which made its report in 1988 and @ meeting And on July 27 1960 at a reception at New member of the Committee on Prevention of York Uni- verzity Medical Center Doctor Lanza was the Silicosis through Medical Control established by recipient of a New York University Presidential the of Labor in The Secretary AmeriAmcera icn an Citation for his leadership in the field of in- Medical Amociation's Council on Industrial dustrial medicine and his service to the Univer- Health established in late 1987 added him to its sity Some three hundred of his collespues membership a year later many of them delegates to the International Con- If they mention it at all the time chroni- gress on Occupational Health attended the cere- that Doctor cles of industrial medicine no doubt will consider mony After stating Lanza in 1947 be- it pure coincidence that the middle thirtim when came the first Director of the Doctor Lanza was University Medical beginning to be really effective Center's Institute of Industrial Medicine and in in his styled role as catalyzer saw the start of a remarkable spreading out of industrial medical programs among industries of all kinda This was clearly in the that be- re^ acted upsurge about then in the of the indus- gan membership trial physicians association From the lowly 1985 of 257 survivors of the dol- tries and other organizations Behind total - twenty 1949 the first Chairman of the organized Department of Industrial Medicine in the NYU Post Graduate Medical School the citation continuad Throughout his career Doctor Lanza's guidazes has both sought by many He has served as adviser in industrial medicine to many indus . ... ... any drums in which the average had been barely more - of the number members grew ta nevez times that many ten years later and then went on to double that in the next ensuing ten The economie * Influences then at work will be credited of and most course but it is within the memory of many who recital of datas titles and geography are those qualities that help make the man those around him have known the warm understanding the unfailingly perceptive intellect the unassailable Integrity wisdom of all the calm and steady A.D.CT June 1964 419 PLANT CURVEYS ANNUAL REPORT FOR 1942 of THE INDUSTRIAL HEALTH SECTION REx During the year 1942 nearly twice as many surveys were conducted ; | es in 1941. The number of different industrial plants studied in 1942 was 58 i As compared to 30 in 1941. As in 1941 firms engaged in manufacturing heavy metals comprise the major part of the studies with ore mines second The industries studied may be classified as follows Netals Ore mines 62.1 15.5 AsbeChsetmiocsalsplants 8.6 1.8 Quarries 1.7 Wood 1.7 100.0 te te, - i , The samples collected in the plants necessitated making 1,536 separate analyses in the laboratory Analyses have also been made as in the past of materials shipped to the laboratory from plants of our Group policyholders These tests were mostly for free and total silica A number of materials used in our Home Office buildings has also been analyzed In addition to the above surveys the plants or offices of three policyholders were visited and advice given regarding hazards or medical service Requests for plant surveys and information were received from Group policyholders and others in all lines of industry Te give an idea of the variety 20 1942 C 2 4 of firms which request this service the following are some of the more importent firms which we have served Armstrong Cork Company Consolidated Gas Electric Light & Power Co. Pennsylvania Greyhound Lines American Viscose Corp. Idaho Maryland Gold Mines Corp. American Folling Mill Co. Union Carbide Co. American Seating Co. Humble Oil & Refining Co. Tennessee Coal Iron & R.R. Co. Blackwell Zinc Co. Republic Steel Corp. Kohler Co. Marshall Field & Co. Vickers Inc. National Enameling & Stamping Co. Montgomery Ward Co. Bethlehem Steel Co. Pendelton Ship Iards Norfolk & Western Railroad General American Transportation Co. Kimball Piano Co. General Motors Corp. RESEARCH STUDIES / Ruberoi~ Co. Continental Bricing Co. Higgins Corp. Atlas Powder Co. N.Y. Telephone Co. International Business Br^denCopper Co. Florida Power & Light Co. Lewisburg Cheir end - Furniture Co. Norton Compeny 0.8 Leather Co. Virginia Electric & Power Coterpiller Tructor Co. - Manville Corp. Tayl& o Tayr lor Co. Bell Telephone Laboratorie A.P. Green Fire Brick Co. N.Y. Employing Printers Assoc Inc. General Electric Co. Monarch Machine Tool Co. Asbestos Textile Corp. . . increased Due to the number of requests for plant surveys resulting from the speed up in production due to industry's victory effort more routine work has been loaded upon the laboratory This additional work has left little time for research problems new type of centrifugal pump Cem 110-220 volts The laboratory staff did design and which could operate on A.C. or D.C. construct current a of TRAVEL CREDIT . . Juring 1942 The amount of money expended for travel amounted to 4507.57 However of this in the amount Industrial Health 4047.63 was paid Section . to us by the Group policyholders for expenses incurred by our men in the field while conducting plant surveys Therefore our total expenditure for travel for the year amounted to 459.94 ANNUAL REPORT INDUSTRIAL HEALTII SECTION 1946 Plent furveys . The Laboratory of Industrial Hygiene conducted conditions in the plants of our Group policyholders forty surveys of health Although this is a re- duction in the number of planta surveyed last year the individual plants initiation surveyed were larger and employed a greater number of employees Also the of a very large project- the curveying of approximately one hun- dred and twenty plants of the General Electric Company As woll is surveys of several other companies could not be included in this year's schedule due to the transportation strikes which held up for weeks trunks containing equip- nest and samples collected in the previous surveys plent A typical plant survey report includes a description of the processes construction and layout plant housekeeping and personal facilities disenssion of methods of sampling and analyses chemical analyses and other findings of the samples collected and recommendations for control of any health and safety hazards found Attention is also called to safety hazards concentratoioffontshe A section report discusses treatment etc. the health hazards - found symptoms toxic The samples collected in the planta and sent to the Home Office Laboratory necessitated making 2,494 separate such environmental factors as defective analyses Exclusive of illumination inadequate local and general substances ventilation and sanitary defects a total of 42 different ld ey known et wae 20 1946 1946 to affect ndversely the health of exposed workers was detected These con- sluted of duntsese ucheas s si il li ic ca a which in by far the most land prominent naboston manganeso solvents such as carbon naboston dimilphido titrachlorothane trichlor stimana trichlorethylene bonzol toluol styl methyl and butyl acntato maryl and ethyl acetate naphtha as well as hydrofluoric hydrochloric and sulfuric acids the year in order to facilitate and : expodite the survey work and to attain ~ the best possible accuracy in determining hazardous exposures These are o Mercury vapor detector a sound meter used to determine noise levels and a Geiger meter for measuring radiant energy Ventilation A ventilution engineer is Ventilation and exhaust systems now available for consultation in planning those or necessary revisions of in use new Home OfficeOffice Inspections refrigeration The Industrial Health Section and the Laboratory of Industrial Hygiene has continued to make periodic sanitary and industrial hygiene inspections of the Commissary Division These inspections include methods of proservation of food food handling and disposal dish washing vermin con- trol and cleanliness generally The office has also continued to be of assistance in such work opera- building lead soldering welding and tions as paint spraying and other operations where solvents toxic materials are employed throughout the ... Another paper by Dr. nitrotoluene Fatalities in the Journal of Industrial -7- 1946 McConnell entitled Summary of Twenty Tri- World War II appeared in the May 1946 number of Hygiene and Toxicology Conferences Conferences Durin the year Dr. Lunua hold sixty conferencon end Dr. McConnell held eighteen in the office with representatives of our Group policy- holders and others from health organisations Field Trips experience Dr. conferred Lanz with visited the plants of twelve of our Group management regarding nursing service poor policyholders claim and or other matters of interest Among policyholders visited were the Corning Glass Company the General Electric Company the General Motors Corporation Manville Elsoade Elsoade Company and the American LaFrance Fonmite Company Dr. Lanza thirty other field trips Juring the year for the purpose of conferring with the executive staffs of health organizations Government Bureaus universities other insurance componics etc. regarding methods of improving the health of industrial employees Some of the more importent of these trips were for the following murposes He had a conference with Dr. Dudley Irwin in ing the future activities with Pittsburgh concern- of silicosis respect to the aluminum treatment Medical Association He visited during the ing of the a number of Group policyholders on the Pacific first part of July when he attended the American armual at San Francisco Coast met- INDUSTRIAL HEALTH HEALTH SECTION SECTION Surveys conducted by Industrial Hygiene Luboratory Laboratory Inclyses made in aaa aaaaRIRESITTESETTSS Inspections Hose Office sete Travel 62 Crait eens teeter er e .2,494 etre ett R eee teeta nee eeee et neeeesecseeens eeeteeeesseaeereseteerenseceasssseees .42,405.26 .42,405.26 SpecialAniniqnucirreiaessehaonfdled by mail or conference OOOO tone approximately 125 over 1945 earccceseee PY 675 . aba RRA Literature sent Industrial Health Series Publications completely revised Cet eee e econ eee t ee SASEEI STEEP SETS recececcecccceeace Publications slightly revised Otte e tee eee see e cee eccccecenveceeeecs lets revised weet eee ee Ree publications published Other written and M eee eeewewas ene ceneocessesesesecuces OMe eee e see serenesoncsecace Conferences in Home Office OOOO een e eee ee ener ecewncccececesocncsens Field visits to Groups wee O Ree eet eee Cente econ eee rcceeceseesccencees field Other visits settee eet t Reet tere ee ee eeeeseesassetonsessenes Rectings attended by staff eee Ot CeO e et eee ee aeeesnrccesunseuscaceace 3,684 2 1 2 3 80 1 36 61 COCO Rees aan cecvoesouaeressoceee Dr. Lanza has been made a member of the Trudeau Sanatorium and Foundation Board of Trustees of the ^ ventilation engineer is now dustrial Hygiene for available in the Laboratory of In- systems and consultation in planning new ventilation and necessary revisions of those in use exhaust Wo have secured the The following are a ducted by the Laboratory services of another chemist few of the more outstanding in the Laboratory research jobs son- -2- 1941 The Rochester Gas and outline end Electric Compruy was visited by mr Felmiel to progrum superviso a for the study of atmospheric pollution The dusta and gen company in plenning to ornet a new steum electrie electrie ^ltet which rill toke about two yearn to build The eueratl~-y ^/etropolitan i lo muko of studies euch season of the year the normal dust counts und suprivice the study of the dust fell and sulfur dioxide concentrations in the City of Rochester before the erection of the plant After completion of the and then it is in plant production we are to supervise check studies to see if the plant causes any pollution of the air which will be detrimental | to the health of people living in the vicinity of the plant The Metropoliton was to do this work by the Rochester Gas Company on the advice asked of the Republic Steel Corporation for whom similar work has been done exposure A study was made of Fluoride generated by the the possible addition of sodium of employees to fluoride to molten hydrogen steel when pouring rim heat the extent of the The study nus made over a prolonged period to determino exposure of employees before this method of making steel was put into operation Recently a strike was called at the Ford Motor new Company due to complaints of employees who had been exposed to the irritating fumes of hydrogen fluoride generated at a similor process It is interesting to note that before any process is developed or any new materials are used in the plants of the Republic Steel Corporation the company requests the retropolitan to make a study to determine the existence of any possible naalth hazards deks in the carding room of the Monville Now Jersey plant of the Johns- -3- 1946 19461946 Suville Corporation to mon a mon eordin and spinning This in enother example determine the dust pollution tiut could be expected four different mixtures of embostos und cotton of tests being made by the Industrial Hygiene Lubor- plants story of contamalated processes in the ee ee ee . - of our Group policyholders be- fore being mit in production to eliminate potential health hazards any Triethylene Glycol Study . In certain areas in the now building Unit 1 the air supplied to the sections is treated with triethylene glycol as a method of air sterilization Te have taken air samples in the sections with the impingers und absorption tubes and made quantitative triethylene glycol determinations Considerable work was done in checking and adapting the analytical method used By adapting a special filter we were able to use our Electrophotometer in the analytical work in these determinations The results of our study to date indicate that the concentration of triethylene glycol and therefore no vapors in the atmosphere is not at positive ramilto are indicated nor the can optimum they be quantity expected A.P.GREEN A.P.GREEN Fire Brick Co. MANUFACTURERS OF & COMPLETE LINE OF HIGH GRADE REFRACTORIES July 11 1938 Dr. H. J. NoConnell Assistant Medical Director Metropolitan Life Insurance Co. Dear Dr. McConnell Upon my return from my vacation I found latter of June 17 and the report of the your was made of our plant this spring survey which I want to express the appreciation of our oCfomgpraenayt fvoralutehistoveursyinsplendid report which will be conditions I am correcting any hazardous dust glad to advise that we are now in- to stalling what we consider be a very complete as well as efficient dust collecting unit in the Tunnel Kiln Grinding Department The report will be most useful plant guide in carrying on this work in other parts of as the plant . through we have veys I consider that we are very fortunate in that our group been able insurance connection with the Metropolitan to get the benefit of one of these sur- Ostaley Yours very truly A. P. GREEN FIRE BRICK COMPANY !! Assistant Treasurer Industrial Health Section .- December 1937 Industrial Hygiene Laboratory hy Surveys of the following plants were made during the month by members of the Laboratory staff Northern Wire Division Uniontown Pennsylvania W. & G. Teylor Co. Cumberland Maryland Union Drawn Steel Co. Beaver Falls Pennsylvania Republic Steel Corporation The plant of W. D. Byron & Sons Hilliamsport Maryland was visited and inspected for the purpose of determining the cause of the poor claim experience Laboratory analyses of samples collected in the following plants of the Republic Steel Corporation were made during the month Northern Wire Division Uniontown Pennsylvania Kiles Plant Niles Ohio Warren Plant Warren Ohio Union Drawn Steel Co. Massillon Ohio New wire mills South Chicago Chicago Illinois W. & G. Taylor Co. Cumberland Maryland During December 33 analyses were made for zinc sulphuric acid silica lead ammonia dichlorbenzene calcium carbonate pax and solvents Reports of the surveys made in the following plants were completed and sent to the company representatives Warren Plant Warren Ohio Steel Union Drawn Steel Co. Massillon Ohio Republic Steel Corporation Home Office Conditions Samples of 36 cleaning materials used by members of the Home Office Building : Department were received in the Laboratory for analysis : : Inaustrial Health section During December 46 requests for information on the various phases of the subject of industrial hygiene were received and answered Groups , Republic Steel Corporation Niles Plant Niles Ohio The report of the survey conducted in this plant was Mr. J. A. Voss Director of Industrial Relations The survey sulfuric acio fumes in the air surrounding several operations not found to contain dangerous concentrations of dust - completed and sent to showed the presence of Otherwise the air was Republic Steel Corporation Warren Plant Warren Ohio The report of the survey conducted in this plant was completed and sent to Mr. J. A. Voss Republic Steel Corporation Union Drawn Sttel Co. Massillon Ohio . _ The report of the survey made in this plant was completed and sent to Mr. J. A. Voss The working conditions in the plant were considered to be good and : no health hazards are believed to exist W. D. Byron & Sons . Williamsport Maryland This plant was visited and inspected for the purpose of determining the ceuse of the poor claim experience The processes do not involve any hazard except for one where lacquer spreying is done There are a number of elderly men employed which undoubtedly accounts for the number of claims due to heart disease West Virginia Pulp and Paper Company New York N. Y. Mr. J. W. Towsen Personnel Manager wrote saying that his company is planning set up medical services throughout various branches Before any plans can be laid the number of employees and the policy of the company regarding the extent of the medical services to be administered must be considered Described the functions of a medical service and sent a copy of our booklet Physical Examinations in Industry and the physical examination form which is recommended for use in small industrial plants Dunbar Glass Corp. Dunbar West Virginia Manager Clarksburg Mr. Payne General wrote to Supervisor Jones of West Virginia asking for information on establishing a system of physical examinations among their employees Letter has referred here for enswer Plans for introsucing physical examinations in a plant methods of conducting them and a follow system . were described St. Joseph Lead Company New York N. Y. Mr. Andrew Fletcher President and Treasurer visited the office bringing with him ray films of thirty of their employees at Edwards New York for reading and interpretation Manville Vv New York N. Y. During the year 1025 ray films of the chests of employees of Quebec Plant were read and interpreted in this office This report was Mr. Vandiver Brown Attorney at the New York City office the Asbestos sent to Pangborn Corporation Hagerstown Maryland Mr. Bureau The shown through Stern visited the office with Mr. Barrett of services available through this Section were the Laboratory our Policyholders explained and he Service was International Nickel Co. New York N. Y. Mr. Brady visited the office different phases of silicosis and some through the Laboratory with wr Duncan of the solvents of the Group Division Discussed used in industry He was shown policyholders Dr. Arthur B. Robbins _ Bureau of Tuberculosia New York City Department of Health . New York N. Y. Requested information on the health hazards of the fur cutting industry He we especially interested in the incidence of tuberculosis in this industry Sent informati on mercury poisoning among fur cutters and sent references to literature on the occurren of respiratory diseases Miss Adele E. Yoe Health Educator City Department of . Health Louisville Kentucky - At her request sent information on health education plans in industry Textile Products Industries Chicago Illinois Mr. Glimm of our Chicago Group Office asked that information on writer's cramp be sent to Mr. Kasmark of the above company Described the condition the causative factors and remedial measures ; The Quaker Oats Co. Chicago Illinois ^ rE. F. Terras Assistant Treasurer asked that their procedure for making physical examinations be reviewed After reviewing it made a number of suggestions Crucible Sttel Co. New York N. I. Mr. C. B. Avery telephoned for information on the urine sulfate test for determining benzene exposure Described method of analysis given in a report of the Bureau of Mines along with the results of their studies and the references to them Western Electric Co. Chicago Illinois Dr. F. L. Smith Medical Director requested information on the vaccine treatmen of colds Sent a bibliography on vaccine prophylaxis of common colds and referred him to industrial physicians who have been experimenting with vaccines among their employees Globe Indemnity Co. New York N. Y. grinding silice Mr. G. Watts requested information on the and polishing operations He also asked Sent this information nature of dust created by glass for data on the toxicity of fused Standard 011 Company of New Jersey New York N. Y. Mr. Roy S. Bonsib Chief Safety Inspector requested information on the treatment of eye burns due to electric ophthalma Described the treatment and referred him to a good source of information ' Later in the month sent to him his request information on tricresyl phosphate Described symptoms of poisoning and gave the toxic doses which have been determined through animal experimentation ate tee erm 8 He es ame + Dr. May R. Mayers Division of Industrial Hygiene New York State Department of Labor New York N. Y. . ? ; Requested references on cancer of the bladder due to aniline Statistical Division's monograph on cancer and made a bibliography Mr. Donald C. Scott Springfield Massachusetts Sent the Came to the office for references on organic dusts especially jute dust Gave him our regular publications and a list of references on organic dusts . Travelers Insurance Co. New York N. I. A representative telephoned for information on air conditioning be air has a claim for sinus trouble said to conditioning relating to this due to His company and he wanted references Mr. Clyde .. Place New York N. Y. Mr. Place is an air conditioning engineer who asked Dr. McConnell to investigate the air conditioning system of the East River Savings Bank made an investigation and sent a report to Hr Place Dr. McConnell Marchant Calculating Machine Co. Oakland California Requested information regarding a solvent called Blacosolv Blacosolv is a trade name for trichlorethylene Referred him to an article which appeared in recent issue of the Journal of Industrial Hygiene and Toxicology which discusses the toxicity of trichlorethylene Mr. Herman Dean Canton Mississippi Mr. Dean is an attorney who is preparing a silicosis case and he asked if position suggested Dr. McConnell would testify for hin Explained that this is impossible and other industrial physicians who are in a to do so Portsmouth New Hampshire Asked for information on the toxic effects of fumes given off by fluxes during welding operations which varies greatly The kind of fumes would depend upon the composition of the fluxes Listed references mw et er ermree gts cee ns cee 6 . Requests for information on the following subjects were also received and answered Hospitalization facilities in Georgia Sprains as they occur in industry Health education Physical examinations in industry Silicosis and other dust diseases Air conditioning in homes Metropoliten Foot trouble Arthritis - Coronary thrombosis . Value of good plumbing Effect of household dust on health Hernia Actuarial Division A report of Mr. Fehnel's visit to the W. D. Byron & Sons plant at Williamsport Maryland was sent to Mr. Dunlap Mr. Walling Premium Receipt Division Brought a sample of an abrasive powder to the Laboratory for analyzing Miss Williamson Welfare Division Reviewed manuscript of Multiple Aspects of Growth which was prepared for publication in a forthcoming issue of the Teacher's Bulletin Mr. McConahay Home Office Service A study of the illumination in the Premium Receipts Division was made with recommendations for improvement Dr. Armstrong Welfare Division At his request prepared a letter on state medicine Mr. Vane Statistical Division Sent information on lifting and the maximum loads for handling Mr. Perry Group Sales Division Sent information on the health hazards of radio manufacturing ee Ee Oe en Oe ee we ee we coe Interviews Mr. Carruthers Editor . Safety Engineering New York N. Y. Called at office to discuss the purpose of the new Bureau of Hygiene of the City of New York Mr. J. J. Bloomfield Passed Assistant Sanitary Engineer U. S. Public Health Service Washington D.C. Mr. Bloomfield is Chairman of the Industrial Hygiene Section of the American Public Health Association and he called to discuss the work of the Section for the year Mrs. Furst New York N. I. Mrs. Furst is an assistant to Dr. Leopold Brandy of this city She came to the office for references on industrial fatigue in connection with the speed systems used A young chemist from RochesteNerw York came to the office for information on lead and arsenic poisoning from sprayed apples Publications The booklet Health Protection of Welders is about ready for reprinting and revision of some portions of the text has been started The Industrial Health Section is compiling a catalog of trade names chemicals which are being used in industry The information gathered in this is available to members of the Welfare Division whenever they wish it of the catalog Literature pieces from 100 . During December 280 pieces of literature were sent out were sent out through Welfare Division order this office and Letters Incoming 211 Outgoing 120 Director Health Industrial ee ee Section carne oat caedi' ve Name Section a: Date se Date Name Section ? LS ~ Ip Ip Ip 1 =a : 3 3 q : pas . ~< . rT we pay Cring Cring Cring pay Cring Cring 1 11/26/20 fF 11/26/20 . 11/26/20 ws 11/26/20 *e 11/26/20 bas) 11/26/20 x 11/26/20 > {&e Cring Cring Best Best Best Best 11/26/20 : The 3 > , % 4 ae roy Medical Medical Wheatley WheatleyDiv WheatleWyheatley Dr. G. M. Wheatley Acristant Medical Director Medical Division 10Mrs RE Johnson's CUMDEDY - 43 2 G Geverford Geverford Geverford councoun - thations As you requested I am sending a showing among other things the death group list of claims on this age at deeth and the date of ' Quitec Quitec Quitec Carra Carra temple This 1641 Canedain 43 775- 576775- A 775- the 750 cofilan 750 1944 group is operated from the This group was written in 1929 at ever since However the rate is renew- al date July 1 1944 . Head Office T + 12 which has been the to be increased to T 5 3 cofilan of 730 } G. Morcroft Tumisen Tumisen Tumisen heve jie . " we " rate a of Morcroft Group Life & Health Record Section Actuarial Division Division June 23 GM 1944 GROUP LIFE CLAIMS . GROUP NUMBER NAME OF GROUP 406-41 ( G2 JOHNSON'S COMPANY UMBER NUMBER DATE CLAIM CAUSEDISABILITY Tneome ee ne ee on, --77 3-31-44 AMOUNT REMARKS 2148 | 73 | 5-0-41 | 49 DTH Tuberculosis 2247 479 11-26-41 54 | 4 Arterio sclerosis 2251 322 12-0-41 77 , Disease of Coronary Arteries 2252 | 726 12-0-41 34 |" | Fulmonary Tuberculosis 2297 | 515 3-2-42 11 | Accident 2312 2332 2341 2342 2388 | 1573 | 3-13-42 " | Accident | 1378 5a ]* | Syphillis _ | | | .86 5-12-42 Acute Peritonitis | . | 1384 # It | T. 5. of respiratory system | 966 | 8-28-42 8-28-42 54 fo | Asystolic 2400 2456 | 1390 | 9-25-42 |" | Pulmonary Tuberculosis | 143 1-11-43 | | Cancer 2538 2573 | 1154 | 433 5-21-43 7-1-43 24 ft 64 | * | Tuberculosis Cachexia | Dis of Lyocardium 2589 947 | 8-18-43 31 | Tuberculosis | 2590 | 481 8-18-43 | It Pulmonary Tuberculosis 2609 785 2700 | 523 | 9-21-43 34 | 8 | 2-1-44.63 | * T. B. of respiratory system | Pneumonia 2702 153 2708 | 1888 | 2714 571 2-2-4465 2-7-4463 2-14-44 | | Arterio Sclerosis | * | | Heart attack | Heart trouble $ 2,000 1,000 3,000 - 1,000 1,000 1,000 413 1,000 783 |* 1,000 1,000 2,000 352 2,000 1,000 2,000 489 1,000 2,000 1,000 1,000 +2101 167 TOTAL DEATH FAID - 4-19-4448 4-19-4448 | DTH Dis Coronary Arteries Farm ACT 478 1997 eee, $ 26,037 5,000 Pend asof 3-31-44 | . Te pee mee ee ee ACTUARIAL DIVISION < GROUP LIFE CLAIMS GROUP NUMBER NAME OF GROUP 4-6-42 G2 * JOHNSON'JSOHNSON'S COL PARTY NUMBER | NUMBER | DATE | AGE CLAIM CAUSE DEATH 616 628 654 6th 696 699 710 711 747 1384 9-12-41 R DIS Pulmonary Tuterculosis | 785 5-4-42 32 1 | Pulmonary Tuberculosis 1037 = 5-21-42 | * Pulmonary Tuberculosis 1397 = 8-31-4236 8-31-4236 | * Pulmonary Tuberculosis 1159 3-17-43 * Pulmonary Tuberculosis 128 = 4-2-43 8 8 7 | Pulmonary Tuberculosis 293 5-20-43 70 a | Right hemiplegia & cardio 1693 5-31-43 -- 18 | Fulmonary Tuberculosis 1540 3-20-44 18 | | Tuberculosis 3-31-44 AMOUNT REMARKS % 217 511 663 1,000 148 1,000 1,000 1,000 1,000 - DDC DDC Z DDC DDC TOTAL DISABILITY PAID TOTAL DISKEILITY FANDING $ 6,539 3,000 lh wr ge Ste S&S & DOE H4 Minimu First Extre Frmim for Group Life Insurance on Albertoo Albertoo Milling and Kenufacture Kenufacture of chestion Coul and T bric This will zaku record of a conference in r R. J. Temetz office industrial 0 October 30 1948 concerning the industrial basari in the arbestos in ustry William Presurt more Er Tone and fr J. William Fehnel Director of Inistriel Hygiene Laboratory and Field Service and the undersigned : After consicuration of the abortor inmate i goreral and based on r Fahnel's report to Er Perry with respect to the Timer & Levell Company Portrnel Quebec Canada and supplemented by our discissim vith Kr Yang pered byths Kr Fennal Kr Yang itions differ differ that if it is cesible where working or other con in the so in retry for purposes Group Life Contranco that the Turner & Focall Company co be accepto a tenderi risk without any estra promite required for industrial kemur Considerations , ich rompted this conclusion sores : following the sebestos 1. There are no backlog of spectosis cases since the employer the practice not hiring anya who m formerly employed in industry the other innate innate in which there is a what hasard 2. The dust count in the plant will be sell below the atch atch the basard actually begins to exist Mr. Pubel Pubel escured us hit opinion there was no nabostos hazard in this plant threshold that in S. Chest reya_of reya_of the employees are takes both at the origiral hiring and at frequent intervals thereafter Er Fahnel told cc that such reys are taken by a mobile thit which is brought right into the plant and ' it is not necessary for the exley wet- wet- either take time off from work or to saku any trip in ord rto avail themselves of the ray exei ini tieno ss corso corso occurs in an esbestos plant in this country 4. The employer ves starting out in this plant very much aware of the potential hazard and had taken active steps to eliminate ite tring the 5. Our exenience on Rumbestos for the Life last soven years et T rates has been aztisfactory sortion 6. Dr. McCornell assured fr Tane that Sr. their staker staker of the Lobato cas in his country which work he has been doing for the pent trarti peers they have not been able to find bry new casus developing and that the cases they live are not showing e progression Therefore we have decided to quote the Turner & Fowall C rez ut "T* Tatase to 1 file with the Hew York State Insurance Department onare in the classification of abertos milling and efecture of arbustos arbustos cori uni fabric from the mininum extra of 2 to Kefer to Fazu Office - It is intended that the T rate will only be considered for select in every respect and which measure up to the strict the Turner & Newall Company case and that for other cassa an extra premium of 2 or more cases which are requirements of there will be SESCSHESSEHHSHSSHSEHEETHSOHOHBHESTEDOHG W. S. Thomas Group Actuarial Division Dctober 21 1948 WST Turner Newall Company Montreal P.Q. Cinzia visor visor Mr. N. R. Perry Regional Sales Manager Mr. Gordon Pfeiffer Group Super- 19/8 nd 1 nude a visul survey of this plant on Tuesday afternoon October 12 ; fr Be not Jackson President who introduced us to Kr Anderson Kr us indyrson conducted through the plant and through his conversation showed many was familiar with the details of the plant processes processes af y that plant a The roof illumination is housed in story reinforced concrete building with monitor Skylights provide excellent natural illuzination while is provided by properly hung and spaced fluorescent tyapretliafimcpisal : ; The floor is of concrete in^"als an area of tan ucres Curling Ring Trans spinning und teisting Spooking Leaving of tape br^xe band material fl fl- of Legnesiz insulation and cloth - cutting to length for shiping shiping 3. Manufacture Manufacture Manufacture of holden brate lining a Reighing t izixing b Disintegrating mixing e Grinding drilling and finishing of bie bands f Packaging of brake lands for shipment 4. Asbestos cement manufacture BS is being installed invulating cement KALA 1. Textile Department This department is has a mechanical humidifying system in which humidified air to the is distributed roos through ducts Air is withdrawn from the room passed through the bag filters and recirculated to the room during the winter months in During order to conserve heat summer months the air is discharged to the outside atmosphere Cotton is opened by passing passing it through & picker textile department The opened cotton is mixed with of a balcony at one end of the department in a roon separated from the asbestos fiber opthe opthe flo r garnet A machine and a waste yarn chopper are used to recl These nechines are efficiently hooded and exhausted inruste materials The carding machines are hooded and exmmusted t prevent the dispersion of No dust control measures are appliedapplied to the spinning twisting and spooling machines and visually no dust of any consequence is generated by theso machines ~ Exhaust is applied to the looms and in some instances the harp is passed under a mater spray No doped brake band lining is woven in this departzeat This is of extreLe importance in evaluating the health hazards associated with the manufacturing operations in this department because the dope material usually contains lead compounds and harmful solvents The dope is applied by passing the warp through a pan of the material Naturaly solvent vapors and lead eczfound bearing dusts are dispersed into the work room atmosphere In many weave ra zsof textile departzents a greater potential lead hazard than en asbestosis uzur~ sas found we: 2. Manufacture of Lingnesia Insulation - The calcining of magnesium separate ro n The rest of the Any material spattered upon the out and dispersion of the dried carbonate dolonite is done in a rotary kiln in processes are wet and dust dispersion is negligible floor is tached corn a floor drain so the drying material is dust is kept to a rinizun The formed pipe insulation is slit and cut to length on circular sans that ure . rell exhausted f 3. Manufecutre of Holded Brake Lining The weighing butch cixing und begging of asbestos fiber generates soze dust at the prent prent time Although exhaust applied to these operations to prevent the dispersion of dust the system is not completo Until such tise that the exhaust system is fully installed respirators are furnished to employees working at these operations The asbestos fiber is zixed with binders and petroleum naphthu in a hooded und exhausted chaser . . SS i : mann JNM compicte The blended mix is then put into autoclavus to tre solution or the binders and is then folded on stem presses after which it is sized finally dulled for the rivt on grini koles and The grinding operations 4. Asbestos Coment kunufacture efficiently exhausted This process is not The type of machinery made indicate Services A well equipped hospital staffed by a full is maintained medical includes The program including months of all employees Periodic physical examinations examinations including for all employees on the basis of thres months six competitive on the degree of dust exposure of the employes chestX end end one competitive industries usbestos or these zi flictedwith any resinutorymos are locojtelocojte Factory Layout and Manufacturing Manufacturing Processes ProcessesProcesses undoubtedly the most notern and best klid out plint on the Azerican Potential lezlth Hazards The generation and generation dispersion types of machines a licationof exhaust hocds hazards otherthan a minimum dispersion is of all tyles gem 'rate of dust ure kit to e minimum of cust und of points of asbestos dust generation No jotential dust exposure were found Recommendations Recommendations = On the basis of observations ride of tions in this plant in comparison with the experience gained experience plants during the past twenty I years would recommend the that RetropolitanLife Insurance Comany grant this etsyany etsyany & any forms of group insurince Group Division of the Industrial kirector Leioratory ind Fi~ li AA | | | | Il | | i = | oe we i t | Ui : Ui | | ma|| nl | all NEW 325 EAST 38TH STREET NEW YORK 16. N.Y. YORK UNIVERSITY MEDICAL OF NEW YORK UNIVERSITY INSTITUTE OF INDUSTRIAL MEDICINE CENTER Mailing Address 477 FIRST AVENUE NEW YORK 16 N.Y. Telzphone MURRAY HILL 9-1580 Dr. Leans Bamgartner Commissioner Commissioner Department of Health City of New York 125 North Street Hav York New York Dear Doctor Baungartner enclosing I take pleasure in which speaks for itself a memorandum The complexities as well as of establishing labeling procedures are ia our hope that this neH^ TRA~ UMNEY be effective and unified sction the desirability apparent and it the basis for with best regards and best vishes I au Sincerely yours AJLale CG Commissioner J. Bl C Mr. Slocum Mr. Bowditch Dr. Wheatley A. J. Lens M.D. Chairman Institute of Industrial Kedicine Trichter < 325 New East Yor NEW 38th Street 16 I. YORK UNIVERSITY MEDICAL CENTER of New York University ' INSTITUTE OF INDUSTRIAL MEDICINE April 12 1954 Mailing Murray Hill 9-1580 Address 477 First Ave New York 16 . TO Dr. Leona Saumgartner Commissioner New York City Department of Health and This memorandum Lacquer Association tion has and been authorized is submitted at by the New York Faint their request for your Varnish considera- During the last few years un increasing amount of attracted to the problem of lead attention has been studies and poisoning among mali children Various cities of reports on this situation have been made particularly in the Baltimore Boston and elsewhere The emerged from these studies and general picture that has ticularly during the investigations is that small children par- summer months tend to eat the paint that flakes off railings verandas and walls in properties that have been allowed to run down and which are occupied by the lowest income group families This situation causes concern to the ticularly of our larger industrial public health authorities par- cities conversant with this situation shares The paint industry is also thoroughly in every possible way with the this concern and is anxious to cooperate effective in the cublic health authorities in steps that may be prevention of lead poisoning among children The American Standards Association has consider labeling of coatings and it can be appointed a subcommittee 266 to committee is being prosecuted with stated that the work of this sub- committee will gratifying speed It is expected that this report at an early date on standard labels for for interiors furniture and toys This will enable the paints suitable to submit these labels to the health paint manufacturers will meet the needs of authorities with the assurance that they any child health situation where special labeling is the For some considerable time lead paints have not been facturers of children's toys cribs and other furniture used by manu- small children The above designed for use by authorities are committee in which paint manufacturers and health represented has as one of its objectives elimination of more than a minimal amount of lead and other toxic paints containing paints are used for ingredients from interior outside is exposed to the weather painting where the paint DR LEONA BAUMGARTNER April 12 1954 PAGE TWO As one of the basic means of prevsation it has been advocated by Health authorities that containers of paint if lead is an Izbeled with a warning Label It is ingredient be . 18 no avail as far as the apparent that such e procedure will be families are concerned who continue to live in old down and decrepit properties , In this situation other remedies must be sought The paint industry is strongly opposed to the enactment of Labeling regulations by individual individual governmental varying that if various jurisdictions agencies since it is obvious the utmost confusion will enact differing local regulations for labeling by the variations in ensus labels together with inordinate expenses occasioned na between localities This would also cause extreme confusion in the handling of paint containers ributing houses through jobbers and dis- The practical and effective method of handling labsis for tainers is by national stansard This would enabis the paint con- manufacturers and dis- Sributors as well as the retailers to meet all health Year of controvening controvening the law requirements without The paint industry is very appreciative of the assistance that it has obtained from the epartment of Health in New York City and particularly from The Division of Environmental Sanitation The Industry will keep the Depart- nent informed of progress and is always ready to welcome any suggestions that The Department may care to offer JL 4. S. @aeg Laza M.D. Chairman Institute of Industrial Medicine Dr. ARMSTRONG . ASSISTANT SECRETARY This was hepared : 1/9/28 PICHER CLINIC Australia or Montana and Go to say of the hard rock mines of the world in Canada the United States the South African Rend or the big hill in Butte watch thousands of miners going to the mines where gallows frames and skeleton structures mine houses stand over well shafts watch them gund gund enter the onges which drop hundreds sometimes thousands of feet under . and follow them to the stopes and reises where they extract gold sins er capper lond from the veins of are that thread the earth while they stop Some of the miners walk slowly tingly for a rest These are th man whose lungs have and once in a been dusted They have ainer's con silicosia as the doctors call it because of the silica in the dust Some of these men too have tuberculosis as well The miners work in a dusty atmosphere for it is hard to and ventilate underground and hard rock dust arises from blasting shoveling boulder popping Much of this dust is controlled by water which is used in piles drilling and in wetting down muck which irritated Inhaling the tiny particles of inflamed and injured by the hard silice dust injures the lungs rock dust become fibreid A the like tissue develops which has none of the normal elesticity of lung Breething is impaired and as the disease attacks both lunga there is a power gredual lowering of vital , Shortness of breath coughing loss of weight and weak- ness out into a man's capacity of work when ainer's can or silicosis attacks him Miner's con is not infectious nor is it contagious It carries a great menace however because of the injured lung together with lowered vitality in the whole body affords an ideal condition for the development of 2 tuberculosis It is well known that ass with dusted lungs are eastly susceptible to tuberculosis When this happens not only is the miner threatened with early death or at least a more hopeless his workers his family and future but he the community is source of danger This infection is 1 to others factor of prime importance to the health and hygiene of the community . The hazards in hard rock nines sre se great that when work- er vante insurnace ^ spays extra for it page 591 of the Metropoliten rate book tells the story - Joplin Mo. lead and sine mines sheet ground miners speciel Class B no disability no double indemnity Several years ago the operstore in this particular sention which centers around Picher Okla and extends up to Joplia No. made a study of Group insurance One clause appealed to the particularly considering the cmditions they faced in the mining industry in the Joplin sector Group insurance could be bought without a medical examination regardless of age Many operators b^ught^"roupinsurance conscious of the fnot that Group policies gave the miners a necessity which cost so much under ordinary circumstances they couldn't buy na such protection as they needed Another thing that appended to the Joplin operators was the effective work the Metropolitan had done along lines of health and sanitation Many of the operators bought Ketropoliten Group insurance and about a year ago the Metropoliten initiated a special health service a cooperative experiment similar in is to other investigations made by the Company in Freningham and is the Thetford Hines ibout a year ago the Policyholders Service Burenu learned the United States Bureau of Mines would be interested in expending the Bureau of Kines clinic in Picher and in making a more intensive study of health conditions ~8~- so the United States Bureau of Mines the Metropolitan and the operators is the State region combined forces and enlarged the existing clinic As may of the operating mines in the lead and sine field which centers around Picher Okla ex- tending up to Joplin Mo. and Baxter Springs Kan re covered by Group policies the Company was vitally interested in community health problem which definitely effected the snortality and morbidity of its Groups ^ masorendus which embodied the suggestion for = cooperative cooperative experiment reached the President Would the Metropolitan be willing to contribute an annual sun for a clinic in the Picher mining region to study silicosis its effects and to formulete remedial acasures Yes me the laconie reply and the Metropolitan agreed to contribute an annual appropriation of 8,000 provided the United States Bureau of Kines contributed 8,000 and the local operators 16,000 The clinic was financed for period of three years It of fers free audical examination to all the miners in the district Its general pur- pose is to examine miners and diagnose their cases and to carry on educational work tending to eliminate silicosis and tuberculosis The building which houses the clinic was built by the mine owners Dr. F. V. Meriwether of the United States Public Health Service essisted by a staff of Government physiciens are conducting it On some days they ev mine eighty men and they expect to examine fourteen thousand before their work is through Two clerks interrogate the miners and fill in the information on an examination card The miners go to the ray room share there cheats are rayed by one of the best sachines parchaeable operated by a skilled technician Late in the afternoon Dr. Meriwether holds a conference with the other physiciens the ray films taken ~- <- the day before are put on view and are read in conjunction with the man's history of clinical findings and a final diagnosis determined Each physician has a investigations particsupleacrial field of interest in the and is gathering date for his branch of research Metropoliten Dr. A. J. the operators and Longa ho the United was largely responsible for bringing` the States Bureau of Mines together in os- tablishing the Picher Clinic says that the cooperation of the operitors and miners augers well for the investigation The miners and their families are practically all of American stock They are intelligent independent and industrious They are efficient end individually take out more rock then any other miners in the country Many of them prosper and it is a common saying in southwestern Kissouri that every miner is a prospective operator The wages are good It is to the interest of the miners of the operators and the Metropolita incidentally since the Company has Group insurance on most of the miners in the region to have a high degree of sanitation and good health is the region Lack of funds have prevented making investigations of sili- cosis comparable to those carried on already but the establishment of the clinie will result in a thorough inquiry into silicosis and its relation to tuberculosis tuberculosis Then the silicosis patient becomes tuberculous than is the time to watch the oase to see that the people rt hose and at work do not become infected The Director of the United States Bureau of Mines has given permission to distribute a leaflet among the visitors to the clinic which describes briefly and simply silicosis and tuberculosis their enture and prevention It 5 recommends e physical examination every six months for men working in reak dust examinations to be given free by government doctors of the health clinio As no harm can come from a man having trus knowledge of his state of health the siners welcome the chance to avaid long and serious illness and hardship Because the dinio has been in operation short time its results cannot be predicted at present but government officials believe that in scope and thoroughness it will stand out as one of the most important contributions to industrial hygiene o N.S.G. 127 ab METROPOLITAN LIFE INSURANCE COMPANY MEMORANDUM FROM NURSE'S REPORT Dr. Me Connell Industrial Health & SafetySafety Bureau To Xr Bonsigo office 2nd Pres Kavanagh From Dr. Lansa In Re Armstrong Cork Company Address Liberty and Mary Ste Lancaster 7a Date November , 1934 : my Business Mfg floor covering & sark products Number of Employees UTE 1000 Visited By Hortense 2. Graber Date October , 1934 Interviewed Mr. W. D. Custer , Persomel Ngr Kiss N. Brenner R.X. Company Nurse The following is quoted from report of service visit Both . Custer and Miss Bremer R.X. Company's warse were very cordial and recalled my previous visit I talked with Mr. Custer in his office and with Wise Breamer in the Medical Department Appreciation for our Nursing Service was expressed by r Juster and Rise Brenner Hr Custer said I know the service is entiafactory as no complaints have been brought to sy attention He further stated that through his department Armstrong Cork strives to give the me ployee every consideration and mentioned especially the service of a special nurse to the very ill employee Mr. Custer said that when he deems it necessary he wishes the sick employees to receive this attention Wine Brenner spends the entire orning visiting the absentees and refere to our sur immediately anyone show she considere needing Nursing Care iss Bremmer has been with the Company for mended her services fourteen years and " Mater highly com 7. He Connell tir Benniger In ret Armstrong Cork Company In ret COOPERATION OF OUR CLAIM DEPARTMEDENPARTTMENT F. Custer remarked that he guards our Group Insurance very jealously and is always alert to stimulate feeling of good will between H. Le I. and the certificateholder certificateholder As an example be mentioned a case of a Fittsburgh employee He said that the voman vap on leave of absence during pregnancy Through an error of Armstrong Cork her Group Insurance Was Cancelled then the employee made application for her sick benefit Mr. Custer wete to our Home Office explaining the ease instated and and the the error was discovered empleyse was re 7 . Hr Custer eaid that he was very much pleased with the from we and he considers a case of this sort the means tween the certificatsholders and our Company splendid cooperation of establishing good received will be In rel SURVEY OF LANCASTER PLANT FOR INDUSTRIAL HEALTH HAZARD Kize Bremmer informed me that Mr. Keen the Company's Safety Engines had not our Doctor MeCommell at a recent National Safety Conference and had discussed with Destor McConnell the possibility of arranging for a plant survey for lead hasard Vise Drenner said that as for se the Company knew ther was no Hanufacture but that there had been a discussion of a possible the Company wished to refute the statement lead lead used in the hasard and NOTE ' Apropes of the above during my conference with Miss Miller Reke Director oLfunesster Visiting Nurse Association she called to my attention that during the past year and within six monthi tine four Armstrong Cork employees hod died of a respiratory disease octer Staher the Company's doctor diagnosed one case no Pneumoconiosis the employees worked in the oxidizing departments All of I did not discuss the above with Hing Bromer Lauzi Anthony J. ~ MAGAZINE ABSTRACT 6 From The Library MATERIAL WRI IENBY DR LANZA ARRANGED CHRONOLOGICALLY sings. rock frist and its relation to Edwtsi thy relation J. rock Siggins, . 0.5, Abstract Engineering Engineering Engineering Mining Feb. 15 1915 Engineering Mining rict,Missouri, Journal 991381-3 Journal 991381-3 991381-3 Interstate sigration of tuberculous persons its bearing on . the public health with special reference to the states of Arizona and Colorado Reprint 285 from ho Public health reports , 80 25 < < . How & miner can avoid dangerous dise2863 Anthony J. Lanza and J.H. Fhite U.8. Mines, Bureau of, Miners! Circular, #0, 1916. L Bealth hazards of Journal otfhetuhestAamleAmericanricanp. uibnldiusc health ass'n Eisiourt. Cliner's consunmptt Journal of a Medicel Ass'n, 151251 June 1916 Siitcecus dust in relation ta Hissouri disease among minars ne U.8 U.8 of . Burean Hissouri Ae Bulletinothe2 Be U.8 Burean of nines - Bulletin 182 1917 116pp Kiners consumption study of 433 au gins Tos Tos southwestern oa Tos Pub " oa ~- Ja 1917 pp 5 80 or ta aaaa . boath 85 mins sanitation Underground UndeUrgnroduendrground emi sanitation journol, 104s 699-600, Oct. 4, 1917. , Association diseases Association and Canada of goverment labor officials of United States Proceedings Iowa, of the 5th annual convention Des Moines June 24 21 8 918 Washington Covit print off 1918. METROPOLITAN LIFE INSURANCE COMPANY wee woo eo os Ata19e41 1941 oatmtaicima se MAGAZINE Abstract To From The Library Carbon monoxide poisoning Modern medicine 145-46 medical journal 22 646 May 1919 Bane , July 1919 Pennsylvania Harrington printing metal1lM8uor2gn1itcaanla Pennsylvania 260 Prevention of illness In American among employees institute of in mines bulletin 146 435-7 mining Feb. and retallurgical engineers journal 107 851-2 1919 Feb. 22Same - Engineering and American institute of 1919 Discussion bulletin aining and 1481 670-45 1501 engineers 989-90 April June 1910 Kiner's consumption in the mines of report of an investigation made in tBheutte preliminary Daniel and Lanza years of 1916-1919 1916-1919 by Wash Gov. Kines printing office Technical paper 19 19 1821 U.SU.S.. bureau of , Health of the underground worker Scientific American monthly Feb. Bane and Metallurgy 170 1921 3 30 Feb. 187-81 1921 Equipment and personnal for care of National safety injuries news 9,14 Feb. 21 1921 Locatiopand Locatiopand equipment of modern Personnel St 1-2 industrial dispensaries dispensaries April 1921 Industrial hygiene Industrial Medical hygiene Medical journal of Australia 11 az. medical profession journal of Australia E1 691-694 June 231 234Aug. 24 26 1928 1922 Prausononiosis Vol 5 p 772-775 George Bluser editor Therapensis Therapeusis of internal diseases A new on the Billings Forchheimer Therapensis Therapensis 41seases New York Appleton & Therapensis , work based of internal 1924 Place of industrial hygiene Medical journal hygAieunsetrianligaeneral scheme of disease provention supp 1 304-806 May 10 124 Venereal diseases and the National conference family of p 204 Oct. 7Same social Hospital work Proceedings 1925 Saxe Journal social of service 12 201-206 1925 social hygiene 11 536-402 Py METROPOLITAN life insurANCE COMPANY Form Lib 21 Mow 1911 Cereeutayewes MAGAZINE ABSTRACT To From The Library Periodic health examinations p 508-606 meeting Assin of New York Central lines Symposium on periodic health surgeons * at annual examinatioenxamsinations presented 1926 Physical examinations Y Hailway age 811 Safety in welding when and why 872 Aug. 14 1926 Pulicyholders New York Metropolitan Life Ins service bureau 19277 Co.168 Health examinations ~ Co.168 Co.168 Health bulletin - North Carolina State board of health Oct. 1927 p 8 Status of silicosis R.R. Sayers E.R. Hayhurst and A.J. American Journal of public health Lanza 191 635-640 June 192 Study of silicosis in rock drillers United States Bureau of Labor statistics y Discussion p 48-7 1980 Bull 511 40-8 |/ Prevalence of tuberculosis in industry abstracts by A.J. Langa and R.J. Vane bulletin- July Safety engineering 60s 100+ Aug. 1980 Abstract Monthly labor 811 609-10 Sept. 1950 Digest Statistical bulletin- Matropalitan Life Insuran Co. 1930 p 6-10 Observations on industrial hygiene American Journal of public health The doctor and the factory Journal of the American medical ass'n 971 508-511 Aug. 22 1981 METROPOLitan life iNSURANCE COMPANY 8/29/22 8/29/22 Porn 21 Lil 1/18 ~ a _ $ _ . eee - emanate RO ' fe e- PEBRUARY 1927 -- The Frecident Frecident Frecident Frecident explainsi toat the Waited allons had reqiacted reqiacted reqiacted us to sperate with it tien uzi rezu^>lal rezu^>lal rezu^>lal zengires of the prevalence States Edresu of the Investigum of tuboreal sisand -- FEBRUARY 1927 *- silicosia the leat and sine mizes in Joplin Mo. ani further requested an agreement with the Bureau under which the Bureau will expend from 49,000 to 13,000 ani asking us for an appropriation of 8,000 a year for three ye^ri ~ The President stated that our death and sick claims had been very high showing's defieft whereupon the Committee appropriatei 8,000 a year for three years for the study of health and housing conditions of zino miners in operation with the Bureau of Mines On motion : Ad journei e + weaQen /OUT AIAL LU EOL TLL . Clark LS ttt ize GROUP RATE BOOK INDEX Loadings Industry Loadings forfor seaes Industry owe Contributiensinsurance insuriancensurance amounts GrGroouupp accidental MeansDeath Insurance for or Dismemberment Notes Group. _ i i } Industrial ~ eee liications eevee Rates Accident and Health LoOcacduipnagtsiofnoarlInidnussutrryanceNon- Loadings for OccupationalCovCeroavgeerage occupational occupational Occupational Canada - Coverage Rates . Group Hospital Expense oe Personal - lates - Dependent Insurance- U.B. . Canada ee Dependent Canada Insurance - Group Surgical ee Pates Personal Insurance - U. Rates e - - - PersonalInsuranes - Canada . oe Dependent Insurance j Rates - see Salary Allotment Inmarance Group inmuities Notes employer e ae employer and employee wee ratag benafita - and employee . rates employer only service benefits provided by * contributions Curreemnpltoyeefactors for retirement to retirement option prior dependent's provision factors for .... see. option te ee Maximm ; Employee Contributions ee cee pL Ordinary Rates = Ordinary Amuities 6.0.00 t! Jnla5 + aay, MINIMUM FIRST YEAR EXTRA PREMIINIS FOR GROUP LIFE INSURANCE ISSUED ON THE ONE TEAR RENEWABLE TERM PLAN TO COMPANIES IN HAZARDOUS INDUSTRIES Where one concern is engaged in two or more in- dustries any or all of which require an extra premium all the facts including an occupational analysis should be referred to the Home Office before a quotation is made The fact that some industries are not listed be- low should not be construed as indicating that no extra premium charge is necessary If there is any question as to the correct premium to be charged for any certain industry be sure to communicate with the Home Office before any definite commitment is made The minimum extra premiums for the industry are applicable if all the employees of the employer are to be eligible Where only certain occupational classes are to be eligible an occupational distribution of all employees including those who are not to be eli- cible should be submitted to the Home Office for pro- per rating of the classes to be covered . The prospect should definitely understand that all are provqaulotations subject to final Home Office ap- swpurar KIB FIRSTI TEN AR EXG TRA FRETT RATIE RPI ER 1,000 OF INSURANCE Annual Premium Fosthly freic , MINING Coal - Surface or Underground .] Lead and Zine - Surface of $ 3.00 $ 0.26 [ft ; Underground Other Metals - Surface or . Refer Ho me Office MMiinneerralasls Clay, Phosphate Salt , , Shale Talc Feldspar etc. Open Pit or Underground Does not include salt production where no mining operations are Involved mining 2 2 ee ee eee Quarries Stone Yards and Mills Granite Marble Stone Slate or any substance including Rock 3.00 3.00 3.00 .26 . .36 .26 SHELTING AND REFINING OF HETALS By other than Electrolytic Process than 2 Electrolytic ee es eee 1.00 .09 IRON AND STEEL , Iron ore Milling and Blast Fur- nace Operation .... 2.2.5. 1.00 .09 risks engaged in steel making , even though ing blast furnaces includmay be written without extra 10-17-44 Page 2 LEGITER pramium will IRON STEEL STEEL Continued AND Iron Foundries FoCuonndtriineused or Iron the industry ses] industry foundry other than foundry foundry risk foundry operationsfoundry involved composite composite b ary e be computed computed by receipt accupational complete accupational dis- tribution employees employees } TRANSPORTATION Airplane RATS PER Team atm 1ZS RANGR 1ZS RANGR Monthly tatteerce Monthly tontal $ $ 0.09 Subways Railroads Railroads Subways Steam RaRiailrloadrs oadsElevated Rail- Refer Terminal Stevedoring Railroads RTauigls- Stevedoring and Other Other Railroads Railroads and Terminal Railroads Railroads @ Rail- Rail- Rail- + . 7 Class 1 Lightering Lightering Lightering MISCELLANEOUS Manufacture Poisonous Poisonous Hydrochloric Hydrochloric Carbolic Nitric Prussic Refer to lone .09 tom 09 tom +26 Sefer te .36 .36 2.00 26 2.00 2? to 37 Manufacture Manufacture ana to Office Fireworks S ea a and Fishing Police Refractories Refractories Refractories DepartmentsDepartmeDntsepaDeprartmens tmeDenptarstments Manufacturing resistant chiefly fals silicate silica silica or Manufacture Manufacture Rockwool Bridge Sewer , Road Construction Construction Structural , Iron Woodsmen Buildings Buildings . . Loggers Loggers Buildings Woodsmen Iron ang Loggers . Loggers Steel oodsnen Bulldings, . and Leggers . . Refer Office $.00 or] 3.00 -26 Refer 1.00 1.00 Roem Of.09 Office 2.00 +09 Refer tc Some Oftics {Page 3) 5-1-49 Schedule of Minimum Monthly Premiums Per 10 Occupational Weekly Benefit No Industry Loading 5-1-49 Schedule A Applicable to groups which both s are on the Simplified Accounting System and b require that all eligible employees must become insured ( EGXCLRUDINOG UP Day Benefits Begin EXCLUDING Accident Sickness SICENES 8th 8th MATERNITY SICENS MATERNITY lat 8th MMATAERTNIETYRNITY ACIDENT 4th 4th ACCIDENT AC IDENT) 1st 4th Maximum Maximum Duration Less than Weeks Less 11-21 | 13 $ .57 $ .60 32 68 .72 32 26 35 13 63 35 26 73 .78 52 .93 1.01 i3 73 78 26 83 89 2 1.05 2.15} 13 76 .81 26 08127 93 52 08127 08127 21-31 $ .63 .77 1.02 1.02 1.02 .83 1,08 83 96; 1,23) 87 1.00 08127 of Benefits on Females 31-41 41-51 51-61 61-71 71-81 81-91 over and over $ .66 81 1.08 $ .68 84 1.19 $ .71 88 1.19 $ .74 .92 1.25 $ .77 .80 .96 1.01 | $ .83 1.05 1.31 1.02 1.44 1.08 1.19 1.19 1.25 1.31 1.02 95 .88 .91 96 1.00 1.05 1.10 1,14 1.15 1.20 1.27 1.33 1.40 1.47 1.53 68 91 967 1.007 1.05 1,20 1.14 01 3.05 1,12) 2.17 1.22] 1.29 1,24 1.32 1,37) 1,46], 2.53 1.61) 1.69 1,77 .92 .95 1.01 1.05 1,10 1.16 7. 1.20 1.05 1.10 1.16 1.22 1.28 1.34 1.40 1:35 1.42 1.50 1.85 1.06 1.88 |. 1,83 15th PagePage Page 7A 7A 15th 26 52 62 64 08127 19:365 1.1.0402 1.1.0550 1.1.1805 1.1.1056 1,1.2828 79 .85 .91 These rates are for Plans excluding maternity benefits BENEFITS : EXCLUDING BENEFITS GROUP GROUP SICKNESS AND ACCIDENT INSURANCE EXCLUDING MATERNITY 91 1,26 = 5-1-49 5-1-49 . Schedule of Minimum Monthly Premiums Per 10 Occupational Weekly Benefit No Industry Loading Schedule 8 Applicable to groups which have 50 lives or more insured at issue and do not meet both of the fol- ' lowing requirements ^ group is on the Simplified Accounting Systes And b all eligible employees | . I Day Benefita 5 Benefits on Females GROUP MaximumMaximum Begin \ SEXICLUCDINKGNESS Duration Lene than 91 { SICKNESS Accident Sickness Works05 Lene 11-21 21-31 31-41 41-51 51-61 61-71 71-81 81-91 and over 8th 8th 128 $ 60 $ .63 $ .66 $ .69 $ .72 $ .75 $ .78 $ .81 $ .84 .87 .87 .69 89 a4 88) 1.02 08 SICKNES 2.14] 2.20] 2.26) 21.32) 2,39) 2.45 1.52 KATERNIT let 8th 222 KATERNITIKATERNITI 222 ACIDENT .77 222 .68 .70 .74 .77 81 .84 .88 .92 .95 .99 83 87 .92 .97 1.01 1.06 1,11 1,15 1.20 .98 1.07 I.14 1.20 1.27 1.34 1.41 1.48 1.54 1.61 ACIDENT 4th 4th 222 AC IDENT 222 BENEFITS 222 77 83 87 92 97] L1.01f 2.06) 1.11) 1.35 1,20 BT -B4f 1,00] 2.05] 2,11] 1.17] 1.23] I.28{ 1.34] 1.40 1.11 1.22] 1.30) 21,38; 1.46] 1.54 1.62] 1.70) 1,78 1,86 1st 4th 222 222 222 80 .86 .91 96 1,0 1.06 1.11 1.16 1,21 1.26 91 .99 1.05 1.11 1.17 1.23 1.29 1.35 1.41 1.47 1.14 1.25 1.34 1.42 1.50 1.59 1.67 1.76 1.84 1.92 ( 0 15th Page Page 7B 15th 22 22 .64 68 .71 .74 .78 81 85 BB .91 .95 83 89 95 1.00 1.05 1.11 1.16 1.21 1.27 1.32 : - These rates are for Plans excluding maternity benefits GROUP SICKNESS AND ACCIDENT INSURANCE EXCLUDING MATERNITY BENEFITS OCCUPATIONAL GROUP HOSPITAL EXPENSE INSURANCE . The minimum extra premiums for the industry are applicable if all the employees of the employer are to be eligible Where only certain occupational classes are to be eligible an occupational distribution of all employees including those who are not to be eligible should be submitted to the H.O. for proper rating of the classes to be covered If a risk involves two or more industries on one or more of which an extra is required a composite rate will be com- puted by the Home Office upon receipt cluding a complete occupational analysis full analysis facts in- Any rate quoted on the basis of an occupational classifier- tion will be subject to change if the enrollment caras . secured show any material change in the occupational dis- tribution of the employees The percentages mentioned herein are to be applied after adding the extra if any is required for female and Caucasian benefits and not to the base rate for the plan sold Breweries wine manufacturers wholesale liquor dealers and wine merchants and distilleries of ethyl or methyl alcohol or of alcoholic beverages . ooo e 15 Felt hat factories . alcohlic 2s ee ee ee Home Office Furtiers 2 es we we ewe evv e Hot Metal industries melting and refining . 15 Lime cement and gypeum No Quarrying .....4.... 15 Marble and stone yards Granite to Home Office 15 If cutting and polishing operations are an important part of the work refer to Home Office Mines and Zinc in Joplin District . . Home Office Mines others eee ee ee ee wt te Quarries c ecee eo eo ' Home Office Quarries Others . . 2c eee ec ee te rr wwe oe 40 Railroads 2.6 5 se e e ew we tw wt wf Home Office Refrana d Strec e Street we two wer tw iHe om e Ofs ficeOffice Shipbuilding . w ee wee nn ane rere Office Tanneries w c ee ee tht tee te te eee wre on on . 15 Textiles and all operations fromthe receipt the Home Textiles Any and all operations from the receipt oof f the raw Office material to and including spinning weaving knitting braiding bleaching dyeing and finishing of product from cotton wool rayon hemp jute silk Woodsmen and loggers 0. 2 se ee eee ee eo 2 6 If a foundry is combined with other operations of a company whose primary business is not a hot metal industry that company shall for rating purposes be considered as engaged in two or more industries Foundry employees are those engaged in the occupations commonly designated 13 Foundry Core Makers Melters Molders Cupola Tenders and their Helpers men and Foundry Foremen Foundry Helpers and Laborers including among others Coke Heavers Ladiera Pig Breakers and Sandi ShovealneCdrlseaners Casting including among others Grinders , Sand Rattlers Snaggers Blasters Chippers and The above named occupations are familiar to in foundry work and no difficultydificulty should ing such a classification persons engaged arise in obtain 4-45 Page 8 - CLASSIFICATION OF INDUSTRIES Continued ACCIDENTAL DEATE OR OCCUPATIONAL DISABILITY wee ee INDUSTRY LIFE Minimum Extra | DISHENGERENT Kintsue COVERAGES TRANSPORTATION Taxicabs AND PUBLIC SERVICE CONTINUED Telephone and telegraph stevedoring Vater transportation excluding stevedoring - Ocean and Great Lakes - Inland waters except Great Lakes Vater works _ Annual Premium | Monthly Premium | Refer to 1.0 0.35 .10 1.0 .30 N.O. No. .20 N.O. 15 a Leather MISCMIESLCLELALNAENEOOUUSS MISCEL ANEOUS ) Asbenton willing willing and manufar of asbestos cord and fabric 8.0 Flabing Iceficturing bone Ivoryclock Iceficturing Iceficturing derp sea and bone a moleum resting resting goods 5.00 moleum divia~kopment Photographic supplies and divia~ kopment of moving pictures : Plastic produci^- pyroxylin amber other than pyrosylia manufacturim ln vincolaid luid fibreloid and celluloid PyTory Bockwool snufacturing 2.00 .1 1.0 20 ty : 10 15 aut g 1.0 . were tee Bubber 10 Balt wells and works no atning 13 _ Upholstering 10 | per 1000 In - the case of thone Industries which require a minimum Accidental Death or Dismemberment monthly premium in excess If of female Then the alaleus monthly presiu employee is per 1000 ill be reduced by Over 40 Init legu than 551 5 or maj .05 .10 Provided that is me event will the monthly premium be less than .10 per 1000 OCCUPATIONAL DIBABILITY _ COVERAGES .10 6.873 June 1951 Petmind in US A 9 -- RESZJARY 1927 ~- _ . New York February 23rd 1927 A stated mosting of the Committee was held at the Tone office this day at 3 o'clock o'clock P.M. * Pretent Mr. Williams presiding Mr. Kirby Mr. Knapp and Mr. Ollesheimer designated the President eve, ate ne e 88. ee . om Ps ahs os 8 -