Document vVx6dQG0ExG0Ger5ygYnxgweq

April 5, 1963 k fc - 6--. Hr. L. A. Pechstein, Assistant Secrctuiy The Philip Carey Manufacturing Coapony Dockland, Cincinnati 15, Ohio Dear Hr. Pechstein: Cjcc'.ipfition.~ 1 ?ln". 1th Precv',ti You vi 11 bo interest.- :l in tin*. reprints of the report of a study by Dr. .Tho:r/iS..l^v.jifn:cuvo,,that^j.\\g,.5t!i>}Xi5Xl^r^i^ ircbn;avy.. 19v>2j and will therefore becoae a part of the medical ''-ad occupational health literature. This vas based on studies and research done a ice;-, ti>..c ago and pre/ar.'-d for publication soau months ago. It vac part of the hnovlcihje and inf ora-ation that Dr. Hancuso and 1 hod an vc discussed vith yen the necessity for ar. occuoational health nrjr.rtt-i in vour c; .-.rations. The inrain:nnt of health that is involved began to shew up in h'orka-en's Co. .pa ns a Li on claims ir- tour open-tic ns four or five years o, and at that tii..e it cv.o feared this tr.-uld p.m-.* mgcar,rive 1 y more serious and costly and eventually evuid bo a ratter that your asnugraent vnuld r.rad to GoiVC. products. ; of on ;*.rt.:clc th.--.t appeared ; is byp?cni of and indicative ini c your products. These or th c fear of such a coneit Gt.pl :v i-a, but the crol eyes of a, or even o_ cuscc.c oz ye: usecn the p rob let; and have re as your Consulting lied leal Director, Dr. Kaneuso, uho is the person best quali fied to assist you in investiy.ntirr; the matter I to advise and guide you in solving it. Dr. l.nncuso end I will again discuss th?:.c ncittcrs further ct the time of our r.c::t visit. - Yours very truly, rv:v T v1 v. .^1 4 ( r.*"* V/. . .T\. .t /.r^r* . /iwOiw T7*<? 7*`~ -nc/ea Enclosures John T. Ccntlon, President 1 V i II I ' _ ;ll l! pi CSC'llt/i L iO1 Oi L 1 I - p ! [.*"! I "``ctu-r of September <>, it must he ir yy r.i.'. L 0 V 1 Co (r , . . ,> tJ 1.1. ~ u ,.A'.a.vv> previously had the m-.: vices that aie tlici c has been an "'' .i;;;;csln! .u-.J -n-' Vr:c at p i ub 1 er' .s re: iat i to nealth, nr. well a: claims over a per; evolve the rer-olu'. obr.cI'v.i C ion anti Ci ;1 - .* c a sc c ! a < .*. c and i i.-.p ro par con .-.id era hi c. t to i*. ac.ua 1 ly 1 the f nun due ion Cc.r c free rive :uj t he civ ir u r.:;i e i. t al : r.c tovs involved. The work that is to be cone r.usi be acccmn 1 i shed v,i u-' n *...... wol-I: or the cor.,-any policy, objectives and production operations ard inV"'~ manner that will be in accord with these factors. ` It is necessary that there be an overall plan of observation ar.J control': 1 I/3H- rar.-c deve lop.---*:vc of a plan- r ,r company wide observations relative, to sickness and c.ortality, data or ul;;or pic,its at / different -cor.raphica 1 locations, .1.1 evaluation of isedicai cervices in relation to employe exposure, ar.d the resolution . o potential oi; actual industrial health problems. . rr\s J 1.1 This would include over an extended period of time eventual visits to other plane locations for the study of exposures and analysis of health natters and potential or actual compensation problems. The evaluation of the type ar.d scope c medical' services as they relate lo the employe nee-os, an-J the e.> a ! e s of particular dcpa-rtr.nr.ts or operations in tcn.,5 of past experiences and futuic projections at the Cincinnati riant. This would include: (a) ' Survey end analysis of company policies relating to employe health and the medical and nursing services provided ever various time periods with appropriate leccr.-v.cndations. (b) Upidcmiolc~ ical analysis of the medic.-- recoicls, sickness J and absentee irr.i data. . (c) The deve 1 op.--.enr of a-1.r.-i-juale n./u'cls an.d r.cdical control systems where they bo not c::ist. * j Cd) Review ol! :*. icUncr.:: and r.iodica! data for reec.-n i t i on .and identification of potential or actual disability and ay,-;ruv.it ion of pie-bJ on::, and rcco,:.-. rnc'.M'ions where % . . possible, rel.it ivc to the ways r.;ui sirens of preventin' ' . or corvccUinvr the various situations. P'S JbfrM HfvJ/ vh. / P in Cmvuy of t !\c plant C nu i 1 i 1` laii r , nc i nn.i1. t tu n.-.r <. vt a i n .-.mi ..uppria.'u: actual or harmful covin :.n: i: i. Ji 1 L'.'icUu1:. rc 1 a t i.uy Co dust, fin'ss, i.ii.'f:;, /-,l*-.rr-, clc:., hich r..ny cause occupational disease of d isn'nL 1 i Ly. This voul ` include: . (a) Vicual.inspect ion of all cl up vtr.rnti r.nd operations nt various locutions and esc Mation of sizo of problem " and employe pupul.it ion expo*, d. ` (b) Determination of. t'nc nose re so liable approach and nrrnnp.ci::etit s for an c rip, inner n ventilation survey of departmental processes an-> analysis of various occupational exposures of du: ts, fumes, etc., in terns of concentrations and < nr,incurii-.Q recommen dations for control. * IV ` ' Medical consultation as a basis of mutual understanding'and a^rednent between nanar, erven c and labor for the resolution of problems and the development of accord on industrial health matters. This would ' include: (a) Regular conferences with the. Plant Manager, Director of Industrial Relations and Director of Personnel, to develop an understand in,*; and apprec iat icn on the part . of the medical consultant, of the past and current .. problems, which ir.-uir.^e directly or indirectly on industrial health matLers and related p4 roduction and, compensation costs. (b) Preparation of scientific reviews of: published data .and' abs t me ts of reference sources on particular chemicals, .the physiological, or tonic effects and recommended control measures, ' . ' (c) l'nrtJ.cipnlion in conference discussions with n.in.i(;cocnt and labor on specific questions relating to industrial health. * ` (d) ; ' Evaluations of data submitted at conference discussions or statement claims relative to specific health effects or specific chemicals, dusts, etc., or particular operations or departments. * * ' - 1- A v Jt-dicnl C(iiv'--vi! I .it'iun in the ev.-. 1 .lion r>f d : if i c.< l t nr special occupational il i clair..' ;i|'d :: nbi 1 j ty *.* rtc; unit; Co Cnio ond coordination with ncl'tuin al twicts. This t.-culd include: , (n) Study of clinical and medic 1 data of cases involved. `_ (b) Study of present and past c ployment data nr.;! depart- . mental exponurcs end corral, cion with r.ctiital fiiulin.;:. (c) Study o C scientific. literature for inf omr. t ion p.crta;.. ing . to particular problems. . (d) preparation of material for proper evaluation, of care by compensation authorities or courts. *f VI Statistical study and analysis cf life insurance an:! sickness insura: / records foe the detection and icentification of patterns cf sickness specific cause of death for the total plane population and for eptei: departmental and operational prccess pcr.u).ation cc-pariscr.s, ever th: period of. insurance coverage. This would include: (a) .. . Study of rmyloymont records of individuals or groups exhibitin'; sickness or mortality patterns for correlation analysis. . (b) Development wherever possible, estimating risks for . specific disability or cause oi' death for various* departments end a^c groups. "(c) Study of retired 'employes end ch.c mortality pattern, with correlations v;ith previous employment, departmental exposures and duracion of employment. t'