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r SCEDREE Ee ARUGZGy O35 3M Fluorochemical Control Study This is a report of a cross-sectional correlation analysis of medical surveillance data collected in 1981ofDecatur chemical and film plant workers and their total organic. fluorine levels. There were no statistically significant correlations reported between SGOT, SGPT, GGT, alkaline phosphatase, total bilirubin, red blood cells, hemoglobin and cholesterol for either the Decatur chemical or film plant workers. The report was reviewed by Dr. Leonard Schuman, Professor and Director ofthe University of Minnesota Divisionof Epidemiology Department (letter attached). Although this report does not specifically mention perfluorooctanesulfonate, it is submited as it chronologically followed the 3M Technical Report that observed perfluorooctanesulfonate was a componentoftotal organic fluorine in the sera of5 Decatur employees. 001713 wn To Fe Ac UBEL, M.D. - MEDICAL DEPARTMENT - 220-2502 Flom DE. ROAGH, M.D. - MEDICAL DEPARTMENT - 220-28-02 Sect Fluorochemtcal Control Study Ce May 25, 1982 oe Bi 3A SIohaeplreetveide.w fherations. oSftatthiest1i9c8a1l Daencaaltyusrisflvuaosropcehrefmoircmaeld In addition, bOyntRrioklerstRuedsyeahracsh been Miinnnteusrontar.evieved in the DeptahretmceonntcloufsioBnpsideanmigolsotgaytiasttitchael analysesDavteare University of oDDeortekueDehunirsptotosoreieposof.putlhaitsiosntugdryouvpass The Decatur atsosucmoemdpatroe nceerstiamiinlalroedxcecphtemifosrtrtyhetiersts iPPnluaatnsthereeCvmhipeelwmo.iyceaelsPavratsicionpataiovnolubnyptlbaaorntythbsteiheteesebveeig3m1o7PlleaonmgtpilcoaanyldeesstehleecCthieomnicfaolr TIunmbtehres sVteurdye. Smployee AlPtlhaontughandpar3t0i6ci(poauttioonf felt to be adequate w80o5)loownerthein Fithlem for stavisceciy pla(notuttooork kp5a0r)t Film Plant these vork vithiInn the the cFhielmmicPallanptlagnrtouvpasvitrhemomvoerde thon fron evaluation. tthhirseecomnotnrtohls Any history group. or PSahheovsseperhaalPtoatpseuesl,tatGirGoeTnsPsu)l,tvsesrosemuecchomapsarleidvevritehnzryemsepsec(tSCtOoT,thSeGPdTisatlrkiabluitnieon or Blood cell count), `choleshteermoalt,olaongyy lpaasytalmyctoerngsan(ihcemfolguloorbiinne alnedverlesa. pPnlhoaosnsutembamlnrodyo,dthotvseeestfIonruenstduhlentosFislbinegtnwiefeincanetmpldoigfafceerewnocrekiinng tihne distribution the Chemical of tSoiteanlifoircgaannticcorfrleuolraitnieo.n betwePelnantthecsoentfronet &rroeuspu.lts Tahnedreblvoaosd allesvoelnso of ouTuhereseifmlaurboelrseouclhtteosnidfceuamrlotnhsetrractoenfeivrimdeonucre colfini1c1ailnesismpircesdsiisoenastehat to date ve exposed employees. patterns among hEEefrafelomtrihtnsievtsahiloeuusaltditoocnoshnetlipnuelovtenr rbeldouocdingflueomrpilnoeyeeseveexrpeo"sureFollow-up nd AE satvrucotuuersteioonfs,thipvslielalpsreobgercaaclmoln.itsinpuerdeseantoly ruesguelrarrebvaiseiws.. Timing If there BFs/er 001714 5 Pluorochemical Control Study ftohroomsaejvoerralcheymeiacrasl hpelaalntth ptahsetseerncsvaluations was fo dpeervotadelurucmatitinioeonnswhseihttaehvsee.r boereTnhenocbpounradnpuyocsteedofat (1) 2nd to (2) tthoeoftehxdepiospseruaersseeencocfoeuledomfplboetyheedseeestecfttloeudocreortcthhaaeitnntmeiFagilhustorobeshosneilnactseed of the workers. sn the eiood CTnoooiadgaacdttdeiiotnnioonpoafaltttesottraunldioebfslodohidasdeaonsrogetanhibacseenfbleupeeonrrfiiondreemnetdi.fiedO.neHowawsevtehre, cpolnatnrtole.mployees. The other was to develop alesvueilsfaboine ohemtoal wfnaoospurnuennodcfentrtethdaekseebny batethcoaanmeapnlauavfnaaticltasubirtlieengwiinth198t1w.o seTphaeractoentdroilviesstaundyy m2ro0eb0li,aytlaiirvtdeyslyofalpaotrwhte.sienmcpAellloytewwoeesresebpe3aMtrwaepterenodsuitcthteeisotnwlooecmaspittleeodsy.aeepswp.arsosxadimeerpeely were tnvolved. manufacturing divisions JOcfommeppcaoerbreftdeacinwteirvbeel:oowdas tetsotscosmepeanreattheeacihncpildaenntc.e oTfhoasbenortemsatls. vaieluerse 21.. sSeGoPTr 3il. qAalpprhaline phosphatase 65.. HCehmoolgelsotbeirnol 7. Red Blood Count cilpinnoicramlalassweasssmteontb.e any variation , from normal despite npeottwheeenr othbejseectbilvoeodwastestto blood organic fluorine. sreeseulitfs tahnedrethweasleaveclosrroeflattiesonnl au"hnmiepclhocvheaeemmsoincgatlakoetphlaepnratrttheiimnnpglsaoysgienncaelprupadrleosxhieamaaltctehhleymiesv4ta5rl0yuapteioopnle.annuensssey treegsutlianrgplayr1stviicdsoiinpteastiaotbhnoearidnjoiatnhtecopmhlmeaeanrlttchiaslitteest.teisntgingts vavneprrwoufhniotsamecysoaThle 001715 SSFTtahonernaeln.urosriTgnhagensiecdeptfaelrsuttosmreinnwteeretbhlsropoodaucgehtdoeusttosvetrhwee1r9ye8e1adrraamwagrn SseebpoarCahteemliycailn ngorxege.arPneciathsuielonf.lfouroTrhitenhreeefaloneravele,ylstiaclcathlhaonugdgeehtdernsmolitonwadltryiaowndn.u'ssitmoounelLdteoalivnasayreisdaetnitontso in inaccureamciystriny tphreoficloem'patrhiissonwaswitnhotthtehocuhgehmtisptnryiepirnoemfoaiulsjelo.ry with p3e1r7soenmnpello.yees participated including severaloffice aEoTnrrhageeaanaFigiculsmlfylpulaobnreteinneeimnpbvlloooloydvsedtaepseptiritonhxgei.rmaitnHeelryheea6l0at0gh'aiPneevoapilcearatnodn,hadnornotin Ba2enrdoWuiRsjieitnmcathreyr.dsapye.rTsheedsIneaamedomdnpilgtoiytoehneesbclwhoeeormdeicfatlleusoptrleiadnnetinseaammpppleaiorauytceiaeccsipmoaantninotehnre was jaceoenantptrhrieifnuegrpdiuermcarw2en1tah0inendtrhatewankneunornspertsohmepsttvlaaytniotfnoo.llthoeTwhiemnugrbsiteohseed sfeeealemus.iosnrnpirtnoheteocFoillm normal rountgi,ne.packaging and deliver to St. peu' co 1s sthfeor C3pih0drr6eondtueicmftpiileoodnyeeawssorkhpeaarvrsit.nigciwpoWaritkteehddinanindthitwhseer"geroohauelpnmtooasnrtyyenetmiprleoyleye of e2e10mosnotlheslywefrielmrpelmaonvtedefmrploomyetehsi,s grouy crepaltaintngfaorsuobvgerroup fIanlefsuemrneanrtyl,y tpsting was fbteehlettwebeltonoodbtehefliudtoewnrotiinpcelaalnstaswm.iptlheisOntwheererhtaondolie;dblood three groups to be analyzed were: meen groups. The 21.: PFChiholepmmiiePclaaaylnhto'Plaaetnmtpolnoeeymeptelisomyeeienshcaldu(d3si1pn7e)gntapspormoeximately' 33% of 3. PTchthoeusmieiscuafslilmpelxappnloatsnutr(e3e0m6t)po.lotyheeeschwehmoicahladpleasnstetnitmiealilny innoe aattttaacchheedd. results and statistical analyses(2a1c0e) "me 001716 PRELIMINARY DATA ANALYSIS "ABNORMAL" LIVER ENZYMES FILM VS. CHEMICAL PLANTS TT LOCATION CHERILCA FILM Fw CMIHNEUMSPLWAONRTKE>R3S MION uBR TESTED [7 Tse [oo EMPLOYEES WITH 1 OR MORE "ABNORMAL" ENZYMES 37 (11.3%) 26 (8.5%) | 20 (9.59) NUMBER ABNORMAL TESTS 66TP SGPT ALK. P'TASE 24 (65%) | 12 (46D) 11 (30%) 9 (35%) 6 (16%) 7 (27%) 10 (50%) 7 (35%) 3 (15%) % OF ALL TESTED WITH ABNORMAL: 66TP SGPT ALK. P'TASE (7.3%) (3.4%) (1.8%) (3.9%) (2.9%) (2.3%) (4,82) (3.37) (1.5%) IF GGTP REMOVED FROM ALL TESTED % OF PEOPLE WITH "ABNORMAL ENZYMES" 5.8% 6.9% 7.1% || | i | || 001717 | - Dichs) = Bay chr Film dt Foe bos Fimst wf Jom 206 is CORPORATE MLDICAL CORRELATIONS BETWEEN LIVER VALUES AND FLUORINE S LIVER TEe ST || DEm CATUW FIe LM || DECCn AHTEUMKICAFLILMD WORWKITEE HKOSUT E || DECL ATUR TCIHETMIECRAL scot 11 lLs0109s1ue II 1L601306947 |1 =203,206s839) nl 213 Veal SGPT |1 =L06.al0s2682 |1 7072504664 1| =e04.7075440 es Gete 1.243 I 0.07622 ) 7mem en8 1 =0,0575 1=0.00369) _ meen |I 1540- fal Ere een v| Lyehov deme Lee em [VRaY eel einen ALKPHOS || -706.3001766 [1.s09t3r58 |1.l0e2s9z25 mmm f[I ed 1edyg idgU ee TelLl mmm f_ [| e=E0Ee.E05e 636 ei|1d =e06.2015ee69 1 |I =L06,u0s32291 Rac I1 =l0a.o0s9570 I1 =e03,6073386 11 =i07.9001872 Hsobommes1 en-0S.L086m24err1e=l0.l017e5m7anmmenennannnn1l7s=e0d.6i1i1m5m9mmennnnn 1 1402 1 +8080 I 8719 CmHOmLEmSTEmROeLe|rno.,E 03607 11 .040q 5d 1 11e -0.07620 | 15378 I is720 I 2672 mmm 'me B wl I o l ' q NOTESF:IEKCSOTNDVAVLAULEUE 1S15COTHMEWELSAITGINOINFICBAENTCWEEENPKOLBIAVEBRILITTEYSTOFANDTHEBLOCOODRREFLLAUTOKIIONNE 001718 CCUAKLPCOURLAATTEIONMEDIINCVAOLLVECORORNELYLATEIMOPNLOSYEBEESTWEFERNOM LICVHEERMOLVIATLEUESHAVAINNDGFL1U98O1RINHEEP LIVER TEST 1 | CHEMOLITE 1 1 sS eoT em1m.em 0m1e81e 1 s1 I 27748 1 I | . SC6oPeTmmmmemee mmm I-.10291 1 I e103) ro | i mmm GoTH femme I 06442 1 I +3084 | I 1 Semmes ALKPHUS fmm 1.12979 | I 40395 | I 1 mmm TolLl |m -0.e 108e 45 n | 1 1.0858 1 1 1 aC meme 1m-e0m.0e8e 738ee)1 mem 1.1693 1 | 1 fee} rob | =0.,04083 1.5216 1 ro Smee 1 eee 1 CRULESTEROL | .12222 I .0526 I | meme 1 mmm I Ase 1.08278 | |1.1859 i i Be tt Exams NOTE: FSEICSOTND VAVLAULEUE ISIS COTHRERELSAITGNIIOFNICBAENTCWEEENPROLBIAVBEIRLITTEYST OFANDTHEBLOCOODRKEFLLAUTOIROINNE 001719 3p ny i I 31 UNIVERSITOYF MINNESOTA 1+ voir yt ture an, PC rioi r, e Mesn ossea $3455 April 29, 1982 mn ~ ARE 032 420Me.dicFarlankDirUebecltlor M2e2d0i-c2al 3MDepCaernttmeernt, Medical Services St. Paul, MN 55144 Dear Dr. Ubell, otfheyopur1rotrodececopelanrttlfmyoernhtaanddonthtehfeloudoparptooacrhteufmnriioctmaylthaeendxpsottsuhuderieepssrivuininldeeogrneteakooeffnyeoxbuayrmiDrn.ingRoach cuhnedmeircaylourpljaunrtissdwiictthioan.contIrowlas poppruolvaitdieodnwidtrhawninffroommataiofnilomn ptlhaent . spaitzieono,f tthhee crleisnpieccatlivelapbloarnattorpyoputleasttisonosn,setvheeraelxtebnltoodofpatrhaemierteprasr,tici- ptahteteirnntservianlsthoefsetpeosptuinlgatifoonrs balnododthfeludoartianedelreivveelds, thtehreefdriosme.ase and te1 swtaisngiomfprethsesedblwoiotdhstahmeplecsareandtatkheen tionsiagvhotidanbdiassopinhisctoilclaetcitioonn opfatitohne dinatatheanahleyasletsh btyestHianwgkinwsasonvoalndunMtcaCroyrmtahcek.resAplotnhseougihn pthaerticchie-mical tPphlaeatnitocnonwtairsno]hthiepglhahneatsa,ltwhoaulletdhvoaulbguehateixToponewecwrtaesd(3e0(v63e1no7uthouitgohfeorf6.0)04)5,0)P.waarsti(dcTeiheepmaetpdiaornatdieciiqn-uate fofor3comnotnrtohls oprurmpoosrees.wereThopsreopecrolnytroslest wahpoartdidas haavesepeaarraltieersuebxgproosuupr.e chemisItnryexnaomitneiwnogrthtyhewedriestrthiebutsiiomnislaroiftitehse armeosnuglts211on thtehegrcoluipnsi.cal cAlltihnoiucgahl" tfleusotrsiwneereTeivneslisgnirfeivceaanlte.d increases, correlations with the tciloinnsicIaonlf teshxeucahmaibnstaeestntcieonreosfaunldatnsythaedsigseefnoaersreaSlGpOaTts,tiemrSinGlsPaTr,ietliaielcskitaelidinnebtyhephhoidssiptshtoarrtiyabsuae-n,d GcGoPnTc,ludceholtehsattervoilr,tuahlelmyoglnoobienvidaenndceredforbloeovednceplrle-ccloiunnitcsa,l onteoxmiucsitty 001720 AVpr.rilFra29n,k U1b9e8l2l page two eexxpisotssu.re aConmdpabrltomoedntfalluiozraitnieonleovfelst,healdtahtoaugohn aa rsepfeicntermuennto,f wloeunlgdth of tphreobasbtlryatyaiweoludldTbiettlreeduocrednotoaddiintaidoenqaulateinfloervemlastiofnorsisnicgeniftihceanNc'es. in eliciCtionngtinpuoesdsibclleiniccharlonifcollfolwuuoproconarbaonn antnouxailcitbaysiwsoulwdithbe a fveaiseiwblteo and worthwhile in your setting. data. Thank you for permitting this appraisal of your protocol and Sincepely A : add its =~" PLreoofneasrsdorM. anSdchuDmiarne,ctoM.rD. LHS:sn 001721