Document wgo0xv0EVrMgqROvDjqnbbExo

FILE NAME Quebec Asbestos Mining Association QAMA DATE 0000 DOC QAMA022 DOCUMENT DESCRIPTION Summary List of the QAMA Documents Obtained from the US Govt SUMMARY OF THE QAMA DOCUMENTS OBTAINED FROM THE U. S. GOVERNMENT Note If a document is skipped and believed to be unimportant number even though illegible it's because it has been read Some documents will be given a U. S. 3000 Illegible be of some It is a four page document which appears to importance and concerns Dr. Lanza's advise No legible date can be read however Government QAMA Summary No. 7 refers to this document and says it's January 1948 and that it deals with tuberculosis Government Summary 8 also refers to this document with the quote that not only do the doctors need enlightenment commissioners but so do the workers compensation and factual information should be published as it is in established medical journals as developed This document also promptly contains comments by Dr. Kenneth Smith Vorwald Dr. George Wright and Dr. 3001 From Kenneth Smith to J. P. Woodard dated February 18 1948. It refers to a proposed visit of Saranac people to Thetford This document is prominent on Government Summary 11 although the Government's statement with regard to what is said is not supported by the document itself 3002 3003 Illegible Dated February 25 1942. It's a internal memo Bits and pieces can be read very illegible A reference to 3002 is not the QAMA summary Manville but it's found in Illegible copy of This is a document RLM would Joe Cox should take note of like to have a the documents which RLM wants read off microfilm This appears to be March which 29 1948. talks about It's a four or five circulation of factual page document information to the medical community time but we definitely microfilm We should not want to get a list it at this legible copy off 3004 3005 Illegible A one page document which reports on the visit of Drs Wright and Gregory of Saranac The Government does not make reference to it in their summaries Therefore it is questionable whether we want to obtain a copy of it Illegible Not mentioned in Government RLM would like to obtain a copy of it summary but 3006 3007 3009 3010 3011 3012 3013 3014 Illegible QAMA agreed in Exhibit According to the Government Summary 9 the to sponsor the study suggested by Dr. Lanza 3000. Therefore we want to have Joe Cox obtain a clear copy of 3006 Illegible Not mentioned in the It may be that we need to look at should read them off the meter but this time Government summary 3007 and 3008 We not give to Hood at Kenneth Smith to Paul Cartier Should be read off the meter Summarized at Government 9 Illegible Letter from Kenneth Smith to George Wright We should pull it and look at it It looks innocuous It's not in the Government's index Not listed on the list given to Hood It must be listed A letter from Paul Cartier on Thetford Clinic stationery to Dr. Vorwald the Quebec Asbestos Mine re Joseph Gives the W. Rodrigue of claim number Says that at the request of Ivan Sabourin they are sending histopathological sections of organs for study and report Includes his occupational history but says he had never rayed Rodrique Says that he stopped working in 1946 because of dyspnea He died October 16 1948. Note to Jackie copies to conspiracy litigation team and Jeff Eddy This case matches up with one that Cheryl has on my Vorwald files and I believe the Quebec Asbestos Mine was the name of We must one of make a the Quebec Asbestos Corporation mines note to ask Bagenstose about this when we take his deposition This establishes that Sabourin was the attorney indeed the Quebec for Quebec Asbestos Corporation if Asbestos Mine is part of the Quebec Asbestos Corporation and that QAC was part of the Thetford Clinic operation] Illegible Internal Manville document It seems to have the title Asbestosis ? and so refers to Thetford I would like to obtain a better copy of this but it is not listed in the Government's summary Illegible December 1948 important Definitely need to the Government's summary list document which may be obtain a copy It is on at 10. It talks about asbestosis and saturation etc. the fibrosis reduced to oxygen Joe Cox Please make an effort to get RLM a copy Not on the 1949 from Government's list but is a report of January George Wright to Ivan Sabourin It's probably of some importance RLM would like to obtain a copy however it should not be listed as an exhibit 3015 3016 3017 3018 3019 3020 since it's fairly illegible Wright seems to be reporting preliminarily on results of the survey From Cartier to George Wright talking about the three companies of Thetford wanting to continue the study because their part of the strike is over but that the strike was not over at Canadian Manville We cannot list this document at this time but I want Joe to obtain a clear copy for me as it is virtually illegible Attached to 3015 is a transmittal letter from Cartier to Ken Smith transmitting the letter from Cartier to Dr. Wright This establishes of course a pattern of internal and external communication Kenneth Smith to Paul Cartier acknowledging receipt of 3015 and making some discussion about the QAMA It is illegible and we should obtain a better copy It should not be listed as an exhibit at this time An extremely important document Dated October 15 1949 from Vorwald to Kenneth Smith regarding the feasibility of reviewing ray data of men employed at Asbestos during the past number of years and reporting his concern about the relationship between asbestos and pulmonary malignancy of this document It We definitely need a clear copy is discussed at Number 13 of the Government's summary This has already been listed on list sent to Hood Smith to Vorwald acknowledging receipt of 3017. It is legible and has been listed with Hood This says Smith wants to cooperate and he states that perhaps they would be interested in getting the Thetford Clinic to also cooperate Vorwald wants to look at films to see if there's cancer January 3 1950. From Vorwald to Kenneth Smith proposing an outline for the ray study of and asbestosis He asks five questions lung cancer the total number of cases in the files how many have asbestosis how many have shadows suspicious for cancer how many have proven cancer and how many cases have been proven by autopsy There's a typed unsigned version and a version on Trudeau Foundation stationery which is signed This document is on the list to Hood It is discussed at Government summary 13 January 28 1950. From Kenneth Smith to Lindell President of Canadian Manville It is an extremely important document and we need to obtain a better copy It is discussed at Government summary 14 Letter marked confidential re pulmonary malignancy There has been a tremendous increase in the 3021 number of articles in medical journals during the past year which deal with the subject of occupational -- -- --Ve--ry high on the list of cases of environmental or occupational cancer is asbestos There seems to be increasing proof that asbestos fibers do cause lung cancer This conclusion is drawn only from articles reported in the journals and having carefully studied these writings I do not feel satisfied that their conclusions are just I have been unable to find any ray evidence of lung cancer among Our practitioners and the local but this is not important employees ? know because the The local of no cases diagnosis of malignancy seldom is made outside a hospital or a central clinic such as we operate here Additionally in Thetford I saw seven cases of pulmonary cancer These are probably not due to dust exposure but this whole subject could cause our companies unlimited embarrassment and untold expense if labor leaders made use of our limited knowledge of the subject I strongly recommend that we should endeavor to learn more about the relationship of asbestos and pulmonary cancer If we ? courts we must have are to proof defend ourselves in the Today the evidence is in our favor although I believe that a satisfactory series of experiments would establish evidence more suitable to us I believe that we should discuss this matter at a QAMA meeting and if action on the subject is approved would recommend that the QAMA the Trudeau laboratory at Saranac Lake to should ask outline a suggested plan of study consideration Dr. Cartier and and action I agree for on QUI this subject Thetford and the he has recommended to his companies in consideration of advice and help from Saranac Lake A copy is shown to Hugh Jackson This document is on the list to Hood This is an important document It is summarized at Government 14 but they missed This is difficult to read the most important part From Kenneth Smith to Lindell dated January 28 1980 copy Also stamped confidential Entitled to Hugh Jackson Notification of Occupational Diseases You will recall that at the January 23 1950 the Associatiwoans provincial health regulations require QAMA meeting on informed that new all physicians to report all patients cases of occupational diseases among their Asbestosis is included in the list of notifiable disease I outline my reasons for believing that the diagnosis of asbestosis should be made only in the presence of a an adequate of history of exposure 3022 b positive and typical ray shadows c physical disability I also stated that while discussing these regulations Division of with Dr. F. J. ? the Director of Industrial Hygiene for theProvince he the had requested me to notify all cases who had only very early ray evidence of dust sentences are illegible but exposure Next two this is an extremely important document My recommendation for the present is to do nothing about these notifications I discussed the matter with Dr. Cartier of Thetford The essence of this paragraph is that Cartier andhe agree that while they want to cooperate with the provincial government we do not recommend the notification of these cases present unless all industries in the province are doing the same thing We believe that the purpose of this regulation is to find new cases of occupational disease and then recommend steps to prevent further exposure The ' medical programs of the Asbestos and Thetford clinics would be possible through the government's ? Because of our ? for case finding and prevention of asbestosis we do not want to have this industry unduly penalized This could happen if we notified all cases as requested Our recommendation is to cooperate with the Division of Industrial Hygiene Next sentence is illegible It says it should be reviewed at the next QAMA meeting Dr. Cartier and I would agree that we would appreciate an invitation to be present when the matter is discussed It's crucial that we get a copy of 3021. Please expedite January 30 1950. From Cartier to Vorwald re cancer and to asbestos factors Hood Cartier It is probably not on the list expresses desire to continue cooperation in the study of cancer in the asbestos industry and provides additional details He says " want to say that from nine cases of tumors of the lungs one case was a bronchogenic cyst confirmed by successful operation and histological study and eight cases of cancer confirmed by autopsy from 1946 to 1949 I hope to be able to give you as soon as possible some statistical tables and a short summary on each case He then goes on to say that Ken presumably Kenneth Smith and myself will propose at the next Asbestos Association meeting that you be authorized to do some research work on this problem which is presenting an increasing actuality at least in the medical literature This should be listed on Hood's list immediately A better copy needs to be obtained 3023 3024 3025 3026 January 30 1950. From Cartier to Smith enclosing 3022. 3023 is listed Attached is a copy of 3022 and obviously was a copy that Cartier sent to Smith of his letter to Vorwald February 1 1950. An extraordinarily important document It does not appear on the Government index It must be immediately listed and given to Hood FIOM Kenneth Smith to Foster and Lindell regarding the Saranac report He refers to the Saranac animal studies and that he sent a report and recommendations covering this subject March 18 1949 at the same time I reviewed the Saranac report at a QAMA meeting He then refers to Woodard replying to a letter and commenting upon his report in a letter to you dated April 15. Obviously either 1948 or 1949. In that previous report he recommended that the air at the mines and at Thetford should be sampled and studied for fiber links We need to have a copy of this document to see if it's 1948 or 1949. Cheryl Please look through index and find when it was reported that Kenneth Smith had analyzed the draft report which was later edited RLM believes it was in the Spring of 1949 but is not sure He goes on to say that he also recommended for that the Saranac Laboratory outline the association of asbestosis and cancer a study He then goes on to say that he wants to correlate the animal experiments with the human data which is being compiled He said he would report to him when the final Saranac report is received February 7 1950. Smith to Page Woodard with copies to a number of people including Hugh Jackson Not in the Government's summary It's an important internal Manville document referring to a newspaper article He goes on to talk about lung cancer being considered an occupational disease in some industries He says as far as M is concerned As far as M is concerned I know of two hazards in our operations which may lead to pulmonary malignancy namely asbestos and silica There is ever increasing evidence in the medical literature today that these materials lead to lung cancer He says he has no reason to believe it could not exist although he hasn't seen it in his operations He then again lobbies for experimental studies and epidemiological studies to determine whether or not a hazard exists and if it does what we can do to prevent it Need a copy of this obtained from the Government List on the amended list to Bobby Hood February 7 1950. Internal Manville memo from Smith to McCaw with copies to Lindell and Woodard re asbestosis Dr. Merrewether He's discussing the latest issue of the Canadian Medical Association 3027 3028 Journal and the article that was written by Dr. Merrewether which we previously have and which is listed on our exhibit list He lauds Merrewether as one of the world's foremost authorities on asbestosis He says it is unfortunate that his conclusions do not agree with our experience in Canada He talks about Merrewether's statement that a few months exposure to asbestos this has dust in gross will invariably cause death but not been their experience in Canada He then talks about tuberculosis In the fourth paragraph he says Concerning the relationship between asbestosis an lung cancer I have no comment The two conditions are known to exist but before we can draw any valid conclusions we must have adequate experimental evidence combined with agree with international our operating experience He goes on to Merrewether that we need to have standards for diagnosis and says that in Europe the standard for diagnosis is less stringent than it is in the Canadian operations He says that's probably why do He then they diagnosis more asbestosis goes on to postulate that there than we are more severe and greater numbers of cases in manufacturing processes than in mining and milling processes He promotes the recommendations of reviewing all ray files and correlating them with work histories of the men I believe that we would find the evidence conclusively in favor of it should be published Some authorities such as company interest and if so Second he says the study by the Saranac Laboratory should be started in order to find a possible relationship between asbestosis and lung cancer This is not listed by the Government and should the old exhibit list against going to list it against all at Government's summary 18. be listed by us It's on Manville but now we're the conspirators Listed Jackie and others on the team should to say that take note of if the study quick the fact that Smith is is in favor of the company's interest it should be published This is of course in line with their practice and must be considered in light of the fact that they go forward in these studies with the Thetford people ] February 8 1950. Sabourin to Cartier He says he received believe this to be Conspiracy document from Ivan re cancer and asbestos factors Cartier's letter of January 30. I a copy of 3022 from Cartier to Vorwald previously indexed Sabourin refers to Lanza's being made the head of an important cancer research foundation and that he should secure some observation from Lanza by correspondence is writing Dr. Lanza He says he A better copy of 3027 Government's summary Listed at paragraph 15 of the 3029 3030 3031 3032 3033 3034 Illegible attached to Seems it is to be somewhat out of kilter because another copy of the same letter and what looks like an outline Need to have Joe Cox obtain a better copy Not listed on the Government's index Illegible Cox needs Not listed to obtain a as a Government exhibit Joe copy A letter from Smith to George Wright with a copy to Cartier It merely shows the post interconnection between the QAMA members February 20 1950. Not on Should be provided to Bobby Smith acknowledging receipt of the Government's list Hood From Vorwald to his letter of February 7 talking studies about where should be the dust supplies for the animal obtained breathing zone of workers Also discusses terminology serpentine and chrysotile and sends a copy to Paul Cartier bottom it looks like a cc Ivan Sabourin At the March 16 1950. Should be on the Government's list but is not It is from Woodard to Kenneth Smith regarding asbestosis - Dr. Merrewether He says it would seem logical to carry out asbestosis at Saranac the investigation of cancer and inasmuch as Saranac has done work in the past both with continuing to do 50. debates whether Saranac animals This is should do and people and is a memorandum which the study or whether the study should be done by Dr. William Smith in New York He says he wants he and Dr. Cartier to come to look at the facilities in New York themselves He says A. R. Fisher believes the proposed program is an important one and that asbestos the same This is an important be provided to Hood It's standpoint of again establishing management will feel document which should important from the the link between M and the QAMA] Illegible Joe Cox should obtain a better copy March 22 1950. Exceedingly important document From Vandiver Brown to Ivan Sabourin It does not appear on the Government index It is important when read in conjunction with the 1949 Kenneth Smith unpublished survey of men in dusty trades which was on our exhibit list a long time ago It should also be read in conjunction with discussion of the the documents receipt of the accompanying the original unedited Braun study Both of these documents indicate that it was the intention of the asbestos industry in Quebec to underreport asbestosis to the Canadian government See previous analysis regarding this from the previous document It appears that the asbestos industry in Canada including the QAMA members underreported caught doing report which the incidence to the this by posed a of lung government Dr. Braun on purpose They were in his 1957 unedited problem to them If you compare cancer with the reported cases of asbestosis there was a than one would normally higher incidence of lung expect however if you cancer looked at the real cases of asbestosis reported and unreported there explains why they was no excess eliminated this incidence This whole section from the published version Letter from Brown to Sabourin with copies to Kenneth Smith and other Manville officials He refers to a letter from Dr. Smith to Lindell dated January 28 3020 and advised that in his opinion compliance with the provincial health regulations for reporting occupational diseases would require cases of asbestosis to be reported only in the presence of history rays and physical disability He said that he understood Sabourin concurred in this opinion and that the matter was discussed at a QAMA meeting where it was agreed that all members of the industry would be guided by these principles in reporting cases of asbestosis He then goes on to say that Sabourin discussed this with him last week and that he confirmed that it was Sabourin's opinion that the adoption of this procedure would comply with the public health regulations He then says however that an argument might be made that we should report cases where only A and B were present Nevertheless it was your opinion our position was clearly defensible and the only reasonable interpretation that could be placed upon the regulations He then goes on to say that Page Woodard discussed this with Dr. Lanza in their proposed method of compliance Dr. Lanza agreed that A and B should be present but objected to C if it was susceptible to the interpretation that there should be total disability before a report would be made He hedged his opinion however by stating that it was primarily a matter of interpretation of a regulation established pursuant to Quebec law and that the administrative practice in the interpretation placed upon the rule by Quebec counsel would in the last analysis provide the answer He then said that if physical disability was i interpreted to mean manifestation of impairment of normal physical functions as may be noted objectively and clinically by observation he would feel no hesitancy in stating that the proposed method of compliance was satisfactory The last paragraph says Page and I are inclined to believe that you and Dr. Smith intended that the requirement of C would be met by something less than total disability and we would appreciate your 3035 3036 3037 confirming this to us and whether the definition of physical disability would be the approximate yardstick that would be applied This document must be placed on our index and given to Hood From Kenneth Smith to Vandiver Brown re 3034. It's shoul bedlisted and a copy given to Hood Copy went to Ivan Sabourin It said Your interpretation of physical disability regarding Item C is correct The appropriate definition that he suggested is most It was never my intention to wait until a man is totally disabled before considering him as suffering from asbestosis " The reason this is important is that it establishes a QAMA industry practice similar to that practiced by Kenneth Smith in 1949 in his report of men in dusty trades It will be recalled that in said document the old mule theory was promulgated of telling people that they had an occupational disease Smith advocated not telling people they had early asbestosis but waiting until they became totally disabled and then telling them] Note to Jackie Rion In reading through Chapter 3 of Barry Castleman's second edition there are references to correspondence from Sabourin to Dr. Leroy Gardner in his attempts to edit the way that Gardner wrote his medical legal opinions We should incorporate that in our summaries Cheryl Include this on the document index and look for any other conspiracy documents which we can place at the feet of the QAMA members] Should be listed From Woodard to McCaw with copies to Vandiver Brown and Kenneth Smith re 3034 He says that Smith felt the Ministry of Health might have a different idea and might have thought that reports early should be made even upon ray evidence but he thengoes on to say Smith is in touch with a doctor at the Division of Industrial Hygiene on a regular basis certainly and believes that the practice satisfactory This document way It's susceptible he proposes will be can be argued either to the inference that Smith thought he could exert influence of an undue nature upon the Director of Industrial Hygiene ] April 10 1950. Cartier to Ken Smith letter from Cartier to Sabourin which is enclosing a attached and dated April to Sabourin 10 is 1950. The attached letter from illegible in certain respects Cartier on the first page and a legible copy must be obtained This is a most important document and establishes the close relationship between Thetford and Manville in regard to the imminent Saranac cancer study The Government summarizes this document at paragraph 15. It's re 3038 3039 cancer and the asbestos factor Cartier states that he has had occasion to discuss this matter with Vorwald Smith and with the Governors of the Thetford Industrial Clinic at a recent meeting Paragraph 1 is about the necessity of a study of cancer in the asbestos industry He refers to the great deal of publicity in the medical literature and at the medical meetings on a possible relationship between cancer of the the asbestos factor He then says that lung some and men citing Vorwald Gardner and what looks to be do not want to recognize such a relationship Hinshaw for lack of objective evidence They all wish a complete in study rest is illegible He then states that they have had eight lung cancer cases the Thetford mines since 1946 On the second page he lauds the Saranac Laboratory as having a universal reputation on diseases of the lungs especially related to occupational factors He says that we have received in the past the best friendly profitable and generous help from the staff of this laboratory He then says that Vorwald has manifested special interest in doing such a study and that he told him recently that he regretted deeply that such study had not been already realized seeing the right opportunity and in French it seems to be which comes first the chicken or the egg rest is illegible He then says that the New York Memorial Cancer Hospital cancer hasa worldwide reputation and that they have performed work on occupational for Standard Oil Company and that Standard Oil believes that they have the facilities for accomplishing first class work He then ends by by both suggesting that there be a collaborative study institutions remembering that the results must be fairly accepted by the experimental governmental and labor bodies Kenneth Smith to Wright It is of that Thetford and Cartier marginal Manville regarding a visit by George significance except to show cooperated and collaborated April 18 should be 1950. listed Not listed by the Government but here with a copy to Hood It is Vorwald to Kenneth Smith re asbestosis and Merrewether It reports he just returns from Australia where he talked to Merrewether who said he write the Canadian Medical Journal article hurriedly and that he takes goes storm strong exception to some of on to say Paul Cartier which is brewing in Quebec the statements He tells me of another this time concerning a case of asbestosis with cancer I am most anxious to the get on survse urvy ey of all data available on the subject before the storm really breaks As you know fishing is always best just before rather than 3040 3041 3042 3043 3044 3045 immediately after the storm and I know that you are also contribute Paul is ready to help more than willing to Marginal importance and should not be listed except in the Metropolitan Life series It merely indicates that Lanza is interested in discussing the cancer study with Cartier and Smith Attention Andy Berly This may be important in regard to establishing authenticity in that it sets forth Lanza's address at University Bellview Medical Center and his phone number which should be easily confirmable In conjunction with 3040. It's not on the Government list and must be given to Hood From Smith to Paul Cartier about 3040. It sets forth that they are to go to see Lanza that they discuss whether the QAMA is going to do the study or whether M is going to do the study June 7 1950. listed in the An important document This is not Government exhibits From McCaw of Manville to Woodard of Manville with copies to Smith and Lindell Refers to the fact that Drs Smith and Cartier are going to be in New York to meet with Lanza and reports that the subject of cancer of the lungs was discussed at the QAMA meeting last Monday June 1950 and the Association went on record as favoring a cancer research program Not on the Government index and is of no From William Smith M.D. to Kenneth Smith matters related to research and to asbestos importance discussing and cancer June 19 listed on 1950. An important document which must be the Government index and a copy sent to Hood From Kenneth Smith to McCaw with copies to Lindell Fisher and Woodard re pulmonary malignancy It reports that Cartier and Smith visited Lanza and met with William Smith and discussed the type of studies should that Saranac be done They then visited Vorwald at Lake on June 13 1950 and asked him to submit a program similar to that of Dr. at this date impossible to select Lanza between He says it's the two He then says it is advisable first to study our people who live and work in the dust and not rely exclusively on animal studies although they are important June 19 1950. An important document which is illegible Needs to be listed on the Government index and has not been listed to Hood Joe Cox must obtain a better copy Letter from Paul Cartier to the Asbestos Corporation Limited re pulmonary cancer and the asbestos industry It's to Mr. Pinhale He reports 3046 3047 3048 3049 3050 that he and Ken Smith met with Dr. Smith Dr. Lanza and Dr. Nelson in New York and that they discussed the work that would need to be done to investigate asbestos and cancer They talked about an epidemiological study They also talked about an experimental study He concludes that he thinks the epidemiological study is more important but RLM can't read the document very well He sends the Johnson and a Smith copy RLM to three people -- Sabourin does not know who Johnson and Smith are affiliated with It appears that the issues will come down to whom they can control the best and we know who that will be Not listed in Government index From Woodard to Kenneth Smith with copies to other Manville people Internal Manville document which indicates that apparently there is some concern that facility does not have dusting rooms and rooms will soon be built at his facility It is of marginal importance at this time copy must be obtained before we decide to Dr. Lanza's that dusting in New York but a better list it July 28 1950. An important listed on the Government index document which is not This document needs to be given to Hood From George Foster to J. P. Woodard reporting that Sabourin and Foster have been requested by the QAMA to prepare a report dealing with the cancer research project for the Association He says that in a recent issue of Newsweek there was a statement that asbestos causes cancer of the lung We should Robyn to the library to look at 1950 from July 28 and see under science or medicine whether she can send back find a report that asbestos causes cancer He says he wants the advise of Lanza and Vorwald and it is his feeling at foundation this He time that then talks they should use the Saranac about the cost of doing the research and wants to present the report in the middle of October 1950 August Hood 17 1950. Should be listed and a copy From Woodard to Foster responding given to to 3047 attaching a letter of June 19 McCaw which is exhibit 3044. from Kenneth Smith to It suggests that they keep in touch with Lanza consistency of the documents and It shows receipt of internal previously forwarded letters and memos August 21 1950. Marginal From Woodard to Foster referring to a QAMA meeting September 20 and discussions he had with Lanza Cartier etc. Important only from the standpoint of continuity of correspondence and internal consistency August 23 1950 Not on the Government's list and 3051 3052 3053 should be provided to Hood Important only from the standpoint of showing the continuum coopertion between Cartier and Smith On Thetford Industrial Clinic stationery Says Cartier Sabtoo uSar boi urn in about the research on cancer project and it was agreed that a research program should be organized trying to get the coopertion of the more capable bodies and that the two of them should meet as soon as possible August 25 1950. From Lanza to Drs Cartier and Smith This is not on the Government's list and should be on our list Lanza's recommendatoti Caortniesr and Smith regarding the studies He suggestasn epidemiological study and an animal study although he is negative about the animal study from the standpoint of questions about reliability He suggests implantation studies before they do inhalation studies Before the epidemiological study he plants He suggests that inhalation studies and suggests that they visit the they defer definite plans for that they begin studies by implantation immediately There are several copies of this memo in the file some of which bear handwriting with the name Woodard on it Not on the list Kenneth Smith to McCaw with copies to Lindell and Foster He says that he went to Thetford and discussed plans for the cancer study with Dr. Cartier They believe that an epidemiological or statistical study is important He refers to the studies of Merrewether and Huper and say those are autopsy studies He suggests that an autopsy study would be easy to carry out would not be costly and could be done in three or four months and that there are capable people in Canada who can conduct the study from Dr. he August 31 1950 Not on the list It's an extremely important document From Kenneth Smith to McCaw with copies to Lindell and Foster It is regarding pulmonary malignancy and is regarding the letter and contract received Lanza He makes reference Carti Care tir er and Lanza had discussed the program although the second sentence is illegible An epidemiological study animal experiment consisting of inhalation and implantation Smith still advocates that the statistical study could be carried out by Canadian experts and studies would be from he advocates the best inhalation the Saranac Laboratory The last paragraph is extremely important The contract if appears to leave little choice to the donor the results of the study are unfavorable to company interest and are submitted for publication However I fail to see how they can find anything more unfavorable than that which already has been published by Merrewether and Huper RM comment This proves that 3053 3054 3055 3056 3057 respecting this project the conspirators were motivated by having the opportunity to edit prior to publication The QAMA subsequently selected of course Saranac] Also has the Lanza to Cartier and Smith letter attached to it as well as the agreement The agreement is totally illegible and Joe Cox should endeavor to obtain a copy as soon as possible as Ithink it will to is evidence that the New York University retained the right publish This probably why they selected Saranac instead of New York University This again is not on Government's index and must be listed and copies provided to Hood September 1 1950. Marginal importance From Woodard to Fisher copy to Hugh Jackson enclosing Dr. Lanza's proposal It is important only from the standpoint of having me authenticate the documents through Jackson September 7 1950. An interesting document which is not on the Government's list It's from Kenneth Smith to a Dr. Warwick Illegible Joe Cox should obtain a copy of this document from the Government is with the National Cancer Institute Dr. Warwick of Canada Apparently the letter from Smith to the asking for the name of an epidemiologist to doctor is help QAMA with an epidemiological study Not on the Government's list It should not be on our list at this time It's from Warwick to Smith acknowledging receipt of his letter 3055 that he agrees an epidemiological study might He says serve a useful purpose in forming a basis for a long range research program So far a the Workmen's Compensation Act that there is no is concerned I think you will agree concrete evidence at the present time to support or disprove the contention that there may be a relationship between asbestosis and bronchogenic carcinoma He then refers to the fact that they have a Dr. A. J. Institute Phillips who may working for the National Cancer be a good person to do the epidemiological study September 21 1950. Not on the Government's list It must be listed and given to Hood This is an extremely important document It's a asbes ontasobessti oss is and by pulmonary cancer to the QAMA by the Saranac Laboratory signed Arthur Vorwald starts off with general remarks about lung cancer and compounding variables It says evidence regarding many of them however although frequently contested is sufficiently serious to warrant extensive epidemiological and experimental investigation Huper Lynch Asbestos dust is in this category Merrewether etc. and the asbestos 3058 industries in Quebec are in a unique position to pursue these epidemiological investigations The report bears marginal notations by someone obviously one of conspirator's the conspirator's doctors Dr. Vorwald points out that smoking is an important variable He suggests clinical and statistical data reviews autopsy studies ray study and death certificate studies With respect to the experimental studies he advocates that experimental studies are a very proper and sound way of determining whether or not asbestos is a carcinogen He debunks the intratrachial injection technique which might lead to unwarranted conclusions He suggests both an inhalation and intratrachial method He states that it will take at least two years and maybe five years of continuous exposure to dust with mice before there can be any conclusive evidence on page 10 He says that progress reports will be issued from time to time On page 11 paragraph 15 is extremely important It's entitled Publications of Results of Investigations It reads as follows The Saranac Laboratory reserves the right to publish theresults of its investigations in the recognized manner commonly employed by the scientific fraternity and in accordance with established practices whereby the manuscript prior to its publication is submitted to the sponsoring company for its review and approval To the right is writing someone's someone's Kenneth Smith's which writing says looks OK This may be September 25 1950. Not on the Government's list and should be placed on the list and given to Hood It is entitled Report to Quebec Asbestos Mining Association re Pulmonary Cancer Unfortunately it does not bear a signature as to copies of it The who prepared it There are two second copy is legible The first paragraph is entitled Problem is a relationship between the dust and pulmonary cancer has certain health authorities and To ascertain if there inhalation of asbestos been stated publicly by is in certain magazines of wide coverage It is necessary for us prove that this statement is not correct it and the consequences that go with it to be able to or to accept Our position in this matter is the same as the Association and Industry found itself in 1937 as regards to asbestosis It was recommended that there be two programs A short range program and a long range program The short range program would be an epidemiological study under the auspices of a statistician They say the statistician should be if possible a Canadian Under the short range program it is said the United States Public Health and Cancer Research Dr. Merrewether and the National Cancer Institute have all published that there is a relationship between asbestos dust and pulmonary cancer It goes on to criticize the published statements because they are based on statistical data no research has been done and these statistical data are based only on death statistics They say the short range program is recommended by their own medical officers and they cite three reasons that statistical information cited above is not confirmed in their opinion and their workmen be the statistical surveys the most rapid cheapest and more conclusive than any other method and we'd be using the same methods as our antagonists They say that they need a statistician and an ray consultant but that Dr. Smith and Dr. Cartier could survey as consultants with Saranac reporting on borderline cases. The estimated cost was 4,000 and it would take 4 months It said that when the presence of neoplasm in an individual is suggested by this technique he should be further studied with the purpose of establishing or excluding this diagnosis with certainty Then they talk about cigarette smoking being the most important variable factor in the epidemiological study proposed This page is are the next straight out of several pages the Saranac proposal as Going back to the first -- it was illegible but does not include the excerpts from the Saranac proposal After the short range progam there's a page with scribbling which is totally illegible Joe Cox needs to obtain a copy from the Government The next page is long range program This program would consist of a research program and they suggest the transplanting of Lanza and his of living tissues under the guidance group utilizing the facilities of Saranac and subjecting animals to high asbestos dust condition They then suggest considering the formation of an institute for industrial chest diseases with other mining associations There's handwriting which no to this Under the long range program on the says next page is third phase They say that a third phase should be developed That phase would consist of more publicity coming from our Association than has in the past rather than taking the defensive attitude that we have We would point out that Dr. Paul Cartier and Portugal regarding the has been published in France incidence of heart disease and tuberculosis in the asbestos industry but there has been no publication to our knowledge dealing with this subject on this continent It is recommended that more of next line is illegible we need a copy at least one yearly dealing with the ? It is vital that Joe Cox obtain a copy of this document That we arrange to have our doctors lecture at medical schools yearly That we Ly 3059 3060 attempt to affiliate our research centers such doctors in some manner with as Saranac and in such organizations as the Industrial Hygiene Association and the Institute of Industrial Medicine as clinicians in the asbestos industry In this manner we feel that we would combat reports which we believe with information at hand to be erroneous We believe the that publicity erroneous on the part of reports such as our institute would combat Martien ? made in Thetford recently when he quoted official report of the from what he reported to be an Third International Conference on Pneumoconiosis This report has not yet been issued The pages are out of sync as the next page is long range program 2 where they Saranac to do inhalation studies talk about hiring Long range proposal 1 is transplanting living tissue of an embryo mouse with fibers implanted into a this would be considered to be living only a mouse They say screening This is an exceedingly important document It establishes their concern about publicity and certainly plants the seeds of the conspiracy to promote bogus medical reports in the literature at the universities and with the government officials It also establishes their adversarial role with respect to government agencies ] September 25 1950. Needs to be added to Hood's list From Smith to McCaw with a copy to Lindell re pulmonary malignancy Smith reports that he and Cartier went to Saranac and discussed the proposal with Dr. Vorwald He says they then went to Montreal and presented the recommendations to Saranac proposal and G. K. Foster He says It their is our belief that the two lines of research should be followed The first being a statistical study which he hopes to get his friend at the National Cancer Institute of Canada to help with and the other being at the the animal study at Saranac He then says Foster to summarize a program and make his recommendations to the QAMA October There are two copies of the report The second copy of this reflects that a copy went to Lanza and Hugh Jackson The second copy has handwritten notes to the bottom October 9 1950 October 1 1950. Not on the Government's list Arthur Vorwald to Page Woodard This is a proposal by the Saranac Laboratory concerning an investigation of asbestos and submitted to Mr. Kenneth pulmonary cancer you at the request Smith I need a This proposal is being of Dr. Paul Cartier and clear copy of the first page of the proposal as it has some handwritten notes The proposal is dated September 21 1950 and is obviously concordant with the time expressed in Exhibit 3059 Smith to McCaw It says approved at meeting in Saranac Lake Dates are illegible and copies to are 3061 3062 3063 3064 3065 illegible Cancer to The proposal is Asbestosis and Pulmonary the Quebec Asbestos Mining Association Accomplished at the right margin Proceed two lines under it This appears to be similar if not identical to the previous proposal which RLM summarized Paragraph 15 is a publication of results of the investigation section Previous copy of this report is 3057 October 5 1950. Illegible Joe Cox needs to legible copy From Kenneth Smith to Johnson copies to Fisher Woodard McCaw etc. obtain a ? with October Woodard 6 to 1950. Lanza Needs to be listed on with a copy to Jackson Hood's list Handwritten notes at the bottom are illegible We need to obtain a better copy Woodard says in this Dear Tony Attached is a proposal prepared by Saranac along with a letter of October 4 from Art Vorwald 3060 He says before he does anything further with this he wants to hear from Lanza Of marginal importance Copy of letter from Woodard to Vorwald acknowledging receipt of his October 4 letter and his program for the investigation of asbestos and pulmonary cancer saying he should hear from them soon Not on the Government's list and needs to be added From Woodard to Fisher re asbestos and pulmonary cancer He attaches Dr. Vorwald's proposal George Foster's report to the QAMA dated September 25 1950 This is the one that RLM didn't know who wrote which has the long range short range proposal the proposal for the creation of an institute and the proposal that the Industry doctors lecture at medical universities] -- -- says they should make the best possible epidemiological study and mentions Hemeon's name He suggests first and expense estimateosn second at Saranac He the years beyond the talks about Item 15 of the Saranac proposal on publication This appears to be alright but it would be desirable f representatives from Saranac would not make talks before groups bringing on information about the investigation that is not yet ready for publication As you recall this has been done in the past and possibly cannot be prevented He then says with regard to Foster's report It seems to me that the of idea putting out truthful counter propaganda good one in order to counteract some of the is a wild statements on the other side October 26 1950. Listed by the Government From Fisher to Foster with copies to Sabourin and Woodard Refers to the QAMA meeting at Sky Top Pennsylvania on 3066 3067 3068 3069 3070 October 23 where the directors agreed to the second part of the program to be conducted at Saranac It is unclear whether they are talking about continuing to meet on the statistical aspect of the study or whether they approved will meet with it also It also says all of them in Saranac that Dr. Lanza to discuss it further October 27 1950. Not on the Government's list but should be From Woodard to Vorwald with copies to Lanza Fisher Sabourin and Foster confirming a conversation with Ms. Blinn that morning and says that Sabourin et al will be at Saranac on November 7 to review the proposed asbestos research program It also appears that Lanza will be in attendance Not on the Government's list and should be made part of Hood's list Kenneth Smith to Executive Director of the National Cancer Institute telling him that he and Cartier were going to visit with him soon and that the QAMA had just approved a statistical study that he wanted to discuss with him Letter from Cartier to Smith regarding a letter he wrote to a gentlemen Penhale with the Asbestos Corporation Limited Attached thereto is a copy of that letter dated November 6 1950. Joe Cox needs to obtain a more legible copy He's talking about Merrewether and the fact that the asbestos industry in Canada needs to sponsor a study in accordance to previous discussions regarding statistical and animal studies November 1950. Illegible Joe Cox needs to obtain a more legible copy From Sutherland to Lanza regarding the standards for diagnosis of asbestosis It looks to be an important document Not listed on the Government's list and should not be listed on Hood's list at this time November 7 1950. An extremely important document which is not on the Government's list It is the mee oft thi e mn eetg ing at Saranac between Lanza Sabourin Vorwald and Woodard The last two pages are not legible and I would ask that Joe Cox obtain copies of them Until RLM sees the entire document it should not be listed It should be a very important document on the conspiracy count They again talk about publication and the need for statisticians It now appears certain that QAMA had authorized Saranac to do both epidemiology and animal studies The suggestion made was that Cartier and Smith do an initial screening of rays and those they find to be of interest would be sent to Saranac They make the serving 3071 3072 3073 3074 3075 3076 3077 statement that they that no question of want bias Saranac could be to supervise this so introduced into such a procedure I HAVE NOT COMPLETELY ANALYZED THIS DOCUMENT BECAUSE THE LAST TWO PAGES ARE EXTREMELY IMPORTANT] Marginal interest November 10 1950. On the Government's list From Woodard to Vandiver Brown re publication of test results He's concerned about publication of the test data by Saranac and he said he asked Lanza for some help and that Lanza suggested the the University resetrhevre igs ht the Institute publish results of paragraph which says to have members of the studies but the copy of the material to be published shall be submitted to the donor at least 30 its comments or criticism days before publication It says the donors will for not be identified in the published version November 15 1950. Should not be put on Hood's list Not re on the Government list publication of results Vandiver Brown to Woodard Vandiver Brown says I believe the paragraph quoted about you goes about as far as we can reasonably expect to learn the scientific institution can go We of course have never intended to suppress information obtained as a result of experiments financed by us and on the occasion when we insisted that there be no publication without our advanced approval we have had in mind that we might possibly wish to defer release until we could make such defensive defensive moves as might be appropriate and available us This is a classic statement The defensive moves include editing out offensive portions] Lanza to Smith enclosing a copy of a letter from Sutherland previously identified Should not be put on Hood's list Not on the Government's list and should not be put on the list From Woodard to Sabourin with a copy to Fisher re Saranac proposal to QAMA He essentially copies Vandiver Brown's memo to him 3073 and includes the paragraph from Lanza setting forth what the publishing company can do He asks that Sabourin negotiate an agreement with Saranac which incorporates this understanding Marginal Should not be listed authentication Only goes to Marginal Only goes to authentication Copy of a letter from Vorwald to Cartier talking about needing dust for the experiments 3078 3079 3080 3081 3082 Mussina ae ane Mussina Mussina docum3160 notes 3170 3171 3172 3173 3174 3175 3176 Marginal Only goes to authentication Vorwald to Sabourin with copies to Cartier and Smith talking about needing a supply of dust Illegible Joe Cox needs to obtain a legible copy December 14 1950. Should be listed This is an outstanding document From Bell Asbestos Mines to all the other members of the QAMA including Asbestos Corporation Limited Johnson's company Flintkote Canadian Manville Asbestos Corporation and Nicolet Asbestos Mines re the QAMA cancer report and the Saranac proposal Refers to the Sky Top meeting and that Mr. Sheppard wanted to take a look at the report This encloses a copy of Mr. Sheppard's analysis not included in our document Illegible Joe Cox needs to obtain a legible copy Should be listed Sabourin to Woodard proposal to QAMA It refers to Woodard's favorable parag beria nsep rth ed in re publication of results Sabourin is Exhi 307b 5 i datt ed December 4 1950 re Saranac's desire that a the contract replying to January 2 1957. Not on the Government's list and needs to be on our list From Sabourin to Walmer enclosing a 20,000 check ~~ It Says Cancer Epidemiologic Survey QAMA Marginal importance Should not be on Hood's list Marginal contested Only for authenticity in the event it is Marginal contested Only for authenticity in the event it is Marginal contested Only for authenticity in the event it is Marginal Janu 29a1r 95y 7. Should be on the list Transmittal letter from Braun to Truanenclots he i inn terg im report tothe QAMA February , 1957. Braun to Sabourin enclosing interim report to the QAMA This should be listed the and provided to Hood The interim report sets the purpose of the program which is to forth again determine whether there's a relationship between asbestosis and lung cancer between mere and whether a relationship may exist exposure to asbestos and lung cancer It 3177 3178 3179 3180 3181 3182 3183 3184 3185 3186 sets forth the procedures The only significant thing listed in this report is that they've done a bibliographical research which was submitted January 31 and really has no importance Marginal interest Send copy to Dr. Mancuso March 8 1957. Should be listed Mancuso Braun to Sabourin enclosing interim report with revisions and sent to Dr. ten copies of the Marginal review Copy should be given to Dr. Mancuso for April 26 1957. From Holmes of the ATI he's of Asten Hill Manufacturing Company to Daniel Braun He's advising Dr. Braun that the ATI had rejected two proposed studies one was for an environmental dust survey and the other was for a proposed epidemiological study of lung cancer in asbestos workers This document was previously in evidence but should be listed and a copy given to Hood Marginal Marginal Helps on authenticity Copy should go to Dr. Mancuso Marginal June 10 1957. Should be listed From Paul Gross to Kenneth Smith regarding pathology materials as to a case he is reviewing It shows severe diffuse fibrosis consistent with asbestosis There's a cancer in the lung but he's not sure whether it's metastatic from the other part of the lung or from another part of the body He draws no conclusions June 21 1957. Not listed in the Government's list or articles Should be listed and given to Hood Paul Gross from Industrial Health Foundation to Kenneth Smith have referring to asked that an article that he has submitted I the manuscript be returned for revision See if this Part of the letter is illegible letter was in our Braun exhibits Cheryl If not Joe Cox needs to obtain a copy for us This shows that the IHF was habitually sending matters to Kenneth Smith and others for comments and revising documents accordingly July 30 1957. An extremely important document It is not on the Government's list and must be given to Hood immediately Association Minutes There's a of the Quebec Asbestos list of the attendees Mining One of the items is worker's compensation Under that item is 3188 the following quotation Compensation Saranac Research that the fate of the Trudeau Item 2. Worker's Mr. Sabourin reported Foundation was still undecided and consequently the question of the disposal of the Association's records was still pending Counsel is maintaining communication with the Foundation Under symposium on pneumoconiosis says the decision time and location of the syposium is still pending It was thought it should not be held until the Spring of 1958. Counsel was requested to submit a report as to this means taught the information interesting expenditures made to date I assume that that they intend to hold a syposium to Braun doctored report Item A the about Sarnac is most important and in that the only way to insure that a conspiracy It will be date cases for their is not found out is to destroy the records recalled that for over 30 years as of that had been submitted to the Saranac Laboratory review and for assistance in Worker's Compensation matters were QAMA members were Several of the conspirators who also ATI members and subscribers to the original Saranac project These include Turner and Newall and Manville Page 2 under Worker's Compensation General is McIntire Foundation It was suggested that the Association should establish closer liason at the medical level with the McIntire Foundation with respect to their announcements pertaining to pneumoconiosis In the absence of such liason it that their statements of either a would appear likely general or specific nature dealing with misconstrued and unjustly pneumoconiosis might affect the objections of be the Association Regular exchange of information would obviate this difficulty September 1957. Report of Braun which says Restricted Copy No. 31. Braun to the QAMA At page 74 he states that there is a comparison of relative frequency of lung cancer and asbestosis is less reassuring but we believe this is because of an underreporting of asbestosis cases The incidence of asbestosis indicated by the medical records is far below that which would be expected on the basis of all previously published figures Naturally when the cases of lung cancer are compared with an artificially low figure it's relative incidence will be higher than it should However this may be 12.5 of the recorded cases of asbestosis in this state of development of lung cancer a figure slightly lower than those quoted by authors who confine themselves to this type of comparison In the conclusions he says the results suggest that a miner who develops the disease asbestosis does have a greater likelihood of developing cancer of the lung 3189 3190 3191 3192 3193 3194 than a person without this disease We suspect however that underreporting of asbestosis cases had led to a fallacious finding in this connection This document is mislisted on the Government's list as 3189 and it should be listed and given to Hood RM Comments The underreporting certainly comports with the practices of the QAMA members to downplay the significance of asbestosis when they made their statutory required reports to the Quebec government As we'll be seeing from ensuing documents the QAMA certainly wants to make no reference to this practice ] September 6 1957. Has already been provided to Hood but should be listed on our index From Braun to Soutar Secretary of the QAMA inquiring as to how many copies of the report the Association will require He reports that it has the number of copies been that completed and is they will need soliciting October 2 1957. Illegible Joe Cox needs to obtain a better copy From Cartier to Braun Hood should be given a copy It reports an interesting article on bronchogenic carcinoma in the Canadian Services Medical Journal Marginal 3190 Braun to Cartier acknowledging receipt of Should be listed From Soutar stationery acknowledging receipt copies of an epidemiological report copies to Braun on QAMA of 30 paperbound and 6 leatherbound December 18 1957. Exceedingly important document Should be listed and a copy provided to Hood It's Ivan Sabourin to Grainger the Chief Medical Officer of Canadian Manville Re the IHF survey I am enclosing a condensation of the survey I have met with Dr. Braun Brook We have since our endeavored last QAMA meeting at Sure to reach a condensation for publication avoiding references to the called method of reporting or classifying asbestosis at our clinics In conducted for incidence in fact the epidemiologic survey is one the purpose of determining the cancer asbestos workers and not in workers necessarily suffering from asbestosis He then goes on to say that they made some changes further in the context regarding smoking habits He then reports that Dr. Braun will be severing his relationship with the IHF and he solicits their thoughts soon December 30 1957. to Braun attaching Smith to Sabourin Needs to be listed From Sabourin a copy of a letter from Kenneth dated December 30 1957 regarding 3195 3196 30 1957 regarding comments about the survey He says that he wants him to consider Smith's recommendations and to see if you cannot arrange to incorporate the changes if you of course agree with them into the condensation This is now a review of the condensed version and not the original version that was supplied in earlier December] In the letter from Smith to Sabourin the first paragraph reads Hugh Jackson and I have reviewed the condensation of the survey which noted deletion of all references you sent us We have to the association of asbestosis and lung cancer in the condensation While we believe that this information is of value we can understand the desire great scientific of the QAMA to emphasize the exposure of the asbestos miner and not the cases of asbestosis We are also in agreement with the deletion of the reference to smoking and lung cancer RM Comment It will be observed that in the original commission to the IHF they were to answer two questions that is whether there was an increased risk of lung cancer among those exposed to asbestos secondly whether there was an increased risk of cancer among those who have asbestosis That's and lung when they receive a report that confirms the second but not the first they decide to eliminate it Smith goes on to say that the report will be subjected to criticism when published Because all of the authors today correlate lung cancer to cases of asbestosis If we are to restrict this condensation to asbestos miners greater emphasis should be placed on the choice of words used in defining the cohort That's fact that all members exposure to of the cohort had asbestos should be five or more reiterated years of The other items do not really impact significantly on the editing efforts however they show how meticulously the industry was involved in editing the final report The next to the last paragraph is important in that Smith says he agrees with Drs Cartier and Braun that a certain number of workers probably have some asbestotic fibrosis which cannot be diagnosed by ray but they cannot do biopsies and therefore the annual study of all exposed asbestos workers becomes increasingly important Important only with respect to authenticity Telegram to Sabourin saying that Smith had discussed his suggested changes and that he would probably soon be receiving his letter of December 30 Should not be listed and but should be given to Dr. should not Mancuso to be given to evaluate Hood 3197 3198 3199 January 3 1958. Sabourin to Braun Should be listed and given to enclosing a condensation so you may incorporate the proposed amendment It again that they the new year continued their editing process Hood that shows into January 20 1958. Needs to be listed A very important letter Cheryl See if this is one of our Braun exhibits If not Joe Cox should get a legible copy From Stokinger the Editor of the AMA Archives of Industrial Hygiene and Occupational Medicine to Braun It will be remembered that Stokinger was on the ACGIH Committee and was very influencial among those members on setting standards He says that he has reviewed their paper and lists the name of it and that they are pleased to accept it for publication in the AMA Archives of Industrial Health It is to be understood that this is not the first edition nor the condensed edition but the final edited edition that was published He says the paper may be too long The final paragraph is extremely important and bears reproduction in its entirety I myself was particularly pleased to learn the main conclusion of the paper was against the association of lung cancer with asbestosis This is of course untrue The conclusion of the unexpurgated paper was that there was an association between lung cancer and asbestosis for I had come to a similar conclusion on obviously far less information but was afraid to say so for this reason I am enclosing a review which contains a few statements that I have marked in this connection that appears 1956. in the Annual Review of Medicine Volume 7 Cheryl Please have Robyn obtain this article You will recall at this time evidence greatly favored the positive correlation of lung cancer and exposure to asbestosis Here we have the person who's involved in setting the standards of exposure to asbestos and other substances who had written in the literature that lung carcinogens should be treated differently from substances which merely disease See my index to TLV matters cause chronic March 19 1958. Should be listed From Cartier to Dr. Vorwald bearing a received stamp from Dr. Vorwald Written on Thetford stationery Dear Doctor Vorwald Knowing your deep and special interests on this problem of asbestosis and cancer I am taking the liberty to lend you this confidential copy of this epidemiologic study of lung cancer in asbestos mines He then solicits his comments It is important to compare page 50 of what was sent to Vorwald with page 74 of the original version of the precondensed article What they sent Vorwald included the elimination of the section on asbestosis and lung cancer and on the section dealing with cigarette smoking I want a survey done of Vorwald's writings done after 1958 to determine whether he published on the negative association between asbestos and lung cancer after that date Jackie should follow up on this with Robyn's assistance] 3200 3201 Is a remarkable document It is listed on Hood's list but lets send him another copy It is obviously circa June 1958 and is Ivan Sobourin's report to members of the QAMA Re The Symposium held June 16 17 18 in Montreal On the first page he crows about who all attended including Dr. Marvin Kushioner and the fact that the Canadian Broadcasting Corporation and others covered the event He said that more than 400 doctors in Hygienist attended " I do think that at any time a symposium not on pneumoconiosis and industrial medicine in industry has constructive authority in gathered a stronger and more array of men and women having the respective fields they covered and the authority acknowledged based on their knowledge He then says that Dr. Gregory Dr. Wright Dr. Vorwald Dr. Bristol Dr. Kenneth Smith Dr. Cartiera and others had occasion to deal with the pneumoconiosis problem cancer etc. Then on page 2 he says that Dr. Braun communicated the results of the epidemiologic survey Re Asbestosis Cancer Incidents exactly at the time when we were having available reprints of the publication which comprises a condensation of the survey which the IHF made for us under the direction of Dr. Braun This was very well received The publication came out that very week and therefore official knowledge was given to the open world at the same time we were having our symposium that will this was one of our main targets be recalled He then says that Dr. Vorwald and Dr. Kushioner were present and agreed that the work was important On page 3 paragraph 11 he says public relations and publicity wise the symposium was well covered by both the local press and the scientific press and that a press room was maintained He then in paragraph 13 talks about the committee composed of Lindell and Penhale of the QAMA authorized publicity of same being tagged openly although with QAMA being discreetly listed as a sponsor Appears to be a copy of the article as it was finally published It will be noted that there are notations throughout including page 48 on summaries and conclusions and it looks like the copy which was written up as a second condensed copy I am providing Dr. Mancuso and Dr. Casselman a copy of 3201 as 3202 well as the publishers in the earlier versions which was in condensed I would like to know an analysis of any difference between the second and third condensations We should list 3201 and give a copy although it has already been listed Should also been listed be listed although it has already and we do not need to give Hood an additional copy Make sure 3200 was provided to him and that we also do not have to give him an additional copy These are the meetings of the QAMA - July 21 1958 with various persons listed as being in attendance including Sobourin Part A is Workmans Compensation Committee - they report its important workmans compensation here that under the committee they report the research of the epidemiological study by Dr. Braun and the fact that it was published in June 1958. Then they say nothing new is reported from the Foundation at Saranac It was reported about the symposium which was the subject of 3200 exhibit and it was recommended that members be provided with the various Sabouri papers for the There was excellent a motion to thank job you had done in organizing and guiding the symposium