Document x5YNr0q86nrLDZm3ORNY6N5yb

PLAINTIFF'S EXHIBIT (fmi. -J3 <3 TRIP TO rJSTRIAL, ISBKTOT, THITTOSD IIKIS, CTTTF.rC Oct*her 16-Qetober 1, 194A /yyf rSrZ&L To explore the reasons for the high tuberculosis mortality rate la Thetford tine*; to confer with the operators of the asbestos mines in Thetford concerning the establishment of aa Industrial health clinic la'Thetford lines; To visit Group p-lleyholder* la Veatreal with ir Perry mi hr. Pehnel. hr. Pehnel to Bake industrial hygiene surrey of Asbestos ailla la Asbestos aad Thetford. IGHIPtCAPT DCTnJPhBffg 1WP OB?miTT9g Be tuherculoy*? pabartoels 1. Provincial laalth Department to provide ae eitb age-speelfle mortality rates for tuberculosis by sex for past eight years la Thetford, latest?* aad mix comparable esaraaltlaa la addition to Dominion aad Provincial rates* 2. Or. Bmetts to secur* data for aa on haalth service*, character of population and living conditions ia tha oeaneltlns for shleh mortality data Is being seeured. 3* Local physicians and nans nt Thetford >lnes hospital believe asbestos dust contribute# to tuberculosis. A. Thetford hospital, built la 193Q, has 150 bods--75 devoted to tubercu losis. Excellent, aodera surgleal equipment and basal metabolism apparatus. X-ray machine 100 allllaaparas and 20 years old$ lo XZQ. About 50 tabarculosls patient# la the hospital* about 90 parosat nale* 5. Thetford has 115,000 health hndgst* County pays 10 pereont* Provincial goveraaeot pays tha rest. One fhll-tlae health officar, fir. Blala, aad five parttlae nurses are employed. Pollov-up ea tuberculosis Is poor* The narsee leek adequate training. Sr* M*y, the Provincial Epidemiologist, Ihiaka there are 10 unknocn eases for every kaovn opea case (he insists that the unknowns are not open eases)* 6* Sr. Siren, the physioIan la charge of tha Thetford lines hospital tuberculosis service* believes asbestosls causes tuberculosis although* according to lr. Sabouria, ho has written and puhllely stated the contrary* 7* living conditions la Thetford have Improved la recant years* lr* "ehaal, eho visited Thetford la 1930 aad 1935* observed tha Improvement* lie* Chess* the Metropolitan Ives* finds homes in Thetford better than hoaes la parts of Quebec r City. * t* Asbestos companies la Thetford have mo hoalth information am their workmen. Only data aay be on Atil elalm ferae. | . 9. Tb Johnson's Cnsocny'r new sill a eocron tin drinking C-T Is still used T is was observed tr.r re'Tied by Mr. Pe.u.=el !r. 1935. 13. Ir Johns-tt-rille riant htrltw service bt* been sainta'ned years wit! Tr. *"*eTcr-'r. -i ehcrre. It. Snith htr Ju*. tesr eaoloytd to assist bis. Dr. Selth with the Aluislaur Canary *>f Carset oR foreign service. There Is snail rut fairly well-eoul'Pee hoe-itcl anc health records or. earl--ees extending over e ntr'-r of ye.-rs. It is hoped to enlarge the h-foitsl facilities sobe and install newer x-ray eruiccxnt. It was reeonsenced a ne* :-actine ba at least 30" Eiiliarperes and oreferatly *00 In ercer to secure aceruate chest filas for asbestos!*. 11. In Asbestos, Pr. Seit` said the incidence o* tuberculosis appeared to be in the sonar *~nar. aEol-yed in the weavi-.g and soinninr rill. Operations are rery dusty. ^ersojui hvriene, liv'nr haMtn, anc nutrition of these girls la his. o"i nior., eere poor. Plans arc under way t-1 have a r.utrill cal et desonstrate proper lunches ard the oreperatl *r. o'* ather re!>is. Mr. McGas ns interested la securing all the ae-.lth ecucutl'n satarl&ls of the Metropolitan afalch sight help in this Industrial situati-n. !e ventilating epuloeent is being installed la the spin- V ring >-=d aearinr secti-r.. The electrostatie precipitator eh!eh collects the dut/ fron the earl us ope rat' -ns Is working about 75 oercent efficiently, salaly becnuA/ the Increased teas- of operations le overloading it. IT. At our suggestion, the three ranarers of asbestos sines in Thetf-rd agreed t~ invite the laboratory nan frox Dr. T^uranreau* s industrial hygiene deotrinent la the Provincial fcecltfc Leosrtsert to visit Thetford and work alongside Vr. Pehnel in saking dust collect!-as. This Invitation was extended by Mr. Sebouria le-il representative r* the Asbestos Producers H *ncitl-o., to Dr. Tourenseau when we called oa toe latter in Quebec* 13. >e suggested that the effort be made to hare the Cocpensatlna Coaaission Insist that x-rays, taken to ceoonstrat*.asrectosis, be cade by e standard technique and th-t, if r-r.sible, dlamoetie criteria be established, hr. abourin thought it would ie possible to have a csaalttee oa asbestnals cade ur of Canadian and Harrietn at dieel authorities acetlln Montreal and femulate such standards. He also believed a cll.ieal sysooeiuc oa ashestasis could be arranged, to whleh oracticing Physicians la coasualties near the asbestos industry weu:d be eac'urared to attend by paying one-half o'* their CToenses. Dr. Gardner ant' Dr. Iansa sere authorities aeaVoasd to speak ct this svso-aiur and far neebership on the Coaslttee or. Asbestosls. he Industrial Health Cll-lc in Thetford 1. The establlshaent of a ellale is a legal reoulreeent la the asbestos industry. The government has recently ruled te alias the industry V establish Its own health service. 2. Three eosreaies have agreed to spead about $60,000 ta establish the clinic 3. The position of full-tlae industrial physlciua sill be offered to nr. eul Cartier shx I eet ana' interviewed ic Montreal. If he accepts he sill start at onca tn plaa his program and secure eeulmeat. 3 4* Cl laic *111 be operated b7 a eonalttee composed of th* three managers. I fiuc*3ted that the physician be e eanber f this committee. 5* Dr. Cartier, er *b"r*er la appointed to the position, *111 hare freedom aad tlDDO /early for professional study end. travel. h# Tlslta In Montreal l. Radio Corporation of .Cfnada (J(| a. Er. Kaufmen critical of V.L.X. ledleal txaalaers os RIB fsllae-up. V This criticise has been pasted na to Sr. Bdnette (tee inhibit A). // b. big clala rate la radio-essnafaly section ehere there are 90 pereeat females. Ceasee nanrasthenla, weakness, fatigue, aaeaia. c. At Mr. Pehaal't reoeanandatloa, ventilating hoods hare been provided ee operatises involving eolderlsg.' 1* will aeke recheek Surrey. 1 Charles 1. front tad Co. ~ a. Planning health service for eaployeaa. Pant Dr. Loslaaky, Director of Research aad in charge of developing eerviee, description of serrlee far sail plant (inhibit 1). h. Observed several *nrklag locations tosre dust aad drug eopcaatratloa la ataosphare sight be hasard. (Mr. Fahnal 'arranged to visit sad aka aarray.} 3. Coarrees of lafoafrlsV.Ttixci Ala Is a fro19 of about 25 physicians employed la Industry around ontreal. Sr. Qnhaa boss, of Rational Braveries, in president. Hr. Fehnel aad X rpoke to this group on the cork of tho Industrial Hygiene Buraaa aad soan postnar problems la industrial aadlelaa. Sr. Beta vould Ilka Retropolltan Industrial hygians Utsratara shlefa sould bo epsraprlat* for those physicians. (Sr. Bmatte hat been lafernnd.) 'Tr'-AL? *rT rr-z-.z m? ?z?` - C-ro-rtt? Mr. Dear-:., the net ?rric.c3t Ur. UrCtli---, Personnel rireetrr ir. K&'_, Uedle^l i'lrfctrr *>. F'usjml, *afttv i'lreetrr fhar'c- 1. Tr'~-t er.-~ irmane *-ii?t C. ^msst, rcrtcest Mr. **heer;, lar.t ianarcr Th*. Lotlrsfcy, 'drector ?f Seretrch. A<c* Cor" r? 1 "*n Ur. r-itfrt ftetle, Pro'tder.t, S**ritrMl Ur. Alfred cr.hait, -ar.aner, Thetfrrc ^"-trsol Art*-Tuwe-c.i**! Le^-'ae rr. ?n-l Cartier j.v.t*. *nal Brenerley Cr. Gratae r.rsi, Kerlcel Directs olurlnug Cort-ar.v "** --nurffa. Cr. Midfell, ``eotc 1 Ilrector Abcr*o ?r-.o.cerr AwciatlT. of *ucbec Er. *vt.n fahourln hr. *'ab*urln race errareeseatr with the tv,ree ooerat~.ti Ir Thet^-rd V1.-.W9 tr.t rltw the Johns-ianwlilt- Plant Ir. pi-ertrs for us to ir.mect anr- sake dust f'zrrry*. He also took us Ir his car os the tri" fr" '^streal t** #.f'.'e*t-** f Thetforc to Cuttae. arc bach t' Montreal, end a!rted u? 1? seetins officials la trie Provincial Health Cep.-rtr*st In iucVee C, ity. 'e __ * -- Johns-'-anvilla --* .. - fr. H. *C. Sherry, Uonager Ur. UcGew, Director of Incustriel relations Cr. *tevessos, wdlerl Director Dr. Sslth, As?iet:*.t to fr. Stevenson Johnson*a Cotr.oasv Ur. Ascrew Johnson. rerlae=t **li Pises Sr. *? C. faith, President Dr. *lmu, rraet'clnj nhyslclcn in Thatford Mines Piss Chess, Vetroorlitan h'urte, and Ir. addition the liters -n eliarfe of the hosnlte'. Ir. Th.ctfrrd end a rir.'er of the Plant Superintendents and Ingineers ir. the four cines w-ich were Inspected. < - 5:uelc Health Esasrt^rr.t lz. pi.l Harrct, Statist'"ioa Er. A. r. ?>ley. PrcT*:neial tuide^ialoriJt Er. -Vc-t SreroLrc, leputy l.!r.i?ter rT Health tac lelfere Ltf. J-aI** Gilbert. rirectar >? Health iducs.ti-'B IT. ". J. Truraafeau, L'trectar rt Industrie! fiyriene Corsunttle? Pnr Thlch TnP^rgatlan on Tuberculosis -artell tv end Health Cmeit4~n* Is fee lug Obtained ChlCSUtisi Ca de It&daltln* St. Jeaa St. Hyacinth* Piasuskl V/U.leyfleld Asbestos Thetfard it Erin it a October 21, 19U Dr. soman L Burnette A*istant Secretwy Canaria-. ~r-d Jff5 ce Dear N-rnan* i*-r rjest!'ccatre regarding c-'asur.it.r health services and lir'nj c-oditl'as, wait*: you nlanned to sene tr the !3urees cos unities In which we are s*>ls- the tuberculosis = -rt.llt.y study, reached ne today. I think It carers everything we talked about Saturo'ey end s'.*ald fire us the necessary Inf-meti'n* If It seeos necesssrv cad we art In doubt ab'ut eonciti'ns It eay be o-s* le 'or ee V* sake an Inspection wlslt later on. t assuce fro*- your letter t*ct ru.can secure the lr.'oraatlon fre* a trusted s*urce known t-> t**u In FleousVl. If y--.j ere In doubt ab'ut a "ource l.- Asbestos, I 1*'. '.ere t can secure th's '.^f-m^t'-n through Dr. Salts;, the assl tent tn Dr. Stevenson at Canarian Johss-KanvllLe In Asbastos. 1 have several questions ww*ch I did r.'t tike up with you n Saturday which reltte tr ry visit* (1) Dr. Qrahan Rost, Medical l*ireetor of '*ati*nal ore-erle*, -'optrcal, was intert sted ir. our Industrial health ncterlal. He has ak-jt 25 physicians In his profess!*nal organisation which he and Dr. Pildfell, Medical Director <*f %luslnun Cosnany of Canada, we organising* He c-uld use 15 c-'oies of appropriate lltarature for these aan. Do y~u hawe surolles of our Tndu-trial Health Partes and do y~u wish to sus-ly Dr. does vltk then? (2) hr. & V. McGaw, In charge of Industrial Pent!one of Canadian J'hns-Manvilla, Asbestos, Cue., Is tatarested In haring health education oatarlal for educutl'oal work with their employees In Asbestos* They have becoee quite aetire In safety education and now want to turn to health educati'o. &c wanted to be surolled wit1, the health education oatarlal which we hawc aval .able. Do y~u have liter* attire y*u can send him? If no*, what dc y*u wish done? I right also cent!on that Pr. McGaw raised the suest'on at'at nursing service. He said that the ianressi'a had been given then that they would hare nursing service when the insurance wt purchased* I explained that we nrorlde nursing service where It is available and th%t would not necessarily follow the contract* Tou Berbers know the background of tv la and you ray wish to say something to hla* In connection with the nursing service. I gave Kiss Chess the names <t the nearer* of the two ai&es we insure In Thetford, Mr. 0* C. Saith of the Fell Vines, and kr. Andrew Johnson, sf Johnson's Mine. She Is planning to call on the; this week. (3) Mr. Ivan Sabourln Is also Interested In Metropolitan health 1`tereturc. I shall arrange t? out hla on the statistical Bulletin Railing l'st, but ae in doubt as to what you prefer t' do about other health literature. lould Dr. !oraas rumette -2- Setter 25, 19U t you prefer tr send his s&terini is w~lch you tfeir> he would be interested through the H*ad Office or vivid yiu wish us to do o? *nile T van at RCA in Caraea I set Tr. "tufas, Hr. McCallun, and hr. Sousseauj Medical Director, Personnel Director, and Safety Direet-r reapectlvely. Their clais rate, a? yiu know, ia running currently arotnd AO oer 1,003, according to data which they haTe at hand. Peat, was reac'-ed during Aurust, whleh ear s-re than taica tvie rate, I believe._lEr. Kaufran does nit believe that there false are all for legitimate il aces. He la ' particularly critical of the oart olayed by the Coeoany fcedlcal txavinere j irt dale adnisistritica. He said they acre ooorly trained fir their work and | their follow-up visits did mt aid in the control of ealingericg. He stated ! that the Coaoaay should aesloy laboratory diagnostic tarta such as Mood ! eras!net'.m, x-rays, etc., to check un in varue dUsnrses subeitted by ! attending nfcysictens. The predoainant diagnose* art neurasthenia, weakness, i aaesia, etc., and ocetr es-ng the fesale earliyees, particularly is the rad4r asseebly deocrtrer.t, whie5- has ubout 90 percent females. Ta Asbestos ft*. *tevtnsor., whi is the Jchne-Wanvlile -hys'cien, is also Medical kxaalner f*r the Cotraany, He sent lined that ecrl*yees were abusing their AW insurance.He has talked with local -hyslclano ah*ut their signing of certificate? ana their excuse is that they are aecocsodatlng the patients. f>nt of the attending physicians suggested that the toarany rrint in bole letter* "a the f"r=, which is gives to the attending physician to fill out, that the Insurance is Mt intended t* cover vacations, rest periods, etc. * 1 did not know whether this e*aes within you* orrrir.ee, but I thought that I W'ulc pass it on to you to do whatever yiu see fit. Sincerely yours. George M. Mhcatley, M.C. Assistant Medical Director