Document zzL66q8O4N6pnMLOD8RNeYo2n

Castleman File: American Petroleum Institute w/c = with cover letter or memo If DATE = 0, undated CD-ROM Document #:API I </ DATE /^g published article from medical journal published article from trade journal published advertisements newspaper article published government report government inspection results unpublished or internal report unpublished presentation from conference letter memorandum industry warning labels industry sales literature industry recommended practices meeting minutes (with attachments) membership list BC notes i* -t OS' * lu ^VOLUME 18 The Medical Bulletin JULY, 1958 REC'D KUV NUMBER 2 CONTENTS Page PRESENT DAY HEALTH PROBLEMS IN THE & PETROLEUM INDUSTRY ................................................................. 123 Dr. R. F. Schneider 8S ROBLEMS OF RETIREMENT ............................................................... 140 Dr. N. J. Roberts 1AT IS EXECUTIVE HEALTH AND HOW SHOULD IT BE MAINTAINED?......................................................................... 154 Dr. Leo Wade PATTERNS OF INJURY IN OIL REFINERY CONSTRUCTION AND MAINTENANCE WORKERS...................................................164 Dr. A, Ward Gardner IE OPTIMUM TIME FOR RETURN TO WORK FOLLOWING . |- VARIOUS MAJOR CARDIOVASCULAR DISABILITIES ........176 Dr. J. ]. Thorpe ROBLEMS OF NUTRITION IN INDUSTRIAL WORKERS............198 Dr. Thomas E. Aramburu MISTRIAL HYGIENE FEATURES OF BENZENE PLANT DESIGN ................................................................................................... 206 Mr. ]. W. Hammond MOLOGICAL SAFETY IN THE PETROLEUM INDUSTRY..... 209 B. A. Fries 4AN RELATIONS IN INDUSTRY AND ITS RELATION TO OCCUPATIONAL HEALTH .......................................................222 1 Dr. R, F. Schneider j RELACIONES HUMANAS EN LA INDUSTRIA Y SU [RELACION A LA SALUD OCUPACIONAL................................ 237 \pr. R. F, Schneider fSNOTES ..................................................................................................253 PRESENT DAY HEALTH PROBLEMS IN THE PETROLEUM INDUSTRY* DR. R. F. SCHNEIDER Standard Oil Company (New jersey) The study of the history of medicine (1) indicates that, since the time of Hippocrates (460-377 BC) certain disease entities have been associated epidermiologically with particular crafts and trades. Bernardo Ramazzini (1633-1714), who is considered to be the father of Industrial Medicine, in 1700 published a monumental two volume treatise entitled "De morbis artificium" (2). In this work he discusses the diseases of 52 occupations including miners, goldsmiths, surgeons, chemists, painters, blacksmiths, fullers, masons, wrestlers, farmers, grave diggers, midwives, nurses, and soldiers. In describing the conditions associated with these trades, he frequently refers to writings of Hippocrates, Celsus, and Galen. Well-known examples of diseases associated with a particular trade or industry in more modem times, are the scrotal cancers in chimney sweeps; silicosis of the lungs in sand blasters; anthracosis in coal miners; plumbism in lead workers; anthrax in tanners, etc. In the light of the present-day knowledge and practices in the field of occupational medicine, these disease conditions would not have occurred. In each instance the disease occurred in a large percentage of the workers.in each one of these industries or trades as the result of repeated exposures to a substance in the working environment. This substance entered the body either through skin contact, ingestion, or inhalation, and then reacted with specific tissues of the body to cause recognizable pathological and physiological changes in the organism. Today we know that applying the principles of occupational medicine through periodic medical control of workers, protection of the worker against potentially harmful exposure, correction and control of the work ing environment through industrial hygiene measures--either individually or in combination--would have prevented the occurrence of these dis eases in those so occupied, A review of medical literature, however, fails to find any references 'Presented at the Twelfth International Congress on Occupational Health, Hel sinki, Finland, July 1-6, 1957. 123 present day health problems in the petroleum industry S. Light Oils g. Gasoline b. Kerosene c. Varsol d. Naplitlia, Healing Oil, etc. Chart No. 11 shows potential Repair Operations. Benzol Menthyl Ethyl Ketone Phenol Inorganic Dusts Carbon Tetrachloride Mercury :jstires related to Maintenance and Chart No. 11 rds related to Refining opera-5 i PROBLEMS AS -IING tial Exposure and Hazajids gen Sulfide 1 Monoxide Dioxide plans ties (Toluene Cumenes, etc. ayl Sulfide nia tic Amines carbon Vapors sts Dioxide le nia gen Sulfide ptans titis ors of Nitrogen , ` SOME MAINTENANCE AND REPAIR OPERATIONS WHICH PRESENT POTENTIAL EXPOSURES Operation Potential Exrosunns and IIazauds Welding 1 Pipe Fitting 1 Insulating Brick Laying Painting Instrument Repair Lead Burning ) Foundry ) Ship Repairs (Drydock) Machine Shops Others Metal Fume Fever, Fluorides, Heat, etc. Dermatitis, Solvents Asbestos Silica Dust Solvents, Thinners, Lead, etc. Mercury, Solvents Lead ( Silica Dusts, Lead, Brass Fumes, etc. s Welding, Burning, Painting, etc, ( Degreasing, Metalizing, etc. When the fact that such potential hazards exist in the petroleum indus try is examined along with the infrequency of the occurrence of occupa tional disease, it is evident that the engineering developments in the design of equipment and processes, plus the periodic examination and control of the working environment by industrial hygiene measures, along with periodic health examinations of the employees, have been Effective in maintaining the health of the petroleum worker. An excellent example of the effectiveness of teamwork by those re sponsible for the control of potential hazards in an industry is demon strated by die cancer control program put into effect in the processing of high boiling catalytically cracked oils (19). In the year 1942, the ffrct commercial unit for Fluid catalytic cracking was placed into opera- hon in our company. In this operation certain petroleum fractions are heated in the presence of a catalyst, and large petroleum molecules are broken down into small molecules. A residual material is formed which