In the matter of the use of British Anti-Lewisite in the treatment of tetraethyl lead poisoning the situation has been somewhat beclouded by an incident that occurred several years ago.

A number of metals, e.g., selenium, chromium, cadmium and arsenic, formerly held to be poisons, are now recognized as essential micronutrients.

Ur* Keith D Fairley 2 As to the treatment of lead poisoning and the use of lead compounds in the treatment of malignant tumors, all i can say is that our experience has nob been instructive# It Is still true, I believe, that although most cases`of lead poishning are mild and tend to clear up of their own accord, the best treatment of poisoning is to prevent it# The cases of poisoning from organic compounds of lead are likely to be severe, and in oxir experience which fortunately has been limited, the best results have been obtained by treating these acute cases on the assumption that the chief thing to be combafeSd 'Is cerebral edema.

Lead Poisoning Mrom Ethyl Gasoline Dear IS*.

The case concerns a nan of 45 who is apply ing for compensation because of heart disease caused by lead poisoning.

Ur* Keith D Fairley 2 As to the treatment of lead poisoning and the use of lead compounds in the treatment of malignant tumors, all i can say is that our experience has nob been instructive# It Is still true, I believe, that although most cases`of lead poishning are mild and tend to clear up of their own accord, the best treatment of poisoning is to prevent it# The cases of poisoning from organic compounds of lead are likely to be severe, and in oxir experience which fortunately has been limited, the best results have been obtained by treating these acute cases on the assumption that the chief thing to be combafeSd 'Is cerebral edema.

Impression: Probable lead poisoning with peripheral neuropathy.

(d) past or present evidence of neurologic disease or emotional disorders; (e) present increased body burden; (f) undue concern regarding lead intoxication; (g) history of childhood lead poisoning.

Baltimore City .Hospital, 4940 Eastern Avenue, Baltimore 24, Maryland. 943 N39096 f r-1, 944 CHISOLM - EXPOSURE OF CHILDREN TO LEAD dren admitted to the above clinics during the previous 12 years and indexed as "lead poison ing" or "lead ingestion."

Some time ago I talked with Doctor Selby about, some of the variations in viewpoint of physicians on the problem of occaalionul lead poisoning.

This case appears to be a simple one of Lead poisoning.

The point that would be hardest to deal with, in evidence of the incorrectness of the diagnosis of lead poisoning, is the finding of 0.079 mg. of lead per 100 grams of blood (or as itsis expressed in the record, .079 mg.%).

November thirtieth 1931 Dr* it* -i* Lehoe, University of Cincinnati, Cincinnati, Ohio* Dear Dr* Kehoe; At one of our subsidiary plants, The Efrark Battery Corporation, which is located at Kearny, New Jersey, we are manufacturing lead automotive Storage Batteries, and we are consequently interested in the industrial control of lead poisoning* Prom the physical standpoint we are exerting every effort to provide healthy working conditions for our employees* During the two years that the plant has been in operation, we have not. had a serious case of lead poisoning* Through the present interpretation or the New Jersey Workmen's Compensation Law covering occupational diseases, however, our losses have been greatly out of proportion, in our opinion, to the severity of the cases that have developed.

Some time ago I talked with Doctor Selby about, some of the variations in viewpoint of physicians on the problem of occaat.lon.nl lead poisoning.

Exposure of this sort would in no way/brilpT^hfa^t a conation of lead poisoning but undoubtedly Mr. | i s w of many individuals who are sus ceptible to gas<5S!