THE WESTERN CANADIAN LUMBER WORKER textiles. I have already men- tioned that in recent years there has been an increase in cases of asbestosis in Britain. As if that is not enough cause for concern, the disease is ac- companied, in about 16 per cent of cases, by cancer of the lung. LUNG CANCER There are two types of lung cancer associated with asbes- tos. One is a similar type to the cancer related to cigarette smoking. The other is a dis- ease of the covering of the lungs, for which the medical term is mesothelioma of the pleura. This has been attribut- ed to one particular variety ‘of asbestos, known as blue asbestos. _ Coal dust produces a spe- cial type of damage to the lungs. Because of the dusty ‘nature of mining and the large numbers exposed, more cases -of pneumoconiosis arise in many industrialised countries from this cause than from any “other. - The effect of dust on the ‘lung depends on four factors. Mm addition to the chemical nature of the dust, these are the particle size, the concen- tration and the duration of exposure. _PUST CLOUDS 1 Large particles are trapped on the moist surfaces and the specialised lining of the upper respiratory passages. Only the smaller particles can get down into the substance of the lung. ‘Any dust cloud consists of particles of many different ‘sizes and it is therefore neces- Sary to measure the propor- .tion of small particles in dust clouds. Instruments have been which imitate the function of the body by dis- carding the larger particles and reeording only those small enough to be breathed. ¥ . a0 i have therefore been designed to measure dust concentra- tions, and these are used by inspectors to check samples of the air in coal mines and other places where industrial dust is a hazard. It is also fairly obvious that the more regular and continuous the exposure the sooner are malignant ef- fects produced. Exposure for short periods usually entails little risk of ultimate lung damage. Where a worker is showing the effects of dust the best that can-be done is to remove him from further exposure. In many cases the disease is arrested if this is done. In others, especially where silica or asbestos are involved, the disease progresses just the same, but not as rapidly as it would have done had expos- ure continued. From the med- ical point of view, therefore, every effort should be made to recognize the disease at the earliest point of time. From the technical view- point, measures should be de- vised to eliminate the risks of dust inhalation. Methods of prevention should be intro- duced as early -as possible, preferably at the design stage of a factory or process. FLINT DUST Wherever possible a harm- less or less dangerous. sub- stance should be used in place of a dangerous material: By this means the hazard can be completely eliminated or greatly reduced. The classic example of this principle is the elimination of the risk of silicosis in the china industry by the substitution of alumina dust for flint dust. For over 100 years the workers concerned with the bedding of china for firing had suffered from a form of sili- cosis known as potters’ rot. In the early 1930s the suggestion was made that alumina dust, harmless to the lungs, would be just as suitable for this process. Tests proved this to be true and in 1947 the use of flint dust for this process was prohibited by law in the United Kingdom. DEAD BY 40 Another example of suc- cessful substitution is the re- plecement of sandstone grind- ing wheels by wheels made of synthetic abrasives such as carborundum. In the early years of the cutlery industry, knife and fork grinders gen- erally died before the age of 40 of grinders’ phthisis, Today the use of synthetic grinding wheels has made the occupa- tion safe from pneumoconio- sis. Shot blasting has taken the place of sand blasting of metal. Dextrin is used instead of silica flour as a parting powder in the foundry indus- try. Olivine sand has been used in some foundries as a ing medium in place of casting silica sand. Felspar and pum- ice have taken the place of silica dust in kitchen abrasive powders. Unfortunately the practical apvlications of the principle of substitution are limited. Too often the danger comes not from a material used in the manufacturing process, for which a substitute may be sought, but in the material which is being produced. Coal and asbestos are obvious ex- amples. Reliance must there- fore be placed on a combina- tion of other methods in most industries. Mechanical handling is the most effective of these. Me- chanisation and automation of processes reduce the number of persons exposed to dust and usually minimise the es- cape of dust into the atmo- sphere. The fewer persons in- volved in the process the eas- ier it is to apply control mea- sures to the points where dust may arise or to provide per- sonal protection for the indi- viduals concerned. Modern foundries are using this prin- ciple extensively. VENTILATION Many of the mechanised handling systems are com- bined with the method of en- closure. This is simply an ar- rangement by which the parts to be handled — castings in a foundry for example — are cut off from the atmosphere in a tunnel or other enclosure during most of their journey along the production line, only emerging into the open where handling is nécessary. Enclo- sure in turn is often combined with exhaust ventilation on the basis that the more the process is enclosed the more effectively can exhaust ven- tilation be applied. Of all the methods of con- trolling dust, exhaust ventila- tion is in fact the most com- monly used, either alone or in combination with enclosure and mechanisation. Unfortun- ately it tends to be used bad- ly in many cases. Ideally it should be applied to the point of origin of the dust and is progressively less efficient the further it is away from the source. It has been success- fully applied to carding en- gines in the cotton industry and to grinding wheels and fettling chisels in the foundry industry. The design and balance of exhaust ventilation systems is a skilled engineering task which cannot be left to chance or rule of thumb as it fre- quently is. Where a number of machines are connected to the system the total load must be carefully calculated; the addition of new machines often upsets the balance of ventilation unless the problem is dealt with by the ventilat- ing engineer. WET SAWDUST. The reduction of dust by the use of water or wet saw- dust is a familiar method of dust control in daily domestic use, but there are many so- phisticated applications of this principle, especially valuable where ventilation is difficult or impossible. For example, where flint is still used in the pottery industry in earthen- ware and dust tile manufac- ture it is conveyed to the pot- tery as a suspension in water known as slop flint instead of, as in the past, in the dry form. Water sprays are used in coal mines to control dust on conveyor belts and to reduce dust at coal cutting opera- tions. Drilling operations can be carried out with a built-in water infusion system which prevents any dust being pro- duced. Similar techniques are used in gold mining and in tunnelling. In the asbestos in- dustry wet methods are used to prevent dust arising during spinning and weaving. DEFENCE LINE Where all else fails, the worker himself must be pro- tected. This is the last line of defence. As far as possible, dust control measures should be applied to the tool or the process, but there are special maintenance jobs and some highly specific operations such as shot blasting where per- sonal protection is the only practical method. The dust respirator, in which the air passes through a filter of resinated wool, is in common use but its value is limited. Much depends on the fit of the respirator on the face. These appliances are in general so uncomfortable and unreliable that men should not be expected to wear them for more than half an hour at a time. EXAMINATION | Personal protection includes the medical examination of workers exposed to dust. The use of periodic X-ray and lung function tests enables the physician to detect the earliest signs of disease, especially in individuals who are unusually susceptible to the effects. of dust. He can then advise such persons of the potential dan- gers of continuing in the same ~ employment. But medical ex- amination is no substitute for efficient dust control. ‘PAST PLAGUES The great plagues of the past are gradually being brought under control. Mala- ria, smallpox, and typhus are yielding to eradication schemes in many parts of the world. Pneumoconiosis is a man- made plague which can also be eradicated by the applica- tion of techniques which are already well known. That they fail to be applied is part- ly due to ignorance on the part of employers and trade unions, partly to the lack of effective legislation by gov- ernments and partly to the absence of sufficient trained industrial hygiene personnel, but they are also neglected because of the fear that pre- cautions of the necessarily high standards are too costly. It is true that the application of dust suppression measures to existing plant is often very expensive, but if these pre- cautions are designed into the process from its inception any extra cost is marginal. In either case, against the - cost of installation must be set the catalogue of death and disability which is the pen- alty for failing to take effec- tive measures against the in- halation of dust.