Annual report on the health and medical services of the state of Queensland.

  • Queensland. Department of Health.
Date:
[1949]
Catalogue details

Licence: Public Domain Mark

Credit: Annual report on the health and medical services of the state of Queensland. Source: Wellcome Collection.

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    Tabes 1©. Casks Considered of Doobtfut. Diagnosis. No. Age. Occupational History. Degree of Disability. Present Activities. Classification According to X-ray. Outlook. 14 52 Jobbing iron moulder. Thirty odd years in large stove foundries Nil Moulding Indefinite, but pro¬ gression shown in rays Good 15 45 Brass moulder—jobbing in the one shop (moderate size) for 30 years. Was classed as a positive in 1944 sur¬ vey, but X-ray now is certainly not positive Nil Moulding Indefinite Probably good 16 61 Iron dresser. Sixteen years in a large shop. No pneumatic tools Nil Brass dressing .. Indefinite. No response to re¬ quest for further ray Good 17 60 Brass moulder for 46 years—9 of these in Scotland, 37 in Aus¬ tralian brass shops of average size Nil Brass moulding .. Doubtful silicosis Doubtful 18 59 Iron moulder—jobbing and plate. Forty- seven years mainly in stove foundries of moderate and large size. Ten of these in Scotland Nil Iron moulding Indefinite Probably good 19 44 Steel moulder—jobbing —in moderate sized steel shop for 25 years Nil Steel moulding on probation Doubtful Probably good 20 40 Brass moulder, 24 years in small brass shop Nil Brass moulder Probably clear. Did not respond to request for further rays Good 21 58 Iron moulder—jobbing for about 40 years in large and moderate- sized shops. Fourteen years in United King¬ dom Slight shortness of breath Moulding Indefinite Probably good 22 60 Jobbing iron and brass at least 35 years, in¬ cluding 5 years in Scotland. Rest in N. Queensland shops of moderate size Nil Jobbing moulding in a shop where there is no marked hazard Probably clear .. Good Consideration of Doubtful Cases. In Table 10 details in connection with nine doubtful cases are given. Originally there were quite a number more in this group, but with the passage of time and helped by the observa¬ tion of further X-rays some final decision was made in many cases originally causing some doubt. Of these nine cases it would be surpris¬ ing if more than one or two ever developed any serious chest disease. It will be appreciated, however, that in medical work the principle is to “play safe.” At the moment nearly all are working in conditions where there was deemed to be little or no hazard. It will be noticed that in this group the ages on the whole tend to be a little lower, the sizes of shops in which they have worked are more varied, and a greater pro¬ portion of moulders are found. In other words, compared with those of the positive group, their occupational and clinical histories do not seem nearly so suggestive. In all eases where the men are agreeable arrangements are made for further rays periodically. Follow up of Cases Discovered in “Pilot” Survey. Five Positives— One died from an acute abdominal catas¬ trophe—post-mortem showed definite- silicosis ; Two are considered to be early silicotics but are still working in foundries; The two others are still working and in this survey were not considered cases of silicosis; Of Dr. Reye’s ten doubtful cases one is now considered a silieotic while the rest are still negative—the others are alive and most of them are working.