Where Can I Buy Cialis With Paypal | OVERNIGHT Delivery!







































the organization of the industrial establishment very much the same place that a member of the medical corps of the United States Army does with respect to camp sanitation, and the prevention of disease ; with this very important distinction, however, that he should jiossess authority coordinate with that of other supervising officers of the com|xnny to put into effect all practicable measures for the protec- tion of the workers. Above all things, he must not wait for a call when an employee is overpowered or 930 HARRIS: INDUSTRIAL HYGIENE. [N^Ew York Medical Journa desperately ill from the effects of such poisons as dinitrobenzol, trinitrotoluol, aniline, carbonmonoxide, mercury, arsenic, lead, and a host of others. Illustrations of occupational disease conditions — Multiplied instances might be cited of occupational diseases contracted by workers in this city during the last three years. A few will suffice to suggest lost oj^portunities for the conservation of human power and wealth. Recently, a factory manufac- turing flashlights under contract with the govern- ment experienced trouble in retaining in its employ a group of girls who were employed at buffing wheels to smooth oH certain parts that had been painted with an enamel of unknown composition. The attention of the Health Department was called to this case by a report of a case of lead poisoning by a private physician. The patient, a girl, informed us that three other girls had also become ill at about the same time that she began to experience abdominal colic, headache, nausea, and weakness in the arms. One of these girls was ad- mitted to one of the large hospitals in the City of .Mew York, and, because she was delirious and suf- fering from convulsive seizures for which no ap>- parent cause could be found, her case was diagnosed as Where Can I Buy Cialis With Paypal one of hysteria. .She was treated for this until tiie medical inspector who knew of her association with the first case suggested the possibility of lead encephalopathy. Acting upon this hint, the attend- ing physician discovered a number of confirmatory signs of lead poisoning and it became apparent that lead encephalopathy, a condition particularly fre- quent among women exposed to lead poisoning, was the cause of the maniacal and convulsive seizures. Another of the girls who had become ill was found to have been admitted to one of the well known hospitals in the city where, because of her severe abdominal pain, her appendix was removed ; the latter was Where Can I Buy Cialis With Paypal found to be normal. The medical in- spector, acting Where Can I Buy Cialis With Paypal upon her knowledge of Where Can I Buy Cialis With Paypal the occupa- tional background, and the association with other cases of lead poisoning, made an examination through the courtesy of the hospital authorities and suggested that lead poisoning was responsible for the condition. Subsequent clinical findings con- firmed this diagnosis. A fourth girl, working in the same factory department, was found to be under the care of another private physician for the treatment of plumbism. Through the courtesy of the private physician who reported the first case, an inspector of the Division of Industrial Hygiene elicited an occupational history from the first patient and learned that, for some time, a fairly large squad of girls had been working close together, Where Can I Buy Cialis With Paypal all of them using buffmg machines for smoothing down the enameled surfaces of certain parts. She said that a large amount of dust was created in this process and that the girls generally experienced great thirst while at work, so that each of them kept a bottle of water beside them on their Where Can I Buy Cialis With Paypal work table, with a glass inverted over the top as a cover. With this they skilled their thirst at frequent intervals. They wore no protective clothing, had no washing fa- cilities, and ate their lunches at their work bench without washing their hands or rinsing tlieir mouths. Onlv a half hour was allowed for lunch. An analysis of the enamel that was used in paint- ing the parts on which these girls worked, at the Department of Health Chemical Laboratory, showed that it contained lead in large quantity. This information, transmitted to the officials of the factory, caused them great surprise as they had not even suspected the presence of lead. As a result of persuasion, the manager lengthened the lunch period sufficiently to allow each girl an opportunity to wash before eating. Hot water was supplied, and also soap and brushes. Protective clothing was furnished to the girls to prevent their carrying lead dust upon their clothes to their homes, and what was even more to the point, an exhaust fan \vith ducts that were connected with the buffing machines was in- stalled to carry the lead dust generated in the pro- cess of buffing into the pipes, and to prevent such dust from contaminating the air of the workroom. Finally, these girls who were generating lead dust were partitioned oft" from other workers in the fac- tory. Another instance is also of interest. In a chemical dye factory in the City of New York, a number of cases of severe poisoning by various chemical agents handled by the workers, aniline poisoning in partic- ular, have occurred from time to time, and although this company employs a physician to exercise gen- eral health supervision over its employees, those cases of poisoning which have come to light have, with but one or two exceptions, been reported by outside physicians or by hospitals in the Where Can I Buy Cialis With Paypal neighbor- hood. Industries which are essential to the welfare of the country must be encouraged, but such support and encouragement which they receive need not conflict with the welfare of those who furnish the sinews and power. It is no lack of generosity to- ward this particular factory physician to say that he has apparently not been alive to a sense of his moral obligation to report cases of serious occupa- tional disease to the Department of Health, and •ihat he has signally failed to exercise influence to abate the dangers which surround those who are employed in this hazardous occupation, since serious cases of aniline poisoning still come to our attention