14 <strong>The</strong> <strong>Health</strong> Bulletin May, 1951burns, broken vertebrae, ribs and arms,for victims trapped under debris andduring transport<strong>at</strong>ion to a hospital;and it signals when the airway to thelungs is obstructed and provides anaspir<strong>at</strong>or.At present the Schafer prone, or"push," method is used by more peoplethan any other. A newer but less knowntechnique employing a "pull" maneuver,involving lifting <strong>of</strong> the body <strong>at</strong> the hips,is the Emerson method, the doctorssuggested:"Those who are now indoctrin<strong>at</strong>edwith the Schafer prone pressure methodcan double the ventil<strong>at</strong>ing efBciency <strong>of</strong>the method by lifting the hips fourInches 12 times each minute, altern<strong>at</strong>ingwith a 'push' on the lower part <strong>of</strong> thechest. Lifting the hips is f<strong>at</strong>iguing and,after the crucial first several minutes,may be employed after every second orthird 'push' on the lower part <strong>of</strong> thechest."• • • •EAR INJURIES ARE THREATOF NOISE IN INDUSTRY<strong>The</strong> control <strong>of</strong> ear injuries due to excessivesound—the most frequent thre<strong>at</strong>to the ears <strong>of</strong> workers today—^is a majorresponsibility <strong>of</strong> Industrial medicine,according to Raymond Carhart, Ph.D.,<strong>of</strong> Evanston, HI. Dr. Carhart is associ<strong>at</strong>edwith <strong>North</strong>western <strong>University</strong>School <strong>of</strong> Speech and Department <strong>of</strong>Otolaryngology.Auditory impairment due to excessivesound, known as coustic trauma, damagesthe ears without doing other physiologicalharm, he pointed out in theArchives <strong>of</strong> Industrial Hygiene and Occup<strong>at</strong>ionalMedicine, published by theAmerican Medical Associ<strong>at</strong>ion.Dr. Carhart said th<strong>at</strong> acoustic traumacan be caused by a number <strong>of</strong> things:continuous noise, steady soimd <strong>at</strong> highIntensities, soimd <strong>of</strong> percussive and explosivevarieties, and puls<strong>at</strong>ing noises,especially when unexpected and irregular.He cited the pneiun<strong>at</strong>ic hammeras a good example <strong>of</strong> "a dangerouslystrong percussion soimd."A full program for protecting the"ears <strong>of</strong> industry," he said, can be effectiveonly if endorsed by both managementand labor. This Is his proposedthree-point program:1. Noises should be controlled withsound absorbing m<strong>at</strong>erials, by mutingdevices, or, if possible, by replacementwith new, noiseless machines. If noisecannot be controlled by these methods,workers should be required to wear eardefenders.2. A program <strong>of</strong> ear and hearingexamin<strong>at</strong>ion—for the protection <strong>of</strong> boththe worker and his employer—shouldbe carefully planned.3. Analysis <strong>of</strong> each individual caseshould be the basis for appropri<strong>at</strong>e joballoc<strong>at</strong>ion. Workers with hearing lossesor those susceptible to acoustic traumashould not be placed in situ<strong>at</strong>ions wheretheir impairment might constitute ahazard to themselves or others.* • * *TRANSCRIPTION OF TEEN-AGEHEALTH PROBLEMS RELEASED<strong>The</strong> Bureau <strong>of</strong> <strong>Health</strong> Educ<strong>at</strong>ion <strong>of</strong>the American Medical Associ<strong>at</strong>ion announcedthe release <strong>of</strong> 13 electricaltranscriptions <strong>of</strong> Interviews with highschool pupils on teen-age health problems.<strong>The</strong> subjects, together with the citiesin which the recordings were made,are as follows:Detroit, "Youth <strong>at</strong> the Wheel;" Pittsburgh,"How to Be Popular;" SanFrancisco, "Looking Your Best;" Colxunbus,C, "Extra-Curricular Activities;"Phoenix, "Dope, Drugs andSmoke;" Lake Mills, Wis., "Food andYour <strong>Health</strong>;" Portland, Oregon, andChicago, "Sports and Recre<strong>at</strong>ion;"Madison, Wis., "D<strong>at</strong>e With the Doctor;"Cleveland, "Out-<strong>of</strong>-School Jobs;" Indianapolis,"Big and Beautiful;" St.Paul, "Choose Your Partner;" Austin,Tex., "First Offender;" Brooklyn, "Fearsand Fancies."<strong>The</strong> series, known as "Hi-Forum,"comprises interviews made by tape recordingswithout scripts. <strong>The</strong>y werebased on suggested questions and topicheadings sent to the students In advance.<strong>The</strong> students were selected byschool superintendents.
May, 1951 <strong>The</strong> <strong>Health</strong> Bulletin 15Each program includes a summariz<strong>at</strong>ionby Dr. W. W. Bauer <strong>of</strong> Chicago,director <strong>of</strong> the B^ireau <strong>of</strong> <strong>Health</strong> Educ<strong>at</strong>ion,who supervised the production.Mrs. Harriet Hester <strong>of</strong> New York, radiocoordin<strong>at</strong>or for the bureau, conductedthe Interviews. <strong>The</strong> programs were announcedby Cy Harrice <strong>of</strong> New York.<strong>The</strong> transcriptions will be distributedthrough st<strong>at</strong>e and local medical societiesto radio st<strong>at</strong>ions. About 700 st<strong>at</strong>ionsuse A.M.A. transcriptions, one half<strong>of</strong> these regularly.* * * *SAYS CURB ON UNDULANTFEVER DEPENDS ONCURE IN ANIMALSEradic<strong>at</strong>ion <strong>of</strong> brucellosis, or undulantfever, in human beings depends on itselimin<strong>at</strong>ion in animals, says the Journal<strong>of</strong> the American Medical Associ<strong>at</strong>ioneditorially.Brucellosis, the editorial points out,is not transmitted from person to personand the prevention <strong>of</strong> human infectiontherefore is dependent on thecontrol and elimin<strong>at</strong>ion <strong>of</strong> the diseasein animals.According to the Journal, the number<strong>of</strong> cases <strong>of</strong> brucellosis has been increasingsteadily. It says:"In 1927 there were reported only 217new cases; in 1937, 2,497, and in 1947,6,073 cases. <strong>The</strong> st<strong>at</strong>es th<strong>at</strong> have thelargest number <strong>of</strong> cases are Iowa, Illinois,Texas and Wisconsin. <strong>The</strong> totalnumber reported for the past decadehas averaged about 4,000 annually.Chronic infections outnumber the acuteby a r<strong>at</strong>io <strong>of</strong> <strong>at</strong> least 10 to one, andthe chronic infections very frequentlyare not diagnosed. It is probable th<strong>at</strong>40,000 to 100,000 infections occur annually."Brucellosis in animals causes abortionor prem<strong>at</strong>ure birth, decreased milkflow and temporary or permanent infertility,the editorial continues. It estim<strong>at</strong>esth<strong>at</strong> about five per cent <strong>of</strong> alladult female c<strong>at</strong>tle in the United St<strong>at</strong>eshave the disease."<strong>The</strong>refore, <strong>at</strong> least 1.300,000 dairyand 800,000 beef cows are involved.Prom these figures it was estim<strong>at</strong>ed th<strong>at</strong>the total annual loss <strong>of</strong> decreased milkproduction, fewer veal calves and necessaryreplacement <strong>of</strong> dairy cows is about$92,000,000."According to the editorial, when vigorouscampaigns against the disease inanimals have been carried out, gre<strong>at</strong>savings to the n<strong>at</strong>ional economy haveresulted. It is estim<strong>at</strong>ed th<strong>at</strong> the reduction<strong>of</strong> the incidence <strong>of</strong> bruc^osisby one half has resulted in savings tothe livestock industry <strong>of</strong> $50,000,000 annually.For control <strong>of</strong> the disease In animals,the Journal named these three methodsas available <strong>at</strong> present: (1) elimin<strong>at</strong>ion<strong>of</strong> infected animals based on the standardserum agglutin<strong>at</strong>ion test, (2) vaccin<strong>at</strong>ionand (3) combin<strong>at</strong>ion <strong>of</strong> thetwo."<strong>The</strong> evolution <strong>of</strong> tre<strong>at</strong>ment <strong>of</strong> brucellosisin human beings will probablybe along the lines <strong>of</strong> combin<strong>at</strong>ion <strong>of</strong>the known antibiotics," according to theJournal.* * * •SURGICAL TECHNIQUEAIDS HEARING ABILITYA surgical procedure known as fenestr<strong>at</strong>ionhas brought increased hearingability to 70 per cent <strong>of</strong> a group <strong>of</strong>deafened p<strong>at</strong>ients, two doctors reportin the current issue <strong>of</strong> Archives <strong>of</strong>Otolaryngology, published by the AmericanMedical Associ<strong>at</strong>ion.<strong>The</strong> p<strong>at</strong>ients were suffering from aprogressive type <strong>of</strong> deafness calledotosclerosis, according to Drs. Louis E.Adin, Jr. <strong>of</strong> Dallas and George E.Shambaugh, Jr. <strong>of</strong> Chicago, authors <strong>of</strong>the article. Dr. Shambaugh is associ<strong>at</strong>edwith <strong>North</strong>western <strong>University</strong> MedicalSchool, Chicago.Otosclerosis is caused by bony growthin the passageway which carries soxmdto the inner ear. Fenestr<strong>at</strong>ion cre<strong>at</strong>esa substitute channel through whichsound can enter the ear.<strong>The</strong> oper<strong>at</strong>ion was performed on aseries <strong>of</strong> 390 p<strong>at</strong>ients from 1940 to1945 and results have now been observedfrom five to 10 years.
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