On the other hand so-called _brass-founders’ ague_ may be regarded as
a form of acute industrial zinc poisoning. Brass-founders’ ague occurs
exclusively in brass casters, and not in zinc workers. Sigel and Lehmann
have shown that founders’ ague is also caused by pure zinc if this is
heated so strongly that it burns.
Premonitory symptoms often occur before the onset of the disease; usually
they appear early, soon after casting has begun. The workman has general
malaise accompanied by slight cough, nausea, throat irritation, &c., but
these symptoms mostly disappear, returning again after a few hours with
renewed violence, often in the evening before going to bed. Frequently,
trembling sets in rather suddenly, often accompanied by headache, nausea,
and muscular pains, and soon develops into a pronounced shivering fit,
lasting generally about a quarter of an hour, but in severe cases for
several hours (with intervals). At the same time the breathing is hurried
and the heart’s action quickened (asthma and palpitation). Often the
temperature rises as high as 104° F. The attack ends with profuse
perspiration, and the patient sinks exhausted to sleep, awaking in the
morning generally quite restored or with but slight signs of fatigue;
only rarely is he unable to resume work.
It is noteworthy that some workmen are extraordinarily susceptible to
brass-founders’ ague, and are attacked again and again, while others
remain completely immune, so that idiosyncrasy and immunity both play
a part. Workmen who are susceptible to the disease, yet without marked
disposition (idiosyncrasy) towards it, can become acclimatised to the
poison. Lehmann has succeeded in artificially producing an attack in
a brass-caster who was highly susceptible. The symptoms in him were
the result of work with pure zinc in a burning condition. The proof,
therefore, is clear that brass-founders’ ague is due to zinc, and not, as
some authors have supposed, to copper or the simultaneous action of both
metals. The symptoms are produced through inhalation of zinc oxide, not
zinc fumes.
Lehmann conjectures that brass-founders’ ague may be a secondary fever
due to absorption into the system of the remains of cells in the
respiratory tract that have been killed by the action of the zinc.
The treatment can only be symptomatic; as the attack is so transient,
medical attendance is hardly necessary.
MERCURY, MERCURY COMPOUNDS
Mercury (Hg), on account of its volatility, is classed among industrial
poisons. Although boiling at 360° C. it is volatile even at ordinary
temperature. Industrial mercurial poisoning is caused by the frequent
inhalation of small quantities of vapour, sometimes, but more rarely, of
dust containing mercury, and assumes usually a chronic form.
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