In the single bath method basic chrome salts are used in highly concentrated form. The skins are passed from dilute into strong solutions. In this process also tanning is quickly effected. EFFECTS ON HEALTH.—Among the persons employed in the bichromate factory of which Leymann has furnished detailed particulars, the number of sick days was greater than that among other workers. Further, _erosion of the skin_ (_chrome holes_) is characteristic of the manufacture of bichromates. These are sluggish ulcers taking a long time to heal. This is the main cause of the increased general morbidity that has been observed. The well-known perforation of the septum of the nose without, however, causing ulterior effects, was observed by Leymann in all the workers in the factory. This coincides with the opinion of others who have found the occurrence of chrome holes, and especially perforation of the septum, as an extraordinarily frequent occurrence. Many such observations are recorded,[1] and also in workers manufacturing ‘Swedish’ matches. Thus of 237 bichromate workers, ulcers were present in 107 and perforation in 87. According to Lewin, who has paid special attention to the poisonous nature of chromium compounds, they can act in two ways: first, on the skin and mucous membrane, where the dust alights, on the alimentary tract by swallowing, and on the pharynx by inhalation. Secondly, by absorption into the blood, kidney disease may result. The opinion that chromium, in addition to local, can have constitutional effect is supported by other authorities. Leymann describes a case of severe industrial chrome poisoning accompanied by nephritis in a worker who had inhaled and swallowed much chromate dust in cleaning out a vessel. Regulations for the manufacture of bichromates (see Part III) have no doubt improved the condition, but reports still show that perforation of the septum generally takes place. It must be borne in mind that practically all chromium compounds are not alike poisonous. Chrome ironstone is non-poisonous, and the potassium and sodium salts are by far the most poisonous, while the neutral chromate salts and chromic oxide are only slightly so. Pander found that bichromates were 100 times as poisonous as the soluble chromium oxide compounds, and Kunkel is of opinion that poisonous effect shown by the oxides is attributable to traces of oxidation into chromic acid. Lewin, on the other hand, declares in a cautionary notice for chrome workers generally that all chromium compounds are poisonous, and therefore all the dyes made from them.[2]