The Fog Disaster in the Meuse Valley, 1930: A Fluorine Intoxication
The Journal of Industrial Hygiene and Toxicology
Year 1937 Volume 19, Pages 126-137
sumber: http://www.fluoridealert.org/meuse.htm
Year 1937 Volume 19, Pages 126-137
The Fog Disaster in the Meuse Valley, 1930: A Fluorine Intoxication
by Kaj Roholm
Former Assistant Physician, Inspectorate of Factories and Workshops, Copenhagen
Former Assistant Physician, Inspectorate of Factories and Workshops, Copenhagen
INTRODUCTION
THE
disaster will be remembered: At the beginning of December, 1930 a thick
mist lay over large parts of Belgium. On December 3rd, 4th and 5th
several thousand cases of acute pulmonary attacks occurred in the
densely populated valley of the Meuse east of Liege, and there were 60
deaths. There was a great stir at the time, and many explanations were
advanced as to the cause of the disaster. The Belgian Government voted
250,000 fr. to
defray the cost of an investigation (1). A Belgian Commission of Investigation came to the conclusion that the cause was poisonous products in the waste gas of the many factories in the valley, in conjunction with unusual climatic conditions (2, 3). It was impossible to indicate any definite substance or chemical compound as the cause, but the Commission was of the opinion that the disaster in all probability had been brought about by sulfur dioxide (SO2) or oxidation products of that compound, of which quantities were found in the factory smoke.
defray the cost of an investigation (1). A Belgian Commission of Investigation came to the conclusion that the cause was poisonous products in the waste gas of the many factories in the valley, in conjunction with unusual climatic conditions (2, 3). It was impossible to indicate any definite substance or chemical compound as the cause, but the Commission was of the opinion that the disaster in all probability had been brought about by sulfur dioxide (SO2) or oxidation products of that compound, of which quantities were found in the factory smoke.
There
is no doubt as to the connection between the activity of the factories
and the disaster. If I draw attention to this somewhat unusual matter,
it is because today we know more about a certain intoxication than was
known in 1930. Naturally, it is not possible to give an explanation of
the disaster, which is beyond discussion. The event is a thing of the
past, and there is no chance of making direct observations. To me,
however, it is quite probable that the affection from which these people
suffered was an acute intoxication by gaseous fluorine compounds
emanating from certain factories in the region concerned. That idea has
been advanced before, by Storm van Leeuwen (4), Gram (5) and Fenner (6,
7), but without sufficient grounds to make it acceptable or even
generally known. The Commission of Investigation also looked into the
question of fluorine intoxication, but without crediting it with more
than secondary and at the most doubtful importance. I am in a position,
however, to put on record a number of new or hitherto neglected factors.
THE DISASTER
During
the days involved a mist lay over the whole of Belgium, but
particularly in the Meuse valley, on the 20 km. stretch from Seraing,
West of Liege, to Huy which lies midway between Liege and Namur. There
the Meuse runs southwest to northeast, in a valley that is no more than 1
or 2 km. wide, but fairly deep (60 to 80 m.). The barometer was high at
the time and the weather was cold. During the day the temperature was a
little above freezing point, while at night it measured up to 10 below.
There was practically no wind, the faint easterly breezes having a
maximum strength of 1-3 km. per hour.
The
smoke from the factories was beaten down and mingled with the fog. The
cases of illness began on December 3, after the mist had lasted about 2
days, and some hours after it had attained its maximal density. The
cases all began about the same time throughout the entire locality.
After December 5 there were no new cases; by December 6 the fog had
disappeared. It was estimated that the total number of cases was several
thousands. In these three days there were 60 deaths, of which fifty-six
were in the east half of the valley and only four west of Engis, which
lies almost in the middle of the valley stretch (see fig. 1). Of the
deaths, forty-one took place on the north bank and nineteen on the
south. The area around Engis was affected most.
The
chief symptom of the affection was dyspnea, either in the form of
asthma-like attacks with labored expiration, or continuous polypnea. In
addition, there was coughing, with expectoration, which at first was
sometimes frothy, afterwards viscous and slimy. In the fatal cases an
acute circulatory insufficiency set in, with rapid and poor pulse, face
pale - more rarely cyanotic - and an extension of the cardiac dulness.
Stethoscopy of the lungs gave signs of bronchitis, but not of pneumonia
(4). Of other symptoms there are records of changes in the tone of the
voice, increasing to hoarseness, nausea, occasional vomiting, and
lachrymation.
Those
affected by the fog were elderly people mostly, or people whose lungs
or heart were already weak; however, younger individuals, previously
quite healthy, were also among those who became seriously ill. Some of
those attacked had not left their homes during the foggy days. Cattle
became sick in the byres, with the following symptoms: increased and
superficial respiration, uneasiness, acute emphysema, cyanosis of the
mucous mebranes, sometimes death. Birds and rats also died (8).
Very
little investigation work was done during the first days of the
catastrophe. Ten post-mortem. examinations were made between December 7
and 11. The bodies were found to be in an unusually good state of
preservation. Diffuse hyperemia of the mucous membranes was observed in
the trachea and in the larger bronchi, and possibily in the larynx as
well. Microscopical examination of the tracheal and bronchial mucous
membranes revealed local epithelial desquamation, vascular dilatation
and degenerative phenomena in the form of defective staining of the
cells of the superficial layer. There was practically no bleeding, and
only here and there a slight effusion of leucocytes from.the vessels.
Numerous particles of soot were found in the lung alveoli and, in
addition, microscopy revealed limited areas with moderate edema,
hemorrhage, and desquamation of the alveolar epithelium. The other
organs betrayed nothing abnormal and the same negative result was
arrived at from the spectroscopic examination of the blood and the
thorough chemical analyses of blood and organs.
The
Commission of Investigation therefore concluded that the active agent
had been a locally irritant poison without any remote action after
absorption.
ACUTE FLUORINE INTOXICATION
At
the time of the disaster the toxicity of fluorine compounds was little
known, and accordingly, as far as they were concerned, the Commission
could only refer to "a deplorable lacuna in the literature." The last
few years, however, have witnessed important contributions towards the
elucidation of fluorine intoxication.
In
chemistry, fluorine is a very active element; many of its compounds
have a pronounced ability to form complexes. Biologically, too, its
compounds are very active, for besides a local corrosive effect on skin
and mucous membranes (attributed to the undissociated hydrofluoric
acid-molecule), they have a marked effect on protoplasm, a specific
toxic effect, the mechanism of which is only partly known. The
possibilities include precipitation of calcium, action on enzymatic
processes, combination with albumin.
In
the period from 1873 to 1935 there occurred in all 112 cases of acute
peroral intoxication with sodium fluoride (NaF), sodium fluosilicate
(Na2SiF6), hydrofluoric acid (HF) or fluosilicic acid (H2SiF6), and of
these 60 were fatal (9). In most ewes the lethal dose is 5 to 15 g.
sodium fluoride or sodium fluosilicate, though in some it is as low as
0.2 to 0.7 g. sodium fluosilicate for adults (10, 11). The rate of
absorption is very important.
The
symptoms of intoxication are partly local from the gastro-intestinal
tract (vomiting, often sanguinolent, abdominal pains, diarrhea), partly
due to absorption: alternate painful spasms and pareses, weakness,
thirst, excessive salivation and perspiration. Death usually occurs in a
few hours with increasing dyspnea and failing pulse. The face may be
pale or cyanotic. Apart from corrosion in the gastro-intestinal tract,
the post mortem findings are often small. Microscopic examination may
reveal more or less pronounced degeneration phenomena in the
parenchymatous organs (particularly liver and kidneys). According to
researches by Tappeiner (12), Schulz (13) and Muehlberger (14), dosis
minima letalis for mammals commonly used in the laboratory is 0.05 to
0.2 g. sodium fluoride per kg. given perorally. It would thus appear
that man is more sensitive to fluorine compounds than other mammals.
Arranged
according to toxicity, certain gaseous fluorine compounds come first,
especially hydrogen fluoride, silicon tetrafluoride (SiF4) and their
aqueous solutions, all of which are readily absorbed from the mucous
membranes. With water, silicon tetrafluoride is converted in the
following manner: 2SiF4 + 2H2O > H2SiF6 + 2HF + SiO2
The
effects of gaseous fluorine compounds are known in industry and among
chemists working with fluorine. Cameron (15) in 1887 described two fatal
cases of acute fluorine poisoning among superphosphate workers, who had
spent a brief period in the room where the crude phosphate is stored
after treating with sulfuric acid ("the den"). The symptoms were labored
respiration, vomiting (once), cyanosis, and death after a few hours.
The post-mortem examination revealed edema and hyperemia of the lungs.
Analyses showed the presence of fluorine and large quantities of
colloidal silicic acid (SiO2), presumably deposited in the bronchi by
the decomposition of silicon tetrafluoride. In a German factory working
on the electrolytic production of beryllium, Weber and Engelhardt (16)
observed dyspnea, cyanosis and general weakness among the workers.
Physical examination gave signs of bronchiolitis. The workers were
exposed to the effects of hydrogen fluoride and silicon tetrafluoride.
Frostad (17) recently described acute fluorine intoxication with
symptoms like those of bronchial asthma, and marked effects on the
general condition of workers at a Norwegian aluminium factory, where
gaseous fluorine compounds emanate from the open melting baths.
The
few existing experimental investigations, by Ronzani (18), Machle et
al. (19, 20), on the effect of gaseous fluorine compounds, confirm the
clinical experience. Like other locally irritant gases, hydrogen
fluoride causes sneezing, lachrymation and coughing. Death occurs with
restlessness and increasing dyspnea. Universal spasms are sometimes
present in cases of rapidly progressing intoxication, but are absent in
protracted forms. Silicon tetrafluoride has a similar effect (15).
Ronzani found that guinea-pigs died after 24 hours' inhalation of 0.03
mg./L. hydrogen fluoride, which was the lowest lethal concentration. The
post-mortem findings were acute irritation phenomena in the upper air
passages, as well as bronchopneumonia with hemorrhage and edema. No
mention is made of changes in other organs. In human experiments,
respiration of 0.026 mg./L. hydrogen fluoride was unpleasant, but
tolerable for several minutes (19). Prolonged respiration of about 0.01
mg./L. in animals caused emaciation, anemia and organ degeneration
besides lung changes (18, 20).
CHRONIC FLUORINE INTOXICATION
Chronic
fluorine intoxication has peculiar and very characteristic symptoms
which either are localized in the dental and osseus system or are of a
more general nature (21).
1.
Teeth.- Ingestion of fluorine compounds causes degenerative changes in
the teeth or those parts of the teeth which calcify during the period of
ingestion. In the mildest cases the enamel is opaque, chalky-white.
When more seriously affected there is a dark pigmentation of the enamel
and the hardness of the tooth is reduced. The disease is best known as
"mottled teeth," which occurs in man in regions where the drinking water
contains 1 mg. fluorine per litre or more (22). This dental affection
has also been observed in herbivorants, and known as "darmous" (23) and
"gaddur" (24). It is readily produced in the rat, whose incisors grow
from persistent pulps.
2.
Bones.- Fluorine has a peculiar, twofold effect on the osseous system,
for we know of both a diffuse osteosclerosis with ligament calcification
in cryolite workers (25, 26), and a diffuse affection, resembling
osteomalacia, in cattle (27, 24). This osteosclerosis, which so far has
been observed only in adult individuals, is in all probability caused by
a relatively small dose of fluorine, whereas osteomalacia requires a
relatively high one. There is still a good deal of obscurity to be
cleared up, however. Under the microscope the bone affection is
characterized by an irregular organic matrix and a calcification
anomaly, whereby the calcium salts are deposited in the form of granules
or lumps.
3.
General condition.- In relatively large doses fluorine causes, among
other conditions, loss of weight, lower food intake, anemia and certain
skin and eye symptoms (coarse, untidy coat; abnormal growth of claws;
photophobia and conjunctival secretion). The terminal result is a
cachectic condition which may be accompanied by signs of manifest or
latent tetany. Postmortem examination reveals more or less pronounced
degenerative changes of the parenchymatous organs, including bone
marrow.
In
chronic fluorine intoxication the fluorine content of the ash of bones
and teeth increases from ten to twenty times the normal. Fluorine is not
deposited - or only slightly - in the organs. It is an interesting
point that dental and osseus changes can be brought about by doses which
do not affect the general condition. It is possible to set up the
following approximate threshold concentrations for the rat, whose
reaction is best known:
Mg.F/kg./dayIncipient dental changes 1
Incipient osseous changes, nephritis 5
Incipient effect on general condition 10-15|
Severe effect on general condition, organ degeneration 20-25
Death after a few weeks 50-100
As
dental changes in man begin to develop on a daily ingestion of about
0.1 mg./kg., this means that man is much more sensitive to fluorine than
the rat when fluorine compounds are administered over a lengthy period.
CASES OF FLUORINE INTOXICATION
It
is of interest in discussing the cause of the Meuse Valley disaster to
mention some special forms of fluorine intoxication. When a factory
employs raw materials containing fluorine, its waste gases may contain
hydrogen fluoride under certain circumstances. If silicates or quartz
are present - as is very often the case in practice - there may also be
an emanation of silicon tetrafluoride. Humidity of the air -- a partial
hydrolysis of silicon tetrafluoride to hydrogen fluoride and fluosilicic
acid, and these very active compounds will then be present in atomized
form with large surfaces. Their ability to form mist is shared with
sulfuric acid and hydrofluric acid, but their toxicity is much greater.
These heavy mists disperse only slowly, and therefore are capable of
corroding vegetation under circumstances where the air is renewed with
difficulty. Damage to plants by fluorine compounds has been described
repeatedly from regions axound certain factories in Europe:
Superphosphate works 1891-96 (28), 1895 (29), 1896 (30), 1931 (31);
aluminium factories 1911-18 (32), 1934 (27), 1936 (33); chemical works
1896 (30), 1902 (34), 1931 (31); copper works 1883 (35); iron foundries
1931 (36); and brickworks 1913 (37). These injuries to plants are not
widely known. In the industrial smoke problem, investigators have been
interested mostly in the very frequent occurrence of sulfurous waste
products (S02, S03), and but little in fluorine.
Where
plants in the neighborhood of a factory are corroded by fluoric gases,
it happens that secondary, osteomalacia-like diseases occur among
herbivorants grazing there. The symptoms are emaciation until cachexia
sets in, stiff, laborious gait, possibly muscular restlessness and
spasms, nodose thickenings of the extremity bones especially, and
frequent spontaneous fractures. In the following instances this
secondary, chronic fluorine intoxication of cattle has been involved,
only the first case being a little doubtful:
1878 Germany, zinc works (38),
1912 Italy, superphosphate works (39),
1911-18 Switzerland, aluminium factory (32),
1928 France, superphosphate works (40),
1931 Germany, chemical works (31),
1931 Germany, superphosphate works (31),
1934 Norway, aluminium factory (27), and
1935 Italy, aluminiuin. factory (33)
A
very similar disease may break out after volcanic eruptions. For many
centuries, Iceland has time after time subsequent to eruptions been
visited by a bone and tooth disease ("gaddur") among sheep that had
eaten grass contaminated by the precipitated ash. The author (24) was
able to show in 1934 that this disease is a chronic fluorine
intoxication that arises in the same way as the cattle diseases near the
aforesaid factories. During the volcanic eruption, gaseous fluorine
compounds are ejected and dissolve in the tiny drops of water which
condense round the ash particles. Mention is often made of the local
irritant effect of the rain of ash, but no human deaths caused by
volcanic emanations have been observed with certainty in Iceland.
WAS MEUSE VALLEY DISASTER A FLUORINE INTOXICATION?
This question requires an analysis of the disaster.
(1).
The symptoms developed indicate the presence of a very toxic poison
that with its actual concentration had a moderate local effect and a
pronounced general effect. That the local effect was little pronounced
appears from the fact that coughing or the inclination to cough (4),
came second to the dyspnea in frequency and importance; that
lachrymation was a rare and not pronounced phenomenon (especially
prominent round about Engis), and that most frequently the irritation of
the larynx caused merely a change in the tone of the voice and no
marked hoarseness. The same thing is indicated by the only moderate
changes observed in bronchi and lungs at post-mortem examinations. One
important fact is that no further deaths occurred as soon as the fog
lifted, and that the survivors recovered very quickly in the course of a
few days. It is also stated that the symptoms quickly subsided when
people ascended the hills surrounding the valley and thus got beyond the
fog. The conclusion must be drawn that the poison had a strong general
systemic effect after absorption, and that it was a poison the effect of
which very rapidly ceased when the supply stopped. Acute failure of the
circulation and rapid death also indicate a severe general effect.
The
meagre result of the necropsies, which were made 3 to 6 days after
death, is no more antagonistic to the above opinion than the negative
result of the chemical analysis. Microscopic changes in cell protoplasm
may be overlooked; the quantitative determination of fluorine is a
difficult matter. In explanation of the acute heart weakness the
Commission advanced an hypothesis which to me seems insufficient and
principally speculative: The diffuse microscopic hemorrhages in the lung
tissue were signs of hypertension in the pulmonary circulation; the
attacks of asthma caused reduced circulation in the larger stream, with
consequent ischemia of the myocardium. Here we must remember that
healthy individuals also died, even if their number was small, and that
in a large percentage of those attacked (and of the cattle) dyspnea was
in the form of continuous polypnea, and not of bronchial asthma.
Hemorrhages observed in the lungs were undoubtedly expressive of a local
effect, whereas the heart weakness was due to an absorptive toxic
effect (the heart? the vessels?).
In
the signs of intoxication there is no indication that it may not have
been an acute fluorine intoxication, but much in favor of that
assumption.
(2)
The presence of gaseous fluorine compounds in the area affected by the
disaster is beyond question, and indeed to an extent in excess of that
reported by the Commission. Of the 27 factories in that area, no fewer
than 15 are of the category that handles raw materials containing
fluorine or employs the addition of fluorine compounds to the raw
materials, and consequently are capable of giving off gaseous fluorine
compounds in the chimney moke (SiF4, HF):
4 very large iron works with blast-furnaces and steel-works,
3 large metal works,
4 glass works and ceramic factories,
3 zinc works and
1 superpbosphate factory.
In
steel and metal works, fluorspar (CaF2) is extensively employed as a
flux in the smelting process (41). This applies both to iron refining
(Thomas, Bessemer and Siemens-Martin processes) and iron founding
(cupola furnace). The world's output of fluorspar is 200,000 to 300,000
tons per year, and 80 per cent of it is used in the metal industry. It
is calculated that 3 to 5 kg. fluorspar are employed to the average ton
of steel (42). During the smelting process silicon tetrafluoride
escapes, being freed according to the following schema:
3SiO2 + 2CaF2 > SiF4 + 2CaSiO3
In
glass and pottery manufacturing fluorspar (or cryolite) is often added
to the raw material to facilitate melting and to give the finished
prduct certain properties. Zinc ore very often contains fluorspar, a
phenomenon familiar to technical workers (6). In superphosphate
manufacturing the raw material is phosphorite, which contains 3 to 5 per
cent fluorine, of which a part is liberated in the form of hydrogen
fluoride and silicon tetrafluoride when treated with sulfuric acid.
DeEds (43) calculates that in the United States the manufacturing of
superphosphate frees 25,000 tons of fluorine a year into the atmosphere.
Two
facts referred to by the Commission prove that gaseous fluorine
compounds were continuously being emitted in the Meuse Valley. Window
panes and electric bulbs in the region around Engis lost their gloss
more quickly than normally. On the North bank of the river around the
same village, damage to the vegetation was a well-known phenomenon, and
after grazing a short time the cattle contracted serious bone diseases,
as numerous actions at law disclose.
One
of the main reasons why the Commission rejected fluorine as the cause
of the disaster was because gaseous fluorine compounds were, it was
said, only emitted at Engis, and on small scale, viz. 200 kg. fluorine
per day. If we presuppose an equal diffusion, this means that the
maximum fluorine concentration in this valley, measuring roughly 20 km.
long, 1 km. wide and 100 m. deep, would be only 0.08 mg./cu. m.
fluorine, or a maximum of 0.3 mg./cu. m. in the course of four foggy
days. This calculation, however, is open to correction. I am informed
(44) that the large iron works at Seraing produce about 460,000 tons of
steel per annum. If we take a consumption of 4 kg. fluorspar per average
ton (which is the rule), the daily fluorine emanating from these works
alone is capable of rising to 3,000 kg. If to this we add the fluorine
given off by other large metal works, including the zinc works, and if
we take into consideration the fact that the diffusion is not
necessarily equal, but that the prolifically mist-forming fluorine
compounds may have collected in the bottom of the valley, we arrive at
values of the same dimensions as the 30 mg./cu. m. hydrogen fluoride
which Ronzani (18) indicates as the lowest lethal concentration for
guinea-pigs, and the 26 g./cu. m. which Machle et al. (19) found
unpleasant, but tolerable for several minutes to man. On respiring air
containing 30 mg./cu. m. hydrogen fluoride, an adult individual will
absorb about 0.12 g. fluorine in the course of 8 hours, or a quantity
corresponding to the minimum lethal dose in spontaneous peroral
intoxication. Thus there is circumstantial evidence that the fluorine
concentration in the Meuse valley may have exceeded the lethal dose for
man.
(3)
A consideration of the various circumstances of the disaster will
provide additional support for the hypothesis of fluorine intoxication.
The distribution of the fatal cases, in conjunction with the direction
of the wind (prevailing easterly winds), indicates that the toxic agent
emanated from two separate areas, one at the fairly wide entrance to the
valley in the region Sclessin-Ougree-Tilleur-Seraing, which includes
the large metal works, and another in Engis, where zinc and the
superphosphate works are situated. Between these two regions was a belt
several kilometres wide without deaths, whereas the light easterly winds
concentrated the poison southeast of both these regions, and
principally along the North bank of the river, against the North wall of
the valley. The immense masses of soot and dust emanating from the
works have served to promote condensation. Fluorine compounds must have
been present in dissolved form in microscopic particles of water and
consequently in a very active and easily absorbable form. Many soot
particles of a diameter of 0.5-1.35u were found in the lungs of the
dead. When the mist rose the ground was covered with a layer of fine
soot. During those foggy days every possibility of ventilation must have
been closed, vertically and horizontally.
OTHER EXPLANATIONS
In
conclusion, mention may be made of other explanations advanced as to
the cause of the Meuse Valley disaster. The mist as mist cannot be held
responsible; cold fog causes chills, but not rapid lethal intoxication.
The fog lay thick all over Belgium, but no sickness occurred elsewhere.
An acute lack of oxygen, caused by the emanation of air deficient in
oxygen from rock caves or soil layers, cannot explain the disaster:
firstly, the intoxication does not resemble acute oxygen lack; and
secondly, there could be no such emanation, owing to the high
atmospheric pressure. The possibility of carbonic oxide poisoning may be
rejected on the basis of the symptoms and the negative result of the
blood examination. Possibilities such as poisoning with Sahara sand (45)
or sudden epidemic disease through emanations from the soil (46)
scarcely call for further examination. The Commission made a careful
examination of a large number of waste products from the industrial
establishments, and acquitted them all of any complicity; they included
carbon dioxide, hydrogen, hydrogen sulfide, arsine, dust of zinc oxide,
iron oxide, lime and metal; soot. There is no doubt that the Commission
was right in this.
As
was stated in the Introduction, the Commission arrived at the
conclusion that in all probability the disaster was due to poisoning
with sulfur dioxide which was discharged by the factories in all parts
of the region, or the oxidation product of that compound, sulfuric acid.
Without doubt there were considerable quantities of sulfur dioxide
present. Through its calculations the Commission arrives at 25
mg./cu.m., or in the course of the four foggy days, 100 mg./cu.m.
Assuming the complete oxidation of sulfur dioxide, this corresponds to
38 and 152 mg. sulfuric acid per cu. m. respectively. The just tolerable
concentration for sulfur dioxide with protracted respiration is given
as being about 25 mg./cu.m. (Flury and Zernik (47)).
The
mechanism of the toxic action of both these compounds is quite
different from that of fluorine compounds, namely, a local effect owing
to their acid character, irritation developing into tissue corrosion
with the formation of necroses. There is no question of a specific
systemic toxic action. The irritation particularly affects the most
easily accessible mucous membranes, those of the eye and throat. With
stronger or longer action there is inflammation, with hemorrhages in the
upper air passags and sanguinolent lung edema. Both compounds may be
characterized as being relatively atoxic. Though their occurrence in
industry is extremely frequent as compared with that of fluorine
compounds, we know of very few cases of poisoning. This is contributed
to by the circumstance that inurement is distinctly possible (not
observed in the case of gaseous fluorine compounds) and that toxic and
dangerous concentrations have a markedly local effect, with
lachrymation, coughing, and a characteristic sharp smell and acid taste
which present a warning. There seems to be a rather wide difference
between the concentration that causes incipient irritation and the
dangerous concentration. Only this can explain the great divergencies
existing in published accounts -- Dorsch states that 4-8 mg./cu.m.
sulfuric acid causes pronounced trouble, and others that 40, indeed from
80-120 mg./cu.m., is scarcely harmful. Workers in sulfite factories
tolerate variously from 80-130 mg./cu.m. sulfur dioxide without symptoms
of irritation (47).
In
the Meuse Valley disaster it seems very significant to me that though
so many were attacked, it appeared impossible to obtain any clear
statement as to whether the mist had any particular smell or taste, and
this in a region where the population are presumably familiar with the
characteristic smell of sulfur dioxide from transitory, strong
discharges. On the other hand, as to fluorine compounds, it must be
assumed that in the concentration in question they were relatively
odorless and tasteless. Hydrogen fluoride is a weak acid, and silicon
tetrafluoride does not seem to have any characteristic smell in low
concentrations.
SUMMARY
A
description is given of the mysterious fog disaster which occurred in
the Meuse Valley near Liege (Belgium) early in December, 1930, involving
several thousands of cases of sickness and 60 deaths. After a survey of
acute and chronic fluorine intoxication, an analysis of the details of
the disaster gives circumstantial evidence that the malady was acute
fluorine intoxication. Of the 27 factories in the region, fifteen are
industrial branches which either use raw products containing fluorine
(superphosphate works, zinc works) or add fluorine compounds to the raw
materials (steel works, iron foundries, glass works), involving the
possibility of passing gasseous fluorine compounds (SiF4, HF) into the
chimney smoke. Special climatic and topographic conditions played an
important role in the development of the disaster. The toxicity of
fluorine compounds is considerable, and little known in industry.
Factories giving off gaseous fluorine compounds should be required to
take measures for their effective removal from chimney smoke.
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niedriger Staubkonzentrationen von grosser Konstanz und eine Methode zur
mikrogravimetrischen Staubestimmung. Anwendung bei der Untersuchung von
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22. Smith, M.C., Lantz, E.M., and Smith, H.V.: Further studies in mottled enamel. J. Am. Dent. Assoc., 22, 817 (1935).
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24. Roholm, K.: Fluorose der Schafe auf Island nach Vulkanausbruchen? Arch. Tierheilk., 67, 420 (1934).
25. Moller, P.F., and Gudjonsson, S.V.: Massive fluorosis of bones and ligaments. Acta radiol., 13, 269 (1932).
26. Roholm, K.L Fluorvergiftung bei Kryolitharbeitern. Arch. Gewerbepath., 7, 255 (1936).
27. Slagsvold, L.: Fluorforgiftning (with Germand and English summaries). Norsk VeterinaerTidsskr., 46, 2 (1934).
28.
Mayrhofer, J.: Ueber Pflanzenbeschadigungen, veranlasst durch den
Betriev einer Superphosphatfabrik. Ber. 10. Versamml. bayr. Vertreter
angew. Chem., Augsburg, 1891 (p. 127).
29.
Rhode, A.: Schadigung von Roggenfeldern, durch die einer
Superphosphatfabrik entstromenden. Gase. Ztschr. Pfl. Krankh., 5, 135
(1895).
30. Ost, H.: Untersuchungen von Rauchschaden. Chem. Ztg., 20, 165 (1895).
31. Hupka, E., and Gotze: Zur Frage der Schadlichkeit des Fluors beim Rinde. Deutsch. tierarztl. Wchnschr., 39, 203 (1931).
32.
Christiani, H., and Gautier, R.: Le fluor au point de vue de l'hygiene
industrielle. Action du fluor sur les animaux. Ann. d'hyg., 3, 210
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33. Bardelli, P., and Menzani, C.: Richerche sulla fluorosi spontanea dei ruminanti. Ann. d'Igiene, 45, 399 (1935).
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36.
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Berucksichtigung von Flusspat. Stahl u. Eisen, 51, 719 (1931).
37.
Wislicenus, H.: Bericht uber die zur Beseitgung von
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38.
Haubner: Die durch Huttenrauch veranlassten Krankheiten des Rindviehes
im Huttenrauchsbezirke der Freiberger Hutten. Arch. Tierheilk., 4, 97
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39. Bartolucci, A.: Della fluorosi o cachessia fluorica nei bovini. Mod. Zooiat., 23 (Parte scient.), 194 (1912).
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41. Medenbach, F.: Der Flusspat. (Mineral-Gesellschaft m.b.H.) Weilburg, 1934 (p. 134).
42. Meisner, M.: Weltmontanstatistik. Ferdinand Enke, Stuttgart, 1929 (vol. 2, p. 310).
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44. Les industries de Belgique. Rosez, Brussels, 1935 (p. 18).
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