In large modern aniline dye factories, therefore, the health of the workers is, on the whole, good and industrial poisoning rare. Comparison of the two sets of statistics show that improvement in health has followed on improved methods of manufacture. Such cases of aniline poisoning as are reported are usually slight, and often accounted for by carelessness on the part of the workers.
Data as to the health of workers in factories manufacturing or using nitro compounds are given in the English factory inspectors’ reports for 1905. Even with fortnightly medical examination in them, more than half the workers showed signs of anæmia and slight cyanosis. Two men in a factory employing twelve men in the manufacture of nitro compounds were treated in hospital for cyanosis, distress of breathing, and general weakness. One had only worked in the factory for nine days. In another badly ventilated factory, of twenty persons examined fourteen showed bluish-grey coloration of the lips and face, ten were distinctly anæmic, and six showed tremor and weakness of grasp.
Nitrobenzene poisoning arises from the fumes present in aniline and roburite factories. Acute and chronic poisoning by nitro compounds of the benzene series are described, brought about by accident (fracture of transport vessels) and by carelessness (splashing on to clothes). Cases of optic neuritis (inflammation of the optic nerve) as a result of chronic nitrobenzene poisoning are described.
Dinitrobenzene and other nitro and dinitro compounds are present in safety explosives. Thus roburite and bellite consist of metadinitrobenzene and ammonium nitrate; ammonite of nitronaphthalene and ammonium nitrate; securite of the materials in roburite with ammonium oxalate in addition. In roburite there may be also chlorinated nitro compounds.
Leymann,[3] describing accidents in the preparation of nitrophenol and nitrochloro compounds, mentions four fatal cases occurring in the manufacture of black dyes from mono- and di-nitrophenols as well as mono- and di-nitrochlorobenzene and toluene. In three of the cases dinitrophenol was the compound at fault owing to insufficient care in the preparation,—the result of ignorance until then of risk of poisoning from mono- and tri-nitrophenol. One of the men had had to empty a washing trough containing moist dinitrophenol. He suddenly became collapsed, with pain in the chest, vomiting, fever, and convulsions, and died within five hours. Another suffered from great difficulty of breathing, fever, rapid pulse, dilatation of the pupils, and died within a few hours in convulsions. Two further cases of nitrochlorobenzene poisoning are referred to, one of which was fatal. Four chlorobenzene workers after a bout of drinking were found unconscious in the street, and only recovered after eight to ten hours in hospital. The symptoms were grey-blue colour of the skin, pallor of mucous membranes, lips, nose, and conjunctivæ, and peculiar chocolate-coloured blood.
Many cases of poisoning from roburite are recorded.[4] In the Witten roburite factory it is stated that during the years 1890-7 almost all the workers had been ill.[5] Only three looked healthy—all the others suffered from more or less pallor, blue lips, and yellowish conjunctivæ.
A case of chlorobenzene poisoning was reported with symptoms of headache, cyanosis, fainting attacks, difficulty of breathing, &c., in a man who had worked only three weeks with the substance.[6]
In the nitrotoluene department of an explosives factory a number of the workmen suffered from symptoms of distress in breathing, headache, &c., of whom two, employed only a short time, died. The poisoning was attributed, partly to nitrotoluene and partly to nitrous fumes. As a contributing cause it was alleged that in view of shortage of hands unsuitable persons were engaged who neglected precautions.[7]
Nitronaphthalene is said to cause inflammation and opacity of the cornea,[8] attributable either to long-continued exposure (four to eight months) to nitronaphthalene vapour or to spurting of the liquid into the eye.
I could not find reference in literature to actual cases of poisoning by picric acid. They are referred to in a general way only as causing skin affections.