MC CLAUGHRY 



BABBOTT: In an AFED report of two or three years ago 

 on winter maneuvers in arctic areas, they reported a great 

 many more cases of heat exhaustion than they did frostbite; 

 so even under field conditions it is very difficult to evaluate 

 cold exposure. 



ANDRE WES: Williams and Lidwell carried out some experi- 

 ments on post office workers in Britain, and in comparing those 

 people who were delivering mail out of doors with those who 

 were working indoors, the incidence of respiratory infection was 

 rather greater in those who were working indoors, but of course 

 you can't draw very many conclusions from that because they 

 were so much more exposed to other people, and the outdoor 

 people had very little such contact. 



MIRAGLIA: There are several reports in the literature that 

 indicate that people that work indoors and go into cold rooms — 

 butchers, for example — do have a higher incidence of sinusitis 

 and middle ear infections, Taylor and Watrous » made studies 

 of this using very small groups of individuals, and there are some 

 examples in Spanish literature which have approximately the 

 same data, but as some of us have already indicated, there are 

 other bits in the literature that seem to contradict this, or at 

 least I found evidence to the contrary, 



BLAIR: The matter of respiratory infections, of course, has 

 risen in regard to hypothermia per se in patients and there 

 has been an occasional report of patients who have been cooled 

 who developed pneumonia, but these have been incredibly rare, 

 and I, in the years that I have had the privilege of working in 

 this particular area, have never seen respiratory infection in 

 a patient who has been cooled. As a matter of fact, we have 

 cooled patients who have had pneumonitis of one kind or an- 

 other and have observed it clearing up during the process of 

 cooling. Of course, these people are receiving antibiosis in 

 treatment, but the hj^othermia is not retarding the clearance 



3 Taylor, H. M., and L. Y. Dyrenforth. 1938. JAMA HI: 1744-1747. 



4 Watrous, R. M. 1947. Brit. J. Indust. M. 4: 111-125. 



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