A study of the 'industrial factor' in the rheumatic diseases : with special reference to chronic arthritis

Abstract

All of the evidence, clinical and statistical, that have been collected and analysed in this paper tended to show that there were certain industrial or occupational factors in the aetiology of the Chronic Arthritic Diseases and that those same factors were possibly of importance also in the aetiology of the Fibrositic Diseases.At the same time, the evidence strongly suggested that 'industrial rheumatism' - in the sense of the Rheumatic Diseases from which the industrial workers suffer - was determined more by Social (and perhaps by personal) factors than by strictly occupational factors.If these conclusions were sound, the practical outcome of this study would be that Industry ought not to be expected or asked to shoulder The financial burden- of the whole of Industrial Rheumatism. It should be held responsible only for that part of the whole mass of the Rheumatic Diseases in which a clear and significant industrial factor can be shown to be at work.From the scientific and medical points of view, the most important conclusions to be drawn concerns the unanimity with which the clinical evidence, the sickness records and the Chronic Arthritis Mortality records point to 'exposure to damp' as the most important, strictly occupational, factor in the aetiology of Chronic Arthritis, and perhaps in the aetiology of the Fibrositic Rheunatisms

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