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Toxic Smoke and Mirrors

Commentary: Overexposure to manganese has caused Parkinson's-like symptoms for thousands of welders. So why does the welding industry still get a free chemical pass? A Mother Jones investigation.

July/August 2008 Issue


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The shaking in Jeffrey Tamraz's right hand began in 2001. It was intermittent, so he paid it little mind. A six-foot, 260-pound bear of a man, he'd played football and thrown shot and discus in high school; later he got into competitive weightlifting, and worked up to bench-pressing 465 pounds—once, to win a bet, he flipped a Honda Civic on its side. He brought the same passion to his work. "I taught welding for six years," he says. "I read books on welding. I loved to weld."

But by 2004, the twitching had grown too persistent to ignore, and the 47-year-old felt sluggish and clumsy. He consulted a neurologist and was stunned to get the diagnosis: parkinsonism. Upon learning that his patient had been welding for 25 years, and knowing that welding fumes contain manganese, a toxic metal, the specialist suggested the symptoms were work related.

Since then, Tamraz has lost not only his livelihood, but much of his easygoing personality. Gone, says Terry, his wife of 10 years, is her husband's sense of humor and his penchant for impromptu dances in malls and grocery stores. Driving is difficult, and eating, and sex. Even the most mundane tasks—brushing his teeth, applying deodorant­—now require a mental run-through. "Pretty much nothing is automatic anymore," Jeff says. "I can be walking down a straight concrete sidewalk and I just trip. My toes dig into the concrete."

He no longer goes out much, in any case. "I became kind of a hermit," he says. "You get tired of people looking at you. It's embarrassing to shake. It's a sign of weakness."

Following Jeff's diagnosis, the couple, who live in Grants Pass, Oregon, hired a lawyer and sued Lincoln Electric and four other makers of manganese-containing welding wire and electrodes—also called rods or sticks. Filed in federal District Court in Cleveland, their claim joined thousands of others pending against welding-products manufacturers in state and federal courts. (Employers have not been among the targets because lawyers generally concluded they were ignorant of the metal's dangers.)

The odds weren't great. Since the lawsuits began in the 1970s, the position of the $5 billion welding-products industry had remained consistent: There are no reliable scientific data to prove welding fumes cause the Parkinson's-like syndrome known as parkinsonism—or "manganism" if manganese-related—that many longtime welders experience. It was an argument familiar to anyone acquainted with large-scale toxics litigation, and it seemed to work. Industry had ended up settling a few cases—including a $6.5 million payout to four Florida welders in 1985—but as the Tamrazes went to trial last November, it had won 16 of 17 actual courtroom bouts.

Not long after, though, came a startling revelation. For several years, US District Judge Kathleen O'Malley—whose Ohio courtroom is the fact-finding venue for Tamraz and hundreds of other cases—had watched lawyers squabble over disclosure of alleged payments to researchers studying the effects of manganese on welders. Finally, in December, O'Malley ordered both sides to fess up and provide a "full and complete" accounting of any such payments.

It's hardly uncommon for an industry to pay for research—think Big Pharma—but the payouts unearthed by O'Malley's order provide an exceedingly rare view of the system at work. "This has every appearance of the industry buying science," observed Erin Bigler, a professor of psychology at Brigham Young University who studies brain trauma, aging, and autism, after reviewing the documents. "I've never seen anything like this. I've suspected it forever, but I've never seen it."

Court documents obtained by Mother Jones show that the welding companies paid more than $12.5 million to 25 organizations and 33 researchers, virtually all of whom have published papers dismissing connections between welding fumes and workers' ailments. Most of the money, $11 million, was spent after the litigation achieved critical mass in 2003; attorneys for the welders, meanwhile, spent about half a million.

The pattern doesn't surprise George Washington University epidemiologist David Michaels, author of Doubt Is Their Product: How Industry's Assault on Science Threatens Your Health. Corporate-funded research articles are often "advocacy documents that are being produced purely for use in court cases," he says. "It's unfortunate, because it really pollutes the scientific literature."

Judge O'Malley singled out a researcher named Jon Fryzek, whose large studies of Swedish and Danish welders found no significant link between welding fumes and Parkinson's symptoms­—but the studies, based almost solely on hospital records, ignored welders who were never hospitalized. O'Malley was particularly troubled to learn that industry lawyers had reviewed a prepublication draft of the Danish study. "[T]here is no doubt that this was not simply an independent study," she wrote, "and that the experts who participated in the study are continuing to act in an advocacy capacity." Fryzek worked for Maryland's International Epidemiology Institute (iei)­—known for its industry-commissioned studies, including one that found no link between radiation and cancer in uranium millers. The institute received more than $971,000 from welding defendants.

The embattled manufacturers also paid $860,000 to Paul Lees-Haley, an Alabama psychologist and inventor of a widely criticized test that often concludes brain-injury patients are malingering. Two consulting firms linked by court documents to C. Warren Olanow, a Manhattan neurologist who has published at least a dozen articles cited by defense experts, got almost $2.9 million. And the Parkinson's Institute in California got nearly $3.4 million to conduct a four-year study­—not limited to welders—seeking links between Parkinson's symptoms and factors other than manganese, including smoking and drinking. (The institute's research director says the work was neither influenced by its funders, nor will she let them see the resulting manuscript until it has been accepted for publication.)

Fryzek, who now works for Amgen, a California biotech company, did not return phone calls and emails; Olanow and Lees-Haley declined comment. iei president Joseph McLaughlin insisted in written statements that the manufacturers "had no say whatsoever" in the study's conduct or content, and that it is "common" for funders to view unpublished results.

welders are by and large a stoic bunch. At 56, Joe McMahon, a business agent at Steamfitters Local 420 in Philadelphia, has worked in all sorts of hellholes—inside chemical-encrusted cracker units at refineries, for one—and he never obsessed over the acrid white smoke from melted welding rods. If he ever saw warning labels—most of the time, he notes, the rods were out of the can by the time he got them—they seemed meaningless. "It was all small print," recalls McMahon. "It probably said, 'Try to avoid breathing smoke.' Well, how the fuck am I gonna do that?" Supplied-air or cartridge respirators, he says, were pressed on welders at nuclear plants (because of radiation worries), but no one else: "If you wanted a dust mask you could request it, but it wasn't mandatory."

Manganese poisoning is hardly a new concern. In a 1932 German paper, industrial doctor Erich Beintker described two patients who welded inside boilers and tanks. One complained of dizziness, ringing ears, sudden sweats, and sleeplessness. The other had developed a speech impediment and balance problems. "A nervous disorder appears to be present here because of the manganese fumes," Beintker concluded, urging welding companies to share information about the compounds in their products.

In the United States five years later, the Metropolitan Life Insurance Company distributed a welding-safety booklet describing manganese as an "important poison" that "causes a disease similar to paralysis agitans"—Parkinson's. (The welding industry responded by demanding MetLife rewrite the booklet to tamp down the "scare" it had created; the insurer obliged.) In 1943, Occupational Hazards Inc. of Cleveland published an industrial-safety handbook warning of the metal's paralyzing effects. "Manganese victims usually remain life-long cripples, unfit for gainful employment," the authors wrote. They encouraged employers to provide ventilation and examine workers four times a year "to detect early signs or symptoms."

Documents show that welding suppliers knew of the problems. In an October 1949 memo, an executive from Airco Welding Products (now defendant the boc Group) recalled how the National Electrical Manufacturers Association, an industry trade group, had called for warning labels. "Some of the manufacturers did not do this and as a result immediately capitalized on the advantage of being able to sell an electrode which did not have to be marked 'poison,'" the official wrote. "As a result, one by one, all of the various manufacturers took this information off the label and all were very glad to get it off."

As evidence of the dangers mounted—"the fumes are far worse than I had any reason to suspect," another Airco official wrote in 1950—the industry continued to resist warning labels. It wasn't until the 1990s that the warnings were made explicit. Today, one brand of welding wire bears this caution: "Overexposure to manganese and manganese compounds above safe exposure limits can cause irreversible damage to the central nervous system, including the brain."

like other industries in the crosshairs of litigation, welding-rod manufacturers have zeroed in on the concept of "safe exposure limits." Manganese is toxic, they've acknowledged, but not at the levels present in their products. In fact, independent researchers have documented a range of symptoms in welders exposed to ordinary levels of the metal, from depression, memory loss, and irritability to the zombielike state of full-blown manganism. Some get "cock walk"—a lurching, toe-heavy gait resembling that of a strutting rooster. A recent study described numbness (61 percent), tremors (42 percent), and hallucinations (19 percent) among 49 welders working on the San Francisco-Oakland Bay Bridge.

Epidemiologist Robert Park of the National Institute for Occupational Safety and Health (niosh) says there's ample evidence that welding fumes wreak havoc on the brain. One of several Korean studies that yielded such evidence in the 1990s, for example, found a significantly greater incidence of speech impairment, tremors, and gait disturbances among welders than nonwelders. "I'd be amazed if there was something else going on instead of manganese," Park says. And a 2005 study of welders in Alabama (whose medical screenings were paid for by lawyers suing the industry) found a 7- to 10-times higher prevalence of neurological symptoms among the welders than within a control group.

But niosh toxicologist James Antonini says the existing studies lack good exposure data and fail to quantify "confounding factors" such as other workplace neurotoxins. "I don't think there's any really solid information out there," he says. (Antonini accepted an award, albeit no cash, from a prominent welding trade group in 2006 and more recently coauthored, with several industry consultants, a literature review that jibed with the manufacturers' position. "I've tried to work with everybody," he says.)

niosh's official verdict on manganese and welding­­—an exhaustive state-of-the-science report that will lay the pathway for government regulators—is four years overdue; a House science committee chided the agency for the delay last December, noting that the health of some 185,000 highly exposed welders hangs in the balance. niosh division chief Paul Schulte says the delay is nothing unusual: "We have an array of opinions. We're debating and working through them, and that's really the issue."

But Park, who worked on the report, is frustrated. "Right now, what's happening is that the lawsuits are driving the science, and that's pretty pathetic," he says. "I think the fact that it's contentious has encouraged people not to move forward."

if you were to graph out the welding industry's spending on science, you'd see a dramatic uptick in 2003—the year an Illinois jury awarded $1 million to a welder named Larry Elam. The verdict, not surprisingly, turned a trickle of lawsuits into a flood, stoking manufacturers' fears that welding fumes could become the next asbestos, with the requisite ambulance chasers hopping on the bandwagon of legitimate claims.

Charles Ruth III is no ambulance chaser. Stout and athletic like Tamraz, the 41-year-old welder was diagnosed with manganese-induced parkinsonism in 2000, three years after going to work at the Ingalls Shipyard in Mississippi. When I met him, his face looked blank, his voice was a dull monotone, and his right hand shook ceaselessly. Since his diagnosis, Ruth's marriage had failed and he'd lost his job, not to mention hunting, fishing, and the church softball league. He can't even drive anymore—at one point he was detained by an officer convinced by Ruth's erratic driving that he'd pulled over a drunk. He's had recurring depression and suicidal thoughts, but hasn't acted on them because of his girls, ages 10 and 16, and his 8-year-old boy. "I can't wrestle with my son because I'm scared I might fall on him and hurt him," Ruth laments. "When I eat, food goes all over me." No one at Ingalls ever told him, he says, that welding fumes could do this to a man.

Ruth's father Chuck, a retired vice president at the shipyard, says he, too, was unaware of the dangers. "For me it's a fairly easy fix," he says. "You put them in an air-fed welding helmet. They do it with sandblasters and they could do the same thing with welders. But if they do that, that means the industry's got to admit there's a problem." Indeed, when a prominent industrial health organization proposed lowering manganese-exposure limits 25-fold during the 1990s, a trade group that included welding companies griped in a letter that "respirator use would become mandatory at most of our operations" if the new limits were enacted.

Ruth's case settled on the eve of trial in August 2005 for seven figures. (The exact sum is confidential.) Industry lawyers claimed the settlement was merely the product of a procedural misstep that would have weakened their case. But last fall, while attempting to rebut medical experts during the Tamraz trial, defense lawyer Eric Kennedy explicitly conceded that Ruth has manganism.

Since the Ruth settlement, the industry has let its insecurity show. Last year, the manufacturers launched a PR offensive, hiring a New York firm to prepare an eight-page "welding fume litigation status report" full of statistics designed to steer journalists away from the manganese story; among other things, the report noted that three cases (out of the thousands filed) were dismissed "after discovery revealed that one plaintiff faked his symptoms and two others lied about illicit drug use."

No one could have claimed Jeffrey Tamraz was malingering—and defense lawyers didn't, arguing instead that 60,000 Americans each year are diagnosed with Parkinson's of unknown origin. "Doctors, lawyers, teachers, bus drivers, bricklayers, we all get it," Kennedy insisted when the case came to court last fall. "And so do welders." But his argument wasn't helped when the Tamraz attorneys showed a deposition video in which Toronto neurologist Anthony Lang, an expert witness for the industry, acknowledged that welding fumes likely do cause manganism.

Last December, the jury ordered the five companies to pay Jeff Tamraz $17.5 million, and give his wife $3 million more for loss of consortium. "The manufacturers had 60 years to hide the ball," says John Climaco, one of the couple's lawyers. "We've now caught up."

And then some. In March, Mississippi welder Robert Jowers won a $2.4 million verdict against three manufacturers. Some 2,800 cases are still pending against the industry, with another 11,000 on a legal back burner known as a tolling agreement.

When Terry and Jeff Tamraz learned of their verdict, they wept. "I couldn't believe it," he says. "Man, we prayed and prayed and prayed." But the euphoria has worn off. There's an appeal to get through, and beyond that, an increasingly quiet life. "Jeff doesn't laugh anymore," Terry says. "Back when we were dating, he was the life of the party. The conversation between us is minimal now."

Researcher Sarah Laskow contributed to this report.

Photo by flickr user mattborowick used under a Creative Commons license.



 

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Absent from this "investigative" article is any word about alternatives to manganese. Are there any? I don't know.

But if we can't do welding without manganese, and if welders remain reluctant to wear some of the safeguarding equipment that's been recommended for decades, should we radically ban all construction that requires welding?

And if the answer to the ban question is "no," should we instead pay welders as though they were movie stars, homerun hitters or trial lawyers?

Or should we, as humanity always had until the late 20th century, just accept the fact engineering and architectural progress has always included sacrifice and likely always will?

For example, how many guys died building Rome's aqueducts? How many guys died building the Brooklyn and Golden Gate bridges?

Stop with the lawsuits, already. There are 6.5 billion of us idiots running around, stressing the planet's resources, as is. Are any of us -- other than family members for whom there's life insurance and workmen's comp -- really going to miss a few welders?
Posted by:Skeptical in DCJune 24, 2008 9:38:35 AMRespond ^
Sometimes "skeptical" must be a synonym for "missing the point". Welders clearly were discouraged from wearing safety equipment by employers who thought it an unnecessary cost. At a minimum, they weren't told about the risks, even though the welding industry clearly knew. Skeptical in DC wants to blame the victim. It's one thing to do work despite known risks, but another to have the risks hidden.
Posted by:Eric FergusonJune 24, 2008 1:12:50 PMRespond ^
Great article! The Manganese poisoning welding connection is just another tragic story of how Big Corporations think they can use up American Workers and throw them away. I'm glad Morris exposed this latest example of the "Disposable American Worker." We've seen this story before with Asbestos, Silica, Petrochemicals and a thousand other examples where Americans worked hard their entire lives making Big Corporate Fat Cats rich beyond imagination only to be rewarded with an incurable occupational disease.

Shame on "Skeptical in DC", he or she sounds like the type of person who would have rooted for Goliath. He or she is probably a corporate lobbyist selling the same old "tort reform" product that Karl Rove sold for years. Why should the welders take the hit for us? Don't they deserve our help? How many golden parachutes do CEO's get every year? CEO's are the ones being treated like movie stars.

To answer "Skeptical in DC" questions directly - no worker would refuse to take steps to protect his or her own health - it's the manufacturer's duty to make sure everyone who uses its products knows of the hazards - workers can't take safety precautions they don't know about.

Workers like welders are one of our great national treasures - they help us in our daily lives - they build cars, bridges, buildings and all the things that make up the infrastructure of America. They should be celebrated, not left to die of brain damage.

Posted by:Power to the PeopleJune 24, 2008 2:54:23 PMRespond ^
My father is a retired auto worker, and he has Parkinson's. He was a strong, active man who hunted and fished and worked several jobs to raise a family. Now he sits slumped in a hydraulic lift chair, shaking and shuffling across the floor with a walker. He can't write or drive or speak clearly. I'll miss him when he's gone. It's skeptics I won't miss - particularly the ones in D.C., who unlike Parkinson's victims, evidently suffer from deterioration of the heart as well as the brain.
Posted by:L. LeslieJune 25, 2008 12:42:49 PMRespond ^
This parallels the WR Grace vermiculite insulation case. Grace new their Libby mine vermiculite contained tremolite asbestos and that it was dangerous - which led them to nix warning labels (as suggested by company officials) for the home insulation product they sold for decades. The EPA study that was to be released to the public was also delayed indefinitely. Additionally, I have taken welding instruction and remember specifically the instructors warning about the NIOSH studies and emphasized the importance of ventilation and safety gear.

Skeptical in DC you obviously have no compassion for humans (must make you a 'compassionate conservative') and your idea that progress requires human sacrifice is fundamentally flawed - Why do you think so many died during those large scale building projects - read some history and think on it...
Posted by:RobertJune 25, 2008 1:02:52 PMRespond ^
Does anyone have any statistics on the life expectancy of welders compared to other tradesmen ? I searched for a while today with out coming up with anything. I work in industry and the common belief held is that welding is poisonous work and that long term prospects are for problems as a result of fume exposure. ( Not to mention eye damage from long term arc watching. ) Sure nowadays a lot better breathing protections are provided. Interesting that the European countries with some of the worlds best, ie. highest work practice standards were chosen for the research cited. There the results would be least likely to indicate any problems.
Posted by:Roger LangmaidJune 25, 2008 2:18:21 PMRespond ^
Excellent article. It is a shame that you have to muck up an excellent piece by slandering the lawyers who are tyring to obtain justice for the victims you describe and go after the industry that has so effectively played hide the ball with bought and paid for dishonest science.
Posted by:Thomas L. GowenJune 25, 2008 8:52:56 PMRespond ^
Follow the Money. Welders can do their job in a safer way, but it will cost more and most likely lower their productivity. We want it cheap, and we all sell ourselves short. There must be ways to detox, or to leach out the manganese, but this falls into the realm of preventive medicine, not something your local HMO can cash in. Breathing diesel and gasolene fumes give mechanics brain cancer; an honest specialist can recognise the cancer as being caused the line of work his patient did. So let's be honest as a society, and next time a mechanic suffers from brain cancer, let's call it "mechanic's cancer". Let's forget about Parkinston's disease here, why not call it what it is: Welder's disease.
Posted by:DenisJune 25, 2008 9:04:34 PMRespond ^
Another very toxic component of welding fumes is fluorine gas. Calcium fluoride is used as a flux on many welding rods and in flux core welding wire. When heated, calcium fluoride, also called fluospar, is turned into fluorine gas. Fluorine gas is a powerful neurotoxin! Fluorine gas is used in all the inhaled anesthetics, and in all the major tranquilizers, as well as many other drugs such as prozac and paxil. Fluorine is the most reactive chemical known, highly carcinogenic, toxic to many hormones, denatures enzymes, and is generally used as a poison for cockroaches, rats, termites, fire ants, and mammals. That the US government puts fluorine is drinking water is criminally insane, and that people are stupid enough to drink it? I think doctors and dentists should know enough organic chemistry to realize that fluorine is a dangerous chemical, and stop prescribing it for children and adults. Recent studies in China found that children drinking well water containing 1 mg/Liter of fluoride had a 5-10 point lower IQ than children drinking water with 0.4 mg/L fluoride! The US Public Health Service recommends fluorinating public water supplies at the rate of 1mg/L! Drinking fluoride on a daily basis would make people stupid, sick, lazy, fat, infertile, ugly, and easy to dominate. I recommend reading "The Fluoride Deception", by Bryson, and the 2006 report from the National Academy of Sciences, "Fluoride in Drinking Water". The website "Fluoride Alert" is very informative as well. russelldobkins@yahoo.com
Posted by:russelldobkins@yahoo.comJune 26, 2008 9:37:50 PMRespond ^
An excellent piece and welcome light upon the subject. But as a Parkinson's Disease sufferer who has spent entirely too much time studying the subject, I suggest that a wider look into the whole PD phenomenon. Usually presented as a well-defined "disease" it is far more. With multiple causes and highly individualized manisfestations, it is an indictment of modern society. Although claims are made of its presence in ancient times based on the Vedas, a reading of those texts shows a great deal of wishful thinking in that interpretation. With symptoms so distinct there should be multiple accounts of famous personages who dealt with it. Yet there are none until 1817 when James Parkinson first described it based on six cases in the London of the Industrial Revolution with its pollution and newly stressful existence.

Six cases over a fifty year career and three of those were passed once on the street never to be seen again. Today everyone in the industrial countries knows someone who has or had it and the numbers are growing and the ages are dropping.

People with PD are canaries in the coal mine.
Posted by:Reverett123July 9, 2008 4:16:08 PMRespond ^
Manganese is a necessary component of steel; therefore, it is emitted as a steel component is heated.
Posted by:KateAugust 25, 2008 3:03:40 PMRespond ^
Hey Skeptical;
There is no such thing as life 'insurance', auto insurance or workman's compensation. The number of these claims that actually paid out is pathetically small.
Here in Beautiful British Columbia, Canada for instance, the province runs the auto insurance monopoly (ICBC), the Worksafe BC racket and the medical and legal systems in their entirety.
It is virtually impossible to get medical diagnosis and treatment, financial or legal compensation 90 - 95% of the time where there are significant injuries and insurance interests.
"YouTube" search Worker's Comp horror stories or go to the Canadian Injured Workers' Society @
ciws. cee a
and take the time to see for yourself what could happen to anyone of us at any time. Although they are relatively new (2005) they have links to other sites and clips for the US picture.
I have been robbed, maimed, disabled and almost killed by government sanctioned medical - legal - insurance fraud and racketeering and am still trying to get a diagnosis and treatment for my many spinal injuries that were actually made hundreds of times worse by the system.
The accident was Sept 26th, 1998 and it is now Sept 12th, 2008... in two weeks it will be ten years since this began. As a single father of two, 11 & 13 yrs respectively, the government has been effectively torturing and killing me in front of my children since they were 1 & 3 yrs old. I was a passenger going through a green light wearing my seatbelt and earning great money in the movie bus at the time of the accident.
This is the most blatant conflict of interest yet it has been happening here for decades.
Google "Insurance Fraud & Racketeering" to get the American perspective on this most undemocratic ruling class racket.
I know several injured workers who are being/have been killed by our government and a couple of them happen to be welders.
Remember: This could happen to ANY one of us at ANY time.
PS:
BEWARE 'universal healthcare'!!! If it was real I would not be still in a neurosurgeon's queue a decade after an accident awaiting the surgery for the first of many injuries and regular, decent citizens wouldn't be dying in our hospital hallways, at home when they should be getting care.
It is a NY shellgame to give y'all hope and faith in your election.
All you have to do is spend the time it takes to verify what I have said here.
ahunter100@shaw.ca
Posted by:Alex HunterSeptember 13, 2008 6:31:28 AMRespond ^
Hey skeptical.Welding has ruined my life,and these jackholes are going to get away with it .Buy the way I hope someone poisons your incosiderate ass and your children go without.JERK!
Posted by:BobbyDecember 8, 2008 6:04:03 AMRespond ^
What kind of country lets industry walk over the dead bodies of their workers with no consequence.Who lets illegals cross our borders and drive wages down so far you cannot survive without working two jobs.Who lets big business flat out steal from the working class, the U.S. government thats who.We are slated for slavery and if you dont believe me ask the 10 year old Chinese person working for .50 cents a day making merchandise for a U.S. based company.I hope I'm wrong but the past few years has convinced me that the government is owned by big business and the working class is expendable.
Posted by:BobbyDecember 8, 2008 7:36:21 AMRespond ^

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