Dow Chemical Medical Experiments on Prisoners Transcript Before Epa and Exihibits 1980
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.r,, /' \" ( '. UNITED STATES Of N\E!UCA 2 BEFORE THe J • ENVIRONI1ENTAL PROTECTION AGENCY 5 - - - - - - - - - x 6 - 7 8 9 In the Matter of the Hearing of:: 2,4,S-T and SILVEX Docket Nos. The Dow Chemical Company, et a1 x 10 1I 415, et a1 vol~e (This ~ages contains 6875 throu9h 170~~) I 12 14 Room 2~09 Environmental Protection Agency Headquarters 15 Washin9ton, 16 Thursday, November 13, IJ D. C. 198~ I I I. 17, - I I 401 t1 Street, 50uthlolest 18 I The hearin<) ""dS convenei' pur~uant to "ctjournmen-l, 19 at 9:00 a.m., before Administrative Law Judge Edward B. 20 Finch, when were present the 21 ON BEHALF OF THE ENVIRON:"ENTAL P~OTEC"'ION AGENCY: follo~inq: 22 DOROTHY PATTON, ESQ, Of~ice 2J KARL BAYER, ESQ, Office of Ceneral Counsel 24 MICHAEL NINER, ESQ. Office of General Counsel 25 AN~RE\·1 Office of \.eneral Counsel G. GORDON. 1:50. "1l:~1 0 rof""l<:<: of General Counsel ( ( JUDGE fINCH: TS/Sl -1 '-' 17039 \"Ie will resume the hearing. 2 Hr. McConnell. 3 HR. , Our next witness is Hr. V. K. Rowe, Mr. Rowe HcCONNELL: Good afternoon, Your Honor. ~ffairs 5 is the former director of Toxicological 6 and Environmental Research at Dow. 7 in 1979. but he is still active as a consultant. S 9 of Toxicology, He has, II EPA, a~d is a past president of the Society. for OSHA and with the National Cancer Institute. Hr. Rowe. ~'lhereupon , V. K. ROliE 15 was called as a witness and, having first been duly 16 was examined and testified as 17 IS 19 JVDGE FINCH: Are there any additions or corrections to your s aterrent? TilE \V1TNESS: Yes, I "have one reinor one, in the educational section there, my 21 a\'Jarced in 1938, instead of 23 swor~, follows: 20 22 Dow in addition, served on advisory committees for 12 14 fr~~ Hr. Rowe ...las a charter merrber of the Society 10 13 He retired and Health JUDGE FINCH: ~laster's Degree was 1)7. Well, we want to make that change then ....·here docs it aflpear? 2, TH E I-IITNESS: It's in my CV. 25 JUDGE FINCH: Oh, in l-lEAI R t~e r.ROC;C; cv. \ ( 5 1 Q 17054 And wOllld he be one of the people that may have 2 informed you that the careful medical surveillance was 3 being conducted? 4 5 6 7 8 9 10 11 A I suspect that that lS the case. but I cannot be certain. Q Do you remember what he told you, or what you were told by people in the meetings? A Si~ply that these people were being followed on a periodic basis. Q You were not informed as to the tests that were actually being conducted on these workers, \-Jere you? 12 A I can't testify to that on a personal basis, no. 13 Q Let's turn to the"next section of your \... itness I~ statement. 15 sequent to the 19611 Chloracne Outbreak". 16 A 17 o On page 5, which is entitled "Resei\rch Sub- (Perusing documents.) Yes. This section of your testimony discusses (I/~a I 18 experiments conducted by a Dr. ~ Kligman, which were 19 initiated and funded by Dow Chemical Company, is that 20 correct? 21 A That's right. 22 Q In these experiments varying doses of 2,3,7,8- 23 TeOD were dermally ap!"licd to the' forehead and back of 24 human subjects incarcerated at a prison at Holmesburg, 25 Pennsylvania, is that correct? ""CAl 0 r.onc;c: ( 6 1 ",-, = A 17055 The test procedures were as you describe, 2 whether incarcerated is a proper word, I don't know, I 3 presume it is. , Q They were prisoners, is that correct? 5 A That's my understanding. 6 Q You state, at the beginning of the bottom of 7 page 5 that you contacted Dr. Albert Kligman and then at 8 the top of page 6 you state, 9 the chlor?cnegenic potential, TCOO in 10 existing program", ~s "Dr. Kligman agreed to test h~ans. under his that correct? I1 A Yes. 12 Q Would it be fair to say that you were the Dow lJ representative \... ho initiated'"' contact with Dr. Kligman, I~ and requested that he conduct experiments in which human 15 subjects would be der1"lally exposed to TeOD? 16 A Yes. 17 Q Now, Dr. Kligman conducted two separate sets 18 of ests in ....· hich he apl"liec TeDJ to the skin of these 19 human SUbjects, is that correct? 20 A You are talking about two different tests? 21 Q Two different sets of experiments. 22 A Well, there was one experiment to start with and 23 then there was a SUbsequent expcri~ent that he conducted, 2, yes. 25 Q Did you not de:iign the protocol for the first , ( -17 '-' 17056 1 set of tests conducted by Or. Kligman in which the re- 2 searchers applied a range of doses of TeOD to the backs 3 and the foreheads of 60 human sUbjects? 6 Yes. Q Has there a di! fecent protocol for the second series of tests which Dr. Kligman conducted? 1 A 8 9 A Hell, not to my knowlecge, that VIas his protocol I did not know that this second experiment \las to be done I he way it •.·.. as done. 10 Q On page 8 -- let's turn to page 8. 11 A (Perusing documents.) 12 Q In the second full paragraph on that page, near Yes. 13 the bottom of that page, at the bot;.tom of that paragraph, l~ you st.ate, "Accordingly, I indicated to Or. Kligman that 15 Dow would fund a continuation of his studies" and then you 16 go on to say, 17 receive a letter from Dr. KligY.1an reporting ne,... results". IS 19 20 "In January of 196B, I \<as sur?=ised to Coule you explain to us wh~t you mean by "surprised"? P. Yes. As much of the first protocol had yielded 2\ absolutely negative results, we did agree, at his request, 22 to fund a continuation, but I 23 the same progression that I had outlined in the first 24 instance. 25 writing . .;nd the next assumed it would. be following Unfortunately., that \>/as never confinned in I heard fror.! it \oMS that the results 18 \ ( I 17057 that he reported to me. Now, each of these 2 s~eps takes a considecable If you will look at the protocol, because 3 period of time. 4 I was very concernerl that we approach this very cautiously. 5 And raise the dosage in increments so as not to exceed a· 6 level which would produce a threshold response. 7 The reason for that was that in our studies on 8 animals we had determined that concentrations of chloracne- 9 gens which produced an effect in humans, essentially always 10 produced an effect in the animals. And if the animal work was not positive, we 1I 12 never had a ~aterial that cause injury in humans. Noy.', so what we wanted to do and II/hat \'Ie felt 13 1.; ""e should do was to attempt to determine the relationship 15 between the sensitivity of the 16 humans. 17 -- i t measured quantitatively, we determined that a certain 18 dosage level \'Ias the J71inilT'um required to procuce an effect 19 cn the rabbit's ears. 20 rabbit'~ ear to that in (f1J1(l;,II'(.~~ After we had identified the material ~ad ~ e But our evidence from practicnl hu~an I e~?crience Vias much more resistant, but \-Ie 21 indicated that the 22 didn't know ho\v much more resistant. 23 concerned ahout ,... hc}t the r:'largins of safety would be. 24 25 So, therefore, had J\nd ",Ie were very the purpose of this study was to increMentally increase the dosage, NFAI R ~o GRO~~ th~t we would be able ( -19 1 to find out what that figure was. Q 2 3 17058 You indicated to Dr. Kligman that Dow would continue its funding of the studies, is that correct? 4 A That's right. 5 Q And yet you assumed -- you said that you assumed 6 that he would continue to follow the protocol that you had 7 given him, is that correct? 8 A Yes. 9 Q Between the time you received the results of 10 Dr. Kligman's first series of tests, in May and June of II 1966; 12 he stated he had conducted a second set of tests, did you 13 have no contact with Dr. Kligman concerning this second l-i series of tests? and the time that you received his letter in which had none. 15 A I 16 Q You mean you had said that Dow would continue to 17 fund this study, and yet you did not bother to even con- IS tact Dr. t·1R. 19 20 23 24 Your Honor, I ·think that questi0 f1cCONNELL: may be a litti'e argumentative. JUDGE FINCH: 21 22 Kligman to see what he was doing. I think it is, too. He said he did not. You can answer the gue~tion 'did you have any contact between the time you got the results?' ./ 25 THE \-JITNESS: If I did, I have no knowledge of NEAL R. GROSS 17059 1 I don't believe it. BY r-1R. 2 4 GORDON: attention to what is be~ng done with the money it grants? Well, it depends on what the situation is, this A 5 did, Does Dow normally fund studies and then not pay Q 3 I 6 was a contract with the university and with a professional 7 dermatologist who had conducted the first series of protoco s, 8 he knew what my philosophy, with respect to testing was. 9 And it takes so ~uch time, between tests, that if you 10 proceed according to the protocol, that I had designed, 11 t~at 12 about it. I didn't feel it was necessary, and I didn't ask him 13 14 15 As ca~e report Q I as i said, it was a total surprise when the t Qie.: Well, you say that Dow and yourself were con- 16 cerned with the margins of safety,what was the highest 17 dose level given 18 in the first set of tests? I believe you can find the answer to that on 19 20 21 22 23 24 25 applied to the·skins of the prisoners page 8, in Table 1. A Yes, that's right, the total dose that was given was 16 microgram/kg Q per 'person, 'What was the total dose given in the second set second series of. tests that Dr. Kligman had conducted, in which Dow funded? \ 17060 ( 1 A 7500 2 Q So, Dr. Klignan went froQ 16 micrograms to 3 micrograms.~ 7500 micrograms, is that correct? 4 A That's what he says he did. 5 Q So, he increased the dosage somewhere in the 6 neighborhood of 5,000 orders of magnitude? 7 8 A something like that r wouldn't it? Excuse me, I will make a calculation. 9 JUDGE FINCH: 10 11 NOr it would be closer to 40 "to 50, 45 perhaps, That's all right, wait until you get another question r unless you want him to. 12 BY MR. GORDON: 13 Q Would you work that out for us, please? 14 A Yes. You are closer to right, it's abotit 470. MR. McCONNELL: 15 Your Honor, if we ciight have a 16 clarification on the question, was that phrased in terms 17 of the magnification of the dose, or the" order of magnitud 18 of difference? 19 MR. GORDON: 20 the wrong terminology. 21 Magnification, I'm sorry, THE vlITNESS: I used It's the difference between 16 22 and 7500, and if you divide 7500 by 16. you com~ ~ut close 23 to 470. - -----BY rlR. GORDON: 24 25 Q Well, when you wrote the protocol" for the first NEAL R. GROSS \ ( 17061 1 series of tests, you increased the dosage for each group 2 at what you would term a conservative amount, is that 3 correct? 4 A That's r:ight. 5 Q Would you call the increase that Dr. Kligman 6 conducted in the second of tests a conservative increase? 7 A No, sir, I wouldn't. 8 Q Did you -- had Dow ever funded studies by Dr. 9 10 Kligman previous to the ones that are discussed in your testimony? 11 A I can't answer that, I don't remember doing any 12 of it myself, but Dow Chemical Company is a very large 13 corporation and it could have been done by the medical 14 department, or somebody, and I might not have known about 15 it. .... 16 17 Not to my knowledge. Q So, to your knowledge, Dow had no prior experien e wi th overseeing Dr. Kligr.1an' s studies, is that correct? 18 A I believe that is correct. 19 Q So, upon what b3sis did you determine that it 20 was not important to oversee the second series of tests 21 vlhich he \Vas going to conduct? 22 A I guess only that he was a professor of derma- 23 tology at the University of Pennsylvania, and we had 24 reasonable confidence that he 25 consistent with our original protocol. wo~ld proceed in a manner ._-~--------~---- I \ • "-' . J UNITED STATSS OF 1 ' ~~ERICA 2 ' • I' ••.• • L ~. J ' BEFORE THE 3 4 ', I, (I: l' , ENVIRONHENTAL PROTECTION AGENCY 5 6 -----------------X 7 In the Matter of the Hearing of: 2,4,5-T and SILVEX 9 The Dow Chemical Company, et al 10 1 Docket Nos. 415, et al 8 1 - - - - - - - - - - - - X (This volume contains pages 17066 through 17238) 12 ... 15 Room 2409 Environmental Protection Agency Headquarters 401 M Street, Southwest Washington, D. C. 16 Friday, 13 14 17 - IB - Nove~ber 14, 1980 - The hearing was convened pursuant to adjournmens, . 19 at 9:05 a.m., before Administrative Law Jud0e Edward B. 20 Finch, when 21 ON BEHALF OF THE ENVIRONMENTAL PROTECTION AGENCY: w~re present the fo11o~irlg: 22 DOROTHY PATTON, ESQ. Offic e of General Counsel 23 KARL O. BAYER, ESQ. Office of 24 ANDREW G. GORDON, ESQ. Office of General Counsel 25 Ge~eral Counsel \, \. 17087 1" 2 Was Dow not interested at all in seeing those Q resul ts? 3 'ole accepted the statements 'that he and his in- A ) 4 ternistmade. 5 Q Does Dow normally, when they contract'out to 6 outside experimenters, do they normally not bother' to 7 acquire the results of the test that the experimenter 8 perf orIlled? 9 A It generally depends, on the and we, incident- 10 ally contract out very little work -- but it depends on 11 what the purpose of that work is, where it is going and 12 what the ultimate end is to be. 13 work by constilting 14 done, was not done to the extent that it Mas done under 15 the present GLPs, where every data point has to be rnonitor- 16 ed. Monitoring of laboratory , 17 laboratories~ in the time when this W2S In those days we usually took what we considered 18 to be competent people and expected them to conduct their 19 studies in the normal course of their investigations.' 20 Dr. Kligman was a professor of dermatology, he is an M.D., 21 he did 22 are his results, we did not question his reporting. ---.. 23 24 25 lots and lots of skin work in those days. ~..nd these Q ·inDr~ And ,··-·In' the· ·second"series,of tests which is discussed' 7 Kligman's January 23rd letter, he reports that eight of the 10 subjects developed chloracne, NEAL R. GROSS Did not Dow want 17088 1 to see the clinical te5ts that were conducted on these 2 eight subjects who did develop 3 4 A chlo~acne? I guess we really didn't think that it was necessary to see them. 5 Q Why did you think it was not necessary to see 6 the results of these clinical tests which were conducted 7 on eight human subjects which had developed chloracne? 8 9 A Well, in retrospect been nice to have seen them. I will say it would have But in those days we took 10 their words that they had -- we had seen lots of chloracne, 11 it wasn't a new phenomenon to us. 12 Q - So for these human beings you are saying in 13 ~etrcspect, 14 these clinical tests? it would have been nice to see the results of 15 A I think so, from a curiousity point of view. 16 Q Just for curiousity's sake? 17 You were not interested in the health of these eight human beings? 18 A Well, of course we were -- 19 Q Then why did you not ask to see the clinical 20 results of the tests, 21 t-1R. McCONNELL: I don't believe Mr. Rowe had 22 finished his answer there, if I am wrong, I will apologize. 23 But it sounded to me like he was going to say something 24 more. 25 THE vlITNESS: I was only going to say that NEAL R. GROSS \, 1 17115 follow-up on the health status of these three individuals? 2 A I do not. 3 Q Do yau,know whether Dow or Dr. Kligman has ever' 4 conducted a follow-up survey of the heal.t:h'status, of the 5 human subjects exposed to TCDD in Dr:. . Kligman' . 6 7 9 Q Do you know whether Dow has conducted such a follow-up study? 10 A Dow has not. 11 Q Dow has not? 12 A Right. HR. GORDON: 13 14 ·t~sts? have no knowledge of that. I 8 5 Not.tomy knowledge, I do not know that be has, A no. . Could" I have just one moment, Your Honor? 15 JUDGE FINCH: 16 MR. GORDON: Sure. I going to provide the witness, am 17 and Counsel with Exhibit No. 15, entitled; "Resu1ts of the 18 Two-Year Chronic Toxicity and 19 Tetrachlorodibenzo-p-dioxin, 20 a1. MR. McCONNELL: 21 22 Exhibit' 13? MR. GORDON: 24 BY Q TcnD Study on 2,3,7,8 in Rats" by Kocib~, et Did you say Exhibit 15 or I believe this is Exhibit 13. 23 25 Oncogen~city Oh , I meant to' say 13, yes. MR. GORDON: Are you familiar with this document, Mr. Rowe? NEAL R. GROSS 1 A I am generally familiar with it, not in detail 2 beccu5e I am not a pathologist and I certainly don't in- 3 tend to get into pathology. 4 Q Let's look at the abstract on the first page, 5 ~n 6 "Ingestion of 0.1 ~/kg/day caused an increased incidenc~ 7 of hepatocellular carcinomas and squamous cell carcinomas 8 of the lung, heart, pal2.te, 9 whereas a reduced incidence of the' pituitary, uterus, 10 the seventh line from the top, does it not state that nasal turbinates, or tongue" mammary glands,· oancreas and adrenal gland was noted"? 11 A Yes. 12 Q After you became aware of the oncogenic effects 13 of'TCDD reported in the Kociba Study, did .you or Dow con- 14 sider whether the human subjects you had exposed to TeDD 15 had develop~d cancers in the years subsequent. to ~he con- 16 duct of the study? 17 A We have not followed up on that. 18 Q Did you consider whether the hlli~an subjects had' 19 20 21 22 developed cancers from the study in 1966? A I don't remember entering into any discussions on that subject. Q Well, you had entered into no discussions as 23 to whether these human subjects had developed cancer, 24 had you considered that they might have developed cancer 25 on your own? NEAL R. GROSS bU~ -/ . / V.' . . 48640 July 9, 1965 '.". Albert M.· Kligman J M. D., Ph. D. Depa~tment-of Deroatology Hosp! tal of the Ulii ve:-~l tr of 36~h and Spruce Stre;t~ ?hiladelphia 4 , Pennsylyan1a ?,~nIi~ylyanla Dear Dr. Kligman: sepu~~~~ ~over a 3m~11 a~ount of 2,3,(,8-:etrachlorociibe:1z.o-p-d.l.cx:":1. 'l~1~ 1.:::) !;~le material \'ih1.:r. 1~ a potent acnegen a~c ::.: bl.6j11· ~oxi=. 1 have checked b~ck on ou~ figure5 ~nc riu~ th~t t~e single dose oral LD~ for rabbI~s 1s In :h~ n~lGhbo~h~Od or 100 microgra:~:/k~2c3r2rC, and. we had -:>r;e .:.rJi::l~l .cie 'lihich h:ld received a 5in ole dose or 16 ~ic~O~~~~~/~:l~gr~~. I~ 1s safe to ~aYJ howevc~, that doseG of 0.5 ~~ :.0 mg~A~ are a1wa1~ fatal, although deaths may be del~ycd ~~r 10 to ~O ~ays po~t treatcent. The typical cl:~1cal p::~~:-~ 1~ seYe~e liver and kidney inJury .. 1 am sending you under In regar-d to the ~kln r~sp~niJe ~rJ r~bbit~, \O;e ha'le attem?ted to q~~ntit~te thi~ by appl¥~~g C.~ ~l cf t~~~ ~ulu:l0~ to one to t~o square inchez of the ~UI~~~C of the lnn~~ f~ce or the rabbi~ e~r . ..Ie find th~t ~'Jbe:1 ~h.: :0:01 oo::c (~vCS not exceed ~bcut O.2·of a mi~ro£ra~ ~r ~h~ dcr.~se~, no follicular ?~vi.11:)encc 0:- epi:.h~l:<ll br;:H=:"';)l.~:.'~':;'t, de·i~lo?::. total dose 13 about 0.5 of ~ respo~se is m~~ginal; 1 to 2 d:uce:; a re~ponse, ::.nd 4 to 8 ~l~r~g~~~ ~i~~csr3rns :~lc~O"'~~a:no on th~5 ~lm~~~ \\'hen the area, the al~ays pro- usu;llly produce 'l been able to quant1tate r:evere re~pons~. ~e have nc~ 3~ y~t the d~se required ~o cau~e 5C~ ~or~~llty rro~ ~kln ex?osu:~~ b'.Jt we ar-e ~ure 1 t 19 \"iell ~bove ~he t.u,,:-al do~~ge:3 noted above. In ·.;1e:w or thIs info:--:1J. -:ivn, 1 t, C·:-·~~i not ~eem probable that the dozagee :;hown in :h~ acc~~?~~¥1:15 s'.J~gc~:cd pro:ocol for ~h~ hum~n i;or~ \OJould be likely :0 ,,,:;Jr,:tlt.:Jte ~n7 ~erious s,stcr:lic h:lz~:'d bc:ca~Jsc ~te c~')~~ ~n cJ P~I' !'llogra!n ba~1s would be far b\?lo\-1 ~h<.lt ~':(!1cl1 prud~ces ~ny ~1gn':'!'lcant effect eystel:lcal11 in the l"2bbit. I f:)l~ht add o;h.:>.t the rabbIt :" f3r ~cre c~ns1tlve thun the r~t to th~~ ~¥~~ or compound. M~ver~hclc3~, the s~rlou:nes= of :hc ~vn~cqu~nce~ that mlght develo frou testing wIth ,this type or cOfopound requIre that ~e approac t.e ~~:ter n a £ vc canne~. t .:. ~. M. lCl1gt!1an, M.D. - 2 - July 9, 1965 1s with th1s thought 1n mind that I have developed the attached protocol . . The numb~r or persons per e:q'J~_r.i:ue-.nt. 1s your dec ;~_1t?n;. _~__ .~~uld ~_~_~~_~t __ t~~~ .. as _ ~_ s tarte;-~. 'Jhen ap~11catlon8 are. repeated, I would l:ka to have them·made on consecutive days J if i t .1~ convenient to do so. Although the time regt11red to· conduct thc~e experlments w111 'reQuire several months J I believe. 1 t ~s the ..~_~~e wa y to p·roceed, .usIng a._rew.p~ople at a t1me with cnreful ~bservatlons on each. . The observat10ns ~re ~o be made at your di5cret1o~,1 1 ~ut I would urge routine SGOTlc and alk~llne ph08phatase5~ ~s a . ru1n1~um. 1 s e:1other !. te:n upon \-IhL.:h comment should be made. I 1n the ~u3ge~~ec p~otocol that a two week obser..?Cl t,ion periOd Shou4.c be u~~d pri;Jr to star;~ing the ne):t ser~e~ of ~x?crloen~~. ~i~ ~~ becau~e our ex?~rience with The:'~ indic~ted have both anl~als and ro~n 1r.d~cates tha~ there 15 un induct10n pericc . . In ~ few ::l:;ta:l~~:;., ·.... e believe an eruption in the hU~3n has d~velopeJ four ~~ ~ix ~eeks post exp~sure. Also, we have. had a r~w 3eri~us fl~re-up5 which'have develcped within a r.J.:ltt.er of day~, OP:':j":. cxpos~re. ! haole cOMp:-omised 0:'1 a ~,",o-week ob~er'w"a:'iojj r'~:"iOc, b\lt or co-ur:=:e, any treated 1~d1vidu~1 should be ~~:chect fo~ ~~ l~ast t~o mon~h~ post tes~. You asked about rna~e~i~l~ i~ fihich th~5 te~t ~~bstan~e is soluble. 1 have iud~ca~~d i~ ~s qUite solubl~ in chloroform ~nd cc-nze nc ~nd d11.30t 17 ;;", ~l ~.;"o le 1n ~ 1·.; ~r.:, 1 . I believ~ tha:. a co1:..ltio:1 1~ 5C/:.O ~lc:'hol ..lrH~ ci~l.)rofo~w \"lould ~e quite appropri:J.~e for YO':;':" Y\o:-~c. l:J r'..:g~1·d :'0 covering he exp~sed area, I would :;"Jgg';~j~. ~hal; '..:h!~n t.he t!'eated U has dr1e~ th~t it keep :he r.lat?rial contarci:;ate h13 h03.r.c:3 or r areaJ ~~vered l:g~tly w~th ~ gauze S1~ply to f:--om be!n£ b_"uSIT-;d a~'/ay or hav1ng a person ~e clfj~.hing inadvertentlj--. -- I have an3wercd your q~e~tlons, b"J: if you have any ~thorz, plca~e do not hes~tate t~ ~on~~ct ~e. h0?~ ':':lncercly v. YOIl!'~, K. Rowe Bioch~~lcal Re~eurch 1701 B'.Jl1ding VKR/Jd l..:iboratory ~I~~ C ~.::i 1 Gv~d0n, Holder, •• 'f l'. • -. ;tuwe t• ,.~ ) ""''-6 . - - 6.......... • __ .~:J OOj 1 -,..., : Kramer J. E. P~terson L. :':;11verst~ln H. 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