HEALTH EDUCATION PROGRAM

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP84-00780R004600120023-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 32
• Document Creation Date: December 19, 2016
• Document Release Date: October 10, 2006
• Sequence Number: 23
• Publication Date: August 1, 1972
• Content Type: REGULATION

Approved For Release 2006/10/10: CIA-RDP84-0078OR0046001 0 ADMINISTRATIVE - INTERNAL USE ONLY
This Notice Expires I July 1973
MEDICAL
HEALTH EDUCATION PROGRAM
1 :1
August 1972
1. A Health Education Program for all employees has been developed
to provide information about risk factors and hazards relating to health and
contributing to premature death or disability.
2. The Program intends to assist employees to remain effective in
their work and to be, feel and look fit. Panel discussions, slide reviews,
movies, video tapes, audience participation groups, exhibits, displays,
posters and professional consultation by physicians, nurses, and paramedical
personnel will be integrated with the traditional Office of Medical Services
procedures.
3. Supervisors are expected to assume an active role by consulting
with, advising and assisting employees in the maintenance of their health
and effectiveness. More specific guidance for supervisors will be provided
as the Program develops.
ADMINISTRATIVE - INTERNAL USE ONLY
DD/U I D"uISZ'.$Y
FILE
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ADMINISTRATIVE - INTERNAL USE ONLY
HN 15-
August 1972
MEDICAL
, Office of Medical des, is appointed
Health Education dicer for the administration of this Program.
FOR THE DIRECTOR OF CENTRAL INTELLIGENCE:
APPROVAL TO PUBLISH:
JOHN W. COFFEY
Deputy Director
for Support
1 u AUG 72.
DISTRIBUTION: ALL EMPLOYEES
Draft by OMS (9 Aug 72)
Rewrkten:EO-DD/S:LDP/ms (10 Aug 72)
D ribution:
Orig - Chief, RCS via Chief, 3S$
I - I)D/S Chrono
1 DD/S Subject
ADMINISTRATIVE - INTERNAL USE ONLY
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 'Approved For eleaseS20 11 0 : CIA_DP84-0078OR004600120023-6
This Notice Expires 1 July 1973
STATI NTL/
1. The Director has approved a new Healt Education
l
Program developed by the office of medical Services. The
purpose of this program is by continuing information to help
employees become knowledgeable of those risk factors and
hazards relating to health which contribute to premature death
or disability.
2. The program will seek to provide guidance to assist
employees to remain effective in,their work and to be, feel,
and look fit. Panel discussions, slide reviews, movies,
video tapes, audience participation groups, exhibits, displays,
posters and professional consultation by physicians, nurses,
and paramedical personnel will be integrated with the tradi-
tional OMS procedures.:'
3. Supervisors are requested to assume an active role
in this program by consulting with, advising and assisting
employees in the maintenance of their health and effectiveness.
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 Approved FA ;91WIYA 07 C 0 F 00120023-6
STATINTL
I
More specific guidance for supervisors in this/role will
be provided as the program develops.
of the office of Medical
Services is appointed Health Education Officer for the
administration of this program.
JOHN W. COFFEY
Deputy Director
for Support
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August 1972
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F I L E o'~~ ar
Director of Medical Services
1D-4067 Hqs.
John:
Re para 5a of your memo of 21 July 1972, WEC
noted that the emphasis should not be to "look fit, "
but rather "are fit." Apparently, to "look fit" is a
residual rather than a primary benefit.
Anyway, we are now in business. Please draft
a Headquarters Notice just as soon as possible and
make specific plans for moving ahead with the
Program.
Robert S. Wattles
4 AU G 1574
Assistant De u Director for Support
7D-24 Hqs
EO-DD/S:LDP:es (4 Aug 72)
Distribution:
Orig - D/MS w/orig of att (DD/S 72-2957)
DD/S subject w/cy of att
1 - DD/S chrono
DD/S 72-2957: Memo dtd 2 Aug 72 to DCI fm DD/S, subj: Health Education Program
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DD/S 72-2957
2AUG1912
MEMORANDUM FOR : Director of Central Intelligence
SUBJECT : Health Education Program
1. This memorandum contains a recommendation for your approval in
paragraph 4.
2. Attached at Tab A Is a proposal from the Director of Medical Services
to begin an Agency -w ide; Health Education Program. This plan was developed
because of a growing concern with cardiovascular disease and factors contri-
buttag to it. particularly obesity.
3. Dr. Tietjen and I believe that now is the time for the Agency to embark
on such it program. Senior managers and employees currently seem to be
especially concerned with health matters. Consequently, the procedures out-
lined In the attachment can be helpful to all employees and should be beneficial
to the Agency.
4. i recommend your approval of the Health Education Program concept
and request you sign the memorandum at Tab B.
(si ne4) John W. Coffey
John W. Coffey
Deputy Director
for Support
Att: Memo (Tab A) dtd 21 July 72 to A-DD/S
hn D/MS, subj: Overweight Employees,
w/propoaed memo (Tab B) and 2 newsletters
The recommendation contained in paragraph 4 is approved.
See memo from DCI dtd 3 August 1972,
Subject: Health Education Program.
Richard Helms
Director of Central Intelligence
Ig - Adze (Pis return to D/MS via DD/S)
i - DDCI
I - ER
2 DD/S
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NY 2 1 JUL 1972
MEMORANDUM FOR: Acting Deputy Director for Support
SUBJECT : Overweight Employees
REFERENCE s Your memorandum, dated 14 July 1972, subject
as above
1. As we have indicated previously, we welcome the
Director=s stated interest in the problem of overweight
employees and the implications of this condition for their
health. We think though that we should not mount an isolated
campaign against obesity. In our experience, obesity is only
one of the factors contributing to health problems. There
are many others that deserve equal attention. A solitary
medical attack limited to obesity is, in our judgment, too
simplistic both in appearance and solution.
2. I recommend instead that the Director approve a
Health Education Program. We had planned such a program for
the near future. Recent events find us already engaged in
education, on a variety of matters, and in a variety of ways,
with new efforts aborning and general interest evident. The
Director`s interest and that of others provide the impetus to
establish a recognized program now.
3. An Agency Health Education Program is a continuing
organized effort by the OMS to present information (designed
to improve and maintain health) to all Agency employees and
at times dependents. It is an area where we have for years
done much work with the individual but would now include a
general approach to the Agency at large. There are many ways
that such a program may find expression. The recent Drug
Abuse exhibit is one method. We have in mind a variety of
other approaches.
4. This is not a task that we can do alone. we need the
assistance of all levels of Agency management. Without a
AOL
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SUBJECTS Overweight Employees
supporting management attitude we remain well-meaning admonishers,
a not unanticipated role for medical practitioners. In order
to capture management's attention we recommend that the Director
endorse our efforts and above all remind supervisors of their
health responsibilities to themselves and their employees.
we may also need the Director's help from time to time as the
program continues.
5. To launch this Health Education Program I recommend
the following specific actions:
a. The DCI to announce to his senior staff that
he has approved an Agency Health Education Program,
that supervisors have a vital role in this program,
and that a major goal of the program is to assure
that Agency employees look fit -- "no fat bellies".
b. The DCI to address a memorandum, essentially
as attached, to his deputies launching this program.
c. Approval be granted for the OMS to issue a
quarterly Masdical Newsletter that would go to each
employee at headquarters. A prototype of such a
letter is attached. Also attached is a copy of an
Executive ieal&h ewsletter that we had previously
M rrrrr rr
considered. The difference in thrust should be evi-
dent and we recommend the Medical Newsletter as more
appropriate to the needs of the Agency.
d. Approval be granted for the OMB to develop
other means for communicating with Agency employees
in this health education effort. These means would
include -- as appropriate -- lectures, posters, film
and slide presentations, and group discussions.
a. Approval be granted for the appointment of
a Health Education Officer from among the current
DAIS medical officers, with such appointment to be
announced by an appropriate Headquarters Notice. This
ONLY
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MhMm 111
SUUJECTs Overweight Employees
officer would direct the operations of the program.
6. We have also mentioned previously, but must reiterate,
that weight reduction programs/efforts have been notoriously
unsuccessful. We tend to think that a continuing comprehensive
educational approach will promote greater success. Neverthe-
less, a Health Education Program must rely on what is currently
known. In regard to obesity, we believe that a modest research
effort in this area is an appropriate element of any such pro-
gram and do therefore plan such an effort as part of this
program. In this regard, we have already discussed initially
a possible research approach with medical officials of the
Georgetown University Medical Center. These officials have
expressed an interest and we shall meet with them further on
this.
7. All of the above activities would be initiated using
the personnel and funds currently available to the CMS. It
is our judgment however that this program may stimulate the
need for additional OMS professional services to an extent
that additional resources might have to be considered. If
this develops, we shall apprise you of any additional resources
required.
JOIIN T. TIETJEN . ).
JOHN R. TIETJEN, M. D.
Director of Medical Services
- N
AD i: ~.
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3 AUG 1972
MEMORANDUM FOR: Executive Director-Comptroller
Deputy Director for Intelligence
Deputy Director for Plans
Deputy Director for Science and Technology
Deputy Director for Support
Deputy to the DCI for the Intelligence Community
Director of National Estimates
General Counsel
Inspector General
Legislative Counsel
SUBJECT : Health Education Program
1. You have previously heard me express concern about the
frequency of heart attacks and the deplorable fact that we have entirely
too many overweight employees. These and other health problems have
prompted me to approve a new Health Education Program developed by
the Office of Medical Services. I fully expect the Program to enhance
the well-being of employees in relation to their work assignments.
2. The Program which will be the subject of a forthcoming
Headquarters Notice will seek to help employees become knowledgeable
of those risk factors and hazards relating to health which contribute to
premature death or disability. It will also provide guidance to assist
employees to remain effective in their work and to be, feel, and look fit.
Pariei discu+esitins; slide reviews, movies, video tapes, audience participation
gto`ulia exhibits, displays, posters, and professional consultation by
phy$itdihns, nurses, and paramedical personnel will be integrated with the
tkaditi'on l' O procedures.
_ S. Supervisors should assume an active role In the Program by
eonsittn$ with, advising and assisting employees in the maintenance of
tliefrY &l and effectiveness. More specific guidance for supervisors in
t$te rots`;` be provided as the Program develops. Additionally, I ask each
of jou personally to involve yourself in initiating and implementing the Program.
.=r~ ray:
Richard Helms
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EO-DD/S:LDP:es (1 Aug 72)
Rewritten:
DD/S:JWC:llc (1 Aug 72)
Distribution:
O - ExDir
1 -DD/I
1 -DD/P
1 DD/S&T
1 DD%S
1 D/DCI/IC
1 DNB'
GC
1 -IG
1 -LC
Signing Official
'1 - DDCI
I'-'ER
1 - DD/S Chrono
1 - D/MS
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MEMORANDUM FOR: Executive Director -Comptroller
Deputy Director for Intelligence
Deputy Director for Plans
Deputy Director for Science and Technolo
Deputy Director for Support
Deputy to the DCI for the Intelligence Com~iiunity
Director of National Estimates
General Counsel
Inspector General
Legislative Counsel
SUBJECT : Health Education Program
1. You have previously heard me express concerti about the frequency
of heart attacks and the deplorable fact that we have entirely too many over-
weight employees. These and other health problems have prompted me to
approve a new Health Education Program developed by the Office of Medical
Services. I fully expect the program to enhance. he well-being of employees
in relation to their work assignments.
2. The program,( seek to help employees become knowledgeable of
those risk factors and hazards relating to$ealth which contribute to pre-
mature death or disability. It will also. fovide guidance to assist employees
to remain effective in their work and to/be, feel, and look fit. Panel discus-
sions, slide reviews, movies, video tea pes, audience participation groups,
exhibits, displays, posters, and professional consultation by physicians,
nurses, and paramedical personnehwill be integrated with the traditional
OMS procedures.
3. Supervisors should assume an active role in the program by con-
sulting with, advising and as'isting employees in the maintenance of their
health and effectiveness. More specific guidance for supervisors in this
role will be provided as the program develops. Also, a Headquarters
Notice will be issued sooi. describing the program and urging the cooper
tion, of.everyone in the ifn rovement`-of employee health. Additionally, I
suggest--you- y e~"essence o is a-nclum to employees-under---
.our jurisdiction-.
y
Richard Helms
Director
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TAB
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August 1972
With this first edition the Office of
Medical Services inaugurates a short newsletter
that includes points of importance concerning
health, physical fitness, and general well-being.
Subsequent issues are planned on a quarterly basis.
OBESITY - ITS RELATIONSHIP TO HEART DISEASE AND HEALTH
Coronary artery disease affects more than 20 million
people in the United States, and each year more than 600,000
persons die from myocardial infarction or "heart attack."
The major factors recognized as predisposing to the develop-
ment of coronary artery disease are hypertension (high blood
pressure), smoking, obesity, increased blood lipids (cholesterol
and triglycerides), lack of exercise, elevated levels of uric
acid, diabetes mellitus,.and a family history of heart disease.
In a*recent study of heart disease patients at the
Sacramento, California Medical Center, the factor associated
most dramatically and significantly with heart disease, as
compared with the normal, was obesity; this was especially
true in patients with premature vascular disease. The effects
of obesity on many of the other recognized "risk factors" are
well-known and obesity may be the link that connects some of
the other abnormalities together.
In another study at the Massachusetts Institute of
Technology Clinical Research Center conducted by Dr. Robert
S. Lees, it was found that weight reduction in obese patients
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who were only 7 to 18% over ideal body weight, produced a
partial or complete return of blood lipids to normal in
those patients who had elevated levels at the beginning of
the study. This reduction in blood fats was accomplished
without attempting to alter the percentages of saturated fats,
unsaturated fats or cholesterol in the diet. Other benefits
from weight reduction in his study were generally improved
feelings of well-being, increased physical activity, signifi-
cant blood pressure reductions, mild decreases in blood sugar
levels, and drops in uric acid levels. Obesity, then, may
indeed predispose an individual to premature heart disease and
weight reduction will lower toward normal several of the other
important risk factors for coronary artery disease.
There are known and measurable effects of obesity on the
cardiovascular system in general. In very obese subjects,
there are consistent increases in cardiac or heart work which
may result in heart enlargement and even heart failure. Under-
breathing in the very obese person (Pickwickian Syndrome) may
result in somnolence, twitchings, alterations in blood counts,
heart enlargement, and heart failure. Increased blood pressure
is common in the very obese and, as mentioned, may be reduced
by weight loss. Indeed, most circulatory derangements associated
with obesity can be reversed or significantly improved by weight
reduction.
In addition to the effects of obesity on the heart and
vascular system, there are also adverse effects on health in
general. Insurance companies have given us the most information
regarding the general medical significance of obesity. Act-
uarial studies have shown that mortality in men aged 15 to 69
is 1/3 higher in those 20% or more overweight than "standard
risk" men, and mortality is 1/5 greater among men 10% or more
overweight. When overweight men are compared to men with the
most ideal weights, rather than "standard risk" men, the excess
mortality is nearly 1/2 for those 20% or more overweight and
1/3 for those 10% or more overweight. This increase in
mortality is associated with diabetes, gastrointestinal diseases,
strokes and heart disease. Surgical procedures are more difficult
in the obese individual and also account for some of the. increased
morbidity and mortality.
In short, then, obesity is not only a problem of physical
appearance, but more importantly, it is related to increasing
morbidity and mortality for the obese person. Fortunately,
these adverse factors associated with obesity are reversible
in large measure. Obesity however is not always a simple
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matter of overeating and may be associated with psychic or
endocrine disorders. Therefore, reversal by weight reduction
under medical supervision is strongly advised.
No discussion of obesity would be complete without a
list of desirable weights. A table of desirable weights from
the Metropolitan Life Insurance Company is reproduced below.
Fad diets are numerous; they are often however not
successful and they do not establish good eating habits which
are necessary to maintain ideal weights later on.
Some general facts of interest to the weight watcher are
listed below.
(1) If we take in more calories than our bodies need the
excess is stored as fat.
(2) With increasing age, metabolism and physical activity
usually decrease, even though the level of appetite remains
the same. Therefore, weight increases as a person takes
in more food than he needs.
(3) Surplus calories regardless of whether they come from
protein, carbohydrate or fat, are stored as fat.
(4) overweight people have a shorter life expectancy, and
are more prone to the vascular and degenerative diseases.
(5) Proteins and carbohydrates contain four calories per
gram and fat contains nine calories per gram.
(6) Overweight people often eat too rapidly and have
consumed large amounts of food before their body appetite
regulating centers have a chance to act and reduce
appetite.
(7) Too rapid weight loss often indicates a loss of muscle
protein instead of fat. An ideal weight loss is between
one to two pounds per week.
(8) Alcohol has no nutritional value and an eight-ounce
glass of beer provides an extra 115 calories.
(9) Moderate exercise does not increase appetite and is
a good way to maintain a desirable weight and keep fit.
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71
7
WOMEN 25 years of age and over (indoor clothing)
HEIGHT SMALL MEDIUM LARGE
(shoes on) FRAME FRAME FRAME
Ft. In.
4
10
92-98
96-107
104-119
4
11
94-101
98-1 10
106-122
5
0
96-104
101-.113
109-1 25
5
1
99-107
104-116
112-128
5
2
102-1 10
107-119
115-131
5
3
105-113
110-122
118-134
5
4
108-1 16
113-126
121-138
5
5
1 1 1 -1 19
116-130
125-142
5
6
114-123
1210-135
129-146
5
7
118-127
1 24-1 39
1 33-1 50
5
8
122-131
128-143
1 37-1 54
5
9
1 26-1 35
132-147
141-158
5
10
130-140
136-151
145-163
5
11
134-144
140-1 55
149-1 68
6
0
1 38-1 48
144-1 59
153-173
MEN 25 years of age and over (indoor clothing)
HEIGHT
(shoes on)
SMALL
FRAME
MEDIUM
FRAME
LARGE
FRAME
Ft.
In.
5
2
112-120
118-129
126-141
5
3
115-123
121-133
129-144
5
4
118-126
1 24-1 36
132-148
5
5
121-129
1 27-1 39
1 35-1 52
5
6
1 24-1 33
1 30-143
1 38-1 56
5
7
128-137
1 34-147
142-1 61
5
8
132-141
1 38-1 52
147-1 66
5
9
136-145
142-1 56
151-170
5
10
140-1 50
146-1 60
155-174
5
11
144-1 54
1 50-1 65
159-179
a
q 6
0
148-158
154-170
164-184
6
1
1 52-1 62
1 58-1 75
168-189
6
2
166-167
162-180
173-1 94
6
3
160-171
167-185
178-199
6
4
164-175
172-190
182-204
Statistical data from Metropolitan Life Insurance Co.
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(10) Skipping meals is a poor way to reduce weight since
overeating often occurs at the next meal. Regular meals
with smaller portions are more desirable.
(11) On a dietary program, weight should be taken at the
same time each day since weight will vary throughout the
day because of changes in the total amount of body water.
(12) Seven pounds of body fat hold one pint of water.
(13) Some salt restriction helps weight reduction.
(14) 4,000 calories make up one. pound of fat.
(15) As little as 200 calories extra a day will, in the
course of one year, lead to a storage of 18 pounds of
fat.
(16) Because of our mechanized way of life, our caloric
requirements are considerably less than previously; for
example, a housewife's work which once required 250
calories an hour, now requires only 120 because of
electrical appliances. A person commuting 2-1/2 miles
by walking uses up 210 calories; however, when he drives,
he uses only 17 calories.
(17) A list of calories spent in various activities is
listed below.
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Resting, Standing and Walking
Calories per minute
1
4
Resting in bed
Sitting
Sitting, reading
Sitting, eating
Sitting, playing cards
Standing
Standing, light activity
1.2
1.4
1.4
1.6
1.7
1.6
2.8
Kneeling
Squatting
Walking, indoors
Walking, outdoors
Walking, downstairs
Walking, upstairs
Standing, showering
.
2.2
3.4
6.1
7.6
20.0
3.7
Working Around the Home
3
5
clothes
hin
W
2.9
Mopping floors
.
g
as
laundry
i
H
4.7
Sweeping floors
1.7
ng
ang
in laundry
in
i
B
3.2
Scrubbing floors
6.0
g
ng
r
hine sewing
M
1.5
Shaking carpets
6.4
ac
clothes
i
I
4.2
Peeling vegetables
2.9
ng
ron
Making beds
5.3
Stirring, mixing foods
3.0
Do it yourself
wood
in
S
6.9
Pushing wheelbarrow
5.2
g
aw
wood
in
Pl
8.6
Chopping wood
4.9
g
an
tools
in
C
3.6
Stacking wood
6.1
g
arry
Shovelling_
7.1
Drilling
7.0
Sports and hobbies
tball
F
10.1
Badminton
2.8
oo
ketball
B
8.6
Rowing
8.0
as
on
Pi
4.8
Sailing
2.6
g
ng p
min
i
S
12.1
Playing Pool
3.0
g
m
w
lfin
G
5.5
Dancing
4.0
g
o
nis
T
7.0
Horseback riding
3.0
en
Bowling
8.1
Cycling
8.0
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HEALTH TOPICS
"Jet Lag"
To minimize the effects of "jet lag" or circadian rhythm
disturbances in persons who air-travel long distances, Dr.
George Catlett, New York regional medical director of United
Air Lines, recommends that the traveller depart well-rested
and that he plan no strenuous activities during the first
24 hours after arrival.
Because many body functions have approximately a 24-
hour cycle (circadian rhythm), travel from one time zone to
a significantly different one may be associated with a number
of symptoms including fatigue, paradoxical insomnia, loss of
appetite, dizziness, blurred vision, and at times confusion
or depression. Shortening of the environmental cycle produces,
usually, a more pronounced change than lengthening it. Flyers
often report more difficulty when flying west to east, for
example.
It is suggested that travellers choose daylight departures,
and eat and drink with moderation before and during the flight.
The problem is self-limited, and generally, "rest without
napping during the daylight hours of the new time cycle and
sleep after nightfall are usually all that is required".
Alcohol May be Harmful to Cardiac Patients
A group at Fordham Hospital in New York has found that
10 heart patients pumped less blood one half hour after
drinking two ounces of chilled whiskey compared to pre-drinking
levels. Contrary to popular belief, in this group of heart
disease patients, alcohol acted as a blood vessel constrictor,
rather than a dilator. Four normal persons showed the expected
results from alcohol, namely a dilatation of blood vessels and
an increase in volume of blood pumped.
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At Mount Sinai Medical school, acute heart muscle
deterioration has been observed in normal non-alcoholic
persons who drank heavily over a period of one month. There
was a return to normalcy following cessation of drinking.
The Surgeon General's Report on the Effect of Smoking on Non-
Smokers
The United States Public Health Service Surgeon General's
most recent report on cigarette smoking reinforces evidence
of tobacco links to lung cancer, unsuccessful pregnancy, and
coronary heart disease. It also describes the plight of the
non-smoker surrounded by smokers. The burning of a fair amount
of tobacco in a confined, unventilated space can clearly push
the carbon monoxide concentration to and over the threshold
limits set by Federal law for occupational exposure. There
is some risk, for example, for a non-smoker riding in a closed
car full of smokers. The levels of carbon monoxide exposures
are not too different from those that have been associated
with altered hearing, visual acuity loss, and a loss of ability
to distinguish brightness. At carbon monoxide levels similar
to those at an average party, heart disease patients show
symptoms of heart muscle oxygen lack. It is clear that in a
closed environment, the smoker may place at risk not only
himself but also those around him.
Use of Marijuana May Disrupt Sleep
A study supported by the Navy suggests in its preliminary
report that marijuana significantly disrupts normal sleep
patterns. Laboratory animals had less deep sleep as a result
of the chronic administration of marijuana. In human subjects
studied to date, there was significantly less deep sleep after
seven days of daily marijuana usage. During the recovery week,
significant loss of deep sleep was still observed.
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EXECUTIVE HEALTH
NEWSLETTER
April 1972
With this first edition, we hope to inaugurate a short newsletter, including points of
importance as regards the Executive Annual Physical Program: health, physical fitness,
and general well-being. Editions will come out every two months.
In the future, we hope to have short articles on points of importance for the health
of our executives. There will be a section including facts of general medical interest.
Finally, we hope to inaugurate a question and answer section.
Annual Physical Examination.
It might be of interest to review what is done
in our current executive annual physical examina-
tion. Currently, our examinations are done in three
stages, and often because of additional studies, will
include extra stages.
The first stage consists of laboratory screening,
which includes visual examination for near and
distant vision, a hearing test which measures hear-
ing changes in the speech frequencies, and a tono-
metric examination which is done to detect early
stages of glaucoma (increased pressure within the
eye than can be asymptomatic but can lead to
visual loss).
The laboratory studies include a complete uri-
nalysis in which the urine is examined for albumin,
sugar, and microscopically for the presence of cells
and bacteria. Blood studies are done and include
hematocrit, which will detect anemia, a blood test
of thyroid function, and then 12 determinations on
our SMA 12/60 Autoanalyser. These latter deter-
minations are done automatically and results are
printed out on a graph form as well as directly
typed out. On the next page you will see an example
of the type reading the physician receives.
The various measurements done on the blood
include:
1. Calcium and phosphorus which reflect bone
metabolism.
2. Glucose, the determination of blood sugar
which will detect diabetes and early stages of
diabetes.
3. BUN (blood urea nitrogen) which is a test
of kidney function.
4. Uric acid, which gives a reading on the pos-
sibility of gout and may also be altered by certain
medicines.
5. Cholesterol readings, which parallel possible
arteriosclerosis.
6. Total protein and albumin which reflect the
general well-being of the body and detect diseases
of the liver and bone marrow.
7. Bilirubin, a reflection of bile pigments in blood
which may detect alterations in liver function and
also abnormalities in which blood corpuscles are
being destroyed too rapidly.
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Ivor.
Ca 1-+ Phos. Giu. BUN
mg% mg%P mg % mg`.
15=
14
10- 500 100-7---
9_f 450- 90-
Uric
Acid Choi. T.P.
mg % mg% gm %
12_y- 5 0 0_7- 10T
4- 4 5 0 t- 9-
Figure 1. Autoanalyser graph
Alk. SGC1T/
Alb. T. Bili. Phos. LDH 340
gn;`~ mg% rU./ml mu./ml mu.irm
8-- 10- 3 50 600- 300-
1 1 i
t
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8. Alkaline p osphatase, an enzyme which is t the time o t e actua examina ion, the Tabora
altered by changes in bone metabolism and liver tory studies are available for the physician to
disease.
9. LDH and SGOT, enzymes which may reflect
heart disease, liver disease.
review; in addition, a chest X-ray has been done
and an electrocardiogram has been taken which
is now being interpreted by computer.
HEALTH TOPICS
Factors Favoring Development of Coronary
Artery Disease.
The risk factors favoring the development of
coronary artery disease are recognized to be hyper-
tension (high blood pressure), smoking, obesity,
increased blood lipids (cholesterol and triglycer-
ides), lack of exercise, elevated blood levels of uric
acid, diabetes mellitis, and a family history of coro-
nary artery disease. In all cases except the family
history, these risk factors can be reversed or re-
duced through medical therapy, self-discipline, and
changes in habits. Recognition of these risk factors
is obvious in some cases and requires medical and
laboratory examinations in others. An awareness of
these factors and vigorous attempts to reverse them
are strongly recommended. Discussions of these
risks and other related problems will appear in
future newsletters.
Impact of Heart Disease in the United States.
Coronary artery disease affects over 20 million
people in the United States. Each year, more than
600,000 persons die from myocardial infarction, or
"heart attack." More than half of these persons die
before reaching medical care. The total cost of
illness exceeds ten billion dollars each year. Over
50 million man-days of production are lost each
year because of coronary atherosclerotic heart
disease. Gradually progressive, supervised physical
activity programs following heart attacks have been
instituted in 1,500 patients at Grady Memorial
Hospital in Atlanta, Georgia, and have allowed a
more rapid return to normal living. Early ambula-
tion has been helpful both psychologically and
physiologically in most. It has been estimated that
if the duration of hospitalization for each patient
with a heart attack could be safely decreased by
just one day, in the course of a year, it would
reduce the cost of medical care in this country by
400 million dollars.
Alcohol May Be Harmful to the Cardiac Patient.
A Fordham Hospital group in New York has
found that ten heart patients pumped less blood
one-half hour after drinking two ounces of 86 proof
whiskey compared to, pre-drinking levels. Four non-
cardiac patients pumped more blood after alcohol.
At Mount Sinai Medical School, muscle deteriora-
tion, possibly in the heart also, occurred in three
non-alcoholics given a fifth of 86 proof whiskey
every day for four weeks. Normalcy was returned on
cessation of drinking. It is concluded that in the
presence of heart disease, the drinking of alcohol
may be hazardous.
The Surgeon General's Report on the Effects of
Smoking on Non-Smokers.
The United States Surgeon General's new report
on cigarette smoking reinforces evidence of tobacco
links to lung cancer, unsuccessful pregnancy, and
coronary heart disease. It also describes the plight
of the non-smoker surrounded by tobacco smoke.
The burning of a fair amount of tobacco in a con-
fined space can clearly push the carbon monoxide
concentration to and over the threshold limits set
by Federal law for occupational exposure. There
is some risk, for example, for a non-smoker driving
in a car full of smokers. The levels of carbon mon-
oxide exposures are not too different from those that
have been associated with "altered hearing, visual
acuity loss, and a loss of ability to distinguish bright-
ness." At carbon monoxide levels similar to those at
an average party, heart disease patients show
symptoms of heart muscle oxygen lack. It is clear
that the smoker may place at risk not only himself
but also those around him.
Saccharin Danger Versus Safety.
The FDA has removed saccharin from the so-
called GRAS (generally recognized as safe) list
and has set the safe average adult intake at one
gram per day. This amount is the equivalent of
about seven 12 ounce bottles of diet soft drink. The
20 test rats which were studied and which in-
fluenced that decision received a diet of 5% sac-
charin for two years. For man, that would equal
875 bottles of diet cola a day. Three of the 20 rats
studied had signs of bladder tumor at the end of
the experiment; whether the tumors were cancerous
or not has not yet been determined.
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roved F 12006/10110 : CIA-RDF[n-0t(A120023-6 fl SECRET
ROUTING AND RECORD SHEET
SUBJECT: (optional)
Overweight Employees
FROM:
Director of Medical Services
EXTENSION
NO.
1D-4061 Headquarters
DATE STA
21 July 1972
TO: (Officer designation, room number, and
building)
DATE
RECEIVED FORWARDED
OFFICER'S
INITIALS
COMMENTS (Number each comment to show from whom
to whom. Draw a line across column after each comment.)
1.Acting Deputy Directo
for Support
2.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
CONFIDENTIAL IN E NAL UNCLASSIFIED
US.E QNLY
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Q
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