Trichloroethylene used to clean the floors in Irish Air Corps cookhouse!

Every now and again when investigating poor health & untimely deaths of colleagues in the Irish Air Corps at Casement Aerodrome we come across a cluster of unexplained deaths or illness in particular work locations.

Exposures are briefly explained by location below those in RED were unexplained until personnel came forward to highlight misuse of chemicals in these locations.

Apprentice Hostel

Exposure to asbestos was the main problem in the apprentice hostel and it does not appear to have been fully removed until the mid 1990s although some efforts were made to remove the bulk of it in the late 1980s. The 1990s effort used a professional removal service while the late 1980s effort used apprentices without any PPE whatsoever. Persistent black marks on lino or floor tiles would be dealt with by calling to the nearest hangar or workshop to borrow some MEK or Trike

Avionics, ERF & Parachute Shop

Illness & untimely deaths in Avionics Squadron and Engine Repair Flight (Engine Shop) can be explained by unprotected exposure to the chemicals used in both locations and by their exposure to exhaust fumes from the Spray Paint Facility. The Parachute Shop which was part of ERF establishment also used toxic glues and exposed personnel to fumes from PU coated drysuits.

Basic Flight Training School

Illness & untimely deaths in BFTS can be explained by the IRAN inspections where DCM/Phenol paint strippers were used without PPE and the extensive use (like in heli) of corrosion inhibitors like Mastinox. Of course the fuel for the Marchettis was leaded gasoline with its own issues.

Battery Shop

Illness in the battery shop can be explained by exposure to battery electrolytes & charging fumes. The personnel walking around here with holes in their jumper, trousers and shirts from sulphuric acid was almost comical if it wasn’t such a serious risk to their health.

Cookhouse / NCOs Mess

Until now we had not been able to satisfactorily explain the unusual body count & illnesses of personnel who served in the old cookhouse kitchen, new cookhouse kitchen and NCOs Mess kitchen.

Recently we were made aware of a practice in the old cookhouse as far back as the mid 1970s whereby personnel who worked there procured solvent degreaser from up camp. We believe this degreaser again to be trichloroethylene.

This solvent was provided sometimes in 25 litre drums and sometimes in gallon containers where it was usually decanted into smaller vessels like milk bottles or coke bottles to be spread on the floor and then mopped and squeegeed until the floor was spotless.

And it turns out that this practice continued in the new cookhouse and technicians from ERF who dropped down 25 litre drums of Trike were rewarded with a wrap up of some food like steaks.

We believe this floor degreasing practice occurred in the NCOS Mess kitchen but we have no evidence yet that it occurred in the Officers Mess Kitchen but given the fluidity of personnel movements between the various catering locations it is a distinct possibility.

For some information on Illnesses caused by trichloroethylene click here.

Engineering Wing Hangar & Workshops

Illness & untimely deaths in Engineering Wing Hanagar can be explained by unprotected exposure to Paint Shop chemicals including isocyanates & thinners, Hydraulic Shop chemicals, Sheet Metal Shop chemicals, wood dust from the Carpentry Shop, welding fumes from the Welding Shop as well as paint stripper fumes and mastinox fumes from Marchetti IRANs or Alouette equivalent teardowns.

Fire Crew

Members of the fire crew would have had exposure to exhaust gasses of idling aircraft engines and would have also had exposure to fuel fumes  and burning fumes from training exercises. The Fire Crew also used PFAS based fire fighting foams.

Heli Wing

Illness & untimely deaths in Heli Wing are easily explained by unprotected exposure to the chemicals used maintaining helicopters, by exposure to fuel vapours from gravity refueling, exposure to exhaust gasses from gas turbine engines and the immune sensitisation capabilities of polyurethane coated immersion suits.  Toxic tubbing in Heli was also a thing.

Light Strike Squadron

Similarly illness & untimely deaths in Light Strike Squadron can be explained by unprotected exposure to refueling fumes, exhaust gasses and other lubricants, greases, hydraulic fluids and sealants used to maintain the Fougas. Toxic tubbing in LSS was also a thing.

Main Block

Illness & untimely deaths in the Main block can be explained by unprotected exposure to photographic film & printing chemicals. These photographic chemicals used in photo section drove death, illness & harm to offspring in personnel throughout the main block

Chemicals in use by workshops in Air Sp Coy Signals further exposed personnel in the mainblock to chemicals they would not have expected to be exposed to like trichloroethane etc.

Units exposed in the main block would include 

  • Admin Wing HQ
  • AE Section
  • Drawing Office
  • Air Corps INT
  • Medical Aid Post
  • Sgt Majors Office
  • Signals Bottom Workshop
  • Signals Top Workshop
  • Signals COMCEN
  • Signals Orderly Room & CO’s Office
  • Signals PC Maintenance Workshop
  • Signals Stores
  • Station Commanders Office

Main Tech Stores

Illness & untimely deaths in Main Technical stores can be explained by the fact that the building is sited on the old Camp Stables where hundreds if not thousands of litres of toxic chemicals such as Ardrox 666 were dumped into the ground. Complaints were made by civilian & military personnel about poor air quality  in MTS and studies were carried out but the reports have disappeared. There is also evidence that used chemical drums containing isocyanates were stored in MTS in an open state.

Photo Section

When photo section moved out of the Main Block to the old cookhouse in the early 1990s they brought their dangerous chemicals to this new locations. This new location was better equipped than the expellair in the main block. But faulty equipment and lack of chemical health & safety training meant illness & death continued.

Photographers who flew regularly exposure to refueling fumes, exhaust gasses from gas turbine engines and the immune sensitisation capabilities of polyurethane coated immersion suits.

Refuelers

Obviously refuelers were exposed on an ongoing basis to high amounts of refueling fumes and aircraft exhaust gasses but also to other dangerous additives like FSII.

Training Depot

On at least two occasions that we are aware of there was catastrophic damage caused to floors and walls by misuse of chemicals in ACTD.

On the first occasion in the late 1980s we are aware of a recruit using what we suspect to be a large quantity of MEK on twine backed traditional lino the last room on the left of the depot. The use of the chemical on this occasion melted the lino through to the twine backing.

On the second occasion in the mid 1990s at least 25 litres of trichloroethylene was used to clean the floor of some of the demonstration rooms that had been recently redecorated. The Trike was spread on the floor using mops and squeegees making the apprentices carrying out the job high. The next morning it was discovered that all the floor tiles had shriveled up and that all the paint on the walls up to about 1m had dissolved and flowed down the walls to the floor.

For some information on Illnesses caused by MEK click here.

*****

The physical layout of Baldonne means that the prevailing wind blows the exhaust gasses from idling aircraft over the whole camp.

There does not appear to have been any initiative whatsoever to reduce camp personnel exposure to exhaust gasses and in many cases aircraft exhaust into hangars due to the prevailing wind.

We have little information on chemical exposures at Gormanston except for tubbing and the use of JetA1 powered heaters inside hangars. We would welcome any information in this regards. 

Illnesses linked to #Trichloroethylene aka TCE aka TRIKE

Illnesses linked to trichloroethylene aka TCE aka TRIKE

CAS number: 79-01-6

Diseases linked to this toxicant grouped by strength of evidence.

Strong Evidence

  • Acute hepatocellular injury (hepatitis)*

Good Evidence

  • Acute tubular necrosis
  • Arrhythmias
  • Autoimmune antibodies (positive ANA, anti-DNA, RF, etc.)*
  • Cardiac congenital malformations*
  • Childhood leukemias
  • Cirrhosis*
  • Cognitive impairment (includes impaired learning, impaired memory, and decreased attention span) / mental retardation / developmental delay*
  • Decreased coordination / dysequilibrium
  • Fetotoxicity (miscarriage / spontaneous abortion, stillbirth)*
  • Hearing loss*
  • Hepatocellular cancer (liver cancer)*
  • Lymphoma (non-Hodgkin’s)*
  • Psychiatric disturbances (disorientation, hallucinations, psychosis, delirium, paranoias, anxiety/depression, emotional lability, mood changes, euphoria)*
  • Renal (kidney) cancer*
  • Scleroderma
  • Trigeminal neuropathy

Limited Evidence

  • ADD/ADHD, hyperactivity*
  • Adult-onset leukemias*
  • Brain cancer – adult*
  • Breast cancer*
  • Cervical cancer
  • Choanal atresia
  • Genito-urinary malformations (includes male and female)
  • Hodgkin’s disease (lymphoma)*
  • Immune suppression
  • Low birth weight / small for gestational age / intra-uterine growth retardation
  • Lung cancer*
  • Multiple myeloma*
  • Nephrotic syndrome
  • Neural tube defects / CNS malformations
  • Oral clefts (cleft lip and palate)
  • Pancreatic cancer*
  • Pancreatitis
  • Peripheral neuropathy*
  • Prostate cancer*
  • Raynaud’s phenomenon
  • Systemic lupus erythematosus*
  • Testicular cancer*

Illnesses marked thus * have been suffered by Irish Air Corps personnel or their offspring.

Dáil Éireann Written Answers 15/01/19 – Irish Air Corps – State Claims Agency

Catherine Murphy (Kildare North, Social Democrats)

QUESTION NO: 133

To ask the Taoiseach and Minister for Defence the health and safety management system reports and or audits carried out on the Air Corps by the State Claims Agency in each of the years 2006 to 2015; the year and author of each report and or audit in the timeframe; if the reports have been published and or classified as confidential; and if he will make a statement on the matter. 1180/19

Paul Kehoe (Wexford, Fine Gael)

I am advised by the State Claims Agency that it has a statutory remit under the National Treasury Management Agency (Amendment) Act 2000 to provide risk management advices to Delegated State Authorities. Such risk management advices include the provision of Health & Safety Management System audits, inspections and reviews.

From this, State Claims Agency conducted a number of Health & Safety Management System Defence Forces audits within the Air Corps between the years 2006 – 2015. The Reports are authored by the State Claims Agency and are confidential between the Agency and their Client.

*****

The State Claims Agency audited the Irish Air Corps for a decade before the Health & Safety Authority were forced to intervene and stop the ongoing CMR & toxic chemical exposure of the Baldonnel workforce.

The HSA file was opened in January 2016 and was only closed in September 2018 but the “superb” health and safety performance of the Air Corps for the decade prior to HSA intervention helped the State Claims Agency & NTMA staff earn discretionary performance-related payments.

DELAY – DENY – DIE

Dáil Éireann Written Answers 18/12/18 – Irish Air Corps – State Claims Agency Audits

Catherine Murphy (Kildare North, Social Democrats)

QUESTION NO: 119

To ask the Taoiseach and Minister for Defence if the State Claims Agency supplied the Health and Safety Authority with copies of its audits and or reports regarding the Air Corps; and if he will make a statement on the matter. 53026/18

Paul Kehoe (Wexford, Fine Gael)

I have been advised by the State Claims Agency that it does not provide reports of Health and Safety Management System Audits conducted by the Agency in Delegated State Authorities (including the Defence Forces) to the Health and Safety Authority. I am advised that these are provided to the Delegated State Authorities only.

With regard to the Air Corps, the Deputy will be aware that the Health and Safety Authority (HSA), following a number of inspections in 2016, issued a Report of Inspection to the Air Corps on the 21st October 2016, listing a number of matters requiring attention which included the areas of risk assessment.

The Air Corps as a consequence of this HSA report have implemented an improvement plan which is being conducted over eight phases. Seven of the eight phases have now been fully completed. The final phase is a continuous on-going process. The implementation plan focuses on a number of areas, including risk assessment.

I wish to assure the Deputy that the health and welfare of the Defence Forces personnel is a high priority for me and the military authorities.

*****

For 10 years BEFORE the Heath & Safety Authority were forced to investigate the Irish Air Corps, due to the ongoing safety risks to personnel, the State Claims Agency had been carrying out Health & Safety Risk Management System audits at Baldonnel. 

In the eyes of the State Claims Agency the Irish Air Corps risk profile was continuously improving whilst personnel on the ground were still being exposed to toxic & CMR chemicals without appropriate PPE or training causing lifelong injures to themselves and their children. 

It is now obvious that the State Claims Agency audits were incompetent  especially considering it took the Health & Safety Authority 2 years and 9 months to close their investigation file on the Irish Air Corps.

The State Claims Agency audits need to be released to the Oireachtas without delay.

DELAY – DENY – DIE

Dáil Éireann Written Answers 18/12/18 – Irish Air Corps – Legal Cases

Catherine Murphy (Kildare North, Social Democrats)

QUESTION NO: 117

To ask the Taoiseach and Minister for Defence the number of open cases the State Claims Agency is handling in respect of the Air Corps, its staff and former staff; and if he will make a statement on the matter. 53027/18

Paul Kehoe (Wexford, Fine Gael)

I am advised by the State Claims Agency that their reports indicate that currently the Agency is managing 21 active compensation claims in respect of the Air Corps where it is alleged that a staff member is the injured party.

Given that litigation is on-going, the Deputy will appreciate that it would be inappropriate for me to comment further in relation to these claims.

*****

Considering the limited media coverage of this scandal to date, this figure can only be expected to climb as serving & former personnel become aware that their ongoing health issues are likely a result of unprotected toxic chemical exposure whilst serving in the Irish Air Corps.

DELAY – DENY – DIE

Dáil Éireann Written Answers 4/12/18 – Department of Defence – Air Corps senior management withheld Trike Report from government appointed investigator

Catherine Murphy (Kildare North, Social Democrats)

QUESTION NO: 108

To ask the Taoiseach and Minister for Defence if a report on the use of Trikelone N in the Air Corps workshop compiled in 2014 by the formation safety office of the Air Corps was made available to the independent person (details supplied) appointed to investigate health and safety matters in the Air Corps; if not, the reason it was not available to them; and if he will make a statement on the matter. [50343/18]

Paul Kehoe (Wexford, Fine Gael)

The report of the independent person appointed to investigate health and safety matters in the Air Corps is published and available on my Department’s website. Appendix C of that report lists documents and materials consulted and reviewed by him.

The document, to which the Deputy refers, is the subject of legal advice and in light of ongoing litigation, I am not in a position to comment further.

*****

Introduction

Trikelone N is a vapor de-greaser which was used as a cleaning agent in the process of cleaning engine parts due to be overhauled. Its use was  discontinued in the Air corps just prior to September 2007.

Work practices

One (1) pair of gloves was available to be used between all personnel who could be required to carryout the process. No personnel P.P.E. issue was made to individuals. MSDS sheets were available but no records of training on the dangers of using Trikelone N or the process or how to properly carryout the process exists. Two large extractor fans were placed on the wall behind where the process took place, but there is no record of the capacity of the fans, their specification or if they were adequate. There was no organised segregation of work areas. The double doors that separated the area where the Degreasing process took place from the adjoining area here normally left open. The personnel’s tea making and meeting room was in an annex off this adjoining Engine assembly area. The workshop heating system was also located in the adjoining Engine assembly area. Originally peoples personnel lockers were located in the immediate area where the Degreasing process took place, but the lockers where relocated into the adjacent Engine assembly area at a later date.

Possible Trikelone N exposure sources

Current Trikelone N MSDS states that exposure through, skin, hair, eyes and inhalation should be avoided and that contaminated clothes should be removed.

  • Trikelone N exposure through inhalation, skin, hair and eyes could have resulted as individuals were not issued P.P.E. to protect against the substance. Due to the lack of records it can not be assumed that the two fans located on the wall behind where the process took place offered adequate ventilation.
  • The lack of organised segregation of work areas where doors between areas were left open meant that vapours could travel from one area to another. No seals or segregation areas existed.
  • Vapours could have travelled to the personnel’s tea making and meeting room which was located in an annex off the adjoining Engine assembly area and could have resulted in ingestion of the chemical by way of food contamination.
  • The location of people’s personnel lockers which were located in the immediate area where the Degreasing process took place, and then relocated into the adjacent Engine assembly area at a later date. Would give a reasonable assertion that the contamination of persons clothes contained in their lockers would have taken place.
  •  The heater located in the Engine assembly area took air in just above floor level and pushed out hot air above head height circulating the air around the Engine assembly area. When the doors between the Engine assembly area and the area in which the De-greasing took place were left open, the air would be circulated between both areas. Due to the Trikelone N being heavier than air a high concentration of Trikelone N would have been located near the heaters inlet vents.
  •  The heater was adapted by Cpl. XXXXX so that the air being heated would be circulated into various other areas in the building including the Machine Workshop, NTD bay and Workshop offices by way of ventilation duct which could have exposed a risk of contamination of the air in those locations that might not have occurred previously. There is no record available if this work was approved, who authorised it, or was the design appropriate.
  • Due to the fact that Trikelone N expands when heated, the risk of explosion
    increased when the Trikelone N contaminated air passed through the  heater.
  • Poor hygiene controls before food consumption and going to the toilet would also be a cause of exposure.

Controls

The following controls are currently recommended when using Trikelone N.

  • Isolating controls should be put in place to limit exposure.
  • Adequate ventilation and extraction should be in place.
  • Do not use in a confined space as vapour is heavier than air.
  • Appropriate P.P.E to be provided including overalls, boots, chemical eye protection, impervious gloves and organic vapour respirator.
  • Wash hands before smoking, eating, drinking or using the toilet.
  • Contaminated clothes to be washed.

The Defence Forces Safety Standards 1991 which were a precursor to the Defence Forces Safety Statement is the closest thing I could find regarding some form of documented control standard in the Defence Forces. The Safety, Health and Welfare at Work Act 1989 would have been in affect, but the Safety, Health and Welfare at Work (Chemical Agent) Regulations 2001 would have only been in affect for a short period of the exposure. The Defence Forces Safety Standards 1, Control of Substances Hazardous to Health (COSHH) covers…

Section 1 Information Sources
  • MSDS sheets should be given by suppliers of Chemicals to the Defence
    Forces.
Section 3 Principles of Assessment
  • Obtaining and Passing on knowledge about a Chemical
  • Assessment of Hazards posed by its use, byproducts, storage and disposal.
  • Control of the Chemical using Engineering techniques, safe operating procedures and Personal Protective Equipment (PPE)
  • Monitoring the Effectiveness of the Control strategy.
Section 4 Control

Documents how controls are to be put in place using a hierarchy of Controls
not unlike what is currently used.

  • Elimination
  •  Substitution
  • Enclosure
  • Isolation
  • Local exhaust ventilation and reduced time exposure
  • Dilution ventilation
  • Use of PPE
  • Personnel hygiene and washing facilities
  • Training

Summary

As time, processes and technology has changed It is clear that the appropriate controls that would be the standard today were not in place at the time of the process taking place and that potential exposure risks were prevalent. The question posed should be was everything reasonably practicable done to ensure personals safety and health at the time.

On that note did the controls deemed reasonable at the time mirror those deemed reasonable in the present. Can the Defence Forces be found not to have done everything reasonably practicable?

DELAY – DENY – DIE

Study of Health Outcomes in Aircraft Maintenance Personnel (SHOAMP)

A research team from the University of Newcastle (Australia) has completed an investigation into whether there is an association between adverse health and an involvement in F-111 fuel tank deseal/reseal activities and, if so, the nature and strength of that association.

The current health status of those workers was compared with the health of groups of workers with similar backgrounds from Amberley and Richmond air bases.

Yield of literature review

Associations between exposure and health outcomes
  • Cancer
  • Multiple Sclerosis, Motor Neurone Disease and Other Neurological Examinations
  • Other Neurological Outcomes
  • Neuropsychology
  • Reproductive Health Effects
  • Other health effects
  • Health and the Manufacture and Maintenance of Aircraft
Measurement of exposure and outcomes
  • Bio-markers
  • Measurement of Neuropsychological Deficits
Summary of Results and Implications for General Health and Medical Study
  • Cancer
  • Multiple Sclerosis, Motor Neurone Disease and other Neurological Effects
  • Birth Defects
  • Neuropsychology
  • Other Health Effects
  • Biomarkers

http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.468.8401&rep=rep1&type=pdf

*****

When the RAAF and the Australian Government discovered there was a chemical exposure problem and associated health problems amongst aircraft maintenance personnel they initiated some health studies one of which became known as SHOAMP. These studies are ongoing and report every 4 years to the best of our knowledge.

Australia does have a Department of Veteran Affairs and operates schemes whereby medical & financial support are in place to support RAAF personnel affected by the F1-11 Deseal / Reseal program.

These schemes are far from perfect and are a cause of ongoing stress amongst Australian survivors but obviously preferable to Ireland where Irish Air Corps sick personnel have to risk their home to take the the state to court while our compassionate medically qualified Taoiseach (Prime Minister) Leo Varadkar recently refused medical help for Air Corps personnel in the Irish parliament and goaded sick survivors to sue.

Any person who served in the Irish Army Air Corps needs to read the above document which is the 2003 SHOAMP report. Unfortunately many links on the Australian DVA website are down. As we find newer SHOAMP reports we will make them available. 

Illnesses linked to Trichloroethylene (TCE)

Illnesses linked to Trichloroethylene (TCE) aka TRIKE

https://www.healthandenvironment.org/our-work/toxicant-and-disease-database/?showcategory=&showdisease=&showcontaminant=2341&showcas=&showkeyword=

Navy (New Zealand) veteran’s landmark compensation deal has others with Parkinson’s fearing trichloroethylene

Hundreds of New Zealanders may have been affected by a toxic chemical in a wide range of workplaces, a Weekend Herald investigation has found.

The discovery follows a landmark compensation pay-out to a New Zealand navy veteran who proved links between exposure to the solvent during his military service and his Parkinson’s disease.

The Herald reported last month that Veterans Affairs has provided the ex-serviceman with an entitlement to disability compensation for Parkinson’s, a condition attributed to his exposure to trichloroethylene (TCE) while degreasing and cleaning electronics on a Royal New Zealand Navy ship during the 1948-1960 Malayan Emergency.

The Weekend Herald has since tracked down other men who fear their handling of TCE in the 1960s, 70s, and 80s could have caused their debilitating diseases and who now want to pursue their own compensation cases.

A former New Zealand Post Office telephone exchange technician, a naval dockyards apprentice and an aircraft engineer have all spoken about using TCE in their workplaces for years, without any health and safety precautions.

None of them used gloves or breathing apparatus while being exposed to the potent halocarbon that was popular across an array of sectors and workplaces in New Zealand, including garages, railway and aircraft workshops, and other depots.

“Trichlo was strong enough to bowl you over,” said 65-year-old Steve Walker, an ex-New Zealand Post Office employee at the Balclutha exchange, who now struggles with Parkinson’s. “It seeped into your skin, into your clothes. It took over you completely.”

Dave Schafer, a 58-year-old who used TCE weekly while cleaning instruments on Navy frigates during a five-year apprenticeship at the Devonport naval base, said: “Holy cow, that stuff was powerful. But as apprentices you kept your mouth shut and did your job, you didn’t rock the boat.”

Parkinson’s New Zealand, the Returned and Services’ Association (RSA), and those spoken to by the Weekend Herald, all believe there will be many more New Zealanders – hundreds if not thousands – who have been exposed to TCE over the years.

“Researchers have suggested there could be a significant lag time between exposure to TCE and the onset of Parkinson’s,” said Parkinson’s New Zealand chief executive Deirdre O’Sullivan.

“As such, we have reason to believe there could be many more serving and/or ex-serving NZDF people in a similar situation to this veteran.”

The potentially precedent-setting Navy veteran’s decision was made on appeal to the independent Veterans’ Entitlements Appeal Board, which considered appeals against decisions made under the War Pensions Act 1954.

It was made possible by ground-breaking international research including a major 2011 study on TCE exposure that concluded it was likely to result in a sixfold increase in the chances of developing Parkinson’s.

Read more on the New Zealand Herald’s website

*****

Interesting that the New Zealand Herald article discusses exposure in the 1960s, 70s, and 80s. No mention of the 1990s onwards obviously because the industries there using the chemical copped on in the 1990’s.

Unfortunately the Irish Air Corps was still exposing personnel to Trike, (without protection) in ERF / Avionics in the 1990s and well into the first decade of this century and likely elsewhere in Baldonnel & Gormanston

DELAY – DENY – DIE