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Maps, plates, charts, etc., may be filmed at different reduction ratios. Those too large to be entirely included in one exposure are filmed beginning in the upper left hand corner, left to right and top to bottom, as many frames as required. The following diagrams illustrate the method: Les cartes, planches, tableaux, etc., peuvent dtre filmds d des taux de reduction diffdrents. Lorsque le document est trop grand pour dtre reproduit en un seul clichd, il est filmd d partir de Tangle supdrieur gauche, de gauche k droite, et de haut en bas, en prenant le nombre d'images n6cessaire. Les diagrammes suivants illustrent la mdthode. 1 2 3 1 2 3 4 5 6 Color Blindness in its Relation to Railroad Employees and the Public. i With the Compliments of the Authvr. Color Blindness IN ITS KKLATION TO , ^ RAILWAY EMPLOYEES AND THE PUBLIC, BT G. STERLING RYP^RSOf:, M.D., CM., L.R.CS. EDIN., I'rofessor of Ophthalmology iu Trinity Medical College, Toronto. A Paper read at the Cayiadian Institute, Toronto, at the regular Meetiiig, Saturday, Feb. 9th, 1S89. I TORONTO : J. E. BRYANT & CO.. MEDICAL PUBLLSHERS. ■' ,, . i; 64 HAY STRHKT OKMCK ()K J. H. Bryant & C o. Medical Publishers. I>(;ah Sir. 'I'okonui, Marcli j-nl, i8S.,. Wo have „„,cl, pleasure in presenting you, with ll,e .■on,plin,en,s „f ,he .iistin,uishe4 author, the en,:l„se,l „,onograph "n •■ Color l,lindness, in its relation to Kailwav l-anplovees an.l •1- l'ul.lic, ■■ This suhieet i.s so in,p„rtant in itself, .n,l so certain to arouse puhlic interest when on,:e thorough,,. understoo.l, that we feel ,,ui.e sure you will not regret our hringing un.ler your notice the sucine, and luc-id exposition of i, .hi.h the author ha.s here presented. And should you he in<luee<l ,„ assist, «. far as lies in your power, in the fornration of an enlightened P"''l"^ "Pinion in regard to the nratter, Or. Rverson, we are confident in saying, will feel that he has been largely rewarded for the pains he has taken and the e.xpense he has incurred in maktng known ,o the public the latest results ot scentific enquiry in respect to it. Vours, very sincerely, J. E. B RYANT & C O. > 7, » M i i \ ...>•!>••,:( '■7 ■.••.■,^-:.^.^ !■..'!:•• ' .'<> I ;ti »;'-«,''i rf" f^-^' .,v.'- -'' '^"^ f I o:) \^ T.^A'^-^H H -l Mr. Prfsiihnt tnicl (rentlemen . '.'( :■ t ;*' •v;.r''^ For our knowledge of this most important suliject we are largely indebted to the labors of Profs. Seebeck and Stilling, of (Jerniany ; Prof. Wilson, of Edinbuigh ; Prof. Holmgren, of Sweden ; Prof. Donders, of Holland, and, on this continent, to Dr. Joy Jefiries, of Boston, and Prof. Wni. Thompson, of Philadelphia, to both of whom 1 am much indeV)ted for advice and information, and from whose writings I will frequently cjuote. As in other scientific matters — practical tests must have some The- oretical HASis. In this matter it is fortunate that both theory and practice agree. The theory of color which .students of Color Blindness have adopted is that of Young, revived after nearly a hundred years of oblivion, by Helmhoit/,.* As regards the different Varieties of Colok Blinmjness, Dr. Joy Jeffries, in his book on '' Color Blindness,' thus quotes Holmgren's work : — "We classify the different kinds of color blindness under especial heads, to be able the better to grasp the whole. \Ve might, indeed, divide this blindness into congenital and acquired ; but as such a divi- sion has reference alone to the mode of origin, and not to the nature of this blindnes.s, and affects in no wise the manner of its discovery, it has no practical importance in the case now occupying our attention. Be- sides, our division relates, as does our entire memoir on this subject, essentially to congenital color blindness. The division is as follows : — "I. Total color blindness, in which the faculty of perceiving colors is absolutely wanting, and where the visual sense consequently can only perceive the difference between darkness and light, as well as the dif- ferent degrees of intensity of light. * The well-known Youug-Helmholtz theory, and its application to Color Blindness, was here explained in full. "II. Partial color hlindnoss, in which the faculty of certain percep- tions of color, but not of all, is wanting'. It is subdivided into — " 1. Complete color blindness, in which one of the three fundamen- tal sensations, one of the three perceptive organs of color in the retina, is wantinf,', and in which, consequently, the colored visual field has but two rani^'es. This group includes three kinds, namely — " (a) Red-blindness. " (h) Green-blindness. "(r) Violet-blindness. " '2. Incomplete color blindness, where one of the three kinds of elements, or perhaps all, are inferior in excitability or in numbers to those of the normal chronmtic sense. IncoJiiplete color blindness ex- hibits, like the nornml sense, three zones in the visual field, but is dis- tinguished from it by an unusually small central field. This group includes the whole of a series of different forms and degrees, a part of which — the superior degrees, which might be cali' d incomplete red- hlindnrss and incomplete yreo.n-hlindnesK (and incomplete violet-blind- fiess) — constitutes the transitions to the corresponding kinds of complete color blindness ; and another part of which — the inferior degrees, which we call a feeble chromatic sense — constitutes the transitioii to the normal sense of colors." The various methods op testing for color blindness are those of simultaneous contrast, complementary after images, 8tilling's method, Maxwell's disc, Woinow's discs, Donder's, Chibret's and Holmgren's tests. Testing by lanterns and flags is tedious and uncertain. The best general method is that of Holmgren."'^ The Causes of Color Blindness are congenital defect, heredity, severe illness or injury, particularly to the spine and head, excessive smoking and drinking. So far as tests have been made, all nations have shown a certain percentage of color blind persons, even the North American Indians. From two to thirteen per centum of the population are color blind. So that, on an average, one in every twenty-five (25) is so aflfected. * These tests were fully explained and in some instances demonstrated. tain percep- into — > fundamen- { the retina, iekl has but •ee kinds of numbers to )lindness ex- d, but is dis- This group ieH, a part of ooniplete red- violet-blind- s of complete grees, which ,0 the normal are those of ng's method, Hohugren's ertain. The 3ct, heredity, d, excessive >wn a certain ican Indians, or blind. So 'ected. loustrated. '$ TiiF, Influknck of For,, Mist, Snow and Steam on Sional Lir-iiTs is very important. A white lantern exposed to snow and rain, by ab- Horptio!\ of li},'lit from the dimmed ghisH, may appear j^rcen to the color blind, who depends on the intensity of the li,i,'ht to guide him. So, also^ may a green liglit appear red. \\y tlm accidental use of thieker and dark»'r green glass or thinner and brighter red gla.ss, the did'erence in the intensity of the light may be destroyed, and hence arise all the condi- tions for the occurrence of dangerous mistakes. Steam also afFects the color of the light. As seen through ditrerent degrees of pressure, it may appear red, :roen, or violet. The importance of this fact is self- evident. E.\p(!rience and experiment show that we are forced to use red and green lights i vessels, nnu at least red lights on railroads. Some roads have discarded gr» i and use only red. Form cannot be substituted fur color at nigla, ;.s the rapid movement of the train alters the appear- ance of the lights, and thus mistakes may arise. It should always be borne "m mind that the color blind judge of color by the intensxty of the liyhf a/ouf, and that turning a white lig^^t up or down represents to him different colors. VV'itli regard to this, \)v. Wilson, of Edinburgh, writes : " How often it must fall to the lot of engine drivers to watch lamps through an atmosphere wliich will con- vert the safety signal (white) into a danf'er signal, eompletely alter the color of the lantern signal (green), and so darken the danger signal (red) as to render it invisible." Dr. Joy Jeffries, of Bo' ton, further remarks : " In the even slightly color blind these chaUgjes will be inten- sified, and to the completely color blind, his only moans of distinguish- ing the signals will be gone, viz., the difference in the intensity of the light." Dr. Joy Jeffries elsewhere says : "A red and a green light appears to excite one and the same element in the retina of the red-blind. A ray, red and green, must seem fundamentally to the red-blind to be one and t^e same color, and if, in especial cases, he knows how to discrim. inate, his judgment is simply guided by the intensity of the light. " If, then, a red-blind individual finds that a red and a green tint are exactly alike, it is necessary that the green be to the normal eye much less intense than the red." ■ ( "■ii"l""^i«W"l ^mammmm ll 6 This corresponds with what has already been stated. It cannot be too often repeated and insisted on, that it is the intensity of the light, and not the color, that the color blind judge by, and hence the great danger of employing even partially color blinds as engine drivers, etc. I would like to emphasize the fact that injuries to the head, severe illness, and the excessive use of alcohol and tobacco, especially the latter, are causes of color blindness. Now, the reason that accidents directly traceable to color blind- ness are not more heard of is, that the public are not informed of any minor accident which occurs, and, even in more serious ones, reporters have ditticulty in getting at all the facts. Also, because familiarity with the road teaches engine drivers when to expect certain signals, and that it rarely happens that both engine driver and fireman are color blind, though such an unfortunate event has occurred. Having thus, as far as limited time will permit, discussed nature, cause, peculiarities and mode of detection of color blindness, I invite your attention to the remedy for this condition. Color blindness is, when congenital, incurable. When caused by disease or injury, it may be cured. Exercising the ears with the names of the colors, and the eyes with sensations of color, help the color blind to supplement their eyes, but do not increase their color perception. They are often quite unconscious of their defect, and are greatly surprised when informed of it. Others know the fact and seek various ways of escaping detec- tion. Color blindness, due to alcohol and tobacco poisoning, is easily recognized by the oculist, by means of an instrument called the peri- meter. There is no reason why railroad officials should escape their percen- tage of color blindness. The remedy here is the elimination of rail- road employees toho are color blind. These employees comprise the engine drivers and firemen, pointsmen, conductors, signal men and station masters. I mean, that men of these particular classes found to be color blind should be removed to positions where the color sense is not essential to the performance of their duties. This is equally in the interest of the travelling public, the railroad authorities and share- holders, and of the men themselves. The public demands that rail- [t cannot be )f tlie light, ce the great drivers, etc. lead, severe pecially the color blind- med of any es, reporters familiarity signals, and ,n are color ssed nature, less, I invite blindness is, ijury, it may ors, and the enient their often quite en informed aping detec- ing, is easily ed the peri- their percen- ttion of rail- •om prise the al men and ises found to :olor sense is is equally in 3s and share- Is that rail- road travel shall be made as safe as is possible, and by the proper elimination of the color blind, a great source of danger is removed. The ojfficials of a road that, through carelessness or other cause, allow a color blind engine driver to run an engine, should, in (he event of a fatal accident, be held guilty of manslaughter. Should injury or death to a passenger resulting from an accident be proved to have arisen from color blindness of an oiiiiial of the train, heavy damages could be obtained from the company on whose road the accident occurred, because the accident would be recognized as preventable. When one has occurred amongst us, as has been proved to have liappened elsewhere, the community will awaken to a sense of the danger. I need hardly point out how serious is the risk of financial loss to the stockholders. The destruction of rolling-stock and the liability for damage to freight in course of transportation, and for actions for damages by injured passengers, might easily cause a loss of thousands of dollars. Now, it will be said by railway officials, that the men of thfir res- pective companies are tested for color blindness. I may reply, by anticipation, that I have made it my business to enquire of all en- gineers, firemen and other railway employees, with whom I have come in contact, for the past three years, as to the tests made, and I have come to the conclusion that they are imperfectly carrried out. Not from any under-estimation of their importance, by the officials, but because the tests are not properly and scientifically conducted. Men with good color sense may be, and probably are, refused promotion as being color blind, and men with imperfect color sense are passed as being normal-eyed. This state of affairs is as unfair for the men as it is unsafe for the public. I feel sure that an examination of five hundred to one thousand employees would show a certain per-centage of color blindness. The tests I have shown tornight seem very simple, but in the case of men who are constantly exercised with signals, their power of discrimination of color- tone (not of color itself, that is never changed) becomes remarkably increased, so that considerable experience and knowledge of the science of colors are required to detect them 8 It may be argued by the companies, that 1 desire to put them under the rule of an army of doctors and involve them in great ex- pense. I desire nothing of the kind. I see no reason why the Divisional Superintendents should not carry out the tests when they have beeti properly instructed in them by an expert. I think also, that it is not right that a man should be refused employment, dismissed from the road or refused promotion, on the ground of alleged color Idindness, except upon the certificate of an expert. Furthermore, I insist that it is imperatively necessary, in the in- terests of all parties, that every man should be re-examined periodically^ and more especially after an illness or severe accident. The process of examination and elimination of the color blind on railroads, has, in most continental European countries, been controlled and directed by their respective Governments. In tiie United States various plans have been followed. In Massachusetts, Connecticut, Alabama, and other States, the examination has been contiolled by law. In others, as in Pennsylvania, it has^ been left in the hands of the Railroad Companies. The Companies have not been slow to recognize the importance of the proper tests being made, and great numbers of men have been examined and a varying percentage of color blinds has been found. In this country these examinations have been, and are entirely in the hands of the Companies. If the Companies will have the tests conducted in such a way as to secure absolute elimination of the color blind, the matter might be left in their hands. But if they show care- lessness or indifterence about it, legislation must be sought that will place a supervisory power in the hands of the Department of Railways and Canals. Just as sailors desiring masters' certificates are required to pass an examination in color-sense before a Government Inspector, so must engine drivers, etc., be called upon to prove their color-sense and visual acuity. In conclusion I would say that it is my belief — ' 1. That the color tests, as made on railways in Canada at present, are imperfect. ^ f H 9 2. That danger arises to the public from this cause. 3. That it is urgently necessary that this danger be obviated by the proper elimination of the color blind from among the employees. 4. And that the men should be re-examined periodically, and more particularly after severe illness or injury. I am so convinced of the correctness of my opinion, that I am will- ing to examine here from five hundred to one thousand engine drivers, firemen, brakemen and signal or pointsmen, free of all cost, provided that they are not specially selected, and on this condition : that if I find one per cent, or upwards of color blinds, I shall be paid by the Company for my services at a rate to be agreed upon beforehand. If I do not find this percentage of color blindness, 1 am to receive nothing. The color blindness will be proved to be such to the officers of the Company. I do not put a higher percentage than one per centum, because the proportion of color V>linds to the normal-eyed community has never been detei'mined in this country ; and while it may prove to be higher than in other lands, yet, results might show it to be lower. I am now engaged in testing the school children of this city with a view of deter- mining this question. ely in tests color care- t will ways uired ector, sense I 10 APPENDIX. The following table, from Joy Jeffries' work, gives some idea of the numbers tested and the percentage of color blindness found, in Europe and the United States : — Dr. Fontenoy .. Prof. Donders.., Dr. Krohn Dr. Minder Dr. Daae Dr. Cohn Dr. Magnus... Dr. Stilling Dr. von Reus-s. Prof. Holmgren It II II II '" II II II II It Dr. Jeffries Copenhagen j 1,084 Utrecht : 2,300 Fiulanil i 1,200 Berne j 1,429 Norway i 205 Breslau I 2,429 " i 3,273 Cassel i 400 Vienna \ 800 Sweden | 3,654 i 8,682 1,523 2,752 " ' 555 ! 7,953 I 4,225 I 1,851 1 i 649 .321 10,387 Position in Life. New England ... 31 2.87 152 6.60 60 5.00 95 6.58 4.88 95 4.00 3.50 6.00 3.50 166 4.54 300 3.45 47 3.08 105 3.81 43 4.50 171 2.15 94 2.22 62 3.34 31 4.77 18 5.60 431 4.149 Railroad employes. Schools and various. School boys. Railroad employes. i< fi Scholars. ri Students. Orphan children. Young people. Railroad employes. Sailors. Soldiers. Mill-hands. Prisoners and g'rds. Teachers and sch'rs.