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Martin Marietta-Mt. Athos Quarry: 44 MSHA citations Metal/Non-Metal

Concord, Campbell County, VA  ·  Active
MSHA Mine ID: 4400106

Martin Marietta-Mt. Athos Quarry has $9K in proposed MSHA penalties and $0 outstanding across 2 contested dockets, plus health sampling and the full incident record.

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Fatalities
0
Total incidents
20
Years on record
1989–2021
Latest incident
Jun 2021
Compliance record
MSHA citations since 2001
44
citations
7
significant & substantial
$8,985
proposed penalties
$8,850
paid to date
98% of proposed penalties paid to date, a $135 gap.
Source: MSHA violations data, updated weekly.
See Martin Marietta Materials, Inc.'s full MSHA compliance history →
Inspection activity
MSHA inspections since 2000
60
inspections on record
1,209
inspection hours
3.6
citations per 100 inspection hours
ⓘ This rate is recorded citations divided by MSHA inspection hours, per 100 hours. It reflects inspection effort, not mine size or production.
44 citations across 1,209 inspection hours.
Source: MSHA inspections data, updated weekly.

Martin Marietta-Mt. Athos Quarry has $9K in proposed MSHA penalties and $0 outstanding across 2 contested dockets.

Penalty disposition
ⓘ Differences between proposed and paid penalties reflect both settlements and conference reductions and amounts still owed. Outstanding is the balance currently owed.
$9K
proposed penalties
$9K
current assessed
$9K
paid to date
$0
outstanding
44 assessments are final orders; 2 contested dockets.
Of $195 in penalties contested before the Commission, $60 was upheld in final decisions.
As of the most recent assessment on 2023-02-27.
Source: MSHA assessed-violations and conference/litigation data, updated weekly.
Violation severity profile
ⓘ Shares are computed over citations that carry the MSHA gravity and negligence coding; a small share of records are uncoded.
15.9%
significant & substantial
11.4%
high negligence or reckless
15.9%
reasonably likely or greater
59.1%
permanently disabling or fatal if injury occurs
Negligence coding: 0.0% none, 13.6% low, 75.0% moderate, 11.4% high, 0.0% reckless.
Source: MSHA violations gravity and negligence coding, updated weekly.
When citations were contested
ⓘ Contesting a citation before the Federal Mine Safety and Health Review Commission is a lawful right. These figures state the public outcomes of that process, from MSHA's Contested Violations file.
1 citations taken to the federal commission · 2% of citations on record
  • Settled 1 · 100%
0%
Penalty reduction in decided contests
$60 proposed, $60 after decisions · industry: 39%
Source: MSHA Contested Violations file (public record), updated weekly. A dismissed or defaulted contest leaves the citation standing as issued; a vacated or withdrawn citation is removed from the violation record. Latest contest filed 2006-12-27.
Contested penalties
ⓘ A reduction or dismissal at the Commission is a lawful outcome of contesting a proposed penalty. Figures are the proposed amount and the amount upheld in the docket's decision.
Largest penalties this mine contested before the Federal Mine Safety and Health Review Commission, with the outcome on record.
Docket Decision Judge Year Proposed / upheld
VA 2004-50M Dismissal Lesnick 2004 $135 → $0
VA 2007-20M Settlement Lesnick 2007 $60 → $60
Source: FMSHRC civil penalty dockets and decisions (public record), updated weekly.
Health sampling
ⓘ A sample is a point in time compliance measurement, not an individual exposure history. These figures describe MSHA sampling records and do not establish causation or personal dose.

Metal and nonmetal contaminants (personal samples)
ⓘ Many samples are screening measurements of substances with no applicable exposure limit; they are counted as samples but excluded from every over-limit figure. Over-limit shares use only limit-tested samples.

Last sampled: 2026-06-23
0%
of limit-tested samples over the exposure limit
42
samples
6
limit-tested
Most sampled contaminants
  • Respirable dust, <.1mg31
  • Quartz, respirable, >1% Qtz5
  • Unlisted Particulate, respirable, <1% Qtz5
  • Nuisance dust, respirable, <1% Qtz1
Show the individual readings (42)
Date Contaminant Concentration Limit Conc / limit Occupation
2026-06-23 Respirable dust, <.1mg 0 Utility Man
2026-06-23 Respirable dust, <.1mg 0 Front-end Loader Operator
2026-06-23 Respirable dust, <.1mg 0 Mechanic
2024-10-09 Respirable dust, <.1mg 0 Crusher Oper/Worker
2024-10-09 Respirable dust, <.1mg 0 Front-end Loader Operator
2024-10-09 Respirable dust, <.1mg 0 Utility Man
2024-10-09 Respirable dust, <.1mg 0 Utility Man
2023-08-09 Respirable dust, <.1mg 0 Utility Man
2023-08-09 Respirable dust, <.1mg 0 Front-end Loader Operator
2023-08-09 Respirable dust, <.1mg 0 Truck Driver
2023-08-09 Respirable dust, <.1mg 0 Front-end Loader Operator
2023-03-23 Respirable dust, <.1mg 0 Utility Man
2023-03-23 Respirable dust, <.1mg 0 Truck Driver
2023-03-23 Respirable dust, <.1mg 0 Front-end Loader Operator
2021-10-20 Respirable dust, <.1mg 0 Utility Man
2021-10-20 Respirable dust, <.1mg 0 Front-end Loader Operator
2021-10-20 Respirable dust, <.1mg 0 Rotary Bucket Ex. Operator
2021-10-20 Respirable dust, <.1mg 0 Front-end Loader Operator
2019-09-11 Respirable dust, <.1mg 0 Front-end Loader Operator
2019-09-11 Respirable dust, <.1mg 0 Crusher Oper/Worker
2019-09-11 Unlisted Particulate, respirable, <1% Qtz 0.49 Front-end Loader Operator
2017-04-05 Respirable dust, <.1mg 0 Truck Driver
2017-04-05 Nuisance dust, respirable, <1% Qtz 0.19 10 0.02 Crusher Oper/Worker
2017-04-05 Respirable dust, <.1mg 0 Truck Driver
2012-04-04 Respirable dust, <.1mg 0 Front-end Loader Operator
2012-04-04 Respirable dust, <.1mg 0 Backhoe Operator
2007-06-20 Quartz, respirable, >1% Qtz 0.16 1.55 0.10 Laborer, Bullgang
2007-06-20 Quartz, respirable, >1% Qtz 0.71 2.82 0.25 Crusher Oper/Worker
2007-06-20 Quartz, respirable, >1% Qtz 0.24 1.64 0.15 Crusher Oper/Worker
2005-08-17 Respirable dust, <.1mg 0 Utility Man
2005-08-17 Respirable dust, <.1mg 0 Front-end Loader Operator
2005-08-17 Respirable dust, <.1mg 0 Truck Driver
2005-08-17 Respirable dust, <.1mg 0 Front-end Loader Operator
2005-08-17 Quartz, respirable, >1% Qtz 0.29 2.24 0.13 Utility Man
2003-04-10 Quartz, respirable, >1% Qtz 0.74 2.32 0.32 Crusher Oper/Worker
2003-04-10 Respirable dust, <.1mg 0 Front-end Loader Operator
2003-04-10 Unlisted Particulate, respirable, <1% Qtz 0.13 Utility Man
2003-04-10 Respirable dust, <.1mg 0 Front-end Loader Operator
2003-04-10 Unlisted Particulate, respirable, <1% Qtz 0.28 Truck Driver
2001-01-31 Unlisted Particulate, respirable, <1% Qtz 0.13 Lab Technician
2001-01-31 Respirable dust, <.1mg 0 Front-end Loader Operator
2000-07-12 Unlisted Particulate, respirable, <1% Qtz 0.25 Truck Driver
Source: MSHA respirable dust, quartz, and noise sampling records, updated weekly. Metal/nonmetal contaminant figures come from MSHA's Personal Health Samples and Area Samples files (public record), updated weekly.

Martin Marietta-Mt. Athos Quarry recorded 0.00 reportable injury cases per 100 full-time workers in 2018.

Injury rate, 2018
ⓘ This rate is reportable injury cases per 100 full-time-equivalent workers per year, computed as 200,000 times cases divided by MSHA operator-reported employee-hours. Cases are injuries MSHA graded degree 01 through 07; accident-only events that hurt no one are excluded, and so are contractor injuries, whose hours do not attach to a single mine. Rates begin in 2000, when quarterly employment reporting starts, and are withheld below 20,000 hours in a year.
0.00
total case rate
0.00
days-away rate
0.000
fatality rate
Below average. The US metal and nonmetal mining average was 1.95 and the all-US-mining average was 2.33 cases per 100 workers.
In Virginia, metal and nonmetal mining averaged 1.91 cases per 100 workers that year.
Under 100,000 employee-hours were reported that year, so a single case moves the rate by two or more. Read the figure as approximate.
Year total case rate days-away fatal
2018 * 0.00 0.00 0.000
2017 * 0.00 0.00 0.000
2016 * 0.00 0.00 0.000
2015 * 0.00 0.00 0.000
2011 * 0.00 0.00 0.000
2009 * 0.00 0.00 0.000
2008 * 0.00 0.00 0.000
2007 * 5.99 0.00 0.000
* Fewer than 100,000 employee-hours that year; the rate is less stable.
Source: injury cases from MSHA accident and injury records; employee-hours from MSHA quarterly employment reports. Rate is cases per 100 full-time-equivalent workers, operator employees only.
Ownership history
  1. Rockydale Stone Service Corp 1950 to 1983
  2. Boxley Materials Company 1983 to 2026
  3. Martin Marietta Materials, Inc. 2026 to present
Source: MSHA controller and operator history, updated weekly.
Workforce and production
Year Employees
2026 8
2025 8
2024 9
2023 9
2022 9
2021 10
2020 11
2019 11
2018 11
2017 13
2016 9
2015 8
2012 7
2011 11
2010 5
2009 17
2008 17
2007 17
2006 16
2005 18
2004 19
2003 16
2002 13
2001 14
2000 13
Source: MSHA quarterly employment and production, updated weekly.

Martin Marietta-Mt. Athos Quarry sits in Campbell County, Virginia, where the Census mining category is 0.0% of county employment.

Local economic context
ⓘ County figures come from the US Census Bureau's American Community Survey, 5-year pooled estimates, so the 2023 vintage covers 2019 through 2023. The Census category is 'mining, quarrying, and oil and gas extraction', which is broader than MSHA jurisdiction and includes oil and gas workers no mine employs. These figures describe the surrounding county, not this mine, and are not a factor in any specific incident.
Campbell County, Virginia · Population 55,398
0.0%
Mining share of county employment
$62,608
Median household income
Source: US Census Bureau, American Community Survey 2023 5-year estimates.
Quarterly safety rates
ⓘ Citations per million reported employee-hours. Rates begin in 2000, when MSHA's quarterly employment data starts; earlier incidents are counted but cannot be rate-adjusted. Quarters under 100,000 reported hours are greyed: too few hours for a stable rate.
Citations per million employee-hours, as reported to MSHA
Quarter Hours worked Citations S&S Per 1M hrs
2026 Q2 3,870 0 0 0.0
2026 Q1 332 0 0 0.0
2025 Q4 3,871 0 0 0.0
2025 Q3 4,410 0 0 0.0
2025 Q2 4,349 0 0 0.0
2025 Q1 3,867 0 0 0.0
2024 Q4 4,115 0 0 0.0
2024 Q3 4,327 0 0 0.0
Show 90 earlier quarters
Quarter Hours worked Citations S&S Per 1M hrs
2024 Q2 4,709 0 0 0.0
2024 Q1 4,637 0 0 0.0
2023 Q4 4,695 0 0 0.0
2023 Q3 4,425 0 0 0.0
2023 Q2 4,212 0 0 0.0
2023 Q1 4,460 1 0 224.2
2022 Q4 4,755 0 0 0.0
2022 Q3 4,704 0 0 0.0
2022 Q2 4,738 0 0 0.0
2022 Q1 4,144 0 0 0.0
2021 Q4 4,545 0 0 0.0
2021 Q3 4,776 0 0 0.0
2021 Q2 4,220 0 0 0.0
2021 Q1 4,657 0 0 0.0
2020 Q4 5,019 0 0 0.0
2020 Q3 4,420 0 0 0.0
2020 Q2 4,003 0 0 0.0
2020 Q1 3,204 0 0 0.0
2019 Q4 3,201 0 0 0.0
2019 Q3 4,607 2 0 434.1
2019 Q2 5,366 0 0 0.0
2019 Q1 5,440 0 0 0.0
2018 Q4 6,047 0 0 0.0
2018 Q3 6,266 0 0 0.0
2018 Q2 6,185 1 0 161.7
2018 Q1 5,469 0 0 0.0
2017 Q4 5,911 0 0 0.0
2017 Q3 6,196 0 0 0.0
2017 Q2 8,659 1 0 115.5
2017 Q1 6,838 0 0 0.0
2016 Q4 5,503 4 0 726.9
2016 Q3 6,211 0 0 0.0
2016 Q2 5,860 0 0 0.0
2016 Q1 6,169 1 0 162.1
2015 Q4 5,223 0 0 0.0
2015 Q3 5,095 0 0 0.0
2015 Q2 6,227 0 0 0.0
2015 Q1 4,997 0 0 0.0
2012 Q4 2,048 0 0 0.0
2012 Q3 3,713 0 0 0.0
2012 Q2 4,066 1 0 245.9
2012 Q1 2,760 0 0 0.0
2011 Q4 4,651 2 2 430.0
2011 Q3 6,070 0 0 0.0
2011 Q2 4,508 1 0 221.8
2011 Q1 5,963 0 0 0.0
2010 Q4 1,815 0 0 0.0
2010 Q3 1,635 0 0 0.0
2010 Q2 1,718 0 0 0.0
2010 Q1 1,815 0 0 0.0
2009 Q4 7,067 1 0 141.5
2009 Q3 7,747 0 0 0.0
2009 Q2 5,994 0 0 0.0
2009 Q1 7,217 3 0 415.7
2008 Q4 6,281 1 0 159.2
2008 Q3 6,726 0 0 0.0
2008 Q2 6,984 2 0 286.4
2008 Q1 8,009 1 1 124.9
2007 Q4 7,529 0 0 0.0
2007 Q3 8,304 0 0 0.0
2007 Q2 8,472 0 0 0.0
2007 Q1 9,088 0 0 0.0
2006 Q4 9,586 1 0 104.3
2006 Q3 8,151 1 0 122.7
2006 Q2 8,034 1 0 124.5
2006 Q1 9,478 0 0 0.0
2005 Q4 10,140 0 0 0.0
2005 Q3 12,111 0 0 0.0
2005 Q2 10,108 0 0 0.0
2005 Q1 6,983 3 1 429.6
2004 Q4 14,244 0 0 0.0
2004 Q3 10,226 0 0 0.0
2004 Q2 10,737 3 1 279.4
2004 Q1 8,827 0 0 0.0
2003 Q4 10,282 0 0 0.0
2003 Q3 8,530 0 0 0.0
2003 Q2 9,632 1 0 103.8
2003 Q1 5,980 0 0 0.0
2002 Q4 6,795 2 0 294.3
2002 Q3 6,284 0 0 0.0
2002 Q2 7,582 0 0 0.0
2002 Q1 7,875 0 0 0.0
2001 Q4 6,621 0 0 0.0
2001 Q3 8,896 0 0 0.0
2001 Q2 8,514 2 2 234.9
2001 Q1 7,437 0 0 0.0
2000 Q4 8,207 0 0 0.0
2000 Q3 8,617 0 0 0.0
2000 Q2 8,516 0 0 0.0
2000 Q1 8,666 0 0 0.0
No fatalities recorded at this mine.

Reportable incidents

20 on file

2021 · 1 incident

June 2, 2021 VA · Metal/Non-Metal maintenance man, mechanic, repair/serviceman, boilermaker, fueler, tire tech, field service tech HANDLING OF MATERIALS
Boxley Materials Company · Struck by falling object

Employee was putting new gears in a shaker. The gears slipped off of the shaft and employee's right thumb got caught between the gears and the shaft when they fell. Employee's right thumb was fractured and cut.

2007 · 1 incident

August 27, 2007 VA · Metal/Non-Metal maintenance man, mechanic, repair/serviceman, boilermaker, fueler, tire tech, field service tech HANDTOOLS (NONPOWERED)
Boxley Materials Company · Struck by... (Not Elsewhere Classified)

Employee was cutting a piece of buckrubbber for VS-2 screen with a lock blade razor knife. The employees left arm was posting down on the rubber and the right hand was holding the knife. As the employee was cutting the rubber, the knife became stuck. The employee pulled back on the knife causing the knife to unhinge, slip from the cutting surface, and cut the left forearm.

2006 · 2 incidents

November 29, 2006 VA · Metal/Non-Metal maintenance man, mechanic, repair/serviceman, boilermaker, fueler, tire tech, field service tech SLIP OR FALL OF PERSON
Boxley Materials Company · Fall down stairs

Employee was performing maintenance work on CC-2. He was ascending the stairs to access the crusher when he fell up the stairs striking his knee.

August 2, 2006 VA · Metal/Non-Metal front-end loader, scraper-loader operator, pan operator, payloader, scraper rig operator SLIP OR FALL OF PERSON
Boxley Materials Company · Fall from machine

Employee was climbing down from the loader after noticing his strobe light was not on. As he was climbing down the ladder he reached to shut the door and as he did, the hand holding the rail slid off and he fell to the ground. The fall caused bruises to his back and the doctor assigned him to miss 2 days of work.

2002 · 1 incident

February 12, 2002 VA · Metal/Non-Metal laborer, blacksmith, bull gang, parts runner, roustabout, pick-up man, pitman SLIP OR FALL OF PERSON
Boxley Materials Company · Fall from ladders

HE WAS CLIMBING THE LADDER ONTO THE SCAFFOLD (APPROXIMATELY 30 FEET IN THE AIR) WHEN THE LADDER SLIPPED, CAUSING HIM TO FALL. HE BROKE HIS LEFT LEG.

2001 · 2 incidents

June 13, 2001 VA · Metal/Non-Metal warehouseman, bagger, palletizer/stacker, store keeper, packager, fabricator, cleaning plant operator POWERED HAULAGE
Boxley Materials Company · Struck by falling object

A ROCK FELL FROM BIN ABOUT 14' AND STRUCK EE IN HARD HAT- BOUNCED OFF AND STRUCK HIS NECK AND BACK.

April 6, 2001 VA · Metal/Non-Metal truck driver HANDTOOLS (NONPOWERED)
Boxley Materials Company · Over-exertion in wielding or throwing objects

EE WA SWINGING AN 8 LB. HAMMER TRYING TO KNOCK ABOLT OUT OF A CRUSHER WHEN HE FELT A PAIN IN HISSIDE.

1999 · 2 incidents

May 11, 1999 VA · Metal/Non-Metal laborer, blacksmith, bull gang, parts runner, roustabout, pick-up man, pitman POWERED HAULAGE
Boxley Materials Company · Fall from scaffolds, walkways, platforms

EMPLOYEE WAS ON PLATFORM GETTING SAMPLE OFF OF CUSTOMER TRUCK. AFTER TAKING THE SAMPLE, EMPLOYEESTOOD ON PLATFORM AND TOLDE THE DRIVER TO GO AHEAD. A HOOK ON THE BACK OF THE TRUCK CAUGHT THE P LATFORM AND TURNED IT OVER. THE EMPLOYEE RODE THE PLATFORM TO THE GROUND AND CUT HIS HEAD ON LEFT SIDE AND BRUISED HIS LEFT LEG ALONG WITH OTHERBRUUISES ON HIS SHOULDER AND ARM.

May 10, 1999 VA · Metal/Non-Metal quality control technician, laboratory technician, laboratory assistant HANDLING OF MATERIALS
Boxley Materials Company · Over-exertion in lifting objects

EE WAS LIFTING A 3 GAL. BUCKET OF 57'S TO POUR INTO A SMAPLE SPLITTING DEVICE IN LAB. WHEN DOING THIS, GHE FELT A TWINGE IN HIS RIGHT SIDE. HE PULLED A MUSCLE IN HIS RIGHT RIBCAGE. EE STATED T HE BUCKET WEIGHED 30-40 LBS.

1995 · 2 incidents

October 9, 1995 VA · Metal/Non-Metal drill operator HANDLING OF MATERIALS
Boxley Materials Company · Caught in, under or between (Not Elsewhere Classified)

OPERATOR JUMPED OUT OF CAB OF DRILL AND CAUGHT HIS RING FINGER ON HIS LEFT HAND ON THE STRIKER PLATE ON THE DOOR. TORE THE SKIN OFF HIS FINGER DOWN TO THE BONE.

September 12, 1995 VA · Metal/Non-Metal front-end loader, scraper-loader operator, pan operator, payloader, scraper rig operator HANDLING OF MATERIALS
Boxley Materials Company · Caught in, under or between a moving and a stationary object

EMPLOYEE FAILED TO REMOVE HIS HAND FROM THE DOOR JAM OF THE LOADER

1994 · 6 incidents

December 12, 1994 VA · Metal/Non-Metal quality control technician, laboratory technician, laboratory assistant HANDTOOLS (NONPOWERED)
Boxley Materials Company · Over-exertion (Not Elsewhere Classified)

HAMMERING ON THE CRUSHER RUN BIN AT THE PUGMILL & PULLED MUSCLES IN HIS UPPER & MIDDLE BACK AREA

November 29, 1994 VA · Metal/Non-Metal front-end loader, scraper-loader operator, pan operator, payloader, scraper rig operator HANDTOOLS (NONPOWERED)
Boxley Materials Company · Struck by flying object

THE EMPLOYEE WAS STANDING OVER THE BUCKET TOOTH HAMMERING IT BACK INTO POSITION WHEN A PIECE OF METAL FLEW OFF AND PUNCTURED HIS NOSE BECOMING IMBEDDED.

November 8, 1994 VA · Metal/Non-Metal haul/off road/coal/ore/pit/quarry/rock/rubber tire truck driver, transportation truck driver HANDLING OF MATERIALS
Boxley Materials Company · Caught in, under or between (Not Elsewhere Classified)

ATTACHING BUCKET ON SKID STEER, FOOT GOT CAUGHT BETWEEN BOOM & FRAME.

September 22, 1994 VA · Metal/Non-Metal laborer, blacksmith, bull gang, parts runner, roustabout, pick-up man, pitman STRIKING OR BUMPING
Boxley Materials Company · Struck against stationary object

WORKING IN A LOW CLEARANCE AREA. THE EE STOOD UP HITTING HIS HEAD ON OVERHEAD STEPS, JAMMING HIS HEAD INTO HIS NECK.

July 9, 1994 VA · Metal/Non-Metal haul/off road/coal/ore/pit/quarry/rock/rubber tire truck driver, transportation truck driver HANDLING OF MATERIALS
Boxley Materials Company · Absorption of radiations, caustics, toxic and noxious substances

THE EMPLOYEE WAS TRIMMING WEEDS AROUND THE OFFICE AND PLANT AREAS WHEN HE CAME INTO CONTACT WITH POISON IVY.

February 9, 1994 VA · Metal/Non-Metal maintenance man, mechanic, repair/serviceman, boilermaker, fueler, tire tech, field service tech HANDLING OF MATERIALS
Boxley Materials Company · Over-exertion in lifting objects

EMPLOYEE REACHED DOWN TO PICK UP A SCREEN & PULLED A MUSCLE IN HIS LOWER BACK.

1993 · 1 incident

November 29, 1993 VA · Metal/Non-Metal mine manager, mine foreman, mine owner SLIP OR FALL OF PERSON
Boxley Materials Company · Fall to the walkway or working surface

INJURED WAS WORKING IN A DITCH ON A PIPE JOB AND WAS GETTING OUT OF THE DITCH TO CHECK THE GRADE AND HIT HIS RIGHT KNEE ON A ROCK WHEN LEAVING THE DITCH.

1992 · 1 incident

April 10, 1992 VA · Metal/Non-Metal maintenance man, mechanic, repair/serviceman, boilermaker, fueler, tire tech, field service tech HANDTOOLS (NONPOWERED)
Boxley Materials Company · Struck by... (Not Elsewhere Classified)

INJURED WAS TRYING TO CUT A HOLE IN A PIECE OF CONVEYOR BELT WITH A FOLDING POCKET KNIFE AND IT CLOSED ON HIS SECOND DIGIT OF HIS RIGHT HAND AND CUT IT.

1989 · 1 incident

August 17, 1989 VA · Metal/Non-Metal drill operator OTHER
Boxley Materials Company · Absorption of radiations, caustics, toxic and noxious substances

INJURED WAS DRIVING EUCLID TO SHOP WHEN BEE GOT IN CAB AND STUNG HIM ON THE RIGHT TEMPLE.PROCEEDED FORWARD RAN INTO REAR RIGHT SIDE OF AIR COMPRESSOR.HAD AN ALLERGIC REACTION TO BEE STING.REQU IRED MEDICAL TREATMENT.