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Contaminated Food – How to Evaluate Risk Liability Claims Subcommittee Meeting Washington DC September 17, 2009. Real Events Happening Daily to Real People. 76 million cases of foodborne illness annually 325,000 hospitalizations 5,000 deaths
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Contaminated Food – How to Evaluate Risk Liability Claims Subcommittee Meeting Washington DC September 17, 2009
Real Events Happening Daily to Real People • 76 million cases of foodborne illness annually • 325,000 hospitalizations • 5,000 deaths • Medical costs, productivity losses, costs of premature death costs $6.9 billion dollars a year • May be as high as $137 billion dollars a year
And It is Happening Today • The Colorado Department of Public Health and Environment (CDPHE) issued a press release announcing an outbreak of E. coli O157:H7. • The CDC eventually revealed that 80 people in 33 states have been sickened, and that epidemiological evidence was strong that the vehicle was Nestle Toll House uncooked cookie dough
Marler Clark, LLP PS • Since 1993 Marler Clark has represented thousands of legitimate food illness victims in every State. • Only a fraction of the victims who contact our office end up being represented. • Who do we turn away? • Why?
The Chaff Just like Insurers we need to quickly and reliably recognize unsupportable claims How Do We Do It?
Basic Tools of the Trade • Symptoms • Incubation • Duration • Food History • Medical Attention • Suspected source • Others Ill Health Department Involvement
Matching Symptoms with Specific Characteristics of Pathogens • E. coli O157:H7 • Hepatitis A • Salmonella • Shigella • Campylobacter • Vibrio
Incubation Periods Of Common Pathogens Matching Incubation Periods
Epidemiologic Assessment • Time • Place • Person association • Part of a recognized outbreak?
Medical Attention • Health care provider • Emergency Room • Hospitalization
Communicable Disease Investigation • Reportable Disease Case Report Form • Enteric/viral laboratory testing results • Human specimens • Environmentalspecimens
Molecular Testing Results • PFGE/MLVA • PulseNet
POS A FIRM A FIRM D FIRM I FIRM N GROWERA POS B FIRM E FIRM J GROWER B FIRM B FIRM F FIRM K POS C GROWERC FIRM G GROWERD FIRM O FIRM L POS D FIRM C FIRM H FIRM M Traceback Records No. of outbreaksAssoc. with firm/Total no. of outbreaks Firm Name Firms A,C,D,G, H,I,L,M,N Growers A&C Firms B,E,F,J,K Firm O, Grower D Grower B 1/4 1/4 2/4 3/4 4/4
The Legal Arsenal • Interrogatories • Requests for production • Requests for inspection • Request for admission • Third-party subpoenas • Depositions • Motions to compel
Litigation At Work – A Bit(e) of History Jack in the Box - 1993 Odwalla - 1996
A Real Life Example OCTOBER 1998 • Call from Kennewick General Hospital infection control nurse Benton Franklin Health District
Finley Schools • Finley School District • K-5 • Middle School • High School • Rural area • Water supply • Irrigation water • Septic system • Buses
Epidemiologic Investigation • Classroom schedules • Bus schedules • Lunch schedules • Recess schedules • Case-Control Study • Cohort Study of Staff • Cohort Study of Meals Purchased
Environmental Investigation • Playground Equipment • Puddles • Topography • Animals • Water system • Sewage system
9801447 9801446 9801443 9801462 9801480 9801482 9801513 9801455 9801481 Results • 8 confirmed casesof E. coli O157:H7 • 3 probable cases • 1 secondary case • 8 PFGE matches
Results • Ill students in grades K-5 • All but one ill child ate a taco meal • No other common exposures detected • No ill staff members
Results • Food handling errors were noted in the kitchen • There was evidence of undercooked taco meat • No pathogen found in food samples
The Lawsuit • Eleven minor plaintiffs: 10 primary cases, 1 secondary case • Parents also party to the lawsuit, individually and as guardians ad litem • Two defendants: Finley School District and Northern States Beef • Mediation offer $500,000 – “last and final”
The Basic Allegations • Students at Finley Elementary School were infected with E. coli O157:H7 as a result of eating contaminated taco meat • The E. coli O157:H7 was present in the taco meat because it was undercooked • The resulting outbreak seriously injured the plaintiffs, almost killing one of them
At Trial: The Plaintiff’s Case • The State and the BFHD conducted a fair and thorough investigation • Final report issued by the WDOH concluded the taco meat was the most likely cause of the outbreak • The conclusion reached as a result of the investigation was the correct one
More of The Plaintiff’s Case • There were serious deficiencies in the District’s foodservice operation • There were reasons to doubt the District’s explanation of how the taco meat was prepared • The law only requires a 51% probability to prove the outbreak’s cause-in-fact
The School District’s Defense • The taco meat was safe to eat because: • We love children • We are always careful to cook it a lot
More of the School District’s Defense • We’ve never poisoned anyone before • The health departments botched the investigation and jumped to a hasty conclusion • Something else caused the outbreak
What Will a Jury Think? A Jury = 12 Consumers
What Did This Jury Think? • The investigation was fair and thorough • More probably than not, undercooked taco meat caused the children to become ill • The School District was ultimately responsible for ensuring the safety of the food it sold to its students
In The End • After a six week trial, plaintiffs were awarded $4,750,000 • The District appealed the verdict on grounds that product liability law did not apply • September 2003 the WA State Supreme Court dismissed the District’s case • Final award - $6,068,612.85