Adkisson v. Jacobs Eng'g Grp., Inc.
Adkisson v. Jacobs Eng'g Grp., Inc.
Opinion of the Court
This matter is before the Court on defendant's two pending dispositive motions: one for summary judgment on the issue of general causation [Doc. 237], and one for judgment on the pleadings with respect to plaintiffs' strict liability claims [Doc. 251]. Plaintiffs oppose both motions [Doc. 253 (summary judgment); Doc. 254 (judgment on the pleadings) ]. Defendant replied for the summary judgment motion only [Doc. 263]. Recently, at the Court's request, the parties simultaneously filed supplemental briefs addressing biological plausibility and bioavailability, two matters relating to general causation [Doc. 296 (plaintiffs); Doc. 295 (defendant) ].
Defendant's summary judgment motion will be denied because plaintiffs have put forward evidence from which a reasonable jury could find that plaintiffs' exposure was capable of causing the complained-of diseases. Defendant's motion for judgment on the pleadings will be granted because plaintiffs do not have a cognizable strict liability claim under Tennessee state law. After a brief background, each motion will be addressed in turn.
*795I. Background
The facts and procedural history of this case are long, complicated, and well-documented in numerous other court filings [E.g. , Doc. 39, at 2-16; Doc. 279, at 3-8]. The background necessary for resolving these motions follows.
Plaintiffs, who worked, or had spouses or next of kin who worked, on the fly ash
The trial will take place in two phases [Doc. 136]. "Phase I will involve issues and evidence relating to: (1) whether defendant owed plaintiffs a legal duty; (2) whether defendant breached that duty; and (3) whether defendant's breach was capable of causing plaintiffs' alleged injuries" [Doc. 136 at 7]. "Phase II will involve issues and evidence relating to: (1) specific causation with respect to individual plaintiffs; (2) each plaintiff's alleged injuries; and (3) the extent to which individual plaintiffs are entitled to damages" [ Id. ]. In other words, Phase I will deal with, among other things, the issue of general causation, and Phase II will deal with, among other things, specific causation concerning each individual plaintiff [ Id. ]. Phase I of the trial is currently scheduled for October 16, 2018 [Doc. 265]. Phase II would begin at some undetermined date thereafter.
Discovery disputes have ensued, all the details of which need not be recounted. Plaintiffs have withdrawn all of their experts, except for one: Dr. Paul Terry, an epidemiologist who will testify about general causation [Doc. 261, at 1, 5-6]. Magistrate Judge Guyton described Dr. Terry's expert report
Dr. Terry's general causation analysis, which seeks to answer whether "exposure to a chemical or other factor [can] cause a disease," now employs an extensive literature review methodology to determine whether specific components of coal fly ash reported to be present at the Site-fine particulate matter, arsenic, cadmium, chromium, lead, nickel, vanadium, and naturally occurring radioactive materials-are causally associated with the specific diseases reported by Plaintiffs, including hypertension, coronary artery disease, lung cancer, leukemia, non-melanoma skin cancer, allergic contact dermatitis, peripheral neuropathy, asthma, chronic *796obstructive pulmonary disease, and various respiratory conditions such as cough, sore throat, dyspnea on exertion, chest pain or discomfit, bronchitis, and emphysema.
[Doc. 279, at 4-6]. Defendants, arguing that Dr. Terry's opinions were not reliable, moved to exclude his report and testimony under Rule 702 and Daubert [Doc. 241]. Magistrate Judge Guyton issued an order denying that motion [Doc. 279]. Defendant's objections to that order were overruled [Doc. 291]. In the meantime, the Court took judicial notice of the existence of the Administrative Order on Consent [Doc. 287].
Defendants have two experts on general causation. Dr. Scott D. Phillips, a board-certified physician in internal medicine and medical toxicology, opines that "[p]laintiffs have not been exposed at Kingston Fossil Plant to levels of fly ash sufficient to cause illness," and that "[m]etals are bound to the fly ash particles and are not dissolving out of the particles and into the body to cause illness" [Doc. 237-7, at 6 of 90]. Dr. David. G. Hoel, an epidemiologist, has not addressed Dr. Terry's latest report, but states, "The scientific literature does not support Dr. Terry's conclusions about fly ash exposures at low exposure levels" [Doc. 237-8, at 7 of 41]. Dr. Hoel's report also generally discusses the science of epidemiology and epidemiological methods [Id. at 7-11].
Before the Court is defendant's motion for summary judgment on the issue of general causation, and also defendant's motion for judgment on the pleadings on its strict liability for ultrahazardous or abnormally dangerous activity. For the reasons that follow, the summary judgment motion will be denied, but the motion for judgement on the pleadings will be granted.
II. Summary judgment on the issue of general causation is not warranted.
Summary judgment is not proper here because there is evidence in the record from which a reasonable jury could conclude that plaintiffs have met their burden on general causation. Plaintiffs have presented evidence that they, in general and as a group, were exposed to large amounts of coal and fly ash at the Kingston site and were not allowed to wear protection. Defendant concedes that the toxic constituents found in that ash can, under certain circumstances, cause the complained-of diseases. Moreover, Dr. Terry's report discusses the levels of various toxic constituents found within the Kingston fly ash, and concludes, based on his review of hundreds of epidemiological studies, that those levels can cause many of the complained-of diseases. Defendant's counterarguments-concerning biological plausibility and bioavailability-are unavailing, as a causal association can exist without either, and there is enough evidence for a reasonable jury to draw that conclusion here. For these reasons, summary judgment on the issue of general causation will be denied.
A. Legal Standard
Summary judgment under Rule 56 of the Federal Rules of Civil Procedure is proper "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). The moving party-here, defendant-bears the burden of establishing that no genuine issues of material fact exist. Celotex Corp. v. Catrett ,
*797Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp. ,
"Once the moving party presents evidence sufficient to support a motion under Rule 56, the nonmoving party is not entitled to a trial merely on the basis of allegations." Curtis Through Curtis v. Universal Match Corp. ,
The Court's function at the point of summary judgment is limited to determining whether sufficient evidence has been presented to make the issue of fact a proper question for the factfinder. Anderson , 477 U.S. at 250,
"[S]ummary judgment is not intended to resolve disagreements among experts." Spirit Airlines, Inc. v. Northwest Airlines, Inc. ,
B. A reasonable jury could find for plaintiffs on general causation.
Under Tennessee law, it is the plaintiffs' burden to show that defendant's allegedly tortious conduct was the factual cause of their injuries. See Bradshaw v. Daniel ,
*798Pluck v. BP Oil Pipeline Co. ,
Only general causation is at issue here.
1. Plaintiffs have presented adequate evidence of their exposure to fly ash for general causation purposes.
The parties disagree about whether, and to what extent, plaintiffs are required to prove their exposure at this stage of the litigation. According to defendant, plaintiffs must prove: "the minimum levels of exposure to constituents of fly ash necessary to cause the types of illnesses they allege," and "the doses or levels of the constituents to which Plaintiffs were potentially exposed while working at Kingston, i.e. , actual exposure to potentially harmful levels of the constituents" [E.g. , Doc. 295, at 12]. Plaintiffs, on the other *799hand, argue that general causation "does not require proof of the doses or levels of the constituents to which individual Plaintiffs were exposed while cleaning up the coal fly ash at Kingston" [E.g. , Doc. 253, at 12].
Plaintiffs have the better of this argument. Plaintiffs need not show any one individual plaintiff's exposure level, because general causation does not require individualized proof. The Sixth Circuit, noting that general causation is suitable for class-wide adjudication, suggested as much in Sterling : "Although such generic and individual causation may appear to be inextricably intertwined, the procedural device of the class action permitted the court initially to assess the defendant's potential liability for its conduct without regard to the individual components of each plaintiff's injuries. " Sterling v. Velsicol Chem. Corp. ,
Other federal appellate courts similarly suggest that individualized proof is not required to prove general causation. See, e.g. , McClain v. Metabolife Intern., Inc. ,
This general understanding makes sense. Because general causation is something all plaintiffs have in common, individualized proof cannot be necessary. Indeed, that is why general causation is often litigated on a class-wide, or at least collective or consolidated, basis. In McClain , for example, the Eleventh Circuit recognized (albeit in dicta) that, in cases where "the medical community generally recognizes the toxicity of the drug or chemical at issue," the court need not extensively analyze general causation.
This is not to suggest that the concepts of exposure and dose are irrelevant to the general causation inquiry. Rather, as a matter of basic science, "the dose makes the poison." Bernard D. Goldstein & Mary Sue Henifin, Reference Guide on Toxicology, in Reference Manual on Scientific Evidence 636 (Federal Judicial Center 3d ed. 2011) (hereinafter, "Reference Manual").
*800Thus, there are safe exposures levels of many substances normally considered "dangerous," and conversely, dangerous exposure levels to many substances normally considered "safe." Therefore, to say that a chemical agent is capable of causing a disease-i.e., that plaintiffs' burden on general causation is satisfied-without some reference to a particular dose, would be incoherent. But, as explained above, general causation does not require individual or particularized proof about dose or exposure because those matters fall within the ambit of specific causation. Rather, at this stage of this litigation, it is enough for plaintiffs to show that the amount of toxic constituents generally present in the fly ash at the Kingston site was capable of causing the complained-of diseases.
As far as their exposure is concerned, plaintiffs have met that burden. The record is replete with evidence about plaintiffs' exposure to fly ash. Plaintiffs, other fly-ash cleanup workers, and their families have provided declarations concerning their significant and repeated exposure to fly ash [see Docs. 253, 255, Exhibits 6-21], photographs of fly ash in the air and on worker's skin and clothing [see Docs. 255, 256, Exhibits 22-24], and deposition excerpts with testimony concerning plaintiffs' exposure [see Doc 256, Exhibits 26-41]. These affidavits show that plaintiffs worked various jobs in the fly-ash cleanup, many in the so-called "Exclusion Zone," where the amount of fly ash was greatest. The ash was abundant and often airborne, obscuring vision [Doc. 255-6, at 4], and sometimes producing "ash twisters[s]" [Doc. 256-3, at 8 or 10]. The fly ash would find its way into plaintiffs' mouths [Doc. 255-4, at 4], and other orifices [Doc. 255-5, at 4]. One affiant recounts his being stuck in knee-deep fly ash for approximately ten minutes [Doc. 255-5, at 4]. Another affiant recalls that some plaintiffs ate food that had been contaminated with fly ash and were told that it was safe to do so [Doc. 253-7]. Moreover, there is evidence in the record that plaintiffs were not allowed to wear respiratory protection or dust masks, despite requests, and even when prescribed by a doctor [e.g. , Docs. 109-2, at 4; 253-11, at 4]. The evidence proffered of plaintiffs' collective, significant exposure to fly ash is legion and need not be detailed further.
For general causation purposes, "[p]roof of exposure may entail relatively straightforward historical facts, such as the presence of asbestos at the plaintiff's workplace." Restatement (Third) of Torts: Phys. & Emot. Harm § 28, cmt. c.(3) (2010). Here, these historical facts show such extensive exposure that further proof is unnecessary at this stage of the litigation. Plaintiffs have done more than enough to demonstrate exposure sufficient to overcome summary judgment on general causation.
Contrary to defendant's argument, this Court's decision in In re Tennessee Valley Auth. Ash Spill Litig. ,
2. A reasonable jury could conclude that the toxic constituents in fly ash are capable of causing the complained-of diseases.
There is no serious dispute that the identified constituents of fly ash are capable of causing the identified diseases. Indeed, the record evidence is clear, and defendant explicitly concedes, that the chemical constituents found in the Kingston fly ash are capable of causing most of the complained-of diseases [E.g. , Doc 283, at 19]. Furthermore, Dr. Terry's third report discusses the amount of each constituent in the fly ash at Kingston [Doc. 261-1, at, e.g., 12-13 (lead), 15-16 (arsenic) ], and the Administrative Order on Consent confirms that the ash at the Kingston site contained the constituents listed in Dr. Terry's report [Doc. 267-1, at 7]. Dr. Terry's report collected hundreds of studies with populations exposed to the fly-ash constituents through various different exposure pathways and systematically reviewed those reports. For each of the toxic constituents, the report concludes, based on analysis of data gleaned from the hundreds of cited studies, that the levels found in the Kingston fly ash were capable of causing the identified diseases. Specifically, Dr. Terry's report concludes that:
1. Lead in coal ash can cause hypertension.
2. Arsenic, cadmium, and fine particulate matter in coal ash can cause coronary artery disease.
3. Arsenic, cadmium, chromium, and fine particulate matter in coal ash can cause lung cancer.
4. Ionizing radiation in coal ash can cause leukemia.
5. Arsenic in coal ash can cause non-melanoma skin cancer.
6. Chromium and nickel in coal ash can cause allergic contact dermatitis (skin allergy ).
7. Arsenic and lead in coal ash can cause peripheral neuropathy.
8. Chromium, fine particulate matter, nickel, and vanadium in coal ash can cause asthma.
*8029. Cadmium and fine particulate matter in coal ash can cause chronic obstructive pulmonary disease.
10. Fine particulate matter and other coal ash constituents can cause respiratory conditions, including cough, sore throat, dyspnea on exertion, chest pain or discomfort, bronchitis and emphysema.
[Doc. 261-1, at 5]. Based on these facts-Dr. Terry's conclusions that the abovementioned constituents are capable of causing the abovementioned diseases-combined with plaintiffs' significant and repeated exposure to fly ash (discussed above), a reasonable jury could conclude that plaintiffs' exposure to those constituents was capable of causing those diseases.
To be sure, defendant's experts disagree with Dr. Terry's assessment. But "summary judgment is not intended to resolve disagreements among experts." Spirit Airlines, Inc. v. Northwest Airlines, Inc. ,
Case law supports this conclusion. In In re Hanford , the Ninth Circuit reversed the district court, which had required the plaintiffs "to prove that they were exposed to a specific level of radiation" in order to establish general causation.
Defendants contend that McClain v. Metabolife ,
O'Donnell's opinions lack the indicia of reliability necessary to survive a Daubert inquiry and challenge under Rule 702. He draws speculative conclusions about Metabolife's toxicity from questionable principles of pharmacology, while at the same time, neglecting the hallmark of the science of toxic torts-the dose-response relationship. He also draws unsubstantiated analogies between ephedrine and phenylpropanolamine, infers conclusions from studies and reports that the papers do not authorize, and unjustifiably relies on government public health reports and consumer complaints to establish medical causation. In short, O'Donnell does not support his opinions with sufficient data or reliable principles, as identified by the Daubert rubric, and fails to follow the basic methodology that experts should follow in toxic tort cases.
3. Defendant's evidence about biological plausibility and bioavailability does not warrant summary judgment.
According to defendant, plaintiffs must establish "that it is biologically plausible that their exposure could have caused the harm alleged" [E.g. , Doc. 295, at 12]. In support, defendant cites various record documents, which indicate that fly ash particles remain stable under most conditions and, as a result, the constituent elements remain bound to the fly ash particles. As a result, defendant maintains that because the toxic constituents of fly ash are not bioavailable, meaning that they are incapable of being absorbed by humans, it is not biologically plausible that exposure to fly ash caused plaintiffs' diseases. Thus, so the argument goes, Dr. Terry's "opinions regarding certain constituents of fly ash do *804not establish that an exposure to fly ash is capable of causing the injuries alleged" [Doc. 295, at 12]. Accordingly, defendant argues that plaintiffs must show, for each toxic constituent: "(1) how and under what conditions the constituents can become unbound from the ash particles, and (2) whether and to what extent that might have occurred at Kingston" [Doc. 295, at 14].
Defendant's argument misses the mark. Plaintiffs are not required to show biological plausibility or bioavailability.
There is no formula or algorithm that can be used to assess whether a causal inference is appropriate based on these guidelines. One or more [Bradford-Hill] factors may be absent even when a true causal relationship exists. Similarly, the existence of some factors does not ensure that a causal relationship exists. Drawing causal inferences after finding an association and considering these factors requires judgment and searching analysis, based on biology, of why a factor or factors may be absent despite a causal relationship, and vice versa. Although the drawing of causal inferences is informed by scientific expertise, it is not a determination that is made by using an objective or algorithmic methodology.
Id. at 600. There is no threshold number of factors that must exist.
Defendant has cited no case holding otherwise. The closest is this Court's previous statement that "Under Tennessee law, in order to establish proximate cause for claims of intentional or negligent infliction of emotional distress or bodily injury due to environmental exposure to toxic chemicals or to diseases such as AIDS, 'evidence of a medically recognized channel of transmission' is required." In re Tennessee Valley Auth. Ash Spill Litig. ,
Because plaintiffs do not have to show biological plausibility or bioavailability, defendant's evidence about these points is not dispositive. In other words, general causation can exist without either. Thus, defendant is left to argue that the evidence presented on these matters cuts so overwhelmingly in its favor that no reasonable jury could find for plaintiffs on the issue of general causation.
But the evidence is not so clear. As an initial matter, and as plaintiffs point out, it does not appear that defendant's experts have identified any studies specifically showing that human lungs, human skin, or the human digestive system are incapable of absorbing any of the toxic substances from fly ash. Rather, these are the opinions of defendant's experts, who opine that plaintiffs have not demonstrated bioavailability of the toxic constituents of coal fly ash [Doc. 237-7 at 16-18; Doc. 263-2 at 5; Doc. 263-1 at 5]. Dr. Terry, after reviewing hundreds of studies (on the various constituents and exposure pathways many of which appear to discuss bioavailability), *806synthesized that information to disagree and conclude that general causation does exist for many of the fly-ash constituents and several associated diseases. Again, "summary judgment is not intended to resolve disagreements among experts." Spirit Airlines ,
What is more, bioavailability is completely irrelevant to part of plaintiffs' claim. Specifically, with respect to fine particulate matter, which according to Dr. Terry, can cause coronary artery disease [Doc. 253-4, at 30-33 of 139], lung cancer [id. at 52-56 of 139], asthma [id. at 81-84 of 139], chronic obstructive pulmonary disease [id. at 93-99 of 139], and other respiratory disorders [id. at 100-03 of 139], bioavailability is not implicated because the causal mechanisms identified in Dr. Terry's report [e.g. , id. at 33, 55 of 139], do not depend upon these materials being released from the fly ash particles and absorbed into the body. Rather, these diseases are caused by the small particle size, which allows the particles to be inhaled deep into the lungs where they remain indefinitely, causing continued inflammatory effects on lung cells and immune function. And, as explained above, the evidence of plaintiffs' general, collective exposure to fly ash is extensive.
Moreover, the remaining evidence on biological plausibility and bioavailability is not as clear as defendant claims it to be. For example, the EPA has expressed concern about the leachability of toxic metals from fly ash, noting that the constituents of most environmental concern include arsenic, cadmium and chromium. See
Dr. Terry's report also discusses bioavailability for many of the other constituents. For example, arsenic exposure through inhalation and ingestion is causally associated with cancer because it acts at the cell level by damaging DNA [Doc. 253-4, at 38 of 139]. For lead, Dr. Terry cites at least one study that addresses lead exposure and bioavailability [Id. at 20-21].
It is true that, as defendant argues, most of the exposure pathways described in these studies are different than those potentially experienced by plaintiffs. But courts agree that epidemiological evidence-of any kind-is not necessary to establish general causation. See In re Meridia Prod. Liab. Litig. ,
All told, defendant's argument merely highlights a disagreement among the experts about what is required to form an opinion about general causation. Defendant's experts maintain that such an opinion cannot be rendered without a showing of biological plausibility and bioavailability are required. Dr. Terry maintains otherwise, and has come to a conclusion without considering those factors, at least in the way that defendant understands them. Such disagreements are not appropriate grounds for summary judgment. See Spirit Airlines ,
Biological plausibility and bioavailability are important scientific concepts. But it does not appear that either is strictly necessary for an association between a particular toxic agent and a particular disease to be considered causal. Accordingly, neither is required to establish proof of general causation. Defendant can, of course, continue to argue about biological plausibility and bioavailability at trial. But plaintiffs' purported failure to demonstrate those things does not doom their claims as a matter of law, and defendant's evidence on these points is not so persuasive that no reasonable jury could, by a preponderance of the evidence, find for plaintiffs. Summary judgment is therefore not warranted, and defendant's motion will be denied.
III. Defendants are entitled to judgment on plaintiffs' strict liability claims.
Defendant's motion for judgment on the pleadings will be granted. Plaintiffs have not stated a viable strict liability claim under Tennessee law because the fly-ash cleanup and removal is not an inherently ultrahazardous or abnormally dangerous activity.
A. Legal Standard
Rule 12(c) provides that "[a]fter the pleadings are closed but within such time as not to delay the trial, any *808party may move for judgment on the pleadings." Fed. R. Civ. P. 12(c). Under Fed. R. Civ. P. 12(c), judgment on the pleadings is appropriate when there are no material facts in dispute and the moving party is "entitled to judgment as a matter of law." Paskvan v. City of Cleveland Civil Service Commission ,
Accordingly, the factual allegations in the Amended Complaint must be treated as true for purposes of this motion. Ashcroft v. Iqbal ,
B. Defendant's coal and fly ash cleanup is not an ultrahazardous activity under Tennessee law
"In Tennessee, defendants engaged in ultrahazardous activities are held strictly liable for injuries caused to the person or property of another by defendant's participation in the activity." Leatherwood v. Wadley ,
Those factors adopted in Leatherwood , which come from § 520 of the Second Restatement of Torts, are as follows:
(a) existence of a high degree of risk of some harm to the person, land or chattels of others;
(b) likelihood that the harm that results from it will be great;
(c) inability to eliminate the risk by the exercise of reasonable care;
(d) extent to which the activity is not a matter of common usage;
(e) inappropriateness of the activity to the place where it is carried on; and
(f) extent to which its value to the community is outweighed by its dangerous attributes.
Leatherwood ,
*809The balance of these factors weighs in defendant's favor, particularly in light of the fact that defendant's job was to clean up the already-spilled and potentially hazardous fly-ash. Factors (c) and (f) are particularly instructive here. Defendant could have eliminated much of the risk associated with the fly-ash cleanup through the exercise of reasonable care, such as adherence to the Site Wide Safety and Health Plan, to which plaintiffs refer in their complaint, and also through the kind of safety monitoring and protection that defendant allegedly failed to provide or allow. And the value of the fly-ash cleanup to the public outweighs any inherent danger that could not otherwise have been eliminated through reasonable care. Factor (d) also weighs in defendant's favor because fly ash is a byproduct of coal-powered energy, which is produced every day at Kingston and other coal-burning sites and is thus relatively common. Factor (e) similarly weighs in defendant's favor because the entire purpose of the fly-ash cleanup was to remove potentially hazardous waste from the surrounding area. The activity was thus appropriate for the area because it could not have been relocated elsewhere. Even if factors (a) and (b) were to weigh in plaintiffs' favor, the overall balance still favors defendants. Other courts appear to agree that hazardous waste disposal or removal is not ultrahazardous or abnormally dangerous.
Indeed, plaintiffs' response does not address most of these factors, but rather argues that strict liability should attach for two main reasons: first, because defendant's unsafe handling of the fly-ash cleanup, allegedly in violation of environmental regulations, created an abnormal danger; and second, because defendant could be held strictly liable under the Comprehensive Environmental Response, Compensation, and Liability Act (hereinafter, "CERCLA"),
Defendant's motion for judgment on the pleadings will therefore be granted.
IV. Conclusion
For the reasons stated, defendant's motion for summary judgment on the issue of general causation [Doc. 237], is hereby DENIED , and defendant's motion for judgment on the pleadings with respect to plaintiffs' strict liability claims [Doc. 251] is GRANTED . These cases will therefore proceed to trial on phase one, in accordance with the bifurcated trial plan previously entered by the Court [Doc. 136].
IT IS SO ORDERED.
"Fly ash is a product of burning finely ground coal in a boiler to produce electricity. Fly ash is removed from the plant exhaust gases primarily by electrostatic precipitators or baghouses and secondarily by wet scrubber systems. Physically, fly ash is a very fine, powdery material, composed mostly of silica. Nearly all particles are spherical in shape."
This is technically Dr. Terry's third expert report, but his first two have been withdrawn [Doc. 261].
See e.g. , Knight v. Kirby Inland Marine Inc. ,
Because this action is before the Court based on diversity jurisdiction under
Here, it appears that neither the Tennessee Supreme Court, nor any of Tennessee's Courts of Appeals, have considered the standard for general (or, for that matter, specific) causation in toxic-tort cases. Accordingly, the Court will "consider all relevant data, including jurisprudence from other jurisdictions," Combs v. Int'l Ins. Co. ,
Defendant appears to more or less agree with this standard at one point in its reply brief: "In other words, Plaintiffs need not prove the levels to which particular individuals were exposed at this stage, but they are required to prove that the nature and degree of the exposure to fly ash to which Plaintiffs and others might have been subjected could have caused the types of illnesses they allege" [Doc. 257, at 4].
See, e.g. , TVA ,
For this reason, the Court declines to discuss in detail each individual fly-ash constituent associated with each individual disease. Dr. Terry's testimony at trial, and consequentially plaintiffs' recovery, will be limited to the constituents and causal associations identified in his report.
Because the Ninth Circuit reversed the district court for exceeding the scope of the general causation inquiry by requiring individualized proof, any statements about the minimum requirements of general causation, i.e., what type of exposure plaintiffs must show, were not necessary to the disposition of that case and are thus dicta. See Black's Law Dictionary (10th ed. 2014) (defining "dictum" as, "A court's stating of a legal principle more broadly than is necessary to decide the case"). Defendant's statement that "[t]he court did, in fact, hold that in order to establish general causation, the plaintiffs were required to prove that the levels of radiation to which they claimed they were exposed were capable of causing their alleged injuries," [Doc. 263, at 7], is therefore incorrect.
The Bradford-Hill factors are used by epidemiologists to determine whether a causal inference is justified given an identified association between a toxic agent and a disease. These factors are: temporal relationship; strength of the association; dose-response relationship; replication of the findings; biological plausibility (coherence with existing knowledge); consideration of alternative explanations; cessation of exposure; specificity of the association; and consistency with other knowledge. See Michael D. Green et al. , Reference Guide on Epidemiology, in Reference Manual at 599-606 (identifying and describing each factor).
There is some confusion in the briefing about the precise meaning of the terms "biological plausibility" and "bioavailability." The Reference Manual defines "biological plausibility" as "consideration of existing knowledge about human biology and disease pathology to provide a judgment about the plausibility that an agent causes a disease," Michael D. Green et al., Reference Guide on Epidemiology, in Reference Manual at 620, and "bioavailability" as "[t]he rate and extent to which a chemical or chemical breakdown product enters the general circulation, thereby permitting access to the site of toxic action." Joseph V. Rodricks, Reference Guide on Exposure Science, in Reference Manual at 545. Bioavailability is also described as "the extent to which a compound ... is taken up into the body." Bernard D. Goldstein & Mary Sue Henifin, Reference Guide on Toxicology, in Reference Manual at 667 n.92. Because defendant's argument appears to be based on both concepts, i.e., that plaintiffs have not demonstrated biological plausibility because they have not demonstrated bioavailability, the Court need not parse these difficult scientific concepts any further.
See Austin Bradford Hill, The Environment and Disease: Association or Causation? 58 Proc. Royal Soc'y Med. 295 (1965) (Hill acknowledged that his factors could only serve to assist in the inferential process: "None of my nine viewpoints can bring indisputable evidence for or against the cause-and-effect hypothesis and none can be required as a sine qua non. " (cited at Michael D. Green et al. , Reference Guide on Epidemiology, in Reference Manual at 600 n.148) ).
"Biological mechanisms" appear to be related to, if not synonymous with, the concept of biological plausibility. See Michael D. Green et al. , Reference Guide on Epidemiology, in Reference Manual at 604-05.
Leaching is the process through which leachate originates. The EPA has defined "leachate" as "Water that collects contaminants as it trickles through wastes, pesticides, or fertilizers. Leaching may occur in farming areas, feedlots, and landfills, and may result in hazardous substances entering surface water, groundwater, or soil." National Service Center for Environmental Publications, U.S. Environmental Protection Agency, Terms of Environment: Glossary, Abbreviations, and Acronyms, at 16 (Sept. 1992), available at https://nepis.epa.gov/Exe/ZyPURL.cgi?Dockey=200081E1.TXT.
National Toxicology Program, U.S. Department of Health and Human Services. NTP Monograph on Health Effects of Low-Level Lead, June 13, 2012, available at https://ntp.niehs.nih.gov/ntp/ohat/lead/final/monographhealtheffectslowlevellead_newissn_508.pdf.
See, e.g., Banks v. Ashland Oil Co. ,
See Bernbach v. Timex Corp. ,
Reference
- Full Case Name
- Greg ADKISSON v. JACOBS ENGINEERING GROUP, INC., Kevin Thompson v. Jacobs Engineering Group, Inc., Joe Cunningham v. Jacobs Engineering Group, Inc., Bill Rose v. Jacobs Engineering Group, Inc., Craig Wilkinson v. Jacobs Engineering Group, Inc., Angie Shelton, as wife and next of Kin on behalf of Mike Shelton v. Jacobs Engineering Group, Inc., Johnny Church v. Jacobs Engineering Group, Inc., Donald R. Vanguilder, Jr. v. Jacobs Engineering Group, Inc., Judy Ivens, as sister and next of kin, on behalf of Jean Nance v. Jacobs Engineering Group, Inc., Paul Randy Farrow v. Jacobs Engineering Group, Inc.
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