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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 health
  departments we     How Do We
  need to quickly      Do It?
  and reliably
  recognize
  unsupportable
  claims
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       E. coli O157:H7
                                       Campylobacter

 • Salmonella
 • Shigella
 • Campylobacter                         Hepatitis A
                     Salmonella
 • Vibrio



                        Shigella           Vibrio
Matching Incubation Periods

 Incubation Periods Of Common Pathogens


    PATHOGEN                INCUBATION PERIOD
    Staphylococcus aureus   1 to 8 hours, typically 2 to 4 hours.
    Campylobacter           2 to 7 days, typically 3 to 5 days.
    E. coli O157:H7         1 to 10 days, typically 2 to 5 days.
    Salmonella              6 to 72 hours, typically 18-36 hours.
    Shigella                12 hours to 7 days, typically 1-3 days.
    Hepatitis A             15 to 50 days, typically 25-30 days.
    Listeria                3 to 70 days, typically 21 days.
    Norovirus               24 to 72 hours, typically 36 hours.
Epidemiologic Assessment


                       • Time
                       • Place
                       • Person
                         association
                       • Part of a
                         recognized
                         outbreak?
Medical Attention



  • Health care
    provider


  • Emergency
    Room


  • Hospitalization
Health Department Involvement
FOIA/Public Records Request
Prior Health Department Inspections




 • Improper      • Improper
   cooking         storage
   procedures      and cooking
                   procedures
 • Improper      • Improper
   refrigeration   sanitation
Communicable Disease Investigation


                    • Reportable
                      Disease Case
                      Report Form
                    • Enteric/viral
                      laboratory
                      testing results
                      – Human
                        specimens
                      – Environmental
                        specimens
Molecular Testing Results



• PFGE/MLVA
• PulseNet
Traceback Records

                                                                  GROWER
 POS A    FIRM A       FIRM D          FIRM I         FIRM N        A


                                                                  GROWER
  POS B                FIRM E          FIRM J                       B

          FIRM B
                       FIRM F          FIRM K                     GROWER
 POS C                                                              C


                                                                  GROWER
                       FIRM G                                       D
                                                         FIRM O
 POS D    FIRM C                       FIRM L
                       FIRM H
                                      FIRM M

                               No. of outbreaks
                                Assoc. with firm/
              Firm Name      Total no. of outbreaks
              Firms A,C,D,G,
              H,I,L,M,N               1/4
              Growers A&C             1/4
              Firms B,E,F,J,K         2/4
              Firm O, Grower D        3/4
              Grower B                4/4
Who is a Manufacturer?

                   A “manufacturer” is
                   defined as a “product
                   seller who designs,
                   produces, makes,
                   fabricates, constructs,
                   or remanufactures the
                   relevant product or
                   component part of
                   a product before its
                   sale to a user or
                   consumer….”
                      RCW 7.72.010(2); see also
                    Washburn v. Beatt Equipment
                      Co., 120 Wn.2d 246 (1992)
The Legal Standard: Strict Liability


 • The focus is on the product; not the conduct
 • They are liable if:
   – The product was unsafe
   – The product caused the injury



    STRICT LIABILITY IS LIABILITY WITHOUT
              REGARD TO FAULT
Causation - Science

  “Causation is an essential
  concept in epidemiology,
  yet there is no single, clearly
  articulated definition ….”
  J Epidemiol Community Health
  2001Dec;55(12):905-12;
  Parascandola M, Weed DL.

  Confidence Interval (CI) –
  Range within which 95%
  of times the true value of
  the estimated association
  lies (95% CI)
Causation – The Law

                        “A proximate cause of
                an injury is a cause which, in
                natural and continuous sequence,
                produces the injury, and without
                which the injury would not have
                [likely] occurred. The concept
                of proximate causation has given
                courts and commentators
                consummate difficulty and has
                in truth defied precise
                definition.” Prosser, Torts, pp.
                311-313
                        However, “It really is
                what is more likely than not.
                It is 50% and an extra grain of
                sand.” Marler on the law
But, Causation Still Requires
Admissible Evidence
                  • Whether a theory
                    or technique can be
                    (and has been) tested
                  • Whether it has been
                    published and subjected
                    to peer review
                  • Whether it has a high
                    potential rate of error
                  • Whether it enjoys
                    general acceptance
                    in scientific community
                  • Daubert v. Merrell
                    Dow Pharm., Inc.,
                    509 U.S. 579 (1993).
It’s called STRICT Liability for a Reason


                     • The only defense
                       is prevention
                     • Wishful thinking
                       does not help
                     • If they
                       manufacture a
                       product that causes
                       someone to be sick
                       they are going to
                       pay IF they get
                       caught
Why Strict Liability?


 Puts pressure
 on those
 (manufacturers)
 that most likely
 could correct
 the problem in
 the first place


 Puts the cost of              Creates incentive
 settlements and verdicts      not to let it happen
 directly onto those           again
 (manufacturers) that profit
 from the product
What Will a Jury Think?
Questions?
To Learn More…

Bill Marler
Marler Clark, The Food Safety Law Firm

1301 2nd Avenue
Suite 2800
Seattle, WA 98101

1 866-770-2032

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Law and Science with Bill Marler at 2010 PulseNet Update Meeting

  • 1.
  • 2. 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?
  • 3. The Chaff Just like health departments we How Do We need to quickly Do It? and reliably recognize unsupportable claims
  • 4. Basic Tools of the Trade • Symptoms • Incubation • Duration • Food History • Medical Attention • Suspected source • Others Ill Health Department Involvement
  • 5. Matching Symptoms with Specific Characteristics of Pathogens • E. coli O157:H7 • Hepatitis A E. coli O157:H7 Campylobacter • Salmonella • Shigella • Campylobacter Hepatitis A Salmonella • Vibrio Shigella Vibrio
  • 6. Matching Incubation Periods Incubation Periods Of Common Pathogens PATHOGEN INCUBATION PERIOD Staphylococcus aureus 1 to 8 hours, typically 2 to 4 hours. Campylobacter 2 to 7 days, typically 3 to 5 days. E. coli O157:H7 1 to 10 days, typically 2 to 5 days. Salmonella 6 to 72 hours, typically 18-36 hours. Shigella 12 hours to 7 days, typically 1-3 days. Hepatitis A 15 to 50 days, typically 25-30 days. Listeria 3 to 70 days, typically 21 days. Norovirus 24 to 72 hours, typically 36 hours.
  • 7. Epidemiologic Assessment • Time • Place • Person association • Part of a recognized outbreak?
  • 8. Medical Attention • Health care provider • Emergency Room • Hospitalization
  • 11.
  • 12. Prior Health Department Inspections • Improper • Improper cooking storage procedures and cooking procedures • Improper • Improper refrigeration sanitation
  • 13. Communicable Disease Investigation • Reportable Disease Case Report Form • Enteric/viral laboratory testing results – Human specimens – Environmental specimens
  • 14. Molecular Testing Results • PFGE/MLVA • PulseNet
  • 15. Traceback Records GROWER POS A FIRM A FIRM D FIRM I FIRM N A GROWER POS B FIRM E FIRM J B FIRM B FIRM F FIRM K GROWER POS C C GROWER FIRM G D FIRM O POS D FIRM C FIRM L FIRM H FIRM M No. of outbreaks Assoc. with firm/ Firm Name Total no. of outbreaks Firms A,C,D,G, H,I,L,M,N 1/4 Growers A&C 1/4 Firms B,E,F,J,K 2/4 Firm O, Grower D 3/4 Grower B 4/4
  • 16. Who is a Manufacturer? A “manufacturer” is defined as a “product seller who designs, produces, makes, fabricates, constructs, or remanufactures the relevant product or component part of a product before its sale to a user or consumer….” RCW 7.72.010(2); see also Washburn v. Beatt Equipment Co., 120 Wn.2d 246 (1992)
  • 17. The Legal Standard: Strict Liability • The focus is on the product; not the conduct • They are liable if: – The product was unsafe – The product caused the injury STRICT LIABILITY IS LIABILITY WITHOUT REGARD TO FAULT
  • 18. Causation - Science “Causation is an essential concept in epidemiology, yet there is no single, clearly articulated definition ….” J Epidemiol Community Health 2001Dec;55(12):905-12; Parascandola M, Weed DL. Confidence Interval (CI) – Range within which 95% of times the true value of the estimated association lies (95% CI)
  • 19. Causation – The Law “A proximate cause of an injury is a cause which, in natural and continuous sequence, produces the injury, and without which the injury would not have [likely] occurred. The concept of proximate causation has given courts and commentators consummate difficulty and has in truth defied precise definition.” Prosser, Torts, pp. 311-313 However, “It really is what is more likely than not. It is 50% and an extra grain of sand.” Marler on the law
  • 20. But, Causation Still Requires Admissible Evidence • Whether a theory or technique can be (and has been) tested • Whether it has been published and subjected to peer review • Whether it has a high potential rate of error • Whether it enjoys general acceptance in scientific community • Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579 (1993).
  • 21. It’s called STRICT Liability for a Reason • The only defense is prevention • Wishful thinking does not help • If they manufacture a product that causes someone to be sick they are going to pay IF they get caught
  • 22. Why Strict Liability? Puts pressure on those (manufacturers) that most likely could correct the problem in the first place Puts the cost of Creates incentive settlements and verdicts not to let it happen directly onto those again (manufacturers) that profit from the product
  • 23. What Will a Jury Think?
  • 25. To Learn More… Bill Marler Marler Clark, The Food Safety Law Firm 1301 2nd Avenue Suite 2800 Seattle, WA 98101 1 866-770-2032