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Wednesday, November 23, 2011

Dr. Yasunosuke Suzuki, A Pioneer of Mesothelioma Medical Research

I am saddened to report the passing of Dr. Yasunosuke Suzuki. Dr. Suzuki partnered with the late Irving J. Selikoff MD at the Environmental Sciences Laboratory (ESL) of The Mt. Sinai School of Medicine and conducted some of the most famous and pioneering scientific research linking asbestos exposure with mesothelioma. Dr. Suzuki passed away on August 8, 2011, at 82.

I met Dr. Suzuki in the early years of my career when I litigated some of the initial claims involving asbestos exposures at The Union Asbestos and Rubber Company's (UNARCO) plant in Paterson, NJ. Dr. Selikoff, and my late father, a lawyer, both of Paterson, were involved in the "original 17" asbestos worker claims in 1954 before the New Jersey Division of Workers' Compensation. 

Following the successful disposition of those claims, Dr. Selikoff expanded his research at the ESL in New York City. Dr. Suzuki became the lead pathologist of that pioneering medical-investigative team. Dr. Suzuki played a critical role in the Paterson Asbestos Control Group that followed up, through autopsy, the cohort of 933 former workers of the UNARCO facility and their families. His analysis of the pathology of the asbestos-related tumors produced, along with Dr. Selikoff and his knowledgeable team, some of the sentinel epidemiological studies linking asbestos-related exposure of workers and their families and bystanders to asbestos exposures. 


The following obituary was published by the Collegium Ramazzini

Death of Professor Yasunosuke Suzuki August 8, 2011
It is with great sadness that the Collegium Ramazzini informs its Fellows of the death of one of its most illustrious and beloved colleagues, Professor Yasunosuke Suzuki. Professor Suzuki was an influential member of the Collegium and was honored with the Ramazzini Award in 1993 for his contribution to the scientific knowledge on the pathology of mesotheliomas among asbestos-exposed workers. Upon his retirement from the Mount Sinai School of Medicine in 2006, the Collegium Ramazzini again honored Professor Suzuki with the Irving J. Selikoff Award to recognize his many years of work as a pathologist who meticulously studied the diseases caused by asbestos and who also ventured forth courageously from his laboratory, as a true follower of Ramazzini and Selikoff, to press the urgent need in nations around the world for the banning of all production and use of all forms of asbestos. In fact, Dr Suzuki played a critical role in the decision by the Government of Japan to ban all use of asbestos in Japan. 


Collegium Ramazzini President Philip Landrigan remembers the occasion of the Selikoff award noting "(It) was a bittersweet occasion. Dr. Suzuki served as a member of the faculty of the Department of Community and Preventive Medicine at Mount Sinai for 40 years. While there are many of us still at Mount Sinai who worked with Dr. Selikoff as junior faculty, students and trainees, Dr. Suzuki is the last member of the "Selikoff generation" the group of age peers who worked most closely with Dr. Selikoff for so many years in Dr. Selikoff's pioneering studies of other asbestos and other occupational hazards."

Professor Suzuki received his M.D. degree from the Keio University School of Medicine in Tokyo in 1953. He completed one year internship in Tokyo at the Setagaya National Hospital, and was licensed in 1954 by the Japanese Government. 


In 1954 he joined the Department of Pathology in the Keio University School of Medicine starting as an "Assistant of Pathology". Dr. Suzuki's early work on the kidney he proved the presence of the mesangium, the third structural element of renal glomerulus. Working with new technology - the electron microscope, he was able to further define the structure of the mesangium.


In 1959, he was awarded the Doctorate of Medical Sciences in the field of Pathology. In 1960 he was sent abroad as an International Post Doctoral Research Fellow at the U.S. National Institutes of Health (NIH) training at New York University School of Medicine under Professor Johannes Rhodin. In 1961 he trained at the Mount Sinai Hospital Renal Pathology Division under Dr. Churg. He returned to Keio University 1962 as a faculty member. In 1966, Dr. Suzuki was invited to re-join Mount Sinai as a Research Associate. In addition to renal pathology with Dr. Churg, he started to investigate pathology of asbestos related diseases with Dr. Dr. Irving J. Selikoff. 


The research on asbestos-related diseases included seminal work on pulmonary asbestosis, the development and formation of asbestos bodies and electron microscopy of human malignant mesothelioma. In 1973, Dr. Suzuki again returned to Japan to serve as Chairman and Professor of Anatomy at Fujita-Gakuen University School of Medicine.


He returned to Mount Sinai in 1975 as Research Professor of Community Medicine and Research Associate Professor of Pathology. For the next 31 years, from 1975 to 2006, he devoted his time solely to the investigating the pathology of asbestos-related diseases. One of his most significant contributions was providing support to Selikoff's ground-breaking epidemiological study on asbestos insulation workers. Slide by slide, he reviewed the pathologic autopsy and biopsy samples taken from approximately 5,000 cases of insulation workers and confirmed the diagnosis of asbestos-related diseases. 


He was promoted to Professor of Pathology in 1989 and in 1991 to Professor of Community and Preventive Medicine. 


Dr. Suzuki published 171 peer review scientific papers. Dr. Suzuki estimated that over the course of his career in research, he had examined and written up approximately 538,000 individual slides.


Suzuki received several honors in addition to those conferred by the Collegium Ramazzini. Other awards include the honorary title of Guest Professor at Tokai University School of Medicine (1993-1996) and Honorary Visiting Professor of Pathology at Keio University School of Medicine (1999-2000). 

Friday, June 7, 2013

Frank Lautenberg: The Senator From Paterson

Senator Frank Lautenberg passed away this week and his legacy of helping the workers will live on for generations. "The boy Paterson," as he used to say, knew first hand of the problems confronted by those who worked in his hometown's asbestos factories.

Official Photograph of U.S. Senator Frank Laut...
Official Photograph of U.S. Senator Frank Lautenberg
1924-2013
 (Photo credit: Wikipedia)
At one of my early meetings with the late Irving J. Selikoff, MD, the world renown asbestos expert of the health dangers of asbestos fiber, the doctor highlighted the necessity for a strong link between medicine and politics. Both Dr. Selikoff and Senator Lautenberg, grew up and worked in Paterson, NJ.

Paterson, was the home of several asbestos manufacturing factories since it was on a railroad link and was equal distant to major US East coast seaports. Asbestos was a strategic commodity for the US military during World War II.  Asbestos had allegedly "miracle properties" that acted as an insulating agent on Navy ships, boiler rooms  and other heat producing equipment. The serious and adverse effects of asbestos fiber to humans was not readily made known to workers and the public at large.

Consequently, an epidemic of asbestos related disease, including: asbestosis, lung cancer and mesothelioma followed decades after exposure and inflicted disease and death in epidemic proportions. The "original 17" workers' compensation asbestos cases in New Jersey for exposures at The Union Asbestos and Rubber Company plant in Paterson NJ were heard at the Paterson (Passaic County) office of the NJ Division of Workers' Compensation. My father, Carl Gelman, represented the workers and the their dependents, and their medical expert was Dr. Irving J. Selikoff, MD. All were Patersonians.

Dr. Selikoff went onto head the Environmental Sciences Laboratory at the Mount Sinai Medical Center, NY, and continued to follow the cohort of workers through The Paterson Asbestos Control project. That lead to a research project that was published and presented at the New York Academy of Sciences in 1964. International concern was raised over the deadly hazard of asbestos fiber.

Medical research alone could not protect workers in a meaningful way, and Dr. Selikoff knew that, and impressed upon me that the US Senate and Congress would be catalysts for political change that help protect workers from asbestos and other hazardous progress. Likewise, Senator Lautenberg knew that also, and had strong and professional relationship with Dr. Selikoff.

Senator Lautenberg advanced the concept of an important medical-political relationship from asbestos to other environmental hazards and chemicals, including tobacco. The "boy from Paterson,"  sparked by a strong foundation of concern for asbestos workers and public health, brought to Washington a vision for a safer and healthier nation that made a difference to all.


Statement of Hon. Frank R. Lautenberg, U.S. Senator from the                    
State of New Jersey

"Madam Chairman, thank you for holding today's hearing on the health
effects of asbestos. Let me welcome Senator Murray to the committee and
thank her for working to keep Americans safe from asbestos.

   Every year, more than two-thousand Americans die premature and
painful deaths from exposure to asbestos. Their deaths leave children
without parents, and families struggling to make ends meet.

   New Jersey has America's sixth-highest number of deaths from
asbestos. From asbestos used in ship insulation at shipyards to
asbestos used to insulate pipes at refineries and factories, at least
two-thousand seven-hundred and seventy-five New Jerseyans died because
of asbestos exposure from 1979 to 2001. Just last week, a school in
Asbury Park was closed because part of the ceiling fell and asbestos
was found. This toxin's presence in offices, schools and homes could
pose health risks for years to come--ranging from breathing problems to
lung damage and cancer.

    One of the leading researchers on the link between asbestos and
lung disease was Dr. Irving Selikoff, who lived in New Jersey. Dr.
Selikoff did his research on workers across my state, including those
in my home town of Paterson. In 1979, Dr. Selikoff showed that one in
five asbestos workers developed a fatal lung disease. Senator Murray's
bill is a strategy for real action to reduce asbestos in the places we
live and work.

    The bill will ban the use of asbestos to the maximum extent
possible and benefit companies who are producing safer alternatives. It
also calls for more research on the health affects of asbestos, as well
as the best treatment options for asbestos-related illnesses and better
coordination among federal agencies. Congress owes our children and
grandchildren action now to protect them from asbestos in the future.

    I look forward to hearing the testimony of today's witnesses.

    Thank you Madam Chairman.

EXAMINING THE HUMAN HEALTH EFFECTS OF ASBESTOS AND THE METHODS: MITIGATING SUCH IMPACTS, Tuesday, June 12, 2007, The US Senate Committee on Environment and Public Works.
.........
 
"Mr. LAUTENBERG. Mr. President, since time is limited, I am going to get down to the nuts and bolts. I come from a State in which asbestos was prominent in manufacturing in many places. As a matter of fact, early in the 1950s, a doctor named Irving Selikoff, who was a researcher as well as a physician, discovered the lethality of asbestos. He is the one who raised the alarm about the dangers of that product.

He saw mesothelioma and asbestosis.

In my office in New Jersey, I had a man and his wife and his mature son, who was about 30 years old, come in to see me because they all had mesothelioma, but only the father worked in the manufacturing facility, the mill. His wife and child, his son, were made ill as a result of the mother washing her husband's clothes. That is how lethal, how dangerous asbestos is.

This bill is an abstract exercise. There are real people involved, people who are going to die as a result of the exposure. I have seen it up front and personal. A friend of mine who was a lawyer, after practicing 20 years, got a call from a member of a union one day that had asbestos workers, and he was told to get a chest x ray. He did. After 20 years of no illness, nothing, suddenly they found that he had a spot on his lung, and it turned into mesothelioma and he was dead soon thereafter.

I recently had a World War II vet--I am one as well--come into my office, sick from mesothelioma, from work he did 40 years ago. We have seen so many cases where the gestation period is so long, so that to suddenly close this out and say that is going to be enough money, $140 billion--it sounds like a lot, but it is not a lot when it comes to individuals who need help and who need to be able to continue to conduct their lives and do whatever they can to make life comfortable.

The Congressional Budget Office has stated that the fund will need $10 billion more. Other analysts put the figure as high as $300 billion. So it is fairly obvious that I am going to oppose this bill and support the point of order. I urge my colleagues to do the same because what we are doing is dismissing the suffering of people who have been exposed to this, even though the companies knew how dangerous the material was they were working with. They permitted people to work with it and did not do anything about it, except ultimately, in many cases, they went bankrupt as a result of their behavior.

FAIRNESS IN ASBESTOS INJURY RESOLUTION ACT OF 2005--Resumed -- (Senate - February 14, 2006)
................


"Mr. LAUTENBERG. Mr. President, I rise today in memory of a dear friend of mine, Prof. Irving J. Selikoff. Irving's uncompromised dedication to medical research and education in disease caused by hazardous materials paved the way for new standards of occupational safety. He was an extremely committed individual and I have learned a great deal about life, ethics, and public policy from him.
Dr. Selikoff's commitment to making the world a better place to live has been an inspiration to me and has further spurred my efforts to improve the public health. Mr. President, Dr. Irving Selikoff passed away on May 20, 1992, but he left us a legacy of medical knowledge that will continue to change the way people across the Nation live for many years to come. He will be missed.

Mr. President, on August 3, 1992, the industrial union department of the AFL-CIO adopted a resolution in memory of Dr. Selikoff. I want to share these words with my collegues and I ask unanimous consent that it be included in the Record.

Senator Lautenberg's Resolution in Memory of Dr. Irving J. Selikoff, January 15, 1915-May 20, 1992

Dr. Selikoff was a legend among workers. No other physician had as close a relationship with so many working people. He saw himself as a public servant, proud of working for a city medical school and being paid by the people.

He was first recognized as a scientist while serving in a public tuberculosis hospital, where he conducted the clinical trials for Isoniazid. This drug brought the `white plague', then the most serious disease in the workplace, under control. He started a clinic in Paterson, New Jersey, a community of textile workers. There, in response to disease among his own patients, all union members, he linked lung scarring and cancer to working with asbestos.

When he understood the importance of this finding, he left his clinic and established at Mt. Sinai School of Medicine a program designed to end the asbestos scourge with tools of science and medicine placed in the hands of unions. Soon his work on asbestos and many other workplace pollutants impacted every affiliate of the Industrial Union Department.

Dr. Selikoff studied and counseled workers and their families in Baltimore, Charleston, Lansing, Duluth, Midland, Norfolk, Nitro, Port Allegheny, New York's Chinatown, the Rocky Mountains and the mountains of Vermont, Canada's Mohawk reservation and hundreds of other places. He became known as a great scientist, but he never stopped being a doctor who worked tirelessly every day of the week, examining chartered plane loads of workers on Sunday and bringing clinics to wherever workers gathered, whether in the union hall at night or the convention on Saturday.

He knew that doctors need to understand the workplace and the labor movement. He required all his students to work in or with the Industrial Union Department. He gave us a network of physicians and scientists who continue to help us, whether in the clinic or before the Congress.

He knew that labor and science function internationally. He gave us a community of university allies in thirty countries under the aegis of Collegium Ramazzini and its Institute for Occupational and Environmental Health Research.

He knew that we seldom could achieve zero exposure to most toxic substances in the workplace. He helped us create the Workplace Health Fund to assist workers at risk, become partners in cancer treatment research and develop special programs of education.

Dr. Selikoff gave us an agenda for the future, and a Center at Mt. Sinai, the Selikoff Fund of the Workplace Health Fund, and the Ramazzini Institute for Occupational and Environmental Health Research to carry out the agenda. It is up to those of us who benefitted from his life work to continue to support the institutions he created.
  • IRVING J. SELIKOFF TRIBUTE (Senate - August 04, 1992)
    [Page: S11410]

Friday, September 25, 2015

Symposium: Celebrating Dr. Irving J. Selikoff

Friday, October 16, 2015, 8:00 AM - 12:30 PM
Location: Davis Auditorium, Hess Building, 1470 Madison Ave (between 101st and 102nd Sts)

Program Overview
: This symposium will examine the lasting impact of the legacy of Dr. Irving J. Selikoff (January 15, 1915-May 20, 1992) on occupational health and safety in the United States. Considered the father of occupational medicine, he is remembered for his seminal research on asbestos-related illnesses, his tireless advocacy for worker safety and health protections, and his contributions to the establishment of federal asbestos regulations. 




Photo Exhibit
  In conjunction with the symposium, there will be an exhibit by photographer Earl Dotter on display titled Badges: A Memorial Tribute to Asbestos Workers. Guggenheim Pavilion Atrium, 1468 Madison Avenue.



Who should attend?
 This symposium is open to the public and intended for faculty, residents, students, and members of the occupational health and safety community.



Mount Sinai Organizing Committee  
Madelynn Azar-Cavanagh, MD; Philip J. Landrigan, MD, MSc; Roberto Lucchini, MD; John D. Meyer, MD, MPH; Barbara J. Niss; Robert O. Wright, MD, MPH



Registration
 There is no fee to attend this event. Click here to register for this event or email carla.azar@mssm.edu. Please note that space is limited and early registration is encouraged. 

Special Needs
The Icahn School of Medicine at Mount Sinai is in full compliance with provisions of the Americans with Disabilities Act (ADA) and is accessible for individuals with special needs. If you would like to attend this conference and require any special needs or accommodations, please contact carla.azar@mssm.edu.




Agenda

 

8:00 AM 
Breakfast and Check-in



9:00 AM 
Welcome Remarks

Robert O. Wright, MD, Chair, Dept. of Preventive Medicine, Icahn School of Medicine at Mount Sinai

Philip J. Landrigan, MD, Dean for Global Health, Icahn School of Medicine at Mount Sinai

David Michaels, PhD, MPH, Assistant Secretary of Labor for Occupational Safety and Health and Director, Occupational Safety and Health Administration (OSHA)

John Howard, MD, MPH, LLM, Director, National Institute for Occupational Safety and Health

Program Moderator

Roberto Lucchini, MD, Director, Division of Occupational and Environmental Medicine, Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai



9:30 AM
 Irving J. Selikoff in History

Albert Miller, MD, Director of the Pulmonary Function Laboratory, Albert Einstein College of Medicine and Emeritus Clinical Professor of Medicine, Icahn School of Medicine at Mount Sinai 



9:50 AM
 Asbestos and Selikoff’s role in the Reconception of Responsibility for Chronic Disease in a pre-OSHA era

David K. Rosner, PhD, MPH, Ronald H. Lauterstein Professor of Sociomedical Sciences and Professor of History, Graduate School of Arts and Sciences, Columbia University Mailman School of Public Health



10:10 AM 
Break



10:25 AM
 Update of the Selikoff’s Insulators’ Asbestos Cohort

Steven Markowitz, MD, DrPH, Barry Commoner Center for Health and the Environment, Queens College and Graduate Center, City University of New York



10:45 AM
 Pneumoconiosis and Autoimmune Disease from an Historical Perspective

Paul D. Blanc, MD, MSPH, Professor of Medicine and Endowed Chair, Occupational and Environmental Medicine, University of California San Francisco



11:05 AM 
Perspectives on Dr. Selikoff’s Contributions to Public Health and Safety Laws

Neil T. Leifer, Esq., Neil T Leifer, LLC, Auburndale, MA




11:25 AM
 Trends Today: Global Spread of Asbestos to Developing World

Barry I. Castleman, ScD, Author of Asbestos: Medical and Legal Aspects



11:45 AM 
Q&A



12:05 PM 
Introduction of Photo Exhibit

 Linda Reinstein, President/CEO, Asbestos Disease Awareness Organization 



12:10 PM
 Closing Remarks

Madelynn Azar-Cavanagh, MD, Medical Director, Mount Sinai Selikoff Centers for Occupational Health



Symposium: Celebrating Dr. Irving J. Selikoff
Sponsored by the Selikoff Centers for Occupational Health, Division of Occupational and Environmental Medicine, Dept. of Preventive Medicine, Icahn School of Medicine at Mount Sinai



Thursday, February 9, 2012

Stephen Levin MD - Dies of Cancer

It is with sadness that I report of the passing of Dr. Stephen Levin.  Dr. Levin began an occupational disease evaluation practice in the office of Jack Sall, MD of Paterson NJ over 3 decades ago. He advanced to the Environmental Sciences Laboratory at the Mt. Sinai School of Medicine under the leadership of the late Irving J. Selikoff, MD, a pioneer in occupational disease research and more specifically asbestos related illnesses.


After the passing of Dr. Selikoff, Dr. Levin chaired the Environmental Sciences Department and maintained the archives of Dr. Selikoff. Dr. Levin was a leader and advocate for occupational disease research and treatment. His research work in post World Trade Center airborne toxins and disease build the foundation for the passage of the Zadroga 9-11 Health Benefits legislation enacted by Congress 14 months ago.


Joel Shufro, Executive Director of NYCOSH and Bill Henny, NYCOSH Board Chair, made the following statement, "He understood that the health of working people was directly tied to the health of the labor movement - that being organized into union or any other formation - was the first and most important step workers could take to protect their safety and health."


Stephen Levin championed the cause for helping victims of environmental and occupational disease. Ironically, like his predecessor, Dr. Selikoff, he also succumbed  to cancer, the disease that they both battled against for others. Dr. Levin's will be sadly missed but his legacy will on.

See also:
Dr. Stephen Levin dead of cancer NY Daily News
"As the medical director of Mount Sinai Medical Center’s Irving J. Selikoff Center for Occupational and Environmental Medicine, Dr. Stephen Levin had long known how damaging airborne toxins were to unprotected lungs."
A memorial service will take place Tuesday, February 21, 2012 at 4 p.m. at the Mount Sinai School of Medicine's Stern Auditorium, 1468 Madison Avenue (@ E. 100th Street, New York, NY 10029.

Thursday, November 12, 2009

APHA Calls for US Asbestos Ban

The American Public Heath Association (APA) has called for a ban by Congress on the manufacture, sale, export, or import of asbestos containing products including products in which asbestos is a contaminant. Asbestos claims 10,000 American lives each year.

“As early as 1898, the British government factory inspectors recognized adverse health effects associated with exposure to asbestos fibers. By the 1930’s the scientific evidence was well established of the association between asbestos exposure and nonmalignant respiratory disease, and with the publication of Dr. Irving Selikoff’s study of insulation workers in 1964, the evidence of carcinogenicity was incontrovertible as well.”
“Despite the concerns of asbestos exporting countries and business interests of the mining industry, the scientific consensus today is that all types of asbestos fibers, including chrysotile, cause asbestosis, lung and other cancers, specifically mesothelioma. The magnitude of the public health problem presented by asbestos and its ubiquitous use during the last 50 years is revealed by death certificate data analyzed by the National Institute for Occupational Safety and Health (NIOSH). NIOSH identified 2,485 deaths in the U.S. in 1999 in which malignant mesothelioma was listed as an underlying or contributing cause of death; and that during 1968--2005, asbestosis was identified as the underlying cause of death for 9,024 decedents, 13% of these were aged 25-64 years. These data undoubtedly underestimate the situation as asbestos-related disease can take 10 to 50 years to present. The estimated portion of lung cancer deaths attributed to asbestos exposure is 2-3 percent.”

During the 1950’s and 1960’s Dr Selikoff would testify in the NJ Division of Workers’ Compensation as a medical expert for injured workers. I had the privilege of knowing him and observing his efforts to assist injured workers and spread his scientific discoveries on the harmful effects of asbestos products.

It is shocking that in 2009 the US permits the use, manufacturing and distribution of asbestos containing products. It is certainly well passed the time to ban asbestos in the US.


Monday, December 30, 2013

2014 Asbestos Awareness Conference Honorees

Today's post was shared by Linda Reinstein and comes from www.asbestosdiseaseawareness.org

2014 ADAO Asbestos Awareness Conference Keynote Speakers
Saturday: TBA
Sunday: Susan Vento, Widow of the late Congressman Bruce Vento
Heather Von St. James, Mesothelioma Patient

2014 ADAO Asbestos Awareness Conference Honorees
Congressman Henry Waxman will be presented with the Tribute of Hope Award for his steadfast commitment to public health and safety.
Dr. Ken Takahashi will be recognized with the Dr. Irving Selikoff Lifetime Achievement Award in honor of his tireless dedication to increasing awareness about asbestos to eliminate diseases and his unending support of the Asbestos Disease Awareness Organization.
Dr. David Egilman will be recognized with the Dr. Irving Selikoff Lifetime Achievement Award in honor of his tireless dedication to increasing awareness about asbestos to eliminate diseases and his unending support of the Asbestos Disease Awareness Organization.
Congressman Bruce Vento will be honored posthumously with the Warren Zevon “Keep me in Your Heart” Memorial Tribute for his countless years of public service as a legislator and public servant.
Bill Ravanesi will be presented with the Tribute of Inspiration Award for...

[Click here to see the rest of this post]

Wednesday, December 7, 2011

It is Time To Do The Right Thing



A recent decision by the NJ Courts illustrates the weaknesses of the present workers' compensation system when dealing with occupational exposures. The social remedial system called workers' compensation was designed before recognition of the compensability occupational illnesses. 


The initial system was to furnish benefits without fault and in a summary and remedial fashion to injured workers. For the most part, that system worked from 1911 until the 1950's when the legacy of asbestos, used in World War II to insulate ships, came back to haunt the American worker by the manifestation of latent asbestos diseases including mesothelioma, a rare and fatal cancer.


Recently a NJ court denied the compensability of an asbestos related condition based upon the claimant's own knowledge of the causal relationship of an asbestos related medical condition and his own occupational exposure. Additional the court held that medical expert testimony was not required to support a motion to dismiss for the failure to meet the requirement of the statute of limitations.


In the 1970's the US Department of Labor was concerned with the same weaknesses and unavailability of benefits. The US DOL commissioned the Environmental Sciences Center at the Mt. Sinai School of Medicine under the leadership of the late Irving J. Selikoff, MD to study and analyze the problem. The weaknesses of the system, even though less dramatic than present, led to the conclusion that the workers' compensation systems just didn't work for occupational disease conditions. Additionally, costs for medical treatment of asbestos related conditions were being shifted at an estimated $10 Billion dollars, at that time, to the Medicare system.


Dr. Selikoff studied two major cohorts in analyzing the inadequacies of the  workers' compensation system. One group were insulators, and another group were 933 former plant workers at The Union Asbestos and Rubber Company of Paterson NJ who worked in war production between 1942 and 1944. Strikingly, the dormant medical conditions caused by the occupational exposure to asbestos fiber, and the latent condition of the disease for decades, caused major problems in filing claims. Those included the statute of limitation and diagnosis by medical professionals. Some professional were Grade B readers certified by The National Institute of Occupational Safety and Health (NIOSH) and even those experts in the field were challenged in Court. 


The report, that was submitted to the US Congress, concluded that the failure of the workers' compensation system to provide benefits to many who were exposed to asbestos, and the inadequate benefits to others. Their low rates were based on extremely low wages at the time of exposure. For these and other reasons, the report concluded, that the workers' compensation had failed to adequately provide treatment and other benefits. Since workers' compensation was not meeting the needs, claimants flocked to the tort system in epidemic proportion resulting in "the longest running tort" in American judicial history, "asbestos litigation." That litigation continues to this day. Even scores of companies that have reorganized under bankruptcy to avoid liability exposure are now providing benefits under a claims procedure.


While the NJ Court's decision may have been on point with regard to the Rules adopted to govern workers' compensation cases, it is time to revisit whether the Rules are too strict and defeat the social and remedial goals of the system that was envisioned by the creators in 1911. On a global scale, the failure of the workers' compensation to provide benefits results in the inequitable shift of responsibility to the general taxpayer. 


To meet the needs of those exposed occupationally, Congress needs to act now upon a global and unified solution. One path to the goal of correcting inequities of the system is to advance a system of universal medical care.  The US government must do the right thing. The medical delivery system for occupational diseases must come under a national universal medical care program. Additionally Congress must meet its moral and social responsibility and finally ban asbestos use in the US once and for all.


Read the decision: Russo v. Hoboken Board of Education, A-1861-10T4 (App. Div. November 29, 2011)

"...the WCJ found that he knew asbestos could cause lung disease and other medical problems as early as "the 70s." She noted that Russo "made complaints about the exposures to harmful substances . . . while still teaching." The WCJ further found that Russo "was well aware of the potential harmful effects of asbestos exposure," and she rejected his claim that the petition was not time-barred "because he was never informed by any of his treating physicians that his cancer was related to this exposure."

...
For over 3 decades the Law Offices of Jon L. Gelman  1.973.696.7900  jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Wednesday, January 30, 2013

How to Protect Public Employees and Communities From Asbestos Exposure

It is unconscionable in this day and age for a worker who is exposed to asbestos fiber in the workplace. Ironically, in the 1950's, in Paterson, NJ, the city where the world renown asbestos researcher, Irving J. Selikoff MD, had conducted the initial the sentinel studies linking asbestos exposure with a fatal cancer, mesothelioma, public employees are still being exposed.
Despite the courts and public opinion frowning on such terrible events, it is imperative that the legislatures of the nation take the appropriate measures to ban asbestos in use, and to require a registry all sites where asbestos is known to be present. Additionally, the sites should be publicly listed in a registry by the US EPA and those site declared to be areas where a potential health emergency exists.

Wednesday, February 20, 2013

All Forms of Asbestos Cause Cancer

In a joint statement the World Health Organization (WHO) and the International Agency for Research on Cancer (IARC) again declared all forms of asbestos cause cancer.

Joint WHO/IARC Statement
19 February 2013
In response to allegations in the recent Lancet article, IARC in the dock over ties with asbestos industry (The Lancet, doi:10.1016/S0140-6736(13)60152-X), WHO and IARC (International Agency for Research on Cancer) state the following:
  • All forms of asbestos are carcinogenic to humans (IARC Monographs Volume 100C) and stopping the use of all forms of asbestos is the most efficient way to eliminate asbestos-related diseases (WHO Fact Sheet No 343).
  • The study on cancer in chrysotile workers in Asbest, Russian Federation, for which IARC is providing its epidemiological expertise, will supply important scientific information to better quantify the risk of cancers already known to be related to chrysotile as well as additional cancers suspected to be related to chrysotile, the asbestos fibre is the most commonly produced.
  • WHO and IARC take conflict of interest seriously and use a rigorous process to protect our research and development of norms, standards and guidelines from undue influence.
  • IARC confirms the completeness and accuracy of all data and statements of scientific results published in the British Journal of Cancer (Estimating the asbestos-related lung cancer burden from mesothelioma mortality, doi:10.1038/bjc.2011.563) and presented at a conference in Kiev.
IARC, as WHO’s cancer research agency, remains committed to providing the most reliable, independent scientific evidence on which public health decisions can be based.

Thursday, December 20, 2012

Mercury to be Removed by US EPA From Pompton River in NJ

The US EPA has announce that mercury, a hazardous substance, that was dischardged by EI DuPont in the Pompton River in NJ will be removed. For decades it has been known that mercury exposure causes illness and injury to workers.

The U.S. Environmental Protection Agency today announced its plan to remove mercury contamination from the sediment of the Acid Brook Delta of Pompton Lake in Pompton Lakes, New Jersey to levels that meet stringent standards to protect people’s health and the environment. The plan will go into effect as a modification of a permit, which legally requires the E.I. du Pont de Nemours & Company, Inc. to fund and perform the work. Under the permit modification, the EPA will require DuPont to dredge at least 100,000 cubic yards of mercury contaminated sediment from the bottom of a 40-acre area of Pompton Lake and remove at least 7,800 cubic yards of contaminated soil from a shoreline area of the lake affected by DuPont’s past discharges. All of the sediment and soil will be sent to a licensed disposal facility.

Mercury in the sediment and soil can build up in the tissue of fish and other wildlife and pose a threat to people who eat them. Exposure to mercury can damage people’s nervous systems and harm the brain, heart, kidneys, lungs and immune systems.

“The removal of mercury-contaminated sediment from Pompton Lake is a major step toward the recovery of the lake and the protection of people’s health,” said EPA Regional Administrator Judith A. Enck. “The expanded dredging and other revisions in the final cleanup plan reflect the EPA’s commitment to protecting public health and improving environmental quality in Pompton Lakes.”

In November 2011, the EPA proposed a preliminary permit modification to remove contaminated sediment from the bottom of Pompton Lake and encouraged the public to comment on it. A public hearing on the proposed permit modification was held in January 2012. The final permit modification announced today incorporates changes that were made in response to comments from the public and the U.S. Fish and Wildlife Service and additional technical information received from DuPont after the proposed permit modification was issued. A public meeting to discuss the permit modification for the Acid Brook Delta of Pompton Lakes will be held on January 15, 2013.

Under the final permit modification, the area of sediment that will be removed has been expanded by approximately 35% and sediment sampling is required to identify additional areas of the lake that may require the removal of mercury-contaminated sediment. In addition, DuPont is required to implement long-term monitoring of the effectiveness of the dredging, restore the soil between Lakeside Avenue and the edge of the lake, and perform an ecological risk assessment to determine whether additional action may be needed in the future. DuPont will be required to develop work plans for these requirements, which must be submitted to the EPA for approval. The cleanup will be financed and conducted by DuPont with EPA oversight.

The E.I. du Pont de Nemours & Company, Inc. operated the Pompton Lakes Works facility, located at 2000 Cannonball Road, from 1902 to April 1994. Products manufactured at the facility included explosive powder containing mercury and lead, detonating fuses, electric blasting caps, metal wires and aluminum and copper shells. The manufacturing operations and waste management practices contaminated soil, sediment and ground water both on and off-site. Lead and mercury from its operations were released into Acid Brook, which flows through the eastern part of the facility and discharges into the Acid Brook Delta of Pompton Lake. DuPont’s operations also contaminated the ground water with chlorinated volatile organic compounds, such as tetrachloroethylene, trichloroethylene, cis 1,2-dichloroethylene and vinyl chloride.

The cleanup of the Acid Brook Delta requires a modification of the permit under the federal Resource Conservation and Recovery Act. The final permit modification will become effective on February 4, 2013 pending any requests for appeal submitted prior to that date.

Plans to clean up the remaining areas of contamination will be proposed through future permit modifications after ongoing investigations by DuPont have been completed and reviewed by the EPA and the New Jersey Department of Environmental Protection. Opportunities for public participation will continue to be provided through regular updates, public notices and public meetings.

The permit modification and relevant documents are available at the EPA’s project website at:http://www.epa.gov/region02/waste/dupont_pompton/index.html.

The public also can review documents related to the permit modification and cleanup at:
Pompton Lakes Public Library
333 Wanaque Avenue, Pompton Lakes, New Jersey
(973) 835-0482
http://www.pomptonlakeslibrary.org/index.htm


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Jon L.Gelman of Wayne NJ, helping injured workers and their families for over 4 decades, is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson). 

Read more about "Mercury" and workers' compensation
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Monday, April 7, 2014

Corporate Conspiracy: Has Anything Really Changed?

Today I was watching the recorded episode of yesterday’s episode of Saturday Night Live (SNL), as I was deeply entrenched in the NCAA Final Four competition last night and missed it live. The “cold opening” was a purportedly laughable sketch about the  testimony of the CEO of General Motors, Mary Barra, on The Hill last week, avoiding questions about the decade long conspiracy to conceal a faulty ignition system in its vehicles.
Actually, I love to multi-task, so I was also reading a summary judgment motion in an asbestos related claim involving a worker who died of mesothelioma, a rare cancer, decades after his initial exposure to asbestos fiber which has been scientifically causally related. Embedded in the allegations of the complaint was a strong argument about the corporate conspiracy of the asbestos industry and its efforts to doctor up scientific studies long ago beginning at the Saranac Laboratories and through subsequent publications.
The players in the asbestos drama were industry leaders such as: Johns-Manville Corporation, Metropolitan Life Insurance Company, The Union Asbestos and Rubber Company and Raybestos Manhattan, and others. Those were household names at my dinner table, including the world renown research-physician, Irving J. Selikoff, MD, when I was growing up. I am a second-generation asbestos litigator.  The plot unfolded even more during my career in litigation arising out of the Passaic NJ facility of Raybestos-Manhattan Inc. and fortuitous discovery of the infamous “Sumner Simpson” papers. Albeit that everyone wants to take credit for the discovery, it is yet another story to told on a later date.
The Doctrine of Corporate Conspiracy continues to pervade American Industry as dollars over human life continue to be an unending and tragic plot. Similar allegations have played out in the: tobacco litigation, breast implant litigation, latex glove litigation, medical device litigation, lead paint industry, medical device and pharmaceutical production litigation, complaints about toxic water pollution by drillers and mining companies, and the list goes on and on.
Corporate lobbying changed direction of workers’ compensation in the mid-1950’s with national amendments embracing silica exposure claims into the system. It was the same forefront of the expansion of dust disease claims such as asbestosis. All intentionally done to avoid corporate liability within the nation’s civil justice system. Fortunately, the Courts balanced the playing field, and expanded benefits for injured workers and their families into a most realistic realm of compensatory and punitive damages. The rationale  for the expansion was based of the then trending theory of corporate conspiracy.
I asked myself this afternoon, what has really changed? This week, ironically, is “National Asbestos Awareness Week,” and has asbestos yet been banned in the US? No. Does the same battle continue today to make the workplace safer while fighting corporations that continue to resist, ignore, delay and deny? I listened again to the testimony of the Congressional hearings in Washington this week. Has anything really changed?
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Jon L. Gelman of Wayne NJ is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Saturday, May 1, 2010

$208.8 Million Awarded in California Asbestos Case

A Los Angles jury awarded $208.8 Million in what has been recognized as the largest asbestos verdict ($200 Million punitive damages) in the State of California.  The case involved a household contact exposure to asbestos fiber. The wife of the asbestos worker was exposed to asbestos fiber on the clothes of her husband that he brought home and that she cleaned.

Liability was apportioned 70% against CertainTeed Corp and 30% against the Los Angles Department of Water and Power.

Asbestos is a known carcinogen and knowledge of the relationship of human exposure to asbestos fiber and mesothelioma, a rare malignancy, has been known since the 1920's. Cases for household contact exposure to asbestos fiber are common.

In Paterson NJ the Union Asbestos and Rubber Company Plant (UNARCO) was the subject of a sentinel study by the late Irving J. Selikoff, MD, who found that of the 933 workers who were employed during the war years, over 300 had died by 1976 of asbestos related disease, and that household contact illness and disease was very prevalent.

Click here to read more about asbestos related disease and claims for benefits. For over 3 decades the Law Offices of Jon L. Gelman 1.973.696.7900 jon@gelmans.com  have been representing injured workers and their families who have suffered asbestos related illnesses.

Tuesday, November 24, 2009

Congress, Health Care & Unintended Consequences

This past week some very dramatic things happened in the workers’ compensation world. The US Senate moved forward on initiating a floor debate on health care. At the same time, a group of workers’ compensation scholars met in Washington DC to discuss the future of workers’ compensation and the interplay with social security disability.

 Highlights of the NASI (National Academy of Social Insurance) conference convened in Washington were findings presented by eminent leaders in the field. Professor John Burton, Rutgers University, pointed out that newly created barriers to workers’ compensation were pushing more injured workers to the Social Security disability system for benefits. This reflects a phenomenon that occurred in the late 1970’s when a study commissioned by the US Department of Labor and conducted by Mt. Sinai Hospitals’ Environmental Sciences Laboratory, revealed that the inadequate benefit delivery system of workers’ compensation for asbestos related illness, was forcing injured workers and their families into the civil justice arena for adequate compensation.

The problems have not changed in decades; they have only gotten worse, maturing into a system that is in critical condition and on life support. In 1980 Irving J. Selikoff, M.D. reported, “There has been widespread acknowledgement of significant problems with disability compensation for workers in the United States. One major area of concern has been the shortcomings with regard to occupational disease. Whatever the suitability of current workers’ compensation systems in the 50 states for injuries and work accidents, there has been little disagreement about the inadequacies of such systems for workers who become disabled by illness or, if they die, for their surviving dependents.”

Complex questions continue to exist between the scientific and legal communities as to the path to be taken. Barriers placed into the path of recovery, including pre-existing and co-existing conditions, which result in limited or delayed recovery and major shifting of the economic responsibility upon the public/private benefit systems need to be removed. The unspoken social consequences continue as a silent epidemic as families and survivors struggle in silence.

Looking backward over the noble experiment in California which turned sour, Tom Rankin, former President of the California Labor Federation, AFL-CIO, expressed his regret of the reform. The former Labor leader theorized that the results were “unintended consequences.” Indeed he is looking forward to solutions springing forth in a “public option” embedded into the national health care legislation.

Some participants at the NASI conference alleged a major shortcoming of the California workers’ compensation legislative reform effort. Doug Kim, a lobbyist for the claimant’s attorneys, disclosed that the injured workers’ advocates were not invited to partake in the discussion that lead up to crafting the initial drafts of the 2004 California reform legislation SB 899.

History reveals, that when the theoretical reforms were practically applied, the injured workers suffered serious setbacks. If these were in fact “unintended consequences,” then one must consider the active involvement of all stakeholders when looking forward to solutions. The courts in California have consistently upheld challenges to the inequitable results, pointing to the legislative intent to reduce costs. Absent from the discussions of the presenters were practical systemic applications to improve the present system. The “blood and guts” of the traumatic, delay and denial, struggles of navigating in a crippled workers’ compensation system, in California and elsewhere, is verification that change is mandated.

As North Carolina attorney, Valerie A. Johnson, so eloquently remarked, “workers’ compensation is supposed to be a simple system.” The process has now been obstructed by encroaching elements of fault, contributory negligence, apportionment of pre-existing conditions and difficulties of the element of time, manifested by latent diseases unknown to the fathers of the system a century ago. The advance of medical science has brought forth new and innovated modalities that have contributed to soaring medical costs. The convergence of these issues has generated higher administrative costs.

Pecuniary Industry motives have worked adversely to improving safety in the workplace. The need for workers’ compensation would be minimized by adopting a safer occupational environment. Under reporting of workplace accidents continue as the Government Accountability Office announced. Nebraska Appleseed reveals that workers feel intimidated and are apprehensive to report injuries and unsafe work conditions. This is scenario is compounded by the fact that undocumented workers, who have even less job security, work in jobs with higher risk. The Bush Administration did not make efforts to allow OSHA to heighten enforcement efforts. All of these ingredients combine to create a recipe that just doesn’t work.

The US Senate advanced the health care legislation to a floor debate in an unusual late Saturday night session. This action may indeed provide an opportunity for the stakeholders in workers’ compensation to all join in the debate and look for solutions to the delivery of appropriate medical care in an efficient and timely fashion. To avoid “unintended consequences” yet again, injured workers and their advocates will need to be active participants and engage in the debate now.

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To read more about workers’ compensation and universal health care solutions click here.