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(c) 2010-2026 Jon L Gelman, All Rights Reserved.

Wednesday, October 15, 2014

Benzene Exposure Claim: Court Dismisses Alleged Fatal Multiple Myeloma

A NJ Judge of Compensation recently dismissed a fatal claim for dependency benefits arising out of an alleged exposure to benzene. The decedent worked as laboratory technician from 1998 through 1998 in a quality control laboratory where he worked with liquid chemicals such as "benzene." The decision provides is primer on trial preparation.

The Court ruled that even though a de bene esse deposition was taken of the employee, the deposition was lacking as to proof of adequate and sufficient exposure:

"...The judge noted that decedent did not testify how many times he worked with benzene, whether he ever spilled this chemical, or the number of times he may have smelled it. Decedent never testified he was exposed to benzene the 100 to 150 times a year necessary, according to petitioner's expert, to become a causal factor for his multiple myeloma. Decedent's “blood tests[,] taken after his alleged exposure from 1977 to 1982, ... [showed] no evidence of benzene exposure presenting itself.”Under these circumstances, the judge concluded that decedent did not prove “sufficient exposure to benzene” to have caused his multiple myeloma.

During the trial the Court did not permit the wife to testify as to the circumstance of the on the job exposure:

"We also reject petitioner's argument that the judge erred in not permitting her to testify concerning decedent's job duties. Petitioner testified in order to establish that she qualified as decedent's dependent for purposes of filing a dependency claim. During her testimony, petitioner stated that she knew decedent “worked in the chemical department. That's the only thing I know.”She was not sure
what labs he worked in during his employment with respondent. Respondent objected to this testimony and the judge ruled that petitioner's testimony should be limited to whether she was dependent upon decedent for purposes of pursuing her claim.


Additional incomplete discovery responses by the employer was not an error for reversal on appeal since the petitioner's attorney did not seek enforcement sanction at the trial level.

"....petitioner argues respondent failed to answer certain interrogatories. However, N.J.A.C. 12:235–3.7(b) requires that discovery be completed within 180 days from the filing of the respondent's answer. Respondent filed its answer on July 31, 2009, but petitioner did not file her motion seeking to suppress respondent's defenses until February 23, 2011, well after the expiration of the discovery
period. Moreover, in opposition to plaintiff's motion, respondent certified that it provided petitioner with all of the documentation in its possession concerning decedent, including his personnel file. We therefore conclude that this argument lacks merit.


Hallquist v. E.I. DuPont De Nemours, 2014 WL 5048950 (N.J.Super.A.D.) Decided October 10, 2014

….
Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). 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.

Global Handwashing Day — October 15, 2014

The 7th annual Global Handwashing Day will be observed October 15, 2014. This observance increases awareness and understanding of handwashing with soap as an effective and affordable way to prevent disease around the world.

Handwashing with soap has an important role to play in child survival and health. Approximately 2.2 million children aged <5 years die each year from diarrheal diseases and pneumonia, the top two causes of death among young children globally (1). Handwashing with soap can reduce the incidence of diarrhea among children aged <5 years by 30% (2) and the incidence of respiratory infections by 21% (3).

Although persons around the world clean their hands with water, few use soap to wash their hands. Washing hands with soap removes bacteria much more effectively (4).

Additional information on Global Handwashing Day is available from CDC at http://www.cdc.gov/features/globalhandwashing. General handwashing information is available from at http://www.cdc.gov/handwashing. Information on water-related hygiene is available athttp://www.cdc.gov/healthywater/hygiene/index.html.

References
Liu L, Johnson HL, et al.; Child Health Epidemiology Reference Group of WHO and UNICEF. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet 2012;379:2151–61.
Ejemot RI, Ehiri JE, Meremikwu MM, Critchley JA. Hand washing for preventing diarrhoea. Cochrane Database Syst Rev 2008;(1):CD004265.
Aiello AE, Coulborn RM, Perez V, Larson EL. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health 2008;98:1372–81.
Burton M, Cobb E, Donachie P, Judah G, Curtis V, Schmidt WP. The effect of handwashing with water or soap on bacterial contamination of hands. Int J Environ Res Public Health 2011;8:97–104.

Monday, October 13, 2014

Dallas Nurse Contracts Ebola Virus, Elevating Response and Anxiety

Today's post was shared by Steven Greenhouse and comes from mobile.nytimes.com

DALLAS — A nurse here became the first person to contract Ebola within the United States, prompting local, state and federal officials who had settled into a choreographed response to scramble on Sunday to solve the mystery of how she became infected, despite wearing protective gear, and to monitor additional people possibly at risk.

The news further stoked fears of health care workers across the country, many of whom have grown increasingly anxious about having to handle Ebola cases. The confirmation on Sunday of the second Ebola case in Dallas — four days after the death on Wednesday of the first patient, Thomas Eric Duncan, 42, a Liberian who arrived in this country in September — opened a new and more frightening chapter in the unfolding public health drama.

While the new Ebola patient was not publicly identified, officials said that she was a nurse who had helped treat Mr. Duncan at a hospital here and that she may have violated safety protocols. It was the first confirmed instance of Ebola being transmitted in this country. Officials expanded the pool of people they had been monitoring, because the nurse had not been among the 48 health care workers, relatives of Mr. Duncan and others whom they were evaluating daily.

The federal Centers for Disease Control and Prevention recommended that health officials look more closely at the protective gear that nurses, doctors and hospital assistants use when treating Ebola patients. It also, for the first time,...

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Formularies in the News

Today's guest post is by The Hon. David Langham who is the Deputy Chief Judge of Compensation Claims for the Florida Office of Judges of Compensation Claims and Division of Administrative Hearings flojcc.blogspot.com
The California Workers' Compensation Institute (CWCI) released their study of controlling pharmaceuticals on October 6, 2014. They acknowledge that Washington and Texas have each implemented drug formularies, and have enjoyed cost savings as a result. The complete report is here. Their data helps with the question of whether a formulary might be part of the solution elsewhere, California in particular.
Formulary restrictions are not new. Texas enacted legislation in 2005 that led to the deployment of its formulary. The results have been remarkable. Prescription volume has dropped and the cost of "non-formulary drugs" decreased by 80% according to the Workers' Compensation Research Institute. I summarized some of the WCRI findings in a June 2014 post.
Another interesting point on closed formularies is the control they afford regarding specific medications or potentially types of medication. The Texas experience with Zohydro, and its recent approval by the FDA is discussed in a December 2013 post. Essentially, while others have wondered about the effect of "heroin in a pill," Texas simply did not add it to their formulary, and that is that. For a doctor to prescribe it in a Texas Comp case is not impossible, but it will require paperwork and...
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FedEx cited by OSHA $44,000 for machine guard hazard

FedEx Ground Packaging System Inc. failed to guard a conveyor belt properly at its Wilmington shipping distribution center and exposed its employees to potential injuries, the U.S. Department of Labor's Occupational Safety and Health Administration has found. OSHA had previously cited the company in 2010 and 2011 for similar hazards at company facilities in Grove City, Ohio, and Syracuse, New York.

After inspecting the Wilmington facility, OSHA's Andover Area Office personnel determined that the belt conveyor system's rotating parts were insufficiently guarded on the periphery to prevent employees' fingers and hands from getting caught. This could result in injuries, including pinched or crushed fingers and hands, concussions, abrasions or nerve damage. Proper machine guarding ensures that no part of an employee's body can come in contact with a machine's moving parts.

"A basic safety concern went unmet here even though this employer has twice been cited for similar hazards in the past four years," said Jeffrey Erskine, OSHA's acting deputy regional administrator for New England. "It is critical for workers' safety and health that an employer with multiple facilities, such as this, ensures that required safeguards are in place and maintained effectively at all times in all locations."

Because of the prior violations, OSHA has cited the company for a repeat violation with a proposed fine of $44,000. A repeat violation exists when an employer previously has been cited for the same or a similar violation of a standard, regulation, rule or order at any other facility in federal enforcement states within the last five years.

FedEx Ground Packaging System Inc. has 15 business days from receipt of its citations and penalties to comply, request an informal conference with OSHA's area director, or contest the findings before the independent Occupational Safety & Health Review Commission.

The Long Seach for Employment

Read the complete report click here.

Is Ebola Too Big of Risk For The Nation's Workers' Compensation System?

Ebola is a major risk of a generational epidemic of a potential compensable disease. The risk/loss is so immense that the US Government is apt to have already starting to plan to spread the risk through Federal legislation.

In the past, with anthrax/smallpox, the Federal government put in place a contingency system to avoid an economic collapse of the Insurance Industry. "The federal government established a no-fault program entitled the Smallpox Emergency Personnel Protection Act of 2003 (SEPPA) in an effort to provide benefits and/or compensation to certain individuals, including health-care workers and emergency responders, who are injured as a result of the administration of smallpox countermeasures including the smallpox (vaccinia) vaccine. SEPPA also provides benefits and/or compensation to certain individuals who are injured through the result of accidental vaccinia inoculation through contact. 42 U.S.C.A. § 239 " 38 NJ PRAC §1.25, Gelman, (West Publishing 2014).

CDC Statement 10/12/2014
"Texas Patient Tests Positive for Ebola

A health care worker at Texas Health Presbyterian Hospital who provided care for the Ebola patient hospitalized there has tested positive for Ebola in a preliminary test at the state public health laboratory in Austin. Confirmatory testing will be conducted by the Centers for Disease Control and Prevention in Atlanta.

The health care worker reported a low grade fever Friday night and was isolated and referred for testing. The preliminary ​test result was received late Saturday.

"We knew a second case could be a reality, and we've been preparing for this possibility," said Dr. David Lakey, commissioner of the Texas Department of State Health Services. "We are broadening our team in Dallas and working with extreme diligence to prevent further spread."

Health officials have interviewed the patient and are identifying any contacts or potential exposures. People who had contact with the health care worker after symptoms emerged will be monitored based on the nature of their interactions and the potential they were exposed to the virus.

Ebola is spread through direct contact with bodily fluids of a sick person or exposure to contaminated objects such as needles. People are not contagious before symptoms such as fever develop."

....

Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). 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.