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Medico-Legal Aspects of Mesothelioma in Australia

Because of the misfortune of having the Wittenoom mine located in its far north, Western Australia (WA) has one of the highest per capita rates of mesothelioma in the world. It is not surprising to find that the first claims for damages for contracting mesothelioma were brought in that State.

Causation

The issue which has most vexed asbestos litigation is, undoubtedly, that of causation.
There are three contexts in which the issue of cause potentially arises in asbestos disease claims:

1. Has a particular asbestos exposure ‘caused’ the disease suffered by the claimant?
2. Which one or more of a number of exposures to asbestos give rise to legal culpabil- ity for the disease suffered by a claimant?
3. Has the disease for which legal culpability exists caused the loss and damage suf- fered by the claimant with the disease?

These causation issues arise both in statutory workers’ compensation claims where the issue of fault in exposing the worker to asbestos is irrelevant (and so the causationissue becomes subject to statutory abrogation has the work exposure caused the disease?), and in common law damages claims (where the issue is usually) has the breach of a duty to take care (i.e. fault or breach of a duty imposed by a statute) caused the disease?
Although a good deal of court time has been occupied by physicians, pathologists, epidemiologists, medical scientists, and lawyers in arguing this issue, it would seem that its resolution has been achieved by the application of legal principles of reasonably long standing and is encapsulated in two judgments by Australia’s foremost jurist and most highly regarded judge, Sir Owen Dixon, former Chief Justice of the High Court.

Foreseeability

An employer will owe an employee a duty of care if there exists a ‘foreseeable risk of injury’ in the event that the employer fails to discharge the duty. Similarly the manufacturer of a product owes the user of that product a duty of care, if there is a foreseeable risk of injury in the use of the product, or if dangers, of which the manufacturer is aware, are not advised to the product user.
Thus, in order to establish that a duty exists, the employee or product user must show that there was, at the time of the alleged breach, a foreseeable risk of injury occurring as a result of that breach. Furthermore, the employee or product user, in order to claim damages as a result of the breach of duty, must show that the injury or disease that they have suffered was an injury that is the same type as that which should have been foreseen (as well as, as we have seen above, that the injury was caused or materially contributed to, by the breach of duty).

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