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RESEARCH PAPER |
Correspondence to:
Edward L Sweda
Senior Attorney, Tobacco Control Resource Center, Northeastern University School of Law, Boston, Massachusetts; ed{at}tplp.org
| ABSTRACT |
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Methods: Since the early 1980s, the author has sought and examined legal cases in which SHS exposure is an important factor. Law library searches using the official reporter system (for example, Shimp v. New Jersey Bell Telephone Co., 368 A.2d 408) have more recently been combined with computerised online searches using LexisNexis and Westlaw. The author has learned of other cases through personal correspondence and from articles in newspapers. Over 420 cases involving exposure to SHS were identified. Each case was reviewed and summarised.
Results: Since 1976, the year of the first reported SHS lawsuit, this type of litigation has increased both in number and in scope with increasing success. While it is common for initial cases to lose in a new area where the law eventually evolves, litigants and their lawyers who later bring similar cases can learn from those previous, unsuccessful cases. It is now apparent that the judicial branch has begun to recognise the need to protect the publicespecially some of the most vulnerable members of our societyfrom the serious threat to their health that is exposure to SHS.
Conclusions: Successful cases brought on behalf of individuals exposed to SHS produce an additional benefit for the public health by both paving the way for other non-smoking litigants to succeed in their cases and persuading business owners and others voluntarily to make their facilities 100% smoke-free.
Abbreviations: ADA, Americans With Disabilities Act; ETS, environmental tobacco smoke; FAMRI, Flight Attendant Medical Research Institute; PWDCRA, Persons with Disabilities Civil Rights Act; SHS, secondhand smoke
In the landmark case of Shimp v. New Jersey Bell Telephone Co. (1976)1 a New Jersey Superior Court judge ruled that the "...evidence is clear and overwhelming... cigarette smoke contaminates and pollutes the air, creating a health hazard not merely to the smoker but to all those around her who must rely on the same air supply. The right of an individual to risk his or her own health does not include the right to jeopardize the health of those who must remain around him or her in order to perform properly the duties of their jobs."
The 1976 ruling in Shimp came a full decade before US Surgeon General C Everett Koop issued his 1986 report, The health consequences of involuntary smoking, in which he concluded that "[i]nvoluntary smoking is a cause of disease, including lung cancer, in healthy non-smokers", and "[s]imple separation of smokers and non-smokers within the same air space may reduce, but does not eliminate, exposure of nonsmokers to environmental tobacco smoke".2
For more than a quarter of a century since that historic ruling on behalf of an office worker from New Jersey, court cases affecting the rights of non-smokers seeking relief from the hazards of secondhand smoke (SHS) have arisen in a variety of different settings.
This article reviews some of the highlights of the SHS related litigation that has occurred across the USA during the past 27 years and will focus on cases where non-smoking plaintiffs have prevailed. During that span of time, both the number of SHS cases and the likelihood of success for litigants who are the victims of exposure to SHS have increased. Societal recognition of the health risks of SHS exposure has increased as well.
| METHODS |
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| NEGLIGENCE |
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After concluding "that the plaintiffs should receive an award of non-economic damages equal to this Courts earlier award for economic damages", the court determined that the total award is $1 400 000.
On 12 December 2002, the US Court of Appeals for the Ninth Circuit,4 ruled that the district courts "findings and conclusions are well-grounded in the record. Olympics argument asks this Court to substitute its judgment and second-guess the district court. This we cannot do... Therefore, we affirm the judgment of the district court." On 27 May 2003, the US Supreme Court agreed to consider Olympic Airways appeal. Oral arguments took place on 12 November 2003.
| WORKERS COMPENSATION AND DISABILITY BENEFITS |
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A state appeals panel6 upheld Magaws monetary award but ruled that he would have to go back to the school board to seek reimbursement for the sick leave time he used up. The New Jersey Supreme Court7 refused to hear the school districts second appeal, thus letting the lower court ruling stand. Magaw was awarded about $53 000 for medical costs and $20 000 for legal costs.
In Ubhi v. State Compensation Insurance Fund, CatnFiddle Restaurant (1990),8 a vegetarian, non-smoking waiter received a $10 000 settlement for a heart attack he suffered after five years of working in a smoke filled restaurant. Also as part of the settlement, the California Workers Compensation Appeals Board agreed to cover his medical bills, which amounted to about $85 000.
| DISCRIMINATION BASED ON DISABILITIES |
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On 4 April 1995, the US Court of Appeals for the Second Circuit reversed10 the judgments of the district court, ruling that "we find that plaintiffs complaints do on their face state a cognizable claim against the defendants under the Americans with Disabilities Act". The court noted: "the determination of whether a particular modification is reasonable involves a fact-specific, case-by-case inquiry that considers, among other factors, the effectiveness of the modification in light of the disability in question and the cost to the organization that would implement it... We see no reason why, under the appropriate circumstances, a ban on smoking would not be a reasonable modification." The Staron lawsuit was filed in March 1993; within a year, McDonalds had announced its decision to ban smoking in all of its corporately owned restaurants.11
In Homeyer v. Stanley Tulchin Associates, Inc., et al., (1995),12 a woman suffering from chronic severe allergic rhinitis and sinusitis sought a smoke-free work environment and sued her former employer after it "repeatedly refused to provide" the plaintiff with a reasonable accommodation of her disability. Shortly after the plaintiff filed an Americans With Disabilities Act (ADA) discrimination claim with the Equal Employment Opportunity Commission and a workers compensation claim, she was terminated. So, she filed suit, alleging violations of the ADA and an Illinois statute that prohibits retaliatory discharge. A federal judge granted the defendants motion to dismiss the complaint, saying "that not every impairment that affects a persons major life activities is a substantially limiting one". "Homeyer does not, and cannot, allege that her sensitivity to [environmental tobacco smoke] substantially limits her ability to find employment as a typist generally. Thus, Homeyer is not a qualified individual with a disability, and, accordingly, is not entitled to the protections of the ADA."
However, the US Circuit Court of Appeals for the Seventh Circuit13 unanimously reversed the dismissal. Noting that the district court had ignored Homeyers claim that she was disabled in that her breathing, a major life activity, was affected by SHS, the court of appeals ruled that "we cannot say at this stage that it would be impossible for her to show that her chronic severe allergic rhinitis and sinusitis either alone or in combination with ETS substantially limits her ability to breathe".
In Bond v. Sheahan (2001),14 the plaintiff sued the defendant in his official capacity as Sheriff of Cook County for disability discrimination under the ADA. Working as a corrections officer and after suffering from a pulmonary embolism, Ms Bond began complaining about the presence of SHS at her workplace. While the Sheriffs Department codified a smoking policy in 1990, smoking nonetheless continued in all areas of the facility. In March 1995, Ms Bond was diagnosed with asthma. After her asthma worsened and exposure to SHS continued, Ms Bond resigned effective 28 February 1998. She sued, claiming that the defendant discriminated against her in violation of the ADA by constructively discharging her because of her asthma, a condition aggravated by the SHS. The court dismissed the defendants motion for summary judgement, ruling that genuine issues of material fact exist concerning whether she was "disabled" for purposes of the ADAspecifically whether she is substantially limited in the major life activity of breathing.
In addition to the federal ADA, state laws barring discrimination against the disabled can be effective tools to protect non-smokers from exposure to SHS. In Zimmerman v. Department of Corrections (2002),15 after the plaintiff was hired as a corrections officer, he developed an increasing allergic reaction to SHS. Although the defendant had a policy that banned smoking in the housing units where plaintiff worked, he maintained that the policy was not enforced and that he suffered such a severe reaction to the smoke that he was disabled under the Persons with Disabilities Civil Rights Act (PWDCRA) because it interfered with the major life activity of breathing. He also contended that his disability was unrelated to his ability to function as a corrections officer because breathing SHS is not a prerequisite for his position. The defendant filed a motion for summary disposition; after a hearing, the trial court denied the motion, concluding that it was a question of fact whether the plaintiff was improperly discriminated against. The Court of Appeals of Michigan affirmed the denial of the defendants motion, ruling that the "fact plaintiff could otherwise care for himself and perform various physical activities does not necessarily render him outside the protection of the PWDCRA".
| SMOKE SEEPAGE |
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As Kline has pointed out, there "are several legal theories available for residents of multiple dwelling residential buildings who are affected by ETS incursion",17 nuisance, covenant of quiet enjoyment and warranty of habitability. Additionally, the use of state regulations such as a sanitary code can "provide an effective, existing vehicle for resolution of ETS incursion problems".17 Similarly, a resident of a mobile home park, to gain access to the parks clubhouse successfully, used the Federal Fair Housing Act, which bans discrimination against the disabled and families with children.18
| CHILD CUSTODY |
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In Skidmore-Shafer v. Shafer (1999),20 the couples separation agreement provided the mother with primary physical custody of their son. Later, the Calhoun (Alabama) Circuit Court awarded the father primary physical custody, holding that the change of custody would materially promote the childs best interests and that the good brought about by the change would offset any disruptive effect caused by uprooting the child. The court noted that during the childs entire life, "he has suffered respiratory infections and was diagnosed with asthma in February 1997, at which time he was also hospitalized with pneumonia". Despite these health problems and more than 20 visits to the doctor, the mother has continued to smoke around the child. The court noted that "it appears that the biggest and most blatant disregard for the health of the child is attributable to" the mother. The court further denounced the smoking around this child: "To do this to a child is no less child abuse than if you had deprived him of food or medical treatment." The Court of Civil Appeals of Alabama affirmed the courts judgment. "After carefully reviewing the entire record, we cannot say that the court erred in awarding primary physical custody of the child to the father."
In an Ohio case that garnered considerable attention from the news media in 2002, the Court, in In Re. Julie Anne, A Minor Child (2002),21 issued a restraining order against smokers to protect a child under the courts jurisdiction from the dangers of exposure to SHS and took judicial notice of the harmful nature of SHS on the health of children, citing numerous studies that characterised SHS as a carcinogen and a hazard to those exposed to it. The court concluded: "The overwhelming authoritative scientific evidence leads to the inescapable conclusion that a family court that fails to issue court orders restraining people from smoking in the presence of children under its jurisdiction is failing the children whom the law has entrusted to its care." The court granted a restraining order with provisions that "the mother and father are hereby restrained under penalty of contempt from allowing any person, including themselves, to smoke tobacco in the presence of the minor child Julie Anne. If smoking is allowed in the house in which the child lives or visits on a regular basis, it shall be confined to a room well ventilated to the outside that is most distant from where the child spends most of her time when there."
In a 2003 case in Massachusetts,22 the paternal grandparents of a 7 year old child were appointed as the childs guardians. The childs maternal grandmother later asked the court to remove the paternal grandparents as guardians and appoint her instead on the grounds that the child "is constantly exposed to dangers of secondhand smoke" while in the guardians home.
The court took "judicial notice of current research that shows second-hand smoke or environmental tobacco smoke (ETS) can cause respiratory problems, including asthma and reactive airway disease, in children" and made a finding that exposing this child "to a smoking environment is contrary to his best interest". The court further found that the paternal grandparents "are largely unconcerned about the possibility" that the child "may continue to have asthma, reactive airway disease, allergies, or other respiratory problems". The court concluded that the fact that the paternal grandparents "have disregarded the multiple recommendations and warnings of physicians and continue smoking" in the childs presence "constitutes a sufficient change in the circumstances of their suitability as guardians". Therefore, the court terminated their role as guardians of the child and issued a decree regarding visitation that they "shall not smoke" in front of the child "or permit anyone else to do so".
| PRISONERS |
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On 18 June 1993, the Supreme Court, by a seven to two vote in Helling v. McKinney (1993),24 held that "[w]e cannot rule at this juncture that it will be impossible for McKinney, on remand, to prove an Eighth Amendment violation based on exposure to ETS". The court also rejected "petitioners central thesis that only deliberate indifference to current serious health problems of inmates is actionable under the Eighth Amendment". The Supreme Court affirmed "the holding of the Court of Appeals that McKinney states a cause of action under the Eighth Amendment by alleging that petitioners have, with deliberate indifference, exposed him to levels of ETS that pose an unreasonable risk of serious damage to his future health".
In the decade since the US Supreme Courts ruling in this area, courts have applied that standard to the facts that underlie other prisoners claims of violations of their Eighth Amendment rights. In Alvarado v. Litscher, et al. (2001),25 a non-smoking inmate in Wisconsin who "suffers from severe chronic asthma," filed a civil rights lawsuit alleging that the state corrections department, the warden, and the health services manager violated his Eighth Amendment rights by acting with deliberate indifference to his complaints about his exposure to SHS. Alvarado "claims that other prisoners in the unit smoked in violation of prison policy because the guards were frequently not at their post to enforce the smoking ban". He also claimed that because smoking is permitted in common areas of the prison, he is unable to participate in programmes that would enhance his chances of being paroled. The district court denied the defendants motion to dismiss. The Court of Appeals for the Seventh Circuit affirmed, ruling: "Alvarados complaint stated an Eighth Amendment claim when he alleged that because of the prison officials deliberate indifference, he was being exposed to levels of ETS which aggravated his chronic asthma, thereby endangering his existing health... He also stated a valid claim as to his future health under Helling v. McKinney."
In Atkinson v. Taylor, et al. (2003),26 Atkinson brought a civil rights lawsuit, alleging that the defendant prison officials subjected him to cruel and unusual punishment due to exposure to SHS. The prison officials motion for summary judgment was denied by the US District Court for the District of Delaware. The prison officials appealed the denial of their motion. The US Court of Appeals for the Third Circuit affirmed the denial of the defendants motion for summary judgment with respect to the inmates SHS, retaliation and excessive force claims, thus allowing Atkinsons claims to go forward.
| ASSAULT AND/OR BATTERY |
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In a case from Ohio, Leichtman v. WLW Jacor Communications, Inc., et al. (1994),27 a non-smoker who was a guest on a live radio show had cigar smoke blown in his face. He alleged that the act was done deliberately to cause him "physical discomfort, humiliation or distress", violated his right to privacy, constituted battery, and violated a Cincinnati Board of Health regulation. The trial court dismissed all of the plaintiffs claims. However, the Court of Appeals, First Appellate District of Ohio, reinstated the battery claim and affirmed the dismissal of the invasion of privacy and the health regulation claims. The court ruled that, as alleged in the complaint, "when Furman [one of the defendants] intentionally blew cigar smoke in Leichtmans face, under Ohio common law, he committed a battery". The case was later settled for an undisclosed sum.
| SUING TOBACCO COMPANIES |
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On 12 December 1994, the Circuit Court for Dade County ruled29 that the case could proceed as a class action. It was estimated that as many as 60 000 current and former flight attendants could be a party to the suit. The class was defined as: "[a]ll non-smoking flight attendants, who are or who have been employed by airlines based in the United States and are suffering from diseases and disorders caused by their exposure to secondhand cigarette smoke in airline cabins."30 On 3 January 1996, the District Court of Appeals for the third district upheld the circuit courts ruling.31 In December 1996, the court (Kaye, J) authorised the mass notification of some 150 000 to 200 000 flight attendants so they can either sign up as plaintiffs or exclude themselves from the case to possibly pursue their own suits. The trial began on 2 June 1997 and proceeded for several months.
Lead plaintiff Norma Broin, who was at the time of the trial a 42 year old American Airlines flight attendant suffering from lung cancer, testified on 11 August 1997. A flight attendant for the previous 21 years, Ms Broin told the jury that she had regularly worked in "very, very, very, very dense cigarette smoke" when smoking on airlines was allowed and that the difference in air quality before airline smoking was effectively banned in 1990 compared to when she testified in 1997 was "absolutely night and day, significant difference".32
The plaintiffs presentation of evidence included testimony from Dr Michael Siegel of the Boston University School of Public Health and former US Surgeon General Julius Richmond. University of Utah cardiologist John H Holbrook testified that people exposed to SHS had an elevated risk of developing heart disease, including heart attacks and clogged arteries. "The evidence had been accumulating, and I will now say unequivocally it is a cause" of coronary heart disease, Dr Holbrook told the jury on 30 July 1997. A former tobacco researcher, Dr Freddy Homburger, testified that he found cancer of the larynx in laboratory hamsters exposed to cigarette smoke in 1973.33
The tobacco industry began presentation of witnesses on 22 September 1997. Among the industrys witnesses was Michael Ogden, a chemist employed by RJ Reynolds Tobacco Co. On direct examination, Dr Ogden downplayed the significance of non-smokers exposure to SHS. On cross examination, he was asked whether he believed that active smoking causes lung cancer in human beings. His response was that smoking is a "risk factor" for cancer but that he did not agree that smoking causes that disease.34
On 10 October 1997, the parties announced a proposed settlement whereby the defendants would pay $300 000 000 to establish a research foundationwhich was to become the Flight Attendant Medical Research Institute (FAMRI)and agree that flight attendants harmed by SHS exposure aboard airlines can sue the tobacco companies regardless of statute of limitations issues. Individual actions can proceed with the burden of proof on the defendants on the issue of whether ETS exposure causes one of five diseases (emphysema, lung cancer, chronic obstructive pulmonary disease, chronic bronchitis, and chronic sinusitis) in non-smokers. By the 7 September 2000 deadline for filing such cases, more than 3000 flight attendants had done so.35 Videotaped testimony from the plaintiffs experts in the Broin case is admissible evidence in these individual actions.
| What this paper adds Hundreds of cases involving exposure to SHS have been reported over the past quarter century. This paper presents an analysis of some of the most significant victories for victims of SHS exposure. The increasing positive results of these cases have helped persuade government officials and private business owners to adopt smoke-free rules as the norm.
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In an order dated 3 February 1998, Dade County Circuit Judge Robert Kaye approved the proposed settlement, calling it "fair reasonable, adequate and in the best interests of the class". Challengers for three individuals objected to the settlement. On 24 March 1999, the Third Circuit Court of Appeal unanimously denied the objectors appeal of the settlement. The objectors decided not to appeal to the Florida Supreme Court.
Indeed, as the editorial by Daynard notes,36 a supposedly hopeless case resulted in an extraordinary settlement that both produced $300 000 000 for research and facilitated the prosecution of claims by individual flight attendants whose health had been harmed by their on-the-job exposure to SHS. Additionally, this one case drew enormous public attention to the hazards of exposure to SHS and put human faces on the statistics that underlie the science of SHS.
In those individual cases, plaintiffs who are seeking damages on account of lung cancer, chronic bronchitis, emphysema, chronic obstructive pulmonary disease, or chronic sinusitis will have the burden of proof as to whether SHS can cause one of those diseases borne by the defendant cigarette companies who entered into the October 1997 settlement. As of December 2003, seven of these individual cases on behalf of flight attendants harmed by on-the-job exposure to SHS have gone to trial, with one of them resulting in a verdict for the plaintiff (French v. Philip Morris Inc. et al., a $5.5 million verdict for the plaintiff on 18 June 2002; verdict reduced to $500 000 by the trial judge on 13 September 2002).*
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Individuals who have been harmed by exposure to SHS will continue to wage these courtroom battles as society becomes more cognisant of the damage that SHS inflicts on people. The number of examples of forceful quotes from judges who understand the dangers of SHS will make it easier for non-smokers to prevail in the litigation. This continuing trend will also help persuade those individuals and corporations in control of buildings and other facilities to go 100% smoke-free voluntarily, thereby avoiding risky litigation and improving the health of the public.
Since 1976, the year of the first reported SHS lawsuit, this type of litigation has increased both in number and in scope. With increasing levels of success for non-smoking litigants over the past decade, non-smokers exposed to the dangers of exposure to SHS will continue to seek relief from the courts for the foreseeable future.
| FOOTNOTES |
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| REFERENCES |
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