Disclosure I have served as an expert in litigation Tony Mazzocchi - - PDF document
Taking t ng the o occupati pational a onal and e envir vironment onmental h l histor ory y Center for Surveillance, Epidemiology, and Laboratory Services wh why it y it matter matters Robert Harrison, MD, MPH University of
Center for Surveillance, Epidemiology, and Laboratory Services
University of California, San Francisco & California Department of Public Health
1926 - 2002
California Department of Health Services http://www.dhs.ca.gov/ohb/flavorings.htm Baltimore Sun - April 23, 2006 Sacramento Bee - July 30, 2006
Nov November 23, 23, 19 1992, Terri Bonar-Stewart received a letter dated November 17, 1992 from the Montgomery County Ohio Coroner's Office regarding investigating the death of Ms. I, a former employee of Fries & Fries.: Ms. I had been on disability leave since 1987, and the coroner requested any reports and health records related to that disability. De December 4.
1992: Jim Steinke reported that during a casual conversation with his neighbor, Joseph Thorpe, M.D., Dr. Thorpe expressed a concern that he had been treating one current and one former Tastemaker employee for a condition which he defined as bronchiolitis obliterans. According to Dr. Steinke, Dr. Thorpe noted that bronchiolitis obliterans is an unusual disease, and having two cases of the disease at one site was cause for concern. He noted that the former employee, Ms. JMI was deceased and that he had listed the cause of death as bronchiolitis obliterans. He also identified the other employee as Mr. JW. Mr. W was currently on medical disability leave. Mr. Mike Davis scheduled a meeting for December 8, 1992 to discuss Dr. Thorpe's concern and to establish an action plan.” Egilman 2007 IJOEH; internal company memos
1995: 995: Pulmonary consultant #1: “what we -- what I had was several -- I think five or six, somewhere around that, cases of individuals who had been employed in the company who developed asthma and who had a clinical picture of bronchiolitis obliterans and who had in some cases biopsies, lung biopsies, which substantiated that diagnosis.” 1995: 995: Pulmonary consultant #2: “diacetyl – this would be added to the butter. It would reach a certain temperature and flash. He subsequently would awaken at night with chest tightness and cough and difficulty breathing… This occurred two to three times per week until the butter operation was transferred to the spray dry area approximately two years prior to this evaluation.” [Diagnosis: bronchiolitis obliterans]
Source: deposition testimony, various cases
microwave popcorn plant
transplant list
5 10 15 20 25 30 35 40 Lowest quartile Second Third Highest quartile
% affected
Cumulative diacetyl exposure quartiles Abnormal Spirometry by Diacetyl Exposure
Kreiss K et al. Clinical bronchiolitis obliterans in workers at a microwave popcorn plant. NEJM 347:330 (2002).
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Sep September 9, 9, 20 2013 Sep September 29, 29, 20 2011
Si Silicos licosis is c case se s summa mmary, Ca Californi lifornia (J a (Janua anuary 2 2019 - 19 - Feb ebruary 2 y 2020) 0) N N = = 10 conf 10 confirmed ( (6 ali alive and and 4 4 dea deaths)
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Cas Case #1 #1 “Se “Sentinel” Hospital discharge Confirmed, died 2018 Contact tracing of relative Cas Case #2 #2 Relative of Case #1 Confirmed, died 2018 Lung tissue from coroner Case ses # s #3-6 Worksite case investigation Confirmed Collaboration with CalOSHA Case ses # s #7- 12 12 Silica medical examinations
Possible, pending pulmonary evaluation F/u with company, Concentra and pulmonary specialist Cas Case #13 #13 Hospital discharge Confirmed, died 2014 Outpatient records, telephone interview with friend Cas Case #14 #14 Kaiser OM department Confirmed Worksite visit Cas Case #15 #15 WC attorney to UCSF Confirmed Information to QME for claim approval Cas Case #16 #16 Hospital discharge Confirmed, died 2017 Interview with family
Asbestosis Byssinosis Chronic beryllium disease Coal Workers Pneumoconiosis Extrinsic Allergic Alveolitis Mesothelioma Scrotal Cancer Silicosis Silicotuberculosis Talcosis
Center for Surveillance, Epidemiology, and Laboratory Services