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Supreme Court of the ACT |
Last Updated: 30 September 2008
JOHN WILLIAM SUTHERN v UNILEVER AUSTRALIA LTD [2007]
ACTSC 81 (28 September 2007)
NEGLIGENCE – personal injury claim – plaintiff allegedly suffered poisoning due to ingestion of mercury in ice cream – whether mercury introduced into the ice cream during manufacturing process – evidence of mercury levels in subsequent urine samples suggestive of further ingestions – whether continuing symptoms attributable to initial ingestion – no issue of principle.
Trade Practices Act 1974 (Cth), ss 53(a), 74B
Anchor Products Ltd v Hedges 26 [1966] HCA 70; (1966) 115 CLR 493
Schellenberg
v Tunnell Holdings Pty Ltd [2000] HCA 18; (2000) 200 CLR 121
Jones v Dunkel
[1959] HCA 8; (1958) 101 CLR 298
Wyong Shire Council v Shirt [1980] HCA 12; (1980) 146 CLR 40
Modbury Triangle Shopping
Centre Pty Ltd v Anzil [2000] HCA 61; (2000) 205 CLR 254.
Cooper & Ors v Westpac General Insurance Limited [2007] ACTCA 20 (14 September 2007)
Martindale – The Extra Pharamacopoeia, 26th Edition (pg 1053) published in 1972
No SC 178 of 1999
Judge: Crispin J
Supreme Court of the ACT
Date: 28 September
2007
IN THE SUPREME COURT OF THE )
) No SC 178 of
1999
AUSTRALIAN CAPITAL TERRITORY )
BETWEEN: JOHN WILLIAM SUTHERN
Plaintiff
AND: UNILEVER AUSTRALIA LIMITED
Defendant
ORDER
Judge: Crispin J
Date: 28 September 2007
Place: Canberra
THE COURT ORDERS THAT:
1. The plaintiff claims damages for personal injuries allegedly sustained as a
result of the ingestion of mercury contained in ice
cream that he ate on 13 and
14 June 1996.
2. He gave evidence that his former wife, Mrs Pilar Gee, had
bought a tub of Streets Blue Ribbon ice cream from the Cannon’s
Superbarn
store at Erindale in the ACT on 12 June 1996. He opened it on the following
evening and served some onto plates for himself
and his two children but did not
at that time notice anything unusual about the ice cream. On the evening of 14
June, the plaintiff
again served ice cream for himself and his children. In the
course of doing so, he ate two spoonfuls of ice cream taken directly
from the
tub. He then noticed a silver ball in the bottom of the tub and, when he
attempted to remove it, noticed it break into
two smaller balls. He then
examined the ice cream and saw that there were grey streaks in the side from
which he had been taking
the scoops. He also noticed tiny dots of what appeared
to be mercury.
3. He spoke to his wife about what he had seen, telephoned the
Poisons Information Service and then had a further conversation with
a friend
who was a police officer and whom he knew had undertaken a course in
occupational health and safety. In response to his
advice, the plaintiff and
his wife went to the Canberra Hospital where the ice cream was taken from him
and x-rayed. The police
were called and the attending officers also inspected
the ice cream.
4. Subsequent tests confirmed that it contained mercury. The
plaintiff was also x-rayed and the images revealed small quantities
of a
substance presumed to be mercury in his abdomen. He was given laxatives and
invited to return to the hospital later.
5. He did not immediately experience
any adverse symptoms other than cramping and this may have been attributable to
the laxatives.
However, as time passed he began to develop a range of
unpleasant symptoms that became progressively more disabling. He claims
that
these were caused by the ingestion of the mercury.
Liability
6. The
plaintiff alleges that his injuries and disabilities are attributable to a
breach of the duty of care that the defendant owed
to him at common law and/or
breaches of s 53(a) and 74B of the Trade Practices Act 1974 (Cth).
The claim
in negligence
7. The plaintiff’s case on negligence is relatively
straightforward. Mrs Gee noticed nothing unusual about the tub of ice cream
when she purchased it, and the plaintiff saw nothing unusual about the
appearance of the ice cream itself when he removed the lid.
The defendant did
not receive any communication suggestive of extortion and there is no other
reason to suppose that anyone may
have tampered with the container or its
contents after it had left the factory. Hence, it is a reasonable inference
that the mercury
was inserted into the ice cream at some stage during the
processes of manufacture or packaging. The insertion was unexplained, it
occurred whilst all of the relevant circumstances were within the
defendant’s control and it was an occurrence of a kind that
would not
ordinarily occur without negligence. Accordingly, he maintains, negligence on
the part of the defendant could be inferred
by the application of the principle,
res ipsa loquitur.
8. This principle is not a distinct rule of law but an
application of an inferential reasoning process from which negligence may be
inferred. As the High Court of Australia observed in Anchor Products Ltd v
Hedges 26 (1966) [1966] HCA 70; 115 CLR 493 at 500, and the more recent case of Schellenberg v
Tunnell Holdings Pty Ltd [2000] HCA 18; (2000) 200 CLR 121 at 133, the burden of proof remains
upon the plaintiff. Hence, even if grounds for the application of the principle
are established,
it remains necessary for the Court to determine whether the
burden of proof has been discharged. As Windeyer J determined in Anchor
Products v Hedges at 500:
To say that an act speaks for itself does not mean that if no evidence is given for the defendant the plaintiff is entitled in law to a verdict in his favour. The occurrence speaks of negligence, but how clearly and convincingly it speaks depends upon its circumstances. It is evidence from which an inference of negligence may be drawn: it does not mean that this inference must necessarily be drawn, although in some cases it may be evidence so cogent and compelling that any other conclusion would be perverse as Du Parcq L.J. pointed out in Easson v London and North Eastern Railway Co [1944] 1 KB 421 at 425. But always the question whether the plaintiff has discharged the burden of proving his case depends upon the effect of the whole of the evidence given in the case, including such inference as may be drawn from the happening of the accident, if its cause remains unexplained.
9. In the present case, the plaintiff contends that the occurrence is one that
provides compelling evidence of negligence on the
part of the
defendant.
10. At an early stage in the proceedings, counsel for the
defendant appeared to suggest that the plaintiff may have put mercury into
the
ice cream himself and knowingly ingested it with a view to providing an apparent
basis for a fraudulent claim. This suggestion
was not pressed by Mr Watson SC,
who later appeared for the defendant with Ms Williams, and I would in any event
have rejected it.
11. Mr Watson did, however, submit that the mercury may
have got into the ice cream after it had left the factory. He maintained
that
it could have been attributable to an act of sabotage within the supermarket or
that it could have been inserted deliberately
or accidentally whilst the ice
cream was in the plaintiff’s home. Neither Mrs Gee nor the plaintiff
relied or could reasonably
have relied upon the skill or judgment of the
defendant to prevent the subsequent contamination of the ice cream in any such
manner.
12. The defendant provided evidence, in sworn answers to the
plaintiff’s interrogatories, that the relevant tub of ice cream
had been
one of 21,420 produced in a production run between 8.30 pm on 3 May 1996 and
6.50 am on 4 May 1996. Neither the defendant
nor the Australian Federal Police
received any other complaint of mercury in stock produced in that production
run. The defendant
tested samples from production runs before and after that
run but found no similar problem. The defendant also dismantled and inspected
the pasteuriser for signs of mercury but found none. An analysis of burn-on
material removed from the pasteuriser showed that there
was less than 0.01mg/kg
mercury present. The defendant then proceeded to interview 29 staff members who
had worked on the relevant
production run. They were unable to identify any
event that may have been responsible for the introduction of mercury into any of
the ice cream. The defendant recalled the product in the ACT, recovering 4,321
containers of ice cream, none of which were found
to contain mercury. It also
withdrew ice cream produced in that production run from points of sale in other
states. It maintained
that thermometers were not used in the production of the
ice cream but only in its research laboratory.
13. Staff members were asked
to complete a questionnaire which included the question “Given that there
were small beads of mercury
in two distinct spots in the 2L tub of Blue Ribbon,
how do you think that the mercury could have got there”? Most of the
responses
were largely speculative. Some expressed the opinion that it would
not have entered the ice cream in the factory whilst others clearly
thought that
it had. One employee attributed it to the packaging process and added
“dirt, plastic, hair, dead and alive spiders
have been found in the
packaging before”.
14. The defendant also relied on evidence from
Professor Hambley who had examined and tested the contents of the remaining ice
cream
and the relevant tub on 23 October 2000. He also examined x-rays of the
tub. He said that the particles of mercury appeared to
be distributed only
across the irregular surface of the ice cream and were not in the body of it.
It was suggested that this demonstrated
that the mercury had been added to the
ice cream after it had already become frozen.
15. On the other hand, the
evidence of the plaintiff and Mrs Gee of their observations of the ice cream
received some support from
the hospital notes taken on 14 June 1996 which
recorded that “mercury . . . was speckled throughout the tub of ice
cream”.
The plaintiff said that the doctors who looked at it had been
“picking pieces out of it” and had expressed the opinion
that it was
mercury.
16. More than four years had obviously elapsed before Professor
Hambley examined the ice cream and it is impossible to know what might
have
happened to it during those years. There is no reliable evidence as to the time
that elapsed between the initial removal from
the freezer and the x-ray of the
ice cream at the hospital but there is no reason to suppose that it may not have
begun to thaw during
that period. The evidence does not reveal whether it may
have partially melted to the point where it retained its essential shape
but
became sufficiently soft for droplets to move towards one or other surface
depending upon how the tub was held.
17. I will address the issues raised
as to the plaintiff’s credibility later in these reasons for judgment.
For present purposes
it is, I think, sufficient to say that I accept his
evidence and that of Mrs Gee as to what they saw in the ice cream on the evening
of 14 June 1996.
18. Moreover, even if I were to assume that the mercury had
been added after the ice cream had become frozen, that would not demonstrate
that it was attributable to the action of someone other than a servant or agent
of the defendant. In the absence of any evidence
of an extortion demand or of
any similar act of sabotage with mercury at any time, there is no reason to
suppose that it was inserted
deliberately and, if accidental, it presumably
occurred in the factory before the lid was placed on the tub. As I have
mentioned,
there was some evidence that mercury thermometers were used in the
defendant’s research laboratory and the defendant did not
adduce any
evidence with a view to establishing that the tub of ice cream in question could
not have been the subject of some examination
by a research officer. Nor did it
seek to establish that no such thermometers had been broken. Furthermore, it is
apparent from
the responses to the questionaries submitted to staff involved in
the manufacturing process that some, at least, had apparently thought
that the
mercury might well have got into the ice cream whilst it was still in the
factory.
19. Counsel for the defendant stressed that there was little real
evidence to explain the presence of mercury in the ice cream and
cited the
observation of Dixon CJ in Jones v Dunkel [1959] HCA 8; (1958) 101 CLR 298 at 305
that:
... the law ...does not authorise a court to choose between guesses, where the possibilities are not unlimited, on the ground that one guess seems more likely than another or others. The facts proved must form a reasonable basis for a definite conclusion affirmatively drawn of the truth of which the tribunal of fact may reasonably be satisfied.
20. I am mindful of this admonition and of the relative paucity of evidence
relevant to this issue. However, I have concluded that
there is a sufficient
basis for an inference that the mercury got into the ice cream whilst it was
still in the factory, and I am
satisfied, on the balance of probabilities, that
it did.
21. Counsel for the defendant argued that, in any event, there was
simply no evidence of any deficiency in the manufacture, storage
or distribution
of the ice cream that would support a finding of negligence. Nor was there any
evidence of the availability of remedial
measures or their utility, cost or
potential inconvenience. Hence, the balancing exercise discussed in Wyong Shire
Council v Shirt
[1980] HCA 12; (1980) 146 CLR 40 cannot be undertaken, and there is no basis
for a finding of a breach of duty. It was also argued that the defendant could
not be
held liable for the intervening criminal conduct of a third party: see
Modbury Triangle Shopping Centre Pty Ltd v Anzil [2000] HCA 61; (2000) 205 CLR 254.
22. Had
the plaintiff not been able to rely upon the principle of res ipsa loquitur, I
would have accepted these submissions without
hesitation. However, this seems
to be a classic case for the application of that principle. As the Court of
Appeal recently affirmed
in Cooper & Ors v Westpac General Insurance Limited
[2007] ACTCA 20 (14 September 2007), the principle may be invoked when
three elements are established:
(1) there is an “absence of explanation” of the occurrence that caused the injury;
(2) the occurrence was of the kind that does not ordinarily occur without negligence; and
(3) the instrument or agency that caused the occurrence was under the control of
the defendant.
23. There is clearly a relevant absence of explanation,
mercury does not ordinarily get into tubs of ice cream without negligence
and,
if it did so whilst the tub was still in the factory, as I have found, then the
instrument or agency responsible was obviously
under the control of the
defendant.
24. Having considered the whole of the evidence in the case,
including that adduced by the defendant in the form of answers to
interrogatories,
I am satisfied that the plaintiff has discharged the burden of
proving his claim in negligence on the balance of probabilities.
The claim
under s 53(a) of the Trade Practices Act
25. The first of the claims under
the Trade Practices Act is based upon the provisions of s 53, the relevant
portions of which are in the following terms:
A corporation shall not, in trade or commerce, in connexion with the supply or possible supply of goods or services or in connexion with the promotion by any means of the supply or use of goods or services:
(a) falsely represent that goods are of a particular standard, quality, value, grade, composition, style or model or have had a particular history or particular previous use. . .
26. This aspect of the plaintiff’s claim was not pressed with any real
vigour. There were competing arguments about whether,
in enacting s 53, the
legislature had intended to confer a right to damages or other civil remedy upon
any person claiming to have suffered loss as
a consequence of a breach of the
section. This argument may be of considerable academic interest, but I have
found it unnecessary
to address it in the present case. It was not suggested
that the defendant had falsely made any express representation of this kind
and
the plaintiff was essentially dependent upon the contention that the
presentation and sale of the ice cream gave rise to an implied
representation
that it was fit for human consumption. Whilst that is a potentially viable
claim, it seems to me to be one that is
more securely founded upon s 74B of the
Trade Practices Act and, even if I were to accept that a breach of s 53(a) can
give rise to a cause of action sounding in damages, the plaintiff’s case
would not be materially enhanced.
The claim under s 74B of the Trade
Practices Act
27. The claim under s 74B is based upon the following
provisions of the section:
(1) Where:
(a) a corporation, in trade or commerce, supplies goods manufactured by the corporation to another person who acquires the goods for re-supply;
(b) a person (whether or not the person who acquired the goods from the corporation) supplies the goods (otherwise than by way of sale by auction) to a consumer;
(c) the goods are acquired by the consumer for a particular purpose that was, expressly or by implication, made known to the corporation, either directly, or through the person from whom the consumer acquired the goods or a person by whom any antecedent negotiations in connexion with the acquisition of the goods were conducted;
(d) the goods are not reasonably fit for that purpose, whether or not that is a purpose for which such goods are commonly supplied; and
(e) the consumer or a person who acquires the goods from, or derives title to the goods through or under, the consumer suffers loss or damage by reason that the goods are not reasonably fit for that purpose;
the corporation is liable to compensate the consumer or that other person for the loss or damage and the consumer or that other person may recover the amount of the compensation by action against the corporation in a court of competent jurisdiction.
(2) Subsection (1) does not apply:
(a) if the goods are not reasonably fit for the purpose referred to in that subsection by reason of:
(i) an act or default of any person (not being the corporation or a servant or agent of the corporation); or
(ii) a cause independent of human control;
occurring after the goods have left the control of the corporation; or
(b) where the circumstances show that the consumer did not rely, or that it was unreasonable for the consumer to rely, on the skill or judgment of the corporation.
28. It was not disputed that the defendant was a corporation, in trade or
commerce, that it supplied the ice cream manufactured by
it to the retailer or
that the retailer acquired it for re-supply to a consumer. It was not disputed
that, if the ice cream contained
mercury when initially supplied by the
defendant, then it was not reasonably fit for consumption. It was not disputed
that Mrs Gee
purchased the ice cream as a consumer, that she did so for the
purpose of consuming it and making it available to the plaintiff and
their
children for consumption, and that this was an obvious purpose made known, by
implication, to the defendant. Nor was it disputed
that the plaintiff had
acquired the ice cream from his wife. Hence, the real issues that arise for
determination in relation to
this cause of action are whether the plaintiff
suffered loss or damage by reason of the goods not being reasonably fit for the
purpose
of consumption and, if so, whether the defendant can nonetheless elude
liability by reason of subs 74B(2).
29. The defendant vigorously resists any
finding that the plaintiff suffered any substantial injury as a consequence of
ingesting
mercury in the ice cream. This aspect of the case is discussed later.
For present purposes, it is sufficient to note that he clearly
suffered at least
some minor loss and/or damage by reason of the ice cream not being fit for
consumption. For example, he presumably
incurred some expense, even if only for
petrol, in travelling to and from the hospital and he also suffered cramping,
either as a
direct result of the mercury or as a result of the laxatives
prescribed to enable him to excrete the mercury more quickly.
30. It should
be noted that it is the defendant which bears the onus of proof in relation to
the exceptions specified in subs 74B(2).
The evidence does not establish that
the ice cream was unfit for consumption by reason of an act or default by
someone other than
a servant or agent of the defendant or a cause independent of
human control that occurred after the ice cream had left the control
of the
defendant. Its case on this issue is really dependant upon supposition that the
mercury was put into the ice cream as an
act of sabotage, a further assumption
that this happened after the ice cream had left its control and a series of
answers that it
provided to the plaintiff’s interrogatories said to show
that it was unlikely that this had occurred in the manufacturing process.
In my
opinion, that is clearly insufficient to discharge the onus of proof borne by
the defendant on this issue. In the context
of alternative causes of action
with the onus of proof resting on the plaintiff in one and the defendant on the
other, reliance upon
the admonition of Dixon J not to choose “between
guesses” was inevitably a two edged sword and, in my opinion, it
effectively
precludes any finding for the defendant on this issue.
31. It was
argued that s 74B would not apply if the mercury had entered the ice cream after
it had already been delivered to the supermarket. That is true, but
the premise
has not been established. It was also submitted that, if the mercury had been
inserted into the ice cream as an act
of sabotage by some person unrelated to
the defendant, then the defendant would be relieved of liability because the
evidence suggested
that Mrs Gee had not relied on the skill or judgment of the
defendant to prevent such an occurrence, and it would have been unreasonable
for
her to have done so. Again, this argument is valid but the premise has not been
established.
32. I find that the defendant has failed to establish any of the
grounds specified in s 74B(2) and that it is therefore liable to compensate
the plaintiff for any loss or damage occasioned by reason of the ice cream not
being
fit for consumption.
Causation
33. The defendant has raised a number
of points in relation to the issue of causation. I have taken the view that it
is not necessary
to address every issue of this kind, but will refer to a number
that I found significant. The arguments may best be appreciated
in the context
of at least a brief account of the relevant history, including such matters as
the development of the plaintiff’s
symptoms, his courses of treatment, and
the mercury levels in his blood and urine at various times.
Relevant
history
34. The x-ray taken during the course of the plaintiff’s first
visit to the hospital on 14 June 1996 was said to have shown
that:
There are multiple specks of radio-opacity which are of metallic density. There is a group in the left upper quadrant close to the mid line presumably in the stomach. There is another group scattered in the right lower quadrant and true pelvis presumably in the caecum and sigmoid colon respectively. There is also one speck seen in the descending colon.
35. Professor Watling, an analytical forensic chemist, made an assessment that
the specks of mercury visible in this x-ray would
have amounted to 1.56
grams.
36. A 24 hour urine collection study apparently undertaken on 15 June
1996 revealed a mercury level within normal limits.
37. The plaintiff duly
returned to the hospital on 17 June 1996 reporting that he had been well, apart
from occasional mild abdominal
cramps and occasional mild headaches. As
previously mentioned, the cramping may have been caused by the laxatives, though
Mr Bartley
SC, who appeared for the plaintiff with Mr Tuscano, suggested that it
could equally have been a symptom of incipient mercury toxicity.
A urine sample
was taken but his urinary mercury level proved to be normal. A further
abdominal x-ray was also taken and this showed
that there were then “many
more metallic radio-opacities scattered in a large bowel
distribution”.
38. The plaintiff received a letter from the defendant
dated 17 June 1996 expressing concern about the “unfortunate
incident”
that had occurred, and advising him that the relevant batch of
ice cream had been recalled. He also received a copy of a media statement
in
which the defendant announced the withdrawal of the batch of ice cream following
the discovery of traces of liquid mercury in
one tub sold in Canberra.
39. He
returned to the hospital for a further examination on 21 June 1996. He was then
found to be asymptomatic. A further abdominal
x-ray was taken and the
radiological report later revealed that a comparison of that x-ray with the
x-ray film taken on 17 June
1996 had demonstrated that there were
“now less radio-opaque foreign bodies within the large bowel loops,
suggesting clearance
of some foreign bodies”.
40. The plaintiff
subsequently began to experience various symptoms. By August 1996 he noticed
that he was becoming angry and sought
medical advice. On 30 August 1996 his
general practitioner, Dr Brown, issued him with a medical certificate for a
“stress
disorder” and advised him to see a counsellor. The
plaintiff disagreed with this diagnosis and consulted another general
practitioner,
Dr Tsintsof. He gave him a history of ingesting mercury in the
ice cream and complained of reduced short-term memory, lethargy,
headaches,
irritability and diminished concentration. Dr Tsintsof noticed that he had a
high frequency hand tremor. He subsequently
referred the plaintiff to a
specialist in occupational medicine, Dr Le Leu.
41. At a time that he thought
was “around September” that year, the plaintiff’s face began
to become swollen and
he experienced associated pain in his neck and the sides
of his face under the ears. This condition was subsequently diagnosed as
parotitis.
42. The radiological report of a further x-ray taken on 11 October
1996 at Dr Tsintsof’s request stated that:
A single 1 mm diameter focus is noted in the descending colon (as marked) as evidence of any residual mercury within the colon. No other foci were identified, with extensive clearing of the previously noted opacities from the examinations of 14, 17 and 21/6/96.
43. He subsequently he saw Dr Le Leu who also noted that the plaintiff had a
fine tremor in the hands. On 12 November 1996 Dr Le
Leu reported that he had
seen the plaintiff again a few days earlier and that he had complained of
emotional problems, headaches,
difficulty reading, disorientation, loss of
concentration and swelling of the salivary glands “for sixteen
days”. He
had said that some headaches had started “virtually from
the time he ate the ice cream”. Dr Le Leu referred him to a
number of
other specialists including Dr Gavin Carney, a nephrologist, who later assumed
responsibility for the plaintiff’s
treatment.
44. When the plaintiff
was asked in evidence about matters such as his mood, concentration and memory
between August and November
1996, he said that it was a “foggy”
period and that he had only a vague recollection of it, though he did recall
having
trouble concentrating and thinking things through properly. He also
recalled that on occasions he had become lost whilst driving
to various sites
and that he had suffered pain in the face and headaches. Whilst he was
dissatisfied with Dr Brown’s diagnosis
of post-traumatic stress syndrome,
he acknowledged that over time he did begin to experience emotional
problems.
45. He saw Dr Tuck, a consultant neurologist on 28 November 1996
and gave him a history of headaches, that he said had developed a
few days after
ingesting the ice cream, and continuing stabbing pains in the head. He
explained that his cognitive symptoms began
a little later. He had developed
swollen parotid glands and had noticed that some foods have a peculiar taste.
During the month
or so prior to the consultation he had also noticed pins and
needles in his extremities when lying or sitting in the one position.
He was
referred for a neuropsychological assessment.
46. A renal biopsy carried out
in November 1996 revealed no abnormalities.
47. He was given chelation
treatment in the Canberra Hospital between 16 and 24 December 1996 with a
view to removing mercury
from his system. Samples taken immediately prior to
the first course of chelation on 18 December 1996 revealed a base serum
mercury level of 55 nmols/L and a base urinary mercury level of
442 nmols/d. After treatment with 1,000 mg of penicillamine
per day, his
peak urinary mercury level was found to be 1019 nmols/d.
48. Samples taken
prior to the second course of chelation which commenced on 30 January 1997
revealed a base serum mercury level
of 17 nmols/L and a base urinary mercury
level of 175 nmols/d. On this occasion the dosage of pencillamine was increased
to 1500
mg per day but his peak urinary mercury level reached only 368 nmols/d.
Dr Carney subsequently recorded that this response
had been very good,
though “much blunted compared to the first response”.
49. An
abdominal x-ray taken on 5 February 1997 after the conclusion of this course of
therapy revealed “two tiny flecks of
metallic density in the left
hypochondrium which could be within the descending colon”.
50. By that
time he had been experiencing severe facial swelling, headaches and other pain.
He had exhausted his sick leave and his
employment was terminated on
17 February 1997.
51. Towards the end of that month he became short of
breath. He was again admitted to the Canberra Hospital on 28 February 1997 and
examined not only by Dr Carney but by Dr Hurwitz, a thoracic physician. His
breathlessness was thought to have been a reaction to
the penicillamine but
other symptoms persisted. His facial swelling was diagnosed as parotitis and it
was noted that he had been
suffering from migraine.
52. On 12 March 1997 the
plaintiff’s serum mercury level was found to exceed 2,873
nmols/L.
53. The third course of chelation therapy did not commence until 28
April 1997 and by then this level had fallen to 841 nmols/L.
His base urinary
mercury level was then found to be 8,964 nmols/d. On this occasion the
pencillamine dosage was only 250 mg
per day. Yet after this course, his
peak urinary mercury level was found to be 76,137 nmols/d. Dr Carney
subsequently described
this as “an extraordinary figure”. A further
abdominal x-ray taken on the second day of this course revealed “multiple
pinpoint metallic densities in both sides of the abdomen and in the
pelvis”.
54. Dr Carney clearly found the plaintiff’s case
very interesting and on 3 September 1997 he made a presentation to medical
colleagues at what was described as the “Grand Rounds”. He later
recorded that during the course of the ensuing discussion
it had been suggested
that, because the plaintiff had developed symptoms within a short period of
ingesting what had appeared to
have been elemental mercury, “he must have
been given something else”. Some of the medical practitioners present
questioned
whether he may have been re-exposed to mercury on several occasions
and one suggested poisoning.
55. He had further courses of chelation therapy
in December 1997, February, March and July 1998, March, May and December 1999
and
March and May of 2000. On these occasions he was treated with varying
dosages of Dimercaptosuccinic Acid (“DMSA”) which
is apparently a
more effective chelating agent for mercury than penicillamine.
56. Dr
Carney’s clinical examinations of the plaintiff did not reveal anything
significant during this period. From about July
1998 he generally found that
the plaintiff was well, apart from side effects of the chelation therapy, some
occasional parotitis,
headaches and skin lesions. Indeed, on 4 November 1999 he
reported that the plaintiff felt “wonderful” and that he had
got a
job as a commentator in archery at the Sydney Olympics. He added that the
plaintiff had been thinking of competing at the
Commonwealth Games at some stage
and said that he “certainly looks well”.
57. On 28 June 2000 he
made a note to the effect that the plaintiff’s archery was still
successful and that he had won a bronze
medal at the national
championships.
58. In March 2001 the plaintiff’s serum and urinary
mercury levels were both found to be within the normal range but his urinary
mercury levels were again found to be elevated in November 2001 and March 2002.
In July 2002 his serum mercury level was again found
to be within the normal
range and his urinary mercury level only slightly elevated.
59. In April 2003
his urinary mercury level was found to be 6,840 nmols/d. Dr Carney was clearly
at a loss to understand how the
level could have increased to such an extent and
speculated about whether the plaintiff might have been “mobilising further
elemental mercury which has been metabolised”. In July 2003 the urinary
mercury level had fallen to 388 nmols/d and by July
2004 it had returned to the
normal range.
60. The plaintiff’s arsenic levels were also found to
be significantly elevated from time to time, though it was suggested that
this
may have been attributable to his fondness for seafood.
61. His level of
disability fluctuated but when he gave evidence on 21 May 2007 he said that he
still felt unable to work more than
30 hours per week.
The issue of metallic
mercury toxicity
62. The prevailing scientific view is that, at least in the
absence of certain gastrointestinal problems, the ingestion of liquid
metallic
mercury is not toxic to humans. As Dr Karalliedde, an expert toxicologist,
explained, less than 0.01% can be expected to
be absorbed during the passage of
mercury through the body and this is insufficient to cause any toxicity. There
was a formidable
body of scientific evidence to support this view and it was not
seriously challenged.
63. Elemental mercury may, however, be oxidised or
converted to a toxic form of mercury in the medium of water and chloride ions,
by reactions with enzymes and/or amino acids, and/or reaction with bacteria and
other micro organisms. Mr Bartley argued that the
conditions capable of causing
conversion or oxidisation in this manner could exist in the gastrointestinal
tract. He conceded that
this would take some time and that liquid mercury
usually passed through the gastrointestinal tract quickly. He pointed out,
however,
that the evidence did not reveal, with any clarity, the minimum period
for which the metallic mercury would need to have remained
in the
gastrointestinal tract for such a process to have occurred. Dr Carney said that
the period between 14 and 17 June 1996 would
have been sufficient. Professor
Spence conceded that the period between 14 and 21 June 1996 would have been
“an ample period
according to the literature” for conversion into
mercuric salt. On the other hand, Professor Watling, who is an expert
analytical
forensic chemist, said that the chance of metallic mercury being so
absorbed was “vanishingly small”.
64. The preponderance of
evidence on this issue was to the effect that such absorption would not occur in
a normal gastrointestinal
tract. Whilst it could possibly occur due to the
presence of inflammation, malignancy, infection, disease or some other pathology
or malfunction of the intestinal mucosa, no instances of toxicity occurring due
to such occurrences had been documented, though there
had been a recorded case
of absorption after retention of mercury due to a fistula. Furthermore, there
was no evidence to suggest
that the plaintiff had suffered from any
gastrointestinal disease or abnormality, though the evidence does not exclude
the possibility
that he may have had such a condition. The difficulty with this
aspect of the plaintiff’s case is that it is reliant upon
an hypothesis
that he may have had an undetected illness that apparently did not produce
sufficient symptoms to warrant subsequent
complaint or medical investigation but
which sufficiently affected the mucosa to permit the absorption of elemental
mercury.
65. Mr Bartley also relied upon the opinion expressed by both Dr
Crank and Dr Allender that elemental mercury might be absorbed if
finely
divided. This opinion was founded upon a theory that the fine division of the
mercury would result in a greater surface area
relative to the volume of mercury
involved and that this would increase the likelihood of absorption. As
Mr Watson established,
there is a considerable body of literature about the
consequences of ingesting liquid metallic mercury which was apparently widely
used for the relief of bowel obstruction in the 17th and 18th centuries. Yet,
Dr Crank did not attempt to support this theory
by reference to any of the
articles or case studies contained in the literature, and Dr Allender was
able to point to only a
single sentence in the 26th edition of Martindale
– The Extra Pharamacopoeia, 26th Edition (pg 1053) published in 1972,
and that sentence had been removed from all of the subsequent editions. As Mr
Watson pointed out, a discussion of this theory would
have been a striking
omission from the more recent literature had it been arguable because, as
Dr Allender himself conceded,
biological mechanisms within the
gastrointestinal tract may themselves cause fine division. Furthermore, as
Dr Karalliedde
observed, the presentation of a larger surface area by fine
division would not change the characteristics of the liquid metallic
mercury.
Whilst Dr Allender maintained that the presentation of a larger surface
area would make the mercury more reactive,
Professor Hambley explained that it
would do so only in the sense of increasing the exposure to any oxidising agent
that may be present.
Dr Karalliedde said that mercury is not easily
oxidised unless exposed to large amounts of oxygen and that a normal
gastrointestinal
tract does not provide conditions where oxidisation can take
place. I found Dr Karalliedde an impressive expert witness and accept
this
evidence.
66. Mr Bartley argued that the decisive question was whether the
mercury ingested by the plaintiff on 13 and/or 14 June 1996 may have
been
delayed in its passage through the gastrointestinal tract for a sufficient
period to enable such conversion and/or oxidisation
to occur. The x-rays
subsequently taken on 17 and 21 June 1996 both revealed the presence of mercury
well after it should have passed
through the plaintiff’s body in the
ordinary course of events. Whilst the evidence did not demonstrate that he had
been suffering
from any particular gastrointestinal problem sufficient to
account for this delay, Mr Bartley pointed out that it did not exclude
such a
possibility. In any event, he argued, the x-rays demonstrated that a
substantial delay had in fact occurred. Hence, it was
possible that some of the
elemental mercury had been converted or oxidised into a form capable of being
absorbed through the mucosa.
Such a process was, he submitted, the only
rational explanation for the elevated levels of mercury subsequently found in
the plaintiff’s
body.
67. Dr Karalliedde bluntly rejected this
hypothesis, explaining that the conditions for oxidation were simply not present
in a normal
gastrointestinal tract. Mr Watson also argued that the metallic
densities observed in the x-rays taken on 17 and 21 June 1996
were not the
residue of mercury ingested on 13 and 14 June 1996 but were attributable to
subsequent ingestions.
68. Mr Watson submitted that it was most unlikely that
the plaintiff could have had a gastrointestinal problem of sufficient severity
to delay the passage of metallic mercury through his body for such an extended
period without producing significant symptoms. Yet
on 17 June 1996 the
plaintiff had complained only of mild discomfort and cramping, that may have
been attributable to the laxatives,
and on 21 June 1996 he had apparently been
asymptomatic.
69. The plaintiff had been invited to undertake specialist
medical examination to determine whether he might have suffered from an
oesophageal or pharyngeal abnormality that might have provided some conceivable
explanation for the absorption of metallic mercury.
He declined on medical
advice and it would clearly be inappropriate to draw any adverse inference
against him by reason of this
decision.
Was further mercury
ingested?
70. Mr Watson pointed out that the x-ray taken on 17 June 1996 had
revealed many more metallic radio densities than had been present
three days
earlier. This suggested a further ingestion of mercury rather than the
retention of mercury that would otherwise have
been expected to have quickly
passed through the body.
71. I note that Dr Korber, a radiologist, confirmed
that there was “clearly more” mercury evident in the x-ray taken on
17 June than had been seen in the x-ray taken three days earlier. He agreed
that an accurate volume-metric comparison of absolute
volume between the mercury
visible and the x-ray of 14 June 1996 and that visible in the x-ray of 17 June
1996 could not be made
and that it was possible, but extremely unlikely, that
there could have been mercury in part of the stomach not captured on the earlier
x-ray. The x-ray taken on 11 October 1996 revealed only one density and Dr
Korber thought that this had not been metallic in nature.
72. Both
Professor Watling and Dr Karalliedde said that the x-ray taken on 17 June
1996 appeared to reveal mercury globules higher
in the gastrointestinal tract
than any visible in the x-ray taken three days earlier.
73. Professor
Watling, whom I found to be an impressive witness, was also asked to examine the
x-rays taken of 14 and 17 June 1996
and those subsequently taken on
5 February and 29 April 1997. He expressed the opinion that the number and
distribution of
radio opaque particles could not have been from a single
ingestion.
74. Dr Carney suggested that the mercury apparently revealed by
the x-ray on 29 April 1997 may have actually been present since the
plaintiff
ingested the ice cream on 13 and 14 June 1996 but that it had not been
evident on the earlier x-rays because it had
divided into fine particles which
had subsequently “coalesced” and “reformed larger
globules”. Mr Watson
submitted that this suggestion should be rejected.
Dr Carney had not explained how such re-coalescence could have occurred
in
the gut and the hypothesis had received no support from other expert witnesses.
Indeed, Dr Allender dismissed it as “preposterous”.
Dr Korber
also gave evidence that the resolution of plain x-rays was sufficiently high to
capture images of microscopic size and
said that even fine particles of mercury
should have been visible in those taken on 11 October 1996 and 5 February
1997.
75. Mr Watson argued that the excretion of larger amounts of mercury
due to later courses of chelation therapy also provided strong
evidence of
further exposures to mercury. Dr Karalliedde and Professor Spence both said
that the maximal excretion of mercury would
be expected to occur during the
initial chelation and that, whilst the mercury levels following the first and
second courses of chelation
may have been understandable, the extraordinary
level found in the plaintiff’s urine after the third course of chelation
using
much lower doses of Pencillamine provided strong evidence of a more recent
ingestion of mercury. This was, of course, consistent
with the x-rays taken at
that time. When asked whether the blood and urinary mercury levels found in the
samples taken from the
plaintiff over several years could be explained by a
single exposure to metallic mercury on 13 and 14 June 1996, Professor
Watling
said that nothing was impossible but that it was “beyond the realm
of probability”.
76. Mr Watson submitted that the plaintiff’s
elevated arsenic levels and at least some elevation in his mercury levels could
be explained by reference to his high consumption of seafood. That is possible,
though it seems unlikely that this could account
for the high level of mercury
in the plaintiff’s urine in April 1997 and it could not, of course,
explain what was revealed
by the x-rays at that time. Nonetheless,
Dr Allender, who gave evidence on the plaintiff’s behalf, conceded in
cross-examination
that the inclusion of substantial amounts of shellfish in the
plaintiff’s diet would provide a much better explanation for
the long term
elevation in his serum and urinary mercury levels than the ingestion of metallic
mercury in June 1996.
77. A further impediment to acceptance of Dr
Carney’s theory arises from the apparent implausibility of a single
ingestion of
mercury in June 1996 accounting for the subsequent fluctuation of
mercury readings throughout the ensuing years. It also seems unlikely
that it
could explain the presence of a substantial quantity of mercury in the
plaintiff’s urine as late as April 2003, nearly
seven years after the
initial ingestion. Professor Watling gave evidence that 90 days was the longest
period ever recorded in which
metallic mercury had remained in the human gut.
He also explained that mercury would normally be wholly eliminated from the body
in about five “half lives”, even in the absence of chelation. The
literature provides estimate for the half life of
mercury ranging from 18 to 90
days and Professor Watling carried out experiments which revealed a half life of
up to 120 days. Even
on this basis, one would have expected the mercury to have
been eliminated in less than two years. Hence, it is difficult to see
how the
initial ingestion could account for the elevated mercury levels in 2001, 2002
and 2003.
78. Mr Bartley sought to answer this objection by reference to
evidence that the concept of a half life relates to the period during
which
mercury is excreted from the blood rather than from organs of the body. As
Professor Watling explained, different organs have
different accumulation and
depuration rates. Mr Bartley argued, in essence, that mercury may have been
absorbed into the plaintiff’s
organs, including his brain, and
subsequently drawn back into his blood and urine by chelation. There are,
however, a number of
impediments to acceptance of this hypothesis as an adequate
explanation for the apparently incongruous mercury levels in the
plaintiff’s
blood and urine at various times. There was evidence that
when mercury compounds cross the blood/brain barrier they cannot return.
The
plaintiff was examined by Dr Tuck, a neurologist, on several occasions between
1996 and 2005 and no clinical evidence of any
neurological injury was detected.
The hypothesis would presumably have required a substantial absorption of
mercury immediately
after the initial ingestions and, as previously mentioned,
there does not appear to have been any unequivocal symptoms of mercury
toxicity
at that time. Furthermore, this hypothesis could obviously not explain the
presence of radio opaque densities on subsequent
occasions.
79. As previously
mentioned, Professor Watling calculated that approximately 1.56 grams of mercury
would have been present in the
plaintiff’s gut at the time of the x-ray on
14 June 1996. On the other hand, when Professor Hambley examined the
remaining
ice cream in October 2000, he found that it contained only 0.127
grams. Mr Watson submitted that it was highly improbable that
the
plaintiff could have consumed ninety per cent of the mercury in the small
percentage of ice cream he had consumed prior to noticing
the presence of
mercury in the remainder. I did not find this argument particularly compelling.
There is obviously no evidence as
to how one would expect mercury to have been
distributed in or upon ice cream when derived in an unknown manner from an
unknown source.
80. Viewed overall, however, the evidence does suggest that
the plaintiff has not only been further exposed to mercury after 14 June
1996,
but that he has on some occasions orally ingested further liquid metallic
mercury.
81. Dr Carney clearly commenced treating the plaintiff in the belief that his
symptoms of emotional lability and occipital headaches
had commenced within
three days of 14 June 1996, and that there had been a
“recrudescence” of symptoms a month later.
This history was not
supported by the plaintiff’s evidence as to the onset of symptoms and it
appears that Dr Carney laboured
under a potentially significant misconception
until the plaintiff’s account was put to him in
cross-examination.
82. Dr Carney did not then change his opinion and it was
suggested, in essence, he had become committed to a view about the causation
of
the plaintiff’s symptoms that he was either unable or unwilling to
relinquish. He had plainly become very interested in
the case, having earlier
raised it at the “Grand Rounds”, and mentioned in evidence that he
intended to write a paper
about it. Mr Watson suggested that it was evident
from his responses to questions put to him in cross-examination that he had
substantially
lost objectivity about this issue.
83. It is true that Dr
Carney responded to some questions in an emphatic manner, but his robust defence
of his opinion must be considered
in context. He had treated the plaintiff for
a long period of time and the presence of mercury in his body had been confirmed
not
only by successive x-rays but by samples of blood and urine taken before and
after sessions of chelation therapy on no less than
ten occasions between 1996
and 2000, and further samples taken between 2001 and 2004. Whilst it was
suggested that he should not
have accepted the history given to him by the
plaintiff, there was no obvious reason for Dr Carney to have doubted its
reliability.
Furthermore, he is not an expert in mercury toxicity but a
nephrologist who seems to have done the best he could to respond to a
most
unusual case. His theory that mercury initially ingested on 13 and 14 June 1996
may have divided into fine particles that were
absorbed or otherwise eluded
detection by x-ray, and subsequently coalesced and reformed into larger globules
was, I think, the most
plausible hypothesis he could formulate to explain what
he regarded as a clear inference from the medical evidence available to him.
There is no suggestion that he was ever given any hint that the plaintiff might
have been exposed to mercury on subsequent occasions
and he did not have the
benefit of the other expert evidence now available to me. Even without the
subtle influence of a long-term
doctor/patient relationship, it would have been
understandable for him to have assumed that mercury from the initial ingestions
of
ice cream had remained in the plaintiff’s body for extended periods and
to have attempted to postulate some possible explanation
for its
retention.
84. Nonetheless, Dr Carney’s hypothesis is not supported by
the preponderance of medical and scientific evidence and I am unable
to accept
it.
85. Dr Carney’s opinion that the plaintiff’s symptoms were
causally related to the ingestion of metallic mercury on 13 and
14 June
1996 is dependent substantially upon the fact that they commenced within a few
months of those ingestions and are otherwise
unexplained. However, the temporal
connection has not been shown to have been sufficiently close to support an
inference of any
real strength. I accept the evidence of Professor Watling that
symptoms of mercury toxicity generally commence almost immediately
after
exposure. As I have mentioned, the plaintiff experienced some abdominal
discomfort and cramping prior to his return to hospital
on 17 June 1996 that may
have been attributable to the laxatives given to him on the earlier occasion and
by 21 June 1996 he
was apparently asymptomatic. The symptoms of which he
now complains did not emerge for some time. He agreed that “by
August”
he had noticed that he was having difficulty in coping with
problems at work and he was becoming frustrated and angry with sub-contractors.
He also said that he was having difficulty with headaches. When asked when he
first started to have the facial swelling later diagnosed
as parotitis, he said
that he did not know the date but he thought it was around September of that
year. As mentioned above the
plaintiff described his memory of that period as
“pretty foggy” but the evidence does not establish that these
symptoms
occurred so soon after the ingestion of the mercury in the ice cream as
to raise an inference that they were attributable to mercury
toxicity.
86. Furthermore, whilst some of the plaintiff’s symptoms could have
been attributable to mercury toxicity, there were none that
could be explained
only by reference to such a cause. Emotional responses, such as frustration and
anger with subcontractors, are
not necessarily indicative of any physiological
problem, and neither migraine headaches nor parotitis are recognised symptoms of
mercury toxicity. Indeed, as counsel for the defendant pointed out, at the time
the plaintiff’s current wife, Mrs Janine Suthern,
filmed the plaintiff
apparently suffering from severe parotitis his serum and urinary mercury levels
were within the normal range.
The plaintiff himself says that he continues to
suffer from parotitis and that it is bought on by “overdoing it”
physically.
Parotic swelling can also be induced by insufflation. It was
suggested to the plaintiff in cross-examination that he had deliberately
induced
this condition, which is referred to as pneumoparotitis. During the course of
subsequent argument, counsel for the defendant
pointed out that there had been
no evidence that the parotic swelling had been accompanied by other symptoms
indicative of inflammation,
as might have been expected if there had been a
disease of the parotic gland. Furthermore, the swelling of the
plaintiff’s
parotic gland had on occasion appeared and diminished within a
short period and this could not reasonably be explained by inflammatory
parotitis. The plaintiff also explained that on most occasions he had migraine
headaches and parotic swelling simultaneously. It
is, I suppose, possible that
the plaintiff unwittingly produces pneumoparotitis by his bodily responses to
exertion and/or the pain
of migraine headaches, though there is no evidence to
this effect. Dr Kariallidde also said that chelating agents may cause
inflammation
of the parotic gland, though chelation therapy was last
administered in May 2000 and this obviously could not explain his more recent
episodes.
87. His claim to have suffered cognitive impairment due to
mercury toxicity is not supported by the preponderance of evidence. I
note, in
particular, that he was subjected to neuropsychological testing by Professor
Mattick in 1997, 2003, 2004 and 2005 and on
each occasion Dr Mattick found no
impairment of cognitive functioning, though on the last of these occasions he
noted a significant
deterioration in the plaintiff’s performance on a
number of tests which, he said, “makes no sense”. He went on
to
explain that this suggested a variation in motivation, effort, fatigue or
“some ongoing sinister process affecting his neurological
status”
that required further neurological diagnosis. He also explained that following
an exposure to a neurotoxin such as
mercury one would expect “an acute
effect” and the return of function over a long period of time rather than
the reverse
pattern. I found Professor Mattick a most impressive witness and
accept his evidence.
The credibility of the plaintiff’s
complaints
88. I must say that I have found this matter quite perplexing.
The defendant has mounted a formidable scientific case to the effect
that the
plaintiff has repeatedly been exposed to mercury since 13 and 14 June 1996.
This and other aspects of the evidence have
raised substantial questions about
the credibility of the plaintiff’s evidence.
89. However, I had the
benefit of seeing him in the witness box for long periods and observed him
respond to rigorous cross-examination
extending, subject to some interruption,
over a period of seven days. I had ample opportunity to assess his demeanour
throughout
this period and, despite the sustained assault upon his credibility
by Mr Shore QC, the experienced senior counsel who then appeared
for the
defendant, I formed the impression that he was transparently honest. He seemed
to me to be a straightforward and somewhat
stolid man doing his best to
accurately recount the relevant events. At times he appeared to be struggling
to recall exactly what
had occurred or to determine how to properly respond to
certain questions. During the course of the cross-examination he was shown
section of a videotape that had been recorded by his second wife, Mrs Suthern,
in order to demonstrate the extent to which his face
had become swollen and his
evident suffering. It was put to him that he had deliberately inflated his
cheeks and that he had pretended
to be in pain. Whilst this aspect of the
cross-examination was forcefully maintained, I must say that I was unable to see
the suggested
signs of fabrication. In my opinion, the DVD recording does not
reveal any sign of an attempt to create pressure in the mouth for
the purpose of
inducing or aggravating parotitis and I accept his evidence that he had never
made any such attempt. I also accept
his evidence that he had not attempted to
simulate signs of pain and distress and that the apparent symptoms had been
genuine. It
is true that there were some inconsistencies in his evidence but I
think that they may well have been attributable to confusion and/or
difficulties
of memory. He certainly betrayed no hint of deviousness in the manner in which
he gave evidence. The apparent lapses
in his memory did leave me in some doubt
as to the extent to which I could rely upon his account of the earlier events,
some of which
had occurred more than a decade before he was asked to describe
them in evidence, but I am satisfied that he had conscientiously
tried to tell
the truth.
90. I note, in passing, that whilst Professor Mattick said that
one of the tests he had administered suggested that the plaintiff
had been
“faking bad” and perhaps overstating his problems, he did not
believe that the plaintiff had been lying.
91. I am satisfied that the
plaintiff’s first wife, Mrs Gee, was an honest witness who did her best to
describe the manner in
which the plaintiff changed following the incident in
question. She said that he became angry and withdrawn, that they were always
fighting and that he was constantly unwell. They separated in May 2000 and she
seemed to attribute the breakdown in their relationship
to these symptoms.
Sadly, however, it is not unusual for people to look back at the behaviour and
attitudes of a former spouse and
wonder why he or she had seemed to change. The
deterioration of a relationship is itself a stressful experience and may lead
people
to become angry, withdrawn or even argumentative.
92. I accept that
Mrs Gee looked back on four years between June 1996 and May 2000 as a time in
which the plaintiff was “always
sick” and accept that he suffered
from the symptoms she described but I am inclined to doubt that they were as
constant as
this phrase may have suggested.
93. I also note the plaintiff met
his present wife, Mrs Suthern in June 2000 and she found him to be a
charming man with a good
sense of humour. She said that she developed a
romantic attachment to him within two or three weeks of their first meeting and
that
he had been able to develop a good rapport with her two young sons. The
very formation of this relationship may, of course, have
had a positive impact
upon the plaintiff’s emotional state. Accordingly, whilst I do not see
the contrast in their evidence
concerning the plaintiff’s condition mid
2000 as casting substantial doubt upon the credibility of either woman, it is, I
think
necessary to bear in mind the likelihood that both the plaintiff’s
condition and the impressions which these women formed of
him may have been
influenced by the state of the respective relationships at the times they were
describing.
94. I see no reason to doubt Mrs Suthern’s evidence as to
the nature and severity of the symptoms he had been experiencing during
the
period immediately prior to her evidence. Furthermore, the videotape which she
took of him whilst he was apparently suffering
from parotitis and headache
revealed, in my opinion, a man who was genuinely suffering pain.
95. I am satisfied that the ice cream purchased by the plaintiff’s former
wife, Mrs Gee, contained a quantity of metallic mercury
and was accordingly
unfit for human consumption. I am satisfied that the plaintiff ate some of the
ice cream and some of the mercury
contained in it on 13 and 14 June 1996.
I accept his account of discovering mercury in the ice cream on the second
evening
and of attending at the hospital in response to that discovery. I am
satisfied that the multiple specks of radiopacity of metallic
density seen in
the x-rays taken on 14 June 1996 consisted of metallic mercury that he had
ingested with the ice cream that he ate
that evening.
96. I do not accept
that he knowingly ingested further mercury between 14 and 17 June 1996. Since
he had apparently been told when
he attended the hospital on the first occasion
that metallic mercury was non-toxic, it is difficult to imagine that he would
have
swallowed more of it in the hope of providing support for a spurious claim.
In any event, I accept his sworn evidence that he did
not do so. He may have
accidentally ingested further metallic mercury from another unknown source,
someone else may have deliberately
or inadvertently administered it to him
without his knowledge or, as Mr Bartley suggested, he may have had some
undiagnosed physical
condition that delayed the entry of some of the mercury
into the area of the gastro-intestinal tract covered by the abdominal x-ray.
Perhaps fortunately, I am not required to solve every mystery, only to determine
whether the relevant onus of proof has been discharged
in relation to the
decisive issues.
97. Despite my belief that his complaints are genuine, I
am unable to be satisfied that he suffered any substantial injury due to
mercury
toxicity arising from the ingestion of mercury in the ice cream on 13 or 14 June
1996. That finding is not wholly fatal
to his case because he did suffer at
least some consequential loss and damage. The discovery of the mercury in the
ice cream and
the realisation that he had swallowed some of it caused him to go
to hospital and seek medical advice. He was obviously worried
and suffered some
abdominal discomfort and cramping. I am unable to determine whether the
cramping was attributable to the toxicity
arising from some conversion of
mercury into a form capable of passing through the mucosa and being absorbed
into the body or whether
it was merely a reaction to the laxatives, though I
suspect it was the latter. In either event, I am satisfied that these symptoms
were directly or indirectly attributable to the plaintiff’s ingestion of
mercury in the ice cream and that this was in turn
attributable to the
defendant’s negligence and/or breach of s 74B of the Trade Practices Act.
98. I think that the plaintiff is entitled to damages for the symptoms he then
suffered and for the inconvenience and any expense
associated with returning to
the hospital on 17 and 21 June 1996 for follow up examinations.
99. Mr
Bartley submitted that he was at least entitled to damages in respect of the
inconvenience and discomfort associated with the
courses of chelation undertaken
between December 1996 and May 2000. This submission could be sustained only if
it had been established
that this treatment was causally related to the mercury
he ingested on the nights in question. However, by 21 June 1996 he had been
asymptomatic. It was the development of further symptoms in August and
September 1996 that caused him to seek further medical advice
and, in due
course, treatment from Dr Carney. I accept that he remained concerned about the
possible effect of the mercury he had
earlier consumed, notwithstanding the
advice given to him at the hospital that it was not toxic. I also accept that
this may have
been a contributory factor in his decision to seek further medical
advice and even, perhaps, to undergo chelation treatment. Nonetheless,
the
subsequent symptoms, raised serum and mercury levels and presence of further
metallic densities in the gut all seem to be indicative
of further exposures to
mercury that must in my opinion be regarded as novus actus interveniens.
100. There will be judgment for the plaintiff in the sum of
$10,000.
101. I will hear counsel as to costs.
I certify that the preceding one hundred (100) numbered paragraphs are a true copy of the Reasons for Judgment herein of his Honour, Justice Crispin.
Associate:
Date: 28 September 2007
Counsel for the plaintiff: Mr A J Bartley SC with Mr F Tuscano
Solicitor for the plaintiff: Porters Lawyers
Counsel for the defendant: Mr H Shore SC and Mr G Watson SC with Ms K Williams
Solicitor for the defendant: Astridge & Murray
Dates of hearing: 14-24 November 2005, 17-28 July 2006, 4-7 September 2006, 21-31 May 2007, 4-8 June 2007
Date of judgment: 28 September 2007
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