affirming exclusion where neither of the plaintiffs’ general- causation experts ‘‘determine[d] how much” of an alleged toxic agent “must be used for how long to increase the risk of” the dis- ease
How later courts described this case
- affirming exclusion where neither of the plaintiffs’ general- causation experts ‘‘determine[d] how much” of an alleged toxic agent “must be used for how long to increase the risk of” the dis- ease
Written by the judges who cited it.
The opinion
USCA11 Case: 23-11535 Document: 77-1 Date Filed: 10/18/2024 Page: 1 of 21
[PUBLISH]
In the
United States Court of Appeals
For the Eleventh Circuit
____________________
No. 23-11535
____________________
In Re: DEEPWATER HORIZON BELO CASES,
_______________________________________________
BELO PLAINTIFFS,
Plaintiffs,
LESTER JENKINS,
DWIGHT SIPLES,
Interested Parties-Appellants,
versus
BP EXPLORATION & PRODUCTION, INC.,
BP AMERICA PRODUCTION COMPANY,
Defendants-Appellees.
USCA11 Case: 23-11535 Document: 77-1 Date Filed: 10/18/2024 Page: 2 of 21
2 Opinion of the Court 23-11535
____________________
Appeal from the United States District Court
for the Northern District of Florida
D.C. Docket No. 3:19-cv-00963-MCR-HTC
____________________
____________________
No. 23-11538
____________________
LESTER EUGENE JENKINS,
Plaintiff-Appellant,
DWIGHT SIPLES,
Interested Party-Appellant,
versus
BP EXPLORATION & PRODUCTION INC,
BP AMERICA PRODUCTION COMPANY,
Defendants-Appellees.
____________________
Appeal from the United States District Court
for the Northern District of Florida
USCA11 Case: 23-11535 Document: 77-1 Date Filed: 10/18/2024 Page: 3 of 21
23-11535 Opinion of the Court 3
D.C. Docket No. 5:19-cv-00260-MCR-HTC
____________________
____________________
No. 23-11539
____________________
DWIGHT SIPLES, JR.,
Plaintiff-Appellant,
LESTER JENKINS,
Interested Party-Appellant,
versus
BP EXPLORATION & PRODUCTION, INC.,
BP AMERICA PRODUCTION COMPANY,
Defendants-Appellees.
____________________
Appeal from the United States District Court
for the Northern District of Florida
D.C. Docket No. 5:19-cv-00310-MCR-HTC
____________________
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4 Opinion of the Court 23-11535
Before WILLIAM PRYOR, Chief Judge, and LUCK and ED CARNES, Cir-
cuit Judges.
WILLIAM PRYOR, Chief Judge:
This appeal asks whether the district court abused its discre-
tion when it excluded expert opinion testimony about general cau-
sation in a suit related to the Deepwater Horizon oil spill. Lester Jen-
kins and Dwight Siples Jr. participated in the cleanup of that spill.
And both men complain that their exposure to crude oil and dis-
persants during the cleanup caused chronic sinusitis. Because nei-
ther crude oil nor dispersants are known toxins, Jenkins and Siples
needed to prove general causation. Their expert witnesses opined
that a causal relationship existed between the cleanup work and
chronic sinusitis. But the district court ruled that neither expert
identified a minimal level of exposure at which crude oil, its disper-
sants, or the chemicals associated with either are hazardous to hu-
man beings. And it found that the experts failed to identify a statis-
tically significant association between the chronic conditions and
exposure to crude oil, assess various studies’ limitations, or mean-
ingfully consider causal factors. Because the district court did not
abuse its discretion, we affirm the summary judgment against Jen-
kins and Siples.
I. BACKGROUND
This appeal rises and falls on the admission of expert evi-
dence and the scientific methodologies that ground toxic-tort ac-
tions. So we begin with a short primer on those methods and the
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23-11535 Opinion of the Court 5
burdens of proof relevant to these suits. Then we turn to the facts
and procedural history for this appeal.
A. A Primer on Toxic Torts
Toxic-tort actions come in two forms. In the first, the medi-
cal community already recognizes that a specific “agent”—i.e., a
substance external to the human body (think drugs, chemicals,
minerals)—is toxic and capable of “caus[ing] the type of harm a
plaintiff alleges.” McClain v. Metabolife Int’l, Inc., 401 F.3d 1233, 1239
(11th Cir. 2005). In these actions, the parties battle over specific
causation only: that is, whether the agent caused a specific plain-
tiff’s disease. Id. In the second, the medical community does not
recognize an agent as both toxic and capable of causing the kind of
injury a plaintiff alleges. Id. Plaintiffs in these actions must establish
both general and specific causation.
General causation asks “whether an agent increases the inci-
dence of disease in a group and not whether the agent caused any
given individual’s disease.’’ Michael D. Green et al., Reference Guide
on Epidemiology, in REFERENCE MANUAL ON SCIENTIFIC EVIDENCE
549, 623 (Fed. Jud. Ctr., 3d ed. 2011). In toxic-tort actions, plaintiffs
prove general causation through epidemiological evidence, dose-
response relationship, and background risk of disease. Chapman v.
Procter & Gamble Distrib., LLC, 766 F.3d 1296, 1308 (11th Cir. 2014).
Because these three kinds of evidence underpin our general-causa-
tion precedent, we describe each briefly.
Epidemiology. Epidemiology “studies the incidence, distribu-
tion, and [cause] of disease in human populations.” Green, supra, at
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6 Opinion of the Court 23-11535
551. Experts who rely on epidemiological evidence to establish
general causation assess that evidence in two steps. To start, they
ask whether the evidence “reveal[s] an association between an
agent and [a] disease.” Id. at 554. To identify an association, experts
must rule out alternative explanations, by asking, for example,
whether a potential association resulted from limitations in the
study, like chance or bias. Id. at 554, 572. Experts also ask “whether
the association reflects a true cause-effect relationship.” Id. at 554,
597. In this context, causation means something akin to but-for
cause: exposure to a toxic agent is “a necessary link in [the] chain
of events” that led to the disease. Id. at 597–98.
To decide whether a particular study supports a causal infer-
ence, experts consider the nine factors developed by Sir Austin
Bradford Hill: (1) temporal relationship; (2) strength of the associa-
tion; (3) dose-response relationship; (4) replication of the findings;
(5) biological plausibility; (6) consideration of alternative explana-
tions; (7) cessation of exposure; (8) specificity of the association;
and (9) consistency with other knowledge. Id. at 600 (citing Austin
Bradford Hill, The Environment and Disease: Association or Causation?,
58 Proc. Royal Soc’y Med. 295, 295–300 (1965)). No factor is dispos-
itive. And “[n]o algorithm exists for applying the Hill guidelines.”
Restatement (Third) of Torts: Liability for Physical and Emotional Harm
§ 28 cmt. c(3) (Am. L. Inst. 2010). Instead, their application requires
judgment. Id.
Dose-Response Relationship. At a high level, “a dose-response
relationship means the greater the exposure, the greater the risk of
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23-11535 Opinion of the Court 7
disease.” Green, supra, at 603. At a more granular level, the term
describes “a relationship in which a change in amount, intensity, or
duration of exposure to [a chemical] is associated with a change—
either an increase or decrease—in risk.” McClain, 401 F.3d at 1241–
42 (citation and internal quotation marks omitted). This relation-
ship is “the hallmark of basic toxicology” because “all substances
potentially can be toxic.” Chapman, 766 F.3d at 1307. Most “low
dose exposures—even for many years—will have no conse-
quence[s] at all.” McClain, 401 F.3d at 1242 (citation and internal
quotation marks omitted). This fact makes “[d]ose . . . the single
most important factor to consider in evaluating whether an alleged
exposure caused a specific adverse effect.” Id. (citation and internal
quotation marks omitted).
Background Risk of Disease. Background risk of disease simply
means “the risk . . . the general public ha[s] of suffering the disease
or injury that [a] plaintiff alleges without exposure to the drug or
chemical in question.” Id. at 1243. This risk assessment covers all
“causes of a disease, whether known or unknown, excluding the
drug or chemical in question.” Id. The epidemiological and toxico-
logical methods discussed focus on whether an association exists
between a specific agent or disease. But without background risk
as a baseline, determining whether an association is anything more
than a coincidence becomes difficult, if not impossible. Chapman,
766 F.3d at 1307–08.
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8 Opinion of the Court 23-11535
B. The Deepwater Horizon Litigation
BP Exploration & Production, Inc. leased Deepwater Horizon,
a deep-sea platform, to drill for oil off the Louisiana coast. On April
20, 2010, an exploratory well near the rig exploded. During the fire
that followed, the platform sank, spewing millions of barrels of oil
into the Gulf of Mexico. It took over 90,000 people and 7,000 ves-
sels several months to clean up the spill.
In the years that followed, many clean-up workers and
coastal residents sued BP Exploration & Production, Inc. and BP
American Production Co. Exposure to crude oil and other chemi-
cals from the spill, they alleged, caused various medical conditions.
All personal-injury claims against BP were consolidated in the East-
ern District of Louisiana as part of the Deepwater Horizon multidis-
trict litigation. In 2012, BP entered a settlement agreement with the
personal-injury litigants that provided two avenues of recovery.
Those diagnosed with a specified condition (like acute bronchitis)
shortly after the spill (on or before April 16, 2012), could submit a
claim for fixed compensation against the settlement pot. Those di-
agnosed after the cutoff date—with what the settlement agreement
called “later-manifested physical conditions”—could file separate,
individual tort suits against BP as part of the “Back-End Litigation
Option.” Under the settlement’s terms, these latent conditions
must result from exposure to “oil, other hydrocarbons, and other
substances released from” the spill or “dispersants and/or decon-
taminants used in connection with” response activities. And to re-
cover for these conditions, backend plaintiffs must establish several
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23-11535 Opinion of the Court 9
elements, including the existence of a physical injury, “[t]he level
and duration” of their “exposure,” and that the injury was “legally
caused” by that exposure.
Thousands of plaintiffs filed backend-litigation actions,
Lester Jenkins and Dwight Siples Jr. among them. Both Jenkins and
Siples joined the Deepwater Horizon clean-up efforts in 2010. Jenkins
worked as a shoreline cleanup worker from June 2010 to January
2011, laboring 10–12 hours a day, five-to-six days a week. His
cleanup efforts centered on Miramar Beach, where he spent his
shift wading into the ocean to scoop tarballs out of the surf. Siples,
for his part, decontaminated tractors, loaders, and other vehicles
from July 2010 to September 2010.
Around 500 of the backend-litigation actions—including Si-
ples’s and Jenkins’s—were transferred to the Northern District of
Florida. The district court designated two bellwether groups and
stayed all other proceedings. Because the “medical community”
does not “widely accept[]” that “oil, dispersants, or any chemicals”
associated with them “can cause common conditions” like
“chronic sinusitis,” the plaintiffs needed to prove general and spe-
cific causation. To save “time and expense” on “individual causa-
tion and damages questions,” the district court bifurcated discov-
ery and instructed the parties to address general causation “up
front.”
The first bellwether group chose Dr. Patricia Williams, a
toxicologist, as their sole general-causation expert. In re Deepwater
Horizon BELO Cases, No. 3:19-cv-963, 2020 WL 6689212, at *1 (N.D.
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10 Opinion of the Court 23-11535
Fla. Nov. 4, 2020). The district court excluded her expert testimony
and granted judgment for BP. Id. at *1. Williams’s testimony, the
court ruled, fell “woefully short of the Daubert and Rule 702 stand-
ards.” Id. at *12. Not only did Williams fail to establish a measure
of exposure to the claimed toxins that could cause “the chronic
medical conditions at issue,” id. at *15, but she also failed to reliably
analyze the academic literature and performed a conclusory assess-
ment of the Hill factors, id. at *13–14. We upheld the decision be-
cause the district court made “no reversible error” in its “well-rea-
soned” opinion. In re Deepwater Horizon BELO Cases, No. 20-14544,
2022 WL 104243, at *3 (11th Cir. 2022). Our decision aligned with
the decisions of the Fifth Circuit about general causation in these
BP backend suits. See Braggs v. BP Expl. & Prod., Inc., No. 23-30297,
2024 WL 863356, at *3 (5th Cir. Feb. 29, 2024) (affirming exclusion
of a general-causation expert because he “fail[ed] to identify the
level of exposure capable of causing the alleged injuries”); Prest v.
BP Expl. & Prod., Inc., No. 22-30779, 2023 WL 6518116, at *3 (5th
Cir. Oct. 5, 2023) (“[Plaintiff] does not cite any toxic tort cases
where we have not required the plaintiff to show the harmful level
of exposure to a chemical in the general population.”); Byrd v. BP
Expl. & Prod., Inc., No. 22-30654, 2023 WL 4046280, at *2 (5th Cir.
June 16, 2023) (same); see also Wunstell v. BP, P.L.C., Case No. 23-
30859, 2024 WL 4100496, at *2 (5th Cir. Sept. 6, 2024) (same).
The second group of bellwether cases included Jenkins’s and
Siples’s. They both alleged that their clean-up work caused chronic
sinusitis. They retained Dr. Michael Freeman and Dr. Gina Solo-
mon as experts. Both experts’ general-causation reports opined that
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23-11535 Opinion of the Court 11
a causal relationship existed between unspecified chemicals associ-
ated with the Deepwater Horizon oil spill and chronic sinusitis. Like
Dr. Williams, neither Freeman nor Solomon identified the harmful
level of exposure for crude oil, a dispersant, or the chemicals asso-
ciated with them. BP cited that omission, among other issues, and
moved to exclude both experts. BP also moved for summary judg-
ment.
In a 79-page report, the magistrate judge recommended that
the district court grant BP’s motions. Although Solomon’s and
Freeman’s reports varied in substance, the magistrate judge con-
cluded that each expert’s analysis suffered from the same basic
flaws. The magistrate judge found that “to be reliable and helpful,
a general causation expert in these [backend-litigation] cases must
identify a harmful level at which a chemical in the oil or dispersant
can cause” the chronic conditions “at issue here.” Both experts, the
magistrate judge concluded, failed to pass this threshold test: nei-
ther identified a minimum level of exposure at which crude oil, its
dispersants, or the chemicals in them are hazardous to human be-
ings. The experts’ studies also did not identify a statistically signifi-
cant association between the chronic conditions and exposure to
crude oil. And both experts failed to assess the various studies’ lim-
itations. Finally, the experts failed to “meaningfully consider”
whether the Hill factors supported a causal inference between
crude oil and the chronic conditions.
The district court determined that the magistrate judge’s re-
port and recommendation “[was] correct as a matter of law” and
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12 Opinion of the Court 23-11535
adopted it in full. The district court first affirmed the primary prin-
ciple grounding the magistrate judge’s decision: a toxic-tort plain-
tiff in these backend litigation actions must “demonstrate the levels
of exposure that are hazardous to human beings generally” to
prove general causation. Second, the district court rejected plain-
tiffs’ position, advanced “without legal support,” that it should “fo-
cus on the complex toxic mixture of chemicals from crude oil spills,
rather than requiring the identification of a particular chemical
component in the general causation analysis.” As for the magistrate
judge’s other findings, the district court concluded that the judge’s
report “provided a detailed evaluation of each expert report . . . and
accurately identified flaws in the underlying studies that the experts
acknowledged existed, but which they did not bother to analyze in
making their ultimate general causation conclusions.” Because nei-
ther Jenkins nor Siples presented “reliable expert general causation
testimony,” the district court granted BP’s summary judgment mo-
tions.
II. STANDARD OF REVIEW
We review a summary judgment de novo. Rink v. Cheminova,
Inc., 400 F.3d 1286, 1294 (11th Cir. 2005).
We review the exclusion of expert testimony for abuse of
discretion. Chapman, 766 F.3d at 1305. This standard “places a
heavy thumb—really a thumb and a finger or two—on the district
court’s side of the scale.” United States v. Pon, 963 F.3d 1207, 1219
(11th Cir. 2020) (citation and internal quotation marks omitted).
These scales tip “with even greater force” in favor of the district
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23-11535 Opinion of the Court 13
court for “Daubert issues in particular” because it is “uniquely en-
trusted” with “the task of evaluating the reliability of expert testi-
mony.” United States v. Brown, 415 F.3d 1257, 1266 (11th Cir. 2005)
(citation and internal quotation marks omitted). So the question is
not whether we would make the same call as the district court in
the first instance. United States v. Frazier, 387 F.3d 1244, 1259 (11th
Cir. 2004) (en banc) (citation and internal quotation marks omit-
ted). Instead, we give the district court “considerable leeway,”
Brown at 1266 (citation and internal quotation marks omitted), and
ask whether its decision is “in the ballpark of permissible out-
comes.” United States v. Irey, 612 F.3d 1160, 1189 (11th Cir. 2010)
(en banc).
Considerable leeway “is not the same thing as abdicating ap-
pellate responsibility.” Brown, 415 F.3d at 1266. Under the abuse of
discretion standard, we defer to the district judge’s decision unless
it is “manifestly erroneous.” Chapman, 766 F.3d at 1305 (citation
and internal quotation marks omitted). The exclusion or admission
of expert evidence is manifestly erroneous if the district court mis-
applies the law, makes a “clearly erroneous” factual finding, or fol-
lows improper procedures. Seamon v. Remington Arms Co., LLC, 813
F.3d 983, 987 (11th Cir. 2016) (citation and internal quotation
marks omitted). “[T]he abuse of discretion standard allows a range
of choice for the district court, so long as that choice does not
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14 Opinion of the Court 23-11535
constitute a clear error of judgment.” Frazier, 387 F.3d at 1259 (ci-
tation and internal quotation marks omitted).
III. DISCUSSION
Jenkins and Siples challenge the exclusion of their experts,
Solomon and Freeman, and the summary judgment in favor of BP.
Because they bring a toxic-tort action—one where the medical
community has not recognized the toxicity of the oil and disper-
sants used to clean up the Deepwater Horizon spill—they must prove
general causation through admissible, reliable expert testimony.
McClain, 401 F.3d at 1239. We must affirm the grant of summary
judgment if Jenkins and Siples “fail[] to make a sufficient showing
on [this] essential element of [their] case.” Celotex Corp. v. Catrett,
477 U.S. 317, 323 (1986).
Under Federal Rule of Evidence 702, expert evidence is ad-
missible if the expert is qualified, the expert’s methodology reaches
a “sufficiently reliable” conclusion under Daubert v. Merrell Dow
Pharmaceuticals, Inc., 509 U.S. 579 (1993), and the expert’s testi-
mony will help the factfinder determine a fact issue through the
application of scientific, technical, or other specialized knowledge.
United States v. Markovich, 95 F.4th 1367, 1377 (11th Cir. 2024). Un-
der Daubert, district courts act as “‘gatekeepers,’” admitting testi-
mony only if it is reliable and relevant. Rink, 400 F.3d at 1291 (quot-
ing Daubert, 509 U.S. at 589). This gatekeeping role requires district
courts to assess “whether the reasoning or methodology underly-
ing the testimony is scientifically valid and of whether that reason-
ing or methodology properly can be applied to the facts in issue.’’
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23-11535 Opinion of the Court 15
Kilpatrick v. Breg, Inc., 613 F.3d 1329, 1335 (11th Cir. 2010) (citation
and internal quotation marks omitted).
Jenkins and Siples argue that the district court overstepped
this gatekeeping role when it excluded their experts. More specifi-
cally, they contend that it incorrectly applied our precedent when
it concluded that a “general causation expert in these [backend-liti-
gation] cases must identify a harmful level at which a chemical”
could cause the harm alleged. In Jenkins and Siples’s view, a thresh-
old level of toxin is “only relevant to specific causation.” They also
argue that no principle of epidemiology—the primary methodol-
ogy used by their experts—“requires a general causation analysis
to include a threshold dose.”
Our precedents foreclose Jenkins and Siples’s argument
about general causation. Starting with McClain, we held that a
toxic-tort plaintiff “must demonstrate the levels of exposure” to the
alleged toxin “that are hazardous to human beings generally.” 401
F.3d at 1241 (citation and internal quotation marks omitted).
There, we affirmed the exclusion of a general-causation expert who
“offered no testimony about the dose of” the alleged toxin “re-
quired to injure Plaintiffs or anyone else” and “could not say how
much is too much.” Id. Because the expert did not “provide any
opinions” about the “level of exposure at which [the alleged toxin]
causes harm,” he did “not follow the basic methodology that scien-
tists use to determine causation.” Id. at 1241–42. Likewise, in Chap-
man, we affirmed the exclusion of general-causation experts who
failed to establish that the alleged toxin increased the risk of disease.
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16 Opinion of the Court 23-11535
766 F.3d at 1308. We specifically focused on the expert’s failure to
prove “how much” of the alleged toxin “must be used for how long
to increase the risk.” Id. at 1307. And in Taylor v. Mentor Worldwide
LLC, we reiterated that, under McClain, “a plaintiff must demon-
strate . . . the level of exposure to the allegedly harmful chemical
that is hazardous to a human being.” 940 F.3d 582, 595 (11th Cir.
2019) (citation omitted).
Decisions from other circuits point in the same direction.
The Fifth Circuit has long held that “[s]cientific knowledge of the
harmful level of exposure to a chemical” (general causation) “plus
knowledge that the plaintiff was exposed to such quantities” (spe-
cific causation) “are minimal facts necessary to sustain the plain-
tiff’s burden in a toxic tort case.” Allen v. Penn. Eng’g Corp., 102 F.3d
194, 199 (5th Cir. 1996). So have the Fourth, Tenth, and Eighth Cir-
cuits. See Westberry v. Gislaved Gummi AB, 178 F.3d 257, 263 (4th Cir.
1999), Mitchell v. Gencorp Inc., 165 F.3d 778, 781 (10th Cir. 1999);
Wright v. Willamette Indus., Inc., 91 F.3d 1105, 1106 (8th Cir. 1996).
The district court did not abuse its discretion when it re-
quired the experts to identify a “toxin” and prove it “[was] harmful
above a particular threshold” and excluded them because they
failed to do so. Instead, it applied general-causation principles
drawn directly from our precedents, aligned with those of other
circuits, and consistent with the reasoning of every other decision
in Deepwater Horizon backend-litigation suits. This holding is hardly
the kind of misapplication of precedent that chalks up to error,
much less a manifest one.
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23-11535 Opinion of the Court 17
Jenkins and Siples contend that proof of some threshold
level of exposure is “only relevant to specific causation.” In support,
they argue that McClain concerned only “toxicological principles or
specific causation.” But this reading turns McClain on its head.
The passages that Jenkins and Siples quote address both gen-
eral and specific causation. McClain’s first “minimal fact[]”—“[s]ci-
entific knowledge of the harmful level of exposure to a chemical”—
relates to general causation: “whether an agent increases the inci-
dence of disease in a group.” 401 F.3d at 1239, 1241 (citations and
internal quotation marks omitted). The other “minimal fact[]”—
“knowledge that plaintiff was exposed to such quantities”—relates
to specific causation. Id. at 1241 (citation and internal quotation
marks omitted). And in McClain, we applied the general-causation
requirement to the plaintiffs’ general-causation expert. Id. at 1237,
1241. We also followed the same route in Chapman. 766 F.3d at
1307 (affirming exclusion where neither of the plaintiffs’ general-
causation experts ‘‘determine[d] how much” of an alleged toxic
agent “must be used for how long to increase the risk of” the dis-
ease).
Jenkins and Siples try to dodge this straightforward reading
by asserting that “[h]ow much of an agent is sufficient to cause
harm” goes to “whether the substance caused the plaintiff’s specific
injury.” But this argument confuses the issue. A plaintiff’s exposure
to the threshold dose of a toxin is relevant to specific causation. Yet
we also ask, under our general-causation framework, whether a
harmful level of the toxin exists in the first place.
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18 Opinion of the Court 23-11535
Jenkins and Siples also argue that the district court erred
when it required their experts “to analyze general causation for spe-
cific chemicals contained in crude oil or dispersants,” rather than
for oil or dispersants more generally. But neither Solomon nor
Freeman established a harmful exposure level for oil or dispersants
generally—much less a harmful exposure level for a specific chem-
ical or compound in them. The latter (specific chemicals or com-
pounds) nests like a Matryoshka doll inside the former (oil or dis-
persants generally). The district court did not err when it excluded
the experts because they identified no harmful exposure level for
any substance. That exclusion was appropriate whether the district
court focused on specific chemicals or on oil and dispersants more
broadly.
Last, Jenkins and Siples argue that McClain applies only to
toxicology evidence, not to the epidemiology evidence offered by
their experts. But threshold level of exposure aside, the district
court did not abuse its discretion when it excluded Solomon and
Freeman for myriad other reasons.
Although Jenkins and Siples contend that the district court
excluded Solomon “based on findings that are factually inaccurate”
and “contrary” to the “methodology Dr. Solomon followed,” the
meticulous and well-reasoned decision of the district court belies
these arguments. The district court did not err when it ruled Solo-
mon’s opinions were “neither reliable nor helpful” because she
“failed to identify a statistically significant association in the litera-
ture, failed to meaningfully critique the Rusiecki 2022 study, or any
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23-11535 Opinion of the Court 19
other epidemiological study, failed to provide more than a hasty
discussion of the Bradford Hill factors, failed to discuss the dose-
response relationship or background risk of disease, and failed to
identify a harmful dose.”
Each of these findings easily survives our abuse-of-discretion
review. To start, the district court did not err when it found that
Solomon’s cited studies failed to support her causation opinion.
One of Solomon’s studies focused on acute rather than chronic
conditions. Another assessed a different disease, asthma. As for the
Rusiecki study, Solomon ignored its limitations, never mentioning
its internal inconsistencies and the potential errors introduced by
the subjects’ self-reporting. The district court also did not err when
it discarded Solomon’s cursory discussion of the Hill factors: she
addressed only three of the nine factors in a few brief sentences.
And it did not err when it found that Solomon failed to discuss ei-
ther the dose-response relationship or the background risk of dis-
ease.
The same holds true for Freeman. Siples and Jenkins argue
that the district court “simply disagreed with Dr. Freeman’s inter-
pretation of the epidemiological evidence and his application of the
Bradford Hill guidelines.” And in the same vein, they accuse the
district court of “improperly review[ing] the correctness of Dr.
Freeman’s conclusions rather than the reliability of his principles
and methods.” Again, even a brief glance at the decision by the dis-
trict court refutes this position.
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20 Opinion of the Court 23-11535
Like Solomon, Freeman disregarded limitations in his cited
studies—limitations that the studies’ own authors stressed. For in-
stance, Freeman relied on a cross-sectional study about acute ra-
ther than chronic conditions to support his general-causation opin-
ion, even though the study’s authors stated that their conclusions
“were not intended to describe or investigate potential long-term
or chronic health effects.” The district court found that another
study suffered from clear “selection bias,” which Freeman
“acknowledged” but “failed to address.” And the Rusiecki Study
found no statistically significant association between exposure to
oil and chronic sinusitis except for a single subgroup where the sta-
tistical significance disappeared once the authors eliminated smok-
ers. In the light of these limitations, the district court did not err
when it found that the “studies [Freeman] relied on” did not “pro-
vide an adequate basis for his general causation opinion.” And this
finding questioned Freeman’s methodological failings, not his con-
clusions.
Nor did the district court err when it excluded Freeman be-
cause of his “cursory and superficial” Hill-factor analysis. Unlike
Solomon, Freeman at least discussed most of the factors, in a sen-
tence or two for each. But his assessments missed the mark. And
he offered little to no explanation or support for conclusory state-
ments about dose-response relationships or “chain of causation be-
tween the acute and chronic symptoms.” No abuse of discretion
occurred when the district court concluded that his “analysis d[id]
not represent a reliable application” of the Hill factors.
USCA11 Case: 23-11535 Document: 77-1 Date Filed: 10/18/2024 Page: 21 of 21
23-11535 Opinion of the Court 21
The district court did not err when it found that Solomon
and Freeman failed to support their opinions with epidemiology,
dose-response relationship, or background risk of disease. See Chap-
man, 766 F.3d at 1308. So—even setting the threshold dose aside—
the district court did not abuse its discretion when it excluded their
testimony and granted summary judgment to BP.
IV. CONCLUSION
We AFFIRM the judgment in favor of BP.