Opposition Brief — General Electric Co. v. Knight
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OFFICE OF THE Cicnn
In the Supreme ee _—
of the Gited States
OCTOBER TERM, 1990
IN RE: PAOLI RAILROAD YARD PCB LITIGATION
GENERAL ELECTRIC COMPANY,
NATIONAL RAILROAD PASSENGER CORPORATION.
CITY OF PHILADELPHIA, SOUTHEASTERN PENNSYLVANIA
TRANSPORTATION AUTHORITY, MONSANTO COMPANY.
and CONSOLIDATED RAIL CORPORATION, Petitioners.
V.
MARY ALICE KNIGHT, et al., Respondents.
PETITION FOR A WRIT OF CERTIORARI
TO THE UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
BRIEF IN OPPOSITION TO
PETITION FOR A WRIT
OF CERTIORARI
Harold E. Kohn Arnold E. Cohen*
Joseph C. Kohn John Spelman
KOHN, SAVETT, KLEIN & GRAF, P.-C KLEHR, HARRISON, HARVEY
2400 One Reading Center BRANZBURG & ELLERS
1101 Market Strect 1401 Walnut Street
Philadelphia, PA 19107 Philadelphia, PA 19102
(215) 238-1700 215) 565-6060
Attorneys for Respondents,
Mary Alice Knight, et al
*Counsel of Record
D. Bruce Hanes
POWELL, O'SHEA, HANES & MINEHART
1700 Market Street
Suite 313]
Philadelphia, PA 19103
(215) 972-8200
Attorneys for Respondents
Christopher S. Brown, et al
EEE SE Oe © i BEE Ee
SMITH-EDWARDS-DUNLAP COMPANY, 2667 E. ALLEGHENY AVENUE, PHILADELPHIA, PA 19134 (215) 425-8800
TABLE OF CONTENTS
ee a ae ee yy"
ee I ic kine c kcu ue wcucwes
COUNTERSTATEMENT OF THE CASE ............
A. ‘lhe Procedural History of this Case has Left a One-
Sided, Incomplete and Hopelessly Flawed Record .
B. The District Court's Decision and the Court of
I re
SUMMART/@r ARGUMENT ..................005.
REASONS FOR DENYING THE WRIT .............
A. The District Court Failed to Articulate the Bases
for its Rulings. Accordingly, the Record is not
Appropriate for Review in this Court .........
B. The District Court's Procedural Errors Required
Reversal by the Court of Appeals ............
C. The Third Circuit's Decision Does Not Conflict
With Decisions of Other Circuits or of this Court .
1. The “Speculative Opinion” Issue ..........
2. The Epidemiology and Animal Studies Issues
D. The Third Circuit Had a Duty to Predict
Whether Pennsylvania Would Adopt a Cause of
Action for Medical Monitoring ..............
E. The Circuits are no Longer Divided on the Val-
idation of a Premature Appeal by a Later Rule
OS PT Pee reer rer ee ree ee
fee ee rere ae eer
ADDENDUM
In re Paoli Railroad Yard PCB Litigation, 916 F.2d
829 (3d Cir. 1990)
bo
6
19
20
TABLE OF AUTHORITIES
CASES: Page
Coal Resources, Inc. v. Gulf & Western Industries, Inc.,
O65 Fad TOE ee Cae ee eee keh aoa dab cea. 14
DeLuca v. Merrell Dow Pharmaceuticals, Inc., No. 89-5572
(Glod Ast. 36;,-TRGEE ccc cocoa ee ee 1]
Ealy v. Richardson-Merrell, Inc., 897 F.2d 1159, 1160
(D.C. Cir.), cert. denied, 111 S. Ct. 370 (1990) 2... 1S
Environmental Defense Fund v. EPA, 598 F.2d 62, (D.C.
ly. FG cn hn nk dc be kee dae eee 3
Environmental Defense Fund v. E PA, 636 F.2d 1267 (D.C.
Cle. FRUBBD o .. ks aie bs cles ee ee es 3, Ad
Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938) 2.2.02... 8, 19
FirsTier Mortgage Co. v. Investors Mortgage Insurance
Company, 111 S. Ct. G46 (IGBE) .. ee cei. 20)
Hull v. Merck & Co., Inc., 758 F.2d 1474 (11th Cir. 1985) 14
Indian Coffee Corp. v. Procter © Gamble Co., 752 F.2d
$91, $95 (3d Cir.), cert. denied, 474 U.S. 863 (1985) 11, 12
In re Japanese Electronic Products Antitrust Litigation, 723
k.2d 238 (3d Cir. 1983), rev'd sub nom. Matsushita
Electric Industrial Co., Ltd. v. Zenith Radio Corp.,
475 U.S. SiR CIGD o> os san eean awe eee me 22,
In re Paoli Railroad Yard PCB Litigation, 916 F.2d $29
(3d Cie. BQBB. cos sc cas esa eee 6, 8, 13, 14, 19
Lima v. United States, 708 F.2d 502 (10th Cir. 1983) .... . 13
Lore v. Lone Pine Corp., No. L-033706-55 (N.J. Super. Ct.,
Law Div. 1906). iis .06s 055 eee ee 4
Lynch v. Merrill-National Labs., 830 F.2d 1190 (Ist Cir.
OT) 5 on ns o)e oo cu ee 13, 18, 19
McGlinchey v. Shell Chem. Co., $45 F.2d 802 (9th Cir.
BEI) nnn as ack wn som ee ie 14
Merry v. Westinghouse Electric Co., 684 F.Supp. $47
(M.ED. Pa. BO cis cise eee eee 20
il
TABLE OF AUTHORITIES —( Continued }
CASES: Page
Richardson v. Richardson-Merrell, Inc., 857 F.2d 823
(D.C. Cir. 1988) cert. denied, 110 S. Ct. 218 (1989).
1S
United States v. Downing, 753 F.2d 1224 (3d Cir. 1985) .. 6, 18
Universal Athletic Sales Co. v. American Gym Recreational
& Athletic Equipment Corp., Inc., 546 F.2d 530
Son gy bea oak nae ees ve ek a's 1]
Viterbo v. Dow Chemical Co., 862 F.2d 420 (5th Cir. 1987). 13
Wilson v. Merrell Dow Pharmaceuticals, Inc., 893 ¥.2d
NS RD eee 1s
OTHER:
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ry a sy Wik wie ay vive es bs eee ne ws 4
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haan aed. 4:s ae bon oo ovo oe os , 4
rN kG Cay oe oo ase sv wh ev vee 8 8 2, 1,8
yn ce ca on asisie’s ag sive enees 6, 12, 14
a 6, 7.6, 8, 12, 13, 18
es ais) -k sb ake ak V4 6, 7n.6, 8, 12, 13
TE a 7
Nisbet & Sarofin, Rates and Routes of Transport of PCBs in
the Environment, 4 Envil. Health Persp. 21 (1972) .. 17
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In the Supreme Court
of the Gnited States
OCTOBER TERM, 1990
IN RE: PAOLI RAILROAD YARD PCB LITIGATION
GENERAL ELECTRIC COMPANY,
NATIONAL RAILROAD PASSENGER CORPORATION,
CITY OF PHILADELPHIA, SOUTHEASTERN PENNSYLVANIA
TRANSPORTATION AUTHORITY, MONSANTO COMPANY,
and CONSOLIDATED RAIL CORPORATION, Petitioners,
V.
MARY ALICE KNIGHT, et al., Respondents.
Petition For A Writ Of Certiorari
To The United States Court Of Appeals
For The Third Circuit
BRIEF IN OPPOSITION TO
PETITION FOR A WRIT
OF CERTIORARI
Respondents, Mary Alice Knight, et al.! (hereinafter re-
1. This brief is filed on behalf of the following individuals: Mabel Brown,
Andre Williams, Sr., Helen V. Narcise, Administratrix of the Estate of John G.
Narcise, deceased, Helen V. Narcise, as personal representative of John G.
Narcise, Helen V. Narcise in her own right, Mary Alice Knight, John Ingram,
Sr., Patricia Ingram, in their own right and as parents and natural guardians of
John Ingram, Jr. and April Ingram in her own right, Matthew Cunningham,
Bessie Cunningham, George Burrell, Priscilla Etheridge Burrell, in their own
right and as parents and natural guardian of Amber Shardai Burrell, a minor
and George Albert Burrell, as parent and natural guardian of Andrew Walker, a
9
-
ferred to as “Respondents” or “Plaintifls”) respectfully submit
this Brief in Opposition to the Petition for a Writ of Certiorari
(the “Petition’) filed by Petitioners (also referred to as “Defen-
dants’) and pray that the Court deny the Petition.
OPINION BELOW
Petitioners state that the “original opinion of the Court of
Appeals” is contained in the Appendix to the Petition, at A. La,
and that two amendments to the opinion are contained at A. 86a,
and A. 88a. Petition, at 1.
The opinion reproduced in the Appendix to the Fetition is
not in the form published by the Court of Appeals. Petitioners
have reproduced the slip opinion prior to the correction of
obvious typographical errors, some of which Petitioners have
emphasized with “sic,” and have inserted the language of the
subsequent amendments in the slip opinion in boldface, and
italicized language stricken by the subsequent amendments.
The opinion of the United States Court of Appeals for the
Third Circuit (the “Third Circuit” or “Court of Appeals”) has
been reported at 916 F.2d $29. The final version of the Court of
Appeals opinion is reproduced in the Addendum to this brief
(Ad, —_*). Citations to the Court of Appeals’ opinion in this
brief are to the Addendum attached hereto.
COUNTERSTATEMENT OF THE CASE
A. The Procedural History of this Case has Left a One-
Sided, Incomplete and Hopelessly Flawed Record.
The Petition deliberately omits any mention of the pro-
minor, and Priscilla Etheridge Burrell, as parent and natural guardian of Bobby
George Albert Christian Burrell, a minor, Wallace Darry] Cummins, K. Louise
Jones, Administratrix of the Estate of Harvey N. Jones, Jr., deccased, Charles
W. Stanbach, Executor of the Estate of Charles Stanbach, Jr, deceased and
Charles W. Stanbach as a personal representative of Charles W. Stanbach in his
own right and Susanna Stanbach, Christopher S$. and Jacqueline M. Brown,
Cathlene Brown, Craig A. and Catherine D. Brown, Margherita Barbetta.
Mary Ketta Johnson, Celeste Brown, Clemmon L. Brown, Cloyd H. Brown
and Curtis Brown.
cedural history of this case. That history reveals a record which is
incomplete, skewed and not ripe for review in this Court. The
Third Circuit held that this case should be reversed and re
manded for procedural abuses alone. Ad. 49.
These consolidated actions were filed beginning in April,
1986 by thirty-eight (38) individuals who either worked in or
resided adjacent to the Paoli, Pennsylvania Railroad Yard, (the
“Yard”). Itis conceded that the Yard and surrounding area are
contaminated with polychlorinated biphenyls (PCBs). A38634.
(citations to the Joint Appendix in the Third Circuit are to A7
The Yard is a Superfund clean-up site. On March 5. 1987
NIOSH reported that PCB levels at the Yard “are the highest
encountered during a health evaluation. ASS74.-
On October 24, 1986, Judge Anthony J. Scirica of the
astern District of Pennsylvania consolidated the cases for dis
covery and ordered counsel to submit to the court a deposition
schedule. After lengthy negotiations counsel agreed to a deposi
tion schedule alternating between plaintifly and defendants wit
nesses. Prior to the defendants refusal te proceed with the
depositions, defendants had deposed three of plaintiffs wit
nesses, out of order, and the plaintiffs had concluded the deposi
tion of one defense witness.
In the spring of 1987, defendants unilaterally refused to
proceed with discovery although they had not then moved for a
protective order or a stay of discovery.
On July 24, 1987, plaintiffs filed a motion to enforce the
prior order of court, to compel discovery and for sanctions. On
July 24, 1987, defendants filed a jomnt motion fora case manage
2. PCBs are known toxins. Most major industrial nations including Japan
and the United States have outlawed the manutacture produc thom and wise of
PCBs. 15 U.S.C. 8 2605. Standard medical texts describe the harmtul etheets ot
PCBs on humans. A9362. Numerous scientific articles have been published
detailing the toxic effects of these compounds Sve 49322. AGS25) See also
Environmental Defense Fund 1 EPA. 59S F 2d 62. 65-66 DO) Car 19TS
“PCBs are a group of related Chlorinated hydrocarbons torre toa varnety of
organisms, including man Enetrronmental Defense Fund + EPA] 636
F.2d 1267, 1270 (D.C. Cir 1986) “PCBs are extremely toxic to humans and
wildlite.
+
ment order.’ Defendants proposed that an order be entered
requiring plaintiffs to set forth a prima facie case, including
expert opinions, before defendants would be required to re-
spond to any discovery. Plaintiffs opposed defendants’ motion.
On August 11, 1987, the Paoli Railroad Yard PCB Litigation
was reassigned to Judge Robert F. Kelly of the United States
District Court for the Eastern District of Pennsylvania, Judge
Scirica having been appointed to the Court of Appeals.
On September 24, 1987, Judge Kelly entered a form of case
management order (“CMO”). The CMO provided plaintiffs with
only limited discovery of defendants for a ninety (90) day period
of time, required plaintiffs to submit expert witness reports, to
answer interrogatories, and stayed all other discovery.? The
CMC also denied all of plaintiffs’ pending motions to compel
discovery and for sanctions filed between July 24 and September
16, 1987.
After entry of the CMO, plaintiffs vigorously pursued the
limited amount of discovery permitted them. They filed two
motions to compel discovery and for sanctions pursuant to Fed.
R. Civ. P. 11, 26, 34 and 37, for defendants’ failure to comply
with discovery requests under the CMO. The district court
denied all of those motions without opinion on January 5, 1988.
The district court later granted defendants motion to take
depositions of plaintiffs expert witnesses. It refused, however, to
require defendants to answer expert interrogatories, ruling that
such discovery was “premature.” Plaintiffs were required to sub-
mit final, expert opinions and to present experts for extended
cross-examination prior to obtaining discovery from defendants.
The case management order was predicated on an unre-
ported decision of a New Jersey State trial court in Lore v. Lone
Pine Corp., No. L-033706-85 (N.J. Super. Ct., Law Div., 1986).
The unfairness of the district court's case management
order was compounded by its failures to enforce the minimal
3. This order was also continuously disobeyed by defendants in two re-
gards. First, defendants did not produce all of the documents they were re-
quired to provide relating to “the nature and quantity of PCBs.” Second, defen-
dants took discovery despite the stay.
oO
requirements which it did impose on the defendants. The dis-
trict court denied, without a hearing and without opinion, plain-
tiffs. motions to compel discovery and compel compliance with
the case management order. Significantly for purposes of the
Petition, the Third Circuit criticized the district court for enter-
ing the CMO. Ad. 49 and 59 n.37.
After plaintiffs submitted their expert opinions under the
CMO, defendants were given leave to take the depositions of the
plaintiffs experts. Defendants then filed a Motion for Summary
Judgment. Plaintiffs opposed the motion on the grounds that
their previously served expert opinions and the additional opin-
ions of experts filed in opposition to the motion raised disputed
issues of fact and that plaintiffs had been denied the opportunity
to complete discovery. See Fed. R. Civ. P. 56(f). The district
court denied the parties’ request for a hearing or oral argument.
The district court also failed to conduct an in limine hearing
before excluding plaintiffs’ expert opinions.*
B. The District Court's Decision and the Court cf Appeals
Reversal.
Despite lengthy affidavits, medical reports, scientific trea-
tises, government publications and reports of qualified experts;
after truncated discovery, and without a hearing of any kind or so
much as oral argument, the district court held that there were no
disputed issues of fact and granted summary judgment in favor of
defendants.
The district court's decision is replete with erroneous evi-
dentiary rulings, lacks the requisite findings, improperly resolves
disputed issues of fact, and is based on an incomplete record.
In reversing and remanding, the Third Circuit has not
departed from established law, or created a split in the circuits.
The Third Circuit has done nothing more than correct a series of
procedural and evidentiary errors, and remand a case for devel-
opment of a full record, with instructions to the district court to
4. Petitioners inaccurately state that plaintiffs opposed an in limine hear-
ing. As the Third Circuit correctly recognized, plaintiffs argued that such a
hearing was premature prior to completion of all discovery. Ad. 49 n.29a.
6
make the usual findings required by law. The Third Circuit's
decision is perfectly consistent with its prior rulings-—rulings
which the district court ignored. See, e.g., In re Japanese Elec-
tronic Products Antitrust Litigation, 723 F.2d 238 (3d Cir. 1983),
reed sub nom. Matsushita Electric Industrial Co., Ltd. v.
Zenith Radio Corp. 475 U.S. 574 (1986); United States v. Down-
ing, 753 F.2d 1224 (3d Cir. 1985).
SUMMARY OF ARGUMENT
The Petition for a Writ of Certiorari should be denied tor
several fundamental reasons.
First, the district court failed to articulate the basis for its
rulings, or set forth the findings needed for review on appeal.
The Third Circuit struggled to understand precisely what evi-
dence the district court had excluded and the grounds for its
rulings. Because the Court of Appeals was unable to discern the
court’ holdings, it quite properly remanded the case with in-
structions to the district court to employ Rules 403, 702 and 703
of the Fed. R. Evid. and make a record susceptible of review.
The district court also denied plaintiffs the opportunity to
take full discovery, and to contest the opinions submitted by the
defendants. The procedural errors and irregularities committed
by the district court in this case create a muddled and _ in-
complete record which this Court need not and should not
review at this time. The Third Circuit correetly held that these
procedural errors alone warranted reversal and remand of the
case for further proceedings.’ Ad. 49. This Court need not
become embroiled in a matter fraught with plain procedural
abuses, which the Court of Appeals has already corrected. The
issues which petitioners would have this Court believe are
5. Significantly, the Petition ignores the unique factual and procedural
history of the Paoli Railroad Yard PCB Litigation. The Petition does not ap-
prise the Court of the true state of the record, nor of the Court of Appeals:
repeated references to the errors and omissions committed by the district
court. See infra, at 5-10
7
clearly framed, are in fact, submerged in a murky ocean of
procedural mistakes.°
Because there has not been a final disposition in this matter
and it has been remanded for further proceedings, the case is not
ripe for review in this Court.
In addition to these procedural impediments, the reasons
advanced by Petitioners for granting the petition are groundless.
In an effort to apply Supreme Court Rule 10. 1(a) to this case,
and define a “split in the Circuits,” Petitioners have grossly
mischaracterized the record and decision below, and have failed
to recognize the fact-sensitive nature of the various Court of
Appeals’ decisions concerning admissability of expert testimony.
The district court impermissably weighed the credibility of the
various experts on a motion for summary judgment under Fed.
R.Civ. P. 56, excluded testimony without a hearing and without
making findings, and issued an opinion which is conclusory and
vague. The Court of Appeals properly and emphatically reversed
and remanded the case for further proceedings. The Third Cir-
cuit did not depart from established precedent—it enforced
those precedents.
Even if there were a clear conflict in the circuits over
admissability of expert opinions under Rule 703 (which there is
not) and this Court was inclined to resolve that conflict, the
incomplete record and numerous procedural problems in this
case make it an inappropriate vehicle to address such conflict.
With respect to the medical monitoring claim, it cannot be
6. The Court of Appeals summarized its decision as follows:
We conclude that the district courts evidentiary rulings must be set
aside for a number of reasons. One problem with the district courts
rulings is procedural. The court not only failed to give plaintifls an
adequate opportunity to present their factual and legal contentions
on evidentiary issues, but it also ruled on an inadequate factual rec-
ord and it failed adequately to articulate the bases for its rulings. It
also failed to follow the protocols established by the jurisprudence of
this court for evidentiary rulings governed by Fed. R. Evid. 702 and
703.
Ad. 14.
8
seriously disputed that a federal court sitting in diversity may,
indeed “must,” predict whether the state's highest court would
recognize a claim under that state's law. Erie R.R. Co. cv.
Tompkins, 304 U.S. 64 (1938); In re Paoli Railroad Yard PCB
Litigation, 916 F.2d 829, 849 (3d Cir. 1990). Petitioners request
for this Court to grant review of this insubstantial issue is based
solely upon their dislike of the Third Circuit's prediction of
Pennsylvania law and should be denied.
Finally, Petitioner's contention concerning Rule 54(b) Fed.
R. Civ. P. is insubstantial and without merit.
REASONS FOR DENYING THE WRIT
A. The District Court Failed to Articulate the Bases for its
Rulings. Accordingly, the Record is not Appropriate for
Review in this Court.
The writ should be denied for a fundamental reason. As
simply stated by Judge Becker at the outset of the Court of
Appeals’ decision, “[the district court] failed to articulate the
bases for its rulings.” Ad. 14. In short, the court below correctly
noted, “we cannot affirm what we cannot review.’ Ad. 57. It is,
therefore, premature at best for this Court to review this matter.
The district court's failure to state the grounds for its various
rulings, or to make the findings required by law, are noted
throughout the Court of Appeals decision. Indeed, the Court of
Appeals was in many instances struggling to understand just
what it was that the district court decided. These errors (or more
precisely, these omissions) required reversal. Even if this Court
is inclined to address the level of scrutiny required by Rules 702
and 703 of the Federal Rules of Evidence—and Respondents
submit that it is not necessary to do so—this record of unarticu-
lated rulings and missing findings does not provide a proper case
in which to do so. ,
The Court of Appeals dismay at the record left it by the
district court is expressed throughout its opinion:
—“In a number of instances, the district court did not
articulate whether it was excluding expert opinion as an
i]
evidentiary matter or was merely ascribing little weight to it
in its summary judgment analysis.” Ad. 13 n.3
—“The district court failed adequately to articulate the
bases for its rulings.” Ad. 13.
—With respect to exclusion of evidence of animal studies,
the “[district] court neither detailed the ‘very convincing
evidence ... nor explained why the relevancy of the stud-
ies pertains to their reliability under Rule 703. The opinion
is similarly silent as to precisely which expert opinions it
meant to exclude in this manner.” Ad. 33.
—“The court’ consideration of the Yusho and Yu Cheng
studies as possible bases for expert opinions as to causation
is similarly abbreviated.” Ad. 33.
—"|T|he court did not state which of the expert opinions
were tainted by reliance on these studies or which opinions
offered in rebuttal suggested a ‘consensus conclusion
Ad. 33._
—"... the court never explained the basis for its decision to
exclude Barsotti’s opinion.” Ad. 34.
—"The court’ analysis of other experts including doctors,
Zahalsky, DiGregorio, Shubin and Allen, was comparable
in that it ... failed to make definitive admissibility find-
ings. Ad. 34.
—|T\|he court did not declare these observations to be
grounds for excluding the opinions {of Drs. Nisbet and
Simon], and did not even state whether it excluded these
opinions. Ad. 35.
—"It is not clear from the opinion whether this statement is
mere dicta, or is intended to exclude the testimony under
Rule 702. The district court made similarly cryptic indict-
ments of Dr. Barsottis jand| Dr. Zahalskys qualifica-
tions... . Ad. 35 n.15.
—‘“However, the court did not explicitly state that it was
excluding Calesnicks testimony, much less why it might be
excluding it.’ Ad. 36.
—“ Whether the court intended a Rule 402 relevancy exclu-
10
sion [regarding Dr. Nicholson's testimony] is unclear.” Ad.
36 n.17.
—"‘Again, it is unclear whether the court was excluding this
evidence, and if so, for lack of qualification or on some other
ground. Ad. 38.
Petitioners statement that this case “starkly frames, on a
fully developed record,” (Pet., at 12), the scope of expert testi-
mony, ignores the clear language of the Third Circuit's decision.
This record is neither developed nor clear and certainly not one
upon which this Court should resolve fundamental legal issues
under the Federal Rules of Evidence.
B. The District Courts Procedural Errors Required Re-
versal by the Court of Appeals.
The Third Circuit held that the district court's failure to
afford plaintiffs full discovery and an opportunity to confront
defendants experts required reversal on this basis alone. Ad.
48-49. In light of these procedural deficiencies, this case pro-
vides neither a complete nor crystallized record. Accordingly.
the writ should be denied.
The CMO prevented plaintiffs from discovering defendants
expert opinions and “to contest the reasonableness of the data
and techniques relied on by defendants experts.’ Ad. 49.
Compounding these restrictions was a case manage-
ment order which arguably did not give plaintiffs an
adequate opportunity to discover defendants’ expert
positions. Of particular significance, is the plaintiffs
inability to contest the reasonableness of the data and
techniques relied on by defendants experts.
Ad. 49.
As the Third Circuit noted in the above quoted passage, the
case management order was not the only procedural problem in
this case. The case management order merely compounded the
district court's failure to provide an adequate process.
The district court also failed to conduct any hearing on the
Motion for Summary Judgment. Indeed, it rejected the requests
of both sides for oral argument.
1]
As the Third Circuit emphasized, the district court “failed
to conduct an in limine hearing before excluding the expert
evidence. *
The adversarial process upon which our legal system is
based assumes that a fact finder will give the parties an
adequate opportunity to be heard; if it does not, it
cannot find facts reliably. Thus, the detailed factual
record requirement, firmly entrenched in our jurispru-
dence, Japanese Electronics, supra; Indian Coffee
Corp. v. Procter & Gamble, 752 F.2d 891, 895 (3d Cir. )
cert. denied, 474 U.S. 863 (1985); DeLuca v. Merrell
Dow Pharmaceuticals, Inc., No. 89-5572 (filed Aug.
16, 1990), requires adequate process at the evidenciary
stage, particularly when a summary judgment may
flow from it. The district court did not afford that
process here.
More precisely, ... the district court did not give the
plaintiffs sufficient opportunity to explore the issues
upon which they were ultimately denied relief.
Ad. 48-49.
These errors alone, the Third Circuit correctly concluded,
warranted reversal. Ad. 49. These procedural flaws should be
remedied before review in this Court is considered.
C. The Third Circuit's Decision Does Not Conflict With
Decisions of Other Circuits or of This Court.
The Third Circuit's decision does not conflict with estab-
lished decisions. On the contrary, it merely corrected the district
courts departure from established rules of procedure and evi-
dence. Universal Athletic Sales Co. v. American Gym Recrea-
tional & Athletic Equipment Corp., Inc., 546 F.2d 530 (3d Cir.
7. Petitioners argue repeatedly that plaintiffs opposed an in limine hear-
ing. That argument is legally irrelevant, and deliberately misconstrues plain-
tiffs position in the trial court. Plaintiffs opposed an in limine hearing at that
time on the grounds it was premature. As the Third Circuit correctly recog-
nized, plaintiffs “did not want >» be forced into jan in limine hearing} betore
their discovery was complete.” Ad. 49 n. 29a.
12
1976), cert. denied, 430 U.S. 984 (1977); Indian Coffee Corp. v.
Procter & Gamble Co., 752 F.2d 891 (3d Cir.) cert. denied, 474
U.S. 863 (1985); In re Japanese Electronic Products Antitrust
Litigation, supra.
Each of the so-called “inter-Circuit conflicts” Petitioners
point to is, upon closer examination, nothing more than a crea-
tion of these Petitioners. The cases Petitioners rely upon simply
have different outcomes, not different interpretations of Fed. R.
Evid. 403, 702 and 703. And, the different outcomes can be
explained by the different scientific knowledge or chemical com-
pounds involved. Many cases are wholly immaterial to the “toxic
tort’ field as they involve exclusion of damage testimony in
antitrust and other commercial litigation. The fact that in some
cases expert testimony is excluded, while in this case, the court
reversed and remanded for further development of the record,
does not create a “conflict between the circuits,” which this
Court need address.
1. The “Speculative Opinion” Issue.
Petitioners cite, without discussion, nine decisions, from six
courts of appeals and one district court which they contend
conflict with the Third Circuit's decision. Petitioners argue that
most circuits prohibit introduction of speculative opinions, while
the Third Circuit has now embraced “speculative opinions.”
Significantly, Petitioners can only speak in generalities. They do
not point to any specific holding of the Third Circuit permitting
“speculative” testimony.
The Third Circuit did not rule that “speculative opinions”
are admissable. The Third Circuit did not rule that “anything
goes in toxic tort cases, as Petitioners state. Rather, the court
carefully considered the evidence, see Ad. 18 to 32, and the
district court's opinion and remanded the case so that the district
court could make the usual and customary analysis and findings
required by Rules 403, 702 and 703. Ad. 48, 64 & 69. (“Those
rulings that do implicate facts or data which are the basis for
expert opinions may be reconsidered in the remanded proceed-
ings .... ) (emphasis supplied).
The Third Circuit observed that “most of the data upon
13
which the plaintiffs experts rely is ‘of a type reasonably relied
upon by experts in the particular field,’ Fed. R. Evid. 703, and
thus admissable .. . °° Ad. 48 n.29. This is not a departure from
Rule 703 jurisprudence but the reiteration of it. Significantly for
purposes of this Petition, the Third Circuit noted that “plaintiffs’
experts may be using their data in an unreliable manner . . .
fand].. . the evidence may be excludable on that basis.” Id. The
court invited the district court to focus its analysis on this Rule
702 issue. Rather than grant a license for admission of spec-
ulative evidence, the Third Circuit required a systematic and
focused scrutiny of that evidence, consistent with Rules 403, 702
and 703.
All of the cases cited by Petitioners can be harmonized with
the Third Circuit's decision. None are in conflict with the instant
case. Lynch v. Merrill-National Labs., 830 F.2d 1190 (Ist Cir.
1987) and the other cases involving the drug Bendectin present a
different factual setting due to an entirely different body of
scientific knowledge. The different outcomes in the Bendectin
cases are attributable to a different state of scientific knowledge,
not different law. See discussion of epidemiology issue, section
C.2—infra.
In Viterbo v. Dow Chemical Co., 862 F.2d 420 (5th Cir.
1987) the court excluded testimony ofa physician after reviewing
the information upon which his opinion was based. The doctor
relied only upon an incomplete oral history from the plaintiff'and
one study linking the substance in question to cancer in rats.
The plaintiff did not have cancer. Nothing in the Paoli Railroad
Yard PCB Litigation decision would alter that result.
In Lima v. United States, 708 F.2d 502 (10th Cir. 1983) the
court upheld the exclusion of testimony of an expert epidemi-
ologist. The holding of Lima is narrow. The expert based his
opinion on one document—a summary of a survey of area hospi-
tals conducted by the plaintiff—which was excluded as hearsay.
Because the basis of the testimony was inadiissable, the expert
8. The Third Circuit was, therefore, atilizing the accepted Rule 703 stan-
dard. That decision cannot be characterized as “in conflict” with those of other
circuits or of this Court.
14
could not testify. The decision in Hull v. Merck & Co., 758 F.2d
1474 (11th Cir. 1985) is equaliy narrow.’ The court excluded, at
trial, deposition testimony of a physician who testified that he
had “assumed” significant exposure to a chemical and “assumed”
it had caused the illness. The plaintiffs’ experts in Paoli Railroad
Yard PCB Litgation made no such assumptions. They reviewed
medical records, detailed questionnaires, results of blood and
liver tests, results of immune function tests and the entire body
of scientific literature before reaching their conclusions.
In an effort to create the appearance of a split in the circuits,
Petitioners have deliberately mischaracterized the evidence.
The discussion of the Plaintiffs evidence, including a partial
review of the expert's opinions (and of Defendants’ attack upon
them) in the Court of Appeal’s opinion presents an evenhanded
narrative of the record. Ad. 18-32.
Salient points from the record are summarized here.
1. The Opinion of Dr. Herbert E. Allen
Dr. Herbert E. Allen is an Environmental and Analytical
Chemist, with a Ph.D. from the University of Michigan in
environmental chemistry awarded in 1974. A9268. He is cur-
rently the Director of the Environmental Studies Institute and a
Chemistry Professor at Drexel University in Philadelphia, Penn-
sylvania. He has published numerous scholarly articles.
A9281-87. Dr. Allen opined that plaintiffs were exposed to ele-
vated PCB levels from the yard. 49257.
Dr. Allen also opined that the heat-producing operations
such as welding and cutting of contaminated equipment, and the
burning of PCB contaminated railroad ties at the Yard converted
PCBs to furans (“PCDF’) and dioxins (“PCDD”). Id.!° Employ-
Y. The remaining cases Petitioners suggest are in conflict with the Third
Circuit are even more remote. McGlinchey v. Shell Chem. Co., 845 F.2d 802
(9th Cir. 1988) involved testimony of an economist on damages in an antitrust
case. Coal Resources, Inc. v. Gulf & Western Industries, Inc., 865 ¥.2d 761
(6th Cir. 1989) also involved economic testimony concerning damages in a com-
mercial dispute.
10. Defendants seek to distinguish the Yusho and Yu Cheng incidents
because of the existence of PCDDs and PCDFs in those exposures. Plaintiffs
have been exposed to these chemicals from Paoli as well. The Third Circuit
noted that the district court failed to consider this evidence. Ad 47-48.
15
ees have stated that these activities occurred at the Yard.
Dr. Allen opined that runoff from the Yard caused PCB
contamination in the soil in the adjacent residential community.
This opinion was corroborated by experts retained by Petitioner
Conrail, (see, the WAPORA report which noted that PCBs were
“migrating offsite via storm water runoff) and by the Environ-
mental Protection Agencys (“EPA”) soil test results. A859],
A9231, A9121-29. The highest PCB concentrations in residential
soils occurred in yards adjacent to the Yard, which exceeded
1000 mg/kg. A9255.
Contamination also occurred by the airborne transport of
PCB contaminated dust. A9255. Two airborne samples un-
affected by runoff showed contamination of 9 mg/kg (at 6 Rolling
view) and 13 mg/kg (at 105 Central Avenue). A9256.
Dr. Allen concluded that the residents had been exposed to
elevated PCB concentrations since approximately 1940, when
extensive PCB use began at the Yard. His opinions are consistent
with the scientific literature concerning airborne PCBs and with
the NIOSH study of the Paoli Yard.
The Opinion of Dr. Deborah A. Barsotti
Dr. Deborah A. Barsotti is a toxicologist, who received a
Ph.D. in pathology from the University of Wisconsin Medical
School in 1980, and is qualified to interpret human clinical tests.
A4658, A4978. She has authored at least six major publications
on the toxicity of PCBs. A4664. Her studies are cited in the
Congressional Record and legislative debates on the Toxic Sub-
stances Control Act. 122 Cong. Rec. 8281. She was an Assistant
Professor and Coordinator of the Toxicology Program at the
Philadelphia College of Pharmacy and Science. See A4944,
A4659. She is presently the Chief of the Research Analysis
Branch of the Agency for Toxic Substance and Disease Registry
of the United States. A4658, A4899, A4936.
Dr. Barsotti has performed studies on humans exposed to
PCBs and related compounds in the United States and in the Far
East. A4953, A4961-63, A4976.
Dr. Barsotti personally evaluated plaintiffs) medical and
clinical records, personal data, including residence and employ-
16
ment histories, and exposures to other substances including
tobacco and alcohol, A4921; she personally inspected the Yard
and the adjoining neighborhood; and reviewed governmental
and scientific reports including results of soil samples at the
Yard. A8999. Dr. Barsotti also supervised PCB serum evalua-
tions, gas chromatograph studies on plaintiffs bleed, and liver
function tests on plaintiffs. A8997.
Dr. Barsotti opined that plaintiffs’ exposure to PCBs at Paoli
was a substantial factor in bringing about their injuries.
A8985-9009. Dr. Barsotti found that the residents’ clinical condi-
tions were consistent with the totality of scientific and medical
evidence regarding the toxic properties of PCBs. A9000-09.
The Opinion of Dr. Arthur C. Zahalsky
Plaintiffs also submitted to the district court the opinion of
Arthur Zahalsky, Ph.D., an immunologist. A9011-9070. Dr.
Zahalsky received his doctorate from New York University in
microbiclogy in 1967. A3433a, A9056. He is a tenured professor
teaching courses in immunology and a laboratory course in
immuno-parasitology at Southern Illinois University, A5874,
A5292, where he was the Chairman of the Facility of Biological
Sciences from 1971-1974. A3433a. He has received numerous
research grant awards, and has sponsored the research of many
graduate degree candidates. A3433b-2. Dr. Zahalsky has au-
thored several publications.
Dr. Zahalsky opined that plaintiffs suffered immune system
injury.
Dr. Zahaisky personally inspected the Yard and the residen-
tial area surrounding it, reviewed plaintiffs) medical records,
their PCB exposure history, PCB blood serum results, liver
function test results, various government and scientific articles.
He supervised a battery of immune system tests and con-
cluded, based on these test results and medical histories, that
plaintiffs have sustained immune system damage.
The Opinion of Dr. Harry Shubin
Dr. Shubin is a physician with approximately fifty years of
17
experience diagnosing and treating patients. He examined cer-
tain plaintiffs, and reviewed laboratory test results and certain
medical records. He was also familiar with the extent of PCB
contamination at Paoli, including EPA’s removal of PCB tainted
soil from the plaintiffs residences. Dr. Shubin diagnosed cardio-
vascular disorders, including hypertension, respiratory ail-
ments, and neurological disorders resulting from the plaintiffs’
exposure to PCBs in Paoli. A9071-77. In so doing, Dr. Shubin
ruled out other causes of the plaintiffs’ illnesses, noting that the
resistance of their symptoms to known treatments led him to
believe that there was a persistent environmental cause of the
disorders.
The Opinion of Dr. Benjamin Calesnick
Dr. Benjamin Calesnick is a medical doctor affiliated with
the Hahnemann Hospital in Philadelphia, Pennsylvania. Dr.
Calesnick has performed physical examinations of plaintiffs and
has performed blood tests and chemical screens. It is his opinion
that plaintiffs require medical monitoring as a consequence of
their exposure to PCBs at Paoli. A9107-08.
The Opinion of Dr. Ian C. T. Nisbet
Dr. Nisbet has been recognized as a leading expert on PCB
toxicity for more than ten years. See Environmental Defense
Fund v. EPA, 598 F.2d 62, 70 (D.C. Cir. 1978). He has testified
as an expert on PCBs on behalf of the federal government. See A
8761-65. He has published numerous scholarly articles on PCBs.
See e.g., Nisbet & Sarofin, Rates and Routes of Transport of
PCBs in the Environment, 4 Envtl. Health Persp. 21 (1972).
He squarely controverted the defendants expert's opinions
that PCBs do not pose health hazards and that these plaintiffs did
not have elevated levels of PCBs. !!
11. In one of many errors reversed by the Third Circuit, the district court
discounted Dr. Nisbet's test@Qnony. The Third Circuit noted, however, that the
district court did not articulate a legal ground for excluding the testimony, and
made no findings which it could review. Ad. 35. In addition to Dr. Nisbet,
plaintiffs submitted an affidavit from Dr. Simon which corroborated Nisbet's
conclusions.
18
The Opinion of Dr. Nicholson
Dr. Nicholson received his Ph.D. from the University of
Washington in 1960 and is currently employed as a professor of
community medicine at Mt. Sinai School of Medicine in New
York. He has published more than seventy (70) articles. A. 9373,
9385. Nicholson’ affidavit directly contradicted defendants’ ex-
perts opinions on two fundamental points: (1) epidemiologic
studies do support the conclusion that PCBs cause adverse
health effects in humans and (2) animal research does have
relevance to issues of causation of disease in humans. A. 9374. !2
A fair reading of the record discloses that there is no split in
the circuits.
2. The Epidemiology and Animal Studies Issues.
Each of the cases Petitioners cite in support of the proposi-
tion that “[s]everal Circuits have developed a rule that ‘toxic tort’
causation opinions’ must be supported by “epidemiological
studies” involved claims that the drug Bendectin caused birth
defects. Ealy v. Richardson-Merrell, Inc., 897 F.2d 1159, 1160
(D.C. Cir.), cert. denied, 111 S$. Ct. 370 (1990); Richardson v.
Richardson-Merrell, Inc., 857 F.2d 823, 832 (D.C. Cir. 1988)
cert. denied, 110 S. Ct. 218 (1989); Wilson v. Merrell Dow
Pharmaceuticals, Inc., 893 F.2d 1149, 1155 (10th Cir. 1990):
Lynch v. Merrell-National Labs., 830 F.2d 1190, 1194 (ist Cir.
1987). These cases do not establish a broad rule for all “toxic tort”
cases. All that they hold is that in light of the scientific knowl-
edge surrounding the drug Bendectin, the expert opinions of-
fered in those cases were unreliable.
The First Circuit summarized the scientific knowledge con-
cerning Bendectin in Lynch v. Merrell-National Laboratories,
supra:
12. The district court excluded the Nicholson affidavit under Rule 702 of
the Federal Rules of Evidence as presenting “novel scientific theory.” The
Third Circuit reversed on the ground, inter alia, that the district court did not
make the specific findings required by United States v. Downing, 753 F.2d
1224 (3d Cir. 1985). On remand, the district court will have the opportunity to
make findings pursuant to a more fully developed record.
19
Stimulated by the suspicion, extensive epidemiological
studies were undertaken. Researchers examined Ben-
dectin in relation to birth defects and attempted to
determine if there was a correlation between the use of
Bendectin and the defects from which a conclusion of
causation might be drawn. These studies were con-
ducted by Australians, Americans, Enghishmen, and
Germans. The researchers were specialists in a variety
of fields from gynecology, public health, embryology,
and teratology, to epidemiology proper. The re-
searchers had every motive to detect a malignant drug
inflicting horrible injuries. The first studies began in
1963; studies are still being published in 1986. No
correlation, much less a causal connection, has been
demonstrated between the use of Bendectin and limb
reduction.
§30 F.2d at 1193-94. Lynch has been followed by other courts.
There are no such findings with respect to PCBs. On the
contrary, plaintiffs experts pointed to epidemiological studies
supporting their opinions. The line of cases cited by Petitioners
are limited to Bendectin claims and are not in conflict with In re
Paoli Railroad Yard PCB Litigation.
Petitioners suggestion of a conflict between the circuits on
the use of animal studies is equally flawed. The cases cited by
Petitioners pertain to Bendectin where there is an uncon-
troverted body of human epidemiology. That is not the case with
PCB research.
D. The Third Circuit Had a Duty to Predict Whether
Pennsylvania Would Adopt a Cause of Action for Medi-
cal Monitoring.
The Third Circuit sitting in a diversity action must predict
whether Pennsylvanias highest court, if confronted with the
question, would recognize the existence of a claim for medical
monitoring. Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938). The
Third Circuit carefully weighed the evidence on the question
20
and the decisional law of other circuits on the point. The Third
Circuit court also considered other relevant Pennsylvania au-
thority. Ad. 39-41 citing inter alia, Merry v. Westinghouse Elec-
tric Co., 684 F.Supp. $847 (M.D. Pa. 1988). Then, properly
concluded that Pennsylvania would recognize the existence of
the tort. While other circuits may have predicted that other
jurisdictions may have acted otherwise, Petitioners can point to
no decision of any court which precluded the Third Circuit from
making the prediction of state law which it did.
E. The Circuits are no Longer Divided on the Validation
of a Premature Appeal by a Later Rule 54(b) Judge-
ment.
This Court, in FirsTier Mortgage Co. v. Investors Mortgage
Insurance Company, 111 S. Ct. 648 (1991), has resolved the split
in the cases pertaining to premature notices of appeal. By its
holding in FirsTier, this Court has brought the minority of
circuits into line with the common sense approach to the curing
of a premature notice of appeal by a subsequent Fed. R. Civ. P.
54(b) certification.
FirsTier has put to rest the question of how the word
‘decision’ in Rule 4(a)(2) is to be defined: “. .. under the Rule, a
premature notice of appeal relates forward to the date of entry of
a final ‘judgment’ only when the ruling designated in the notice
is a decision’ for the purposes of the Rule.” 111 S. Ct. at 652,
n.4. If the disposition of a case ultimately becomes a final judg-
ment, that disposition constitutes a ‘decision’ under Rule 4(a)(2).
As a result, a premature notice of appeal ripens when judgmeni
is entered. “Once judgment is entered, the Rule treats the
premature notice of appeal ‘as filed after such entry.” Id. at 652.
After FirsTier, the conflict in the circuits has been resolved
2]
CONCLUSION
For the reasons stated above, the writ should be denied.
Respectfully submitted.
Harold E. Kohn
Joseph C. Kohn
KOHN, SAVETTE, KLEIN & GRAF, P.C.
2400 One Reading Center
110] Market Street
Philadelphia, PA 19107
(215) 238-1700
Arnold E. Cohen*
John Spelman
KLEHR, HARRISON, HARVEY
BRANZBURG & ELLERS
1401 Walnut Street
Philadelphia, PA 19102
(215) 568-6060
Attorneys for Respondents,
Mary Alice Knight, et al.
D. Bruce Hanes
POWELL, O'SHEA, HANES & MINEHART
1700 Market Street
Suite 3131
Philadelphia, PA 19103
(215) 972-8290
Attorneys for Respondents,
Christopher S. Brown, et al.
*Counsel of Record
ADDENDUM
een ae
“seal a ia aa aaaa a eimee
Ad.-1
In re PROLI RAILROAD YARD PCB LITIGATION.
BROWN, Christopher S. and Brown, Jacqueline Michell, h/w
v.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“Conrail”)
V.
CITY OF PHILADELPHIA, United States of America,
Christopher Brown, Appellant.
In re PRPOLI RAILROAD YARD PCB LITIGATION.
BROWN, Cathlene
v.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
v.
CITY OF PHILADELPHIA, United States of America,
Cathlene Brown, Appellant.
In re PROLI RAILROAD YARD PCB LITIGATIO®.
BROWN, Craig A. and Brown, Catherine D. h/w
v.
MONSANTO COMPANY, Southeastern Periusylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
v.
CITY OF PHILADELPHIA, United States of America,
Craig Brown, Appellant.
Ad. -2
In re PAROLI RAILROAD YARD PCB LITIGATION.
BARBETTA, Margherita
Vv.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
v.
CITY OF PHILADELPHIA, United States of America,
Margherita Barbetta, Appellant.
In re PROLI RAILROAD YARD PCB LITIGATION.
JOHNSON, Mary Retta
Vv.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
v.
CITY OF PHILADELPHIA, United States of America,
Mary Retta Johnson, Appellant.
In re POLI RAILROAD YARD PCB LITIGATION.
BROWN, Celeste
v.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
V.
CITY OF PHILADELPHIA, United States of America,
Celeste Brown, Appellant.
Ad. -3
In re PROLI RAILROAD YARD PCB LITIGATION.
BROWN, Clemmon L.
v.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
v.
CITY OF PHILADELPHIA, United States of America,
Clemmon L. Brown, Appellant.
In re PPOLI RAILROAD YARD PCB LITIGATION.
BROWN, Cloyd H.
v.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
vV.
CITY OF PHILADELPHIA, United States of America,
Cloyd H. Brown, Appellant.
In re PPOLI RAILROAD YARD FCB LITIGATION.
BROWN, Curtis
v.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and-Consolidated
Rail Corporation (“CONRAIL”)
v.
CITY OF PHILADELPHIA, United States of America,
Curtis Brown, Appellant.
Ad. -4
In re PPOLI RAILROAD YARD PCB LITIGATION.
REID, William Jr., and Reid, William Jr., Executor of the
Estate of Reid, Minni, Deceased
Vv.
MONSANTO COMPANY, Southeastern Pennsylvania
Transportation Authority (“SEPTA”), National Railroad
Passenger Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
OW.
UNITED STATES of America,
William Reid, Jr., Appellant.
In re PAOLI RAILROAD YARD PCB LITIGATION.
BROWN, Mabel, Individually and on behalf of all others
similarly situated
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”); National Railroad Passenger
Corporation (“Amtrak”); and Consolidated Rail
Corporation (“CONRAIL”)
v.
UNITED STATES of America, Roy F. Wester, Inc.,
General Electric Company, the Budd Company and
Westinghouse Electric Corporation,
Mabel Brown, Appellant.
Ad.-5
In re PROLI RAILROAD YARD PCB LITIGATION.
WILLIAMS, Andre, Sr., Individually and on behalf of all
others similarly situated
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”); National Railroad Passenger
Corporation (“Amtrak”); Consolidated Rail Corporation
‘“CONRAIL”); Monsanto Company; General Electric
Company; The City of Philadelphia,
Andre Williams, Sr., Appellant.
In re PROLI RAILROAD YARD PCB LITIGATION.
NARCISE, Helen V., Administratrix of the Estate of Narcise,
John G., deceased, Narcise, Helen V. as personal representa-
tive of Narcise, John G., Narcise, Helen V. in her own right
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”); National Railroad Passenger
Corporation (“Amtrak”); Consolidated Rail Corporation
(“CONRAIL”); Monsanto Company (“Monsanto”);
General Electric Company (“GE”); City
of Philadelphia (“Philad<lphia”)
Vv.
UNITED STATES of America,
Helen V. Narcise, Appellant.
Ad.-6
In re PAROLI RAILROAD YARD PCB LITIGATION.
KNIGHT, Mary Alice
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”); National Railroad Passenger
Corporation (“Amtrak”); Consolidated Rail Corporation
(“CONRAIL”); Monsanto Company (“Monsanto”);
General Electric Company (“GE”); City
of Philadelphia (“Philadelphia”)
Vv.
UNITED STATES of America,
Mary Alice Knight, Appellant.
In re PROLI RAILROAD YARD PCB LITIGATION.
INGRAM, John Sr., and Ingram, Patricia in their own right
and as parents and natural guardians of Ingram, John Jr., and
Ingram, April in her own right
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA’”); National Railroad Passenger
Corporation (“Amtrak”); Consolidated Rail Corporation
(“CONRAIL”); Monsanto Company (“Monsanto”);
General Electric Company (“GE”); City
of Philadelphia (“Philadelphia”)
Vv.
UNITED STATES of America,
John Ingram, Sr. and Patricia Ingram, Appellants.
Ad.-7
In re PROLI RAILROAD YARD PCB LITIGATION.
CUNNINGHAM, Matthew and Cunningham, Bessie
V.
MONSANTO COMPANY and Southeastern Pennsylvania
Transportation Authority (“SEPTA”) and National Railroad
Passenger Corporation (“Amtrak”) and Consolidated
Rail Corporation (“CONRAIL”),
Matthew and Bessie Cunningham, Appellants.
In re PROLI RAILROAD YARD PCB LITIGATION.
BURRELL, George Albert and Priscilla Etheridge, in their
own right, and Burrell, George Albert and Burrell, Priscilla
Etheridge, as parents and natural guardian of Burrell, Amber
Shardai, a minor, and Burrell, George Albert, as parent and
natural guardian of Walker, Andrew, a minor, and Burrell,
Priscilla Etheridge, as parent and natural guardian of Burrell,
Bobby George Albert Christian, a minor,
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”), and National Railroad Passenge:
Corporation (“Amtrak”), and Consolidated
Rail Corporation (“CONRAIL”)
¥v.
UNITED STATES of America,
George Albert Burrell and Priscilla Etheridge Burrell,
Appellants.
Ad.-8
In re PPOLI RAILROAD YARD PCB LITIGATION.
CUMMINS, Wallace Darryl
Vv.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”); and National Railroad Passenger
Corporation (“Amtrak”), and Consolidated Rail Corporation-
(“CONRAIL”)
v.
UNITED STATES of America,
Wallace Darryl Cummins, Appellant.
In re PAOLI RAILROAD YARD PCB LITIGATION.
JONES, K. Louise, Administratrix of the Estate of Jones,
Harvey N. Jr., Deceased and Jones, K. Louise as Personal
Representative of Jones, Harvey N. Jr., and Jones,
K. Louise in Her Own Right
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”), National Railroad Passenger
Corporation (“Amtrak”) and Consolidated
Rail Corporation (“CONRAIL”)
V.
UNITED STATES of America, City of Philadelphia,
K. Louise Jones, Appellant.
Ad.-9
In re PROLI RAILROAD YARD PCB LITIGATION.
STANBACH, Charles W., Executor of the Estate of Stanbach,
Charles, Jr., deceased and Stanbach, Charles W., as a
personal representative of Stanbach, Charles W. in
his own right and Stanbach, Susanna
Vv.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA”), and National Railroad Passenger
Corporation (“Amtrak”), and Consolidated Rail Corporation
(“CONRAIL”) and Monsanto Company (“Monsanto”)
v.
CITY OF PHILADELPHIA,
Charles and Susanna Stanbach, Appellants.
In re PROL! RAILROAD YARD PCB LITIGATION.
BUTLER, William; Butler, Theresa; Simpson, Marvin L.;
Simpson, Allen K.; Simpson, Karen R.; Simpson, Donald E.;
and Jackson, Bryan M.
v.
SOUTHEASTERN PENNSYLVANIA TRANSPORTATION
AUTHORITY (“SEPTA’); National Railroad Passenger
Corporation (“Amtrak”); and Consolidated
Rail Corporation (“CONRAIL”)
v.
UNITED STATES of America, City of Philadelphia,
William Butler, Theresa Butler, Marvin L. Simpson, Allen K.
Simpson, Karen R. Simpson, Donald E. Simpson and Bryan
M. Jackson, Appellants.
Nos. 88—1973 to 88—1992, 89-1070 to 89-1079 and 89-1097.
Ad.-10
United States Court of Appeals, Third Circuit.
Argued Sept. 8, 1989.
Decided Sept. 20, 1990.
As Amended Oct. 29, 1990.
As Amended Nov. 23, 1990.
Rehearing and Rehearing In Banc Denied Nov. 23, 1990.
Suits were brought by 38 persons who had either worked in
or lived adjacent to railyard seeking damages resulting from
exposure to PCBs. Following consolidation, the United States
District Court for the Eastern District of Pennsylvania, Robert
F. Kelly, J., 706 F.Supp. 358, granted summary judgment in
favor of the defendants on all claims except for those for property
damage and response costs under CERCLA, and the plaintiffs
appealed. The Court of Appeals, Becker, Circuit Judge, held
that: (1) cause of action for medical monitoring is cognizable in
Pennsylvania to cover cost of periodic medical examinations
needed to protect against exacerbation of latent diseases brought
about by exposure to hazardous substances; (2) exclusion of
plaintiffs expert opinion evidence in toxic tort case on ground
that it was not based on facts or data reasonably relied upon by
experts in the field would be set aside where trial court failed to
adequately articulate what facts it relied on in making its legal
determination; and (3) genuine issues of material fact existed as
to whether plaintiffs had been exposed to PCBs to a greater
extent than others, whether plaintiffs had an injury and whether
PCBs were cause of that injury, precluding summary judgment
in favor of defendants.
Reversed and remanded.
D. Bruce Hanes, Friedman and Hanes, Philadelphia, Pa.,
for Christopher Brown, Cathlene Brown, Craig Brown, Mar-
gherita Barbetta, Mary Retta Johnson, Celeste Brown, Clem-
mon L. Brown, Cloyd Brown, Curtis Brown, appellants.
James C. Sargent, Jr., Lamb, Windle & McErlane, P.C.,
West Chester, Pa., for William Reid, appellant.
er
Ad.-1]
Geoffrey L. Beauchamp, Wisler, Pearlstine, Talone, Craig
& Garrity, Norristown, Pa., Kenneth Roos (argued), Joseph Don-
ley, Kittredge, Kaufman & Donley, Philadelphia, Pa., for
William Butler, Theresa Butler, Marvin L. Simpson, Allen K.
Simpson, Karen R. Simpson, Donald E. Simpson and Bryan M.
Jackson, appellants.
Charlotte E. Thomas, Arnold E. Cohen (argued), John H.
Spelman, Andrew O. Schiff, Klehr, Harrison, Harvey,
Branzburg, Ellers & Weir, and Harold E. Kohn, Joseph C.
Kohn, Kohn, Savett, Klein & Graf, Philadelphia, Pa., for Mabel
Brown, Andre Williams, Sr., Helen V. Narcise, Mary Alice
Knight, John and Patricia Ingram, Matthew and Bessie Cun-
ningham, George Albert Burrell, Priscilla Etheridge, Wallace
Darry! Cummins, K. Louise Jones, Charles W. Stanbach, ap-
pellants.
Michael H. Malin (argued), James D. Shomper, Jeanne
Proko-Elkins, White and Williams, Philadelphia, Pa., for Mon-
santo Co., appellee.
Roger F. Cox (argued), Jerome R. Richter, George J.
Krueger, Jay W. Eisenhofer, Blank, Rome, Comisky & Mc-
Cauley, Philadelphia, Pa., for Southeastern Pennsylvania
Transp. Authority (“SEPTA’), appellee.
John G. Kester (argued), John W. Vardaman, Jr., Mark A.
Srere, Diana L. Schacht, Williams & Connolly, Washington,
D.C., Harry A. Short, Jr., Stephen M. McManus, Liebert,
Short, Fitzpatrick & Hirshland, Philadelphia, Pa., for General
Elec. Co., appellee.
Richard J. Gold, First Deputy City Sol., Joy J. Bernstein,
Deputy City Sol., City Solicitor’s Office, Philadelphia, Pa., for
City of Philadelphia, appellee.
David Richman, Katherine Kramer Laird, Pepper, Hamil-
ton & Scheetz, Philadelphia, Pa., for Consolidated Rail Corp.
(“CONRAIL”), appellee.
Richard A. Kraemer, Nancy H. Resnick, Margolis, Edel-
stein, Scherlis, Sarowitz & Kraemer, Philadelphia, Pa., for Na-
tional Rail Passenger Corp. (‘AMTRAK’), appellee.
Richard F. Kingham, Bruce N. Kuhlik, Marjorie E. Powell,
Ad.-12
Covington & Burling, Washington, D.C., for American Tort
Reform Assn, amicus curiae.
Denis V. Brenan, Morgan, Lewis & Bockius, Philadelphia,
Pa., for American Council on Science and Health, Inc., amicus
curiae.
C. James Zeszutek, Michael R. Bucci, Jr., Thorp, Reed &
Armstrong, Pittsburgh, Pa., for The Pennsylvania Defense In-
stitute, amicus curiae.
Stephen M. Shapiro, John E. Muench, Kathleen M. Hen-
nessey, Mayer, Brown & Platt, Chicago, Ill., for The Chamber of
Commerce of The U.S., The Chemical Mfrs. Ass'n, The Nat.
Ass'n of Mfrs., The Business Roundtable, and The Product Lia-
bility Advisory Council, Inc., amicus curiae.
Robert C. Barnard, Sara D. Schotland, Cleary, Gottlieb,
Steen & Hamilton, Washington, D.C., for American Industrial
Health Council, amicus curiae.
Thomas W. Brunner, Laura A. Foggan, Frederick S. Ansell,
Wiley, Rein & Fielding, Washington, D.C., for American Ins.
Assn, amicus curiae.
Leonard W. Schroeter, Schroeter, Goldmark & Bender,
Seattle, Wash., Jerry S. Cohen, Anthony Z. Roisman, Richard S.
Lewis, Cohen, Milstein & Hausfeld, Washington, D.C., tor Trial
Lawyers for Public Justice.
Arthur H. Bryant, Trial Lawyers for Public Justice, Wash-
ington, D.C., for American Public Health Assn, et al., amicus
curiae.
Arnold Levin, David J. Perlman, Levin, Fishbein, Sedran
& Berman, Philadelphia, Pa., Lee C. Swartz, Hepford, Swartz,
Menaker & Morgan, Harrisburg, Pa., for James D. Carrigan,
amicus curiae.
Before BECKER, MANSMANN and NYGAARD, Cicruit
Judges.
OPINION OF THE COURT
BECKER, Circuit Judge.
This is a toxic court case brought by some thirty-eight
persons who have either worked in or lived adjacent to the Paoli
Ad.-13
railyard, an electric railcar maintenance facility at the western
terminus of the noted Paoli Local, which serves the Philadelphia
Main Line. The plaintiffs’ primary claim is that they have con-
tracted a variety of illnesses as the result of exposure to poly-
chlorinated biphenyls, better known as PCBs. PCBs are toxic
substances which, as the result of decades of PCB use in the
Paoli railcar transformers, can be found in extremely high con-
centrations at the railyard and in the ambient air and soil. The
defendants are Monsanto Corporation, the nation’s leading man-
ufacturer of PCBs (marketed under the trade name “Aroclor ):
General Eiectric Company, manufacturer of the transformers;
Amtrak, owner of the railyard site since 1976; Conrail, which
operated the facility between 1976 and 1983; the Southeastern
Pennsylvania Transit Authority (SEPTA), which has operated the
facility since 1983; and the City of Philadelphia, which owns
some of the railroad cars at the facility. !
This opinion addresses an appeal by all plaintiffs from the
grant of summary judgment by the district court in favor of all
defendants on all claims except those for property damage and
response costs under CERCLA.2 706 F.Supp. 358. We direct our
attention principally to a series of pretrial evidentiary rulings by
which the district court apparently excluded? the bulk of the
expert reports and testimony upon which plaintiffs relied to
establish (1) that they were subject to an abnormally high level of
PCB exposure, and (2) that this exposure caused them harm.
Because the grant of summary judgment inexorably flowed from
1. The district court's subject matter jurisdiction was founded primarily
upon 28 U.S.C. § 1331 (federal question) because of the inclusion of claims
under the Comprehensive Environmental Response, Compensation, and Lia-
bility Act (CERCLA), 42 U.S.C. §§ 9601-75, and the Federal Emplovers’ Lia-
bility Act (FELA), 45 U.S.C. § 51-60. The court also exercised pendent juris-
diction over various state law claims. Several plaintiffs initially filed their claims
in Pennsylvania courts, but these claims were removed under 25 U.S.C. §
144 i(c).
2. The district court certified the matters before us as final judgments
See Fed. R.Civ. P. 54 (b).
3. In anumber of instances, the district court did not articulate whether it
was excluding expert opinion as an evidentiary matter or was merely ascribing
little weight to it va its summary judgment analysis.
Ad.-14
these evidentiary rulings, if they are set aside, so must be the
summary judgment. Our scrutiny of the rulings will focus not
only upon their legal foundations, but also on the procedures by
which they were made and the adequacy of their articulation.
We conclude that the district court's evidentiary rulings
must be set aside for a number of reasons. One problem with the
district court's rulings is procedural. The court not only failed to
give plaintiffs an adequate opportunity to present their factual
and legal contentions on evidentiary issues, but it also ruled on
an inadequate factual record and it failed adequately to articulate
the bases for its rulings. It also failed to follow the protocols
established by the jurisprudence of this court for evidentiary
rulings governed by Fed. R. Evid. 702 and 703.
Other problems with the district court opinion are substan-
tive. The court applied too stringent a standard to the qualifica-
tion of experts under Rule 702. The court also erred in its
applicatiun of the Downing test for the admissibility of novel
scientific evidence (under Rule 702). Given these improper evi-
dentiary exclusions, we cannot affirm the district court’s sum-
mary judgment ruling. If the improperly excluded evidence is
considered, the record contains genuine issues of material fact
on the toxic tort issues.
A number of other discrete legal issues are also before us on
appeal. These include the viability of plaintiffs claims to recover
the costs of periodic medical examinations necessary to protect
against the development of latent diseases caused by their ex-
posure to PCBs (“medical monitoring’) under Pennsylvania law;
the propriety of the district court's refusal to permit certain
plaintiffs voluntarily to dismiss their complaint so as to proceed
at a later time when their apparently sub-clinical injuries man-
ifest themselves; and the availability to SEPTA of a lack of notice
defense under 42 Pa.Cons.Stat.Ann. § 5522. We find that the
district court abused its discretion in refusing to permit the
voluntary dismissal without prejudice of certain plaintiffs’
claims, and that the court erred as a matter of law in its analysis
of both the medical monitoring and SEPTA notice issues. For all
these reasons, we must reverse the grant of summary judgment
and remand for further proceedings.
a
Ad.-15
I. PROCEDURAL HISTORY
Plaintiffs filed their complaints in the district court for the
Eastern District of Pennsylvania beginning in April 1986. The
complaints alleged a variety of theories of recovery, including
claims based upon CERCLA, common law tort, and the medical
monitoring doctrine. The twenty-one actions before us on this
appeal were consolidated. On September 24, 1987, in response
to a motion by defendants, the district court filed a case manage-
ment order which provided a schedule for conducting further
discovery and filing summary judgment motions. 4
The defendants filed a joint motion for summary judgment.°
After plaintiffs answered the motion, attorneys on both sides
requested oral argument. In a letter dated October 28, 1988, the
court denied these requests, stating that oral argument would be
unnecessary “[b]ecause the issues contained in those motions
have been thoroughly and extensively briefed and because I have
been working with this case for over a year... .’ The court also
failed to conduct in limine hearings regarding the admissibility
of the plaintiffs’ expert testimony, notwithstanding defendants’
summary judgment strategy that depended largely on exclusion
of that testimony under Fed.R. Evid. 702, 703 and 403.
4. The order contained the following four mandates:
1. Defendants will answer discovery efforts by the Plaintiffs directed
to reveal the quantity and nature of PCBs used at the Paoli Railyard and
the health effects on Defendants’ employees of exposure to PCBs. This
Discovery is to be completed by December 23, 1987.
2. Plaintiffs will then answer discovery efforts by the Defendants
directed to reveal whether the Plaintiffs have suffered personal injury
and whether the injury is caused by exposure to PCBs caused by the
Defendants. This Discovery is to be completed by March 22, 1988.
3. All other discovery is to be stayed meanwhile.
4. Any Summary Judgment Motions, to be made by the Defen-
dants, are to be filed by April 21, 1988.
5. Throughout the course of discovery, individual parties filed numerous
motions for summary judgment or dismissal with respect to discrete issues.
However, for purposes of this appeal our discussion will center on the joint
motion for summary judgment. Other motions will be discussed where they
are directly relevant to issues on appeal—for example, the Butler plaintiffs’
motion for dismissal without prejudice and defendant SEPTA’s separate motion
for summary judgment under a governmental notice statute.
Ad.-16
On November 28, 1988, the district court granted defen-
dants’ joint motion for summary judgment against all plaintiffs on
the personal injury claims. The court's order was accompanied
by an opinion, discussed below in Part IV, concentrating on the
exclusion of plaintiffs’ expert testimony. These appeals followed.
Il. APPELLATE JURISDICTION
[1] Defendants make a number of attacks upon our appel-
late jurisdiction, all of which we find without merit, and only one
of which warrants extended discussion: did the original notice of
appeal in ten of the cases fail to identify the appealing parties
with the specificity required by Torres v. Oakland Scavenger
Co., 487 U.S. 312, 108 $.Ct. 2405, 101 L.Ed.2d 285 (1988)?6 In
Torres, the notice ot appeal was captioned, “Joaquin Moreles
Bonilla, et al., Plaintiffs in intervention.” The body of the notice
named fifteen of the sixteen putative appellants, but not Torres.
The Court concluded that the notice was insufficient to specify
Torres as an appellant, and that he was therefore barred from
pursuing his appeal for failing to comply with the requirements
of Fed.R.App.P. 3(c). See 487 U.S. at 317-18, 108 S.Ct. at
2409-10.
We recently had the opportunity to construe Torres in Dura
Systems, Inc. v. Rothbury Investments, Ltd., 886 F.2d 551 (3d
Cir. 1989), cert. denied, — U.S. —~, 110 S.Ct. 844, 107
L.Ed.2d 838 (1990), in which we held that a consent order,
entered after a notice of appeal but within the period required
for timely notice of appeal, could confer jurisdiction over parties
6. Although a number of the appeals were premature, Fed. R.Civ. P. 54(b),
the prematurity was cured by the subsequent Rule 54(b) certification. See
Dowling v. City of Philadelphia, 855 F.2d 136, 158 (3d Cir. 1988); Cape May
Greene, Inc. v. Warren, 698 F.2d 179, 184-85 (3d Cir. 1983); Richerson cv.
Jones, 551 F Ad 918, 922 (3d Cir. 1977). We reject defendants’ claim that this
holding is inconsistent with Griggs v. Provident Consumer Discount Co., 459
U.S. 56, 103 $.Ct. 400, 74 L.Ed.2d 225 (1982) (per curiam), which held that
the filing of a post-judgment motion under Fed. R.Civ.P. 50(b), 52(b), or 59
destroys an otherwise effective notice of appeal. Unlike Griggs, this case in-
volves no such post-judgment motion.
: Ad.-17
not explicitly named in the notice of appeal. See id. at 555. We
summarized the applicable principles as follows:
In formulating its holding, the /Torres/ Court made
clear that Rules 3 and 4 of the Federal Rules of Appellate
Procedure create a jurisdictional threshold, and that the
requirements of the two rules may not be abrogated for
“good cause shown” under Fed.R.App.P. 2. Moreover, the
fact that Rule 3 excuses “informality of form or title” in a
notice of appeal does not forgive compliance with the Rule's
requirements: “[p]ermitting imperfect but substantial com-
pliance with a technical requirement is not the same as
waiving the requirement altogether as a jurisdictional
threshold.” Although the Torres court mandated compliance
with the specificity requirement of Fed. R.App.P. 3(c), it
recognized that:
the requirements of the rules of procedure should be
liberally construed and that ‘mere technicalities should
not stand in the way of consideration of a case on the
merits. Thus, if a litigant files papers in a fashion that is
technically at variance with the letter of a procedural
rule, a court may nonetheless find that the litigant has
complied with the rule if the litigant’s action is the func-
tional equivalent of what the rule requires.
This approach mirrors the practice sanctioned in the Ad-
visory Committee Notes to the 1979 amendment to
Fed. R.App.P. 3(c), which cites with approval cases holding
that, “so long as the function of notice is met by the filing of
a paper indicating an intention to appeal, the substance of
the rule has been complied with.”
Id. at 554-55 (footnote and citations omitted).
Applying those principles here, it is not clear that plaintiffs’
notice of appeal in the ten referenced cases, in its original form,
was insufficient. For example, the original notice appears to have
served as a “functional equivalent” of the requirements of Rule
3(c) because it mentions the docket numbers and surnames of
the cases then before the district court. Indeed, correspondence
Ad.-18
from defense counsel confirms that no party was misled by the
notice, and that all parties presumed it to include all plaintiffs
referenced under the relevant docket numbers.
At all events, any impediment that might have existed was
removed by a January 6, 1989, letter, just two days after the Rule
54(b) certification, from counsel for the subject plaintiffs to the
clerk of this court, with copies to all counsel, identifying in detail
the parties to the appeal. The letter is analogous to the consent
order in Dura Systems in that the letter was filed within the
period allowed for appeal. The “Court's directive to construe the
rule ‘liberally,’ and to avoid a construction that would allow ‘mere
technicalities to bar consideration of a case on the merits” id.
(quoting Torres, 108 S.Ct. at 2408) compels this result.7 Accord
Masquerade Novelty, Inc. v. Unique Industries, Inc. 912 F.2d
663 (3d Cir. 1990) (attorney appearance form and civil appeal
information statement filed within time limit constitute ade-
quate notice).
Ill. THE SUMMARY JUDGMENT RECORD
A. The Plaintiffs Submissions
Plaintiffs set out to prove that their personal injuries were
proximately caused by their exposure to the PCBs that defen-
dants permitted to contaminate the area surrounding the Paoli
Railyard. Their case depends upon expert testimony pertaining
to exposure and causation. The attorneys for different plaintiffs
employed different expert witnesses, and it is therefore conve-
nient, in discussing the record before us, to categorize plaintiffs
according to which counsel represents them.
Of the ten cases in which plaintiffs are represented by
Kohn, Savett, Klein & Graf, P.C., or Klehr, Harrison, Harvey,
Branzburg, Ellers & Weir, (the “Kohn/Klehr plaintiffs”), nine
answered discovery with the opinions of three experts: Dr. Her-
bert Allen, Dr. Deborah Barsotti, and Dr. Arthur Zahalsky. In
7. Our recent decision in Cruz v. Melendez, 902 F.2d 232 (3d Cir. 1990),
is not to the contrary. That case, like Torres, stands only for the proposition
that, without further explanation proffered in a timely fashion, the designation,
“et al.,” is insufficient to provide the required notice.
ens alla
Ad.-1i9
the tenth Kohn/Klehr case, Cunningham, and in the Reid case,*
Dr. Harry Shubin submitted an opinion on the question of
causation. In the nine cases in which plaintiffs are represented
by D. Bruce Hanes, expert testimony was offered solely by Dr.
G. John DiGregorio. The remaining plaintiffs offered no expert
testimony.
Dr. Herbert Allen received his doctorate in environmental
chemistry from the University of Michigan in 1974. He is cur-
rently employed as a professor of chemistry at Drexel University,
where he serves as the director of Drexel’s Environmental Stud-
ies Institute. Allen has published numerous scholarly articles.
His primary role was to testify to the Kohn/Klehr plaintiffs’
exposure to the Paoli Railyard’s elevated PCB levels.
Initially, Allen noted the “extremely high levels” of PCBs in
soil samples taken from the neighborhood adjacent to the yard.
He explained that runoff from the railyard caused contamination
in the soil on Central Avenue, with the highest concentrations of
PCBs being found in residential yards adjacent to the railyard.
Central Avenue samples contained concentrations as high as 577
mg/kg, while some residential yard concentrations were as high
as 1000 mg/kg. Dr. Allen opined that the high concentrations of
PCBs found deep in the soil indicated a discharge of extremely
high amounts of PCBs. He also noted specifically that certain
“heat-producing” operations, such as the welding and cutting of
contaminated equipment and the burning of contaminated rail-
road ties, which employees testified had occurred at the yard,
could have converted PCBs into other toxins such as PCDD’s
(dioxins) and PCDF’s (furans). This testimony is particularly
significant in view of the conclusion of certain of plaintiffs’ prof-
fered studies that exposure to PCDFs can cause numerous ad-
verse health effects, see infra at 843.
Relying on his knowledge of the scientific literature, his
own testing, the testimony of employees, and a scientific formula
which he had devised, Dr. Allen calculated the amount of PCBs
in plaintiffs bodies based on the amount of PCBs in the soil.
8. Appellant William Reid, Jr., is separately represented by James C.
Sargent, Jr.
P| | -
Ad. -20
Among other things, he relied on the affidavit of an employee
named Kraljevich who stated that the use of heat-producing
tools caused PCBs to “hang in the air like a fog,” and that leaking
transformers caused foul PCB odors to permeate the air. Allen
then concluded that neighborhood residents had been exposed
to elevated PCB concentrations since approximately 1940. Al-
though unable to quantify the extent of plaintiffs’ exposure,
Allen opined that the residential plaintiffs may have been ex-
posed to air containing more than 10° g/m3 of PCBs, while
railyard employees may have sufiered even greater exposure.
Deborah A. Barsotti, Ph.D., offered expert opinions on
both exposure and causation for the Kohn/Klehr plaintiffs. Dr.
Barsotti, a toxicologist, received her doctorate in pathology from
the University of Wisconsin Medical School in 1980, and is
qualified to interpret human clinical tests. She has published a
number of articles on the toxicity of PCBs, and her work has
been cited in the Congressional Record and in legislative de-
bates on the Toxic Substances Control Act. She is currently
employed as the Chief of the Research Analysis Branch of the
Agency for Toxic Substance and Disease Registry (ATSDR) of the
United States Government.
Barsotti based her opinions regarding exposure on her re-
view of the relevant scientific literature and on her own gas
chromatography testing. She explained that PCBs may be ab-
sorbed into the body by oral ingestion, through the skin, or by
inhalation, and that PCBs are transported through the body in
blood, and eventually redistributed to fat and organs containing
fat. She concluded that the plaintiffs had in fact ingested PCBs.
A major part of Dr. Barsottis exposure testimony consisted of
her attempt to show, through gas chromatography tracing, that
the PCBs to which plaintiffs were exposed came specifically from
the Paoli Railyard. She did this by comparing chromatographic
tracings of plaintiffs blood to similar tracings from soil at Paoli.
She then attempted to match certain “early emerging peaks,” (in
plaintiffs blood tests which she testified related) to particular
PCB isomers.
Barsotti used the results of these tests, along with medical
and clinical records from the plaintiffs, to buttress her testimony
Ad. -21
regarding causation. In determining causation, she also person-
ally inspected the railyard, and reviewed, inter alia, the Kral-
jevich affidavit, published reports and studies, and soil samples
taken from the yard. She concluded that plaintiffs’ exposure to
PCBs at Paoli was a substantial factor in causing their particular
injuries, including elevations in triglyceride, cholesterol, and
liver enzyme levels.
Also testifying with respect to causation for the Kohn/Klehr
plaintiffs was Arthur C. Zahalsky, Ph.D., who received his doc-
torate in microbiology from New York University in 1967. Dr.
Zahalsky is a professor at Southern Illinois University, where he
teaches courses in immunology and human diseases. However,
he has spent the majority of his time in the past few years in his
consulting business, which specializes in providing scientific
consultation for litigation.
Dr. Zahalsky offered his opinion that plaintiffs have suffered
immune system injuries as a result of their exposure to PCBs at
Paoli. He testified that as a general proposition, PCBs damage
the immune systems of humans and animals because they alter
the cell production and replenishment rate of immune cells, and
impair the survivability of those cells. Basing his opinion on a
personal inspection of the railyard and surrounding area, a re-
view of plaintiffs: medical records and PCB exposure history, and
various laboratory test results and published reports, Dr.
Zahalsky concluded that plaintiffs have sustained immune sys-
tem damage, and that exposure to PCBs at Paoli was a substan-
tial factor in causing such damage. Zahalsky submitted a list of 82
studies upon which he relied in formulating his opinion. A
number of these studies discussed two notorious incidents of
human beings ingesting contaminated rice oil. These incidents,
which took place in Japan in 1968 and Taiwan in 1979, are
referred to as the “Yusho” and “Yu Cheng” incidents. The oil
was tainted with large quantities of Kaneclor, a Japanese analog
of Aroclor that contains significant amounts of PCDFs, as well as
PCBs.
Harry Shubin, M.D., an internist, offered opinions on the
issue of causation in the Cunningham and Reid cases. In for-
mulating his opinion, Dr. Shubin examined the plaintiffs and
Ad. -22
reviewed medical records and lab test results. He cited numer-
ous published studies and reports on which he claims to have
relied. Shubin was also informed that the EPA had removed
PCB-contaminated soil from the Cunninghams’ residence. He
diagnosed plaintilis as suffering from a variety of illnesses and
harmful conditions, and concluded that these conditions were
caused by exposure to PCBs.
The nine plaintiffs represented by D. Bruce Hanes relied
on the testimony of G. John DiGregorio, M.D., Ph.D. Dr.
DiGregorio is a clinical pharmacologist who received a degree
from Hahnemann University. The Hanes plaintiffs, residents of
properties adjacent to the railyard, claim to have been injured
because defendants permitted PCBs to flow onto these proper-
ties, thereby causing plaintiffs to inhale PCB dust and ingest
fruits and vegetables grown in the soil of their PCB-contami-
nated gardens. In formulating his opinions as to these plaintiffs,
Dr. DiGregorio relied on medical history questionnaires filled
out by plaintiffs themselves, laboratory tests revealing abnormal
PCB blood levels in certain plaintiffs,? and scientific literature on
the harmful effects of PCBs to both humans and animals. He
performed no physical examinations. He opined that five of the
nine Hanes plaintiffs suffered from specific injuries caused by
PCBs; that all nine suffered from anxiety of contracting diseases
in the future based on their exposure to PCBs; and that all nine
were at increased risk of contracting future diseases because of
their exposure. DiGregorios testimony as to exposure was based
largely on the statements of plaintiffs themselves and the results
of laboratory tests revealing abnormal blood burdens of PCBs in
various plaintiffs.
Although these expert witnesses were the only ones whose
9. The issue of what constitutes a “normal” or “background” PCB ex-
posure level is sharply contested. The district court adopted the findings of a
study conducted by the Agency for Toxic Substance and Disease Registry
(ATSDR), concluding that “the geometric mean serum concentration of popula-
tions having no known unusual source of PCB exposure range between 4.2 ppb
(parts per billion) and 6.4 ppb.” The Hanes plaintiffs point out that at least four
of its number have tests showing a body burden of PCBs higher than the court-
accepted background level—Hanes Br. at 16 n. 2.
Ad. -23
opinions were discovered pursuant to the case management
order, they are not the only experts upon whom the plaintiffs
rely. In response to the defendants joint motion for summary
judgment, plaintiffs submitted the affidavits of four additional
experts: Ian C.T. Nisbet, Ph.D.; Robert K. Simon, Ph.D.; Ben-
jamin Calesnick, M.D.; and William J. Nicholson, Ph.D.
Dr. Nisbet, who received his Ph.D. in physics from
Cambridge University in 1958, currently serves as the president
of a scientific consulting firm. He has published numerous arti-
cles in the fields of human exposure to chemicals and the assess-
ment of associated health risks. Dr. Nisbet submitted an affidavit
containing his opinions that (1) the defendants estimates of the
background PCB exposure level in the United States, as well as
the studies upon which these estimates were based, are mis-
taken; (2) the correct background level, which should be deter-
mined by an adipose to blood ratio calculation, is much lower;!°
(3) many plaintiffs exposures exceed the lower level; and (4)
there are serious health hazards posed by exposure to PCBs.
Dr. Simon, who describes himself as “a professional indus-
trial hygienist, toxicologist, and forensic analytical chemist,”
received his Ph.D. from the University of Maryland. The opin-
ions contained in Dr. Simon's affidavit closely parallel those
expressed by Dr. Nisbet, with varying degrees of emphasis.
Dr. Calesnick is a pharmacologist who received his medical
degree in 1944 from Hahnemann Medical College, where he
currently serves as a professor of medicine and as the director of
Hahnemanns Division of Human Pharmacology. His resume
lists one hundred published articles, as well as numerous aca-
demic and professional honors. Dr. Calesnick performed phys-
ical examinations and several laboratory tests on the Kohn/Klehr
plaintiffs. He concluded summarily in his affidavit that these
10. This method of calculating blood levels of PCB exposure from mea-
sured levels of exposure in human adipose tissue was employed in the National
Human Adipose Tissue Survey (NHATS study). The NHATS study concluded
that only 10% of the United States population has blood levels greater than 5
ppb. Thus, the plaintiffs submit, a blood level greater than 5 ppb should be
considered high. Dr. Simon also opined that the NHATS study emploved the
proper method of measuring the background level.
a
ee
Ad. -24
plaintiffs require medical surveillance as a consequence of their
exposure to PCBs at Paoli.
The final affidavit offered in response to the summary judg-
ment motion was that of Dr. Nicholson, a physicist who received
his Ph.D. from the University of Washington in 1960 and is
currently employed as a professor of community medicine at
Mount Sinai School of Medicine in New York City. He has
published over seventy articles and has served on various profes-
sional and governmental committees. Nicholson's affidavit ad-
vances two major theses: (1) contrary to the assertions of defen-
dants and their experts, the epidemiologic studies conducted to
date do support a conclusion that PCBs are causally associated
with adverse health effects to humans; and (2) defendants and
their experts are incorrect in asserting that animal car-
cinogenicity studies have little relevance for estimating car-
cinogenicity in humans.
In order to support his first thesis, Dr. Nicholson conducted
a “meta-analysis,” in which he combined the results of numer-
ous epidemiologic surveys in order to achieve a larger sample
size, adjusted the results for differences in testing techniques,
and drew his own scientific conclusions. Specifically, he con-
cluded that the results of the various surveys, considered as a
whole, show that exposure to PCBs can cause liver, gall bladder
and biliary tract disorders. Nicholson maintains that this is true
even though none of the individual surveys supports such a
conclusion when considered in isolation.
B. The Defendants Submissions
Defendants view of the case, as encapsulated in their joint
motion for summary judgment, is that plaintiffs “failed to submit
competent evidence creating a genuine issue of material fact
concerning either of two essential elements on which plaintiffs
bore the burden of proof: abnormal exposure, and causation.”
Appellees Br. at 36. In support of this assertion, defendants
adopted a two-pronged approach. First, they vigorously attacked
plaintiffs expert testimony and sought to have it excluded under
Fed. R. Evid. 702, 703, and 403. Second, defendants submitted
studies and expert testimony of their own on both exposure and
Ad. -25
causation issues. Because the case was resolved at the summary
judgment stage, where credibility determinations are inap-
propriate, the latter evidence is significant only insofar as it
relates, within the contours of our Rule 7C3 jurisprudence, to
whether certain of plaintiffs’ expert opinions should have been
excluded because they were not based on facts or data reason-
ably relied on by experts in the field.
On the question of exposure, defendants attack the opinions
vf both Dr. Allen and Dr. Barsotti. Defendants submit that Dr.
Allen's testimony should not be considered because his data and
methodology were unreliable. They assert that Dr. Allen ig-
nored the actual measured body samples of PCB exposure, and
instead attempted to calculate exposure levels from levels of
PCBs in the soil by using a formula “of his own devising.” Dr.
Allen's opinion is unhelpful, defendants say, because he was
unable to provide “an exact calculation of the PCB dose received
by the inhabitants.” Further, defendants submitted the affidavit
of a physical chemist and chemical hazard control specialist, Neil
Jurinski, Ph.D., who expressed the view that Dr. Allen's soil-to-
air migration hypotheses were “pure speculation unsupported
by the data available or by scientific principles,” and that they
“were not arrived at by using accepted scientific methods.”
Dr. Barsotti, who sought to show that plaintiffs were ex-
posed to PCBs that came specifically from the Paoli Railyard,
was subjected to similar methodological criticism for her “fin-
gerprinting’ method of gas chromatography. Defendants con-
tend that Dr. Barsotti lacked experience in reviewing chro-
matographic tracings of human blood for evidence of PCBs,
pointing out that Barsotti had never before attempted to com-
pare soil chromatograms with human blood chromatograms.
They further criticize Barsotti for having claimed to be able to
match “early emerging peaks’ in certain PCB isomers, because
she later conceded that it was impossible for her to do so, having
failed to use the proper equipment. Defendants also attack
Barsottis procedures as impossible to replicate, because she
kept virtually no record of either her procedures or the basis for
her conclusions. She was, they note, unable to identify any
particular soil sample which was compared with any particular
Ad. -26
plaintiff; neither could she produce the specific chromatograms
she used to compare plaintiffs: PCB blood levels to those of the
unexposed population or at the railyard.
Defendants further attack Dr. Barsottis opinions because,
although she could not “think of anybody” who had ever done
the analysis she purported to do in this case, she pursued her
own methods, and ignored the body of existing data, “including
the Public Health Service's Paoli Study, which concluded that it
was scientifically impossible to determine that the Paoli Yard
rather than the environment in general was the source of the
residents exposure.’ Appellee’s Br. at 19. In addition, defen-
dants presented their own expert, Dr. Raymond Harbison, a
professor of toxicology and pharmacology, who concluded that
“Dr. Barsotti lacks the requisite experience in reading and inter-
preting human and soil chromatograms to be able to perform the
type of analysis that she purported to perform,” and that “if in
fact Dr. Barsotti did what she claims, she would be the first
person to do this.” With regard to the validity of Barsotti’s
experimental procedures, Dr. Harbison opined that it is impos-
sible to identify the source of such low PCB levels, that the
equipment used could not support Barsotti’s analysis, and that
the experiments lacked control and have not been replicated. He
therefore dismissed Barsottis results as being scientifically in-
valid.
Defendants also attacked Barsottis opinions on causation,
claiming that because she is not a physician, she is unqualified to
make the differential medical diagnoses that defendants assert
are critical to a finding of causation. Further, they argue that it
was inappropriate for Dr. Barsotti to offer opinions on causation
without ever having physically examined a single plaintiff. They
point out that each of her nineteen scientific reports, which
represent her conclusions on nineteen plaintiffs, is identical for
the first fourteen pages. Barsotti described this as “boiler plate
background information” on PCBs. Each report then contains
only one or two additional paragraphs, which list the alleged
injuries of the individual plaintiff and conclude “to a reasonable
scientific certainty’ that they were caused by PCBs.
In support of their challenge to Dr. Barsottis expertise and
Ad. -27
conclusions, defendants offered the affidavits of their own ex-
perts.!! These experts concluded generally that Dr. Barsotti is
not qualified to form opinions on medical causation, that the
opinions she Jid form lack evidentiary support and would not
withstand review by experts in the field, and that her opinions
are therefore not based upon known science or medicine. Defen-
dants also assail Dr. Barsotti’s opinion that plaintiffs, including
one two-year-old child, suffer from increased fear of illness and
are emotionally distressed. They note that she offered this opin-
ion, having spoken only to one plaintiff over the telephone, and
without having met or examined any of the plaintiffs. Further,
defendants contend that she performed no psychiatric evalua-
tions or tests, and that she is unqualified to do so. 2
Defendants took a similar tack in attempting to discredit the
opinions of Dr. Zahalsky, attacking first his qualifications as an
expert, and then challenging the bases for his scientific opinions
that plaintiffs had suffered immune system damage as a result of
having been exposed to PCBs. Insofar as Dr. Zahalsky’s creden-
tials are concerned, defendants point out that he claimed a
specialty in immunology, but had completed only one graduate-
level course that included immunology. Zahalsky conceded his
lack of expertise in epidemiology, toxicology, and medicine, and
11. The experts were Anthony J. Triolo, PhD., professor of pharmacology
at Jefferson Medical College; Dr. Gio Batta Gori, an epidemiologist and tox-
icologist whe directs the National Health Policy Center; Eddy A. Bresnitz,
M.D., a professor of medicine and epidemiology at the Medical College of
Pennsylvania; and Arnold L. Brown, M.D., Dean of the University of Wiscon-
sin Medical Center.
12. Defendants also attacked with specificity the opinions that Dr. Bar-
sotti offered with respect to each individual plaintiff. Vor instance, they ob-
served that she attributed plaintiff Patricia Ingram’s asthma to PCB exposure,
even though no one else has ever claimed that PCBs can cause asthma, and
even though Ingram has a family history of asthma. They point out that Barsotti
lists PCBs as a substantial factor in causing Charles Stanbach’s stomach cancer,
although Stanbach died at age 66, leaving no medical records indicative of PCB
exposure. They also criticize her for not attempting to rule out the many ge-
netic, dietary, and socioeconomic risk factors which could have contributed to
his disease. Finally, defendants contend that this failure to rule out alternative
causes renders useless Barsottis testimony that PCBs caused certain ailments
of seven other plaintiffs.
Ad. -28
admitted that because he is not a medical doctor, he is not
qualified to examine patients, perform clinical tests, or render
differential diagnoses.
At his deposition, Dr. Zahalsky offered diagnoses of im-
mune system damage in a number of plaintiffs, even though he
had not tested any of the plaintiffs, and instead simply assumed
that plaintiffs had elevated PCB exposure. He admitted that his
opinions could be validated only by a series of tests that he
designed, and further noted that these tests had not yet been
performed. In attempting to show the lack of scientific approval
for the proposition that PCBs damage the immune system,
defendants point to Zahalsky’s own somewhat cryptic statement
that if his tests should support such a conclusion, “then I will
have done something with the clinical immunologists that has
not yet been done.”
Defendants also noted that all of the studies relied upon by
Zahalsky were either animal studies or human studies arising
from the Yusho and Yu Cheng incidents. Defendants argue that
reliance upon the Yusho and Yu Cheng studies is scientifically
inappropriate because the PCB contamination in those incidents
was intermingled with exposure to and ingestion of PCDFs,
which defendants characterize as a far more toxic chemical.
Indeed, even one of plaintiffs’ experts opined that the toxicity of
PCDFs is “500 to 2000 times greater” than that of PCBs. Fur-
ther, they rely on a Public Health Service comment that there
appears to be general agreement in the scientific community
that PCDFs “contributed significantly” to the adverse health
effects analyzed in the Yusho and Yu Cheng studies. Moreover,
Zahalsky was generally unable to specify supporting authorities
for his opinions, and often simply assumed that the existence of
symptoms in plaintiffs evidenced exposure to PCBs. Zahalsky
himself characterized his opinion as a “hypothesis” or “statement
of expectation.”
Defendants also submitted an affidavit signed by twelve
physicians and scientists who had reviewed all existing medical
and scientific knowledge regarding PCBs. The affidavit criticized
Zahalsky’s results, noting that “one may not conclude to a reason-
able degree of medical and scientific certainty that PCBs can
> so toll
Ad. -29
cause immune system disorders.” Several of the individual de-
fense experts then criticized Zahalsky’s work directly. One ex-
pert stated that because Zahalsky is neither an immunologist nor
a medical doctor, he is not qualified to diagnose human illness.
Another expert decried as false the claim that the scientific
literature supported Zahalskys position, and asserted that
Zahalsky's attempted extrapolations from the existing literature
were “scientifically improper.” Zahalskys methodology was de-
scribed as “scientifically inadmissible” because of its failure to
obtain basic data, its lack of control groups, and its inadequate
histories. And one expert opined that “[njo doctor would rely on
the tests described in the Zahalsky affidavit for any purpose
whatsoever. ”
Defendants likewise criticized the opinions of Dr. Shubin,
who offered causation testimony in the Cunningham and Reid
cases. Defendants objected to Shubin’s conclusions that plain-
tiffs injuries were caused by PCBs because: (1) his diagnosis
conflicted with diagnoses of other physicians who had previously
examined plaintiffs, and (2) his diagnosis was based on a method
that improperly assumed the injuries to be caused by PCBs. As
with Dr. Barsotti, defendants also registered more particular
complaints regarding the individual diagnoses. When Shubin
cited PCBs as the cause of Matthew Cunningham's hyperten-
sion, defendants argued that he had failed to consider other
factors, including Cunningham's family history of hypertension,
his obesity, and his high blood sugars. In addition, Shubin was
unable to point to any studies showing a direct causal rela-
tionship between PCB exposure and hypertension. Shubin at-
tributed Cunningham's Parkinson's Disease and eventual death
to PCB exposure, even though previous doctors had determined
the Parkinson's Disease to have been caused by the use of
psychotropic drugs, and even though Shubin did not know the
circumstances of Cunningham’s death.
Defendants cited similar flaws in Shubin’s diagnoses of
Bessie Cunningham and William Reid. Shubin concluded that
Ms. Cunningham’ four spontaneous abortions were related to
PCB exposure, although he knew neither the circumstances
surrounding the abortions, nor even when in the past forty years
Ad. -30
they had occurred. Shubin opined that a host of illnesses al-
legedly suffered by William Reid were the result of PCB ex-
posure, although he found no PCBs in Mr. Reid’s blood, and did
not rule out other possible causes, such as smoking. Defendants
also objected to Shubin’s reliance on animal studies and the
Yusho and Yu Cheng incidents.
Some of the same experts who criticized Dr. Barsotti’s work
also criticized Dr. Shubin’s. They characterized his opinions as
“conjectural guesses.” which “fail adequately to consider multi-
ple etiologic factors, as well as obvious differential diagnoses,”
and “would not withstand review by a qualified panel of his
peers.” One expert stated that because Shubin’s opinions “have
no basis in factual observation or in a plausible hypothesis, {they
are| devoid of scientific justification.”
Similarly suspect, according to defendants, are the opinions
of Dr. DiGregorio, whom defendants criticize for offering a
“certain” opinion that plaintiffs suffered from anxiety and fear of
future harm as a result of PCB exposure, even though he never
conducted a mental status examination, took a psychiatric his-
tory, or reviewed any medical records. Indeed, DiGregorio ac-
knowledged that his diagnoses were only preliminary, and that
further testing would have to be conducted. In his own words,
DiGregorio saw each plaintiff only “for a brief period of time,”
“never reviewed any medical records of anyone,” and was unable
“to establish any physical findings yet.” He nevertheless offered
the opinion, with respect to five of the plaintiffs, that “until
otherwise proven,’ whatever ailments they had were caused by
PCBs. Defendants argue strenuously that these opinions are
improper, not only because they are based on insufficient infor-
mation, but also because, in every case, the doctor failed to rule
out other possible causes for the injuries. They view the failure
to conduct a conclusive differential diagnosis as a fatal flaw in
DeGregorios opinion.
Defendants also objected to the opinions set forth in each of
the four supplemental affidavits offered by plaintiffs in response
to the joint motion for summary judgment. Defendants criti-
cized Dr. Nisbet as being unqualified to offer an opinion that
was, in any event, unsupported. Nisbet's attempt to use a con-
version factor to determine PCB blood level from adipose tissue
Ad.-3}
levels was, defendants argue, indefensible because it was based
on no published or peer-reviewed studies, and is in fact contra-
dicted by both the Public Health Service's Toxicological Profile,
and plaintiffs own expert, Dr. DiGregorio. Defendants charac-
terize Nisbet's method as “assumptions plus arithmetic,” and
assert that his conversion factor is proven wrong by physical
evidence that plaintiffs whose blood levels and adipose tissue
levels were measured did not reflect the blood levels that would
have been expected using Nisbet's ratio to extrapolate from
tissue burden. See Appellees’ Br. at 88-89 n. 88. Defendants also
apply these criticisms to the opinions of Dr. Simon, whose
testimony overlapped with that of Dr. Nisbet.
Defendants roundly criticize Dr. Calesnick’s opinion on
medical monitoring as an “eleventh-hour’” affidavit that was no
more than a “one-sentence conclusion asserting simply, with no
reasons whatsoever, that ‘these Plaintiffs have been exposed to
PCBs,’ and that there was ‘a potential for them to sustain injuries
from PCB exposure. ” Id. at 93 n. 93, 39. Defendants object to
the admission of this testimony as (1) conclusory and unsup-
ported; (2) improper opinion testimony because Calesnick was
not formally offered as an expert; and (3) irrelevant because
Pennsylvania law does not recognize a cause of action for the cost
of medical monitoring. Id. at 94.
Finally, defendants challenge the affidavit of Dr. Nicholson,
who claimed that the results of his “meta-analysis” established a
causal connection between PCB exposure and various of the
plaintiffs injuries. Defendants submit that Nicholson's submis-
sion is irrelevant because none of the plaintiffs alleges injuries for
which Nicholson proffered a causal connection. More impor-
tantly, defendants argue that Nicholson's entire concept of meta-
analysis, for which the only cited support is a non-peer-reviewed
pamphlet written by Nicholson himself, is scientifically flawed.
Nicholson's study found a causal connection between PCB ex-
posure and human illness even though none of the studies he
reviewed in compiling the meta-analysis revealed such a connec-
tion.!? Defendants offered a counteraffidavit stating that by omit-
13. One of the studies did suggest a possibility that PCB exposure in high
doses may cause skin irritation.
Ad. -32
ting from his review data that was inconsistent with his conclu-
sions, Nicholson had produced a scientifically invalid study.
IV. THE DISTRICT COURT'S OPINION
The district court's opinion is devoted primarily to a discus-
sion of the opinions of plaintiffs experts. The court seems to have
envisioned plaintiffs experts as relying on three primary sources
for their testimony: (1) animal studies purporting to show the
deleterious health effects of PCBs; (2) studies employing data
from the Yusho and Yu Cheng studies; and (3) their own opin-
ions and research. With one or two exceptions explained below,
the court analyzed this evidence pursuant to Fed. R. Evid. 703,
which provides that facts or data not otherwise admissible in
evidence may nevertheless serve as the basis for an expert opin-
ion if the information is “of a type reasonably relied upon by
experts in the particular field in forming opinions or inferences
upon the subject.” The court appears to have excluded the bulk
of the expert opinion under Rule 703.
With regard to the animal studies, the court's analysis was
bifurcated, discussing first whether it could look beyond an
experts assertion that his opinion is reasonably relied upon by
experts in the field, and second whether animal studies are a
proper basis for an opinion about causation. The court answered
the first question readily, concluding that an expert's opinion on
the reasonableness of his or her own data could not be dis-
positive or Rule 703's limitation would be meaningless. In reach-
ing this conclusion, the court distinguished this court's opinion
in In re Japanese Electronic Products Antitrust Litigation, 723
F.2d 238 (3d Cir. 1983), rev'd on other grounds sub nom., Mat-
sushita Elec. Ind. Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574,
106 S.Ct. 1348, 89 L.Ed.2d 538 (1986), which held, inter alia,
that a court may not ignore an expert’ uncontradicted testimony
that his opinions are “of a type reasonably relied upon by experts
in the field.” [d. at 276. The court reasoned that, unlike Japanese
Electronics, in the present case “we have very convincing evi-
dence on the record that says that these studies are irrelevant.”
Apparently relying on that evidence, the court proceeded to
Ad. -33
exclude the animal studies. However, the court neither detailed
the “very convincing evidence” indicating that the studies are
“irrelevant,” nor explained why the relevancy of the studies
pertains to their reliability under Rule 703. The opinion is
similarly silent as to precisely which expert opinions it meant to
exclude in this manner.
The court's consideration of the Yusho and Yu Cheng stud-
ies as possible bases for expert opinions as to causation is simi-
larly abbreviated. The court's holding is found in the following
two sentences:
It does seem clear that the consensus conclusion from the
scientific literature is that the diseases that occurred in the
victims of these incidents were caused by the ingestion of
highly toxic PCDFs with their food and is not evidence of
the effects of PCBs. Therefore, for the same reasons as
addressed above regarding animal studies, I will exclude
from evidence any expert opinion based on studies of the
Yusho or Yu Cheng incidents.
Again, the court did not state which of the expert opinions were
tainted by reliance on these studies or which opinions offered in
rebuttal suggested a “consensus conclusion” indicating unre-
liability.
After excluding these two significant sources of evidence,
the court turned to its third category, plaintiffs’ experts’ own
research results not based on animal studies or the Yusho and Yu
Cheng incidents. Before analyzing in a particularized manner
the opinions of the individual experts, it noted that:
Even if I found that plaintiffs’ experts{’] testimony reached
the level of being probative, | would rule to exclude it on
the basis of Rule 703 and 403 as “unhelpful” and more
prejudicial than probative.
Nonetheless, the opinion considered each of the individual ex-
pert opinions, beginning with that of Dr. Barsotti.
The court noted that Dr. Barsotti:
finds PCB caused hypertension and asthma even in people
Ad. -34
who have family histories of hypertension and asthma. She
finds that PCBs caused the plaintiffs’ emotional distress,
despite the fact that her area of expertise has nothing to do
with emotional diseases and she has only talked to one of
the plaintiffs. She claims that, by studying the plaintiffs’
medical histories, she has excluded other causes of these
diseases, but she is not a medical doctor and is not trained
in differential diagnosis
Although certain factual findings may be implicit in the court's
discussion (for example, that some plaintiffs have family histories
of hypertension and asthma, and that Barsotti talked with only
one plaintiff), the court never explained the basis for its decision
to exclude Barsotti’s opinion. !4
The court’s analysis of other experts, including doctors
Zahalsky, DiGregorio, Shubin and Allen, was comparable in that
it elucidated the potential flaws in the doctors’ testimony but
failed to make definitive admissibility findings. However, the
court gave more detailed consideration to the affidavits filed by
plaintiffs in response to the summary judgment motion, includ-
ing the opinions of Dr. Nisbet and Dr. Simon. The court pro-
vided a summary of both doctors’ attacks on the ATSDR study,
and criticized their opinions as follows:
Dr. Simon does not give a basis for his statement that the
background PCB blood burden can be calculated from the
[National Human Adipose Tissue Survey]. Drs. Simon and
Nisbet evidently believe that their blood to adipose tissue
formula is over the number of studies that defendants cite
that indicate a PCB blood background amount directly by
measuring it. However, the only reason they give for not
believing them is that the NHATS is more recent. However,
the NHATS ended in 1983 and some of the defendants’
14. An exception to this observation is the court's exclusion of Dr. Bar-
sottis opinion “tracing” the PCBs in the plaintiffs: bodies to the Paoli railyard
through gas chromatography. In that instance, the court made clear that Bar-
sottis testimony would be excluded because she “is not a chemist,” and such
conclusions are therefore “beyond the scope of her expertise.” But see infra
note 19.
”
Ad. -35
studies are more recent than that. Neither doctor cites any
study that measures PCBs in the blood directly or cites a
basis for calculating blood burden from adipose tissue bur-
den. Further, there are some plaintiffs in our case who have
had both blood tests and adipose tissue tests and they do
not reflect the 20 to 250 times relationship that these ex-
perts claim.
Nonetheless, the court did not declare these observations to be
grounds for excluding the opinions, and did not even state
whether it excluded these opinions. !°
The court next addressed the affidavit of Dr. Nicholson,
whose “meta-analysis” it analyzed under the “novel scientific
evidence’ standards of United States v. Downing, 753 F.2d 1224
(3d Cir. 1985). Downin,; requires that admissible scientific tech-
niques be reliable, be of a sort that will not mislead juries, and
have a sufficient connection to the particular factual issues in the
case.'© In the court's view, all three Downing factors weighed
against admission of the affidavit. The court reasoned that:
[t]he reports of defendants experts advance convincing rea-
sons why meta-analysis as a technique, and this meta-analy-
sis in particular, is not reliable. Dr. Nicholson's report has
not been peer-reviewed or accepted by anybody in particu-
lar, even the Ontario Ministry of Labor [for whom the
report was compiled]. There is a possibility that Dr. Nich-
olson’ testimony would confuse the jury becaus@ of its
scientific nature and his credentials so they would make
more of it than it actually deserved.
The third factor is the most influential in this determi-
nation. The conclusion of Dr. Nicholson's report is that
i5. The quoted passage is immediately followed by the court's reflection
that “I feel compelled to note further that I see nothing in Dr. Nisbet's curricu-
lum vita that would qualify him to testify as an expert in this area.” It is not
clear from the opinion whether this statement is mere dicta, or is intended to
exclude the testimony under Rule 702. The district court made similarly cryp-
tic indictments of Dr. Barsotti’s qualifications to make psychiatric diagnosis and
Dr. Zahalsky’s qualifications to perform differential diagnoses.
16. For a more complete discussion of Downing, see Part VI.C2 below.
Ad. -36
there was “substantial evidence for a causal association be
tween excess risk of death from cancer of the liver, biliary
tract and gall bladder and exposure to PCBs.” Dr. Nich-
olson’s report could not be the basis for anyone to say with
reasonable degree of scientific certainty that some particu-
lar person’ disease, not cancer of the liver, biliary tract or
gall bladder, was caused by PCBs.
It would thus appear that the district court intended to exclude
Nicholson's affidavit as based upon an inadmissible scientific
technique. !“
The last expert the court considered is Dr. Calesnick, who
testified that the plaintiffs he examined have the potential to
suffer harm from PCB exposure, and should therefore be moni-
tored regularly to protect their health. The court characterized
Calesnick’s testimony as being “strikingly similar to the opinion
offered in Martin v. Johns-Manville Corp. and ruled inadmissible
by the Pennsylvania Supreme Court.’!> It then noted that be-
cause Martin “was an asbestos case, and it has been epidemio-
logically proved that asbestos exposure can cause cancer, that
doctor might have had more of a basis for his opinion.” However,
the court did not explicitly state that it was excluding Calesnick’s
testimony, much less why it might be excluding it. Indeed, later
in the opinion, the court barred the entire medical monitoring
claim, stating that “the testimony of Dr. Calesnick and the other
plaintiffs experts who testiflied] regarding the risk of future
injury is insufhcient to support it under Pennsylvania law.’ This
comment suggests that Calesnick’s opinion was admitted, but
17. The court added that “even if Dr. Nicholson's testimony was admissi-
ble despite being a novel scientific technique, it would be difficult to under-
stand how it was relevant.” Whether the court intended a Rule 402 relevancy
exclusion is unclear.
18. In Martin, 508 Pa. 154, 164-65, 494 A.2d 1088, 1094 (1985), the court
excluded a doctor's testimony that, based on the plaintiff's “history of exposure
to asbestos together with his one bloodspitting episode” the plaintiff might
have had cancer at the time the doctor examined him. That testimony, the
court ruled, was “not probative of the fact for which appellee now says it is
offered, i.e., that appellee faced a substantially increased risk of contracting
cancer.” Id. at 165, 494 A.2d at 1094.
Ad. -37
did not raise a genuine issue of fact deemed “material,”
Fed. R.Civ. P. 56(c), under Pennsylvania law.
Thus, the court appears to have excluded almost all of
plaintiffs expert testimony. The Yu Cheng, Yusho and animal
studies appear to have been excluded as not reasonably relied on
by experts in the field under Rule 703, and the opinions of
various experts appear to have been excluded either on the same
grounds or because the district court found them to be un-
qualified under Rule 702. Dr. Nicholson's testimony was ex-
cluded as based upon an unreliable scientific technique under
Rule 702.
Having concluded its discussion of the evidentiary issues,
the court turned its attention to the summary judgment motion
itself, positing that in order to survive a motion for summary
judgment, plaintiffs must establish a genuine issue of fact with
respect to their prima facie case, which the court defined as
including the following tour elements:
1) that defendants released PCBs into the environment; 2)
that plaintiffs somehow ingested these PCBs into their
bodies; 3) that plaintiffs have an injury; 4) that PCBs are the
cause of that injurv.
The first element was uncontested. Observing that the
second question depends on whether the plaintiffs have been
exposed to PCBs to a greater degree than has the general popu-
lation, the cuurt analyzed the issue as follows:
Either plaintiffs are right and they have more PCBs in their
bodies than the rest of us, or defendants are right and they
do not. If they do have an unusually high amount of PCBs,
circumstantial evidence indicates where they came from.
However, the only legally admissible evidence in this
case is that they do not. The plaintiffs have certainly failed
to carry their burden to prove that they do. For the reasons
discussed above, plaintiffs evidence to the contrary is inad-
missible. Since the plaintiffs cannot demonstrate that they
have been more heavily exposed to PCBs than the general
population, they cannot recover.
Ad. -38
With respect to the third issue, whether plaintiffs have an injury,
the court concluded that “plaintiffs must point to some health
problem that they have or they are out of court under Pennsylva-
nia law. If the best they can do is possibility of future harm,
emotional distress, or the mere fact that they have PCBs in their
body, then those plaintiffs cannot recover.”
Finally, the opinion divided the fourth issue, causation, into
three separate considerations. First, the court stated, without
particularization, that plaintiffs’ expert opinions on causation
were inadmissible because they lacked a sufficient scientific
foundation. It is unclear whether the court meant to exclude all
of the plaintiffs experts on this basis. Second, the court noted
that many of these experts “seem to have very little formal
academic training in the areas in which they testify,” thereby
raising the question whether these experts “really are experts.”
However, the court concluded that because defendants failed to
attack the experts systematically and neglected to brief the
question, the issue would not be considered.!9 Third, the court
pointed out that plaintiffs’ experts, for the most part, did not
provide testimony eliminating other possible causes of the vari-
ous afflictions, i.e. differential diagnoses. None of the plaintiffs’
medical doctors rendered differential diagnoses, and plaintiffs’
experts who did were Ph.D.’s, who, the court declared, are not
trained or qualified to conduct differential diagnoses. Again, it is
unclear whether the court was excluding this evidence, and if so,
for lack of qualification or on some other ground.
After dealing briefly with a number of miscellaneous issues
(cliscussed below in Parts VIII and IX), the court concluded the
opinion with a series of short paragraphs specifying the injury
claims of each individual plaintiff, but granting summary judg-
ment to defendants on all claims. In sum, the district court
opinion appears to have excluded almost all of the plaintiffs’
evidence and determined whether plaintiffs, with almost none of
19. This holding seems in tension with the explicit exclusion of Dr. Bar-
sottis testimony on these same grounds, see supra note 14 and accompanying
text, and the comments about the qualifications of Drs. Nisbet and Zahalsky,
see supra note 15.
Ad. -39
their evidence left in the record, met their burden on the
contested issues of exposure to PEBs, injury, and causation. Not
surprisingly, given the consequent lack of evidence, the court
found that the plaintiffs have not met their burden on any of
these issues. It therefore granted summary judgment for defen-
dants.
V. MEDICAL MONITORING
[2] Because it bears on the question of what evidence is
admissible, we turn first to the viability of certain plaintiffs
“medical surveillance,” or “medical monitoring,” claims, by
which plaintiffs sought to recover the costs of periodic medical
examinations that they contend are medically necessary to pro-
tect against the exacerbation of latent diseases brought about by
exposure to PCBs. Neither the Pennsylvania Supreme Court nor
the Pennsylvania Superior Court has decided whether a demon-
strated need for medical monitoring creates a valid cause of
action.2° Therefore, sitting in diversity, we must predict whether
the Pennsylvania Supreme Court would recognize a claim for
medical monitoring under the substantive law of Pennsylvania
and, if so, what its elements are. See Erie R.R. Co. v. Tompkins,
304 U.S. 64, 58 S.Ct. 817, $82 L.Ed. 1188 (1938).
Medical monitoring is one of a growing number of non-
traditional torts that have developed in the common law to
compensate plaintiffs who have been exposed to various toxic
substances.?! Often, the diseases or injuries caused by this ex-
20. The one Pennsylvania trial court to have considered this type of claim
allowed it to proceed. See Habitants Against Landfill Toxicants v. City of York,
No. 84—S—3820 (Pa. York Co. May 20, 1985), 15 Envtl.L. Rep. 20,937 (allowing
an action seeking relief in the form of a medical surveillance trust fund). For the
reasons expressed below in note 22, we believe that Peterman v. Techalloy Co.,
Inc., 29 Pa. D. & C.3d 104 (Mont.Co. 1982), a Pennsylvania trial court decision,
which denied reliet, is distinguishable because plaintiffs in that case requested
relief in the form of a trust fund for future medical expenses, including, pre-
sumably, medical treatment, not just medical surveillance.
21. See generally Note, The Inapplicability of Traditional Tort Analysis to
Environmental Risks: The Example of Toxic Waste Pollution Victim Compensa-
tion, 35 Stan. L. Rev. 575, 576-78 (1983) (collecting cases); Note Medical Sur-
veillance Damages: A Solution to the Inadequate Compensation of Toxic Tort
Victims, 63 Ind.L.]. 549 (1985) (same).
Ad. -40
posure are latent. This latency leads to problems when the
claims are analyzed under traditional common law tort doctrine
because, traditionally, injury needed to be manifest before it
could be compensable. Thus, plaintiffs have encountered bar-
riers to recovery which “arise from the failure of toxic torts to
conform with the common law conception of an injury.” Note,
Medical Surveillance Damages, supra note 21, at 852.
Nonetheless, in an effort to accommodate a society with an
increasing awareness of the danger and potential injury caused
by the widespread use of toxic substances,”? courts have begun
to recognize claims like medical monitoring, witch can allow
plaintiffs some relief even absent present manifestations of phys-
ical injury. More specifically, in the toxic tort context, courts
have allowed plaintiffs to recover for emotional distress suffered
because of the fear of contracting a toxic exposure disease, see,
e.g., Sterling v. Velsicol Chemical Corp., 855 F.2d 1188, 1206
(6th Cir.1988) (applying Tennessee law), the increased risk of
future harm, see generally Note, Decreasing the Risks Inherent
in Claims for Increased Risk of Future Disease, 43 U.Miami
L. Rev. 1081 (1989), and the reasonable costs of medical monitor-
ing or surveillance, see, e.g., Ayers v. Township of Jackson, 106
N.J. 557, 525 A.2d 287 (1987); Burns v. Jaquays Mining Corp.,
156 Ariz. 375, 752 P.2d 28 (Ct.App.1988); Merry v. Wes-
tinghouse Electric Corp., 684 F.Supp. 847 (M.D. Pa. 1988); Vil-
lari _v. Terminix International, tnc., 663 F.Supp. 727
(E. D. Pa. 1987).
22. The necessity of addressing problems of toxic exposure become pav-
ticularly important with the coatinued widespread use of chemicals in Ameri-
can industrial and agricultural development. One commentator has pointed
out that:
there are approximately 50,000 hazardous waste sites nationwide. In all,
over 65,000 chemicals are in commercial use today which have not been
tested for their effects on human health or the environment. According to
varying estimates, workplace exposure to hazardous substances alone ac-
counts for from five percent to as much as thirty-eight percent of all can-
cers.
Note, Medical Surveillance Damages: Using Common Sense and the Common
Law to Mitigate the Dangers Posed by Environmental Hazards, 12 Harv.En-
vtl. L. Rev. 265, 265 (1988) (footnote omitted).
23. In addition, several courts have modified the traditional rules dis-
Ad. -41
It is easy to confuse the distinctions between these various
non-traditional torts. However, the torts just mentioned involve
fundamentally different kinds of injury and compensation. Thus,
an action for medical monitoring seeks to recover only the quan-
tifrable costs of periodic medical examinations necessary to de-
tect the onset of physical harm, whereas an enhanced risk claim
seeks compensation for the anticipated harm itself, proportion-
ately reduced to reflect the chance that it will not occur. We
think that this distinction is particularly important because the
Pennsylvania Supreme Court has expressed some reluctance to
recognize claims for enhanced risk of harm. In Martin v. Johns-
Manville Corp., 508 Pa. 154, 494, A.2d 1088 (1985), The Court
made clear that a plaintiff in an enhanced risk suit must prove
that future consequences of an injury are reasonably probable,
not just possible. Id. at 165 n. 5, 494 A.2d at 1094 n. 5.
Martin does not lead us to believe that Pennsylvania would
not recognize a claim for medical monitoring, however. First,
the injury that the Court was worried about finding with reason-
able probability in Martin is different from the injury involved
here. The injury in an enhanced risk claim is the anticipated
harm itself. The injury in a medical monitoring claim is the cost
of the medical care that will, one hopes, detect that injury.24 The
former is inherently speculative because courts are forced to
anticipate the probability of future injury.
The latter is much less speculative because the issue for the
jury is the less conjectural question of whether the plaintiff
needs medical surveillance. Second, the Pennsylvania Supreme
cussed above to better serve in the toxic tort context. See, e.g., Ayers, 106 N.].
at 584, 525 A.2d at 300 (stating that “neither the statute of limitations nor the
single controversy rule should bar timely causes of action in toxic-tort cases
instituted after discovery of a disease or injury related to tortious conduct,
although there has been prior litigation between the parties of different claims
based on the same tortious conduct).
24. Once the injury is detected, the plaintiff may or may not have a cause
of action against the same defendant for the injury itself, See generally Note,
Claim Preclusion in Modern Latent Disease Cases: A Proposal for Allowing
Second Suits, 103 Harv. t. Rev. 1989 (1990). Because that situation is not before
us, we do not reach it.
Ad. -42
Court's concerns about the degree of certainty required can
easily be accommodated by requiring that a jury be able reason-
ably to determine that medical monitoring is probably, not just
possibly, necessary.
Defining injury in this way is not novel. In Friends for All
Children, Inc. v. Lockheed Aircraft Corp., 746 F.2d 816
(D.C.Cir. 1984), the court, in recognizing a claim for medical
monitoring damages for children exposed to the depressuriza-
tion of an airplane cabin, noted that “i]t is difficult to dispute
that an individual has an interest in avoiding expensive diag-
nostic examinations just as he or she has an interest in avoiding
physical injury.” Id. at $26. See also Laxton v. Orkin Exterminat-
ing Co., 639 §.W.2d 431 (Tenn. 1982) (ingestion of contaminated
water requiring testing held to be injury in itself, even though
ingestion found to be harmless).
Similarly, in Askey v. Occidental Chemical Corp., 102
A.D.2d 130, 477 N.Y.S.2d 242 (1984), the court analyzed the
issue as follows:
Damages for the prospective consequences of a tortious
injury are recoverable only if the prospective consequences
may with reasonable probability be expected to flow from
the past harm. Consequences which are contingent, spec-
ulative, or merely possible are not properly considered in
ascertaining damages. If a plaintiff seeks future medical
expenses as an clement of consequential damage, he must
establish with a degree of reasonable medical certainty
through expert testimony that such expenses will be in-
red
ly heht of the foregoing, it would appear that under the
red here persons exposed to toxic chemicals ema-
g fr the landfill have an increased risk of invisible
we and a present cause of action for their
«recover all “reasonably anticipated” conse-
s wees. The tuture expense of medical monitor-
recoverable consequential damage provided
an establish with a reasonable degree of
tant, that such expenditures are “reasonably
to be incurred by reason of their exposure.
Ad. -43
Id. at 136-37, 477 N.Y.S.2d at 247 (citations omitted). Thus, the
appropriate inquiry is not whether it is reasonably probable that
plaintiffs will suffer harm in the future, but rather whether
medical monitoring is, to a reasonable degree of medical cer-
tainty, necessary in order to diagnose properly the warntng signs
of disease. .
Federal district courts, sitting in diversity, have addressed
the medical monitoring issue under Pennsylvania law. In Villari
v. Terminix International, Inc., 663 F.Supp. 727 (E.D. Pa. 1957),
the court allowed plaintiffs, who had presented sufficient medi-
cal evidence of present physical injuries resulting from exposure
to an allegedly carcinogenic pesticide, to recover the costs of
future medical surveillance. Id. at 735. The court required a
showing of present physical injury and expressly refused to
follow Ayers, which it characterized as holding that “the cost of
25. Our research has yielded only two cases in which courts have pur-
ported to disallow recovery based on a medical monitoring theory. Both cases
are distinguishable. In Rheingold v. E.R. Squibb & Sons, No. 74 Civ. 3420
(S.D.N.Y. Oct. 8, 1975), the court rejected a class action claim for what might
more accurately be called “medical management” damages. Plaintiffs, who had
used DES during pregnancy, sought to establish a fund to finance the periodic
examinations of plaintiffs affected female offspring, as well as, inter alia, the
medical treatment of “such girls as develop or show any propensity toward
development of {vaginal cancer or other related conditions|.” Id. at 7. This
remedy is far broader than a mere claim for medical monitoring as we have
defined it. Moreover, to the extent that the Rheingold court interpreted New
York law as requiring actual injury as a prerequisite to recovery, such reasoning
is seriously called into question by subsequent New York state appellate court
decisions to the contrary, see Askey, 102 A.D.2d at 130. 477 N-Y.S.2d at 242
In Morrissy v. Eli Lilly & Co., 76 Ul. App.3d 753, 32 Hl Dec. 30, 394
N.E.2d 1369 (1979), the plaintiffs explicitly characterized their claims as re-
questing, inter alia, that defendants “establish and maintain a fund of mone,
reasonably calculated to compensate all class members for such medical ex-
penses which have been and will continue to be incurred due to the phys-
iological damage done by DES,” id. at 757, 32 Ill Dec. at 34, 394 N. F.2d at
1373. The court held that “[t}he nexus thus suggested between exposure to
DES in utero and the possibility of developing cancer or other injurious condi-
tions in the future is an insufficient basis upon which to recognize a present
injury. Id. at 761, 32 Il Dec. at 37, 394 N.B.2d at 1376. However, as in
Rheingold, the plaintiffs’ request in Morrissy was for treatment as well as moni-
toring. Thus, it is inapposite to the case at bar.
Ad. -44
future medical monitoring is a proper element of damages when-
ever medical testimony establishes the need for future monitor-
ing. Id. at 735 n. 5. However, because the plaintiffs in Villari
had demonstrated sufficient physical injury, the question
whether the cause of action could be sustained without it was not
squarely raised.
Villaris putative physical injury requirement was rejected
in Merry v. Westinghouse Electric Corp., 684 F.Supp. 347
(M.D.Pa.1988). In Merry, property owners whose wells aad
been contaminated by toxic substances sought recovery for, inter
alia, the cost of medical surveillance. In denying defendant's
motion for summary judgment, the court agreed with Villari that
“a plaintiff need not exhibit symptoms of a disease before medi-
cal surveillance is sought,” id. at 849, but disagreed to the extent
that Villari required “physical injury before a claim for future
medical monitoring can be maintained.” Id. (emphasis in origi-
nal). Consequently, Merry suggested that a medical monitoring
action could be premised upon proof of exposure to hazardous
substances resulting in the potential for injury and the need for
early detection and treatment. Id. at 850.
We agree with Merry, and predict that the Supreme Court
of Pennsylvania would follow the weight of authority and recog-
nize a cause of action for medical monitoring established by
proving that:
1. Plaintiff was significantly exposed to a proven hazardous
substance through the negligent actions of the defendant.
2. As a proximate result of exposure, plaintiff suffers a
significantly increased risk of contracting a serious latent
disease.
3. That increased risk makes periodic diagnostic medical
examinations reasonably necessary.
4. Monitoring and testing procedures exist which make the
early detection and treatment of the disease possible and
beneficial.
These factors would, of course, be proven by competent expert
testimony, see Ayers, 106 N.J. at 606, 525 A.2d at 312.
The policy reasons for recognizing this tort are obvious.
Medical monitoring claims acknowledge that, in a toxic age,
Ad.-45
significant harm can be done to an individual by a tortfeasor,
notwithstanding latent manifestation of that harm. Moreover, as
we have explained, recognizing this tort does not require courts
to speculate about the probability of future injury. It merely
requires courts to ascertain the probability that the far less costly
remedy of medical supervision is appropriate. Allowing plaintiffs
to recover the cost of this care deters irresponsible discharge of
toxic chemicals by defendants and encourages plaintiffs to cetect
and treat their injuries as soon as possible. These are conven-
tional goals of the tort system as it has long existed in Penn-
sylvania.?>*
Having established the applicable standard, we discuss be-
low, in Part VII, whether summary judgment was properly
granted for the defendants on the medical monitoring claim.
VI. EVIDENTIARY ISSUES
A. Introduction
To the extent that the district court actually excluded the
bulk of plaintiffs’ expert opinion evidence, our threshold ques-
tion is whether it did so properly. As we have explained supra, at
times, the text of the district court opinion, which attacks many
of plaintiffs’ expert opinions without formally excluding them,
suggests that the court was merely describing, net excluding,
the testimony. However, at other times, the court appears to
have excluded most if not all of the testimony. In view of the
court's “bottom line,” we will assume that the court excluded the
challenged evidence. If these exclusions were proper, summary
judgment would doubtless be appropriate because exclusion of
the opinions would effectively eviscerate plaintiffs case. How-
ever, whether that evidence was properly excluded at this stage
of the proceedings is quite another question. We address first
the adequacy of the district court's Fed. R. Evid. 703 analysis. We
25a. In light of the statute of limitations problems caused by Pennsylvania
law against splitting causes of action, we intimate no view as to whether a
plaintiff who sues for medical monitoring must forego his or her claim tor
damages if and when the disease ultimately manitests itself.
Ad. -46
then turn to the district court’s Rule 702 determinations. and
then to its rather abbreviated reliance on Rule 403.
B. Evidence Excluded under Rule 703
1. Factual Inquiry
(3] Although it stops short of giving the basis for a number
of its rulings, the district court appears to have found that much
of plaintiffs’ expert opinion evidence, includingfhe animal stud-
ies and the Yusho and Yu Cheng incidents, was unreliable and
excludable under Rule 703.26 However, its analysis did not track
the Rule 703 protocols established by this court in In re Japanese
Electronic Products, 723 F.2d 238 (3d Cir. 1983), rev'd on other
grounds sub nom., Matsushita klectrical Industrial Co., Ltd. v.
Zenith Radio Corp., 475 U.S. 574, 106 S.Ct. 1348, 89 L.Ed.2d
538 (1986).
In Japanese Electronics, the district court had excluded
expert testimony under both Rules 702 and 703, and granted
summary judgment in favor of defendants. Reversing those rul-
ings, this court took the opportunity to provide the district
courts with guidance in approaching such situations. Of specific
relevance here is its holding that, in determining for purposes of
Rule 703 whether the informational basis of an expert opinion is
of a type reasonably relied upon by experts in the field, “[{t|he
proper inquiry is not what the court deems reliable, but what
experts in the relevant discipline deem it to be.’ Id. at 276.
Further, the court noted emphatically that “as a matter of law,
the district court must make a factual inquiry and finding as to
what data experts in the field find reliabie. There is no discretion
to forbear from making this inquiry and finding.” Id. at 277. “[A]
factual determination under Rule 104(a). . . must be made when
there is a factual dispute over such reliance.” Id. at 276.
Japanese Electronics does not require that the “factual in-
26. Fed. R. Evid. 703 states: The facts or data in the particular case upon
which an expert bases an opinion or inference may be those perceived by or
made known to the expert at or before the hearing. If of a type reasonably
relied upon by experts in the particular field in forming opinions or inferences
upon the subject, the facts or data need not be admissible in evidence.
Ad. -47
quiry take the form of an in limine or other hearing. It does
make clear, however, that the district court must have a proper
and reviewable foundation for making its admissibility findings.
We can identify po such foundation here. With respect to the
animal studies, the court seems to have excluded the expert
testimony because it had “very convincing evidence on the
record that says that these studies are irrelevant.” However, the
court did not make specific reference to the evidence in the
voluminous record it has chosen to credit, did not reveal the
theory on which it has rejected opinions to the contrary, and did
not identify which opinions it means to exclude in this manner.
Thus, we have no way of evaluating the district court's legal
conclusion that the evidence was inadmissible under Rule 703.
because we do not know what facts it relied on in making its legal
determination. Moreover, it is not clear that the court was not
merely choosing between opinions as opposed to excluding
plaintiff's opinion on evidentiary grounds.?*
The court's treatment of the Yusho and Yu Cheng incidents
as a basis for expert testimony was similarly flawed. It stated that
its decision to exclude opinions based on these incidents was
compelled by a “finding” that “the consensus conclusion from
the scientific literature is that the diseases that occurred in the
victims of these incidents were caused by the ingestion of highly
toxic PCDFs with their food and is not evidence of the effects of
PCBs. '*> The court did not, however, specify what scientific
literature or which consensus conclusion it was referring to, nor
did it say which opinion it was excluding as inconsistent with the
consensus conclusion. Moreover, the court did not even consider
27. As noted, the court may have meant to exclude the animal studies as
irrelevant under Rule 402 because, even if they showed correlation between
PCBs and animal disease, they were not probative of a connection between
PCB exposure and human disease. However, it made no such definitive ruling.
28. As just noted with regard to the animal studies, the courts reasoning
with regard to these two incidents seems to follow a relevancy rationale, not a
Rule 703 unreliability rationale. There is no indication that the data from Yusho
and Yu Cheng is unreliable. The court's concern appears to be more grounded
in whether a study regarding the effect of PCDFs is relevant to this proceed-
ing.
Ad.-48
the record evidence that certain plaintiffs may have been ex-
posed to PCDFs as well as PCBs.
For the foregoing reasons, the district court's evidentiary
exclusions under Rule 703 cannot pass muster and must be set
aside. Those rulings that do implicate facts or data which are the
basis for expert opinion may be reconsidered in the remanded
proceedings pursuant to the Japanese Electronics meth-
odology. 9
2. Process
[4] Closely related to the question whether the district
court conducted an appropriate and adequate factual inquiry is
the question whether the court provided the plaintiffs with
sufficient process for defending their evidentiary submissions.
The adversarial process upon which our legal system is based
assumes that a fact finder will give the parties an adequate
opportunity to be heard; if it does not, it cannot find facts
reliably. Thus, the detailed factual record requirement, firmly
entrenched in our jurisprudence, Japanese Electronics, 723 F.2d
at 238; Indian Coffee Corp. v. Procter & Gamble, 752 F.2d 891,
895 (3d Cir.), cert. denied, 474 U.S. 863, 106 S.Ct. 180, 88
iL. Ed.2d 150 (1985); DeLuca v. Merrell Dow Pharmaceuticals,
Inc., 911 F.2d 941 (3d Cir.1990), requires adequate process at
the evidentiary stage, particularly when a summary judgment
may flow from it. The district court did not afford that process
here.
More precisely, notwithstanding the complexity of the mat-
ter, and the voluminous nature of the expert opinions, the
district court did not give the plaintiffs sufficient opportunity to
29. Although, for the reasons explained, factfinding is a prerequisite to
definite conclusions, it appears to this court that most of the data upon which
plaintiffs experts rely is “of a type reasonabiy relied upon by experts in the
particular field,” Fed.R. Evid. 703, and thus admissible under Rule 703. How-
ever, even if admissible under Rule 703, plaintiffs’ experts may be using their
data in an unreliable manner. As we explain infra, that is a Rule 702 question
and much of plaintiffs: evidence may be excludable on that basis.
~
Ad. -49
explore the issues upon which they were ultimately denied
relief. First, the court failed to conduct an in limine hearing.?%*
Second, it denied oral argument on the evidentiary issues and
on the related summary judgment motion. Compounding these
restrictions was a case menagement order which arguably did
not give plaintiffs an adequate opportunity to discover defen-
dants’ experts’ positions.°° Of particular significance is the plain-
tiffs’ inability to contest the reasonableness of the data and
techniques relied on by defendants experts. Having no fore-
knowledge of the direction that the district court's opinion might
take, the plaintiffs should have been given an opportunity to be
heard on the critical issues before being effectively dispatched
trom court. An in limine hearing would have been quite manage-
able. At least some process should have been devised to afford
plaintiffs a surrogate for that trial scenario where the equivalent
evidentiary exclusion and adverse judgment might occur. On
this ground alone, the summary judgment would have to be set
aside.
C. Evidence Excluded under Federal Rule of Evidence 702
As noted, the district court apparently made the bulk of its
exclusionary rulings under Rule 703. However, the court did, on
several occasions, invoke Rule 702 either explicitly or implicitly.
We deal now with those exclusions.
The court's Rule 702 exclusions can generally be divided
29a. The plaintiffs did not request an in limine hearing and in fact opposed
it on the grounds that it was premature, i.e., they did not want to be forced into
it before their discovery was complete. We emphasize, however, that the man-
agement of complex litigation may not be relegated to the lawyers but at all
times remains the responsibility of the court. See Manual for Complex Litiga-
tion 2d § 20.1.
30. By its terms, the case management order granted plaintiffs three
months within which to conduct discovery limited to “the quantity and nature
of the PCBs used at the Paoli Railyard and the health effects cn Defendants
employees of exposure to PCBs.” This was to be followed by defendants’ discov-
ery of the evidence comprising plaintiffs’ prima facie case on causation. All
other discovery, including discovery by plaintiffs of defendants’ experts, was
stayed, and plaintiffs motions to compel such discovery were denied.
Ad. -50
into two categories: (1) rejection of the witness as unqualified to
give expert testimony in the relevant field;}! and (2) rejection of
the expert because, however qualified, he or she was relying on
an unreliable scientific technique. The district court here made
both kinds of Rule 702 exclusions.
1. Expert Witness Qualifications
[5] The court appears to have excluded much of Dr. Bar-
sottis testimony on the grounds that she is neither a chemist
qualified to present an opinion based on gas chromatography
tracing nor a medical doctor qualified to present her opinion on
what caused the plaintiffs’ emotional and physical injuries. Simi-
larly, the court appears to have excluded much of Dr. Zahalsky's
testimony regarding the effect of PCBs on human beings be-
cause “he is not trained in differential diagnosis. °° The court also
noted that “Dr. Nisbet's curriculum vita {did not} qualify him to
testify as an expert” in the area of whether the ATSDR study
(which indicated that the level of PCBs in the plaintiff's body was
typical of the American population) was accurate.
The district court's insistence on a certain kind of degree or
background is inconsistent with our jurisprudence in this area.
The language of Rule 702 and the accompanying advisory com-
mittee notes make clear that various kinds of “knowledge, skill,
experience, training, or education, Fed. R. Evid. 702, qualify an
expert as such. Interpreting the rule liberally, we recently held
that a safety specialist who had received a masters degree in
safety education and a doctorate in human factors and product
safety design, could testify on whether the failure of the forklift
manufacturer to put seatbelts in the forklift caused the death of
the operator of a forklift which overturned, notwithstanding the
fact that the expert was not an engineer. Habecker v. Copperloy
31. As pointed out, supra note 19, these exclusionary holdings cannot be
reconciled with the courts later statement that the question of plaintiffs’ wit-
nesses qualification as experts would not be addressed by the opinion.
32. We note that most, if not all, of the evidence supporting Dr
Zahalskv’s conclusions regarding causation are based on the Yusho and Yu
Cheng studies. If those studies are excluded under Rule 703, then Dr.
Zahalskys quahfications as an expert may not be important.
Ad.-51
Corp., 893 F.2d 49 (3d Cir. 1990). See also Knight v. Otis Ele-
vator Co., 596 F.2d $4 (3d Cir. 1979) (expert may testify that
unguarded elevator buttons constitute a design defect despite
that expert's lack of a specific background in the design and
manufacture of elevators); Hammond v. International Harvester
Co., 691 F.2d 646 (3d Cir. 1982) (engineer, whose only qualifica-
tions were sales experience in the field of automotive and agri-
cultural equipment and teaching high school automobile repair,
was nevertheless permitted to testify in products liability action
involving tractors).
Dr. Barsotti, a toxicologist with a Ph.D in Pathology, has
conducted extensive research in the toxicology of PCBs, and
currently serves as the Chief of the Research Anaiysis Branch of
the Agency for Toxic Substance and Disease Registry of the
United States. Dr. Zahalsky has a Ph.D. in slicrobiology from
New York University and teaches courses in immunology and
human diseases. Dr. Nisbet has a Ph.D. in Physics from
Cambridge University and has published numerous articles in
the field of human exposure and the health risks attendant upon
that exposure. In light of the liberal Rule 702 expert qualification
standard, we hold that the district court abused its discretion
in excluding portions of Drs. Barsotti, Zahalsky and Nisbet's
testimony simply because the experts did not have the degree or
training which the district court apparently thought would be
most appropriate.
2. Meta-Analysis
[6] As noted, the district court also used Rule 702 to exclude
the testimony of Dr. Nicholson because the court found that Dr.
Nicholson's “meta-analysis” was an inadmissible novel scientific
technique. Meta-analysis involves combining the results of dif-
ferent epidemiological studies done by other scientists, and re-
analyzing the combined data to see if the data, in toto, renders
different results than the individual studies done with a smaller
data sample. Dr. Nicholson's meta-analysis is particularly impor-
33. Decisions to exclude expert opinion evidence under Rule 702 are
reviewed for abuse of discretion. Knight, 596 F 2d at ST
Ad. -52
tant in this case because it is one of the tew pieces of direct
evidence indicating that PCBs actually cause disease. If there is
no evidence of causation in the record, then the plaintiffs cannot
survive a motion for sumimary judgment.
Because the defendants challenge the technique of meta-
analysis itself, in evaluating Dr. Nicholson's testimony the court
properly invoked the standard announced by this court in United
States v. Downing, 753 F.2d 1224 (3d Cir. 1985), for analyzing
expert testimony based on novel scientific techniques.** How-
ever, the court's analysis under the Downing standard was inade-
quate.
We begin our Downing analysis with the frank recognition
that the determination whether expert testimony depends on a
reliable “scientific technique,” to be analyzed under Rule 702,
or whether the basis for testimony is “facts or data. . . of a type
34. As we explained in Downing, a technique should be considered
“novel” for purposes of Rule 702 whenever its reliability is not so well estab-
lished as to warrant recognition by judicial notice. Id. at 1234.
35. Downing requires a court that is
ruling upon the admission of (novel) scientific evidence, i.e., evidence
whose scientific fundaments are not suitable candidates for judicial notice,
[to] conduct a preliminary inquiry focusing on (1) the soundness and relia-
bility of the process or technique used in generating the evidence, (2) the
possibility that admitting the evidence [will] overwhelm, confuse, or mis-
lead the jury, and (3) the proffered connection between the scientific re-
search or test result to be presented, and particular disputed factual issues
in the case.
id. at 1237 (footnote omitted).
We dismiss out of hand the district court's finding, under the second prong
of Downing, that “Dr. Nicholson’s testimony would confuse the jury because of
its scientific nature and his credentials so they would make more of it than it
actually deserved.” What the second prong of Downing flags for concern is “a
technique which has ‘assume[d] a posture of mythic infallibility. ~ Downing,
753 F.2d at 1239 (quoting United States v. Addison, 49% F.2d 741, 744 (D.C.
Cir. 1974)). In other words, 2 technique that the jery will automatically assume,
either because of its notoriety or its elaborate presentation, to be completely
reliable, needs to be scrutinized by the court. Dr. Nicholson's meta-analysis
does not fall into that category. His scientific presentation is not notably differ-
ent than that of any other of the experts offered in this case—by either side. It
Dr. Nicholson can be excluded under the second prong of Downing, then so
could most of the experts in the case.
Ad. -53
reasonably relied upon by experts in the particular field,” to be
analyzed under Rule 703, see supra, is ofttimes subtle if not
strained. It can be difficult to determine whether the putative
problem with scientific evidence lies in the underlying data itself
or the method by which the data is analyzed. Non-scientifically
trained courts are at a disadvantage in trving to categorize so-
phisticated scientific data.
Though our recent decision in DeLuca v. Merreil Dow
Pharmaceuticals, Inc., 911 F.2d 941 (3d Cir.1990), does not lay
the problem to rest, and the courts must grapple with it on a
case-by-case basis, DeLuca announces an important rule by
making clear that when it is a scientist's methodology that is
being attacked, in contrast to the data relied on, the court must
analyze the reliability of that methodology under Downing (and
Rule 702). As Judge Stapleton explained: “Rule 703 is satisfied
once there is a showing that an expert's testimony is based on the
type of data a reasonable expert in the field would use in render-
ing an opinion on the subject at issue; it does not address the
reliability or general acceptance of an expert's methodology.” Id.
at 953.
For purposes of this case, we agree with the district court
that Dr. Nicholson's “meta-analysis” should be analyzed as a
scientific technique under Downing. Defendants do not assert
that the data that Dr. Nicholson used is not “relied upon by
experts in the particular field,” Fed.R.Evid. 703. Indeed, the
human epidemiological studies which Dr. Nicholson used in his
meta-analysis are the same studies that defendants’ experts use
to show that PCBs do not cause human disease. Instead, defen-
dants charge that meta-analysis is too unreliable to be accepted
by a court. Thus, it is the reliability analysis that is critical here.
As we explained in Downing, the “helpfulness” require-
ment in Rule 702 “implies a quantum of reliability beyond that
required to meet a standard of bare logical relevance,” Downing,
753 F.2d at 1235. See also DeLuca, 911 F.2d at 957 (quoting 3
Weinsteins Evidence, © 702{03}, at 702-35) (“helpfulness turns
on whether the expert's ‘technique or principle [is] sufficiently
reliable so that it will aid the jury in reaching accurate results’ ”).
However, the reliability requirement must not be used as a tool
: Ad. -54
by which the court excludes all questionably reliable evidence.
The Federal Rules of Evidence “embody a strong and undenia-
ble preference for admitting any evidence having some potential
for assisting the trier of fact and tor dealing with the risk of error
through the adversary process.” DeLuca, 911 F.2d at 956 (citing
Barefoot v. Estelle, 463 U.S. 880, 899 & 901 n. 7, 103 S.Ct.
3383, 3397 & 3398 n. 7, 77 L.Ed.2d 1090 (1983); Downing, 753
F.2d at 1241: and 3 Weinstein’s Evidence § 702{02|—[{03]). There-
fore, in making reliability determinations, courts must err on the
side of admission rather than exclusion.
At some point, however, even with the balance weighted as
it is towards admissibility, courts must determine at what level
evidence becomes “reliable enough.” We think that the fact that
the Rules Committee did not draft rules which provide that
evidence need be 95% or 85% or even 51% accurate is signifi-
cant. Instead, Congress seems to have understood, as the cases
and the commentators reflect, that “{t|he reliability inquiry . . .
[must be] flexible and may turn on a number of factors.” Down-
ing, 753 F.2d at 1238. Applying that logic to this case, it is clear
that if there were evidence in this record that meta-analysis is
inaccurate as a mode of analysis—that the concept of combining
raw data from different independent studies and re-analyzing it
in total does not render accurate results—then there might be
grounds for excluding meta-analysis.
There is no such evidence, however. As plaintiffs point out,
hundreds of meta-analyses are done each year, Appellants Br. at
92. Indeed, notwithstanding the principle thrust of defendants’
reliability argument before this court, defendants own experts
do not question the reliability of
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