2. Real Events Happening to Real People  76 million cases of foodborne illness annually 1  325,000 hospitalizations  5,000 deaths  Medical costs, productivity losses, costs of premature death costs 6.9 billion dollars a year 2 1 Mead PS, et al., Food-related illness and death in the United States, Emerg Infect Dis. 5:607-614. 1999. 2 Buzby, et al. Product Liability and Microbial Foodborne Illness (2001)ERS Agricultural Economic Report No. 799.

3. Marler Clark, LLP PS  Since 1993 Marler Clark has represented thousands of legitimate food illness victims in every 50 States  Only a fraction of the victims who contact our office end up being represented  Who do we turn away?

4. There is a Worm in my Freezer! “I recently found a whole, 2-cm long worm packaged inside a frozen dinner. I have the worm in my freezer. I'm interested in discussing my rights in this matter. Could you please contact me, or refer me to a firm that may be able to give me assistance? ”

5. “Christening” the Carpet “I opened a box of buffalo wings and saw an unusually shaped piece of chicken and I picked it up. When I saw that the ‘piece’ had a beak, I got sick to my stomach. My lunch and diet coke came up and I managed to christen my carpet, bedding and clothing. I want them to at least pay for cleaning my carpet etc.” “I opened a box of buffalo wings and saw an unusually shaped piece of chicken and I picked it up. When I saw that the ‘piece’ had a beak, I got sick to my stomach. My lunch and diet coke came up and I managed to christen my carpet, bedding and clothing. I want them to at least pay for cleaning my carpet etc.”

6. The Chaff Just like health departments, we need to quickly and reliably recognize unsupportable claims. How Do We Do It?

7. Basically, The Same That You Do  Symptoms  Incubation  Duration  Food History  Medical Attention  Suspected source  Others Ill Health Department Involvement

8. Matching Incubation Periods Incubation Periods Of Common Pathogens

9. Match Symptoms and Vehicles with Specific Pathogens  E. coli O157:H7  Hepatitis A  Salmonella  Shigella  Campylobacter  Vibrio

10. Epidemiologic Assessment  Time  Place  Person association  Part of a recognized outbreak?

11. Medical Attention  Health care provider  Emergency Room  Hospitalization

12. Health Department Involvement

13. FOIA/Public Records Request

14. Communicable Disease Investigation  Reportable Disease Case Report Form  Enteric/viral laboratory testing results  Human specimens  Environmental specimens

15. Molecular Testing Results  PFGE and PulseNet  MLVA  Calicinet

16. Prior Health Department Inspections   Improper Cooking Procedures   Improper Refrigeration   Improper Storage and Cooking Procedures   Improper Sanitation

17. Improper Cooking Procedures   A young girl suffered HUS after eating a hamburger from a midsized southern California fast-food chain.   Her illness was not culture-confirmed.   No food on site tested positive for E. coli O157:H7.   Review of health inspections revealed flaws in cooking methods. Hamburger buns are toasted on the grill immediately adjacent to the cooking patties, and it is conceivable that, early in the cooking process, prior to pasteurization, meat juices and blood containing active pathogens might possibly splash onto a nearby bun.

18. Improper Refrigeration   A Chinese buffet-restaurant in Ohio was the suspected source of an E. coli O157:H7 outbreak.   No contaminated leftover food was found.   A number of ill patrons were children. Jell-O was suspected as the vehicle of transmission.   Health Department report noted “raw meat stored above the Jell-O in the refrigerator.” The likely source of E. coli O157:H7 in the Jell-O was from raw meat juices dripping on the Jell-O while it was solidifying in the refrigerator.

19. Improper Storage and Cooking  Banquet-goers in southeastern Washington tested positive for Salmonella.  Leftover food items had been discarded or tested negative.  Leftover food items had been discarded or tested negative.  Restaurant had “pooled” dozens, if not hundreds, of raw eggs in a single bucket for storage overnight, then used them as a “wash” on a specialty dessert that was not cooked thoroughly.  Restaurant had “pooled” dozens, if not hundreds, of raw eggs in a single bucket for storage overnight, then used them as a “wash” on a specialty dessert that was not cooked thoroughly.

21. The Liability of Health Inspectors

22. “Liability” Financial responsibility for another person’s injuries or damages.

23. If You Are Going To Be Held Liable, It Will Be For: NEGLIGENCE NEGLIGENCE

24. Elements of NEGLIGENCE  Duty  Breach  Causation  Damages

25. DUTY  Legal obligation to act for the benefit of another person  Sources: 1. Statute or regulation 2. Contract 3. Common Law

26. The Other Elements   Breach   Causation   Damages

27. Public Duty A legal doctrine that shields state and local governments from liability.

28. Immunity Governments can choose to not be liable for tortious conduct

29. Public Duty and Immunity Whether an inspector is liable is a function of whether the state’s courts apply the public duty rule, sovereign immunity, or a combination of both.

30. The “public duty doctrine” shields almost all public officials and the agencies they work for from liability. “A duty to all is a duty to none” Public Duty Doctrine

31. Public Duty Doctrine Applied Inspector conducts on-site inspection at sandwich shop. From previous inspections he knows that cooked deli meat used in sandwiches is prepped in a separate area out of public view. He leaves without inspecting the deli meat prep area. 20 days later there is a large Hepatitis A outbreak among sandwich shop patrons. An investigation attributes illnesses to an ill employee who sliced meats and did not wear gloves. Is the inspector liable to patrons who become ill?

32. It Depends Even among states that apply the public duty doctrine, there are always exceptions

33. Can a Health Inspector in WA be Sued for Failing in a Duty to Find a Food-Safety Risk? The answer is…..

34. Sovereign Immunity Waived in WASHINGTON  RCW 4.96.010 – Government entities may be liable for damages arising out of their employees’ tortious conduct while performing their official duties.

35. But, Washington Applies the Public Duty Doctrine The duty owed by the government entity must be one owed to the injured plaintiff, not one owed to the public in general. “A duty to all is a duty to none” “A duty to all is a duty to none”

36. Exception: Special Relationship   (1) where a public agent, acting within the scope of official conduct, has direct contact or privity with the injured plaintiff which sets the injured plaintiff apart from the general public; AND   (2) the public officer gives express assurances, which   (3) give rise to justifiable reliance

37. Special Relationship Applied Just as the inspector starts his inspection he gets called back to the office and has to leave before finishing. As he gets in the car, a customer spots the county logo and asks if the restaurant is a safe place to eat. “Sure,” he says, “the safest place in town.” The customer consumes a sandwich and contracts Hepatitis A. Is the inspector liable?

38. Who Me, Worry?  Anyone can be sued. But the good news is, it is very unlikely occurrence.  You are always entitled to a lawyer provided by your employer for job-related claims.  You will not be financially exposed because it is your employer who would be on the hook for your job-related mistakes.  Be nice to lawyers, you may need one someday (and some of us are actually nice people).

39. Words of Wisdom  Do your job and you will be fine  Think like the business and customers are your family  Educate, Educate, Educate  Document, Document, Document  Photos, Photos, Photos  Work cooperatively with other agencies  Do as complete of an investigation as resources allow

40. 6600 Bank of America Tower 701 Fifth Avenue Seattle, Washington 98104 1-800-884-9840 www.marlerclark.com Questions?