On appeal from Superior Court of New Jersey, Law Division, Atlantic County, Docket No. L- 69-67.
Before Judges Havey, Braithwaite and Coburn.
The opinion of the court was delivered by: Havey, P.J.A.D.
NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION
Argued September 17, 2001
This is a failure-to-warn, product liability case. Plaintiff Margaret Vassallo*fn1 alleges that, while working as a sewing worker at the State of New Jersey's Woodbine Development Center, she was exposed to a product called "Resisto marking ink," produced by defendant American Code and Marking Ink, Inc., and distributed by defendant Natmar Services Corporation. She claims that the exposure to the ink caused her to suffer severe personal injuries, including pulmonary, cerebral, cardiovascular and psychiatric disorders. The trial court granted defendants summary judgment, concluding that plaintiff's experts' reports failed to present a causation nexus between plaintiff's exposure to the product and her conditions. The court also denied plaintiff's motion for reconsideration. We reverse and remand for an N.J.R.E. 104 hearing.
Considering the evidence in a light most favorable to plaintiff, Brill v. Guardian Life Ins. Co. of Am., 142 N.J. 520 (1995), these are the facts. In October 1988, while working at the State's Woodbine Development Center, plaintiff was exposed to Dursban, a pesticide. She experienced dizziness, headaches, nausea, congestion, sore throat, chest tightness, cough, and eye irritation. Plaintiff was diagnosed with an upper respiratory tract infection and was treated with antibiotics. However, her condition worsened. In 1989 through 1990, plaintiff was evaluated and treated by a series of physicians and psychiatrists. In February 1990, she was evaluated by Dr. Elissa Ann Favato, an internist specializing in occupational disease. Dr. Favato concluded that plaintiff's symptoms were related to her exposure to Dursban, and that she suffered from multiple chemical sensitivity disorder (MCSD), an acquired disorder characterized by oversensitivity to "unrelated" chemical compounds "at doses far below those established in the general population to cause harmful effects." Dr. Favato recommended that plaintiff work in a chemically-free environment.
In May 1990, plaintiff was transferred to the State's North Princeton Development Center in Skillman, where she worked as a sewing worker. Part of her work involved marking clothing with labels using a heat seal machine and an ink marking device. That procedure involved the use of a labeling machine pressed onto ink pads. Plaintiff manually re-inked the pad with Resisto marking ink by using a small plastic applicator with a nozzle. She would thereupon use a heat sealing device to permanently label the clothing. According to plaintiff, she spent approximately twenty-five percent of her time marking clothing by use of the ink device and heater.
In the summer of 1993, plaintiff began suffering from dizzy spells and chest pains while employing the inking device. Her eyes started to burn, and the burning sensation would abate when she was at home. During the period she worked at Skillman, the ventilation system failed on two occasions, and the ink marking machine malfunctioned. As a result, ink would often spill onto her hands. By June 1995, plaintiff began experiencing episodes of chronic sore throat, laryngitis, diarrhea, continued chest pains and burning sensation in her eyes.
On September 19, 1995, on the advice of a physician, plaintiff terminated her employment with the State. She was thereafter examined by a psychiatrist, a gastroenterologist, and a cardiologist, as well as other physicians. The cardiologist concluded that plaintiff suffered from chest wall pains due to panic attacks. Her chest pain and burning sensation in her eyes continued. She began experiencing episodes of chronic sore throat, laryngitis, and diarrhea.
On April 6, 1996, Dr. Miklos Boczko, a neurologist, examined plaintiff and diagnosed early cerebellar, particularly midline, degeneration, "directly and causally related to chemical exposure, including chronic encephalopathy." In making his diagnosis, Dr. Boczko notes as significant plaintiff's work exposure to pesticides and "ink," which contained diethylaminoethanol and formaldehyde.
Dr. Susan Daum, an internist specializing in environmental and occupational medicine, examined plaintiff on January 22, 1996. In her report, Dr. Daum noted plaintiff's exposure to Dursban in 1988. She also noted plaintiff's use, from 1990 through 1995, of the Resisto marking ink product, which Dr. Daum found significant. Dr. Daum stated that according to the Resisto's material safety data sheet (MSDS), the product becomes more caustic when heated. Dr. Daum noted that plaintiff's symptoms worsened during the period she was exposed to the ink and other caustic materials. She concluded that Plaintiff suffered from MCSD, "aggravated by exposure to . . . formaldehyde, diethylaminoethanol or its breakdown products."
Dr. G. John DiGregorio, a professor of pharmacology, interviewed plaintiff, reviewed her medical records and, on November 26, 1996, concluded that "[i]t is obvious that her symptoms are related to her exposure to the solvents associated with the ink such [as] formaldehyde. Her disabilities are definitely related to her job and her exposure."
Dr. Allan Lieberman, board certified in environmental medicine, rendered three reports dated June 27, 1996, August 29, 1996, and November 16, 1998. After examining plaintiff and reviewing her medical records, Dr. Lieberman concluded that her constant imbalance, chronic pain in the chest wall, breathing difficulties, headaches, cough, diarrhea and dizziness were caused by exposures to "glue, formaldehyde, and pesticides." He specifically identified Resisto marking ink, "containing diethylaminoethanol and formaldehyde" as one of the offending caustic agents. His medical diagnosis was a history of acute and chronic chemical exposures, including organophosphate pesticides in 1988, and "glues, inks, diethylaminoethanol, formaldehyde and organophosphate pesticides in the workplace" from 1990 through 1995. (Emphasis added).
In granting summary judgment to defendants, the trial court found that the expert reports submitted by plaintiffs did not address what "needed to be addressed," that is, the effect of the toxic substances in the ink, and how exposures to those toxic substances were causally related to plaintiff's medical condition. The court observed that the reports in fact focused predominately on plaintiff's exposure to the pesticide Dursban in 1988, and that "[n]one of the reports indicate that the present ...