Context News

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Which delivers more mercury, dental amalgam or a tuna fish sandwich? G. Mark Richardson examines the various exposures to mercury from amalgam versus that of the recommended amount of tuna fish (EPA) and compares them to reference exposure levels to find out which presents more of a risk to human health.  
Website: Dr. Tom McGuire's Dental Wellness Institute Dr. Tom McGuire has been a mercury free and mercury safe, holistic dentist for over 30 years and is an innovator and leader in holistic dental wellness. For over 10 years he has researched mercury fillings and their effect on overall health. In addition to writing three popluar books on the subject, he runs the website Dentalwellness4u.com which is a vast resource of information on amalgam fillings, mercury toxicity and detoxification.
Videos of 2010 FDA Amalgam Hearing available for viewing A consumer activist, who attended the 2010 FDA hearings on amalgam safety, videotaped the event and has uploaded many important presentations from the hearings to the youtube channel, mercurymatters. Available videos include consumer safety organizations, scientists, mercury free dentists, injured consumers and dental staff.
Uses of Amalgam and Resin-Based Composites in Dental Education and Clinical Practice Resin-based composites have a number of advantages for restorative treatment. They possess desirable aesthetic properties and favor retention of sound tooth structure because they require less cavity preparation than traditional amalgam restorations. Recent clinical studies have demonstrated that composites can now match or exceed the longevity of amalgam.
Upcoming Documentary: Mercury Undercover Mercury Undercover exposes the cause and effect of the well-hidden evidence of mercury contamination as seen through the eyes of doctors,scientists, environmental experts and mercury-poisoned survivors. It is a gripping tale that will make you think twice before you eat your next catch-of-the-day or plan your next visit to the dentist’s office.In the course of this quest,we’ll hear from experts, doctors, scientists and mercury poisoning survivors.
UNEP publication: Mercury - A Priority For Action Mercury - A Priority For Action, a publication from The United Nations Environmental Program is intended to raise awareness amongst stakeholders of the effects of mercury on human health and the environment and on strategies to manage and control mercury. It is designed for the use of government officials and community leaders to provide information and raise awareness about mercury and the associated environment and health risks.
Understanding the ruling of Barnes v Kerr: Amalgam MSDS warnings also apply to mixed dental amalgam Dentist David Barnes, sued Kerr Corp., the largest manufacturer of dental amalgam in the United States, alleging that he had suffered a myriad of neurological injuries as a result of his occupational exposure to mercury. Dr. Barnes argued that Kerr's warnings were inadequate because they discussed only mercury, not mixed dental amalgam. Kerr argued that its warnings never represented that mercury was any less toxic when mixed.
Understanding Methyl Mercury and Mercury Vapor An essential argument in the anti-amalgam movement relates to the issue of human exposure to mercury vapor, a side-effect of "silver" dental amalgam fillings, which are actually 50% metallic mercury. The mercury vapor releaased is intensified by the number of fillings present and other activities associated with the human mouth, such as chewing, teeth-grinding and the consumption of hot liquids.
Toys made from amalgam Banned, but not dental fillings In this video Boyd Haley PhD tells a story about toys made from amalgam being banned by Canada, but not dental amalgam fillings.
The long awaited documentary Mercury Undercover is available now "Mercury Undercover" unveils the dirty truth about the dangers of mercury and how those people in power would love to "protect" you from the real truth. This compelling documentary brings light to a problem that affects more than you ever imagined. The director Elizabeth Hong and co-director Daniel Montoya are proud to announce the exclusive online release of the documentary.
The International Academy of Oral Medicine & Toxicology presentations to the FDA The International Academy of Oral Medicine and Toxicology, a scientific organization made up of dental, medical and research professionals submitted a petition for reconsideration to the FDA in 2009. This petition pointed out the inaccuracies, inconsistencies and flawed science the FDA relied upon, and urged them to reconsidertheir ruling. The FDA convened a new dental products panel meeting in December 2010, to re-evaluate the issues brought up in the petition for reconsideration.
The Doctors TV Show to Feature Amalgam Toxicity The link between dental mercury fillings and Multiple Sclerosis is examined in a nationally televised Interview on the hit TV Show THE DOCTORS. Featured in the show are Acclaimed biochemist Boyd Haley and Nashville News reporter, Stacy Case, who started experiencing symptoms of MS shortly after having 4 amalgams unsafely taken out and 4 new amalgams put in.
The Council of Europe calls for restricting or prohibiting the use of amalgams The Parliamentary Assembly of the Council of Europe adopted a resolution on 27 May 2011 urging its 47 member countries to start "restricting or prohibiting the use of amalgams as dental fillings."
The challenge of Dr. Herbert Needleman in the fight over lead toxicity "Dr. Herbert Needleman discovered that lead is harmful to the human body and mind in the 1950s. Since then, he has worked towards banning lead from everyday life in hope of stemming lead poisoning."
Testimony from DAMS President at FDA townhall in Orlando Bernard Windham of Dental Amalgam Mercury Solutions gives his testimony at the Orlando townhall hosted by the FDA's Center for Devices and Radiological Health (CDRH) which is responsible for classifying and regulating dental mercury amalgam fillings.
Tampa Dentist Sings The Amalgam Blues Tampa Dentist, Dr. Hal Enlow, sings an original composition titled "The Amalgam Blues." The harmful effects of mercury toxicity are well documented and could play a role in the development of diseases that have come to be viewed by the medical community as chronic conditions for which there are no known causes. Listen, enjoy, and then do something about your dangerous amalgam fillings.
Sweden recommends banning mercury fillings for health and environmental reasons FDA's Director of the center for devices and radiological health (CDRH) knew Sweden banned mercury fillings for health reasons yet misrepresented those findings and chose not to update their fact sheet on dental amalgam which stated the opposite
Sweden did NOT get rid of mercury fillings solely for environmental reasons In a July 11th broadcast of BBC Panorama, Tom Mangold interviews Siw Persson, a member of the Swedish parliament. Tom learns that Sweden did NOT get rid of mercury fillings solely for environmental reasons as many pro-mercury filling advocates claim.
Susan Runner of the FDA's CDRH explains how mercury fillings are safe for children Susan Runner of the FDA's Center for Devices and Radiological Health (CDRH) explains how mercury exposure from dental amalgam fillings (which release various amounts of mercury 24/7 ) is safe for children.
Scientists urge FDA to stop mercury amalgam filling use in children, pregnant women, and hypersensitive At the end of the FDA dental products panel hearing to evaluate the safety of amalgam, FDA’s scientific panel, including neurologists, toxicologists, epidemiologists, and environmental health specialists concluded that, contrary to the claims of FDA’s in-house dentist Susan Runner, "amalgam is not safe for everybody." and to stop its use in susceptible, at risk populations.
Review of Norwegian experiences with the phase-out of dental amalgam use The Norwegian Climate and Pollution Agency (Klif) sponsored a review of the experiences from the phase-out of the use of dental amalgam as tooth filling material in Norway, and to make an assessment of the costs to the society from the actions taken to limit the release of mercury. The purpose was to show how Norway has carried out this policy.
Report to the IAOMT on the Congressional Hearing “Assessing State and Local Regulations to Reduce Dental Mercury Emissions” The International Academy of Oral Medicine and Toxicology hired John Rowe of Capitol Strategy Consultants, Inc. to give a rundown of the proceedings from the hearing, "Assessing State and Local Regulations to Reduce Dental Mercury Emissions" which was conducted on Tuesday, July 8, 2008 in room 2154 Rayburn House Office Building in Washington, D.C. 20515
Real cost of mercury fillings revealed in new study Mercury fillings are more expensive than the mercury-free alternatives, according to a new study released by a broad coalition of health, consumer, and environmental groups. The study details how society pays for dental mercury through additional pollution control costs, deterioration of public resources, and the health effects associated with mercury contamination.
Predicting the Future of Dental Amalgam Use and FDA Regulation Michael Fleming DDS examines the role of the FDA concerning amalgam's use in dentistry. He also discusses common misconceptions and breaks down the arguments about amalgam's safety to their core components and examines them individually.
Overview of The US Dental Amalgam Debate, 2010 Meeting of the FDA Dental Products Panel The current scientific debate regarding the safety of amalgam dental restorations being conducted in the US is presented. The material is based on a meeting held on December 14 and 15, 2010 by the Dental Products Panel of the Medical Devices Advisory Committee of the Food and Drug Administration. The scientific and historic context of the debate is provided, followed by scientific arguments, public testimony and panel deliberations.
Overview of the Government Accountability Office This video provides an overview of The Government Accountability Office (GAO) goals and operations, including the agency's responsibilities, core values, organizational structure, engagement process, and accomplishments. When GAO has investigated the government agencies which regulate various aspects of dental amalgam they have found mismanagement, fraud, and a suppression of science.
Norway Bans Mercury Amalgam Fillings The Norwegian Minister of the Environment and International Development, Erik Solheim, has prohibited the use of mercury in products in Norway. Among others the use of mercury in dental materials will be prohibited.
NGO, IAOMT Story has gone viral within the medical community The NGO, IAOMT urging the UN to ban mercury fillings story has gone viral within the medical community.
Newly placed high copper amalgam fillings release 189% more mercury than non-high copper amalgams James Adams PhD presents data that proves high copper amalgam fillings release up to 189 % more mercury than non-high copper amalgams during the first few days of placement.
New publisher, Capsule Press is all about mercury I've had a pretty great year. In May, my first book, Getting the Mercury Out, was published. It's a memoir about my mercury poisoning experience, how I was poisoned by my amalgam fillings, and how I detoxed the mercury and made a full recovery. This book is very close to my heart, not only because it's the story of my own personal struggle, but because I'm also its publisher!
Neurotoxic Effects of Mercury in Norwegian Dental Nurses Presented to FDA in 2006 In 2006, Michael Bender, director of Mercury Policy Project testified in front of the FDA's dental product panel. Michael explained in great detail how thousands of Norwegian dental nurses had suffered neurotoxic effects from occupational exposure to mercury vapor. Other adverse health effects included: tremors, memory and concentration problems, liver and kidney problems, depression, extreme fatigue, anxiety, mood swings, vision disturbances, diarrhea, menstrual and muscular problems.
National Coverage on NBC Nightly News with Brian Williams National Coverage of the Dental Amalgam Issue on NBC Nightly News with Brian Williams on December 10th, 2010.
Movies That Matter Presents "SMOKING TEETH = POISON GAS" Next up in the "Movies That Matter" series at Unitarian Universalist Fellowship of Door County is the film "Smoking Teeth = Poison Gas." which will play at 4:30 p.m. Tuesday (02-15-2011) at Unitarian Universalist Fellowship, 10341 Wisconsin 42, Ephraim. For more information, call (920) 854-7559 or go to www.uufdc.org
Minnesota Bans Mercury In Cosmetic Products What? Mercury in cosmetics banned ? Wow, those levels of mercury must be astronimically high to ban it in a product that is occasionally used by a small percentage of the population. What? the amount found in cosmetics is only a miniscule fraction of what is released from dental mercury amalgam fillings continually for the life of the amalgam, which can sometimes be upward of 60+ years. Go figure.
Mike Fleming DDS discusses the History of FDA's Classification of Dental Amalgam Fillings Mike DDS, Discusses the History of FDA's Classification of Dental Amalgam Fillings. Dr. Michael D. Fleming currently serves as the Consumer Representative on the Dental Products Panel at the Center for Devices and Radiologic Health of the Food and Drug Administration and has served on two separate hearings on the safety of dental amalgam in 2006 and 2010.
Mercury vapor poisoning aboard HMS Triumph and HMS Phipps In 1810, two British ships, HMS Triumph and HMS Phipps, salvaged a large load of elemental mercury from a wrecked Spanish vessel near Cadiz, Spain. The bladders containing the mercury soon ruptured. The element spread about the ships in liquid and vapor forms. The sailors presented with neurologic compromises: tremor, paralysis, and excessive salivation as well as tooth loss, skin problems, and pulmonary complaints.
Mercury in Dental Amalgam and Resin-Based Alternatives A Comparative Health Risk Evaluation Substituting mercury with alternative materials for dental fillings has less negative impact on human health and the environment, according to a new report by the Health Care Research Collaborative. The report compares the health and environmental impacts of mercury amalgam with those of the alternatives currently available and also found that health systems in several countries have successfully substituted mercury with alternatives.
Mercury Fillings A Health Threat? Maestro Ben Zander, conductor for the Boston Philharmonic, speaks publicly about his complete recovery from Ménière's Disease after having his fifteen mercury amalgam fillings removed. The neurological disease, Ben says nearly cost him his career.
Listen to Consumer Advocates Interviewed on The Edge In an informative interview by Tom Smith, host and producer of the radio program THE EDGE, consumer advocate Freya Koss and attorney James Love discuss the health hazards of mercury amalgam dental fillings and the history of FDA's illogical refusal to remove this toxic product from the marketplace. 
Jim Love of the IAOMT: dental industry influence on Health Canada's amalgam risk assessment Jim Love of the IAOMT discusses the dental industries influence on Health Canada's dental amalgam risk assessment authored by Mark Richardson.
James Hardy DMD presents his testimony to the FDA's CDRH Townhall in Orlando March 2011 Dentist Dr. James Hardy DMD is author of the book, Mercury Free: The wisdom behind the global consumer movement to ban "silver" dental fillings. For 30 years he has had a mercury free dental practice. In this video he presents his testimony to the FDA's CDRH Townhall in Orlando March 2011
Is there more mercury in a tuna sandwich compared to mercury dental fillings ? One argument pro-amalgamist use when trying to downplay the exposure to mercury from dental amalgam fillings is to say that there is more mercury exposure from a tuna fish sandwich compared to that from dental mercury fillings. So we decided to examine the merits of that argument by comparing mercury levels from a 5 oz. can of tuna to the many various exposure levels from that of dental amalgam on different age groups through out the U.S.A.
Institute of Medicine Panel says FDA's medical device review system 'flawed' The government should abandon a 35-year-old system for approving most medical devices in the U.S. because it offers little to no assurance of safety for patients, a panel of medical experts concludes in a report Friday. The surprise recommendation from the Institute of Medicine panel calls for a massive reworking of how the government regulates medical devices. Dental Amalgam Fillings are considered a medical device.
Injured Consumer Freya Koss Testifies at the FDA Townhall in Orlando Freya Koss, director of the Pennsylvania Coalition For Mercury Free Dentistry delivers her testimony to the FDA's Center for Devices and Radiological Health (CDRH) in Orlando Florida.
IAOMT submits addendum to amalgam rule to FDA This is a complete copy of the IAOMT's addendum to their Petition for Reconsideration submitted by Jim Love, et al in March of 2013. The addendum to the petition added new proof of the damaging effect of mercury in amalgams and asked that mercury in dental materials either be banned or reclassified as an FDA Class III device thus restricting its use and increasing regulations when using this product.
Government Accountability Office - GAO GAO is known as "the investigative arm of Congress" and "the congressional watchdog." GAO supports the Congress in meeting its constitutional responsibilities and helps improve the performance and accountability of the federal government for the benefit of the American people. When GAO has investigated the government agencies which regulate various aspects of dental amalgam they have found mismanagement, fraud, and a suppression of science.
Glass-Ionomer Cement: A cost-effective, mercury-free, aesthetic tooth restoration. The latest systematic review results suggest high-viscosity glass-ionomer cement (GIC) as a safe and economical long-term tooth restorative. 
French dentists move away from mercury fillings Sweden, Norway, Denmark and Germany have banned or restricted use of the fillings. The European commission may soon call for their phasing out.
Fox news reporter Stacy Case presents a powerful testimonial of her mercury induced MS to the FDA Fox news reporter, Stacy Case, delivers an emotional testimony at the FDA's townhall in California, September 2011. She tells of her mercury induced MS symptoms and diagnosis. The townhall, hosted by The FDA's Center's for devices and radiological health, the office within FDA that has failed to classify mercury fillings for over 33 years, despite researchers presenting scientific evidence of harm from a medical device made of 50% mercury.
Floridians tell Dr. Shuren of the FDA's CDRH - BAN MERCURY AMALGAM NOW! When FDA's Center for Devices showed up in Orlando for the public Town Hall Meeting on May 5th, an impressive group of professionals and consumers confronted Director, Dr. Jeffrey Shuren, the apologist for the abysmal Amalgam Rule. Floridians turned out en masse outraged over FDA's failure to protect even children from dental mercury.
FDA widens mercury skin lightening cream investigation Mercury, a known toxin, is banned in skin-bleaching or lightening creams. Mercury is sometimes illegally added to creams because the metal blocks production of melanin, which gives skin its pigmentation. Mercury is rapidly absorbed through the skin and can cause severe health effects, including neurological and kidney damage.
FDA loses lawsuit and must classify dental amalgam mercury fillings In 1976, Congress directed FDA to classify (determine the risk of) every medical device. Dental fillings are a medical device. FDA proceeded to classify all filling materials except the most common one – and the most controversial one – mercury amalgam fillings. Despite letters, petitions, Congressional hearings, and a lawsuit, FDA refused to budge. For 32 years, from 1976 to 2008, FDA defied the law, until Consumers for Dental Choice sued them.
FDA gets an earful about dental amalgam at town hall meeting The FDA held a town hall meeting in Las Colinas Texas. Several people confronted the director about dental mercury fillings.  "I was sick for 20 years before a doctor found out what was wrong with me," said Virginia Pritchett, who has been plagued by seizures and immune system problems caused by a reaction to dental mercury. "The fact that they have not banned these is nothing short of an atrocity to humanity."  
FDA condemns itself to perpetual study and inaction, leaving the public unprotected The FDA was charged with evaluating and classifying medical devices in 1976. Amalgam manufacturers have been able to successfully shirk the burden of proving safety, which should rightfully be assigned to them. If the FDA assigns the burden to prove harm to U.S. consumer groups, the FDA condemns itself to perpetual study and inaction. This will result in an ineffective agency and an unprotected public, devastated by preventable degenerative disease.
Excerpts From Health Canada's Dental Amalgam Risk Assessment The Health Canada report entitled "Assessment of Mercury Exposure and Risks from Dental Amalgam" was prepared for the Medical Devices Bureau by Dr. Mark Richardson and released in November, 1995. It was the first comprehensive risk assessment in Canada of mercury exposure from dental amalgam.
EU Commission study opens the way to phasing mercury out of dentistry A European Commission study recommends phasing out dental amalgam use in the next five years. The BIOS report noted that mercury-free fillings appear more expensive than amalgam because the negative external costs associated with management of amalgam waste and effluents are not factored into the market price.
EPA Warns of High Mercury Levels in Skin-Lightening Creams The EPA is warning against skin-lightening creams that may contain dangerous levels of mercury. The Chicago Tribune sent 50 creams to a certified lab for testing. Six of the creams were found to contain amounts of mercury banned by federal law. Five had more than 6,000 parts per million of mercury: Amalgam fillings contain 500,000 parts per million of mercury.
Dr. Rich Chanin DMD Discusses Biological Dentistry and Patients Health Improvements After Removing Amalgam Fillings Dr. Rich Chanin DMD discusses patients health improvements he has observed after removing amalgam fillings from their mouths.
Dr. Neufeld shares stories of patients improved health after removal of mercury fillings My journey toward becoming a holistic and mercury free dentist began around 2002. I had already stopped using silver amalgam fillings in the 1990's, when better filling options became available. I was concerned about the idea of putting mercury in people's mouths and also knew that it caused teeth to crack, which is not what I wanted for my patients.
Dr. Joeseph Baba DDS Patients Health Improvements After Removing Amalgam Fillings Dr. Joeseph Baba D.D.S. discusses patients health improvements he has observed after removing amalgam fillings from their mouths.
Dr. James Rota gives a brief history on the use of mercury in amalgam fillings in American dentistry Dr. James Rota gives a brief history on the use of mercury in amalgam fillings in American dentistry  
Dr Michael Margolis presents evidence that mercury from amalgam fillings is absorbed into the gum and jaw bone Dr Michael Margolis presents evidence to the FDA's dental products panel in 2010 that mercury from amalgam fillings is absorbed into the gum and jaw bone
Documentary Filmmaker Kelly G. releases 2 new short films on dental mercury. Five time cancer survivor Kelly G. (Pandora’s Mouth) has made two great, short and easy to grasp movies about the mercury issue / heavy metal toxicity from dental amalgam. Please watch them and feel free to circulate them within your respective network(s).
Diane Meyer: It was mercury poisoning, not my hormones I'm Dr. Diane Meyer a practicing dentist in the SW suburbs of Chicago.  I've been in the dental field for over 30 years. I am a female dentist that has had to deal with a lot of medical issues, that were passed off as being either hormonal or psychological. My medical issues can be traced directly to the enormous amounts of occupational mercury I was exposed to. Mercury exposure is an entirely overlooked health hazard in my profession, which is why I decided to write this article.
Debunking the ADA's claim of "only minute amounts of mercury are released from amalgam" When reporting on how much mercury is released from dental mercury amalgam fillings most journalists cite The American Dental Association's spokesman Rodney Mackert's "estimates" without understanding any of the inherant flaws in his methodology.  Read on to find out more about the debunking of this dubious claim.  
Daubert: The Most Influential Supreme Court Ruling You’ve Never Heard Of The US Supreme Court ruled in Daubert v. Merrell Dow Pharmaceuticals, Inc. that judges must act as "gatekeepers" in the courtroom, determining if the scientific evidence introduced is relevant and reliable. The Daubert decision has had tremedous impact on how science is used (and misused) in courts. In his dissent in the Daubert case, Chief Justice William Rehnquist raised concern that Daubert would force judges, many of whom have little knowledge of science, to become "amateur scientists."
Correcting the inaccurate "Red Herring" comment from FDA amalgam hearing panelist Susan Griffin of the EPA When covering the 2010 FDA dental products panel hearing on the safety of dental amalgam fillings, the press widely promoted the "red herring" comment from FDA panelist, Susan Griffin (of the EPA). The comment was directed at the assertion that the Fawer study should not be relied on for the basis of a risk assessment because many of the workers in the study were also exposed to chlorine, which inhibits uptake of mercury (up to 40%).
Congressman Burton Holds 2nd Amalgam Hearing ADA Spokesman's Testimony Discredited by Scientists Richard D. Fischer, DDS gives a summary of the hearing convened Thursday, May 8, 2003 by The House Subcommittee on Human Rights and Wellness, chaired by Congressman Dan Burton. The hearing was titled, "Consumer choice and implementing full disclosure in dentistry".
Civil War Surgeon General was court-martialed for ordering end to mercury Realizing that mercury should have no role in medicine, Surgeon General of the United States, William A. Hammond courageously issued General Order #6, banning its use by Army physicians. Immediately thereafter, The American Medical Association called for his ouster and assigned delegates from every state to work against Order #6, thus leading to his eventual court-martial.
Chris Shade PhD shares the history of lead and declining levels determining harm. Chris Shade PhD shares the history of lead and declining levels determining harm. Accompanying article, A Brief History of Lead Regulation" by Tristan Fowler.
Chicago Tribune’s Trine Tsouderos Undermines dietary supplement OSR a Powerful Antioxidant Dr. Stephen C. L'Hommedieu critiques the flawed Chicago Tribune article OSR#1: Industrial Chemical or Autism Treatment?  In the article, Medical and Science reporter Trine Tsouderos provides outright misinformation. Trine is an excellent example of today's biased 'journalism.' It is junk food journalism guaranteed to tantalize the nerve buds within the minds of the uninformed and those who lack analytical thinking.
Charlie Brown of Consumers for Dental Choice interviewed on California Public Radio Charlie Brown, Executive Director of Consumers for Dental Choice and Dr. Edmond Hewlett, Professor in the Division of Restorative Dentistry at the UCLA School of Dentistry and Consumer Advisor for the American Dental Association are interviewed on the Southern California Public Radio program Air Talk.
Charlie Brown of Consumers for Dental Choice explains the history of FDAs classification of dental mercury fillings In 1976, Congress directed FDA to classify (determine the risk of) every medical device. Dental fillings are a medical device. FDA proceeded to classify all filling materials except the most common one – and the most controversial one – mercury amalgam fillings. Despite letters, petitions, Congressional hearings, and a lawsuit, FDA refused to budge. FDA had no intention of doing what by law it was required to do. For 32 years, FDA defied the law.
CBS Evening News - FDA Weighs Mercury Use in Tooth Fillings CBS NEWS: FDA Weighs Mercury Use in Tooth Fillings
Panel Examines Whether Fillings Dentists Use 50 Million Times Annually Have Adverse Effects
CBS:  Many people have silver fillings in their teeth called amalgams. Dentists put in more than 50 million of them annually.  The Food and Drug Administration looked Tuesday at whether they may be hazardous
Causes of Dental Mercury Amalgam Failure In this educational video one will learn about the many ways in which amalgam fillings can and do fail. In addition, Dr. Harold Loe, the Director of the National Institute of Dental Research ( NIDR), explains why amalgam is not an ideal dental filling.
Capsule Press Launches New Memoir: The Mercury Diaries It takes a lot of courage to recover from mercury poisoning. It takes even more courage to reveal the details of your recovery to the whole world. In The Mercury Diaries, Daniel Forsyth tells us the story of how his beautiful life was inexplicably being flushed away in torrent of ill-health. Plagued by a host of mysterious symptoms that doctors couldn't cure, he decided to strike out and forge his own path to health, using whatever herbal and alternative healing methods he could find.
Book Review: Toxic Dentistry Exposed Graeme Munro-Hall, BDS, and Lillian Munro-Hall, BDS, wrote “Toxic Dentistry Exposed: The Link between Dentistry and Chronic Disease". Graeme and Lillian explain the need for holistic dentistry, the link of oral health and systemic health problems, and provide excellent case studies.
Book Review: The Toxic Dental Office - How to protect yourself and your family A new patient comes into your dental practice. How do you explain the thousands of issues about a biological dental practice in the allotted time? Simply put you can’t! You can only explain a few methods and procedures that may directly relate to the patient’s initial complaint. It is a steep learning curve for patients.
Book Review: The Poison in Your Teeth: Mercury Amalgam (Silver) Fillings… Book Review: The Poison in Your Teeth: Mercury Amalgam (Silver) Fillings…. Hazardous to Your Health
Author: Tom McGuire, DDS Review by: Marjorie Theroux Tietjen  
Book Review: Beating Alzheimer's A Step Towards Unlocking the Mysteries of Brain Diseases by Tom Warren  Tom details the remarkable personal story of how he reversed the devastating symptoms of Alzheimer's disease in this book, "Beating Alzheimer's - A Step towards Unlocking the Mysteries of Brain Diseases". Through extensive reading, Tom was able to find the science that led to his recovery and outlines the step-by-step plan that he followed to free himself from the grips of this relentless disease.
Book Review: Amalgam Illness: Diagnosis and Treatment, by Andrew H Cutler While there are many books available about detoxing from mercury, "Amalgam Illness, Diagnosis and Treatment: What You Can Do to Get Better, How Your Doctor Can Help" is highly praised and regarded as one of the safest, most effective protocols used for detoxing from mercury. Read on to learn more about this book from the author and publisher.
BBC Panorama The Poison in Your Mouth Most people have metal or amalgam fillings in their mouth and each filling is made from 50% mercury. Science has shown that everytime we chew, brush, or grind our teeth, some of the mercury is released as a vapor and we inhale it. Panorama has uncovered a growing body of scientific evidence which shows ominous links between the mercury from our fillings and serious illnesses. We also reveal an uncomfortable background of complacency and ignorance within the British Dental establishment which is helping mask the truth about the dangers of the poison in your mouth.
Backstory to the FDA 2010 hearings on the safety of dental mercury amalgam fillings The International Academy of Oral Medicine and Toxicology presents the backstory and lead up to the 2010 FDA hearing on amalgam safety.
Atraumatic Restorative Treatment (ART) An inexpensive, safe, effective alternative to amalgam Dr Prathip Phantumvanit from Thailand is a founder of Atraumatic Restorative Treatment (ART) which is an inexpensive, safe and effective alternative to mercury amalgam dental fillings.
American Dental Association owes no legal duty of care to protect the public from allegedly dangerous products used by dentists "The ADA owes no legal duty of care to protect the public from allegedly dangerous products used by dentists... ...The ADA's only alleged involvement in the product was to provide information regarding its use. Dissemination of information relating to the practice of dentistry does not create a duty of care to protect the public from potential injury".
Amalgam Debate: Distorted Science Robert Cartland, an Engineering Physicist from Southern California, examines two widely touted statements, one from each side of the amalgam debate, that have more rhetorical than scientific value. The first is the IAOMT claim that mercury is the most toxic nonradioactive element on the periodic table. The second is the ADA claim that amalgam is safe because it binds mercury in a way similar to the molecules in table salt. Both statements are misleading and distort the science.
ADA promotes chewing gum which increases mercury vapor released from silver mercury fillings by 15% In 2007 the ADA started awarding their ADA Seal of Acceptance to chewing gum manufacturers. Unfortunately there was no warnings that chewing gum can increase release of mercury vapor from "silver" mercury fillings as noted in the 1981 landmark study by Dr. Carl Svare, found that mercury release from fillings increases by 15-fold whenever the fillings are stimulated by chewing, brushing, hot fluids and bruxism.
ABC NEWS - FDA Panel Reviews Health Safety of Mercury Fillings Opponents of Dental Mercury Want Restrictions, If Not Ban
A federal advisory panel is trying to decide whether the U.S. Food and Drug Administration relied on adequate science when it determined last year that mercury amalgam can safely be used to fill cavities in healthy people.The FDA didn't find evidence that dental mercury hurts developing fetuses, young children and those sensitive to its potential health effects.
A series of funny cartoons on dental mercury fillings Here is a collection of funny cartoons on dental mercury fillings we found on the internet, enjoy.  Please, feel free to submit more if you find any.
A Critical Analysis of the Science Underestimating Mercury Released from Amalgam Fillings Many dental journals frame the conversation of mercury released from amalgam fillings as a “controversy”. They continually underestimate the emission of Hg from amalgam in order to downplay any potential for adverse effects. This article compares the methodologies between research by Dr. Boyd Haley indicating amalgam releases large amounts of Hg over time and another researcher, who is funded by the dental materials industry.
A Brief Overview of the Petition For Reconsideration For over 33 years the FDA dodged properly classifying dental mercury amalgam as it was grandfathered in without proof of safety. In 2007 the FDA lost a lawsuit which forced them to classify. The final FDA classification declared mercury amalgam to be safe for anyone and everyone, without regard to age, reproductive status, or any of the known factors that make a person susceptible to the effects of mercury exposure.
A Brief History of Dental Amalgam In testimony to the FDA's dental products panel in December 2010, David Kennedy DDS gives a brief overview of the history of dental amalgam and debunks popular pro-mercury arguments.
A Brief History of Alzheimer's Disease Boyd Haley P.h.D. gives a brief overview of the history of Alzheimer's disease and how the increased use in amalgam coincides with the rise in Alzheimer's disease.
2010 Assessing EPA's Efforts to Measure and Reduce Mercury Pollution from Dentist Offices May 26, 2010, the Domestic Policy Subcommittee held a hearing entitled "Assessing EPA's Efforts to Measure and Reduce Mercury Pollution from Dentist Offices." The purpose of the hearing is to examine actions undertaken by EPA and other stakeholders to improve measurement of and limit mercury pollution from dental sources.
2008 Reducing Dental Mercury Emissions:Installing Amalgam Separators and Achieving Compliance The Subcommittee on Domestic Policy held a hearing entitled "Reducing Dental Mercury Emissions Installing Amalgam Separators and Achieving Compliance." The hearing examined existing state and local government initiatives and regulations aimed at reducing dental mercury emissions, evaluated their success, and documented the lessons learned. 
2008 Assessing State and Local Regulations to Reduce Dental Mercury Emissions July 8, 2008, the Subcommittee on Domestic Policy held a hearing entitled "Assessing State and Local Regulations to Reduce Dental Mercury Emissions." This hearing examined existing state and local government initiatives and regulations aimed at reducing dental mercury emissions, evaluated their success, and documented the lessons learned.
2007 Environmental Risks of and Regulatory Response to Mercury Dental Fillings November 14, 2007, the Subcommittee on Domestic Policy held a hearing entitled "Environmental Risks of and Regulatory Response to Mercury Dental Fillings." The purpose of the hearing is to examine actions undertaken by EPA and other stakeholders to improve measurement of and limit mercury pollution from dental sources.
2004 Truth Revealed: New Scientific Discoveries Regarding Mercury in Medicine and Autism September 8 2004, the Subcommittee on Human Rights and Wellness of the Committee on Government Reform held a hearing entitled "Truth Revealed: New Scientific Discoveries Regarding Mercury in Medicine and Autism."
2004 California's Compliance with Dental Amalgam Disclosure Policies January 26 2004, the Subcommittee on Human Rights and Wellness of the Committee on Government Reform held a hearing entitled "California's Compliance with Dental Amalgam Disclosure Policies."
2003 The Environmental Impact of Mercury Containing Dental Amalgams October 8, 2003, the Subcommittee on Human Rights and Wellness of the Committee on Government Reform held a hearing entitled "The Environmental Impact of Mercury Containing Dental Amalgams."
2003 Consumer Choice and Implementing Full Disclosure in Dentistry May 8, 2003, the Subcommittee on Human Rights and Wellness of the Committee on Government Reform held a hearing entitled "Consumer Choice and Implementing Full Disclosure in Dentistry."
2002 Mercury in dental amalgams: An examination of the science November 14, 2002, the Committee on Government Reform held a hearing entitled "Mercury in dental amalgams: An examination of the science."
"Silver" Amalgam Fillings Containing Mercury Are Still Commonly Used Among Young US Dentists Despite improvements in resin-based composite technology, US dentists are placing more amalgam restorations than composites, and amalgam is still emphasized by US dental schools, according to the results of 2 studies published in the June issue of the Journal of the American Dental Association.
"NoBody needs mercury!" - our mutual slogan and logo!? One of my goals for the future is that we join forces as to marketing, branding and thus create a unified front by ... next to our existing logos/names ... incorporating and promoting the “Nobody needs mercury!” slogan respectively product range in order to … in an easy to grasp way … heighten the awareness about the mercury issue and the acceptance of the diagnosis heavy metal toxicity:
"Doubt Is Their Product" outlines how industry uses junk science to manufacture doubt and controversy "Doubt is our product," a cigarette executive once observed, "since it is the best means of competing with the 'body of fact' that exists in the minds of the general public. It is also the means of establishing a controversy." This book gives great insight into how trade organizations like the American Dental Association can use junk science to manufacture doubt and controversy.

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Friday, 23 December 2011 02:12

Daubert: The Most Influential Supreme Court Ruling You’ve Never Heard Of

ext-supreme-courtDaubert: The Most Influential Supreme Court Ruling You've Never Heard Of

TEN YEARS AGO, on June 28, 1993, the United States Supreme Court issued an opinion relating to how federal judges should decide whether to allow expert testimony into the courtroom. Prior to this, most federal and state court judges had been relying upon two standards to decide if expert testimony was admissible: relevance (if the testimony addressed a fact at issue in the case and if it would be helpful to the jury); and a 1923 ruling known as Frye, which held that the methods used by the expert in forming his scientific conclusions must be generally accepted within the expert community. Critics of Frye argued that it often excluded new but legitimate science that had not yet gained a consensus within the scientific community. Moreover they pointed out that science was not a "majority rules" endeavor. On the other hand, others argued that abandoning the Frye standard and relying merely on the relevance standard allowed in too much science that was poorly designed or not reliable – what some chose to call "junk science." 

The Supreme Court sought to clarify these standards in Daubert v. Merrell Dow Pharmaceuticals, Inc.1 by directing judges to act as "gatekeepers" in the courtroom. It instructed judges to examine the scientific method underlying expert evidence and to admit only that evidence that was both "relevant  and reliable." Two later cases, General Electric v. Joiner and Kumho Tire Co. v. Carmichael, expanded upon this opinion.2 In Joiner, the Supreme Court ruled that appellate courts should not overturn the admissibility decision of a trial court unless the trial court abused its discretion, an extremely difficult thing to show. Kumho clarified the Daubert ruling by finding that it should be applied to all expert testimony, including testimony based on experience, not merely that which relied upon science. 

But what started as a well-intentioned attempt to ensure reliable and relevant evidentiary science has had troubling consequences. Over the past 10 years some judges, in our opinion, have routinely misinterpreted and broadened the reach of Daubert, which has become the latest and most effective tool used by tort defendants to protect themselves from product liability and personal injury cases. Polluters and manufacturers of dangerous products are successfully using Daubert to keep juries from hearing scientific or any other evidence against them.

In the aftermath of Daubert, not only are many legitimate scientists and their work being barred from the courtroom, but plaintiffs are being denied their day in court, unfairly in our view. Much of the evidence that forms the basis of a plaintiff's case, from the safety of drugs and consumer products to whether pollution has caused harm, is  based on science. Inany cases, pre-trial "Daubert hearings" exclude so much of the evidence upon which plaintiffs intend to rely that a given case cannot proceed.

Moreover, this process is largely shielded from public view. The Daubert hearing does not happen at the trial, and most judicial decisions on admissibility are not published. And because of Joiner, they are nearly impossible to overturn.

Following Daubert:

■ The percentage of expert testimony by scientists that was excluded from the courtroom rose significantly.3

■ This rise in excluded testimony has led to an increase in successful motions for summary judgment, since, without expert testimony, there is often little left with which to proceed. The percentage of summary judgments granted post-Daubert more than doubled. Over 90 percent of these judgments came down against plaintiffs.4

■ The expense of defending a Daubert challenge appears to be having a "chilling effect" upon plaintiffs, who don't have the same resources as large corporations and often cannot afford to defend against aggressive attacks on their experts.5

■ Scientists and physicians are likely to be increasingly reluctant to provide expert testimony in civil litigation cases because of the lengths to which defendants go to discredit them and their work.

■ Emboldened by their success in the courtroom, powerful interests are now trying to extend the reach of Daubert- ike evidentiary standards to the regulatory arena, where they may affect the federal government's ability to understand and act to reduce risk from hazardous exposures.6,7

■ In contrast, because of the cost of mounting Daubert challenges, they are rarely brought in the criminal justice system, where life and liberty – rather than economic interests – are at stake.3 It is in this arena where the most meager rather than the most stringent scrutiny of scientific evidence is applied.

The Daubert Definition of Good Science

When the Supreme Court issued its opinion in Daubert, it suggested four criteria for determining whether science was reliable and, therefore, admissible:

1) is the evidence based on a testable theory or technique;

2) has the theory or technique been peer reviewed;

3) in the case of a particular technique, does it have a known error rate and standards controlling the techniques operation; and

4) is the underlying science generally accepted?

The Court cautioned that the list should not be regarded by judges as "a definitive checklist or test," opening the door for judges to employ criteria of their own. 

Two Supreme Court Justices voiced serious concerns about asking federal judges to take on the role of deciding what is good versus bad science, fearing that this was akin to asking judges to become "amateur scientists." Notably, Chief Justice Rehnquist, joined by Justice Stevens, wrote in a dissenting opinion: "Questions arise simply from reading this part of the Court's opinion, and countless more questions will surely arise when hundreds of district judges try to apply its teaching to particular offers of expert testimony."1

It isn't just federal district judges who interpret these teachings, however. Though Daubert was based on an interpretation of the Federal Rules of Evidence, and intended for use by federal judges, roughly one-third of state courts (which routinely adopt Federal Rules of Evidence) have also adopted the Daubert criteria in determining the admissibility of expert testimony. 

Some leading jurists, however, seem quite dismayed by the notion of judges attempting to determine the validity of scientific evidence using the criteria established in Daubert.

"...the Daubert opinion appears politically naïve about the 'methods and procedures' of both science and evidentiary admissibility," wrote Arizona Supreme Court Chief Justice Stanley Feldman, in a case in which expert testimony had been excluded in a lower court. "Multi-factored, 'flexible' tests of the sort announced in Daubert are more likely to produce arbitrary results than they are to produce nuanced treatment of complex questions of admissibility."8

One result of Daubert is a battle over where product liability and toxic tort cases are tried. Plaintiffs prefer those state courts that are friendlier to their experts. Defendants on the other hand, try to remove these cases to federal court, where they have a better chance of having expert testimony excluded and winning summary judgment.

In some cases, plaintiffs have even tried suing the doctor who prescribed the drug or the pharmacist who filled the prescription to keep the case in state court. Noted legal scholar and Brooklyn Law School Professor Margaret Berger explains that if one of the defendants lives in the same jurisdiction as the plaintiff, the action cannot be removed to federal court.

"Now, there is an effort by defendants to stop that [venue-based suits] by alleging fraud or collusion because the plaintiff never really intended to proceed against the doctor or pharmacists," said Berger. "Defendants are asking that the case should be removable to federal court where it's often much easier to get the plaintiff's experts excluded; because it's in federal court that you are getting these opinions."9

Whose Definition of Science Is This?

In the two decades prior to Daubert, the number of product liability and so-called "toxic tort" cases had been rapidly increasing. Corporations that had manufactured hazardous products, like asbestos, were losing in court and paying large sums of money to people who died or were made sick by their products. 

It was against this backdrop that Peter Huber and the ultra-Conservative Manhattan  Institute launched a highly successful public relations campaign aimed at discrediting the work of scientists who found evidence of adverse health effects caused by exposure to a range of toxic chemicals.10

Well-funded by corporate backers, Huber and the Manhattan Institute promoted the phrase "junk science." The term "junk science" has no real meaning. In his widely publicized and distributed book, Galileo's Revenge, Huber offers only a broad-ranging "I know it when I see it" description of "junk science" rather than a definition:

"Junk science is the mirror image of real science, with much of the same form but none of the substance....It is a hodgepodge of biased data, spurious inference, and logical legerdemain.....It is a catalog of every conceivable kind of error: data dredging, wishful thinking, truculent dogmatism, and, now and again, outright fraud."11

The term "junk science," like pornography, seems to be in the eye of the beholder. Simply stated, junk science usually seems to be science whose results or methods the user of the phrase disagrees with. Predictably, researchers who are funded by the tobacco industry, (which also helped fund the "junk science" movement) are never labeled junk scientists by Huber and his colleagues. 

In Galileo's Revenge, Huber attacked the environmental and occupational sciences in particular, leveling factually inaccurate charges against many scientific endeavors that might appear to threaten corporate interests. Following the publication of his book in 1991, Huber gained unprecedented influence among judges and policymakers. The widespread publicity elevated Huber to a position as one of the country's leading voices in the policy debate over tort reform. Galileo's Revenge became so widely recognized it was frequently cited by lawyers, lobbyists, former Vice President Dan Quayle and – most crucially – Judge Alex Kozinski, who used Huber's definition of "good science" as "the main explication of the scientific method" when writing his opinion in Daubert for the U.S. Court of Appeals for the Ninth Circuit, where the case was remanded by the U.S. Supreme Court.12

THE PROJECT ON SCIENTIFIC KNOWLEDGE AND PUBLIC POLICY (SKAPP) is an initiative engaging eminent scholars and scientists to examine scientific evidence and its application in the legal and regulatory arenas. The project encourages the understanding and use of the best available scientific evidence in policy decisionmaking. The planning committee and staff for SKAPP include academics and researchers with backgrounds in philosophy, biochemistry, medicine, epidemiology, economics, and occupational and environmental health, several of whom have previously served at high levels in government. 

That this book was quoted by Judge Kozinski when he wrote his opinion was a major coup for Huber and his backers. The Daubert opinion – and the way in which it is being interpreted – has provided a mechanism for Huber's point of view to substantially impact the entire civil litigation system.

When Judge Becomes Scientist...and Clinician...and Jury

One of the myths propagated by Daubert is that scientific methodologies and opinions are made up of universally-adopted standards that can be evaluated by judges using a simple checklist. Daubert encourages judges to separately evaluate the various elements of scientific evidence, rather than proceeding as most scientists do, by assessing the totality of the evidence, giving greater or lesser importance to particular parts. Reputable scientists often reach different conclusions when analyzing the same

data and using the same methodologies. Perhaps in an attempt to find clarity where

none may yet exist, some federal judges seem to be setting standards for "good science" that are higher (and often based on an erroneous understanding of the methods) than those used by experts within the field – taking on precisely the role of "amateur scientist" as Chief Justice Rehnquist feared.   

Scientific evidence and opinion is especially crucial in toxic tort cases, when a plaintiff relies on scientific experts to demonstrate causality. This burden on the plaintiff is considerable because very little is known about the toxicity of  the 100,000 chemicals or their derivatives that are registered for use in commerce. A study by the National Research Council found that the most basic toxicity data on 75 percent of the nation's 3,000 high-volume chemicals cannot be found in public records.13 

Even when toxicity data is available, researchers rarely reach definitive conclusions that proclaim: "exposure to toxic substance A will cause disease B." What they do find is that a group of people, when exposed to a certain substance, are more or less likely to develop a particular disease or condition than those not exposed. Epidemiologists – scientists who study the distribution and determinants of disease and injury – also examine the length of time between an exposure and when a person first develops symptoms of the disease; the intensity and duration of the exposure; and other factors, such as whether she has been exposed to anything else that might have caused the disease, among other things. 

"In the final analysis, assessment of evidence and causal inferences depend on accumulating all potentially relevant evidence and making a subjective judgment about the strength of the evidence," according to Dr. Jerome P. Kassirer, former editor-inchief of the New England Journal of Medicine and Dr. Joe S. Cecil of the Federal  Judicial Center. Drs. Kassirer and Cecil examined the impact of Daubert in a 2002 article published in the Journal of the American Medical Association (JAMA). They found that anumber of courts require standards for expert testimony that exceed those that physicians use in ordinary clinical decision-making.14 

Some judges, however, have dismissed cases because the plaintiff did not have evidence from epidemiological studies. The scientific community understands that for many toxic substances, epidemiological evidence does not exist and may never be available for particular chemicals. It is unethical for researchers to feed toxic substances to people or force them to breathe hazardous chemicals to see what dose causes cancer. Instead, scientists rely on the results of "natural experiments" where exposures have already happened. Scientists rely on the data that is available, like a detective gathering evidence. Scientists, like detectives, may never have all the evidence, but will offer an opinion based on the available information.  

Making "reasoned judgments" after "accumulating all potentially relevant evidence"  is the role a jury ordinary plays.   The "preponderance of the evidence" standard, which juries are directed to apply in civil cases, would have them do precisely that. But oftentimes juries do not have the opportunity to make those judgments, because judges are excluding evidence via Daubert hearings – not based on its cumulative impact but based upon the strength or weakness of each individual piece of evidence – before it ever reaches the jury.

"It is all being handled pretrial," remarked Berger. "And the public trial before a jury doesn't occur." That's more than just a shame – it raises serious constitutional issues. "I think the Seventh Amendment could be read as not just entitling a litigant to a jury verdict, but more broadly to a jury trial when experts in different disciplines disagree," Berger explained. "Even if a plaintiff's verdict were ultimately set aside as not based on sufficient evidence of causation, a public trial means the plaintiff gets to tell his or her story and it also means that wrongdoing on the part  if defendants can be exposed. Even when causation cannot be proved, that does not necessarily mean that defendants did not act in a reprehensible manner in exposing the public to risk. For example, problems often develop with drugs long after they have been approved for market. Jury trials could reveal whether corporations knowingly kept drugs or products on the market after it became clear that problems existed. If such a case ends with a Daubert hearing, none of this will ever become public."9

The Two-Fold Increase in Risk Standard & Statistical Significance 

In the post-Daubert world, judges increasingly prevent juries from hearing any epidemiological evidence related to causation. One reason for this is that some judges require that an epidemiological study demonstrate a two-fold increase in risk of health effects from an exposure, plus statistical significance. In addition, it is well established that the legal community equates epidemiologic measures such as a twofold increase in disease with the legal threshold of "more probable than not."15 

"Insisting upon a study finding a two-fold increase in risk of disease related to exposure as a fixed standard of association inappropriately confuses a number of fundamental epidemiologic principles," said Dr. Barry Levy, a physician and epidemiologist. Dr. Levy is an independent consultant in occupational and environmental health and an Adjunct Professor of Family Medicine and Community Health at Tufts University School of Medicine. He is also a past president of the American Public Health Association and senior co-editor of a leading textbook on occupational  health, now in its fourth edition. "There are many relatively weak associations that are well accepted as being causal, such as the association between passive smoking and lung cancer," he said.9

"For example, most studies of the relative risks of lung cancer among nonsmoking women as a result of their husbands being light smokers show a relative risk between 1.0 and 2.0 – elevated, but not doubled. This less than two-fold risk increase is widely accepted as causal. But under the two-fold standard required by some judges, this scientific finding would have been thrown out." 

Consider the court's misunderstanding of epidemiologic principles in the case of Chambers v. Exxon Corp., in which a contractor at an oil refinery in Baton Rouge was exposed to benzene and who then developed chronic  myelogenous leukemia (CML), a rare form of cancer. 

Dr. Peter Infante, former Director of the Office of Standards Review at the U.S. Department of Labor's Occupational Safety and Health Administration and an Adjunct Professor of Environmental and Occupational Health at George Washington University, was to have testified as the author of a 1977 study that confirmed that benzene caused   leukemia. He also would have testified regarding a 1995 analysis he published that found a four-fold increase in the risk of developing CML from exposure to benzene.16

But the judge excluded his testimony, relying upon a statistical significance standard, and issued a summary judgment in favor of the defendant. Dr. Infante said the judge not only made a factual error – his analysis was the first to show a more than twofold increase plus statistical significance – he asked for more than what most in the field would have required for such a rare disease.

"No one in the world will disagree that benzene causes leukemia," Dr. Infante said. "But, to show it causes the less common types of leukemia is very difficult because studies of blue collar workers don't have enough statistical power to identify these excessive risks even when they are present. Nonetheless, my 1995 analysis did just that."9

In the Chambers v Exxon case, it should not have been necessary to push the bar to such elevated heights, in any event, Dr. Infante said. "Because if you looked at the totality of the scientific evidence, there were enough other facts to support the claim. Furthermore, he was exposed to benzene and nothing else that was known to cause leukemia. How could it not have contributed to it?" Legal scholar Margaret Berger notes that some state courts, such as the New Jersey Supreme Court, have rejected the two-fold relative risk as a threshold for the admission of epidemiological evidence.

Methodology

Because Daubert requires judges to examine scientific methodology, some judges appear to have interpreted this to mean they can simply exclude all testimony that relies upon any methodology they are not comfortable with – even if the methodology is well-accepted by experts in the field. 

In the case of Castellow v. Chevron USA, for example, the court rejected all of the plaintiff's experts because it did not believe in the methodologies used by one of them.17 

In this case, Dr. Levy was to have testified regarding the strong association between exposure to benzene and development of acute myelogenous leukemia (AML), as he had in a deposition. In his trial testimony, he would have stated that benzene has been shown to cause AML and that, specifically, the plaintiff's exposure to benzene more likely than not caused him to develop this disease. 

Another expert, a senior industrial hygienist, testified in a deposition about the exposure assessment he prepared that used an exposure model to estimate the plaintiff's exposure to benzene.

"The judge excluded both the industrial hygienist's modeling testimony and my testimony, which was, in part, based on modeling, because the judge did not believe in modeling as a methodology – even though modeling is an established practice among researchers and others in the field," Levy said.9

Other federal judges have excluded testimony because they disapprove of certain kinds of evidence, such as case studies or clinical diagnoses. In Nelson v. American Home Products Corp., a man who was prescribed the drug Cordarone to control ventricular arrhythmia following a heart attack began losing sight in one eye shortly after he began taking the drug. The plaintiff brought together six expert witnesses, including a professor of neurophthalmology at the University of California San Francisco who had diagnosed three similar cases of Cordarone-induced optic neuropathy. Included in their testimony would have been evidence that following this gentleman's injury, the manufacturer changed the package insert for the drug, noting that some patients developed impaired vision after taking it.18

However, because most of the evidence the plaintiff would have presented was in the form of clinical evidence and case studies and not epidemiological studies, the judge excluded all of the evidence and granted summary judgment in favor of American Home Products.

Case reports, the judge wrote, "do not demonstrate a causal link sufficient for admission to a finder of fact in court," are not subject to peer review and "do not advance testable scientific analysis." The last two of these three points are false. Yet this is the type of evidence routinely used by clinicians, according to Drs. Kassirer and Cecil in their 2002 JAMA article on inconsistencies in evidentiary standards. "In clinical medicine, a biologically plausible relationship, physiological studies of a drug, animal studies, or even a handful of case reports can be useful in individual cases in helping a practitioner make judgments about cause and effect relationships."14

Same Evidence, Different Standards 

Respected scientists often reach different conclusions regarding the same data. Unfortunately, when confronted with disagreement within the scientific community regarding such evidence, some judges take it upon themselves to resolve these disputes or disallow all testimony, rather than allowing the jury to hear both sides. 

Not unexpectedly, different judges have also reached different conclusions when presented with the same evidence. 

Several similar lawsuits brought in state and federal court against the manufacturer of Parlodel, a drug used to suppress lactation, support this point. Plaintiffs in these cases alleged that Parlodel caused them to have strokes, seizures and heart attacks. Sandoz Pharmaceuticals, the manufacturer of Parlodel, eventually revised its package insert to report case studies of postpartum hypertension, seizures and strokes. The FDA continued to receive reports of adverse reactions to the drug and in 1994 Sandoz agreed to the Food and Drug Administration's proposal that it completely withdraw the drug's indication as a lactation suppressant.19

The plaintiffs in these suits against Sandoz presented case studies, animal studies, challenge-rechallenge data, toxicology studies and the opinions of medical professionals, including testimony from a member of the FDA's Fertility and Maternal Health Drugs Advisory Committee who had reviewed the safety of Parlodel for the federal government. 

In the majority of cases, judges excluded the expert testimony and granted summary judgment to Sandoz. In Hollander v. Sandoz Pharmaceuticals, Corp., for example, the judge dismissed two entire classes of science – animal studies and case reports – as unreliable. The judge said the results of animal studies could not be extrapolated to humans and gave no credibility to case studies because they "are not controlled studies and do not eliminate confounding variables."20

At least one judge thought a jury should hear the disputed facts regarding Parlodel and make up its own mind. In Globetti v. Sandoz Pharmaceuticals, the U.S. District Court for the Northern District of Alabama wrote a starkly contrasting opinion, based upon much of the same evidence.

"It is not part of the trial judge's gatekeeping role to determine whether the proffered opinion is scientifically correct or certain in the way one might think of the law of gravity [emphasis in original]," the court wrote. "...it is the fact- inder's role (usually a jury) to determine whether the opinion is correct or worthy of credence. For the trial court to overreach in the gatekeeping function and determine whether the opinion evidence is correct or worthy of credence is to usurp the jury's right to decide the facts of the case. All the trial judge is asked to decide is whether the proffered evidence is based on "good grounds" tied to the scientific method."21

Chilling Effect

Defending a Daubert challenge can cost plaintiffs hundreds of thousands of dollars. Even if the plaintiff prevails the jury award may barely cover those costs. This may be one of the reasons that, in the 10 years since Daubert, the number of tort trials has been steadily decreasing.5

In a 2002 analysis by the RAND Institute for Civil Justice, researchers examined 399 published and unpublished federal decisions over a 20-year period to determine the overall impact of Daubert. They found that after an initial spike in the number of challenges to expert testimony, the incidence began to fall off dramatically, suggesting that plaintiffs increasingly decided not to bring actions that relied heavily upon scientific testimony unless that testimony met the Daubert standards.

Plaintiffs may likely have been further discouraged from bringing claims by the rise in summary judgments following Daubert. The RAND analysis found that, in the period immediately after the ruling, several trends occurred simultaneously:

■ the proportion of evidence that was challenged rose;

■ the proportion of challenges resulting in evidence being excluded rose;

■ the frequency with which motions for summary judgment were brought (and

granted) also rose.4

The RAND analysis also found that judges were excluding challenged evidence if it failed to meet even a single one of the Daubert criteria, despite the Supreme Court's caution that they should not use these criteria as a "checklist." 

These trends may have discouraged plaintiffs from bringing suits, and they clearly encouraged defendants "to expand the scope of their challenges to the point where they increasingly challenged the entire basis of the case and thus more frequently requested summary judgment," the RAND authors wrote. The percentage of summary judgments granted post-Daubert more than doubled, the RAND report found. Nearly 90 percent of these judgments were granted in favor of defendants.4

"Daubert works effectively as another tool for terminating litigation without a trial or jury," concluded Professor Berger, in her own analysis of the impact of Daubert, presented at a conference on scientific evidence and public policy earlier this year.5

"In my mind, Daubert gives trial judges far more authority over civil cases than they ought to have," said Arizona State Supreme Court Chief Justice Stanley Feldman, now retired after 20 years on the bench. "What I feared would happen eventually, and what has happened, is that instead of having jury trials we now have Daubert hearings before the judge. The judge, in effect, then determines the outcome of the case by granting summary judgment. To my mind, this far exceeds any power that the Constitution gave judges over jury trials."9

If Daubert has had a chilling effect upon plaintiffs, it has also discouraged the experts, many highly regarded in their fields, whose testimony is at risk of being discredited by judges who disapprove of the methodology they used.

David Michaels, a Professor in the Department of Environmental and Occupational Health at the George Washington University School of Public Health and Health Services and former Assistant Secretary of Energy for Environment, Safety and Health at the U.S. Department of Energy, said the Daubert process may be keeping well-regarded scientists out of an area where they could be providing a public service. "I'm concerned that scientists are hesitant to testify for fear of being drawn into a lengthy and unpleasant process where they have to defend their good names," he said.9

Likewise, "some physicians now decline in frustration to participate in legal proceedings," Drs. Kassirer and Cecil write in their 2002 JAMA article.

Another costly consequence for plaintiffs is that the presentation of evidence at a Daubert hearing allows the defendant ample time to prepare its own experts. Since most defendants in product liability or toxic tort cases have far more resources than the person bringing suit, they can easily hire experts to prepare studies that, at the very least, cast doubt upon the "guilt" of their product.

As Justice Feldman rightly pointed out in his 2000 opinion, "corporations and other wealthy defendants...(are) the very parties most capable of manufacturing or purchasing questionable scientific opinions."8

Your Money or Your Life: Where's Daubert?

Daubert has not been widely applied in the criminal justice sciences, where prosecutors often rely on evidence of questionable validity (such as bite marks, blood splatter and shoe identification) – even though far more is at stake.

Most defendants in criminal cases simply do not have the financial resources to launch Daubert challenges to the state's expert witnesses, Berger points out. Nor can they afford to bring in their own experts. Because challenges to expert testimony in the criminal justice system are rare, exclusions are even rarer. "There have been some attempts but most criminals are indigent and get assigned counsel," she said. "They have neither resources nor time to investigate complex legal issues, and states with strained budgets are often unwilling to fund defense experts."9

Moreover, the courts tend not to sympathize with people accused of committing crimes. Faulty science routinely goes unchallenged in the criminal courts according to Peter Neufeld, an attorney and co-founder of The Innocence Project at the Benjamin N. Cardozo School of Law. The Innocence Project represents hundreds of inmates seeking post-conviction release through DNA testing. "Daubert has had little impact on protecting criminal defendants from wrongful convictions," Neufeld laments. Absent the context of potentially millions of dollars of corporate finances at stake, "in that kind of context, you're not going to get that kind of rigorous investigation of the merits of the evidence, generally speaking," he said.22

And that, said Professor Michaels, is where Daubert has turned our nation's system of justice upon its head. "Given our societal commitment to convict only those who are guilty of a crime beyond a reasonable doubt, the quality of scientific evidence used in criminal cases deserves far greater scrutiny than it currently receives," he said. "In contrast, it appears that inappropriate and inconsistent scrutiny of expert witness testimony is occurring in our system of civil justice. There is something very wrong about this."9

Taking Daubert Beyond the Courtroom

The influence of Daubert does not end at the doors of the courtroom. Empowered by their success in the federal and some state courts, tort "reform" groups, wellfinanced by industry and insurance trade associations, have expanded their decadeslong campaign against "junk science," to include forays into the regulatory arena.

Toward this end, the Annapolis Center – a think tank founded by a vice president of the National Association of Manufacturers and funded by several steel companies, oil refiners, electric utilities and industry groups –convened a work group of scientists, doctors and lawyers – to develop "a primer for non-scientists who seek to understand epidemiologic studies" and how such evidence "can best be used by legal decisionmakers." The primer, titled, "Epidemiology in Decision-Making" published in 1999, calls for "the application of Daubert to judicial review of the science upon which administrative agencies rely."7

Indeed, large corporations and their representatives have recently issued several Daubert-like challenges to the U.S. Environmental Protection Agency (EPA) under the Data Quality Act. This Act, passed in 2000, provides interested parties with a formal administrative mechanism for challenging the quality of scientific information used in Federal regulatory agency decision making.23, 24

In one of the first petitions under the Data Quality Act, the Center for Regulatory Effectiveness (CRE) – a lobbying group acting on behalf of corn growers and the chemical industry – challenged EPA's right to draw conclusions about the potential ecological effects of the widely-used herbicide, atrazine. The CRE petition argued that EPA could not include peer-reviewed academic studies documenting endocrine disruption effects in its assessment of risk from atrazine, because EPA had not yet established testing protocols to characterize endocrine effects. These studies showed that developing frogs exposed to atrazine at levels below those currently allowed in drinking water and ambient water produced sexual deformities, including hermaphroditism.25, 26

The EPA has deferred its decision about what conclusions it will draw about the endocrine-disrupting potential of atrazine until after a meeting of the pesticide Scientific Advisory Panel, scheduled for June 2003. But in a written response, EPA reassured CRE that the revised risk assessment would state that, "based on the existing data uncertainties, the chemical should be subject to more definitive testing once the appropriate testing protocols have been established." This comment raises the specter of EPA ignoring credible peer-reviewed studies that show unexpectedly dramatic effects because of industry pressure applied under the Data Quality Act.27

Last year, the U.S. Chamber of Commerce went even further, proposing that the

Bush administration adopt an Executive Order "requiring all federal agencies to apply

the Daubert standards in the administrative rulemaking process." In a statement posted on its website, the Chamber calls for "the same standards of relevance and reliability that safeguard the rights of litigants in federal courts" to be applied to the science underlying federal regulations.6

Should an Executive Order be adopted, the Chamber statement assures, "we will work with the administration and Congress to ensure that adequate enforcement procedures are available to compel agency compliance with any Daubert-based Executive Order or legislation and will continue to track federal agency rulemaking to ensure compliance with existing laws requiring the use of high quality information in the rulemaking process."6

Clearly, some powerful interests are hoping to extend the reach of Daubert well beyond the civil justice system and deep into the policies and regulations that protect the public's health and safety.

Where Will It End?

In his study of evidentiary standards in regulation and law, Professor Sheldon Krimsky of Tufts University identifies a disparity between how regulatory agencies and the courts assess risk of exposure to chemicals and other hazards.28 Regulatory bodies such as the EPA and the Occupational Safety and Health Administration, drawing on practices widely accepted in the scientific and medical communities, are committed to a weight-of-evidence approach in which the totality of the evidence is considered. In contrast, some courts are following selected interpretations of Daubert and are rejecting a weight-of-evidence approach, and instead are evaluating each strand of evidence in isolation. This approach by the courts will typically tilt the scales of justice in favor of polluters and product liability defendants.

The Supreme Court may not have intended that the Daubert decision create an imbalance in our nation's system of justice. But, in our opinion, taken together, the Court's trilogy of decisions – Daubert, Joiner and Kumho – have done just that. Daubert and Kumho hand judges extensive powers for deciding not only whether complex evidence should be allowed into the courtroom, but whether a case should move forward at all when there are differences of opinion among experts. This is a role that the U.S. Constitution intended for juries. But plaintiffs who appeal these evidentiary exclusions run head-on into Joiner, which makes it extremely difficult for appellate courts to overturn the trial court's actions unless there is clear-cut abuse of judicial discretion, an extraordinarily high standard.

Chief Justice Rehnquist's prediction in his cautionary dissent was prescient. Today, judges acting as "amateur scientists" are issuing legal declarations about the validity of work in fields well outside their area of expertise.

On the tenth anniversary of Daubert, the scientific community needs to become much more aware that an obscure procedural decision intended to provide clarity has instead given rise to a serious social imbalance. It has led to unreasonable legal demands of scientific certainty when considering expert testimony that might otherwise demonstrate harm of individual plaintiffs by defendants, often wealthy and powerful companies. At the same time, inappropriate or inaccurate interpretations of science are becoming embedded in legal precedent. Yet in contrast, Daubert has failed to demand from criminal prosecutors better science in the face of weak forensic methods, resulting in the potential conviction of innocent people. And now, the application of Daubert and Daubert-like challenges threaten to paralyze the systems we use to protect public health and the environment.  

1 Daubert v. Merrell Dow Pharmaceuticals, Inc., 113 S.Ct. 2786 (1993).

2 General Electric v. Joiner, 522 U.S. 136 (1997) and Kumho Tire Co. v. Carmichael, 526

U.S. 137 (1999).

3 Risinger DM. Navigating expert reliability: are criminal standards of certainty being left

on the dock? Albany Law Review. 64: 99-152 (2000).

4 Dixon L, Gill B. Changes in the standards for admitting expert evidence in federal civil

cases since the Daubert decision. RAND Institute for Civil Justice (2002).

5 Berger MA. What has a decade of Daubert wrought? The Coronado Conference on

Scientific Evidence and Public Policy. San Diego, California (2003 March 13-14).

6 U.S. Chamber of Commerce. Scientific information in federal rulemaking [cited 2003

June 5]; Available from: URL: http://www.uschamber.com/government/issues/regulatory/scientific.html.

7 The Annapolis Center. Epidemiology in decision-making [cited 2003 June 5]; Available

from: URL: http://www.annapoliscenter.org/Reports/epidemiology.pdf.

8 Logerquist v. McVey, 196 Ariz. 470, 1 P.3d 113, (2000).

9 Statements made during interviews conducted with SKAPP staff during the period May

15-June 6, 2003.

10 Huber PW. Galileo's revenge. New York: Basic Books (1991).

11 Rampton S, Stauber J. Trust us, we're experts! New York: Penguin Putnam, Inc. (2001).

12 Chesebro KJ. Galileo's retort: Peter Huber's junk scholarship, The American University

Law Review. 42 (1993 Summer).

13 Cranor CF, Eastmond DA. Scientific ignorance and reliable patterns of evidence in toxic

tort causation: is there a need for liability reform, Law and Contemporary Problems. 64:

5-48 (2001 Autumn).

14 Kassierer JP, Cecil JS. Inconsistency in evidentiary standards for medical testimony: disorder in the courts, JAMA. 288:1382-1387 (2002 September 18).

15 Greenland S, Robins JM. Epidemiology, justice, and the probability of causation,

Jurimetrics. 40: 321-340 (2000 Spring).

16 Infante PF. Benzene and leukemia: cell types, latency and amount of exposure associated

with leukemia, Advances in Occupational Medicine and Rehabilitation. 1 (1995).

17 Castellow v. Chevron USA, 97 F. Supp. 2d 780 (2000).

18 Nelson v. American Home Products Corp., 92 F. Supp. 2d 954 (2000).

19 U.S. Food and Drug Administration. FDA moves to end use of bromocriptine for postpartum breast engorgement [news release]. (1994 August 17).

20 Hollander v. Sandoz Pharmaceuticals Corp., 289 F.3d 1193 (2002).

21 Globetti v. Sandoz Pharmaceuticals, Corp., 2001 U.S. Dist. LEXIS 2093 (2001).

22 Neufeld PJ. [Remarks] The Coronado Conference on Scientific Evidence and Public Policy.

San Diego, California (2003 March 13-14).

23 Treasury and General Government Appropriations Act for Fiscal Year 2001, Pub.L. No.

105-554 (2001).

24 Office of Management and Budget. Guidelines for ensuring and maximizing the quality,

objectivity, utility, and integrity of information dissemination by federal agencies,

Federal Register. 67: 8452-8460 (2002 February 22).

25 Hayes T, Collins A, Lee M, et al. Hermaphroditic, demasculinized frogs after exposure

to the herbicide atrazine at low ecologically relevant doses, Proc Natl Acad Sci. 99:5478-

5480 (2002 April 16).

26 Hayes T, Haston K, Mable T, et al. Atrazine-induced hermaphroditism at 0.1 ppb in

american leopard frogs (rana pipiens): laboratory and field evidence, Environ Health

Persp. 111: 568-575 (2003 April).

27 U.S. Environmental Protection Agency, Office of Prevention, Pesticides and Toxic

Substances. EPA response to comments from Syngenta and its contractors, the Triazine

Network, the Center for Regulatory Effectiveness, the American Water Works Association, et

al. [Agency memorandum]. (2003 January 28).

28 Krimsky S. The 'weight-of-scientific-evidence' in policy and law, The Coronado

Conference on Scientific Evidence and Public Policy. San Diego, California (2003 March

13-14).

ABOUT THE VIDEO:

Author David Michaels visits Google's headquarters in Mountain View, Ca, to discuss his book "Doubt is Their Product: How Industry's Assault on Science Threatens Your Health". This event took place August 27, 2008, as part of the Authors@Google series.

In Doubt is Their Product, David Michaels reveals how the tobacco industry's duplicitous tactics spawned a multimillion dollar industry that is dismantling public health safeguards. Product defense consultants, he argues, have increasingly skewed the scientific literature, manufactured and magnified scientific uncertainty, and influenced policy decisions to the advantage of polluters and the manufacturers of dangerous products. To keep the public confused about the hazards posed by global warming, second-hand smoke, asbestos, lead, plastics, and many other toxic materials, industry executives have hired unscrupulous scientists and lobbyists to dispute scientific evidence about health risks. In doing so, they have not only delayed action on specific hazards, but they have constructed barriers to make it harder for lawmakers, government agencies, and courts to respond to future threats.

David Michaels is a scientist and former government regulator. During the Clinton Administration, he served as Assistant Secretary of Energy for Environment, Safety and Health, responsible for protecting the health and safety of the workers, neighboring communities, and the environment surrounding the nation's nuclear weapons factories. He currently directs the Project on Scientific Knowledge and Public Policy at The George Washington University School of Public Health and Health Services.

Administrator

mercury-exposure-avatarFor years I've read news stories about dental mercury amalgam fillings that failed to ask vital follow up questions for one to form a better understanding of the true risks involved with exposure to mercury fillings. Rarely was a toxicologist, neurologist or bio-chemist interviewed. Instead, the stories would always give dentists such prominence when promoting the safety of a substance of which they knew nothing about, all while never acknowleding the much lower levels of mercury at which our government has removed other products from the market. So now I'm doing what I can to help raise awareness of the many dangerous aspects of dental mercury fillings.

Website: www.mercuryexposure.info

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