City of Johnstown v. WCAB (Sevanick)

CourtCommonwealth Court of Pennsylvania
DecidedMay 6, 2020
Docket1156 C.D. 2019
StatusUnpublished

This text of City of Johnstown v. WCAB (Sevanick) (City of Johnstown v. WCAB (Sevanick)) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
City of Johnstown v. WCAB (Sevanick), (Pa. Ct. App. 2020).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

City of Johnstown, : Petitioner : : v. : No. 1156 C.D. 2019 : Submitted: January 10, 2020 Workers' Compensation Appeal : Board (Sevanick), : Respondent :

BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge HONORABLE MICHAEL WOJCIK, Judge HONORABLE J. ANDREW CROMPTON, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE CROMPTON FILED: May 6, 2020

This appeal involves a firefighter cancer claim under Section 108(r) of the Workers’ Compensation Act (Act),1 which added cancer to the list of occupational diseases for firefighters in July 2011, as a result of the passage of what is commonly known as “Act 46.”2 Specifically, the City of Johnstown (Employer) petitions for review of an order of the Workers’ Compensation Appeal Board (Board) affirming the decision and order of a Workers’ Compensation Judge (WCJ) granting the claim petition (Petition) filed by retired firefighter Michael Sevanick

1 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§1-1041.4; 2501-2710. Section 108(r) recognizes “[c]ancer suffered by a firefighter which is caused by exposure to a known carcinogen which is recognized as a Group 1 carcinogen by the International Agency for Research on Cancer,” as a compensable occupational disease under the Act. 77 P.S. §27.1(r).

2 Act of July 7, 2011, P.L. 251. (Claimant). Employer contends that the Board erred because (1) Claimant failed to meet his burden of proof that he was exposed to an International Agency for Research on Cancer (IARC) Group 1 carcinogen, within 600 weeks of filing his claim, that could have caused his kidney cancer, and (2) the WCJ’s calculation of Claimant’s benefits was incorrect. Upon review, we affirm.

I. Background On January 8, 2016, Claimant filed his Petition seeking benefits for kidney cancer alleged to have been caused by his exposure to IARC Group 1 carcinogens during his employment as a firefighter.

Claimant testified that he joined Employer’s fire department on June 1, 1977, at which time he underwent a physical examination. He was not treated for any form of cancer during his 20-plus-year firefighting career with Employer. He was a firefighter until 1997 and held the rank of captain from 1997 until 2005. He then served as acting assistant chief, and then assistant chief, until his retirement. He worked in five different fire stations throughout his career and was located at headquarters for approximately two years immediately prior to his retirement on September 10, 2006.

Claimant testified that he smelled diesel fuel during every shift he worked in a firehouse. As to firefighting, Claimant estimated that he fought at least 1,200 to 1,400 fires which involved smoke in varying severity. He was engaged in both interior and exterior firefighting, although the vast majority of his experience was in interior firefighting. While he used various self-contained breathing

2 apparatuses during his career, he did not wear such an apparatus when fighting exterior fires. He testified that during his first 10 years of using a self-contained breathing apparatus, such usage was “on demand,” meaning the mask was not pressurized, and a gap in the mask allowed smoke to enter. Reproduced Record (R.R.) at 27a-28a. Later in his career, the apparatus was upgraded to positive pressure. He wore the mask during the initial phase of interior firefighting but rarely during overhaul, which is the phase in which firefighters ensure all the hotspots are addressed.

Claimant testified that he would smell smoke on himself, even after taking a shower, and that he would blow black soot out of his nose for several days after fighting a fire. R.R. at 34a. When he was an assistant chief, he was frequently exposed to some level of smoke while investigating a fire’s origin. He responded to fires until the end of his career, and he was exposed to smoke and diesel exhaust through the summer of 2006. R.R. at 37a.

Claimant was a smoker between 1964 and 1994, when he quit. He smoked no more than one pack of cigarettes per day, although at times, he would reduce his smoking to a half pack per day or attempt to quit altogether. R.R. at 40a. He noted smoking was permitted in the fire station until the late 1990s. He further testified that his parents had no history of cancer but that his oldest brother was diagnosed with prostate cancer at age 68 or 69. R.R. at 39a-40a.

Claimant was diagnosed with kidney cancer in 2015 and underwent surgery for it. He received no radiation, chemotherapy, or medication. However,

3 he received a CT scan six months after surgery and was told to get annual, follow- up CT scans for the next five years. R.R. at 38a. He was never informed by a physician that there was a relationship between his fire service and his cancer until he reviewed a January 7, 2016 report from Tee L. Guidotti, M.D., who is board certified in internal, pulmonary, and occupational medicine.

In support of his Petition, Claimant submitted Dr. Guidotti’s report and deposition testimony. Dr. Guidotti confirmed that he reviewed Claimant’s medical records. He opined that, within a reasonable degree of medical certainty, Claimant’s kidney cancer is clearly a type of cancer that can be caused by IARC Group 1 carcinogens and that Claimant’s exposure to many IARC Group 1 carcinogens during his career as a firefighter was a substantial contributing factor in the development of his cancer. R.R. at 71a; R.R. at 96a. In his report, Dr. Guidotti wrote: “My understanding is that the issue on which my opinion is requested is whether [Claimant’s] exposure to carcinogens as a firefighter was a substantial contributing factor in his risk for renal cell cancer. My answer is clearly yes.” R.R. at 71a. Further, Dr. Guidotti opined, in pertinent part:

2. Was [Claimant’s] exposure to IARC Group 1 carcinogens a substantial contributing factor in the development of his cancer?

Yes, within reasonable medical certainty. That he was exposed to many IARC Group 1 carcinogens during his career as a firefighter is without question. Firefighting is associated with an elevated risk of kidney cancer, of a magnitude above other risk factors. The cholorinated aliphatic hydrocarbons, in particular, are potent kidney carcinogens. This certainly qualifies as “substantial.” Exposure to these renal carcinogens increased his risk of kidney cancer from all causes and were sufficient cause in themselves.

4 3. Is renal carcinoma a type of cancer that can be caused by IARC Group 1 carcinogens found in the work environment?

Yes, clearly. Id. Dr. Guidotti added that chlorinated aliphatic hydrocarbons, found in trichloroethylene (a Group 1 carcinogen) and tetrachloroethylene (a Group 2 carcinogen), are potent kidney carcinogens present in the smoke from burning materials.

Dr. Guidotti acknowledged that it is impossible to pinpoint a fire call or a last date upon which Claimant was exposed to an amount of any carcinogen that contributed to his cancer. R.R. at 120a. However, he added that thinking in terms of a particular event is misleading because a carcinogen interacts with a number of cells the same way at the same time, but the human immune system keeps some affected cells from becoming cancerous. He added that the conclusion of a demonstrable risk of cancer among firefighters is not dependent on a particular carcinogen, such as trichloroethylene, but trichloroethylene stands out because it is present at fires and its effects are known.

Dr. Guidotti acknowledged that Claimant was a smoker, but he did not consider Claimant a heavy smoker. He also noted Claimant quit smoking in 1994. In addition, Dr.

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City of Johnstown v. WCAB (Sevanick), Counsel Stack Legal Research, https://law.counselstack.com/opinion/city-of-johnstown-v-wcab-sevanick-pacommwct-2020.