Abstract
The concept of causality is reviewed with special emphasis on occupational diseases. Separate approaches from the philosophical, scientific, and legal points of view are identified. There is controversy over the methodology of logical causality; inductive and deductive methods are described and reference is made to the verification or refutation approach. Application of the methods to epidemiology are reviewed. It is likely that many diseases have multiple causes and that only a component of occupational causality can be identified in each patient. Methods of assigning such a component are discussed. The difficulties of developing an equitable compensation policy in such circumstances are reviewed. The possible benefits of proportional compensation are noted.
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Selected References
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- Buck C. Popper's philosophy for epidemiologists. Int J Epidemiol. 1975 Sep;4(3):159–168. doi: 10.1093/ije/4.3.159. [DOI] [PubMed] [Google Scholar]
- Enterline P. E. Asbestos and lung cancer. Attributability in the face of uncertainty. Chest. 1980 Aug;78(2 Suppl):377–379. [PubMed] [Google Scholar]
- FISHER R. A. Lung cancer and cigarettes. Nature. 1958 Jul 12;182(4628):108–108. doi: 10.1038/182108a0. [DOI] [PubMed] [Google Scholar]
- Foster K. R., Bernstein D. E., Huber P. W. Science and the toxic tort. Science. 1993 Sep 17;261(5128):1509–1614. doi: 10.1126/science.8372345. [DOI] [PubMed] [Google Scholar]
- Jacobsen M. Against Popperized epidemiology. Int J Epidemiol. 1976 Mar;5(1):9–11. doi: 10.1093/ije/5.1.9. [DOI] [PubMed] [Google Scholar]
- Lagakos S. W., Mosteller F. Assigned shares in compensation for radiation-related cancers. Risk Anal. 1986 Sep;6(3):345–357. doi: 10.1111/j.1539-6924.1986.tb00227.x. [DOI] [PubMed] [Google Scholar]
- Maclure M. Popperian refutation in epidemiology. Am J Epidemiol. 1985 Mar;121(3):343–350. doi: 10.1093/oxfordjournals.aje.a114005. [DOI] [PubMed] [Google Scholar]
- Muir D. C. Compensating occupational diseases: a medical and legal dilemma. CMAJ. 1993 Jun 1;148(11):1903–1905. [PMC free article] [PubMed] [Google Scholar]
- Rothman K. J., Poole C. Science and policy making. Am J Public Health. 1985 Apr;75(4):340–341. doi: 10.2105/ajph.75.4.340. [DOI] [PMC free article] [PubMed] [Google Scholar]
- YERUSHALMY J., PALMER C. E. On the methodology of investigations of etiologic factors in chronic diseases. J Chronic Dis. 1959 Jul;10(1):27–40. doi: 10.1016/0021-9681(59)90015-3. [DOI] [PubMed] [Google Scholar]