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Matthew D. Kaplan

I could not let this week come to an end without taking note of the fact that it has been National Poison Prevention Week. The March 18-24 period was marked by events here in Oregon and across the country designed to raise awareness of the dangers poisons pose to children. Safe Kids Oregon and the Oregon Poison Center were the main organizers here in the state. 2012 marks the 50th anniversary of National Poison Prevention Week, which was first designated by Congress in the early 1960s.

The issues we consider during this time are important. As a news release from Safe Kids Oregon notes, “more than 90% of poisonings happen in people’s homes.” Adding that each year around 100 children aged 14 or under die from unintentional poisoning. More alarmingly, the release states that “approximately one-half of all poison-related calls to the Oregon Poison Center have to do with children ages 5 and under.”

Even more worrying is the revelation that “the greatest portion of these calls involve drugs like pain relievers.” This is noteworthy because many of us, when we think of children and accidental poisoning in the home, think of cleaning or pest control products. It is useful to be reminded that common medications can be just as deadly, especially where small children are concerned.

The New York Times’ online forum for expert discussion, “Room for Debate,” recently published an excellent look at bike-versus-car issues. While the debate was understandably somewhat New York-centric, it raised a number of interesting points that merit some thought on our part here in Oregon.

Portland, of course, has a far more bicycle-friendly reputation than New York City. As we have seen on too many occasions, however, that fact alone is not enough to ensure that urban bike riding here in Oregon is as safe as it ought to be, or that Portland bike and car accidents become as rare and unusual as they should.

As one of the participants, author Peter Calthorpe, writes “The answers are simple: create safe bike lanes, generous pedestrian spaces, visible, and short crossings and narrow car lanes to slow traffic.” As he readily acknowledges, this is easier said than done. It is important, though, to remember that this discussion is far from theoretical. As another participant, Yale Law School professor Tracey Meares, notes, on taking over as Miami police chief a few years ago John Timoney discovered “that vehicular homicides outnumbered ‘regular’ homicides.”

An excellent online article at Motherlode, the New York Times’ parenting blog, considers the question of fighting and youth hockey. I have written on a number of occasions about the risk here in Oregon of traumatic brain injuries and spinal cord injuries in sports, especially at the college and pro levels and in heavily physical sports such as football and hockey.

The Times article, however, looks closely at the question of youth hockey. This level of the sport needs to receive more attention not only because it involves children, but also because children are more prone to injuries than highly trained (and better-equipped) professionals. On a deeper level, youth sports also require our attention because it is here that young athletes establish habits that can be extremely difficult to break as children become teens and teens become adults.

As Motherlode notes, the NCAA long ago proved that you can have exciting hockey games without fighting, “but youth hockey has so far followed the lead of the National Hockey League and allowed – even tacitly encouraged – fighting in some youth leagues for players from 16 to 20.” Now, however, the article notes that USA Hockey and Hockey Canada are both considering rule changes that would effectively outlaw fighting in non-professional leagues throughout North America, possibly as early as next season.

An important article recently published in Science Daily offered details of a new study providing the first scientific evidence linking traumatic brain injuries to post-traumatic stress disorder. This development is especially important because it confirms something that many people who follow the issue have, until now, known only anecdotally.

Through numerous books and movies PTSD has come to be associated with war and other trauma-inducing disasters. The new study, published in the journal Biological Psychiatry, however, offers “the first evidence of a causal link between traumatic brain injury and an increased susceptibility to post-traumatic stress disorder,” according to Science Daily.

The article notes that “the reasons for this correlation are unknown.” It is not possible at this time to say whether the apparent link between traumatic brain injuries and PTSD is physical or psychological. The fact that the source of the link is difficult to determine is, however, less important than the fact that it exists. The first step in beginning to recover from an Oregon traumatic brain injury is to understand the long-term consequences that may accompany the injury. Only by doing this can victims move past the initial shock of the injury and begin the healing process.

The revelation by The Oregonian last week that Oregon’s Occupational Safety and Health Agency has levied over $26,000 in fines against Precision Castparts was a reminder of the importance of Oregon workplace safety, and of the need for both regulatory and legal vigilance as we all struggle to prevent Oregon industrial accidents.

According to the newspaper, the company was cited for “32 violations at its large parts campus in Milwaukie and Southeast Portland, raising significant safety concerns for the third time since 2008.” Citing an Oregon OSHA spokeswoman, the paper notes that some of the violations “were repeats.” The overall list of infractions focused mainly on “cleaning operations in the two plants.” The company manufacturers parts for airplane engines and industrial gas turbines. It also does work for the military.

It is good to read that none of the safety violations cited by OSHA were deemed to be “willful” on the company’s part – the most serious category. Still, the newspaper reports, “28 were serious, with nine having the potential to cause death.”

The Oregon Occupational Safety and Health Division is investigating the circumstances of a fatal Oregon workplace industrial accident late last month involving a man who fell into a chemical holding tank aboard a barge on the Willamette River, according to local TV station KOIN.

According to The Oregonian, the Portland Fire Department’s hazmat rescue team was called to the barge near Swan Island after workers realized one of their colleagues was missing and that he had last been seen standing near an open hatch aboard what the newspaper describes as “a 40-feet-by-50-feet barge filled with a toxic and corrosive chemical liquid called lignin amine…. (which) is often used to spray fruit trees.”

When rescue crews arrived they found the hatch leading to one of the barge’s tanks open and the man’s body at the bottom, the newspaper reports. The Oregonian quotes a member of the Portland Fire & Rescue team describing the tank as a “double hazard,” noting both the extremely confined space inside the tank and the hazardous materials it contained. According to the paper, the atmosphere at the bottom of the tank contained only 1% oxygen, guaranteeing that the victim would have perished within minutes of falling in. While standard safety procedures would have required wearing a life vest, the paper says it is unclear whether the victim was doing so – though granted the lack of air inside the tank it is not likely that a vest would have saved him.

A serious Washington propane explosion last week injured five people and briefly placed a nearby school at risk, according to reporting by the Associated Press.

The Washington industrial accident took place near Mukilteo, in the Greater Seattle area. The news agency, citing a local fire district spokesperson, reported that “a 1,000 gallon tank was being loaded onto a truck to be taken to the construction site when it blew up.” Five people injured in the last were transported to a Seattle-area hospital. Students at a nearby elementary school were confined to their building for a time because of the possibility that debris might still be in the air.

As I have noted in earlier blogs, propane explosions are one of the most common types of industrial accidents in both Washington and Oregon. They are also one of the most readily preventable. Propane is an inherently unstable substance, but with proper procedures the dangers associated with it can be reduced significantly. The laws of Washington industrial accidents and Oregon industrial accidents are designed specifically to encourage people handling this and similar substances to exercise caution.

Six months after a Portland bicycle and car crash landed him in intensive care, retired football star Joey Harrington is working to put that experience to good use, according to Bike Portland. Harrington plans to combine his celebrity with his experience as an Oregon bike accident victim to promote children’s bicycle safety.

Bike Portland reports that the fundraiser, the “Bridge to Breakers – Helmets for Kids” ride, will be a 100-mile group ride on September 30. According to a statement released by the Harrington Family Foundation “the foundation would like to channel the attention from this accident to educate our community to the hazards associated with bicycle travel with the aim of reducing and preventing injuries to children.”

The injuries the former Oregon and NFL star suffered last August brought attention to Portland bicycle safety issues. He was clipped from behind by a passing car and, according to newspaper reports around the time of the accident, only avoided a severe Oregon traumatic brain injury because he was wearing a helmet.

It was, in some ways, the most basic of Oregon product liability cases: a company accused of recklessly selling a product it had not tested and which did a huge amount of damage to the businesses of those who used it. According to The Oregonian the Woodburn Fertilizer Company and Sun Gro Horticulture, the manufacturer and designer respectively of the fertilizer Multicote, are now being ordered to pay $40 million to account for the economic losses suffered by customers who trusted them.

Two Canadian farmers sued the companies after using Multicote. “The farmers’ attorneys were able to prove to the 12-person Multnomah County jury that Multicote killed off 4.1 million blueberry plants and hundreds of thousands of other types of plants” in 2007-8, the newspaper reports. The court’s award is divided into direct economic losses suffered by the farmers of $12.2 million, and allowances for the loss of customers and for interest on these sums.

The paper also notes that “Defense attorneys argued that the farmers should have tested Multicote first before using it in large numbers on plants.” But what, one might reply, is a fertilizer for? Customers have a reasonable expectation that when they use a product properly it will perform as advertised. Clearly that is not what happened here.

The small-town pharmacist who knows all of his or her customers is a staple of TV and the movies. That fictional pharmacist has plenty of time to triple check medications and their dosage and to discuss things in detail with patients, most of whom have been his friends for years.

It ought to come as no surprise in 2012 that reality does not measure up to Hollywood’s fantasies. According to The Oregonian, “a recent survey by the Oregon Board of Pharmacy reported that more than 350 chain pharmacists – more than half of those responding – said their working conditions don’t promote safe and effective care.”

Perhaps most shockingly, only one-quarter of the 1300 pharmacists responding to the state’s survey “agreed working conditions promoted safe and effective patient care.” The article goes on to note that “many complained of having more prescriptions to fill each day with fewer staff; of 12-hour shifts with scant breaks; and constant distractions, such as administering immunization shots to augment profits.”

50 SW Pine St 3rd Floor Portland, OR 97204 Telephone: (503) 226-3844 Fax: (503) 943-6670 Email: matthew@mdkaplanlaw.com
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