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Low-dose asbestos mesothelioma causation: Johnstone v Fawcett’s Garage—Court of Appeal rejects absolute risk, permits direct risk assessment; Fairchild and adverse inference guidance (England and Wales)

Published on: 06 May 2025

Published by a LexisNexis PI & Clinical Negligence expert
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Johnstone v Fawcett’s Garage (Newbury) Ltd [2025] EWCA Civ 467

What are the practical implications of this case?

The key consequence of the ruling is the Court of Appeal’s categorical and wholesale dismissal of the ‘absolute risk approach’, put forward by the defendant in this case on the strength of obiter support from the High Court in Bannister v Freemans Public Ltd Company [2020] EWHC 1256 (QB). As a consequence of the Court of Appeal’s decision in this case, those obiter remarks in Bannister should no longer be regarded as representing good law, or treated as authoritative. The judgment further confirms that it was open to the trial judge in this case to employ a ‘direct risk assessment’ to calculate the increase in the risk of a person developing mesothelioma, and that doing so was permissible on the facts. It does not, however, set a general principle that this technique is valid or appropriate in all comparable matters involving low doses of exposure, although the court’s acceptance of the approach in this case plainly indicates that it could be adopted in other cases...

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