ASG Law

Tag: Colon Cancer

  • Dietary Negligence and Seafarer’s Rights: Colon Cancer as a Compensable Illness

    In Jebsens Maritime, Inc. vs. Jessie D. Alcibar, the Supreme Court affirmed that colon cancer can be a compensable work-related illness for seafarers if conditions aboard the vessel, such as poor dietary provisions, aggravate the risk. The Court emphasized that employers must not waive their right to a post-employment medical examination, and that seafarers who prove their illness was work-related are entitled to disability benefits and sickness pay. This ruling ensures that seafarers’ health is protected, and employers are held accountable for negligence that contributes to illnesses.

    From Ship to Shore: Can a Seafarer’s Diet Lead to Disability Compensation?

    This case revolves around Jessie D. Alcibar, a seaman who claimed his colon cancer was caused or aggravated by the poor dietary provisions he received while working on board a vessel owned by Jebsens Maritime, Inc. Alcibar argued that the high-fat, high-cholesterol, and low-fiber foods he was consistently served contributed to his illness. Upon repatriation, after experiencing severe pain and bleeding, he sought medical attention and was diagnosed with colon cancer. Alcibar then filed a complaint for permanent disability compensation, sickness allowance, damages, and attorney’s fees, asserting his condition was work-related.

    The Labor Arbiter initially ruled in favor of Alcibar, stating that the dietary conditions aboard the vessel increased his risk of contracting colon cancer, thus making it compensable. However, the National Labor Relations Commission (NLRC) reversed this decision, arguing that colon cancer was not work-related and that Alcibar had not complied with post-employment medical examination requirements. The Court of Appeals (CA) then overturned the NLRC’s decision, reinstating the Labor Arbiter’s ruling, and emphasizing that colon cancer is disputably presumed to be work-related, especially considering Alcibar’s extended employment and the poor provisions provided by the petitioners.

    The Supreme Court then addressed the core issue of whether Alcibar’s illness was indeed compensable under the existing laws and contracts governing seafarers’ employment. The Court emphasized that Alcibar had complied with the requirements of the POEA Standard Employment Contract and the Collective Bargaining Agreement (CBA) by willingly submitting himself for a post-employment medical examination. However, the petitioners waived their right to examine Alcibar by failing to schedule the examination after he requested it. This failure became a critical point in the Court’s decision, as it underscored the employer’s negligence in addressing the seafarer’s health concerns.

    Section 20(B) of the POEA Standard Employment Contract outlines the liabilities of the employer when a seafarer suffers a work-related injury or illness. It states:

    However, if after repatriation, the seafarer still requires medical attention from said injury or illness, he shall be so provided at cost to the employer until such time he is declared fit or the degree of his disability has been established by the company-designated physician.

    Additionally, the CBA between Alcibar and the petitioners specified the evidence required to prove entitlement to sick pay and disability compensation. Article 28.2 of the CBA states:

    The disability suffered by the seafarer shall be determined by a doctor appointed by the Company. If a doctor appointed by or on behalf of the seafarer disagrees with the assessment, a third doctor may be nominated jointly between the Company and the Union and the decision of this doctor shall be final and binding on both parties.

    In the case of Jebsens Maritime, Inc. v. Undag, the Supreme Court clarified the rationale behind the post-employment medical examination. The Court explained that it allows the company-designated physician to accurately determine whether the illness sustained by the claimant was work-related. Failing to provide this opportunity undermines the process and can be seen as a waiver of the employer’s rights. The Court then referenced Section 32-A of the POEA Standard Employment Contract, which provides the conditions that must be met for an illness to be considered a compensable occupational disease:

    For an occupational disease and the resulting disability or death to be compensable, all the following conditions must be established:

    1. The seafarer’s work must involve the risk described herein;
    2. The disease was contracted as a result of the seafarer’s exposure to the described risks;
    3. The disease was contracted within a period of exposure and under such other factors necessary to contract it;
    4. There was no notorious negligence on the part of the seafarer.

    Building on this legal framework, the Court referenced Leonis Navigation Co., Inc. v. Villamater, where it was held that colon cancer could be considered a work-related disease under Section 32-A of the POEA Standard Employment Contract. The Court emphasized that if a seaman can prove that conditions inside the vessel increased or aggravated the risk of colon cancer, they are entitled to disability benefits.

    The Supreme Court examined whether Alcibar had provided sufficient evidence to demonstrate that his colon cancer was work-related. Alcibar had alleged that the poor dietary provisions he received at sea increased his risk of contracting the disease. Notably, the petitioners did not specifically deny this allegation in any of their pleadings, which, according to Section 11 of Rule 8 of the Rules of Court, is deemed an admission. This lack of denial was a significant factor in the Court’s assessment.

    Furthermore, it was established that Alcibar suffered from internal hemorrhoids during his time as a seaman, a condition that was likely aggravated by the inadequate dietary provisions. A medical report from a doctor in Westminster, Canada, diagnosed Alcibar with internal hemorrhoids and recommended a diet low in fat and cholesterol but high in fiber, further supporting the link between his dietary conditions and health issues. In addition, a medical certificate issued by AMOSUP Seamen’s Hospital in Cebu confirmed the existence of Alcibar’s colon cancer and the laparoscopic operation he underwent to remove the tumor, solidifying the timeline and severity of his condition.

    The Court then emphasized that illnesses acquired or aggravated while on duty on board a vessel, caused by the conditions on board, are considered work-related if proven by substantial evidence. In Magsaysay Maritime Corporation v. National Labor Relations Commission, the Court reiterated the necessity of proving a causal connection between the seafarer’s illness and the work for which they were contracted. The Supreme Court concluded that Alcibar had indeed demonstrated through substantial evidence that his colon cancer was work-related, stemming from the conditions he faced while at sea. Consequently, the Court upheld the CA’s decision to grant Alcibar disability benefits and sickness pay.

    FAQs

    What was the key issue in this case? The central issue was whether Jessie Alcibar’s colon cancer could be considered a compensable work-related illness due to the dietary conditions aboard the vessel, and whether his employer, Jebsens Maritime, fulfilled its obligations under the POEA Standard Employment Contract and CBA.
    What is the POEA Standard Employment Contract? The POEA Standard Employment Contract sets the minimum terms and conditions for Filipino seafarers working on international vessels, including provisions for compensation and benefits in case of work-related injury or illness.
    What does the CBA refer to in this context? The Collective Bargaining Agreement (CBA) is a negotiated agreement between the seafarers’ union and the maritime company, which can provide additional benefits and protections beyond those in the POEA contract.
    What is the significance of the post-employment medical examination? The post-employment medical examination, to be conducted by a company-designated physician, is crucial for determining whether a seafarer’s illness is work-related and thus compensable, and must be done within three days upon arrival.
    What if the seafarer and company doctors disagree? If the seafarer’s personal physician disagrees with the company-designated physician’s assessment, a third, mutually agreed-upon doctor can provide a final and binding decision.
    What evidence did Alcibar present to support his claim? Alcibar presented evidence that the dietary provisions aboard the vessel were high in fat and cholesterol and low in fiber, and that he was diagnosed with internal hemorrhoids while still at sea, which was aggravated by his diet.
    Why was the employer’s failure to schedule a medical exam important? The employer’s failure to schedule a post-employment medical examination for Alcibar was considered a waiver of their right to contest the work-relatedness of his illness, strengthening Alcibar’s claim for compensation.
    How did the court determine colon cancer could be work-related? The court relied on established jurisprudence, such as Leonis Navigation Co., Inc. v. Villamater, stating that colon cancer is considered a work-related disease if conditions on board the vessel increased or aggravated the risk.
    What is meant by “substantial evidence” in this context? Substantial evidence refers to relevant evidence that a reasonable mind might accept as adequate to support a conclusion, even if other conclusions are possible.
    What are the implications of this ruling for other seafarers? This ruling reinforces the rights of seafarers to claim compensation for illnesses aggravated by working conditions, and emphasizes employers’ responsibility to provide proper medical attention and not neglect their health.

    The Supreme Court’s decision in Jebsens Maritime, Inc. vs. Jessie D. Alcibar serves as a significant precedent, underscoring the importance of seafarers’ health and the responsibility of maritime employers to provide safe working conditions and adequate medical attention. By recognizing colon cancer as a potentially compensable illness linked to onboard dietary conditions, the Court has strengthened the protections available to seafarers under Philippine law.

    For inquiries regarding the application of this ruling to specific circumstances, please contact ASG Law through contact or via email at frontdesk@asglawpartners.com.

    Disclaimer: This analysis is provided for informational purposes only and does not constitute legal advice. For specific legal guidance tailored to your situation, please consult with a qualified attorney.
    Source: JEBSENS MARITIME, INC. VS. JESSIE D. ALCIBAR, G.R. No. 221117, February 20, 2019

  • Seafarer’s Disability: Work-Related Aggravation and Employer Liability

    This Supreme Court case clarifies the extent of an employer’s responsibility for a seafarer’s illness, even when the disease is not explicitly listed as an occupational hazard. The Court emphasizes that if a seafarer’s working conditions, including dietary provisions on board, contribute to the aggravation of an existing condition, such as colon cancer, the employer can be held liable for total and permanent disability benefits. This ruling underscores the importance of providing a safe and healthy working environment for seafarers, and recognizes the impact of their unique circumstances on their health outcomes, as it reiterates that reasonable proof of work-connection, not direct causation, is sufficient for compensation.

    When a Seafarer’s Diet Fuels a Disability Claim: The Villamater Case

    Catalino U. Villamater, a Chief Engineer, contracted colon cancer after several months of service. Despite arguments that his condition was not work-related, the Supreme Court sided with Villamater, recognizing that the circumstances of his employment, particularly the high-fat, low-fiber diet typically available on board, contributed to the worsening of his condition. This decision highlights the principle that employers are responsible not only for occupational diseases but also for illnesses aggravated by the conditions of employment.

    The case began when Villamater, employed by Leonis Navigation Co., Inc. and World Marine Panama, S.A., filed a complaint for permanent and total disability benefits after being diagnosed with Obstructive Adenocarcinoma of the Sigmoid, with multiple liver metastases. Prior to his deployment, Villamater passed his Pre-Employment Medical Examination (PEME) and was declared “Fit to Work.” However, after experiencing intestinal bleeding and other symptoms, he was diagnosed with colon cancer in Germany and subsequently repatriated to the Philippines.

    Upon his return, Villamater sought compensation for his illness, arguing that it was work-related or at least aggravated by his working conditions. The Labor Arbiter initially ruled in his favor, awarding him US$60,000.00 in disability benefits, a decision that was affirmed by the National Labor Relations Commission (NLRC). The case eventually reached the Court of Appeals (CA), which also upheld the NLRC’s decision, leading the petitioners to seek recourse with the Supreme Court.

    One of the key issues raised by the petitioners was that colon cancer is not listed as an occupational disease in the POEA Standard Employment Contract. However, the Supreme Court clarified that even if an illness is not explicitly listed, it can still be compensable if the seafarer’s work involves risks that contribute to the development or aggravation of the condition. The Court referred to Section 20 of the POEA Standard Contract, which states that illnesses not listed under Section 32 are disputably presumed as work-related, emphasizing that this section should be read together with Section 32-A, which lays out the conditions for an illness to be compensable:

    For an occupational disease and the resulting disability or death to be compensable, all the following conditions must be established:

    1. The seafarer’s work must involve the risk described herein;
    2. The disease was contracted as a result of the seafarer’s exposure to the described risks;
    3. The disease was contracted within a period of exposure and under such other factors necessary to contract it;
    4. There was no notorious negligence on the part of the seafarer.

    The Court considered several factors that contributed to Villamater’s condition, including his age, family history of colon cancer, and dietary provisions on board the vessels. While Villamater’s age and genetic predisposition were undeniable factors, the Court also recognized that the high-fat, low-fiber diet typically available to seafarers could have exacerbated his risk of developing colon cancer. The court emphasized that seafarers often have limited choices regarding their diet while at sea, and the lack of healthy options can contribute to various health problems.

    The Supreme Court emphasized that while the findings of the Labor Arbiter and the NLRC are entitled to great weight, it also found it necessary to address the petitioners’ argument that fresh fruits, vegetables, fish and poultry were available onboard the vessels. It was only after the Labor Arbiter’s decision that the petitioners raised the availability of other food choices. This, coupled with Dr. Salvador’s suggestion of Disability Grade 1, which under the POEA Standard Contract constitutes total and permanent disability, further supported the decision in favor of Villamater.

    Furthermore, the Court cited established jurisprudence that reasonable proof of work-connection, not direct causal relation, is required to establish compensability. The Court stated that, “Probability, not the ultimate degree of certainty, is the test of proof in compensation proceedings.”

    Ultimately, the Court upheld the award of total and permanent disability benefits to Villamater, recognizing that his working conditions had at least aggravated his pre-existing condition. This decision underscores the importance of employers providing a safe and healthy working environment for seafarers, and it highlights the potential liability they face if they fail to do so.

    Regarding the procedural issues, the Court clarified that while the petition for certiorari was filed outside the 10-day period for appealing NLRC decisions, it was still filed within the 60-day reglementary period under Rule 65 of the Rules of Court. The Court also addressed the issue of non-joinder of indispensable parties, noting that Villamater’s heirs, particularly his widow, should have been included in the petition. However, the Court clarified that non-joinder of parties is not a ground for dismissal of an action and that the proper remedy is to implead the indispensable party at any stage of the action.

    Finally, the Court affirmed the award of attorney’s fees, not under Article 2208(2) of the Civil Code, but under Article 2208(8), which involves actions for indemnity under workmen’s compensation and employer’s liability laws. This reinforces the principle that employees who are forced to litigate to obtain benefits due to them are entitled to reimbursement for their legal expenses.

    FAQs

    What was the key issue in this case? The central issue was whether a seafarer’s colon cancer, not listed as an occupational disease, could be considered work-related and thus compensable under the POEA Standard Employment Contract. The Supreme Court looked at whether his working conditions aggravated his condition.
    What does ‘work-related’ mean in this context? ‘Work-related’ doesn’t necessarily mean the job directly caused the illness. It can also mean that the working conditions significantly aggravated a pre-existing condition, making it worse.
    What is the POEA Standard Employment Contract? The POEA Standard Employment Contract sets the minimum terms and conditions for Filipino seafarers working on international vessels. It includes provisions for disability benefits in case of illness or injury.
    What factors did the Court consider in this case? The Court considered Villamater’s age, family history of colon cancer, and the dietary provisions available on board the vessels he served on. The limited food choices influenced the outcome.
    What does ‘disputably presumed as work-related’ mean? This means that if an illness isn’t listed as an occupational disease, there is an assumption that it is work-related, unless the employer can prove otherwise. The burden of proof shifts to the employer.
    What is Disability Grade 1? Under the POEA Standard Contract, Disability Grade 1 constitutes a total and permanent disability. It means that the seafarer is no longer fit to work in their previous capacity due to their medical condition.
    Why was the employer held liable in this case? The employer was held liable because the Court found that Villamater’s working conditions, including his diet, aggravated his pre-existing risk factors for colon cancer. It was a matter of job-related circumstances worsening his condition.
    What is the significance of this ruling for seafarers? This ruling strengthens the rights of seafarers by recognizing that employers have a responsibility to provide a safe and healthy working environment. It also clarifies that illnesses aggravated by working conditions are compensable.
    What kind of evidence is needed to prove work-related aggravation? Reasonable proof of work-connection is sufficient, not direct causal relation. Probability, not ultimate certainty, is the test of proof in compensation proceedings.

    This case serves as a reminder to employers in the maritime industry to prioritize the health and well-being of their employees. By providing healthy dietary options and ensuring safe working conditions, employers can reduce their potential liability and promote a healthier workforce.

    For inquiries regarding the application of this ruling to specific circumstances, please contact ASG Law through contact or via email at frontdesk@asglawpartners.com.

    Disclaimer: This analysis is provided for informational purposes only and does not constitute legal advice. For specific legal guidance tailored to your situation, please consult with a qualified attorney.
    Source: Leonis Navigation Co., Inc. v. Villamater, G.R. No. 179169, March 03, 2010