1. The
Plaintiff in this case, Patrick Kerwick, is a 43 year old taxi driver. He was
born on the 8th May, 1955 and he lives with his wife and four children in
Clonmel in the County Tipperary. He enlisted in the Irish Army in the year
1972 and was a serving soldier for some nine years. He left the Army in the
year 1981 and, for a period of three years, worked as a security officer
protecting factory premises. He then purchased a taxi and, for the last eight
years, has occupied himself as a taxi driver. In the light of the evidence
which I heard at the trial of this action, I am satisfied that, with the
exception of the period during which he was a serving soldier, Patrick Kerwick
did not engage in any activity which involved his exposure to excessive noise
and neither has he suffered any disease or illness which might have had a
detrimental effect on his hearing.
2. It
is common case that, during his period of service in the Army, Patrick Kerwick
was exposed to the noise of gunfire from a variety of weaponry; including, in
particular, mortar fire arising from the fact that he was a member of the Army
shooting team for two years. However, although that noise was excessive, he
was never provided with any protection for his hearing. In consequence, he
claims that he has suffered a noise-induced hearing loss and tinnitus in
respect of which he comes before the Court claiming damages. In this regard,
while conceding responsibility for any noise-induced hearing loss, or tinnitus,
which the Plaintiff established in evidence, the Defendants maintain that his
claim herein is barred by virtue of the provisions of the Statute of
Limitations 1957 as amended by the Statute of Limitations 1991. They also
maintain that, insofar as the Plaintiff establishes that he has suffered a
noise-induced hearing loss, or tinnitus, as a result of his exposure to
excessive noise, the compensation to which he is entitled to be calculated
solely on the results of three audiogram tests on the Plaintiff respectively
carried out by Dr. Stephen Flynn on the 19th September, 1995, by an audiologist
on behalf of the Defendants on the 18th March, 1998 and by Mr. Dermot Dougan,
an audiologist, on the 17th December, 1998, viewed in the light of the formula
contained in the Report referred to in the Civil Liability (Assessment of
Hearing Injury) Act, 1998; now known as the Green Book, in respect of which,
by virtue of the provisions of the said Act, the Courts are required to take
judicial notice in all proceedings claiming damages for a hearing injury. In
this connection, the provisions of the said Act have been considered by a
number of my colleagues; in particular, by Mr. Justice Vivian Lavan in
Greene's
case (judgment delivered on the 3rd June, 1998) and by Mr. Justice Richard
Johnson in
Hanley's
case (judgment delivered on the 21st July, 1998) and both of these judges have
accepted that the formula for assessing a hearing loss in the Green Book is a
fair and adequate means of measuring disability for such loss at any given
point in time which should be followed by the Courts, unless there are good
reasons for not so doing. This is a view to which I also subscribe.
3. Patrick
Kerwick gave evidence that, during his period of service in the Army and after
his exposure to the noise of gunfire on the firing range, he would experience
very bad noise in his ears which persisted for three or four days and then
disappeared. He said that his colleagues in the Army were similarly afflicted
and that he appreciated that the cause of the problem was exposure to the noise
of gunfire but that he made no complaint to his superiors because, as he said,
if he had complained, would be told that there was no problem and, accordingly,
any complaint would be a waste of time. However, the Plaintiff said that, a
couple of years after he had left the Army, the noise in his ears recurred and,
with the passage of time since then, has become more frequent and insistent;
so much so that it is now a daily experience and significantly interferes with
his capacity to sleep. In this regard, the Plaintiff described the lengths to
which he now has to go in his efforts to achieve sleep during the quiet of
night; including putting his television on a timer in the hope that he will
fall asleep before it turns itself off, a practice which does not please his
wife. However, despite the fact that this problem recurred within a couple of
years of the Plaintiff leaving the Army and despite the fact that he
appreciated that it was attributable to exposure to the noise of gunfire during
his period of Army service, the Plaintiff did nothing about it and, in
particular, apart from mentioning the problem casually when, in 1989, he was
being examined by a doctor with regard to a problem with his back, he did not
seek medical advice or treatment with regard to it. In those circumstances,
while I do not doubt the Plaintiff's evidence with regard to the problems which
he is currently experiencing on account of this noise in his ears, I am equally
satisfied; not only that any claim that he might have in respect thereof is
long since barred by the provisions of the Statute of Limitations 1957, as
amended, but that, in any event, the Plaintiff is precluded from maintaining a
claim in respect of compensation for tinnitus by virtue of the provisions of
the Green Book which require documented evidence of his having attended a
primary care physician for advice and management with regard to tinnitus before
pursuing such a claim. There was no such evidence in this case and,
accordingly, so far as the Plaintiff's claim herein relates to tinnitus, I am
satisfied that it has not been sustained.
4. With
regard to his loss of hearing, the Plaintiff said that he was not aware that he
had any problem with his hearing until about eight or ten years ago when he
noticed that his family were complaining that there was something wrong with
his hearing. In particular, they complained that he played the television too
loud. Moreover, he, himself, noticed that, when he was in a crowded
environment, he found it difficult to understand what people were saying to him
and he found this to be very embarrassing. Furthermore, if the radio in his
taxi was on, he found it difficult to hear passengers sitting in the back of
the taxi and he had the same problem when using the two-way radio in the taxi.
Although he said that his hearing difficulties have got progressively worse
over the years; particularly, where there is a background of noise, in which
event he cannot now hear people on a one-to-one basis, Mr. Kerwick said that he
did not associate his hearing difficulties with his Army experience until, in
the year 1994, he read in the newspapers that former soldiers were having
hearing problems as a result of the exposure to the noise of gunfire without
protection for their hearing, following which he discussed the matter with some
of his former colleagues, was advised to consult a solicitor, which he did,
thereby starting a train of events which culminated in the institution of these
proceedings.
5. The
Plaintiff was cross-examined with regard to his failure to consult a doctor
about his hearing problems but he said that they developed so gradually that
they did not affect him to the extent that he thought about seeking medical
advice and he added that it was not until he had been told that he was
suffering from a hearing loss, following referral to Dr. Flynn by his
Solicitor, that he became very conscious of it. As the Plaintiff's evidence
with regard to the practical implications of the hearing loss which he is
suffering was not seriously challenged under cross-examination and it did not
appear to me that he exaggerated the problem or embellished upon it in any
significant way, I am satisfied he is suffering a significant hearing loss
which interferes with his quality of life and in respect of which he is
entitled to compensation. I am equally satisfied that it was not until 1994
that he first appreciated that his hearing difficulties were attributable to
exposure to the noise of gunfire while he was a serving soldier and, therefore,
I do not think that his claim herein is statute barred.
6. Mr.
Dermot Dougan, an audiologist, referred to the results of the three audiogram
tests to which I have already alluded. He said that the results of those tests
indicated that the Plaintiff was suffering from a high frequency loss of
hearing which peaked at the level of 4000 hz. and levelled at the 8000 hz.
range. He said that this was a classical indication of a noise-induced hearing
loss and, given the Plaintiff's history, it was his opinion that it was
attributable to unprotected exposure to the noise of gunfire during his period
of service in the Army. He said that the results of the tests indicated that
the Plaintiff's loss of hearing was severe and was more pronounced in the right
ear than it was in the left ear. He said that the results of all three tests
were very similar; as he put it
"clinically,
they are all the same"
.
He pointed to the fact that the results of the test indicated that, at the low
frequency range, the Plaintiff's hearing was normal and that, while there was a
differential in the low frequencies, the average variation was only 10
decibels. In that regard, Mr. Dougan referred to the Green Book wherein the
compilers had chosen a low fence threshold of 20 decibels as the level at which
a hearing disability is deemed to commence so that any hearing loss lower than
20 decibels did not amount to a hearing disability within that meaning in the
Green Book. Accordingly, Mr. Dougan said that the effect of fixing a low
fence threshold of 20 decibels at which a hearing disability is deemed to
commence can and, in the case of this Plaintiff, does distort the implications
of the high frequency loss demonstrated by the results of the three audiogram
tests to which he was subjected, in that, the fact that the results of those
tests indicate that the Plaintiff has very good hearing at the low frequency
range will reduce the implications of the high frequency loss of hearing
demonstrated by the tests when the formula in the Green Book for determining a
hearing disability is applied even though the reality is that the high tone
loss of hearing is exactly the same. In other words, because this Plaintiff
has good hearing at the low frequency range and because the low fence threshold
at which disability is deemed to commence is fixed at 20 decibels by the Green
Book, the application of the formula in the Green Book for determining the
level of a hearing disability suggests that the Plaintiff's loss of hearing at
the high frequency range is considerably less than it actually is.
Accordingly, it was Mr. Dougan's opinion that the application of the provisions
of the Green Book to the results of the three audiogram tests to which the
Plaintiff was subjected did not reflect the actuality of the extent of the
Plaintiff's high tone hearing loss and did him a disservice. To emphasise this
point, Mr. Dougan said that, applying the formula in the Green Book to the
results of the three audiogram tests for the purpose of determining the current
level of the Plaintiff's percentage hearing disability, the result would vary
between a nil disability and a 0.31% disability whereas, if there was no low
fence threshold at which disability commences provided for in the Green Book,
that loss would be 5%.
7. Under
cross-examination, Mr. Dougan agreed that, apart from the provision with regard
to the low fence threshold, there were other anomalies in the Green Book which,
when applying the formula for determining a hearing disability, would distort
the extent of that disability. In particular, he agreed that, had the
Plaintiff's hearing at the level 3000 hz. been included in the formula, the
extent of his high tone hearing loss based on the results of the three
audiogram tests would have been less than what it actually was. However, he
would not agree that that was a good reason for ignoring the low fence
threshold because, as he pointed out, a low fence threshold of 20 decibels was
appropriate for a person of 61 years of age rather than for a person of the
Plaintiff's age. Moreover, while he accepted that, where a person was
subjected to a number of audiogram tests, the result of the test which
indicated the better hearing would appear to establish what the level of that
person's hearing was, Mr. Dougan did not agree that it necessarily followed
that one should always choose the result of the test which demonstrated the
better hearing as the basis for determining a hearing disability because, as he
said, the result of any audiogram test depended on the conditions which
obtained at the time when the test was undertaken and it could well be that,
where a person was subject to a number of tests, the conditions which obtained
on each occasion were different thereby producing different results.
Accordingly, it was his view that, when confronted with the results of a number
of different audiogram tests, the level of any hearing disability demonstrated
by those tests should be determined on the global picture painted by those
results rather than on the result of any one of them.
8. I
am persuaded by the evidence of Mr. Dougan that, in the case of this particular
Plaintiff, the low fence threshold for hearing disability provided for in the
Green Book does distort the extent of his high tone hearing loss to an
unacceptable degree, in that, when taken into account in determining the extent
of the Plaintiff's hearing disability, the end result suggests that that
disability is significantly less than what it actually is. Accordingly, I
think that it would be manifestly unjust to the Plaintiff were I to determine
the extent of his hearing disability having regard for the low fence threshold
in the Green Book. In those circumstances, I think that this is a case in
which an exception should be made to the general principle heretofore stated by
my judicial colleagues and, indeed, by myself in other cases involving claims
for damages for a hearing loss that the formula for assessing such a loss in
the Green Book is a fair and adequate means of measuring disability for hearing
loss and should be followed by the Courts because, as I have indicated, were I
to do so in this case, the level of the Plaintiff's damages would be
considerably less than what would be appropriate for the true extent of his
hearing disability. In other words, I think that this is a case in which there
are good reasons for departing from the formula in the Green Book. In any
event, the Plaintiff has satisfied me that his hearing loss has inhibited his
quality of life and, in the light of the views in that behalf expressed by Mr.
Justice Barron in an unreported judgment given in November 1995 in a case of
Bastick
v. The Minister for Defence
,
that is something which I am also entitled to take into account when assessing
the Plaintiff's damages and I do so.
9. Having
regard to the foregoing, I am satisfied by the evidence of Mr. Dougan that the
true level of this Plaintiff's hearing disability, if one ignores the low fence
threshold in the Green Book, is 5%. Moreover, as neither party took issue with
the approach of Mr. Justice Johnson in
Hanley's
case to his measurement of compensation per degree of established disability
and it seems to me that that approach is a fair and reasonable one, I propose
to adopt the same approach. Accordingly, as the Plaintiff is now 43 years of
age, I will award a sum of £2,350 per 1% of his current hearing disability
which, allowing that that disability is 5%, amounts of £11,750. In
addition, I note and accept Mr. Dougan's evidence that, if one excludes the low
fence threshold in the Green Book from the equation, the combination of the
Plaintiff's current hearing disability and his inevitable age-related hearing
loss at age 62 years calculated in accordance with the formula in International
Standard ISO 199, based on the result of Mr. Dougan's audiogram test of 17th
December, 1988, which is the test which demonstrated the better hearing, is of
the order of an additional 4%. I have no doubt but that, having excluded that
threshold in determining the extent of the Plaintiff's current hearing
disability, I should also exclude it when determining the extent of the
combination of his current hearing disability and his inevitable age-related
hearing loss and, accordingly, I determine at age 62, that combination will
amount to a 4% disability in respect of which the Plaintiff falls to be
compensated at a rate of £1,500 per 1% which I calculate to be
£6,000. However, I am advised that a figure of £6,000 for Mr.
Kerwick at age 62 would, actuarially speaking, have a current value of
£3,234.50 and I will allow that figure. Accordingly, I would assess
damages in this case in the sum of £14,984.50.