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所有案例
Tort Law
House of Lords
1988

Wilsher v Essex Area Health Authority

[1988] AC 1074

判决理由

Where there are multiple possible causes of the claimant's injury, the burden remains on the claimant to prove on the balance of probabilities that the defendant's breach was a cause. Material increase in risk is not equivalent to material contribution to injury.

事实

A premature baby was given excess oxygen by a junior doctor who negligently inserted a catheter into a vein instead of an artery. The baby developed retrolental fibroplasia (blindness). However, there were several possible causes of the condition, only one of which was excess oxygen.

判决摘要

The House of Lords ordered a retrial. The trial judge had applied the wrong test by treating material increase in risk as equivalent to material contribution. With multiple possible causes, the claimant still needed to show on the balance of probabilities that excess oxygen caused the condition.

关键引述

"A plaintiff must prove not only negligence or breach of duty, but that such fault caused or materially contributed to his injury."

Lord Bridge

后续处理

Good law

Distinguished from Bonnington Castings (cumulative cause) and from Fairchild v Glenhaven (mesothelioma exception). Key authority on standard causation requirements.