When a Seafarer’s Diet Becomes a Legal Battle: Proving Work-Related Illness

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In a ruling that clarifies the burden of proof in seafarer disability claims, the Supreme Court held that while certain illnesses are presumed work-related, this presumption can be challenged. The Court emphasized that seafarers must still present substantial evidence linking their illness to working conditions, especially in cases involving dietary factors. This decision underscores the importance of clear medical evidence and the evolving standards of maritime labor practices.

Salt-Cured or Sea-Cured? The Cancer Claim That Rocked the Boat

The case of Jebsens Maritime, Inc. v. Babol revolves around Eleno A. Babol, a seafarer who developed nasopharyngeal carcinoma (NPC) during his employment. Babol sought disability benefits, arguing that his illness was work-related due to his diet on board the vessel, which allegedly consisted mainly of salt-cured foods. The Labor Arbiter (LA) and the National Labor Relations Commission (NLRC) initially ruled in favor of Babol, finding a causal link between his diet and the cancer. However, the Supreme Court ultimately disagreed with this assessment, leading to a more nuanced understanding of the principles of work-relation and work-aggravation in maritime employment.

The core legal question was whether Babol presented sufficient evidence to prove that his NPC was either directly caused or aggravated by his working conditions. Under the Philippine Overseas Employment Administration Standard Employment Contract (POEA-SEC), illnesses not listed as occupational diseases are disputably presumed to be work-related. The burden then shifts to the employer to disprove this presumption. Jebsens Maritime, Inc. attempted to do so by presenting a medical report from a company-designated oncologist, Dr. Co Peña, stating that Babol’s condition was “likely not work-related.” However, the Court found this statement insufficient to overcome the presumption because the word “likely” implies probability, not certainty.

Building on this principle, the Court considered the concept of work-aggravation. Even if the illness was not directly caused by the work, compensability could still be established if the working conditions aggravated or contributed to the advancement of the disease. The Court underscored that for work-aggravation to apply, there must be substantial evidence demonstrating a reasonable connection between the working conditions and the illness. The claimant bears the burden of showing this connection.

The Court examined Babol’s argument that his diet on board the vessel, consisting mainly of salt-cured foods, contributed to his cancer. Babol argued that seafarers have limited food choices and must consume what is provided by the vessel’s kitchen staff. The Court acknowledged that dietary factors can play a role in increasing the risk of NPC. However, the Court was not persuaded by Babol’s assertion that his diet was primarily salt-cured, emphasizing that assertions based on mere common knowledge are insufficient. The Court also took note of the evolving international maritime labor practices, including the 2006 Maritime Labor Convention, which sets minimum standards for food and catering on board vessels. The Court stated that:

(a)
food and drinking water supplies, having regard to the number of seafarers on board, their religious requirements and cultural practices as they pertain to food, and the duration and nature of the voyage, shall be suitable in respect of quantity, nutritional value, quality and variety;
(b)
the organization and equipment of the catering department shall be such as to permit the provision to the seafarers of adequate, varied and nutritious meals prepared and served in hygienic conditions; and
(c)
catering staff shall be properly trained or instructed for their positions.[33]

Considering the above provisions of the 2006 Maritime Labor Convention, the Court therefore refused to take judicial notice of the seafarers claims on the basis of an allegation of mere common knowledge in light of the changing global landscape affecting international maritime labor practices. As such, The Court found that Babol failed to provide substantial evidence linking his illness to his working conditions.

Despite finding that neither party had fully discharged their burden of proof regarding work-relation or work-aggravation, the Court ultimately ruled in favor of Babol. This decision was grounded on the fact that the company-designated physician never issued a certification regarding Babol’s fitness or unfitness to work, within the 240-day maximum period. In the absence of such certification, the Court presumed that Babol remained in a state of temporary disability, which then became permanent due to the prolonged and uncompleted evaluation. This highlights the importance of the employer’s compliance with the procedural requirements of the POEA-SEC, including the timely issuance of a medical certification.

The Court also emphasized the duty of the employer to provide proof that the procedures were also complied with, including the issuance of the fit/unfit to work certification. Failure to do so will necessarily cast doubt on the true nature of the seafarer’s condition. Thus, the Supreme Court declared:

In the same way that the seafarer has the duty to faithfully comply with and observe the terms and conditions of the POEA-SEC, including the provisions governing the procedure for claiming disability benefit, the employer also has the duty to provide proof that the procedures were also complied with, including the issuance of the fit/unfit to work certification. Failure to do so will necessarily cast doubt on the true nature of the seafarer’s condition.

The Supreme Court’s decision in Jebsens Maritime, Inc. v. Babol has several practical implications. First, it reinforces the disputable presumption of work-relatedness for illnesses not listed as occupational diseases under the POEA-SEC. Second, it clarifies that a medical opinion using terms like “likely not work-related” is insufficient to overcome this presumption. Third, it underscores the importance of substantial evidence in establishing work-aggravation. Fourth, it highlights the employer’s duty to comply with the procedural requirements of the POEA-SEC, particularly the issuance of a timely medical certification. The case ultimately serves as a reminder of the need for clear medical evidence and adherence to proper procedures in seafarer disability claims.

FAQs

What was the key issue in this case? The key issue was whether the seafarer’s nasopharyngeal carcinoma was work-related, entitling him to disability benefits under the POEA-SEC, and whether there was sufficient evidence to prove the link.
What is the disputable presumption of work-relatedness? Under the POEA-SEC, illnesses not listed as occupational diseases are presumed to be work-related, shifting the burden to the employer to disprove the connection. This presumption favors the seafarer unless the employer presents contrary evidence.
What kind of evidence is needed to establish work-aggravation? To establish work-aggravation, the claimant must present substantial evidence demonstrating a reasonable connection between the working conditions and the aggravation of the illness. Mere allegations or common knowledge are not sufficient.
Why was the company-designated physician’s report deemed insufficient? The company-designated physician’s report, stating that the condition was “likely not work-related,” was deemed insufficient because the word “likely” implies probability, not certainty. A more definitive statement was needed to overcome the presumption of work-relatedness.
What is the significance of the 2006 Maritime Labor Convention? The 2006 Maritime Labor Convention sets minimum standards for food and catering on board vessels, indicating that food on board an ocean-going vessel may not necessarily be limited as alleged by the seafarer. This highlights the evolving standards of maritime labor practices.
What is the employer’s duty regarding medical certification? The employer has a duty to ensure that the company-designated physician issues a timely medical certification regarding the seafarer’s fitness or unfitness to work within the 240-day maximum period. Failure to do so can result in a presumption of permanent disability.
On what basis did the court ultimately rule in favor of the seafarer? The court ultimately ruled in favor of the seafarer because the company-designated physician never issued a certification regarding his fitness or unfitness to work within the 240-day maximum period.
What is the impact of this ruling on future seafarer disability claims? This ruling underscores the importance of clear medical evidence, adherence to proper procedures, and compliance with international maritime labor standards in seafarer disability claims. Both seafarers and employers must be diligent in fulfilling their respective duties.

The Jebsens Maritime case clarifies important aspects of seafarer disability claims, emphasizing the need for substantial evidence and procedural compliance. While the disputable presumption of work-relatedness remains, seafarers must still provide a reasonable link between their illness and working conditions. Employers, on the other hand, must adhere to the POEA-SEC procedures, especially regarding medical certifications, to ensure a fair and just resolution of disability claims.

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. ELENO A. BABOL, G.R. No. 204076, December 04, 2013

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