In mass tort litigation, plaintiffs must prove not only that the defendant’s product can cause the alleged injury (general causation) but also that it did cause their injury (specific causation). One method of proving specific causation is through “differential diagnosis” in which medical experts consider possible causes of a disease, and, through a scientifically rigorous process, rule out each possibility.

However, before a defendant’s product can appear on a list of possible causes, plaintiffs must show that the product can cause the disease generally (general causation). This article compares two recent New York Supreme Court decisions interpreting Parker v. Mobil Oil,1 which provides guidance about the type of epidemiological evidence needed to support general causation.

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