OPINION OF THE COURT
FACTUAL BACKGROUND
During the period February 1980 until the summer of 1989 plaintiff and Robert Lawson, now deceased, engaged in unprotected sexual intercourse (vaginal, fellatio and cunnilingus). Beginning in the summer of 1989 the parties made sporadic use of condoms. Plaintiff and Mr. Lawson lived together for several years and contemplated marriage.
Plaintiff alleges in her complaint that prior to his death, Robert Lawson contracted "HIV (AIDS) Virus, that eventually caused his death and failed to so advise plaintiff at any time during their relationship”. Decedent is survived by a daughter. Plaintiff sues the estate of Robert Lawson for $1,000,000 damages for intentional tort and negligence. Defendant denies the allegations and asserts an affirmative defense of culpable conduct and assumption of risk.
Plaintiff claims that Mr. Lawson became infected with the HIV virus sometime in 1990 as she was told that by Mr. Lawson on his deathbed in December 1991. She stated that Mr. Lawson’s best male friend died in 1990 and she believes now that Mr. Lawson and that friend had a homosexual relationship.
As of February 1993 plaintiff has been tested three times for the HIV virus with negative results. The last test was on January 15, 1993.
This action was commenced in June 1992.
ARGUMENTS
Defendant moves for summary judgment dismissing the complaint on two grounds: (1) that plaintiff has not suffered a physical injury and absent a verifiable precipitating event, the claim is not cognizable; and (2) the only proof of sexual conduct between plaintiff and the decedent is her word and such testimony would be barred under the Dead Man’s Statute, CPLR 4519, so that the case could never be proven at trial.
[The court discussed the principles applicable to summary judgment motions and held that the Dead Man’s Statute (CPLR 4519) did not bar evidence of plaintiffs sexual activity with defendant while he was alive, so that the merits of the phobia claim had to be addressed. The court also observed that claims for emotional distress without physical injury were recognized in New York.]
PHOBIA CASES
In the landmark decision of the Court of Appeals in Ferrara v Galluchio (
Nevertheless, the courts of this State have rejected cancer phobia and cancerlike-phobia claims (i.e., asbestosphobia) where there were no chemical manifestations of the disease and no reasonable basis that the disease would develop. (Winik v Jewish Hosp.,
SEXUALLY TRANSMITTED DISEASES
Duty of Partners
The law of tortious wrongs, intentional and negligent, recognizes claims for sexually transmitted diseases (STD). (White v Nellis,
AIDS
Acquired Immune Deficiency Syndrome, for which AIDS is an acronym, is a disease that affects the human immune system by way of a human immunodeficiency virus (HIV). Scientists have also referred to HIV as HTLV-III (Human TLymphotropic Virus Type III) and LAV (lymphadenopathy). (Note, First, Do No Harm, 12 Pace L Rev 665, 668, n 14 [1992].) Persons with AIDS are infected with HIV and have a T-cell count of less than 200 and exhibit one or more of several symptoms listed by the Federal Centers for Disease Control. (Sangree, Control of Childbearing by HIV-Positive Women: Some Responses to Emerging Legal Policies, 41 Buff L Rev 309, 311, n 2 [1993]; Dornette, op. cit., § 1.15, and Appendix B, at 264-266; Am Jur Proof of Facts 3d, Cyclopedic Medical Dictionary, AIDS, at 53-55.) There is no known cure for AIDS which is always fatal (Matter of New York State Socy. of Surgeons v Axelrod,
In discussing the qualities, etiology, epidemiology and methodology of AIDS the court is taking judicial notice of those medical facts which are now considered indisputable. (Matter of Lahey v Kelly,
Insofar as relevant to this case the epidemiology of AIDS is communicable through heterosexual contact, oral and vaginal. (Dornette, op. cit., § 1.13; Ordway v County of Suffolk,
Worldwide the classification of AIDS is considered either Type-I or Type-II. Type-II is so rare in the United States that testing for it is not ordinarily done except by blood centers. (Note, Can HIV-Negative Plaintiffs Recover Emotional Distress Damage for Their Fear of AIDS?, 62 Ford L Rev 225, 243-245, 260.) The current testing mechanisms for either Type-I or II are considered more than 99% reliable. (Ibid.)
There are generally three categories of AIDS: (1) the full blown AIDS disease involving a breakdown of the immunological system; (2) AIDS-Related Complex (ARC) which is a milder form of the disease with some physical symptoms; and (3) asymptomatic with a retrovirus in the system but no abnormal infections. (Doe v Roe,
The AIDS virus may be dormant for a long period described variously as "years” (Dornette, op. cit., § 6.12, at 110), five years or more (Ordway v County of Suffolk,
Two tests are used to determine if the HIV antibody exists in a person: the Enzyme-Linked Immunosorbent Assay (ELISA) and Western Bloc, which, taken together, are considered 99.9% accurate. (Faya v Almaraz, 329 Md 435, 446, n 4,
"Persons exposed to HIV usually develop detectable levels of antibody against the virus within 6-12 weeks of infection”. (Note, Can HIV-Negative Plaintiffs Recover Emotional Distress Damages for Their Fear of AIDS?, 62 Ford L Rev 225, 243, n 167, quoting from Public Health Service Guidelines for Counseling and Antibody Testing to Prevent HIV Infection and AIDS, 36 Morbidity & Mortality Wkly Rep 509 [Aug. 1987]; Doe v Roe,
aids phobia—
New York Cases
New York and a minority of jurisdictions have recognized claims for damages for emotional distress caused by exposure to AIDS. (Dornette, op. cit., § 2.27; 86 CJS, Torts, §48 [1993 Cum Ann Pocket Part]; Note, The Fear of Disease as a Compensable Injury; An Analysis of Claims Based on AIDS Phobia, 67 St John’s L Rev 77, 77-89; Annotation, Toxic Exposure — Mental Distress, 6 ALRSth 162 [1992]; 1 Stein, Personal Injury Damages § 3:13, at 18-20 [2d ed 1993 Supp].) Even jurisdictions or cases that deny the claim do so on the usual tort rules of not awarding damages for speculative injuries based on nonexposure to the disease or an unrealistic probability of contracting it from that exposure.
In Doe v Doe (
In Hare v State of New York (
Even where plaintiff can show some exposure the claim has been conditionally dismissed. (Petri v Bank of N. Y. Co.,
Similarly, in Ordway v County of Suffolk (
The only reported decision in New York upholding an AIDS-phobia claim is Castro v New York Life Ins. Co. (
Other Jurisdictions
In Poole v Alpha Therapeutic Corp. (
In contrast to Castro v New York Life Ins. Co. (
"It is a medically accepted fact, however, that a person who has been infected will still test positive [emphasis in original] Jfor the HIV antibody during this latency period when no symptoms are evident, assuming the accuracy of the HIV test. Morbidity and Mortality Weekly Report, July 21, 1989, Vol. 38, No. S-7. It is extremely unlikely that a patient who tests HIV-negative more than six months after [emphasis added] a potential exposure will contract the disease as a result of that exposure. Id., at 5. * * *
"Although neither party has noted the fact, plaintiff can*535 now be confident, to a high degree of medical certainty, that he will not contract AIDS as a result of the needle-stick injury. The court is reluctant to allow someone to recover for fear of contracting a disease after it has become substantially likely that he will not develop the illness.”
Apropos of Petri v Bank of N. Y. Co. (
A case that sustained an AIDS-phobia claim is Johnson v West Va. Univ. Hosps. (186 W Va 648,
Two other cases permitted the plaintiff to recover for emotional distress during a "window of anxiety” period where there is proof of a precipitating event and exposure. (Kerins v Hartley, 17 Cal App 4th 713, 729, 21 Cal Rptr 2d 621, 632, supra [HIV doctor operated on plaintiff without informing her of his infection; plaintiff tested negative but is emotionally unable to retest];
Actually, the window of anxiety period should be narrowed to a time measured from discovery of exposure (or when exposure should have been discovered) and viability of the test procedure. On this point one author, James Maroulis, has observed that the person claiming damages for AIDS phobia has a duty to mitigate damages and should be obligated to take the HIV test three months after exposure. (Note, Can HIV-Negative Plaintiffs Recover Emotional Distress Damages for Their Fear of AIDS?, 62 Ford L Rev 225, 257; cf., Kaehne v Schmidt,
One court did not even permit recovery for this window period on the reasoning that once the claimant tests negative after six months of alleged exposure, he really was not exposed. (Rossi v Almaraz,
Further Discussion on AIDS Phobia
While not a phobia case, the Court in Prego v City of New York (
In the AIDS-phobia law review article I have referred to from time to time (Note, The Fear of Disease as a Compensable Injury; An Analysis of Claims Based on AIDS Phobia, 67 St John’s L Rev 77), the author (Debbie E. Lanin) states (id., at 99-101): •
"it is submitted that before a claim for the recovery of damages for the fear of developing AIDS may proceed, the plaintiff must prove both the exposure to the HIV virus and that the fear was reasonable. Absent either requirement, the claim should be dismissed as a matter of law. Additionally, present medical research indicates that a negative HIV test six months after exposure virtually eliminates the likelihood that such exposure will result in the future development of AIDS. Thus, HIV testing should also be a critical factor in a court’s assessment of whether a claim for AIDS phobia may proceed. A six-month period is suggested, after which, assuming negative results, fear of contracting AIDS would not be reasonable. [The author notes that the period may be adjusted as needed.]
"Finally, to mitigate the harshness of this standard it is proposed that a plaintiff who can prove exposure but tests negative for HIV should be permitted to recover for the emotional distress suffered during the six-month period in which the HIV tests were inconclusive.”
Of course, "A negative blood test proving that HIV has not entered the plaintiff’s body does not erase the plaintiff’s past fear of AIDS”. (Note, Tort Liability for the Transmission of the AIDS Virus: Damages for Fear of AIDS and Prospective AIDS, 45 Wash & Lee L Rev 185, 200.) For that reason it would be unfair to dismiss plaintiff’s claims as premature even if without prejudice.
CONCLUSION
Plaintiff has made the requisite showing in opposition to the
Accordingly, the motion for summary judgment is denied.
[Portions of opinion omitted for purposes of publication.]
Notes
. On February 24, 1994 the Supreme Court of California vacated the determination in Kerins v Hartley (28 Cal Rptr 2d 151,
. In Sargeant v New York Infirmary Beekman Downtown Hosp. (NYLJ, Feb. 3, 1994, at 1, col 3 [Sup Ct, NY County, index No. 16068/91]), an AIDS-phobia case was scheduled to go to trial. There the plaintiff claimed that the
. But see, n 1, supra.
