This case involves the impact of unsanitary conditions for students who attended an elementary school in downtown Detroit. These conditions included the presence of mold in sinks; non- functioning toilets that caused students to be exposed to human waste; lack of ventilation; unsanitary food storage and preparation; exposure to vermin; and lack of adequate heating. These conditions had been exacerbated by overcrowding in the school system. The school had a long history of students who had to be sent back home in the middle of the school day after suffering from various dermatological and gastrointestinal complaints. As a result, some students were forced to miss crucial parts of their education. Despite having multiple cases of ill students due to the conditions, the school did not make any changes.

I am regularly involved in clinical and legal evaluations investigating environmental causes of health issues. I have evaluated over 50 patients with concerns for environmental causes of illness.

1. Please discuss your experience as it relates to investigating environmental causes of health issues.

BS, Medical Technology, University of Arizona

Residency, Family Medicine, University of California Los Angeles

Residency, Preventive Medicine, California Department of Public Health

Fellowship, Occupational Medicine and Medical Toxicology, University of California San Francisco

Board Certified: Occupational Medicine, Family Medicine, Preventive Medicine, Medical Toxicology

Member, American College of Medical Toxicology

Member, California Academy of Preventive Medicine

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This expert toxicologist is quadruple board certified in family medicine, occupational medicine, preventive medicine, and medical toxicology. He received his BS, MPH and MD from the University of Arizona before earning his MBA from the University of California Irvine. The expert completed his residency in family medicine and preventative medicine at the University of California Los Angeles and the California Department of Public Health, respectively, and a fellowship in occupational medicine and medical toxicology at the University of California San Francisco. He previously served as a preventative medicine physician in the US Army and as a hospitalist at Hollywood Presbyterian Medical Center. He also served as a safety scientist in the licensing and early development division at Genentech, a biotechnology corporation based in California. Currently, this expert serves as the medical director of the occupational health service at a hospital in California and as the assistant medical director of a regional poison control system. He also serves as the medical director of a national laboratory and as a medical toxicologist at a regional medical center in California.

Poor Health Conditions in Elementary School Results in Numerous Ill Students

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Expert Witness Response E-022427

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