THE SUPREME COURT
No 251/00
Denham J.
Hardiman J.
Fennelly J.
BETWEEN
ANDREA NEWELL (A MINOR)
SUING BY HER MOTHER AND NEXT FRIEND MARIE NEWELL
Plaintiff/Appellant
and
BUS EIREANN/IRISH BUS
Defendant/Respondent

JUDGMENT of the Court delivered the 10th day of July, 2001 by FENNELLY J.
This is an appeal by the plaintiff against the parts of the assessment of general damages awarded to her by Johnson J, concerning

(a)
(b)	Pain and suffering to date of trial
Pain and suffering in the future	£30,000
£25,000	

The plaintiff complains that these figures are too low and should be increased

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The plaintiff was born on 22nd January 1986. In October 1993, when she was seven, she was on a school bus run by the defendant and was on her way to school. The bus filled with black smoke apparently as a result of an engine fire, though the bus did not catch fire. The plaintiff breathed in a lot of smoke. She started to cough because it was coming down her throat. Even after leaving the bus, she felt in shock. She was distressed and crying, her throat was sore with coughing and her chest felt tight. She was on the bus for some minutes before it was cleared of all its passengers.

For some time after the accident, the plaintiff suffered nightmares about the incident. She would wake up in distress, shaking, sweating and with her heart pounding. There were a few incidents of sleepwalking. She became very nervous, clung to her mother and did not want to go to school. She had abdominal pains. She also recommenced bed-wetting, from which she had suffered previously as a result of certain distressing incidents, but from which she had recovered.

The bed-wetting occurred almost every night with occasional daytime incidents for a year and continued for several years but eventually resolved itself, though with occasional persistent problems of loss of control, when she was ten or eleven. All of these symptoms were explained by a psychiatrist, who gave evidence, as being the result of an acute anxiety disorder. They were resolved to a large extent after some five months, but some symptoms persisted even up to the time of the hearing in the High Court. The psychiatrist thought that her continuing psychological problems were more associated with the respiratory problems to which I now turn.

The most serious aspect of the plaintiffs injuries was that she developed respiratory difficulties. At first, however, it was assumed that she simply had a bad cold - she coughed up a lot of mucus - and she was put on antibiotics by the family doctor several times over a period of months. After more than a year, she was referred to a specialist who diagnosed

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a condition akin to asthma, called reactive airways dysfunction syndrome. She had signs of airway inflammation with gas trapped behind closed airways. Such long-term damage can be due to brief exposure to noxious fumes. The symptoms are, as in asthma, breathlessness and wheezing. They are accompanied by a lot of coughing, especially in winter. While previously the plaintiff was the fastest runner in her class at school, she found that she was no longer able to run without distress and wheezing. Eventually she lost interest. She was fond of dogs, but is now conscious that close proximity to animals risks setting off her wheezing. Her condition has varied up and down over the years. Periods of improvement have been followed by relapse. The expert opinion suggests that her chances of recovery are somewhat less, forty per cent, than a normal asthma sufferer, where the chances are said to be about fifty per cent. The age of fourteen was said to be a sort of watershed. She was just over fourteen at the time of the High Court hearing. Her ongoing drug regime involves taking Inhaled steroids at relatively high dosages morning and evening, with several daily applications of a reliever inhaler. In winter she needs an antibiotic cover.

In considering the appeal against the two parts of the assessment of damages by the learned trial judge, I think it is also necessary to separate so far as possible the cluster of symptoms described by the psychiatrist as acute anxiety disorder. The general burden of the evidence and the finding of the learned trial judge is that these symptoms had largely, though not totally, resolved within the first six months, though the bed-wetting problem persisted for three or four years. The continuing symptoms of stress are more, though perhaps not entirely, associated with the respiratory problem, which has both a past and future element.

On the basis that the sum of £30,000 in question is largely for the consequences of the acute anxiety disorder, I consider the assessment of damages for pain and suffering to date to reasonably compensate the plaintiff for the undoubted distress which she suffered over a period

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of several years but which were diminishing during that time. It certainly has not been shown to be in error to the standard that would be required before this Court would disturb it. Therefore, I would dismiss the appeal insofar as it concerns the sum of £3O,OOO awarded under that heading.

On the other hand, I think the sum of £25,000 allowed for future pain and suffering falls significantly short of adequate compensation for the fact that the plaintiff has effectively acquired a condition akin to asthma. It is true that the evidence establishes that the symptoms of the condition are effectively controlled. That result, however, is achieved by a notably comprehensive programme of drug treatment. The need for the plaintiff to take a reliever inhaler several times daily as well as before exercise is indicative of the active state of her condition. It appears to be common case that the chances of the plaintiff’s recovering from this condition are assessed at rather less than fifty per cent, though such a prognosis is necessarily more in the nature of a conjecture than any real evaluation of probability. The correct approach must be to take this element into account as amounting to a very real possibility that the plaintiff will continue to suffer from this condition all her life. An obvious consequence is that she will, on that hypothesis, have to follow a heavy daily drugs programme. Apart from the inconvenience of that course, it cannot be entirely devoid of risk of side effects. The plaintiff has also lost a significant element of enjoyment of life in no longer being able to pursue athletic pursuits. Her innate enjoyment of animals has been curtailed. There is some restriction of her employment possibilities consequent on the need to avoid inappropriate environments.

I would allow the appeal in this respect and increase the figure for future pain and suffering to £50,000.