ATTACHMENT B (TAB G) CAUSALITY TABLE ***DRAFT*FOR DISCUSSION PURPOSES ONLY*** CAUSALITY TABLE Status of Causal Relationship in Population Individual Unlikely Controversial Accepted Exposure and Disease present; Other explanations unlikely; PC high N.R. ?? Yes Exposure and disease present; Other ex- planations possible; or PC low No ?? ?? Exposure undocumented or absent, or disease undocumented or absent No No No PC=Probability of Causation N.R.=Not Relevant (PC could not be high if the population relationship is nonexistent) This table summarizes the thought process involved in considering the causality issue. The relationship between exposure and disease in the population must be considered first. (This does not necessarily need to be assessed in the particular population of experimental subjects, however, only in properly designed epidemiologic studies that would be generalizable to the particular experiment.) Remedies should only be considered in situations where there is a relationship between exposure and disease that is generally accepted as causal, or at least reasonably plausible. Obviously the individual must also have both exposure and the particular disease under consideration for a remedy to be contemplated. The key question are how much exposure is needed and how confounding and modifying factors are to be allowed for. This is where the presumptions fit in to resolve the "??"s in the table.