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1. G.R. No.

L-48488 April 25, 1980 vegetables and fruits with edible seeds which contain much
uric and.
GLORIA D. MENEZ, vs. EMPLOYEES'
COMPENSATION COMMISSION, GOVERNMENT Acute arthritis is inflammation of a joint marked by pain,
SERVICE INSURANCESYSTEM (DEPARTMENT OF swelling, heat and redness; the result of rheumatism or gout (p.
EDUCATION & CULTURE), 56, The Simplified Medical Dictionary for Lawyers). Gout is a
disease characterized by painful inflammation of the joints, in
FACTS: excessive amount of uric acid in the blood Poor man's gout is
caused by hard work, poor food and exposure (p. 268, supra).
Petitioner Gloria D. Menez was employed by the Department
It may thus be seen that uric acid eventually causes arthritis,
(now Ministry) of Education& Culture as a school teacher.
aside from excessive mental and physical stresses to which
She retired on August 31, 1975 under the disability retirement
teachers are subject of reason of their duties.
plan at the age of 54 years after 32 years of teaching, due to
rheumatoid arthritis and pneumonitis. Before her retirement, Consequently, this Court finds petitioner to have substantially
she was assigned at Raja Soliman High School in Tondo- shown that the risk of contracting her ailments had been
Binondo, Manila near a dirty creek. On October 21, 1976, increased by unfavorable working conditions
petitioner filed a claim for disability benefits under
Presidential Decree No. 626, as amended, with respondent Republic Act 4670, otherwise known as the Magna Charta for
Government Service Insurance System. On October 25, 1976, Public School Teachers, recognized the enervating effects of
respondent GSIS denied said claim on the ground that these factors (duties and activities of a school teacher certainly
petitioner's ailments, rheumatoid arthritis and pneumonitis, are involve physical, mental and emotional stresses) on the health
not occupational diseases taking into consideration the nature of school teachers when it directed in one of its provisions that
of her particular work. In denying aforesaid claim, respondent "Teachers shall be protected against the consequences of
GSIS thus resolved: Upon evaluation based on general employment injury in accordance with existing laws. The
accepted medical authorities, your ailments are found to be the effects of the physical and nervous strain on the teachers'
least causally related to your duties and conditions of work. health shall be recognized as compensable occupational
We believe that your ailments are principally traceable to diseases in accordance with laws" (Pantoja vs. Republic, et al..
factors which are definitely not work-connected. Moreover, L-43317,December 29, 1978).
the evidences you have, submitted have not shown that the
said ailments directly resulted from your occupation as 2. CLEMENTE V. GSIS
Teacher IV of Raja Soliman High School,Manila
FACTS:
1. Pedro Clemente was a janitor of the Department of Health
ISSUE: Whether or not the petitioners ailments are causally
for 10 years.
related to her duties and conditions of work, hence, she is 2. He was assigned at Ilocos Norte Skin Clinic, Laoag City.
entitled to disability benefit from the GSIS.
3. On November 3 to 14, 1976, he was hospitalised at the
HELD: Central Luzon Sanitarium,Tala Sanitarium in Caloocan City
due to his ailment of nephritis. He was also found to be
It must be borne in mind that petitioner was a teacher of the suffering from such ailments as portal cirrhosis and leprosy
Raja Soliman High School which is located in the heart of also known as Hansens Disease.
Binondo District. She was constantly exposed to the heavily
polluted air and congestion (squatter's area) characteristic of 4. On November 14, 1976, he died of uremia due to nephritis.
the area. She was not only exposed to the elements - varying
5. His widow filed a claim for employees compensation under
degrees of temperature throughout the day and night - but also
the Labor Code but thesame was denied by GSIS on the
had to withstand long hours of standing while performing her ground that the ailments of her husband are not occupational
teaching job. Likewise, she had to regularly negotiate long diseases taking into consideration the nature of his work and
trips from her home in Project 2, Quirino District, Quezon were not in the lease causally related to his duties and
City (her residence) to said high school in Binondo, conditions.
scampering from one ride to another, rain or shine, and
6. Petitioner contended that the ailments of her husband were
sweating in the process.
contracted in the course of employment and were aggravated
by the nature of his work. Being a janitor of Ilocos Norte Skin
Furthermore, judicial notice should be taken of the fact that
Clinic, her husband worked in direct contact with people
our country is in a typhoon belt and that yearly we experience suffering from different skin diseases and was exposed to
torrential rains and storms. Needless to say, in her daily rides obnoxious dusts and other dirt which contributed to his
from Quezon City to Binondo and back, she had to go through ailment of Hansens disease.
the ordeal of perspiring and getting wet from downpours or
heavy rains, thus making her susceptible to contracting her 7. The ECC affirmed this denial of the claim by GSIS. It
ailments. Moreover, petitioner was always in contact with 250 contended that the decision of GSIS was anchored upon the
findings that the ailments were not listed as occupation
students who might have been carriers of contagious
diseases and that there was no substantial evidence of causal
respiratory diseases like flu and colds and who were connections.
themselves inadequately nourished, residing as they do in a
depressed and congested area. And adding to the unhygienic ISSUES
working atmosphere was her malnutrition or 1. What is the quantum of proof required in claims for
undernourishment. More often than not, a teacher who has no compensation?
other source of income takes to aside from the poor man's 2. Was the disease of the decedent occupation and thus
compensable?
staple diet of tuyo, daing and rice legumes like mongo,
HELD In controversion, the ECC argues that petitioner failed to show
1. Strict rules of evidence are not applicable in claims for proof that the disease which caused the death of her husband is
compensation. The degree of proof required under PD 626 is work-connected; and that no credence could be given to
merely substantial evidence, which means such relevant petitioners claim that her husbands delayed urination gave
evidence as a reasonable mind might accept as adequate to rise to the development of his ailments, for lack of medical
support a conclusion. The claimant must show, at least, by bases.
substantial evidence that the development of the disease is
brought largely by the conditions present in the nature of the Rule III, section 1, paragraph 3(b) of Presidential Decree No.
job. What the law requires is a reasonable work-connection 626, as amended, defines a "compensable sickness" as any
and not a direct causal relation. It is enough that the hypothesis illness definitely accepted as an occupational disease listed by
on which the workmens claim is bases is probable. Medical the ECC or any illness caused by employment subject to proof
opinion to the contrary can be disregarded especially where by the employee that the risk of contracting the same is
there is some basis in the facts for inferring a work- increased by working conditions. 6 The ECC is empowered to
connection. Probability determine and approve occupational diseases and work-related
and not certainty is the touchstone. illnesses that may be considered compensable based on
peculiar hazards of employment. 7
2. YES. The major ailments of the deceased could be traced to
bacterial and viral infections. In the case of leprosy, it is Thus, a sickness or death caused by said sickness is
known that the source of infection is the discharge from compensable if the same is listed as an occupational disease. If
lesions of persons with active cases. It is believed that the it is not so listed, compensation may still be recovered if the
bacillus enters the body through the skin or through the illness was aggravated by employment. However, it is
mucous membrane of the nose and throat. incumbent upon the claimant to show proof that the risk of
contracting the illness was increased by his working
The husband of the petitioner worked in a skin clinic. As a conditions.
janitor of the skin clinic, he was exposed to different carriers
of viral and bacterial diseases. He had to clean the clinic itself The death of petitioners husband was caused by "Uremia due
where patients with different illnesses come and go. He had to to obstructive nephropathy and benign prostatic hypertrophy,"
put in order the hospital equipments that had been used. He which is admittedly not among those listed as occupational
had to dispose of garbage and wastes that accumulated in the diseases. 8 As per finding of the ECC, "Uremia is a toxic
course of each working day. He was the employee most clinical condition characterized by restlessness, muscular
exposed to the dangerous concentration of infected materials twitchings, mental disturbance, nausea, and vomiting
and not being a medical practitioner, least likely to known associated with renal insufficiency brought about by the
how to avoid infection. It is therefore not unreasonable to retention in blood of nitrogeneous urinary waste products."
conclude that Mr. Clementes working conditions definitely One of its causes is the obstruction in the flow of urinary
increased the risk of his contracting the diseases. waste products. 9

3. AMALIA NARAZO, Petitioner, v. EMPLOYEES Under the circumstances, the burden of proof was upon
COMPENSATION COMMISSION AND petitioner to show that the conditions under which her
GOVERNMENT SERVICE INSURANCE SYSTEM deceased husband was then working had increased the risk of
(Provincial Governors Office, Negros contracting the illness which caused his death.cralawnad
Occidental), Respondents.
The degree of proof required is merely substantial evidence
which means such relevant evidence as will support a
Geronimo Narazo was employed for thirty eight (38) years as decision, or clear and convincing evidence.
Budget Examiner in the Office of the Governor, Province of
Negros Occidental. The nature of the work of the deceased as Budget Examiner in
On 14 May 1984, Narazo died at the age of fifty seven (57). the Office of the Governor dealt with the detailed preparation
His medical records show that he was confined three (3) times of the budget, financial reports and review and/or examination
at the Doa Corazon L. Montelibano Hospital in Bacolod City, of the budget of other provincial and municipal offices. Full
for urinary retention, abdominal pain and anemia. He was concentration and thorough study of the entries of accounts in
thereafter diagnosed to be suffering from "obstructive the budget and/or financial reports were necessary, such that
nepropathy due to benign prostatic hypertrophy", commonly the deceased had to sit for hours, and more often that not,
known as "Uremia." delay and even forego urination in order not to interrupt the
flow of concentration. In addition, tension and pressure must
Petitioner, as the widow of the deceased, filed a claim with the have aggravated the situation. In the case of Ceniza v. ECC,
Government Service Insurance System (GSIS) for death 12 the Court held that:jgc:chanrobles.com.ph
benefits for the death of her husband, under the Employees
Compensation Law (PD 626, as amended). However, said Under the foregoing circumstances, we are persuaded to hold
claim was denied on the ground that the cause of death of that the cause of death of petitioners husband is work-
Narazo is not listed as an occupational disease. connected, i.e. the risk of contracting the illness was
aggravated by the nature of the work, so much so that
On appeal, the Employees Compensation Commission petitioner is entitled to receive compensation benefits for the
affirmed the decision of the GSIS on the ground that the death of her husband.
ailments of the deceased could not be attributed to
employment factors and as impressed by medical experts, WHEREFORE, the petition is GRANTED. The decision of
benign prostatic hypertrophy is quite common among men the Employees Compensation Commission denying
over fifty (50) years of age, regardless of occupation, while petitioners claim for benefits under PD 626, as amended,
uremia is a complication of obstructive nephtropathy due to arising from the death of her husband, is hereby REVERSED
benign prostatic hypertrophy; 3 hence, this petition. and SET ASIDE.
SO ORDERED.
Petitioner avers the work of the deceased, which required long
sedentary work under pressure, aggravated the risk of 4. DEBATIAN V. GOVERNMENT SERVICE
contracting the disease leading to his hospital confinement and INSURANCE SYSTEM
death. 4
FACTS
1. Sigfredo Dabatian was employed as a Garbage Truck Driver Jose Casumpang, then working as Prison
in the General Services Department of the City Government of Guard of the Bureau of Prisons with
Cagayan de Oro City. assignment at the San Ramon Prison and
Penal Farm, Zamboanga City. Upon its
2. He was usually assigned mostly in the night shift. At the conversion to a claim for income benefits for
time of his death, his shift started from 10:00 PM to 6:00 AM. death following the demise of said Jose
Casumpang due to Cancer of the Stomach,
3. Dabatian was a heavy coffee drinker which was his way of the claim is now being prosecuted (sic) on
warding off sleepiness. appeal to this Commission by the herein
appellant-widow, Gliceria Casumpang.
4. He was observed to have been getting paler and weaker
while at work until the time he collapsed. The preponderance of mandatory legal
postulate requiring proof of causation once
5. Despite hospitalization, Dabatian died two weeks after he an ailment upon which a claim is based is
collapsed. not considered an occupational disease as
defined and understood under Presidential
6. When his widow, Hilaria Dabatian filed a claim from GSIS, Decree No. 626, as amended, would
the same was denied on the ground that the decedents subserve the respondent System's findings
ailment, Peptic Ulcer, is not an occupational disease as listed that the above-titled claim is not
under the present law on compensation. compensable since there is no showing that
the risk of contracting gastric carcinoma was
7. Petitioner argues that the decedents predisposition to increased by the deceased's working
drinking coffee heavily aggravated his contraction of the conditions.
disease resulting to his death. Petitioners argument is hinged
on the presumption of compensability and principle of The doctrine of presumptive compensability
aggravation as sufficient ground for entitlement under the which was then expressly provided under
Workmens Compensation Act.
the old Workmen's Compensation Act (Act
3428) is not recognized under Presidential
ISSUE Decree No. 626, as amended, the present
Whether or not under the premises the death of Sigfredo
law on employees' compensation. In the
Dabation is compensable. latter law, proof of causation by the claimant
is imperative, such burden being
HELD incompatible with the presumption of
NO. Petitioner died on July 3, 1976 when the old
compensability.
compensation law had already been abrogated. The present
Labor Code as amended, abolished the presumption of
compensability and the rule on aggravation of illness caused The main issue in the case at bar is whether or not cancer of
by the nature of employment, the reason being to restore a the stomach is an occupational disease and hence,
sensible equilibrium between the employers obligation to pay compensable under Presidential Decree No. 626, as amended.
workmens compensation and the employees right to receive
reparation for work connected death or disability. This case falls under the New Labor Code, which fact is
admitted by the petitioner herself (Casumpang's Petition for
Under the present law, in order for the employee to be entitled Certiorari, p. 3).
to sickness or death benefits, the sickness or death resulting
therefrom must be or must have resulted from either: After a close perusal of the records of the case, nowhere does
a) any illness definitely accepted as an occupational disease it appear that Jose Casumpang contracted his disease or
listed by the Commission; or ailments before January 1, 1975. There are no medical
b) any illness caused by employment subject to proof that the findings. reports, affidavits or any indication that he was
risk of contracting the same is increased by working suffering from any pain or discomfort prior to the effectivity
conditions. of the Labor Code which by liberal interpretation may have
worked in his favor.
Since peptic ulcer is not included in the list of occupational
diseases as drawn up by the Commission, then petitioner has There is no dispute that prior to his demise Jose Casumpang
the burden of proving that the nature of her husbands work had ruptured duodenal ulcer with generalized peritonitis. 'This
increased the risk of contracting the disease. condition according to medical findings on record, worsened
into cancer of the stomach which disease finally caused his
Aside from the undisputed fact that the diseased is a heavy death\
coffee drinker, which was his way of warding off sleepiness,
no evidence was ever adduced by petitioner to bolster the
It is Presidential Decree No. 626, as amended, therefore,
theory that her husbands work increased the risk of
which is applicable in this case and not the Workmen's
contracting the ailment.
Compensation Act.
Being a heavy coffee drinker may have aggravated his peptic
ulcer, but, aggravation of an illness is no longer a ground for It is important to determine which law is applicable.
compensation under the present law.
Under the former Workmen's Compensation Act or Act No.
3428 as amended. the claimant was relieved of the duty to
5. G.R. No. 48664 May 20, 1987 prove causation as it was then legally presumed that the illness
arose out of the employment'. under the presumption of
compensability (Tortal v. Workmen's Compensation
GLICERIA C. CASUMPANG, petitioner,
Commission, 124 SCRA 211).
vs.
EMPLOYEES COMPENSATION COMMISSION,
GOVERNMENT SERVICE INSURANCE SYSTEM AND However, under the new law, the principles of aggravation and
BUREAU OF PRISONS, respondents. presumption of compensability have been stricken off by the
lawmaker as grounds for compensation (Milano v. Employees' 3. He underwent surgery but the same was unsuccessful. He
Compensation Commission, 142 SCRA 52). died on December 2, 1975.

Under Article 167 (b) of the New Labor Code and Section I 4. When his widow filed a claim with GSIS, the same was
(b), Rule Ill of the Amended Rules on Employees denied. GSIS contended that the nature of the deceased duties
Compensation, for the sickness and the resulting disability or as a teacher could not have directly caused his ailment which
death to be compensable, the sickness must be the result of an eventuated in his subsequent death.
occupational disease listed under Annex "A" of the Rules with
the conditions set therein satisfied; otherwise, proof must be 5. The ECC affirmed the decision of the GSIS.
shown that the risk of contracting the disease is increased by
the working conditions (De Jesus v. Employees Compensation 6. Petitioner does not dispute the fact that the principal duties
Commission, 142 SCRA 92). of her husband as a classroom teacher alone would not have
any connection with the disease. However, she posits that the
Under the Labor Code, cancer of the stomach is not an deceaseds auxiliary activities as a classroom teacher directly
occupational disease considering the decedent's employment affected his physical consatitution and caused him to have
sustained some trauma in his abdominal cavity and other parts
as prison guard.
of the body.
We agree with the Solicitor General that: ISSUE
Whether or not the death of the deceased caused by Intestinal
... In ECC Resolution No. 247-A dated April Lipomatis of the Large Colon with Obstruction of the
13, 1977, cancer of the stomach and other Ascending Colon, is compensable.
lymphatic and blood forming, vessels was
considered occupational only among HELD
woodworkers; wood products industry NO. Claims on death benefits under Art. 194 must result from
carpenters, loggers and employees in pulp an occupational disease. A compensable disease means any
and paper mills and plywood mills. The illness accepted and listed by the ECC or any illness caused by
complained illness is therefore not the employment subject to proof by the employee that the risk
compensable under the first group provided of contracting the same was increased by the working
in the Labor Code. conditions.

Under the second ground for If the disease is listed in Annex A, no proof of causation is
compensability, it should be shown that an required. If it is not so listed, it has been held that the
illness is caused by employment and that the employee, this time assisted by his employer, is required to
risk of contracting the same is increased by prove, a positive proposition, that is, that the risk of
working conditions. In her letter dated contracting the disease is increased by working conditions.
December 6, 1977 to respondent ECC
(Annex B), petitioner claims that her Proof of direct causal relation is indispensably required. It is
deceased husband escorted inmates to work enough that the claimant adduces proof of reasonable work
in the hinterlands of San Ramon; that at connection, whereby the development of the disease was
times he was overtaken by rain; that he had brought about largely by the conditions present in the nature of
to work at night in case of prison escapes, the job. Strict rules of evidence, which has been held to be
and that he missed his meals owing to the such relevant evidence as a reasonable mind might accept as
nature of his duties. It should be noted sufficient to support a conclusion.
however, that said conditions do not bring
about cancer of the stomach. Thus: 'On the The circumstances alleged by the petitioner and the evidence
basis, (however), of the papers and evidence she presented are not enough to discharge the required
on record which you have submitted, it quantum of proof, liberal as it is. There is no clear evidence as
appears that you have not established that to when the diseased commenced and supervened; the tumors
your employment had any causal which developed in the deceaseds colon may have been
relationship with the contraction of the growing for many years even before he was employed as a
ailment.' Petitioner did not demonstrate that teacher. The trauma that was supposed to have caused or at
the adverse conditions mentioned above had least contributed to the disease was neither satisfactorily
direct causal connection with his job which clarified nor adequately proved.
would develop into cancer of the stomach.
(Rollo, pp. 125-126).
7. G.R. No. L-46654 August 9, 1988
WHEREFORE, the petition is DISMISSED.,
LUPO S. CARBAJAL, petitioner,
6. RODRIGUEZ V. ECC vs.
178 SCRA 1989 GOVERNMENT SERVICE INSURANCE SYSTEM
REGALADO, J. (Municipality of San Julian, Eastern Samar), and
EMPLOYEES COMPENSATION
FACTS COMMISSION, respondents.
1. Hector Rodriguez was a public school teacher assigned at
Salaan Elementary School in Mangaldan, Pangasinan. The undisputed facts of the case are as follows:

2. On November 19, 1975, he went on sick leave and was The late Nenita P. Carbajal was employed as Campaign Clerk
hospitalised at Pangasinan Provincial Hospital after he in the Municipal Treasurer's Office of San Julian, Eastern
complained of severe stomach pains accompanied by nausea Samar. On February 2, 1976 while typing tax declarations and
and vomiting. He was later diagnosed to have an Intestinal making entries in their books, which were her duties aside
Lipomatis of the Large Colon with Obstruction of the from campaigning for tax collections, she suffered from
Ascending Colon. bleeding per vaginum due to incomplete abortion. Her
hospitalization and treatment at the Bagacay Mines Hospital
due to profuse hermorrhage of one month duration secondary hypogastric pain" attributing said ailment to the lifting of
to complete abortion and shock were of no avail for on March heavy tax declaration books, due to abortion incomplete.
8,1976, petitioner's wife died.
This opinion of the decedent's physicians is in accord with the
On June 3, 1976, the Senior Assistant General Manager of the findings/analysis of medical authorities which read as follows:
Underwriting and Claims Department of GSIS, Mr. Domingo
N. Garcia, denied the petitioner's claim stating that the Pregnant women become tired more readily,
ailments of his wife were not occupational. therefore, the prevention of fatigue must be
stressed very emphatically. The body is
On June 27, 1977, the respondent ECC rendered its questioned made up of various types of cells, each type
decision in ECC Case No. 0168 based upon the findings of its with a specific function. Depletion of nerve-
Medical Officer, Dr. Mercia C. Abrenica, that there is no proof cell energy results in fatigue, and fatigue
to establish the compensability of the sickness in relation to causes certain reactions in the body that are
claimant's occupation. Neither was there an increased risk injurious. (Maternity Nursing 12th Edition,
arising from the working conditions affirming the GSIS by Fitzpatrick, Reeder and Mastroianni, Jr.).
decision denying the claim.
It is not considered desirable for pregnant
Hence, this petition. women to be employed in the following
types of occupation and they should, if
The sole issue raised in the case at bar is the compensability of possible, be transferred to lighter and more
petitioner's wife's ailments. sedentary works:

Section 1, P.D. No. 626, amending Article 165 of the Labor (a) occupation that involve
Code, defines a compensable sickness as "any illness heavy lifting or other
definitely accepted as occupational disease listed by the heavy work;
Commission, or any illness caused by employment subject to
proof by the employee that the risk of contracting the same is (b) occupation involving
increased by the working conditions." continous standing and
moving about. (One of the
Respondent ECC in its decision denying petitioner's claim, Standards for Maternity
stressed that the causes of abortion are: (1) fetal, as when there Case and Employment of
is defective development of the fertilized ovum; (2) maternal, Mothers recommended by
as in acute infections, disease, and when the spermatozoa is the Children's Bureau of
inadequate to give ovum the necessary generative impulse the United States). (Rollo,
(Obstetrics, J.P. Greenhill, 12th Edition, 1060). p. 12,).

Respondent ECC asserted that there is absence of any proof Moreover, spontaneous abortion may result from the influence
that the abortion suffered by petitioner's wife was caused by of periodicity as the uterine muscle reaches a certain state of
her employment and that petitioner failed to establish risk of detention; or in various accidents as a fall, strain or
his wife's contracting it was increased by working conditions overmuscular exertion when the uterus reacts and expels its
attendant in her employment. load. (Emphasis supplied; "Anatomy and Allied Sciences for
Lawyers, W.F. English, p. 181).
Petitioner contends that the decision of the ECC overlooked
the nature and conditions of employment of his late wife. Therefore, the opinion of the ECC Medical Officer (ECC
Petitioner claims that the risk of contracting the disease was Record, p. 20) that there was no causal relation between the
aggravated/increased by the working conditions as evidenced ailment of petitioner's spouse and the nature and/or conditions
by Report of Injury/Sickness/Death, Municipal Mayor Matilda of his wife's employment cannot overcome the substantial
A. Operario of San Julian, Eastern Samar (ECC, Records, p. evidence submitted by petitioner
11); Medical Certificate of the two attending physicians of the
deceased (ECC, Records, Annex "A," p. 15; Annex "B," p. Moreover, "this kind of interpretation gives meaning and
14); and the affidavit of the Municipal Treasurer of the substance to the liberal and compassionate spirit of the law as
aforementioned town (ECC, Records, Annex "C," p. 13) embodied in Article 4 of the New Labor Code which states
which confirmed that the illness was connected with her work that "all doubts in the implementation and interpretation of the
as Campaign Clerk in the Municipal Treasurer's Office. provisions of this Code including its implementing rules and
regulations shall be resolved in favor of labor.'" (Cristobal v.
Further, petitioner cites the travels of his wife and the of heavy ECC, supra). The policy is to extend the applicability of the
tax declaration books in connection with her work thereby decree to a greater number of employees who can avail of the
causing her "two attacks of vaginal bleeding and hypogastric benefits under law, which is in consonance with the avowed
pain." policy of the State to give maximum aid and protection to
labor (Acosta v. ECC, 109 SCRA 209 cited in Sarmiento v.
ECC and GSIS, L-65648, September 24, 1986, 144 SCRA
Claimant's contention is meritorious.
421).
Under Article 1167 (I), Presidential Decree No. 626, as
amended, a "compensable sickness means (1) any illness WHEREFORE, IN VIEW OF THE FOREGOING, the
petition is GRANTED
definitely accepted as an occupational disease listed by the
ECC; or (2) any illness caused by employment subject to proof
by the employee that the risk of contracting the same is 8. ELIGIO P. MIRASOL, petitioner,
increased by working conditions." vs.
EMPLOYEE'S COMPENSATION COMMISSION and
Records reveal that petitioner's wife while working as GOVERNMENT SERVICE INSURANCE SYSTEM
(Department of Education and Culture), respondents.
Campaign Clerk in the Treasurer's Office of San Julian,
Eastern Samar, suffered "two attacks of vaginal bleeding and
increased by the working conditions. He is entitled to
permanent total disability compensation.
FERNANDEZ, J.:
The record also discloses that the petitioner received medical
This is a petition to review the decision of the Employee's treatment.
Compensation Commission in ECC Case No. 0134 entitled
"Eligio Mirasol, Claimant, versus, Government Service WHEREFORE, the decision of the Employee's Compensation
Insurance System (Department of Education and Culture), Commission sought to be reviewed is hereby set aside and the
Respondent" affirming the decision of the Government Government Service Insurance System is ordered:
Service Insurance System denying the claim for compensation
of Eligio P. Mirasol on the ground that the claimant's ailments, 1) To pay the petitioner the amount of Six
hypertension and rheumatic infection in both knees, are not Thousand Pesos (P6,000.00) as disability
occupational diseases arising from his employment. 1 benefit;

The petitioner, Eligio P. Mirasol, while in good health, was 2) To reimburse the petitioner the medical
appointed as classroom teacher on August 1, 1945 in the expenses he incurred, supported by proper
public school in Libmanan, Camarines Sur. In 1960, he was receipts; and
appointed as District Food Production Coordinator and
Attendant Teacher in the same school. He became a District
3) To pay the petitioner the amount of Six
Revolution Coordinator and Attendant Teacher in 1972. In
Hundred Pesos (P600.00) as attorney's fees.
1974, the petition was given additional assignment as District
Vocational Coordinator. The district was composed of forty
eight (48) central barrio schools, eighteen (18) of which were SO ORDERED.
in the mountains which could be reached only on foot. Eight
(8) schools were 30 kilometers and the nearest was 10 9. VILLONES V. ECC
kilometers from the petitioner's headquarters in the town
proper of Libmanan, Camarines Sur. It was the petitioner's FACTS
duty to visit monthly all the district schools. On August 25, 1. Rolando Villones was employed as a secondary public
1973, he experienced for the first time symptoms of malignant school teacher assigned at Dayhagan Barrio Highschool in
hypertension and rheumatoid arthritis. The ailments of the Bongabon, Oriental Mindoro from July 3, 1972 up to the time
petitioner persisted. He was under continuous medical of his death on September 2, 1975.
treatment until he retired on February 28, 1976 after having
been in the government service for thirty one (31) years, more 2. He died of pulmonary tuberculosis.
or less. His retirement was brought about by ailments
diagnosed as high blood pressure and rheumatoid arthritis, 3. When his father filed a claim with the GSIS together with
both knees. 2 the following documents:

The petitioner applied for compensation benefits under P.D. a. Medical certificate showing that the deceased was on sick
No. 626 to the Government Service Insurance System (GSIS) leave from December 4 to 20, 1972 due to influenza.
in 1976. In a letter dated March 8, 1976, the Senior Assistant b. Medical certificate issued by Dr. Fernando B. Viloria,
General Manager, Domingo N. Garcia, of the GSIS denied the Municipal Health Officer of Bongabon certifying that he
claim on the ground that the ailments of hypertension and examined Rolando Villones on July 19, 1972 and found him to
rheumatic infection, both knees, are not occupational diseases be physically and mentally fit for employment.
and that the working conditions of the petitioner's employment c. A certification from the principal to the effect that the actual
could not have directly caused such ailments. 3 duties of the deceased were teaching secondary school
subjects such as chemistry, science, history and English. He
also led students in other extra-curricular activities.
The motion for reconsideration filed by the petitioner was
denied by the Senior Assistant General Manager of the
4. GSIS denied the claim on the ground that although
Government Service Insurance System in a letter dated May pulmonary tuberculosis is listed as an occupational diseases,
17, 1976. 4 the petitioner failed to satisfy other conditions in order to be
compensable. According to GSIS, for it to be compensable,
The petitioner appealed to the Employee's Compensation the employee manifesting this disease should have an
Commission which affirmed the decision of the Government occupation involving close and frequent contact with a source
Service Insurance System denying the claim. or sources of tuberculosis infection by reason of employment:
(a) in the medical treatment or nursing of a person suffering
It is a fact that part of the duties of the petitioner was to make from tuberculosis; (b) as a laboratory worker, pathologist or
monthly visits to various schools which are not accessible by post mortem worker.
road. To reach these mountainous schools, the petitioner had
to hike through muddy ricefields and climb slippery mountains 5. The ECC affirmed this decision of the GSIS.
during sunny and rainy days. During these monthly visits, the
petitioner fell down many times because of the slippery paths ISSUES
in the ricefields and trails in the mountains. The ailments of 1. Whether or not the death of Villones from pulmonary
hypertension and rheumatoid arthritis, both knees, must have tuberculosis is compensable.
been caused by the exposure to the elements of the petitioner 2. Whether or not the provisions of the Workmens
and his falling down many times while hiking in muddy Compensation Act is applicable in this case.
ricefields and on slippery mountain trails under all kinds of
weather conditions on his way to the barrio schools not HELD
accessible by road. 1. YES. Records reveal that prior to the employment of the
deceased, he was physically and mentally fit to perform his
There is sufficient substantial evidence of record to show that duties. While he was employed as a teacher, he went on sick
the ailments of the petitioner were caused by the duties of his leave for 16 days. His physician diagnosed the sickness as
employment and that the risk of contracting said ailments was influenza. Considering however the medical facilities in
municipal health centers, it is possible that what was
diagnosed as influenza was actually pulmonary tuberculosis in of petitioners and affirming the decision dated November 16,
its incipient stage, which may not be easily detected by 1992 of Philippine Overseas Employment Administration
physical examination but by extensive x-ray. Tuberculosis is (POEA) Administrator Felicisimo C. Joson, which ordered
not an instantaneous disease, it is an imperceptible germ that.
disease that feeds on the lungs whose presence in the body
cannot be easily discerned and its incipient stage may not be WHEREFORE, in view of the foregoing consideration,
readily discovered. Considering the nature of the deceaseds respondents are hereby jointly and severally held liable to pay
employment as certified by the principal, it is not surprising the complainant the following amounts:
that he contracted tuberculosis so that only after 5 months 1. P130,000.00 as death compensation benefits.
employed as a teacher, he was forced to go on sick leave by 2. P18,000.00 as burial expenses.
reason of the aforesaid illness.
ISSUE:
When he was able to resume work, he was again exposed to Are the local crewing or manning agent and its foreign
the same working conditions thus aggravating his illness until principal (the shipowner) liable for the death of a Filipino
he suddenly died of severe hemoptysis due to PTB. The Court seaman-employee who, after having been discharged, was
has consistently held that the disease of tuberculosis is an killed in transit while being repatriated home?
occupational disease or work-connected in such occupations
as that of teacher, labourer, driver, land inspector and such HELD:
other occupations, hence compensable. Petitioner's reliance on De Jesus is misplaced, as the death and
burial benefits being claimed in this case are not payable by
2. In the instant case, the cause of action accrued as early as the Employee's Compensation Commission and chargeable
December 4, 1972 when Rolando Villones contracted his against the State Insurance Fund. These claims arose from the
illness and continued to run until September 2, 1975 when he responsibility of the foreign employer together with the local
died by reason thereof; hence the cause of action accrued agency for the safety of the employee during his repatriation
before the That in all things, God may be glorified. The and until his arrival in this country, i.e., the point of hire.
governing law in the prosecution of the cause of action which Through the termination of the employment contract was duly
accrued of said cause of action. Since the Workmens effected in Dubai, still, the responsibility of the foreign
Compensation Act was then in full force and effect, then it employer to see to it that Pineda was duly repatriated to the
should govern in the case at bar. It must be pointed out that as point of hiring subsisted. Section 4, Rule VIII of the Rules and
early as December 4 to 20, 1972, the deceased was already Regulations Governing Overseas Employment clearly
entitled to disability benefits under Sec. 14 of the Workmens provides for the duration of the mandatory personal accident
Compensation Act because his illness prevented him from and life insurance covering accident death, dismemberment
reporting to his work for more than 3 days and under such a and disability of overseas workers:
situation, his employer was obligated under Sec. 37 to file a
notice of illness with the Workmens Compensation Sec. 4. Duration of Insurance Coverage. The minimum
Commission and to manifest its intention of whether or not to coverage shall take effect upon payment of the premium and
controvert his right to compensation. shall be extended worldwide, on and off the job, for the
duration of the worker's contract plus sixty (60) calendar days
Failure to comply with said sections constitutes a renunciation after termination of the contract of employment; provided that
of the employers right to controvert the claim resulting in the in no case shall the duration of the insurance coverage be less
waiver of all its non-jurisdictional defenses, such as non- than one year. (Emphasis supplied)
compensability of the claim.
The foreign employer may not have been obligated by its
INTERORIENT MARITIME ENTERPRISES, INC., contract to provide a companion for a returning employee, but
FIRCROFT SHIPPING CORPORATION and TIMES it cannot deny that it was expressly tasked by its agreement to
SURETY & INSURANCE CO., INC., petitioners, assure the safe return of said worker. The uncaring attitude
vs. displayed by petitioners who, knowing fully well that its
NATIONAL LABOR RELATIONS COMMISSION and employee had been suffering from some mental disorder,
CONSTANCIA PINEDA, respondents. nevertheless still allowed him to travel home alone, is
appalling to say the least. Such attitude harks back to another
FACTS: time when the landed gentry practically owned the serfs, and
The proceedings below originated as a claim for death disposed of them when the latter had grown old, sick or
compensation benefits filed by Constancia Pineda as heir of otherwise lost their usefulness.
her deceased son, seaman Jeremias Pineda, against Interorient
Maritime Enterprises, Inc. and its foreign principal, Fircroft WHEREFORE, premises considered, the petition is hereby
Shipping Corporation and the Times Surety and Insurance Co., DISMISSED and the Decision assailed in this petition is
Inc. The following facts were found by the POEA AFFIRMED. Costs against petitioners.
Administrator:
MABUHAY SHIPPING SERVICES, INC. V. NLRC
As can be gathered from the records of the case, it was alleged 193 SCRA 141
that deceased seaman, Jeremias Pineda was contracted to work GANCAYCO, J.
as Oiler on board the vessels, "MV Amazonia", owned and FACTS
operated by its foreign principal, Fircroft Shipping 1. Romulo Sentina was hired as 4th Engineer by Mabuhay
Corporation for a period of nine (9) months with additional Shipping Services for and in behalf of Skippers Maritime Co.,
three (3) months upon mutual consent of both parties with a Ltd. to work aboard the M/V Harmony I for a period
monthly basic salary of US$276.00 plus fixed overtime rate of of 1 year.
US$83.00 and a leave pay of 2 1/2 days per month; that on
October 2, 1989, he met his death when he was shot by a Thai 2. On January 16, 1988, while the vessel was docked
Policeman in Bangkok, Thailand; that considering that the alongside Drapetona Pier, Piraeus, Greece, Sentina arrived
deceased seaman was suffering from mental disorders aboard the ship from the shore visibly drunk.
aggravated by threats on his life by his fellow seamen, the
Ship Captain should not have allowed him to travel alone. 3. He went to the messhall and took an axe and challenged
The instant petition seeks the reversal and/or modification of those who are eating there.
the Resolution dated March 30, 1994 of public respondent
National Labor Relations Commission dismissing the appeals
4. He was pacified by his shipmates who led him to his cabin.
However, he later went out and became violent.

5. He smashed and threw a cup towards the head to an oiler,


Emmanuel Ero. Ero touched his head and noticed blood. This
infuriated Ero which led to a fight between
the two.

6. Sentina was taken to the hospital where he passed away on


January 17, 1988.

7. Cecilia Sentina filed a complaint against the petitioners with


the POEA for payment
of death benefits, burial expenses, unpaid salaries on board
and overtime pay with damages.

8. POEA ordered the petitioners to pay the claim.


9. Petitioners appealed to the NLRC although such appeal was
dismissed.

ISSUE

Is the employer exempted from liability in a case of one who


ran amuck or who in the state of intoxication provoked a fight
as a result of which he was killed?

HELD
YES. The mere death of the seaman during the term of his
employment does not automatically give rise to compensation.
The circumstances which led to the death as well as the
provisions of the contract, and the right and obligation of the
employer and seaman must be taken into consideration, in
consonance with the due process and equal protection clauses
of the Constitution. There are limitations to the liability to pay
death benefits.

When the death of the seaman resulted from a deliberate or


wilful act on his own life, and it is directly attributable to the
seaman, such death is not compensable. No doubt a case of
suicide is covered by this provision.

By the same token, when as in this case the seaman, in a state


of intoxication, ran amuck, or committed an unlawful
aggression against another, inflicting injury on the latter, so
that in his own defense the latter fought back and in the
process killed the seaman, the circumstances of the death of
the seaman could be categorized as a deliberate and wilful act
on his own life directly attributable to him.

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