Causation
Causation
FACTUAL CAUSE
D P
D’s conduct sets in motion train of events that lead to harm to P – but
for D’s action harm would not have resulted – if remove D’s conduct
from picture, would harm still have occurred?
LEGAL CAUSE
D
Device further to restrict liability where liability for factual cause may
lead to overextended liability. Common sense test to ensure that
sufficient connection between conduct and result to justify making D
liable. Adequate or sufficient causation.
In S v Rahman S-178-82
X had struck D on the head with a piece of wood. The doctors
subsequently failed to detect internal bleeding. D died.
Court held that subsequent failure to detect the bleeding did
not snap the causal link and X was found guilty of culpable
homicide.
In S v Rukonkunda S-27-85
X shot an elderly woman in the hip. She was taken to hospital
where she was bedridden. The woman died. The death
certificate indicated that the cause of death was bronchial
pneumonia. There was not medical negligence. The court
decided that there was no snap in the causal link and that X
was guilty of murder.
In R v Mubila 1956 (1) SA 31 (SR) at 33 X had inflicted a
wound upon D. D failed to follow medical advice and died.
Had he followed the medical advice he would not have died.
X was still held liable for the death. No break in causal link.
In R v Mabole 1968 (2) RLR 159 (G)
X stabbed D who was taken to hospital. Doctor concluded
that none of wounds was penetrating. Later D showed signs
of loss of blood-pressure and a raised pulse rate. To
determine cause, exploratory surgery was undertaken. As a
result of surgery, D developed a fatal pulmonary embolism.
Court held that there was no break in the causal chain. It
was a reasonably predictable consequence of attack that D
would require medical attention and, in the present state of
medical knowledge, mistakes in diagnosis and treatment are
a commonplace. Provided that medical attention is given
bona fide and with reasonable efficiency, X cannot complain
of such mistakes.
The thin skull rule
Applies in delict, as it does in criminal cases. Reasonably
foreseeable that some people in society suffer from ailments
and other physical conditions which make them more
susceptible to injury or more serious injury than persons who
do not suffer from those conditions. General rule that Ds
must take their victims as they find them & if, for instance,
victim in collision caused by D’s negligence has weak heart &
shock of accident induces a fatal heart attack, D may be
liable to dependants even though person without that
condition would not have died in the accident.
In Wilson v Birt (Pty) Ltd 1963 (2) SA 508 (D) a worker on a
construction site suffered greater injury than the normal
person because he had a thin skull. Court however went on
to say that victim who is especially vulnerable must take
reasonable precautions to protect himself & failure to do so
will amount to contributory negligence.
In Smith v Leech, Brain and Co [1961] 3 All ER 1159 (QB) a
fleck of molten metal splashed on a workman’s lip because D
had failed to provide him with a shield. The burn turned
cancerous & he died. D was held liable for the death.
In Santam Insurance Co (Ltd) v Paget 1981 ZLR 73 (A) an
accident aggravated a pre-existing back complaint. The court
applied the thin skull rule.
In R v John 1969 (2) RLR 23 (A); 1969 (2) SA 560 (RA)court
held that if you assault a person moderately it is reasonably
foreseeable that he may have a thin skull and may end up dying.
In S v Ncube GB-47-80 during a minor tussle one of the people
involved, Y, suffered haemorrhaging into lung cavity probably
precipitated by exertion of struggle combined with tubercular
condition from which Y suffered. Court held that the thin skull
rule did not apply as death was not reasonably foreseeable in
the circumstances.