“We would like you to confirm that:— · with Jill Whiteley’s underlying medical condition (Asthma) that when she contracts a respiratory illness (be it a common cold, a virus or flu, etc) it would not be unexpected that her asthma would exacerbate that illness. · that, this, in turn, could prevent a return to work earlier than otherwise might be. · given Jill’s medical history, that in the 6 month period up to and including October 2010 her absence from work totalling 14 days (5 in April, 4 in September and 5 in October) would not be perceived as excessive. · In periods when Jill is suffering bouts of illness that are respiratory related that absences of say 15 days per annum would not be unexpected or excessive.”
“[…] People with asthma frequently find that common viral infections (e.g. the ‘common cold’, flu, etc) make their asthma worse. This worsening may be fairly mild, requiring an increase in their inhaler use, or it may be more severe, requiring a course of steroids. They are also more prone to chest infections requiring antibiotics. These exacerbations generally cause increased shortness of breath, cough and wheeze, especially on exertion. It is not uncommon to need time off work during exacerbations, which are generally more common in the winter months, but may also occur when pollen counts are high. Following an exacerbation it takes time for the inflammation to settle and this may lead to a longer recovery period. I note that between April and October 2010 Mrs Whiteley required 3 courses of antibiotics and two short courses of steroids for asthma exacerbations. This is not an uncommon pattern. It is generally quoted that we all suffer about 6-8 viral illnesses each year, and although some of these will be mild and easily manageable, a few could be expected to cause exacerbations requiring further treatment and a few days away from work. An absence of a few days occurring 3 or 4 times over a year would be typical.”
“In our judgement, that letter sets out important information. We do not think, as Mr Branchflower suggested, that it is in any way unclear as to its meaning. Looked at generally, we conclude that the letter is strong evidence that an asthmatic person is far more susceptible to a viral infection than is a non‑asthmatic person, that an asthmatic person is more prone to chest infections and that an absence of a few days, over three or four times a year, would be typical for a person in the position of this Claimant.”
“[…] Had that information been available (as it should have been), we consider that the Respondent would inevitably have concluded that these three absences were directly related to the Claimant’s asthma. Accordingly, we reject the apportionment approach for which the Respondent argued.”