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The Tylenol murders and the trust recovery

The Tylenol murders and the trust recovery

Released Thursday, 23rd November 2023
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The Tylenol murders and the trust recovery

The Tylenol murders and the trust recovery

The Tylenol murders and the trust recovery

The Tylenol murders and the trust recovery

Thursday, 23rd November 2023
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Episode Transcript

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0:02

It's

0:04

September 29th, 1982. An

0:08

ordinary Wednesday morning in a family-friendly

0:10

Chicago suburb.

0:13

A 12-year-old girl named Mary Kellerman wakes

0:15

up with a common problem. She has

0:17

a cold.

0:18

She didn't feel well

0:20

and she had a headache. She stayed home from school

0:24

and she retrieved some extra strength

0:26

Tylenol from the medicine cabinet.

0:29

Mary's mom bought Tylenol the

0:31

day before. Almost immediately,

0:34

Mary started coughing and she

0:36

fell to the floor.

0:38

Downstairs, Mary's dad

0:40

hears the crash. When he finds

0:42

her on the floor, Mary's eyes are dilated.

0:46

Her breathing is shallow and labored, as

0:48

though she's suffocating.

0:50

They got her to a hospital. She

0:53

got progressively sicker and

0:55

sicker and was pronounced

0:57

dead a short time later.

1:01

Mary Kellerman's death marked

1:03

the start of a nationwide crisis. Because

1:06

her death was just the beginning of what's

1:08

come to be known as the Tylenol murders.

1:16

I'm Shaleen Gupta, and this is Trustonomy,

1:19

an original podcast from OneTrust. This

1:22

whole season, we've been exploring the ways companies

1:24

lose the trust of the public and the devastating

1:27

consequences that follow. But

1:29

now, for our season finale, we're

1:32

telling a different kind of story. This

1:35

is a story about how a crisis helped a

1:37

company rebuild trust by

1:39

proving that they had their customers back.

1:46

It's important if you're building trust

1:48

in a company that you don't stagnate at

1:50

just meeting people's expectations. It's

1:52

actually going to be around exceeding them.

1:54

That's Andrew Clearwater. He's going

1:57

to tell us how Johnson & Johnson, the makers

1:59

of Tylenol, helped rebuild trust

2:01

in one of the nation's biggest brands. But

2:04

first, we need to hear from veteran

2:06

journalist Phil Rogers. I

2:11

don't remember a time when the public was

2:13

more frightened than during the Tom

2:15

and All Murders in Chicago. Last

2:18

year, Phil retired after 31 years

2:21

reporting for NBC 5 News.

2:23

But in the fall of 1982, Phil was just

2:26

starting his career working at WBBM

2:29

Radio, a local Chicago station

2:31

when the murders hit the news.

2:34

At first, nobody knew why

2:35

Mary Kellerman had died. At this

2:37

point, her death wasn't tied to the Tylenol she

2:39

took that fall morning. And

2:41

it's the mystery at the core of the story that

2:43

made the fear spread so quickly. There

2:47

is no minimizing how scared everybody

2:49

was. It was absolutely a terrifying

2:52

time. That level of horror

2:54

and outrage going on for weeks

2:57

and weeks and a lot of people

2:59

wondering if another shoe was still going to drop. That

3:02

worry was, sadly, completely justified.

3:05

In fact, even as Mary's family was trying

3:07

to process her sudden death, tragedy

3:09

was stalking other folks in the Chicago

3:11

area. A postal

3:14

worker by the name of Adam Janis,

3:16

who was 27 years old, is getting up and starting

3:18

his day. He doesn't feel very

3:20

well. He calls in sick.

3:23

He goes to the grocery store and while he's there,

3:25

he picks up a bottle of extra strength Tylenol.

3:28

Then he heads home and takes a couple capsules

3:30

from the bottle.

3:32

And comes out of the bathroom clutching his chest

3:35

and obviously is in real distress.

3:38

His wife is alarmed by this and

3:41

they call 911 and get an ambulance

3:44

there to try to give him some help. He goes to the

3:46

hospital and he dies a short time

3:48

later. have

4:00

a seemingly healthy young man who has

4:02

suddenly died. Later

4:05

that day, recovering from the shock of its

4:07

death, Adam's brother Stanley

4:09

and the rest of the Janus family leave

4:12

the hospital and go back to Adam's house

4:14

to make funeral arrangements. Stanley

4:17

was himself not feeling well and was

4:20

overcome with grief. He asked if they

4:22

had any pain medication, was told,

4:24

yeah, it's in the bathroom medicine cabinet. There should

4:26

be some Tylenol in there. He went in and retrieved

4:28

the bottle and came out with it. And his

4:31

wife, Teresa, said, you know what? Why

4:33

don't you let me have two of those two? I'm not feeling

4:35

so well either. They both ingested

4:37

the capsules. Almost immediately,

4:40

they fell to the floor, suffering the

4:43

exact same kind of symptoms

4:46

as Adam had been displaying. They are quickly

4:48

taken to the same hospital where

4:50

they would eventually be pronounced dead as well. Three

4:54

members of the same family all collapsed

4:57

in the same house. All on the same

4:59

day, they were all taken to the same hospital

5:02

by the same paramedics. First

5:04

responders and medical staff were baffled.

5:08

But that would soon change with a random bit of

5:10

luck.

5:11

There were two different completely unrelated

5:13

sets of paramedics and firefighters from

5:16

different communities who happened to know

5:18

each other.

5:19

One set knew about young Mary's death, and

5:21

the other set knew about the Janus family.

5:24

They happened to talk to each other and

5:27

mention, boy, I had this crazy

5:29

run in my department. These people were poisoned.

5:32

And the other party's saying, you know

5:34

what? We had the very same thing happen

5:36

here and start to put

5:38

two and two together. Four people

5:41

in the Chicago area had now died in the

5:43

same way all on the same day. Then,

5:46

within hours, three more people perished.

5:49

Extra-strength Tylenol remained

5:51

the common link in every case. Armed

5:54

with this information, the deputy medical

5:57

examiner at the Cook County Office gave

5:59

the...

7:59

How did Tylenol become tainted in the first

8:02

place? Was it perhaps the manufacturer's

8:04

fault? Cyanide, after all,

8:06

was used to test lead levels in the factories

8:08

where Tylenol was made. The

8:11

theory was soon dismissed. The cyanide

8:13

and the poison capsules had a different

8:15

chemical makeup, and even more troubling,

8:18

the poison capsules were coming from more

8:20

than one factory. This

8:24

led investigators to a frightening conclusion.

8:27

That was the point where they knew they had

8:29

somebody out there that was tampering with the capsules,

8:32

some kind of madman that is intentionally

8:35

poisoning the Tylenol and

8:37

putting them in the stores. Then,

8:39

on October 1st, just two days after

8:42

people started dying...

8:43

A man mails an extortion

8:46

letter. It was written anonymously to

8:48

Johnson & Johnson, demanding

8:50

a million dollars be deposited

8:52

in a Chicago bank, in his

8:55

words, if you want to stop the killing.

8:57

Using the bank account number, authorities tracked

9:00

the threat back to a man named James Lewis.

9:03

And while he didn't admit to the crime...

9:06

He was given paper and writing materials,

9:08

and he drew a picture of

9:10

how he thought the killer

9:13

probably put the Tylenol into

9:15

the capsules. A lot of the investigators

9:17

thought that indicated

9:19

more than just a little creativity

9:22

on Mr. Lewis's part, that it showed

9:24

that he was possibly even using his

9:26

own recollection. Here's

9:29

what was clear. An enormous number

9:31

of lives were now at risk. They

9:33

could be looking at a horrifying case of mass

9:35

murder. The scale of the tragedy

9:38

was expanding by the hour.

9:40

Johnson & Johnson was understandably subject

9:42

to a lot of serious

9:43

scrutiny at this point.

9:45

All eyes were on them. They had

9:47

to react. Johnson & Johnson

9:50

mounted a big blitz of

9:52

information. They go on

9:54

television, tell the public, don't buy

9:57

our product. They also, for

9:59

a while,

9:59

while killed all their advertising completely.

10:02

They offered a reward for information

10:04

that might lead to the killer. They

10:07

worked incredibly closely with

10:09

law enforcement and with the Food

10:11

and Drug Administration, and they start

10:13

pulling it off the shelves by the tens

10:15

of millions of bottles, which

10:17

they admit are now going to be tested

10:20

for the potential presence of cyanide.

10:23

That nationwide recall took place on

10:25

October 5th, less than a week into

10:27

the crisis. It was the first mass

10:30

recall in American history. This

10:32

was an extraordinary and full-fledged

10:35

reaction. In 1982, the

10:37

term crisis management wasn't even

10:39

a thing, so Johnson & Johnson

10:42

had to invent it on the fly.

10:44

Johnson & Johnson ends up recalling 31

10:48

million bottles of extra-strength Tylenol

10:51

worth an estimated $100 million. That's

10:54

in 1982 dollars, and

10:57

they were taking quite a hit on this because at that

10:59

point, Tylenol was the number

11:01

one over-the-counter pain medication.

11:04

Suddenly, everyone's afraid of this

11:07

product.

11:08

The change to Johnson & Johnson's bottom

11:11

line was enormous and immediate. In

11:13

just a few weeks, Tylenol's

11:16

market share plummeted from 35% to 8%.

11:20

It doesn't come much worse than that

11:23

for an American business to have to

11:25

go to the public and say, don't use

11:27

our product. It might kill you. If

11:30

you had asked any of us

11:32

in the news business or anybody in the public

11:34

at that point in the days after the

11:37

murders began to unfold, we would

11:39

have told you that there was one fact that

11:41

was indisputable, and that that was Tylenol

11:43

was dead as a product.

11:45

When a company is faced with such a terrible crisis,

11:48

a common reaction is to retreat and

11:50

make themselves invisible. But Johnson &

11:52

Johnson did the opposite. They

11:54

decided to reach out.

11:57

They set up toll-free numbers for

11:59

the public.

11:59

for the news media to call

12:02

with updates on information

12:05

from the company itself. The chairman

12:07

of the company was not shy. He

12:09

went on big shows. He was on 60 Minutes.

12:12

He was on Donny Hugh. He appeared

12:14

in the television commercials himself,

12:18

going on as the face of the company to

12:20

talk about why people

12:22

shouldn't take the product and let me

12:24

show you what we're doing to safeguard the public.

12:26

Of

12:30

course, any solution was never just

12:32

going to be about optics. They needed

12:34

a concrete change. By November,

12:37

Johnson & Johnson announced an innovation

12:40

that they'd been experimenting with before

12:42

the murders.

12:44

They go back on television and they

12:47

announce, for the very first time in history,

12:49

tamper-proof packaging. And they demonstrate

12:51

in the commercial, I remember this really,

12:54

really well, they show the box

12:56

that the end flap is glued shut, that

12:59

when you open the box, you're going to take out a bottle

13:01

that has a safety seal around the neck of the

13:03

bottle, a plastic shrink-wrapped

13:06

seal. And then you're going

13:08

to open the bottle and it has a foil

13:10

cap across the top of the bottle. Tamper-proof

13:13

packaging was exactly the innovation

13:15

that an anxious public wanted, even

13:18

if they didn't know it yet. In 1983,

13:21

Congress passed a bill making it a federal

13:23

crime to tamper with medications. It

13:25

was called the Tylenol Bill. I

13:28

remember that a disaster official who

13:30

was responsible for federal legislation

13:32

told me once that all safety

13:35

regulations are written in blood. And

13:37

what she meant by that is that any

13:40

good law that deals with the safety

13:42

of the public probably stemmed from

13:44

a tragedy. The daily life

13:47

of American consumers was changed forever.

13:50

A new layer of protection and of trust

13:52

was now baked into the consumer experience.

13:56

So did it work out for Johnson & Johnson? Did

13:58

they regain the trust of the public?

13:59

the public.

14:01

In just a year after the murders, Tylenol

14:04

regained its entire market share and

14:06

was once again the top pain reliever

14:08

in the country. Johnson & Johnson

14:11

did the best job I can remember

14:13

of trying to take control

14:16

of a tragic situation that was

14:18

affecting their company and they managed

14:20

to turn it around. And proof of that

14:23

is possibly sitting in your home right

14:25

now.

14:28

My experience with it is that it's something

14:30

you definitely have in your cupboard and

14:32

Tylenol is not something to worry

14:35

about.

14:35

Like most people,

14:36

Andrew Clearwater, the chief trust architect

14:39

at One Trust, has always thought of Tylenol

14:41

as a brand that everybody can trust.

14:44

But as we've just heard, there was a brief

14:46

time when trust in Tylenol was shaken

14:49

to its core.

14:50

The tragedy here is you would

14:52

trust that if you go to a

14:54

store that is selling

14:57

medication to make you healthier, it's

14:59

such an unexpected thing. And there

15:01

really was no way that either

15:04

the company or the family could have known

15:06

the circumstances that were going to unfold.

15:09

Andrew's job is about discovering

15:12

new ways to secure our customer trust

15:14

in today's digital world. That

15:17

title, Trust Architect, carries

15:19

a lot of weight.

15:21

I'm one of very few, I believe. I

15:23

might really be the second if I can

15:25

believe what's on LinkedIn. But

15:27

it's a unique job for sure. There's

15:29

a combination of research work where we're

15:31

looking at privacy and security ethics

15:33

and ESG. And there's a kind

15:36

of facilitating the development that goes

15:38

with building a program that works for a

15:40

lot of companies. The issues

15:42

that companies deal with today may look radically

15:45

different from the pre-cloud offline

15:47

world of the 1980s. But

15:50

Andrew says the way

15:51

Johnson & Johnson dealt with their crisis

15:53

still has a lot to teach us.

15:56

What's interesting about this story is that we want

15:58

to be able to do what we can to make the world a better place.

17:47

the

18:00

implications, I guess, to the long-term

18:02

outcome of the company. And from that

18:05

point of view, you're not going to get the same result

18:07

as this story.

18:09

Johnson & Johnson's customer-first approach

18:11

wasn't just lip service. They let

18:13

that value dictate their response. In

18:16

other words, they weren't inventing some new

18:18

moral compass on the fly. Their

18:21

plan emerged from values they already

18:23

had.

18:24

So if your values were created by

18:26

your marketing department, then

18:28

you won't see them carried out later

18:31

on if they weren't actually internalized, taught,

18:33

and part of how the company behaves. One

18:36

of the things that you can see here with

18:38

Tylenol is that they

18:40

live their values. And I think it's in

18:43

times of crisis that values

18:46

are tested.

18:49

It shouldn't surprise anyone that putting people

18:51

first also happens to be good for a brand

18:54

in the long run. People respect

18:56

companies like that. And companies

18:58

like that earn their trust.

19:00

Tylenol becomes this

19:03

value-filled underdog almost,

19:06

even though they're a giant corporation, right?

19:08

Like, they are trying to figure something out. I

19:11

think it really brought the public along with them.

19:13

Tylenol ends up looking like

19:16

a victim of something that happened to them.

19:21

Johnson & Johnson did not simply take

19:23

action. They also communicated

19:25

that action to the public. Just

19:28

weeks after the Tylenol murders, their

19:30

chairman went on 60 Minutes and The Donahue

19:33

Show. The Tylenol murders were dominating

19:35

the American imagination, so Johnson &

19:38

Johnson made sure their voice was at the forefront

19:40

of the national conversation. Communicating

19:43

a strategy is what gives

19:45

people confidence in your actions. If

19:47

you're doing it in the vacuum and people

19:50

are scared, they will

19:51

not have confidence. And what's interesting

19:54

about Johnson & Johnson is not only

19:56

were they able to communicate it, they

19:58

did it with such a media.

20:01

All that communication wasn't about claiming

20:03

innocence either. Instead, they

20:05

spent that airtime explaining what they were

20:08

doing to fix the situation. Again,

20:10

Johnson & Johnson was putting the needs of their customer

20:13

first. In doing so, they

20:16

received a massive lift themselves.

20:18

It would have been easy for Tylenol

20:21

to spend a lot of their communications

20:23

time on

20:25

how this was not them. But by

20:27

really bringing it back to, look,

20:30

this is what we're going to do about it. It

20:32

puts you in the space of showing

20:36

basically capability and value

20:38

when normally you could be focusing

20:41

on the crisis itself. And

20:43

so by making

20:45

it clear through your communications, the

20:48

story about what Johnson & Johnson was doing

20:50

became the story.

20:54

It can feel like a leap of faith to really let

20:57

a customer first, open and transparent

20:59

culture guide your company. But

21:01

it's more pragmatic than it may seem. The

21:06

extraordinary actions Johnson & Johnson

21:09

took, for example, may seem altruistic.

21:12

But here's the thing. It was also a

21:14

kind of enlightened self-interest.

21:17

A company that earned the public's

21:18

trust has earned the public's

21:21

business.

21:22

Every time a shopper looked at a bottle of Tylenol,

21:25

the visual of that new tamper-proof packaging

21:28

reminded them that this was a company

21:30

they could trust.

21:32

And these protections became

21:34

industry standard, and it became a

21:36

way to visually see what was different

21:39

between before the crisis and after

21:41

the crisis. And I think that matters a lot.

21:44

It's putting it back in this new form that

21:46

really changes the experience. And

21:49

I think customers need to be

21:51

able to perceive the brand

21:54

and what's changed here.

21:59

Ciel, Tylenol was suddenly a

22:02

brand that stood out as safe instead

22:04

of dangerous. They reversed

22:05

the narrative about their product and

22:08

the ultimate result is that they established a

22:10

competitive advantage over their competition.

22:12

You're choosing a technology that enhances

22:15

trust. You might actually bring people towards

22:17

your brand in a way that causes the rest

22:19

of the industry to have to catch up. And

22:22

if they try to catch up, they're going to

22:24

incur costs in the rush to bring that

22:26

technology to market, or they

22:28

might not even get the benefit of trust because

22:31

a brand that acted quickly will be

22:33

able to show, Hey, we acted because

22:35

we were acting in your best interests. The others,

22:37

they don't get that halo effect.

22:40

In fact, Tylenol came out of the crisis

22:43

looking like a leader. And the result we

22:45

heard earlier that their market share bounced back

22:48

to its pre-crisis level, and

22:50

nobody thought that was possible.

22:52

That is remarkable, both

22:54

in how quickly it dropped and how quickly

22:57

it returned. But also in

22:59

an odd way, all of this talk about

23:02

Tylenol, once it became

23:04

clear that they were taking the right actions,

23:07

it sort of built

23:10

a recognition among households that probably

23:13

wasn't even there prior to it. And

23:15

then it's sort of in the collective

23:17

consciousness after that. I

23:20

can't think of any company that has made

23:22

such a quick recovery like that. And boy,

23:24

could it have gone another way.

23:27

Andrew envisions a future where nobody

23:29

has to go that other way. He

23:31

believes every company

23:32

can benefit from treating their customers'

23:34

trust like a core part of their business.

23:37

The goal is to exceed people's expectations,

23:40

and an entire metric of trust can

23:42

be established to see how you're doing. The

23:45

customer's trust in a company becomes

23:47

a real measurable thing of

23:49

value.

23:50

Let's say we have privacy,

23:53

ethics, security, and ESG sort of building

23:55

the core of our trust program. Talking

23:58

about trust measurement and trust school.

23:59

isn't it important to

24:02

know what other people think of what you do, right? In

24:04

the end, I think you want a combination

24:07

internally of values

24:09

that show what you're doing for the business,

24:12

but you've got to bring into scope feedback

24:15

from the key audiences about their experience.

24:18

And I think that might be a

24:21

bit of a seed that grows into trust

24:23

scoring overall.

24:25

Listening is fundamental to trust. It's

24:28

where customer-first values and effective

24:30

communication really begin. You

24:32

need to listen to the public's concerns and hopes,

24:35

tell them what you're going to do to help, and

24:37

then do it.

24:38

But

24:39

when it comes down

24:41

to whether those actions end

24:43

up being trusted or not, you

24:46

don't really find that in the playbook, right? That's

24:49

still something that has to happen in the culture.

24:55

So, whatever happened to James Lewis,

24:58

the star suspect in the Tylenol murders,

25:02

he was eventually charged with extortion for

25:04

the letter he sent to Johnson & Johnson and

25:06

sentenced to 12 years in prison. But

25:09

despite their suspicions, investigators

25:12

were never able to pin him with the murders.

25:15

The case was reopened several times over

25:17

the years, but sadly, there

25:19

was never a proper ending to this tragedy.

25:24

When Lewis died in the summer of 2023, there

25:26

was still no resolution

25:27

in this case. To

25:30

this day, the Tylenol murders in Chicago

25:32

remain unsolved.

25:35

And yet, for all that uncertainty and

25:37

chaos, real and positive

25:38

changes were made.

25:40

In 1989, new FDA

25:43

guidelines required all over-the-counter

25:45

drugs to be sold in tamper-proof packaging.

25:49

Tylenol's new packaging became the vanguard,

25:51

leading the way to a whole new landscape

25:53

for American consumer goods.

25:59

a temperproof seal. When

26:02

you buy a bottle of orange

26:05

juice and you unscrew the top

26:07

of it, and you have that really hard

26:09

to peel off foil seal

26:12

across the neck of the bottle, all

26:14

of that stems from the Tylenol

26:17

murders in Chicago, and it

26:19

was all invented by Johnson &

26:21

Johnson. This

26:26

season, stories from the past have inspired

26:29

new insights about trust and the role

26:31

it plays with successful businesses. We

26:34

saw a number of tragedies along the way, but

26:37

a few powerful tools always

26:39

made the difference when disaster struck. Pools

26:43

that often go ignored, like privacy

26:45

and informed consent, third-party

26:47

risk management, respect for whistleblowers,

26:50

and proper data management. Pools

26:53

like these are the fundamentals

26:55

of trust.

26:57

A lot can go wrong

26:57

out there, but trust isn't about some

27:00

perfect world where nothing ever goes wrong.

27:03

It's about knowing that someone's done right

27:05

right.

27:06

It's about knowing every effort has been made

27:08

to keep you safe.

27:11

And I've learned this much for sure. In

27:13

the world of business, trust

27:15

is something we have to earn every day.

27:28

So that's a wrap for season one of Trustonomy.

27:31

I hope you've loved listening to the show as much

27:33

as I've enjoyed hosting it. The

27:35

team behind Trustonomy is story producer

27:38

and showrunner Goldub Swanson, executive

27:40

producer Tori Allen, writer

27:43

Michael Harris, and sound designers Mark

27:45

Angley, Christian Proem,

27:46

and Robin Edger.

27:49

From one host, we have Katie Wharton and John

27:51

Mill. With graphic design by Isabella

27:53

Dubose, I'm Shaleen

27:55

Gupta, and this is Trustonomy, an original

27:57

podcast

27:58

from Huawei.

27:59

Thanks for listening.

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