Johnson & Johnson must pay $72 million to the family of a woman who blamed her fatal ovarian cancer on the company’s talcum powder in the first state-court case over the claims to go to trial.

Jurors in St. Louis on Monday concluded J&J should pay $10 million in compensatory damages and $62 million in a punishment award to the family of Jackie Fox, who died of ovarian cancer last year after using Johnson’s baby powder and another talc- based product for years.

It’s the first time a jury has ordered J&J, the world’s largest maker of health-care products, to pay damages over claims that it knew decades ago that its talc-based products could cause cancer and failed to warn consumers.

J&J is facing about 1,200 suits claiming studies have linked its Johnson’s Baby Powder and its Shower-to-Shower product to ovarian cancer. Women contend the company knew of the risk and failed to warn customers.

The jury foreman, Krista Smith, called the company’s internal documents “decisive” for jurors, who reached the verdict after four hours of deliberations.

“It was really clear they were hiding something,” said Smith, 39, of St Louis. “All they had to do was put a warning label on.”

Gerard Noce, a lawyer for J&J, declined to comment on the verdict. Allen Smith, a lawyer for the family, said, “It was a just verdict given the horrible conduct of J&J.”

J&J marketed its Shower to Shower brand talc for feminine hygiene. One 1988 ad promised “just a sprinkle a day keeps odor away.” Valeant Pharmaceuticals International Inc., which acquired the Shower to Shower brand in 2012, wasn’t a defendant in the St. Louis case.

Wallboard, Balloons

Talc is used in products as varied as wallboard and the powder that keeps elastic balloons from sticking together. Baby powder is estimated to be an $18.8 million market in the U.S., according to the Statistic Brain Research Group. About 19 percent of U.S. households use J&J’s brand, according to another research group, Statista.

Corn starch has been widely substituted for talc as an absorbent in baby powder and feminine hygiene products. The American Cancer Society advised in 1999 that women use corn starch-based products in the genital area.

J&J, which introduced a baby powder using corn starch in the 1970s, continues to offer products that include talc and maintains the substance is safe.

In Fox’s case, her family’s lawyers urged jurors to find J&J officials hid its talc products’ health risks and should pay at least $22 million in damages.

The case is Fox v. Johnson & Johnson, Cause No. 1422- CC09012-01, Division No. 10, Missouri Circuit Court, Twenty Second Judicial District (St. Louis).