Day 253 - 21 May 96 - Page 27


     
     1        France, but I think that that is not probably the likely
     2        explanation.  Hopefully people die in old age but "of it",
     3        I do not know what that means.
     4
     5   Q.   No, but there is a serious question involved in this,
     6        Professor Naismith. Suppose I die, which I hope I will, of
     7        a heart attack when I am, say, 75 -- I not talking about
     8        the age, I am talking about the means of exit -- is it
     9        known, roughly speaking, how long that condition, which
    10        leads to my heart attack, assuming that I have got coronary
    11        heart disease which causes it, how long it will have taken
    12        to develop before I die at the age of 75 or 80 or whatever
    13        it may be?
    14        A.  Well, there are two major components to coronary heart
    15        disease:  One is the inclusion of the blood vessels by
    16        atherosclerosis and one can live to the age of 90 and be
    17        riddled with atherosclerosis and not with a heart attack.
    18        The other component is the tendency of the blood to clot,
    19        that is thrombosis, and one can die of a coronary
    20        thrombosis where a blood clot blocks the coronary artery
    21        and starves the heart of blood and you die.  That can occur
    22        in somebody who has very little atherosclerosis.  It is
    23        more dangerous when the two are present together and they
    24        are influenced, to some extent, by different dietary
    25        components.
    26
    27   Q.   Then, finally, I would, if his Lordship would bear with me,
    28        I would like you to look at ----
    29
    30   MR. JUSTICE BELL:  Just ----
    31
    32   MR. RAMPTON:  We have not had a break, my Lord.
    33
    34   MR. JUSTICE BELL:  How long do you think you will be?
    35
    36   MR. RAMPTON:  This might take about 7 minutes.
    37
    38   MR. JUSTICE BELL:  I think we had better have a break, if you
    39        can just be patient, Professor Naismith.
    40
    41        While we are having the break, I would like you to think
    42        about what we will do when Professor Naismith has finished
    43        his evidence, including the question of Mr. Nicholson and
    44        the question of the amendment you would like to make in
    45        relation to Brazil rainforest and indigenous people.
    46
    47                         (Short adjournment)
    48
    49   MR. RAMPTON:  My Lord, may I hand these in?  What I have done is
    50        to take the tables, one for his Lordship and there is one 
    51        for the witness, of what I conceive to be the relevant 
    52        tables from different parts of the COMA Report, number 46 
    53        and stuck them together.  (Handed)
    54
    55        They have all got their page numbers on the bottom except
    56        for figures 2.43 which are page numbers 86 to 87 in the
    57        grey book.
    58
    59        Can we look, first of all, Professor Naismith, at the
    60        left-hand figures 2.9 and 2.10 where we have already

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