Day 033 - 10 Oct 94 - Page 38


     
     1        paragraph on page 3.
     2
     3   MR. RAMPTON:  My Lord, I have to say this:  I am looking at
     4        Dr. Barnard's response in his second statement to
     5        Professor Keen's original statement in which Professor
     6        Keen, in common with other commentators, denies any
     7        dietary relationship between type 1 diabetes -- sorry, any
     8        relationship between diet and type 1 diabetes.
     9
    10   MR. JUSTICE BELL:  Which page are you on?
    11
    12   MR. RAMPTON:  My Lord, I am not looking at Dr. Keen's
    13        statement.  I am looking at the third page of
    14        Dr. Barnard's second statement.  His commentary on
    15        Dr. Keen's statement, which runs through, I think, to the
    16        middle of page 4, contains no indication that he disputes
    17        Professor Keen's assertion that there is no dietary
    18        relationship with type 1 diabetes.
    19
    20   MR. JUSTICE BELL:  What he says is:  "The likeliest initiating
    21        mechanism is viral infection possibly with a specific
    22        strain of the coxsackie virus and it has recently been
    23        suggested that consumption of cows' milk in the first
    24        three or four months of neonatal life may play a role.
    25        There is no other evidence to suggest that the composition
    26        of the diet plays a role in triggering the appearance of
    27        this type of diabetes".
    28
    29   MR. RAMPTON:  Exactly.
    30
    31   MR. JUSTICE BELL:  I had not thought that cows milk in the
    32        first three or four months in the neonatal life, even were
    33        that so, had any relevance to the sort of dietary factors
    34        we are considering in this case.
    35
    36   MR. RAMPTON:  I would respectfully agree because I do not know
    37        of any suggestion that mothers of very small babies take
    38        them into McDonald's and feed them on milkshakes.
    39
    40   MR. JUSTICE BELL:  Has there been any -----
    41
    42   MR. MORRIS:  The only reason that we are raising it is because
    43        Professor Keen did allude to that and I wanted to see if
    44        Dr. Barnard agreed with that suggestion.
    45
    46   MR. JUSTICE BELL:  Yes.
    47
    48   MR. MORRIS:  Which may, although it does not have direct
    49        relevance to McDonald's foods, it is just another
    50        indication between overall dietary factors in disease. 
    51 
    52   MR. JUSTICE BELL:  If that is all Dr. Barnard is going to say, 
    53        so be it.  Perhaps we had better hear the answer.  If he
    54        is going to suggest that dietary factors apart from cows
    55        milk in the first three or months four months -- you can
    56        miss out the word "neonatal" -- of life play a role, then
    57        it seems to me this is a completely new factor.  But, let
    58        us hear the answer of Dr. Barnard.
    59
    60   MR. MORRIS:  Just on that subject, what is your comment on

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