Day 266 - 20 Jun 96 - Page 56


     
     1   MR. JUSTICE BELL:   Well, unless it is significantly different
     2        from that in the advice it is giving, do you need that?
     3
     4   MS. STEEL:  No.  I mean, no.  Well, that is OK.  It is just that
     5        that one was actually available around about 1990 from my
     6        recollection.  I think that is -- the new one is the one
     7        that is witness has brought down?
     8        A.   Yes.  They get updated with, you know, changing style
     9        and that type of thing but it is more or less the type of
    10        leaflet that we would have in stock to give to people.
    11
    12   Q.   And the message is basically the same.  For example, 6 and
    13        7; cutting down on fatty foods and eating plenty of fresh
    14        fruit and vegetables and other foods containing fibres?
    15        A.   Exactly, yes.
    16
    17   Q.   Right.  OK.
    18
    19   MR. MORRIS:  Just a couple of follow up questions.   Have you
    20        got the World Health Organisation Report? (Same handed)  Do
    21        you remember you wanted to refer to the chart on page 67,
    22        table 11 it was?
    23        A.   Yes.  It was referred to in the paragraph that was
    24        talked about before, yes.
    25
    26   Q.   Have you got page 67?
    27        A.   Yes.
    28
    29   Q.   And I will read what I says and then I will ask you if you
    30        agree with this.  "High fat intake."   This is the second
    31        full paragraph on that page.  "High fat intake is
    32        associated with cancer at several sites.  Certainty about
    33        the optimum intake of fat in relation to cancer must await
    34        future research such as control trials. In the meantime
    35        international correlation analysis, figure 9, and other
    36        epidemiological data indicates that fat intakes of less
    37        than thirty per cent of total energy will be needed to
    38        attain a low risk of fat related cancers.  A reduction in
    39        risk is also likely when fat intake is reduced towards
    40        thirty per cent, especially if its dietary change is
    41        combined with a change in other dietary components."  And
    42        if you look on the chart above we see under fruits and
    43        vegetables their relationship with virtually all the
    44        cancers on the list is a negative one, i.e. it is
    45        protective against cancer.  Would you agree with that?
    46        A.   Yes, putting it that paragraph into context of the
    47        whole chapter there.  Yes, I think that puts it very
    48        clearly.
    49
    50   Q.   Right.  I will just carry on reading: "In conclusion,
    51        although several lines of evidence indicate that dietary
    52        factors are important in the causation" and I emphasize the 
    53        word "causation"  "of cancer at many sites and that dietary
    54        modification may reduce cancer risk, the contribution of
    55        diet to total cancer incidents and mortality cannot be
    56        quantified on the basis of present knowledge.
    57        Nevertheless, evidence indicates that a diet which is low
    58        in total in total saturated fat, high in plant foods,
    59        especially green and yellow vegetables and citrus fruits
    60        and low in alcohol, salt, pickled, smoked and salt

Prev Next Index