Day 256 - 04 Jun 96 - Page 60


     
     1        contributed, too.  So that is why I use the word
     2        "aggregate".
     3
     4   MR. RAMPTON:  I was interested in your observation that it is a
     5        consensus.  I understand it is your view.  This is perhaps
     6        not a very fair question.  Who is of same view as you?
     7        Plainly, Professor Willett is not; he does not believe that
     8        fat is causative of breast cancer, does he?
     9        A.  He has taken a position almost by himself amongst, say,
    10        in the field, in saying that, and he says it sometimes
    11        rather publicly, that that is not related to breast cancer;
    12        he has said that.  However, that study comes from, or his
    13        comments come from his own study, primarily, the Nurses
    14        Health Study, where his examination of the dietary fat
    15        relationship with breast cancer, as we discussed before, is
    16        in a very narrow range.  It is basically comparing women
    17        consuming high fat diets with women consuming very high fat
    18        diets, where the relationship might have existed tends to
    19        disappear, as I was explaining before.  He has added this
    20        new paper that you have here in the material where they
    21        compare seven different cohorts, and again has concluded
    22        that it is unlikely that fat intake is related to breast
    23        cancer.  But, as I pointed out before, it is a rather
    24        incomplete analysis.
    25
    26        But I must say that I do not find -- and I can say that
    27        with some authority -- that he is a bit on the fringe when
    28        he says that sort of thing.
    29
    30   Q.   I see.  I take it you probably know as a matter of fact,
    31        since Dr. Peto is one of your collaborators, you probably
    32        know Sir Richard Doll, do you not?
    33        A.  Yes.
    34
    35   Q.   Can I ask you to find in the bottom shelf behind you an
    36        orange-backed file, numbered (iv)?
    37
    38   MR. JUSTICE BELL: Mr. Riley will get it for you.  It is a
    39        separate bundle, which Mr. Riley will get for you.
    40        A.  Sorry, your Honour, what section?
    41
    42   MR. RAMPTON:  It is divided into two halves numbered, logically,
    43        1 and 2.  If you turn to the second half of the file,
    44        please, and to tab 16.
    45
    46   MS. STEEL:   We have got 1, 2, 3, but I do not know whether that
    47        means -----
    48
    49   MR. RAMPTON:  I do not know.  Have you got there an article on
    50        cancer research in colon oncology? 
    51        A.  Yes, I do. 
    52 
    53   Q.   It is a guest editorial by Sir Richard Doll.  The only bit
    54        I would like you to look at is over the page, the little
    55        448 at the top of the left-hand column, under the heading
    56        "Dietary Factors".
    57        A.  Yes.
    58
    59   Q.   It says:  "That dietary factors are important, particularly
    60        perhaps in producing cancers of the stomach, large bowel

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