Day 252 - 20 May 96 - Page 55


     
     1        figures you have here, I think in an earlier document you
     2        were looking at, it points out that for heart disease to be
     3        a major cause of death, one has to have a population with
     4        an average life expectancy of between 50 and 60.  In other
     5        words, since heart disease is something that, on average,
     6        certainly in this country, the average man has his first
     7        heart attack at the age of around 70, this may surprise
     8        people but that is the case.  We are not so concerned about
     9        that.  We are concerned about people having heart attacks
    10        at the age of 40.  But if you have a population which has
    11        an average life expectancy below that, then obviously you
    12        are going to have a much lower incidence of heart disease
    13        because people are not going to live long enough to develop
    14        it.  Certainly with improving affluence in the third world
    15        this may become a problem because people may well live
    16        longer.
    17
    18   Q.   But even in developing countries we are talking about 19
    19        percent of causes of death are down to the circulatory
    20        system according to this?
    21        A.   Yes.
    22
    23   Q.   It is still very substantial?
    24        A.  Yes.
    25
    26   Q.   We are not talking about lightening striking somebody in
    27        the middle of a field?
    28        A.  I think that reflects a growing middle class in these
    29        populations.
    30
    31   MR. JUSTICE BELL: Can you define "neo plasams" for me?
    32
    33   MR. MORRIS:  "Neo plasams"?
    34        A.   It is a term for cancers.
    35
    36   Q.   On page 37, the second full paragraph:
    37
    38        "There are social and economic pressures for developing
    39        countries to change their diet towards that of affluent
    40        societies."
    41
    42        Then just read that paragraph.  You would accept that;
    43        would you?
    44        A.  Yes, the consequences may be detrimental.
    45
    46   Q.   Often?
    47        A.  Yes.
    48
    49   Q.   And then on page 45 in the middle of the page about 7 lines
    50        up from the end of that large paragraph, it says: 
    51        "Aggressive commercial publicity and the impact? 
    52 
    53   MR. JUSTICE BELL:  Page again, Mr. Morris?
    54
    55   MR. MORRIS:  Page 435, I am sorry.  In the middle of the page
    56        starting "aggressive":
    57
    58        "Aggressive commercial publicity and the impact of films,
    59        television and magazines which depict certain foods and
    60        beverages being linked to a higher (reading to the words)

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