Day 036 - 13 Oct 94 - Page 57
1 colorectal cancer, quite analogous with other situations
2 in which cause-and-effect is used to the patient's
3 advantage.
4
5 Again this is all quite beyond the stage of speculation or
6 simply random associations, or something of that nature.
7 They are being quite definite about it. This has been
8 quite common in documents from the National Cancer
9 Institute for some time.
10
11 MR. MORRIS: Should we put that document behind your -----
12
13 MR. JUSTICE BELL: I am putting it right at the back of the
14 documents which are behind Dr. Barnard's statement. In
15 other words, it comes behind No. 10, the "slugger"
16 document.
17
18 MS. STEEL: No. 11 actually.
19
20 MR. JUSTICE BELL: That is "Diet and cancers", is it not, which
21 is this one?
22
23 MS. STEEL: Yes.
24
25 MR. JUSTICE BELL: I am not going to put that in the binder.
26
27 MS. STEEL: So it will be No. 12 on the list. Just a final
28 question, I think. I do not know whether I could hand up
29 a copy of "Good Food, Nutrition & McDonald's" again. It
30 is in pink volume VI, I believe. Mr. Rampton asked you to
31 compare, you want page 12 of that document?
32 A. Yes, thank you.
33
34 Q. Mr. Rampton asked you to compare the first paragraph of
35 the booklet with the warning on the cigarette packet. For
36 some reason he did not draw your attention to the passage
37 lower down in the page under: "What else is needed for a
38 healthy diet?" And it says: "Many countries have
39 therefore published 'Dietary Guidelines' - general
40 recommendations concerning diet which are aimed at the
41 whole population in order to prevent these diseases and to
42 promote good health". Note that it says "in order" not
43 "they may prevent these diseases" and also that it says
44 "these diseases" not some of the diseases that were
45 referred to above, which include cancer. Looking at that
46 document, would you say that there is an indication of a
47 causal nature there?
48 A. Yes, it seems to me that that is what is understood in
49 this language. If there were no causal nature it would be
50 impossible to prevent but, yes, it seems quite clear and
51 that is what the writers or publishers of this document
52 seem to intend, yes.
53
54 Q. Right. Then the final part of that page, the last
55 paragraph: "It is important to remember that although
56 diet is an important contributory factor to these
57 diseases, it is not the only one". Would you say that was
58 -- perhaps you should say what you think that is?
59 A. It is quite clear again, they are saying that diet is
60 an important contributory factor to these diseases of
