Day 034 - 11 Oct 94 - Page 45


     
     1        Medicine goes to exactly that point and describes how
     2        individuals can be helped to make precisely the dietary
     3        changes that we are talking about, that is, reducing
     4        dietary fat.
     5
     6        In the United States, we are far ahead on something like
     7        cigarettes where a cigarette package has a warning on it
     8         ---
     9
    10   Q.   We have that here as well.
    11        A.  Yes, a person may -- by "ahead" I mean ahead of where
    12        we are with dietary information, not ahead of where
    13        England is; certainly not -- so that every smoker may know
    14        that tobacco is associated with cancer.  They may or may
    15        not take advantage of that information.  Regrettably, the
    16        majority of American women at least in 1981 had absolutely
    17        no idea that changing their diet might be of benefit from
    18        the standpoint of breast cancer.  That was very alarming
    19        to me as a physician, I would say.
    20
    21   MR. MORRIS:  Are there any other documents which you gave us
    22        that you can remember that you wanted to refer to?
    23        A.  I think we have gone through most of them.  I
    24        have brought you a handful of documents of this type that
    25        simply showed that in respectable authorities in America
    26        that the association between dietary fat and breast cancer
    27        and colon cancer has been well accepted for quite a number
    28        of years, and is a matter of ongoing investigation but,
    29        nonetheless, the causal nature of that is commonly
    30        accepted and has led to public information documents.
    31        Whether there are a few more of those that you might want
    32        to go through, let me leave that to you, but those are the
    33        only things I wanted to mention.
    34
    35   Q.   There are a couple of more things I want to refer to.  The
    36        "Diet, Nutrition and Cancer" from the National Academy of
    37        Sciences -- was there anything in that you wanted to refer
    38        to?
    39        A.  There may be one brief paragraph that may be worth
    40        mentioning, yes.
    41
    42   MR. JUSTICE BELL:  Which one is that?
    43
    44   MR. MORRIS:  Do you have a copy?
    45        A.  I think I left it at my desk.
    46
    47   MR. RAMPTON:  Please borrow mine; enough delay.
    48
    49   MR. JUSTICE BELL:  What is the state of play, so far as I am
    50        concerned, with this? 
    51 
    52   MR. MORRIS:  I am not very clear myself.  I think there were a 
    53        lot of copies floating around at one stage from both
    54        sides.
    55
    56   MR. RAMPTON:  I believe we borrowed that one from Mr. Cannon
    57        though I might be wrong about that.
    58
    59   MS. STEEL:  Actually I think we gave you that copy at the
    60        beginning of Mr. Cannon's evidence.

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