Day 037 - 14 Oct 94 - Page 59


     
     1
     2   Q.   In the right-hand column the first complete paragraph
     3        begins:  "The absence of".  Are you with me?
     4        A.  Yes.
     5
     6   Q.  "The absence of a positive association between dietary fat
     7        and breast cancer in this same cohort has been questioned
     8        because of possibly inadequate variation in fat intake in
     9        the study population and imperfect measurement of fat
    10        intake.  The present analysis indicates that the variation
    11        in fat intake in this population and its measurement, are
    12        sufficient to detect important associations with disease.
    13        With six years of follow-up, confidence intervals do not
    14        overlap for breast and colon cancer among women in the
    15        highest quintile of animal-fat intake.  Thus, the
    16        association between the intake of animal fat and the risk
    17        of colon cancer and the absence of a positive association
    18        between dietary fat and the incidence of breast cancer in
    19        this cohort add to evidence that breast and colon cancers
    20        have different relations to fat intake."
    21
    22        Mr. Cox, there may be an explanation; if there is, I would
    23        like you to give it to us.  You cite this report in your
    24        book in support of the proposition that high-fat intake is
    25        associated with colon cancer.  You give it no attention in
    26        the section which makes the same assertion in relation to
    27        breast cancer.  Why not?
    28        A.  Sorry, can you just tell me what your criticism is
    29        here, please?
    30
    31   Q.   My criticism is this ----
    32        A.  Are you saying that I have inaccurately reported
    33        this?
    34
    35   Q.   Yes, I am saying it in a sense.
    36
    37   MR. MORRIS:  He did say he may only have mentioned the
    38        abstract.
    39
    40   MR. RAMPTON:  My Lord, I do believe Mr. Cox, having listened to
    41        him for the best part of the day, is capable of speaking
    42        for himself.
    43
    44   MS. STEEL:  He did do though.
    45
    46   MR. JUSTICE BELL:  You keep quiet while the cross-examination
    47        proceeds.
    48
    49   THE WITNESS:  Sorry.
    50 
    51   MR. RAMPTON:  I am willing to sit down if there is a legitimate 
    52        objection. 
    53        A.  There is some criticism being aimed at me here.
    54        Perhaps it is my fault.  I do not actually understand what
    55        you are trying to criticise me for.  I do not understand
    56        the context in which this is made.
    57
    58   Q.   We will come to it in a moment.
    59        A.  So -----
    60

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