Day 033 - 10 Oct 94 - Page 53
1 not suddenly cause the onset of menarche?
2 A. No. I do not think so. I am not aware of any evidence
3 suggesting that. We are really speaking of overall diet
4 over more prolonged periods of time.
5
6 Q. In the next paragraph, page 2, you say: "The evidence
7 supporting the connections between cancer and high-fat
8 foods, particularly meats, continues to grow. This is
9 particularly noteworthy in prostate cancer". Do you want
10 to say how it is continuing to grow and how particularly
11 with prostate cancer?
12 A. There are new studies emerging with some regularity.
13 I wanted to cite, I guess, a couple of them here. Whether
14 Giovannucci's article came out after my first statement or
15 not I do not recall, but Gann's did.
16
17 MR. RAMPTON: I am afraid to say that once again this is one of
18 the papers that is missing from the copies which were
19 handed to me, I think it was, last week.
20
21 MR. JUSTICE BELL: Is it on the list?
22
23 MR. RAMPTON: It is on the list. It is on list 2. It is No.
24 77. I am afraid I do not have it.
25
26 MR. MORRIS: We could not find that paper.
27
28 MS. STEEL: There is a bit of confusion. I think it might be
29 my fault. I was trying to find the papers and I asked
30 Dr. Barnard to bring over the ones that I could not get
31 hold of, but because we were mainly concentrating on
32 breast and bowel cancer, I did not specifically mention
33 the prostate cancer ones.
34
35 MR. JUSTICE BELL: Is that readily available, Dr. Barnard, if
36 it is required?
37 A. Certainly I would be more than happy to assist in that
38 regard if that would be helpful.
39
40 Q. What do you do? Ring home and get someone to fax it over
41 here?
42 A. Yes, I could do that. They are both from the Journal
43 of the National Cancer Institute which is our leading
44 cancer journal and -----
45
46 MR. MORRIS: The Gann study is available I believe. Do you
47 want to refer to that report then, I mean, just summarise
48 the conclusions or whatever?
49 A. Certainly, yes. Let me review my statement for a
50 moment, if I may? Yes, the Gann reference from 1994
51 describes a large study of American physicians, 22,000
52 physicians, in which men who consumed red meat five to six
53 times per week were two and a half times more likely to
54 develop prostate cancer than those men who ate meat less
55 than once per week.
56
57 Q. You say these are not simply statistical associations and
58 there are well-known biological effects that offer
59 plausible mechanisms?
60 A. That is correct.
