Day 266 - 20 Jun 96 - Page 56
1 MR. JUSTICE BELL: Well, unless it is significantly different
2 from that in the advice it is giving, do you need that?
3
4 MS. STEEL: No. I mean, no. Well, that is OK. It is just that
5 that one was actually available around about 1990 from my
6 recollection. I think that is -- the new one is the one
7 that is witness has brought down?
8 A. Yes. They get updated with, you know, changing style
9 and that type of thing but it is more or less the type of
10 leaflet that we would have in stock to give to people.
11
12 Q. And the message is basically the same. For example, 6 and
13 7; cutting down on fatty foods and eating plenty of fresh
14 fruit and vegetables and other foods containing fibres?
15 A. Exactly, yes.
16
17 Q. Right. OK.
18
19 MR. MORRIS: Just a couple of follow up questions. Have you
20 got the World Health Organisation Report? (Same handed) Do
21 you remember you wanted to refer to the chart on page 67,
22 table 11 it was?
23 A. Yes. It was referred to in the paragraph that was
24 talked about before, yes.
25
26 Q. Have you got page 67?
27 A. Yes.
28
29 Q. And I will read what I says and then I will ask you if you
30 agree with this. "High fat intake." This is the second
31 full paragraph on that page. "High fat intake is
32 associated with cancer at several sites. Certainty about
33 the optimum intake of fat in relation to cancer must await
34 future research such as control trials. In the meantime
35 international correlation analysis, figure 9, and other
36 epidemiological data indicates that fat intakes of less
37 than thirty per cent of total energy will be needed to
38 attain a low risk of fat related cancers. A reduction in
39 risk is also likely when fat intake is reduced towards
40 thirty per cent, especially if its dietary change is
41 combined with a change in other dietary components." And
42 if you look on the chart above we see under fruits and
43 vegetables their relationship with virtually all the
44 cancers on the list is a negative one, i.e. it is
45 protective against cancer. Would you agree with that?
46 A. Yes, putting it that paragraph into context of the
47 whole chapter there. Yes, I think that puts it very
48 clearly.
49
50 Q. Right. I will just carry on reading: "In conclusion,
51 although several lines of evidence indicate that dietary
52 factors are important in the causation" and I emphasize the
53 word "causation" "of cancer at many sites and that dietary
54 modification may reduce cancer risk, the contribution of
55 diet to total cancer incidents and mortality cannot be
56 quantified on the basis of present knowledge.
57 Nevertheless, evidence indicates that a diet which is low
58 in total in total saturated fat, high in plant foods,
59 especially green and yellow vegetables and citrus fruits
60 and low in alcohol, salt, pickled, smoked and salt
