Day 034 - 11 Oct 94 - Page 22


     
     1
     2   MR. JUSTICE BELL:  I have to say there are also some others
     3        because I read all the abstracts last night, not the body
     4        of the reports, but all the head notes.
     5
     6   MR. MORRIS:  On all the references?
     7
     8   MR. JUSTICE BELL:  Yes.  There are some other missing ones, but
     9        what I suggest you do is if you take my bundle at five
    10        past two and see if there are any others we have not got
    11        to where I should have copies and have not.
    12
    13   MR. MORRIS:  Before we go on to the further references -- that
    14        was immediately after the Surgeon General's report.  So,
    15        if we move on to one of Dr. Arnott's references, and we
    16        keep that bundle available, which is Hirayama.
    17
    18   MS. STEEL:  It is No. 6 in Dr. Arnott's references.
    19
    20   MR. MORRIS:  This was referenced in your report, but it will be
    21        missing in the file because it was already in the Arnott
    22        file.
    23
    24   MR. JUSTICE BELL:  Very well, as long as I have it somewhere.
    25
    26   MR. MORRIS:  It is one of the missing ones.  Would you like to
    27        take us through the sections that are significant?
    28        A.  I will be very brief on this rather than take a very
    29        large amount of time.  I simply wanted to point out two
    30        things in relation to this study.  The first is the year
    31        in which it took place.  It was reported in 1978.  So, the
    32        results were already known and it was reported in the
    33        National Research Council's report and has been referred
    34        to in the Surgeon General's report as well, but it
    35        illustrates the suspicion of a causative association
    36        between fatty foods and breast cancer; that suspicion is
    37        not new.
    38
    39        I would like to confine my comments simply to the
    40        abstract, and if more details are needed we could look at
    41        the body of the report, but unless there are questions
    42        I will only look at the abstract.
    43
    44        At the beginning of the abstract the author states:
    45        "Breast cancer is still relatively infrequent in Japan"
    46        -- he is referring to late 1970s -- "However, both
    47        mortality and morbidity rates have sharply increased in
    48        recent years, especially in ages 45-59.  The risk was
    49        noted to be 8.5 times higher in women of high
    50        socioeconomic strata eating meat daily compared with women 
    51        of low socioeconomic strata who do not eat meat daily, 
    52        when 142,857 women aged 40 years were followed for 10 
    53        years."
    54
    55        Skipping ahead, the author states:  "The close correlation
    56        with fat intake was noted to come mainly from the
    57        consumption of pork and animal fat.  The ratio of recent
    58        increase in breast cancer death rates was also found to be
    59        under the combined influence of animal fat and AF2", which
    60        is a mutagenic food additive that was used in Japan; they

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