Day 016 - 22 Jul 94 - Page 24


     
     1        understand it?  Is it reasonable for people to give advice
              that a diet high in fat and low in fibre has been linked
     2        to cancers of the breast and bowel?
              A.  Well, if during the course of -----
     3
         MR. JUSTICE BELL:  Can I just explain?  I take "has been
     4        linked" to include just one person saying that for the
              purposes of this question; whether at the end of the day
     5        that is what the leaflet means is another matter
              entirely.  But if one person said:  "Statistically cancer
     6        of the bowel is related to intake of fat or saturated
              fat", then in ordinary English you could say that person
     7        has linked the one to the other.  Whether that is of any
              relevance to the meaning of the leaflet or not is another
     8        matter entirely.
 
     9        What is your answer to the question that has been put by
              Ms. Steel?
    10        A.  I really am a little bit confused as to what Ms. Steel
              actually wants.
    11
         MR. JUSTICE BELL:  I do not think it helps to press on with the
    12        question.  It seems to me you can ask other witnesses, if
              you like, as to just what the evidence is, the totality of
    13        the evidence at the end of the day, and what the leaflet
              actually means.  The leaflet goes on to say:  "It is a
    14        medical fact", does it not?  I have to take the whole lot
              together; the use of the word "link", the use of the words
    15        "medical fact" and make what of it I will at the end of
              the day.
    16
              You can make any comment you want at the end of the day if
    17        you think that no satisfactory answer has been given to
              your question and that that is significant then you can
    18        address me on that at the end of the day.
 
    19        The part of the leaflet or the most directly relevant part
              of the leaflet, apart from any significance which I might
    20        or might not attach to a heading like "McCancer", says
              is:  "What they do not make clear is that a diet high in
    21        fat, sugar, animal products and salt (sodium) and low in
              fibre, vitamins and minerals, which describes an average
    22        McDonald's meal, is linked with cancers of the breast and
              bowel and heart disease.  This is accepted medical fact,
    23        not a cranky theory.  Every year in Britain heart disease
              alone causes about 180,000 deaths".
    24
              When I have heard all the evidence and heard all you have
    25        to say about what that would mean to the ordinary reader
              and everything Mr. Rampton has said about what that would 
    26        mean to an ordinary reader, I will have to come to some 
              kind of conclusion.  I do not think pursuing it any 
    27        further with this witness is going to produce much one way
              or the other.  It is up to you whether you ask any more
    28        questions, but that is my view at the moment.
 
    29        Ms. Steel, do not forget you have Dr. Arnott to come and
              you may have your own witnesses touching on the matter.
    30        So this is not the be all and end of it all.
 

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