Day 031 - 05 Oct 94 - Page 04


     
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     2   MS. STEEL:   OK, I will go into some of them anyway.
     3
     4   MR. JUSTICE BELL:  Yes, very well.
     5
     6   MS. STEEL:   Is it right that since 1960 you have done a great
     7        deal of research focusing on the relationship between
     8        nutrition and disease?
     9        A.  Yes, that is correct.  That has been the main subject
    10        of my academic life.
    11
    12   Q.   Is it right that you have published over 200 scientific
    13        communications?
    14        A.  Yes.
    15
    16   Q.   What were they concerning, just to give a range?
    17        A.  They start off with the work in Africa which concerned
    18        the different distribution of disease amongst different
    19        people, different tribal communities, which was related,
    20        in our view, very much to the different diets and styles
    21        of living that these people had.  From then I became
    22        interested in the contrast between the disease patterns of
    23        Africa which were so totally different, with breast
    24        cancer, colon cancer, coronary heart disease being more or
    25        less absent but a wide variety of other diseases being
    26        prevalent, but unheard of in Europe.  I was very much
    27        interested in the contrast between disease patterns in
    28        Africa and the disease patterns in Europe.
    29
    30        From that point on, we became particularly interested in
    31        the role of dietary fats because that seemed to be one of
    32        the major contrasts in the way that people ate in this
    33        country compared to Africa, and I would say that the bulk
    34        of the rest of the work, starting from the beginning of
    35        the 70s, was concerned with the role of dietary fats and
    36        human nutrition and particularly the essential fatty
    37        acids.
    38
    39        As the brain is the most outstanding development in the
    40        human species, our work very much became focused on the
    41        brain, not only because of its outstanding aspect in human
    42        biology compared with other species, but also because 60
    43        per cent of its structural material is made of fat; that
    44        is where we became particularly interested in the
    45        essential fats that you have to have in the diet and
    46        cannot make yourself.
    47
    48   Q.   Is it right that you were the World Health Organisation
    49        consultant to the FAO, WHO, expert consultation on the
    50        role of dietary fats and oils in human nutrition? 
    51        A.  Yes, that was a consultation called by both the Food 
    52        and Agriculture Organisation and the World Health 
    53        Organisation in the mid-70s to discuss the evidence at
    54        that time on the relationships between diet and health.
    55        Sorry, if I may amplify that, your Honour, dietary fats
    56        and health.
    57
    58   Q.   Were heart disease and cancer part of the things that you
    59        looked into?
    60        A.  One of the main concerns was the question of the

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