Day 031 - 05 Oct 94 - Page 05
1 relationship between dietary fats and heart disease and
2 diabetes. The evidence of cancer at that time was not
3 actually sufficiently strong for a great deal to be said
4 about it. I mean, the evidence in terms of the
5 progression of our knowledge in terms of cardiovascular
6 disease advanced very much faster than it did in terms of
7 relationships with cancer, which was somewhat of a late
8 starter.
9
10 Q. Then in April/May 1993, last year, is it right that you
11 acted as a WHO consultant to provide advice to the
12 Indonesian Government on nutrition related disease?
13 A. That is correct.
14
15 Q. Could you tell us a little about what that involved?
16 A. Yes. The primary concern that the Indonesian
17 Government has is that they have a 25 year plan, your
18 Lordship, which is quite remarkable in its conception with
19 each stage to try to eliminate some of the indigenous
20 diseases. Their primary concern at the moment -- the
21 beginning of the plan was the question of protein calorie
22 malnutrition, nutritional related blindness, mental
23 retardation, iron deficiency disease and anemia in
24 pregnancy. In the first five years they addressed the
25 issue of protein calorie malnutrition, and that is now not
26 a problem. They have also addressed the issue of
27 blindness. That is not a problem. They are left,
28 however, with serious problems of mental retardation in
29 their children and anemia in pregnancy.
30
31 What is disturbing them is the rise of a new wave of
32 diseases in Jakarta, and particular, in amongst the more
33 affluent members of the population as a country with
34 increasing new wealth, is the increase in diabetes and
35 heart disease, but only amongst the affluent members of
36 the community.
37
38 Q. Have you copies of both of your statements?
39 A. I think I have.
40
41 MR. MORRIS: We have a copy for the stenographers, if that
42 would help? There are some technical terms in the
43 statement. I took the references out.
44 A. Yes, I have them here.
45
46 MS. STEEL: There is a statement dated 27th July 1993, and then
47 there is a statement you made last week?
48 A. Yes. You asked for amplification.
49
50 Q. Yes. Are you happy for those statements to be entered as
51 evidence to the court in themselves?
52 A. Yes, indeed. I think we discovered on re-reading them
53 that there were one or two minor typographical errors
54 which I think we have corrected mostly.
55
56 Q. Can we take them as read?
57
58 MR. JUSTICE BELL: Yes, certainly you can. I will make a note
59 to that effect. If there is any error which is more than
60 an obvious typographical one (which I would obviously pick
