Day 031 - 05 Oct 94 - Page 36

     
     1
     2   Q.   So your position is that the evidence is stronger for
     3        promotion rather than causation?
     4        A.  I think the evidence is stronger for promotion rather
     5        than causation, but, at the end of the day, it is a moot
     6        point because if the cancer is not promoted then you will
     7        not die from it.  So, effectively, the cause of death is,
     8        at the end of the day, as with heart disease, going to be
     9        the diet.  That is what matters.  If the court wants a
    10        list of all those who participated in the British
    11        Nutrition Foundation, I would be happy to provide that.
    12
    13   Q.   Is it inside the book anyway?
    14        A.  It will be inside that book, yes.
    15
    16   MR. MORRIS:  Are we going to be referring to that again?
    17
    18   MR. RAMPTON:  That is one of the documents I do not have.
    19
    20   MR. JUSTICE BELL:  We will come back to it at the end.
    21
    22   MS. STEEL:   Going back to your statement then, at the bottom
    23        of page 3, after referring to what the Chief Medical
    24        Officer for Scotland has expressed, you go on to refer to
    25        the analysis that you have done of the McDonald's
    26        beefburger.  So perhaps that is a moment to have a look at
    27        the chart.
    28
    29   MR. JUSTICE BELL:  Can I just draw our attention -- you have
    30        mentioned causation at the top of the page.  Then at the
    31        bottom -- this is page 33 -- diet and the process of
    32        carcinogenesis, "The mechanisms of initiation and
    33        mutagenesis have been extensively studied, but not those
    34        of promotion which, in dietary terms, is the important
    35        component."  So it looks as if the word "causation" may
    36        just be a coverall for any part of the process ending up
    37        with the clinical pathology.
    38        A.  Correct.
    39
    40   Q.   Is that right?
         A.  Yes.
    42
    43   MS. STEEL:   I had not seen that last sentence.  Have you got
    44        the chart you drew up for McDonald's, the analysis of
    45        McDonald's food?
    46        A.  Yes, I have it.
    47
    48   Q.   The two milk shakes that were analysed were analysed in
    49        1990.  Do you remember why your department analysed them?
    50        A.  We were at that time doing a study on the intakes of 
    51        pregnant women, so we had to know what they were eating 
    52        and what was in what they were eating.  So, if they ate a 
    53        Kentucky Fried Chicken, we had to analyse it; if they ate
    54        a McDonald's Big Mac, we had to analyse that.
    55
    56   Q.   I am not sure how much of this needs explanation,
    57        but -----
    58
    59   MR. JUSTICE BELL:  I think one thing, perhaps, you should ask
    60        about is that under "notes to table 1", if it is table 1