Day 106 - 23 Mar 95 - Page 09


     
     1        say more than that?
     2        A.  My Lord, that is undoubtedly true.  It is undoubtedly
     3        the case that the larger number of salmonellosis cases are
     4        unreported.  That is unquestionable.
     5
     6   Q.   Can you say more than make a broad statement like that?
     7        Can you be more precise than that?
     8        A.  It could be one in five, it could be one in 10, there
     9        was a MAFF Department of Health report which suggested one
    10        in seven.  One in 10, as we know, is the current figure.
    11        That is the figure adopted by the Chief Medical Officer for
    12        convenience.  Professor Lacey preferred one in 100.  It
    13        possibly varies year on year.
    14
    15        For instance, in 1988 when salmonella was in the headlines
    16        more people might have been reporting it in which the case
    17        of rate of under-reporting would have been less; other
    18        years when it is not in headlines, and people forget about
    19        it -- diseases have their fashions after all -- it would
    20        vary.
    21
    22   MR. JUSTICE BELL:  Yes, thank you.
    23
    24   MR. MORRIS:  It may be helpful, if you are unsure of an accurate
    25        figure for a particular matter, if you can give what the
    26        generally accepted figure is.
    27        A.  Well, for want of a better ratio, if you like, the
    28        preferred ratio is one in 10.  That is the one which the
    29        Chief Medical Officer prefers to adopt.
    30
    31   Q.   We will hear in a minute about chicken products, but you
    32        said something about pork products, the salmonella burden
    33        for pork products is likely to be something between 15 and
    34        25?
    35        A.  It can be, yes, in terms of sausages.
    36
    37   Q.   Have you any reason to believe that the pork products
    38        processed at McKey's would be any different?
    39        A.  With the qualifier that I have not seen pork process
    40        there, in that it is obviously a factory process, and there
    41        was a distinction in the surveys I have seen is that, say,
    42        home-made, i.e. local butcher shop made sausages tended
    43        towards the lower range, factory-made sausages tended
    44        towards the higher range of contamination, one would be
    45        fairly happy with the supposition that a McKey type sausage
    46        would be in the higher range.
    47
    48   Q.   Is there any estimate of the salmonella burden in beef
    49        burgers in the UK?
    50        A.  Not that I know of. 
    51 
    52   Q.   Do you have any professional opinion on that? 
    53        A.  There have been no systematic statistically structured
    54        surveys.  It is likely to be very, very, very variable.
    55        You could find in some herds, very individual herds, high
    56        incidence, others not.  Overall, I should imagine it is
    57        fairly low.
    58
    59   Q.   About what?
    60        A.  Almost certainly less than 1 per cent and maybe

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