Day 036 - 13 Oct 94 - Page 04

     
     1        diseases and cancer.  Excess intake of saturated fats and
     2        elevated levels of blood cholesterol are linked with
     3        coronary heart disease, the most prevalent cardiovascular
     4        disease in the developed world.  The main risk factor for
     5        stroke, the leading cardiovascular disorder in many
     6        developing countries, is high blood pressure in which
     7        obesity, alcohol intake, and excess salt intake play major
     8        contributory roles.  Obesity is also strongly related to
     9        the onset of diabetes.  It has been estimated that
    10        approximately one third of cancers are associated with
    11        dietary factors.  For example, an excess intake of fat has
    12        been linked to an increased incidence of cancers of the
    13        breast and colon".  So far, I take it, Dr. Barnard, there
    14        is nothing in that with which you disagree?
    15        A.  They have made some very conservative statements, yes,
    16        certainly they are reasonable.
    17
    18   Q.   Please turn to page 63.  There is only one short passage
    19        here I wish to draw your attention to.  Under the heading
    20        on the left-hand side ----?
         A.  Excuse me.  I see what is wrong with this document
    22        that I have been handed.
    23
    24   MR. JUSTICE BELL:  Is it just in the wrong order?
    25        A.  It seems to be the pages are a bit muddled.
    26
    27   Q.   Just tell Mr. Rampton if you cannot find a page.  Do not
    28        try and put it back into order at the moment.
    29
    30   MR. RAMPTON:  I said 63, I meant 62.  It is very annoying for
    31        you.  Do you want us to sort it out?
    32
    33   MR. JUSTICE BELL:  Let someone get it in order, Dr. Barnard.
    34
    35   MR. RAMPTON:  I hope that works now, Dr. Barnard.  Can you
    36        please turn to page 62, the section headed 3.3 Cancer.
    37        A.  Thank you.
    38
    39   Q.   It says:  "The relationships between specific dietary
    40        components and cancer are much less well established than
         those between diet and cardiovascular diseases".  Do you
    42        agree or disagree as at 1990?
    43        A.  If that refers to specific mechanisms by which a
    44        cancer cell may be initiated, I would certainly agree.
    45
    46   Q.   It says:  "This is reflected in reviews of diet and
    47        cancer."   What I hope, but not confident about, is that
    48        we may find the references somewhere at the back of the
    49        document.  Yes, we do.  We find references 43, as you
    50        would say in America, through 45, the National Research 
    51        Council Committee on Diet, Nutrition and Cancer (1982) 
    52        which we have looked at.  US Department of Health and 
    53        Human Services, Public Health Service (1988); that is the
    54        Surgeon General's report which we have looked at; and the
    55        National Research Council, Diet and Health Implications
    56        for Reducing Chronic Disease, National Academy Press
    57        (1989), which I believe we have also looked at, have we
    58        not?
    59        A.  Yes, we have, I believe.
    60