Day 039 - 20 Oct 94 - Page 07


     
     1        Bell's comment on that.
     2
     3   MS. STEEL:  I did not actually understand the point you were
     4        making on No. 8.  Could you just explain what you were
     5        saying?
     6
     7   MR. JUSTICE BELL:  It is really this:  I only raise it because
     8        I do not want there to be a situation in due course where
     9        I may underestimate the point which Dr. Millstone is
    10        seeking to make, because I think that the article does not
    11        actually support what he said when he may well have an
    12        answer to my query.  It is this:  On what I have to admit
    13        is a quick reading, it looks as if there were seven
    14        patients who had already suffered some kind of allergy.
    15        They did control tests on them with a variety of compounds
    16        of which Sunset Yellow was one, Tartrazine was another.
    17        I cannot find any reference to -- in five of the cases,
    18        either there is no mention of there being a reaction to
    19        Sunset Yellow or it is said that there was no reaction to
    20        Sunset Yellow.
    21
    22        In one it is said that there was a doubtful reaction to
    23        Sunset Yellow and in another it is said there was a
    24        positive reaction to Sunset Yellow.  I think both those
    25        patients were women.  I think the paper says that Sunset
    26        Yellow was administered in doses of 1, 2, 5 and 10
    27        milligrams. I think there may be a reference to the higher
    28        doses not always being given.
    29
    30        When one looks at the summary of the patients, one cannot,
    31        although it may appear somewhere else, see what the doses
    32        were when there was either a doubtful or a positive
    33        reaction.  In any event, since the ADI is 2.5 milligrams
    34        per kilo of body weight, if one said:  "Well, perhaps women
    35        may have weighed 50 kilos (about 8 stone), might have
    36        weighed more, might have weighed less", 2.5 milligrams by
    37        50 would allow 125 milligrams for that person.  In fact,
    38        I think I probably got my sums wrong but a dose of 1
    39        milligram -----
    40
    41   THE WITNESS:  That corresponds, therefore, to less than 1 per
    42        cent of the ADI.
    43
    44   MR. JUSTICE BELL:  Yes, that is quite right, and the 10 would be
    45        about 8 per cent.  So, my original sums when I thought it
    46        was much more than the ADI were wrong?
    47        A.  Yes.
    48
    49   Q.   Which illustrates the whole purpose, if I may say so, of
    50        raising this in the first place. 
    51 
    52   MS. STEEL:  I think that is why I misunderstood it. 
    53
    54   MR. JUSTICE BELL:  Do you see my point?  I might well have gone
    55        off and thought that the doses they were giving them were
    56        much higher.  I am happy to accept I have done my
    57        arithmetic wrong but, if it does no more, it illustrates --
    58        do you see the point -- the danger of just leaving me to
    59        look at something which you are going to rely on on my own
    60        later.

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