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Event: Public meeting held at 19:30 in Camelford Hall, Clease Road, Camelford PL32 9PE to discuss the Draft Report of the COT Subgroup on the Lowermoor Water Pollution Incident
Date: 17 February 2005
Chairman: Professor Frank Woods CBE
In attendance: Professor Kevin Chipman, Professor Stephan Strobel, Dr Lesley Rushton OBE, Dr Anita Thomas, Mr Peter Smith, Mr Douglas Cross, Ms Frances Pollitt, Mr Khandu Mistry, Mr Malcolm Brandt, Mr James Powell, Ms Sarah Fisher (Press Officer), Kabir Gobim (Recording Technician), John Fallon (Public Address system) Audience included: Paul Tyler CBE MP, Dan Rogerson (Prospective Parliamentary Candidate for North Cornwall, Ms Anderson, N Neale, Robin Penna, S Davey, W E Chapman, M Beal-Toms, N M Jones, N Evans, Sybil V Griffiths, R Gibbons, B Pentecost, R E Newman, Judith Young, J Stockton, Peggy & John Molesworth, Ray Bowler, Sarah Almond, Melanie Shelton, David Bloye, Dr J Lunny, J Spratt, Dr Anthony Nash, Dr D Miles, Mrs Miles, Pat Owens, T Chadwick, Mr & Mrs Ian & Ro Clewes, Carole Wyatt, June Hills
020 7404 1400 [email protected] www.wordwave.co.uk Smith Bernal WordWave, 190 Fleet Street, London EC4A 2AG CHAIRMAN: This meeting is part of the 12-week consultation period which takes
place and is taking place following the publication of our draft report,
which appeared towards the end of last month.
The Lowermoor subgroup, most of whom are sitting at this table, was
set up as part of the Committee on Toxicity of Chemicals in Food,
Consumer Products and the Environment. And we started the
substantive work in January 2002, meeting on 19 occasions, and you
will recall that we held our first public meeting in Camelford in April
2002.
We had two terms of reference. The first was to advise on whether
the exposure to chemicals resulting from the 1988 Lowermoor water
pollution incident has caused or might be expected to cause delayed
or persistent harm to human health. And secondly, to advise whether
the existing programme of monitoring and research into the human
health effects of the incident should be continued and whether or not
it should be modified in any way and to make recommendations.
Those of you who have looked at our report I think will realise that we
carried out a wide-ranging investigation, using and seeking
information from as many sources as possible, including the
commissioning of studies carried out by outside contractors. And you
will hear a little more about that later. These sources of information
are listed in section 12 of chapter 2 of our report. And we are of the
opinion that this is the most comprehensive report into the health
effects of the 1988 pollution incident that is in existence.
Now, this meeting is going to be in two main parts. I am not going to
say any more by way of introduction. We are now going to have a
number, a small number, of brief presentations by outside contractors
and also by members of the committee. The purpose of that is to set www.wordwave.co.uk 1
out some key points, not all of the key points, but some of the key
points that are very germane to the way in which we have tackled the
problem that we were faced with. And we would also hope that these
would provide some sort of structure upon which you could hang your
questions, because once my colleagues have given their
presentations, I am then going to throw this meeting open to your
questions. And I wish to remind you and I will continue to remind you
throughout this evening that this report is a consultation document.
This is not necessarily the final form of that document because what
people say to us, write to us or convey to us may well change the
content of our report. I think it must be clear to you that any
interpretation we put on information that is given to us may be looked
upon in a slightly different way by others. And indeed, from past
experience it is possible to find that there is further information which
at the time of writing that report was not available to us.
Now, I am now going to go straight into the presentations. I’ve been
reminded that I have to tell you that if you have a mobile telephone, it
would be rather nice if you turned it off because I am assured by the
electronic experts that if it goes off, so will all of these things.
The first of our papers is given by Mr Brandt of Black and Veatch.
Now these are the gentlemen who helped us a great deal by
modelling certain aspects of water quality - this being a very important
aspect of our work - because we needed to know the range of
exposures in relation to the quantity of toxicants present in the water.
And I am going to ask Mr Brandt to start this off.
MALCOLM BRANDT: Thank you. I don’t know how I’m going to juggle three things but we’ll
see how we go. I’ll start off with a brief overview of the system. The www.wordwave.co.uk 2
water, raw water, is derived from Crowdy reservoir, comes into
Lowermoor treatment works where it is pre-treated with chemicals. It
then -- the raw water flocculates and settles out in the settlement
tanks. There is often a little bit of carry over, so then there is further
removal of solids in the sand filters. It is then disinfected, usually with
chlorine, before it enters the contact tank where it has usually up to
about 30 minutes contact time for it to work effectively. The final
water then transfers into a storage reservoir, which acts as a buffer to
manage the difference between supply and demand. The water then
finally enters the distribution system.
The part of our brief was to look at the components of the system
where the aluminium was actually accidentally dumped. Traditionally
it would be -- normally it would enter the system at the head of the
system, head of the treatment works. So our objectives were, we
were asked to model the hydraulics of the incident, with these
following objectives. That is, investigate the extent of the mixing,
which is essentially the dilution of the alum within the treatment
works; predict the peak concentrations of the aluminium in the water
leaving the works and simulate the spread of that aluminium through
the network.
Although we refer to alum, in fact we only modelled at the aluminium
concentration and we did not model secondary contamination --
secondary chemical reactions that could have contributed to the
contamination within the distribution system. Our approach was for
the contact tank, we used CFD modelling, that is computational fluid
dynamics. It’s a 3D modelling technique widely used in the
engineering industry, an example being it’s extensively used in
aeroplane design and car design, usually looking at the air flows. We www.wordwave.co.uk 3
use it in the water industry to analyse the hydraulic performance of
facilities, e.g. the circulation of water in storage tanks, which is exactly
the use that we’re using it here. We also modelled the storage
reservoir using the same technique. For the trunk main network, we
used a hydraulic network analysis model that we had been involved
with in 1993. And this is a method of tracking water quality problems
through a distribution system.
To give you a little bit of background, we started off with the contact
tank, to give you a few details of it. It comprises the inlet; there are
four effective sections - the water is mixed in these sections; there are
baffles, which were installed at a later stage. This tank, we believe,
was used -- had a prior life, probably as a storage reservoir, not as a
contact tank. It therefore has this chamber in here through which
there are two holes, and these two holes are fundamental to the
performance of that tank.
The alum was discharged at the head of the fourth section and the
outlet, which is a high level outlet, is at the end of the fourth section.
Just a point to note, there is also -- on the records there is a low-level
washout for that tank. This slide looks a bit messy but it just
demonstrates the complexity of the flow patterns. I won’t try to
describe what’s actually happening here; but the complexity of the
flow patterns in the early chambers and the intense mixing that is
going on. By the time it gets into the last two sections, you’re getting
more into what we’d call plug flow. So this is the -- I’ll run through the
simulation of it; it’s a three hour simulation of the incident.
The time 0 is 5.00pm when the incident started. The concentration
increases with time at the maximum of 40 minutes, the time when
they stopped discharging. And the concentration; as you can see as www.wordwave.co.uk 4
the time progresses, the concentration at the outlet is reducing. The
other point to make is that the colour indicates the significant, shall
we say, concentration of aluminium at the bottom of the tank.
So the conclusions are that the aluminium does sink to the bottom of
the tank and spreads, and it spreads upstream against the flow of
water. The holes in the tank, which I was talking about, which is
there’s one there, which is this cross-section here, that’s the hole, it is
showing how the aluminium and the water are mixing and that’s a
significant hydraulic characteristic of this tank.
The other key point is the concentration at the outlet falls rapidly after
the discharge ends. Up to the end of the discharge, the concentration
is at about 1500 mg per litre as aluminium but that concentration falls
rapidly as you will see on the profile later. We used a similar
technique for the storage reservoir; going through the main
characteristics, there's a high-level bell mouth entry into the tank and
there’s a low-level outlet into distribution from the tank.
Going through this simulation in the same way, this is a 24-hour
simulation. Again you will see the aluminium concentration
increasing. A few points to note. After about 700 minutes, that’s
nearly 12 hours, the water level starts dropping. Up until that time the
supply and demand were pretty well balanced. The other point to
note is that the scale here is different to the previous slide. We’re
replicating the maximum discharge concentration into distribution,
which is about 325 mg per litre. Just to tie the two analyses together,
the concentration profile from the contact tank was the input data for
the concentration profile into the storage reservoir.
A few points here. The peak concentration at 325 mg per litre of
aluminium, as modelled, entered the distribution system at 8.40 pm www.wordwave.co.uk 5
on 6 July. That is three hours after the tanker stopped discharging
into the contact tank. There is a corresponding increase in acidity
related to the aluminium. The consequence of that is that there was
an increased risk of soluble iron, lead and copper in the water flow.
The greatest risk will in fact be in the consumer’s premises where you
have lead communication and service pipes, lead fittings in copper
pipes, copper pipes and copper storage tanks.
Another way of looking at this data of the profile into distribution,
which I showed before, is that 60% of the aluminium discharged at
the works is still in the tanks at the works after six hours. That’s 11
o’clock at night on the first day. And 12 hours after the incident, that’s
5.00 am, you’ve still got 25% of the aluminium is in the works.
Going on to the trunk main model, this is the system. The model we
had was only the trunk main models, i.e. it did not include some of
the, what we call facilities, like storage reservoirs and pumping
stations, and it did not include the smaller distribution pipe work
beyond the major storage, which is Delabole and Rockhead. The
model does not model the impact of St Endellion and other storage
reservoirs and that is a significant restraint in the modelling.
The model drags the concentration from Lowermoor, it takes the
profile out of the contact tank and it drags that profile to the ends of
the system. This is the output from the St Teath and Helstone part of
the analysis. All the outputs are shown on the posters around the hall
if you want to look at individual plots.
There are two points to note here. This point we call off the 9 inch is
close to Lowermoor, it is just downstream of Camelford. This profile
is the concentration profile essentially coming out of the reservoir and
obviously it replicates it. Its peak is at about 11.30 pm, so at that www.wordwave.co.uk 6
point the peak is passing here, some three hours after the peak starts
to leave the treatment works. The second point to note is that at this
point, the Delabole, well we label it for a particular reason, but not of
any great note, but it feeds into St Teath. The concentration at that
point has gone through the Delabole reservoir, so it has been diluted.
It has been held back, it has been retained in that storage reservoir
and therefore the peak is lower but it also, as the water coming
through this way has been delayed some 12 hours from when the
water -- when the peak passes that point. These two points are
connected by smaller diameter pipe work, so you would actually end
up with a mixing at that point.
So in conclusion, we have simulated the mixing of the aluminium in
the tanks to predict peak concentrations and to get some idea of the
duration of the incident. At the works, it was 56,000 mg per litre of
aluminium discharged and at that point by the time it came out of
Lowermoor it was about 325 mg per litre, and it will be lower in the
distribution system, as I have explained.
We have then looked at the times that the slug at the different
locations and as I said, out of the works the peak is at about three
hours after the incident ended. By the time it gets to Delabole
reservoir it’s midnight on 6-7 July and it gets into St Endellion
reservoir some day and a half later. The big caution for distribution
system that we want you to take home is that the contamination will
be delayed and dispersed and probably extended by what is going on
in the distribution system. I’ve explained what happens in the
reservoir. The local mains also have a similar delaying and retarding
effect and also, and very significantly, what is going on in consumer’s
plumbing and how they use the storage in their houses. Thank you. www.wordwave.co.uk 7
CHAIRMAN: Thank you very much, Mr Brandt. As I said at the beginning, I’d much
prefer my colleagues to give these short papers as a basis for your
questioning and if you can save up your questions until the end I’d be
most grateful because then I will throw this open to general
discussion.
Now, the next short paper is going to be given by Dr Lesley Rushton,
who is going to deal with the population studies that are detailed in
our report. Dr Rushton is an epidemiologist, in other words she is an
expert on these matters.
LESLEY RUSHTON: Thank you very much. I’m going to talk -- we’ve now sort of moved
away from what happened in the water to looking at some of the
studies. And in a minute, Anita’s going to talk to you about actually
what people said to us when they came and talked to us or wrote to
us. So we’re coming on to talk a little bit about the health side of
things.
I’m just going to say a few words about some of the studies that have
been carried out since the incident which we’ve had a look at. Most
of these are published or are in reports which were made available to
us, so they are in the public domain. And these are studies of the
population as a whole, both within the area that was contaminated but
also in comparison areas. So as I’ve said on the first bullet point
here, there are several studies, and they’ve investigated a variety of
health problems in the population.
Some of these have been surveys; so e.g. there was a survey shortly
after the incident, which was a self-completion questionnaire survey
of people who lived in the area which was contaminated, compared www.wordwave.co.uk 8
with another group that lived in a different area. And it asked about
what people felt, what sort of symptoms they’d had and also had they
noticed characteristics about the water and so on.
Other studies have used more routine data that’s available, such as
was the treatment or the use of hospitals in the area different? What
were the patterns? Other studies have looked at whether in fact the
deaths of the population in the area show any patterns, say compared
with another area. And there have also been studies that have
looked at cancer and in particular, leukaemia.
Now, as I say, most of these studies have compared a population
defined as living in or exposed, if you like, in some way to the
contaminated water, with some other population. And these have
varied depending on the studies. Sometimes they’ve been an area
close to here but not getting the same water supply. Sometimes
they’ve been wider populations like the whole of Cornwall or even the
whole of England and Wales. So e.g. you might compare the death
rates in this area. Are they the same as you’d expect if you had the
same death rates as say England and Wales as a whole? Now, in
the report, we have described the findings from each of these
published studies. We’ve also done a critique of these studies, which
I’ll come on to in a minute. But just briefly, some of the results.
In the symptom survey, perhaps as you’d expect, people who
experienced the contaminated water self-reported far more -- a much
larger percentage of various symptoms, such as ulcerated mouths,
such as feeling nauseous, such as having gastro-intestinal problems,
compared with a control group. Studies of the hospital treatment
rates have shown that they have gone up slightly over the years for
www.wordwave.co.uk 9
the people who live in this area. But then so have the others -- so
have rates in many areas.
Death and cancer rates though, as a whole, have been shown to be
lower in the population defined as living in the contaminated area
compared with other areas. There has been a particular concern
about leukaemias rising from concern about a small cluster of
leukaemias in children. So there have been several studies on
leukaemia. One has shown that generally, if you look at the total
population, the incidence of leukaemia is slightly lower than, say, the
whole of Cornwall or the whole of England and Wales.
A special study that was done of the children found no association
with living in the contaminated area but did show an association with
the children being more infected with certain childhood illnesses in
the period before the leukaemias were developed. And this is not an
unusual finding. Leukaemia is one of these diseases which tends to
cluster and one of the theories about childhood leukaemia is that
there is an infection, if you like, association. And that seems to be
borne out in that particular study.
Now, none of these studies are perfect and in our report we’ve tried to
give a criticism of each of these. I think it’s worth saying though that
none of them are easy to carry out and in particular, a lot of them
have had to follow up people for a very long time. So the people who
have done these studies have had to get data on people for quite a
length of time after the particular incident. They have also had to
collect quite a lot of data, which has maybe not been as complete as
it could have been.
I think it’s worth saying that none of them have good, what I might
call, exposure data. Most of them have not got any data on exactly www.wordwave.co.uk 10
what everybody drank or ate at that particular time or later. They’ve
relied on residence usually and defined living in the contaminated
area by say postcode. So we feel that in many of these studies there
is the potential for people to be misclassified if you like, put in the
wrong group. I think an important consideration is that these studies
have not been able to study the many holiday makers who we know
were in the area at the time of the contamination incident. So that is,
if you like, a big gap in our knowledge. We don’t know, apart from the
few people who came and talked to us said they were on holiday in
the area, we don’t really know what happened to that population of
holiday makers.
The other thing is, I’ve mentioned the data, but these are studies
which tend to use routine data, so they’re not able to gather
information on other potential causes of the diseases. So e.g. they
won’t know if somebody was already ill when the contamination
happened. They won’t know if somebody’s working in a dangerous
job, for example, that has risks.
With all these limitations though, I think, on the whole the population
studies do not show a major increased risk. Having said that, they
are not very subtle studies. They are not able to look at subtle
effects, they’re rather all or none type studies. So obviously, death is
rather an extreme health outcome. They’re not able to look at some
of the less extreme causes of ill health.
I am now going to hand you over to Anita, who’s going to summarise
some of the very helpful information we had from people like
yourselves and others in the area who came to give us evidence.
www.wordwave.co.uk 11
ANITA THOMAS: Thank you very much, Lesley. What I’m going to talk about is the
information that you gave us. And the very first thing that the
subgroup would like to say to you about that is thank you. Because
at no small personal cost to many of yourselves, 54 of you gave us
time in 35 hours of semi-structured interviews to come and relate to
us what it was like at the time in Camelford and how you have felt
since. And that’s been very important to us in a number of respects.
In addition to that, 59 of you wrote in to us, some with a great deal of
very detailed information, which was very helpful.
You spoke to us generally about what it was like to be in Camelford at
the time. And there was some very important information in there for
us about the variability, in terms of where you lived and what sort of
water experience you had at the time. And timing was quite important
there as well as a corroborative set of evidence about what the water
looked like and the time of day, and indeed the day on which you had
these experiences.
The other part of the information that you gave us dealt with health
effects that you reported, and these fell into two groups. They
concerned both adults and children, and they fell into an acute group
and a chronic group.
When we talk about the acute group of reported health effects, what
we mean are those that occurred within the first 14 days or so, and
these were the sort of things referred to by my colleague Lesley
already, in terms of sore mouth, ulceration, nausea, diarrhoea,
sickness and skin irritation. Those we term the acute health effects.
But you also told us about some other things. You told us about
illnesses, some of which you felt were still ongoing at the present
time, and these included complaints about joints, either swelling or www.wordwave.co.uk 12
continuing pain. A set of symptoms which were very similar in terms
of difficulties with memory, difficulties with co-ordination of movement
and difficulties in maintaining mental concentration.
A third group was concerned about different forms of cancer and their
incidence after the incident itself.
And a fourth group was concerned with thyroid disease.
A fifth group was concerned with effects on the nails of the fingers
and toes.
This list is not exhaustive but it covers the main areas of symptoms
which many of you reported to us.
I’d like particularly to mention, in preparation for the next speaker, the
effects that you felt in terms of nerves and brain. Some of the studies
that will be referred to later concern studies of neurological
functioning; how people behaved; how they felt able to make their
brain work when looking at certain sorts of tests.
And we came across four studies in this area; they all had
shortcomings and it was difficult for us to interpret them. So we
asked an expert called Professor Rugg, who used to work in the UK
but now works in America, and he gave us an opinion on all of those
four studies. And his opinion was that it was not easy to link the
effects shown in the studies to the contamination because of
problems which are listed in the report but include things like
ascertaining who had received exactly what in terms of contamination
over what period of time. And that was a difficulty. Nevertheless, his
overall opinion was that there were subtle effects shown in the tests,
and the subgroup have concluded that they wish to recommend
further research in that area.
I’ll now hand over to my colleague Professor Chipman. www.wordwave.co.uk 13
KEVIN CHIPMAN: Thank you very much and good evening. And thank you very much
for coming along this evening.
I’m going to just give some information about the possible toxic
effects of some of the chemicals and I’m also going to say something
about the ways in which we can assess risk of harm. So we’re going
to look at the ways in which we gathered information to assess the
possibility of harm.
And I just wanted to highlight at the beginning that there are two
components to this. First of all we need to know about the hazard,
which is shown here. In other words, what sort of adverse effects
might the chemicals cause? How potent are they? And then we
need to know about the exposure. What was the dose and for how
long were people exposed? And by putting those two together that
helps us then to establish the likelihood of harm.
I’m just going to say something about how we gathered the
information on hazard. Some of this information comes from human
exposures.
So for example with aluminium, there has been exposure through the
use of anti-acid medication and through kidney dialysis, and we have
been looking then for evidence of harm and asking the question, is
there a dose that is safe; that produces no adverse effect?
Some other information, of course, can come from animal studies.
So again we can ask, what organs are affected by the chemicals?
What is the dose that is safe? And we need to focus also on both
short-term and long-term exposure so that we can relate it to the
incident.
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So let’s now have a look at the potential for adverse effects, and first
of all I’d like just to have a look at the possibility of the immediate
effects of short-term, relatively high exposures that occurred. And we
concluded that the chemicals probably did cause some of those
immediate effects. So in particular, exposures to, for example,
copper, zinc sulphate and perhaps the combinations of these,
probably did contribute to some of the symptoms such as the effects
on the intestine, the stomach and also the ulcers.
What about the possibility of delayed or persistent effects on health?
Well, I’m showing you here just some information that focuses on
aluminium. There’s no doubt that aluminium is hazardous. It can
cause toxicity. In particular, in animal studies, it’s been shown to
affect various organs, including the brain, the liver, kidney, bone and
the developing embryo. So it’s certainly a hazardous chemical, but if
it’s taken in the drink, only small amounts are absorbed from the
intestine and get to the organs, and we clear it from the body very
quickly. And it’s been estimated that the maximum safe dose for
long-term intake of this aluminium is actually quite close to that sort of
dose that one would achieve with the antacids. So the long term
exposure to aluminium was much lower than the safe dose, and
therefore delayed or persistent harm from aluminium is not expected.
What I would say is that in bottle-fed children, certainly in babies, the
dose may well have been higher compared to adults. And therefore
the subgroup considered that the risk, although unlikely, from
aluminium and other metal exposures such as lead, was the greatest
for bottle-fed infants, and that is why we have recommended and
highlighted that as a group for further studies. I’ll come back to this
point later. www.wordwave.co.uk 15
We also, of course, looked at contaminants other than aluminium and
looked, for example, at effects from lead, copper, zinc, etc, and we
considered also the combined effects of these various metals. Again
these metals may well have contributed. They’re expected to have
contributed to the immediate effects, for example, as I mentioned
earlier, on the intestine. But again with these compounds, the
delayed or persistent effects could not be explained.
We gave particular attention to certain types of disorders. In
particular, there’s been concern about cancer, and it’s encouraging
that the toxicology evidence on these chemical contaminants
generally did not give reason for concern about cancers, and that
relates to the information that you heard from my colleague earlier.
There’s been a lot of discussion about the possibility that aluminium
may be associated with Alzheimer’s disease. But more recent
information is now showing that there is not an association. The
evidence does not suggest that aluminium causes Alzheimer’s
disease.
We looked very closely at thyroid effects. There really was no
evidence to suggest that any of the contaminants concerned could
have affected the thyroid.
Having said that, there were gaps in knowledge and we recognised
that there really were needs for further studies, and I’ve listed the
main three studies here that we recommend are needed.
First of all, the effects that you heard earlier, for example, on memory.
So we’re recommending further studies to explore these possibilities.
Child development; very important, especially with those children who
were bottle fed at the time, as I mentioned earlier. And also we heard
a lot of reports about joint problems, which we could not relate to any www.wordwave.co.uk 16
of the chemical exposures, but we recommend that there should be
further studies to try to explain these many reports.
Thank you very much.
CHAIRMAN: Thank you. Well now, those presentations are brief, and you will
know from your study of the size of this report that they touch on only
a very small amount of what appears between these covers. But we
want those presentations to act as a stimulus to your questions and I
am now throwing this discussion open to you. The members of the
committee - apart from one who cannot be with us today, she is
abroad - are obviously very willing to answer within their own areas of
expertise.
So, now it’s up to you. Sir?
MR GIBBONS: You showed a brief thing about where the water went and he said it
didn’t get to Delabole treatment works until the 7th.
I came home with my son on 6 July at 9.00 pm and it had reached
Tintagel at 9.00 pm or before. We drunk it at 9.00 pm. The first
cupful I drunk burnt all my chest and I thought it was my old hiatus
hernia problem playing up. I said to my wife about the pain that I was
suffering. I carried on. I drunk the cup of coffee down. My son went
to bed. He drunk a cup with me. He didn’t notice anything. I had
another cupful at 10.00 pm and again, burning sensation in the chest.
I couldn’t make it out. I thought, “My old hiatus hernia problem
playing up”. Drunk it the next day; eight and ten cups of coffee a day
for four weeks until I collapsed.
I went to the doctors. I’ll make this brief. I went to the doctors. They
bent my joints and said, “There’s nothing wrong with you; go away”. I www.wordwave.co.uk 17
got worse. I started to shake uncontrollably. I couldn’t co-ordinate
anything. I was dropping things. My doctors took my blood in the
end. I had to complain - seven or eight times going back to the
doctors - how ill I was. They took my blood and sent it away and it
came back off the Richter scale in heavy metals they told me.
Deemed to be a dirty NHS phial they put the blood in. So that shut
the first report on my blood down.
They said, “Wait two weeks, take his blood again and resubmit it”.
They did that and it was still high. That was deemed to be normal by
my local doctors. And the third one; I had dropped and I kept going
back to my doctors because I was so ill. I was in a terrible state. All
my skin had broken out. My chest. And all I got from Dr Jarvis and
Dr Garrod in Tintagel was, “If you keep complaining, Mr Gibbons,
we’ll ask you to leave the surgery”. So I said, “Don’t ask me to leave
the surgery,” I said, “I’m leaving and I’m going back to my doctor in
Camelford I used to be under, Dr Richard Newman”.
So I went back under Dr Richard Newman and he saw how ill I was
and after a short -- three months of being under him, he put me on
Valium to slow me down to pick me up - that was his words.
Then I was sent - I’ll speed through this quickly because there’s loads
of people wanting to talk. I was sent to different doctors. The first
one was a bone biopsy -- a bone scan. They told me, “You’ve got
osteoporosis in the bones”. What I shouldn’t have, a young man of
41; osteoporosis. Another doctor told me I’ve got osteoarthritis.
Then I was sent to Dr Ruth [Fremantle-White(?)], St Lawrence’s
Hospital. She done a controlled test of six people in the infected area
and six people outside. The six people she done in the infected area,
two came out with massive brain damage. I was one and another www.wordwave.co.uk 18
lady was one. She asked for more funding to do more research in the
infected area but the health authority denied her more funding. They
shut her down.
I was sent to London to see another brain specialist and he came out
with the same brain damage, the massive brain damage.
I’ve been haemorrhaging every month for 16½ years, losing, over a
five to seven day period - I’d be going to the toilet and passing blood -
I’ve been losing two and three pints of blood every month for 16½
years. I’ve been for two barium enema examinations and they can’t
find anything wrong there at all. One in the first year of the poisoning,
after drinking high concentrations of aluminium. In 1988 I had a
barium enema and I’ve had one in 2004 and they can’t find any
problem there. So I’m haemorrhaging from inside somewhere.
My nails are all decaying. I have to go to a chiropodist to have my
toenail cut back because it’s all deformed. That’s that.
Now we’ll speed on to the report.
He said the water on the chart -- they didn’t take in the Rock Head
treatment works, what holds the water what feeds the Delabole down
to Port Isaac, down to Tintagel and down to Boscastle. The report
that [(inaudible)] said, “We didn’t look into that”.
My legal team -- I’ve read through this report and they’ve got a
biochemist to read the report, on page 42, on 7 July, the next day
after the poisoning and they said, “Report shows no contamination
from the water whatsoever”. It’s 0, 0, 0 -- the highest one there,
Boscastle service reservoir was 1.09 and it goes on, 8 July, 9 July, 10
July. These are manufactured reports by the ex-Tory government
who’s in charge of the water supply at the time. These have been
manufactured, these reports. They’re all 0. 1.68 was the highest www.wordwave.co.uk 19
there; 1.32. The EC limit’s 200 ppm. And it goes on all through --
conveniently this -- they fed the leading doctors and professors who’s
looked into this report -- they’ve fed them wrong data on where the
aluminium came out.
Someone has manufactured these reports because they’re all 0, 0, 0,
0. There’s no peaks. There’s no troughs. They’re all 0s. 0, 0, 0, 0,
0. This is right -- part of August -- 4 August. Where did the
aluminium go? Twenty tons? Twenty thousand litres? And it got to
my place at 9.00 pm. And he’s saying it didn’t -- the troughs didn’t get
to other areas, like Tintagel, Boscastle and Rock, till 7 July. Well, it’s
a lie. And it rushed -- it rushed straight through to the system,
through Camelford, straight up to the header tanks at Rock Head. It
was stored there and it poisoned all the area.
There’s builders in Tintagel building new houses and they was using
concrete mixers and mix up the concrete. They laid the floors down
and went away and come back the next day and the concrete hadn’t
gone off. And they couldn’t make it out.
CHAIRMAN: [(several inaudible words)] some more questions now, please.
MR GIBBONS: It’s all right. Let me just finish on one report. Let me just finish on one
report. I’ve got to read one report, that’s all.
FEMALE SPEAKER: [(several inaudible words)]
MR GIBBONS: I’ve got to -- this is important.
CHAIRMAN: The point that is actually important -- www.wordwave.co.uk 20
MR GIBBONS: So, we’re saying that they’re all 0, 0, 0, right? This has come through
from the Pennon Group, who owns South West Water now. I’ve got
to put my glasses on to read this.
Date and time,
“11 July 1994. Mr Gibbons, Harlyn, Castle View, Tintagel, retained sample. Aluminium [this is after one pollution after another we had at our house] -- Aluminium, 450. Aluminium, 720. Aluminium, 260. Aluminium, 26. Iron, rusty iron, 16,700; 30,800; 11,400. Magnesium 1300 -- manganese, I mean, 1300 -- 3900, 1260. Sulphate 22, 24, 24. [this is in 1994] Zinc 340, 10,070, 280”
This is from South West Water. The Pennon Group, who took over a
decaying water main, they’ve had to replace half of it in plastic piping
now and gouge all the pipes out and line all the pipes to stop this
problem. But this was still going on in 1994. People were being
poisoned in 1994. We’ve got results here for aluminium -- I mean it
doesn’t show in the report here. Who’s misled all these leading
doctors and professors with these false reports? 0, 0, 0. Twenty tons
of aluminium goes in the system and it gives us peaks and troughs
there and we’ve drunk this stuff. I drunk it -- about eight and ten cups
of coffee for four weeks until I collapsed.
And I was sent to a kidney specialist and he said to me, “You’ve got a
sort of kidney damage, Mr Gibbons. You’ve got to come off all your
tablets. If you don’t, your kidneys won’t heal up”. When I saw the
cover-up here, I went to that same doctor in Plymouth and got all my
documentation from his secretary, come home and read it. Nothing
about kidney damage. So I phoned up to Dr Hutton at Plymouth
Hospital and spoke to his secretary. I said, “Can I speak to
Dr Hutton, it’s Mr Gibbons”. “Yes,” she said, “He’s right here, I’ll hand
www.wordwave.co.uk 21
the phone over, Mr Gibbons”. There was a pause, she come back
and she said, “I’m sorry”, she said, “He won’t speak to you”. I said, “I
know why he won’t speak to me”, I said, “He’s pulled this kidney
damage report on me”.
That’s the end of the story. I think we’ll say no more.
CHAIRMAN: Mr Gibbons, I’m sure you’ll realise that we cannot, at a public meeting
like this, discuss your medical history and I’m not going to discuss
your medical history with --
MR GIBBONS: [(several inaudible words)] Where did the aluminium go?
CHAIRMAN: We’re not going to discuss your medical history with you. The point --
the point that Mr Grant Brandt was making - and by the way, Mr Grant
is an independent consultant, he is not employed by either South
West Water or those who now own the company - the point which is
actually important that he is making is that if a substantial amount of a
toxicant is put into a reservoir - as happened in this case -
downstream from that reservoir, in a complex pipe network, the time
at which those toxicants reach the mains outside various houses and
in various settlements, villages and towns will not be instantaneous
with the time at which the toxicant was dumped into the reservoir.
That is the main point of this.
MR GIBBONS: [(several inaudible words)]
CHAIRMAN: Well, Mr Gibbons --
www.wordwave.co.uk 22
MR GIBBONS It got to Tintagel by 9.00 pm --
MALE SPEAKER: [(several inaudible words)]
CHAIRMAN: Yes please, sir, if you would.
MALE SPEAKER: I’d like to know something about the -- the contact tank - the baffles in
a contact tank.
First of all, do the baffles reach right from the floor to the ceiling of the
tank?
JAMES POWELL: We asked this question and we were told categorically that the tank --
the baffles went to the floor of the tank and they checked it.
MALE SPEAKER: Do they go to the top of the tank, though?
JAMES POWELL: They go to the top, yes. They’re full depth.
MALE SPEAKER: Because there was a report about the tank being full of sludge up to
the top of the baffles, which would greatly affect the timing of the
distribution of this slug of contaminant.
CHAIRMAN: Yes. Indeed, you’re right, sir. There was such a report and that
report was given to this committee, although when we interrogated
South West Water on this point [laughter] -- I’m sorry, by
“interrogated” I mean asked questions of them. When we asked
questions of them they told us that there was no evidence that there
www.wordwave.co.uk 23
was a big build up of sludge. But my colleague Mr Cross has some
opinions about this.
MALE SPEAKER: If you’d been here, would you have (several inaudible words)?
CHAIRMAN: Pardon.
MALE SPEAKER: If you were one of us, would you believe what South West Water told
you when you asked them the question?
CHAIRMAN: Well, you know very well that I can’t answer that.
MALE SPEAKER: I know, but I can ask it.
CHAIRMAN: Would you let me finish, please?
You know very well that I can’t answer that question. I am not one of
you. I am an independent observer of these matters and my job is to
correlate what information is given to us. That is the information that
was given to us, and at the prompting of my colleague Mr Cross, who
is one of your representatives, we interrogated - and I’m going to use
that word again - them further on this point and they persist in their
view that there was not a substantial build-up of sludge in that tank.
MALE SPEAKER: But nobody checked it, did they?
CHAIRMAN: Well --
JAMES POWELL: They did. www.wordwave.co.uk 24
MALE SPEAKER: Did they? Did somebody go and check it?
MALE SPEAKER: It was four days -- it was in the system for four days before they even
found there was (several inaudible words) --
NIGEL JONES: There appears to be evidence that there may have been sludge up to
the outlet pipe; approximately half to one metre of sludge. It also
brings up the question of what was in the detritus in the tank and also
the detritus in the pipes. Which, I may suggest, must have been
hundreds of tons throughout North Cornwall; which was released in
varying amounts by the acid in the pipes over a period of time,
amongst which the detritus contains the spores of uranium, which it
filters out from the water catchment from the moors. Uranium
remains a large unanswered question.
CHAIRMAN: Well, this question of whether or not somebody checked whether a
sediment existed in the tank is impossible for us to answer. Douglas
Cross went into this in some detail because, as you quite rightly
surmise - I’m trying to read your mind at the moment - whether or not
that tank was partially filled with other material makes a considerable
difference to the sort of calculations that Mr Brandt and his colleagues
did for us, because obviously it would alter the volume into which the
aluminium sulphate was discharged.
Madam.
MALE SPEAKER: May I ask the (several inaudible words) that he is -- that the Water
Board is interrogated and not us. It would be more helpful. www.wordwave.co.uk 25
CHAIRMAN: Well, I -- niceties of English usage (inaudible) but obviously I am not
in a position to use interrogation in its classical sense. I am using
interrogation to mean that the asking of direct questions and we have
asked those direct questions and in this case more than once and
more than one of us.
Madam.
SARAH ALMOND: The gentleman said -- I’m trying to speak to that gentleman there,
please. You said that it was actually put in there at 5.00 am, yes?
MALE SPEAKER: No, 5.00 in -- about 9 minutes --
JUNE HILLS: On what date?
MALE SPEAKER: On 6 July.
FEMALE SPEAKER: 9.00 pm in the evening on --
MALCOLM BRANDT: Sorry, I think it was about 5.09 pm, or was it 5.03 pm, in the evening
of 6 July.
JUNE HILLS: Of 6 July. No, no, because on the 6 July, on that morning, my
daughter got up to go to school. She was the first one to go into the
bathroom and she said to me -- and that was at 8 o’clock, 7.45 on
6 July, in the morning, and she said to me, she called out to me, she
said, “Mum, do not put any of the water in your mouth, I’ve just
www.wordwave.co.uk 26
cleaned my teeth and it’s burnt my mouth”. So, I’m sorry, that is not
right.
DOUGLAS CROSS: Professor Woods, can I (several inaudible words) answer that?
CHAIRMAN: Yes.
DOUGLAS CROSS: Sorry, I really have to answer what the lady just said there. The
Minister -- the Water Minister at the time, a certain Mr Michael
Howard, declared that there were problems; I quote, “with the liming
devices at Lowermoor treatment works in January 1988”. That was
when he was notified. I also have spoken up before in public and
trotted out what I was told by an ex-South West Water Authority
employee in Port Isaac, but he will not go on record for fear of his
future employment prospects.
And this has also been said before in public, that in actual fact it was
general practice in the treatment works, not just at Lowermoor but all
over the place, for some workers on low wages in order to boost their
salaries to allow certain tanks to run low on certain chemicals,
knowing - as they did expertly - that the alarm bells would ring at
around 9 o’clock or 10 o’clock and that they would get a call out to go
and attend to the low levels in whatever tank it was, thus receiving
double or triple time payments to boost their low salaries. That was
general practice across many treatment plants across the whole of
the South West. And as to regard the detritus, there were South
West Water Authority employees busy clearing out the tanks and
flushing them out. So amongst them there must be a witness who is
holding it back as to what the level of the detritus in the tanks was. www.wordwave.co.uk 27
DOUGLAS CROSS: Can I just add, you know, it’s been said that there is some doubt
about this. I have recently, just in the last few days, found the notes I
made at the time and I was in a meeting with South West Water. I
was a member of the Lowermoor Incident Liaison Group.
We were told by a South West Water employee that he had been in
the tank and he had said that the sludge at the bottom was a metre
deep. Now I couldn’t understand that until these gentlemen’s models
actually showed me very recently precisely what happened.
The high level outlet is a metre above the bed of the tank, and what
the gentleman was telling us was that the sludge was up to that
outlet. And that came from South West Water Authority, not South
West Water plc.
CHAIRMAN: In terms of the time of delivery, if you look on page 32 of the report at
paragraph 3.6, the information given to this committee was that on
the afternoon of Wednesday 6 July 1988 the discharge started into
the chlorine contact tank at 5.03 pm and finished at 5.40 pm on that
day. Now, do you have any -- you say that that is wrong, Madam?
JUNE HILLS: That is wrong, yes.
CHAIRMAN: Where is the information then that you have in your possession that
proves that that is wrong?
JUNE HILLS: How can I have the information that proves it? I rang South West
Water that same morning on the same day and told them -- now this
was before the lunchtime, so I rang and I asked. I said that there was www.wordwave.co.uk 28
something wrong with the water and I was told, “Don’t worry, by
lunchtime it will be clear”.
Then I rang again in the afternoon because somebody told me that all
the fish had died. So I rang again and I was told, “Don’t drink it”. But
my daughter, she drank the -- she’d cleaned her teeth at 8 o’clock
that morning and it burnt her mouth.
CHAIRMAN: You see how important this is because if you are correct - and I’m not
doubting you - but if you have --
FEMALE SPEAKER: (overspeaking)
CHAIRMAN: Well, that’s not what I’m getting at. What I’m getting at is, if you are
correct and that there is information that proves that the discharge of
the aluminium sulphate into that tank took place at a different time,
that makes a substantial difference to the sort of calculations that Mr
Brandt and his colleagues have done with us. Douglas?
DOUGLAS CROSS: Yes, the Lawrence Report made it clear that in fact on the 6th the
liming pumps had broken down and therefore you would have got
more acid water through. However, it would not have been strong
enough to cause the sort of effect you’re speaking of unless --
JUNE HILLS: (several inaudible words) come out until you told me.
DOUGLAS CROSS: Okay, well, the only thing I can suggest --
FEMALE SPEAKER: (overspeaking) www.wordwave.co.uk 29
DOUGLAS CROSS: -- Is that the authority were rather surprised to find they were very low
in aluminium sulphate and it suggests that the dosing of aluminium
sulphate may have been excessive and then the lime plant broke
down as well on the 6th. We know it broke down on the 6th because
it is admitted. And one of the reasons they didn’t understand what
happened on this particular incident - the main incident - was they’d
already gone in and fixed the pump. So that may have been it.
We still don’t know what happened at the May Rose Farm swimming
pool two weeks before when the same sort of thing happened.
FEMALE SPEAKER: (overspeaking) May Rose Farm.
DOUGLAS CROSS: So they may be -- yeah -- they may be separate incidents. I’m sure,
having lived in the town, I know damn well that there was an awful lot
of these incidents but not as serious as this is.
JUNE HILLS: (overspeaking). I didn’t live in the town.
DOUGLAS CROSS: Yeah.
JUNE HILLS: I lived just outside in Helstone.
CHAIRMAN: But I repeat, this is the consultation period, and if someone has
information in relation to the time of this delivery, we would like to
know about it because the information given to us which is in the
report was on that date between those two different times. Sir.
www.wordwave.co.uk 30
MALE SPEAKER: You mentioned at the beginning health, but there seems to be nothing
in the report about the health of the sufferers. You don’t seem to
have made any recommendations about treatment or advice for the
people who have suffered. Why was that?
CHAIRMAN: No, sir. We were not -- that is not within our brief and we -- if you will
recall, those of you who gave us information in confidence - and I am
not going to identify you, you are not identified in this report and you
will not be identified - we made it clear that we were not there, nor are
we here to give individual medical advice. The value to us of
speaking with just over 120 of you - 50 or 60 we spoke with you face
to face and others very kindly wrote - is that you gave us some very
important initial information. You gave us a footprint, a map if you
like, of a pattern of disease and difficulty which gave us several lines
of investigation and also gave us some very important information.
I’ll give you one example, something which was invaluable to us. I’m
sure you’ve all read years ago soon after this incident that the quality
of the water was such that surely no one will have drunk it. Well, it is
perfectly clear, talking to a substantial number of you, that you did.
Some of you did drink it.
MR GIBBONS: Coffee disguised the taste. (several inaudible words) actually at the
time.
CHAIRMAN: Well, again, sir, I’m not discussing your drinking habits in relation to
coffee, but --
MALE SPEAKER: (overspeaking) www.wordwave.co.uk 31
CHAIRMAN: -- I will accept that a number of you -- yes, a number of you said that
coffee did disguise the taste and others of you were able to drink
what you said was substantial amounts of this water to dilute orange
squash. Madam, and then there are two other people behind you.
BRIDGET PENTECOST: We’re talking about a subject where there isn’t evidence of how
it affects people or how it is absorbed into the body and we keep
being asked why did we drink water that tasted disgusting. I was
very, very affected. I didn’t go on drinking water that was affected.
What I did was absorb it and it shows that in my bone biopsies. Now
whether I absorbed it in the water I was bathing in or in the showers,
those things have to be looked at.
We do not have the medical evidence or the proof of what aluminium,
copper and all the other things that were not looked at in this report,
how that affected what we were doing at the time or there’s nothing to
compare with.
CHAIRMAN: We do refer to a published paper which describes bone biopsies
taken from three individuals and those bone biopsies showed a line of
bone, a layer if you like of bone, which stained positive for aluminium.
And the conclusion reached by the author of the paper was that that
thin layer of aluminium most probably was derived from aluminium
taken in. And you will have heard Professor Chipman, my colleague -
he’s at the other end, not that end - who is our expert toxicologist, say
that indeed, although 98-99% of aluminium taken in by mouth by
humans and other mammals is not absorbed, 1-2% is absorbed.
We’re not saying it isn’t absorbed, a proportion of it is. www.wordwave.co.uk 32
MALE SPEAKER: It is absorbed.
CHAIRMAN: A proportion of it is absorbed, certainly, sir. Madam? The lady in
front of you with the spectacles. That’s it.
SYBIL GRIFFITHS: First of all, I’ll apologise for asking a question that you couldn’t
answer, but now I’m going to ask you a question that I hope you can
answer, that is that we, presumably, are supposed to be able to sort
of take on board the facts in this report and believe what we’re
reading, based on all the evidence that you’ve taken and so on.
Well, these three points that I want to make on that. Firstly, on page
15 it states that the period of contamination with high concentrations
of contaminants was short. And then a bit further down it states - just
about iron samples - that they exceeded the relevant 1984 WHO
guideline value. They rose in the month after the incident and then
remained high until the end of 1990. I don’t personally consider 2½
years a short period of time and my other point on what we can
believe and what we can’t believe is that a very well-established fact
is the name of the local secondary school and on page 127 it has
been written down wrongly six times.
Now, that is fact and if there are other mistakes in the report like the
very basic name of the secondary school, how can we trust anything
that we’re reading in this?
CHAIRMAN: Well, you’re talking about Sir James Smith School? Yes. We are
aware that it is down as Sir John Smith School. We are aware of
other typographical errors. www.wordwave.co.uk 33
I would ask you not to conclude that because typographical errors in
a draft report which is more than 400 pages long occur that casts any
doubt on the probity of the contents of the report, because it doesn’t.
SYBIL GRIFFITHS: (several inaudible words) my point is, how do we know what else in
here is typographical error? I only know that bit is because I know the
name of the school.
CHAIRMAN: Yes, all right. What is in here is the opinion of this committee and it is
based on those facts which we uncovered.
I said at the beginning of this evening that, to our knowledge, there is
no other description of this incident which is as complete as this. Do
you agree with that?
MALE SPEAKER: I do, you --
CHAIRMAN: No, I’m sorry, sir. I’m talking to this lady here. Just for a moment, all
right? I’ll come back to you. Do you agree with that, madam?
BRIDGET PENTECOST: I’m not sure. I mean there’s not enough evidence in the
scientific literature to -- because this poisoning is so unique. So I’m
not really sure that any conclusions can be drawn about long-term or
otherwise, particularly with foetuses -- if --
CHAIRMAN: Well, that is --
SARAH ALMOND: -- a brain in development is damaged, it’s going to cause a long-term
effect because if the brain isn’t developed properly that can only www.wordwave.co.uk 34
cause long-term effects and there’s not enough literature out there to
be able to say that it probably hasn’t caused.
CHAIRMAN: Well, if you will recall, that is exactly one of the points we make, that,
in the recommendations.
SARAH ALMOND: Yeah, (several inaudible words) bottle fed babies, but my six
week-old foetus wasn’t being bottle fed, he was still growing inside
me.
CHAIRMAN: Yes, we said under one year, actually. That we would suggest
monitoring of those who were under one year.
SARAH ALMOND: (overspeaking) actually classify here tonight that you actually mean
from conception onward not from birth onward because there’s a big
difference between -- most people take under one year to mean from
birth, they don’t take it to mean from conception.
CHAIRMAN: Well, I think the point you make is a very good one and there is
reference in this report to one study in relation to -- that has some
implications for development in utero and your point is a very good
one. But again the literature that we have available to us - you may
have different literature - is very deficient in relation to the particular
toxic incident that we’re talking about. But obviously we will bear that
in mind.
That is a very good suggestion of yours and when we come to
discuss this draft again at the end of the consultation period, we will
www.wordwave.co.uk 35
have some discussion of that. We are obviously making a record of
these discussions tonight. Sir?
MALE SPEAKER: Well, two things, quickly is - one that South West Water have told us
three days after the contamination it was safe to drink and that’s the
reason -- Radio Cornwall told us over the television that it was safe to
drink. Secondly, on page 108 you’ve got a nurse that you say has
been looking at hundreds of patients and she’s listed as for 23%
thyroid and 6% joints and muscles. And yet apparently you have
come to the conclusion that there’s nothing wrong with long-term for
thyroid but you’re going to look into the joints and muscles.
I was just wondering how you’ve come to that conclusion because
although I’m not going to give my medical out here, I’m quite
prepared for you to have my medical history.
From the age of 20 I’ve suffered with a certain problem and at the age
of 52 when I drank the water, it’s caused a lot more problems. So --
and also, hopefully, I’ve still got the metre of copper pipe that I took
from my house and I live in Port Isaac which apparently, according to
your experts there, we shouldn’t have had it until about the 9th or
something of July so … Somebody’s --
CHAIRMAN: Mrs McCardle’s(?) --
MALE SPEAKER: That’s it.
CHAIRMAN: -- information which is that to which you refer in paragraphs 547 to
550. Her conclusions were based on 31 individuals, which is a
relatively small number of individuals. Now, can I deal specifically www.wordwave.co.uk 36
with thyroid because this thyroid problem is something that individuals
have brought up with us --
MALE SPEAKER: (inaudible), chairman, 548.
CHAIRMAN: 550. I shall read out to you if you like.
MALE SPEAKER: (overspeaking)
CHAIRMAN: It says, “An interim report written [you wrote this with me] by Mrs
McCardle based on 31 people”. Although she saw 100 people,
unfortunately the paper that was written or the information that was
derived from those 100 people is no longer in existence. To go back
to your question, sir, which is much more important, in terms of the
thyroid problem, the difficulty is that the incidence of thyroid disease
in this country and particularly in this part of the United Kingdom is
very, very high indeed. It’s a very common -- if you look at thyroid
disease in general, the incidence is high and those who advise us in
terms of the design of studies and I’m going to refer you to my
colleague here, advise us that it would be very difficult in such a
population because of the high basic incidence of thyroid disease to
determine an effect on this contamination. Lesley?
LESLEY RUSHTON: Yes, I --
NIGEL EVANS: I’d just like to say I’ve only lived here for 20 years. I’m 67 years old. I
didn’t have the thyroid problem when I was where I was and I didn’t
www.wordwave.co.uk 37
have a thyroid problem until I drank the water, so … And you’re quite
in order to look at my medical history.
LESLEY RUSHTON: Well, there’s two or three points sort of in there. First of all, I suppose
I should have said when I spoke that it’s actually very difficult in any
one individual to say something that happened to you caused
something later on and that’s why you do these big population studies
because you’re looking then, if you like, at an estimation of a risk in a
population, you see whether it’s high or not. You still can’t go back to
the individuals in that population and say …
Quite often with these sort of chemical risks and things like that, it’s
really difficult to be able to say categorically, definitely because you
did that, because you drank that, because you ate that, this caused
that. All you can say is we think this hazard increased your risk. And
that’s not to say that for any individual who gets a disease that it’s not
obviously a major problem for them.
Going to Professor Wood’s discussion of thyroid, this is an area
where naturally there just happened to be a high proportion of thyroid
problems and they’re not necessarily - and I’m not a medic so I’m
going to get this wrong - over or under -- thanks. I am sitting next to a
medic though. Over or under thyroid problems and if you’ve got a
map of Britain you’d find there are other areas.
So, for example, probably you’ve all heard of Derbyshire neck where
people get, you know, this --
MALE SPEAKER: Goitre.
www.wordwave.co.uk 38
LESLEY RUSHTON: Goitre, yes, that’s it. And so there are areas where it’s partly to do
with the geographical and the nature of the geology and how much
natural iodine in.
And it’s interesting what you say about moving to an area because it
has been shown that people who live in areas with -- one area that’s
say one level of iodine and move to another, that then affects their
thyroid. And it’s really very complex and I think we felt that it would
be really difficult to disentangle a one incident, if you like, from all the
other things that are going to affect the incidence of thyroid problems
and I think this is one of the reasons why it wasn’t picked up.
The other reason - and I think perhaps Kevin can perhaps comment
on this - is that when you looked at the toxicity of these chemicals and
the mixture of chemicals, we didn’t find any overwhelming evidence
that any of them particularly affected the thyroid, whereas there were
one or two hints where, you know, joints and so on might be a
problem. That’s not to say there isn’t a problem with it, but we
weren’t able to find the evidence. I don’t know, Kevin?
KEVIN CHIPMAN: I specifically remember this point being raised when we visited last
time and so we really did give special attention to this. We looked to
see if we could find any association between the metal exposures
and thyroid and we really just could not find any association.
NIGEL EVANS: The medical profession was so astounded by what happened to me
that they actually, I understand, wrote up a report for an
endocrinologist because it was such an unusual thing to happen to
anybody that had been treated for one thing in the body to develop
this in the thyroid. And the only thing I can think of, it was six weeks www.wordwave.co.uk 39
after I drank the water that I went for the tests that they had to give
me for something else in my body, that created a problem that I didn’t
work for three years and took a sabbatical on the endocrine system.
That’s the reason why I asked the last time I came. I’ve only ever
been twice. It was for you to ask an endocrinologist on the panel to
look at the thyroid.
The thyroid is the first place in the body to recognise toxic materials
or anything. If you’ve got a sore throat, it’s because the thyroid’s
telling you there’s something wrong and that’s the first barrier -- you
don’t have to be a medical man to know that, sir. Anyway, thank you
very much.
CHAIRMAN: Mr Tyler
MR TYLER: Well, I’ll be as brief as I can. I hope everybody in the hall can agree
on one thing, which is that we should have had this report ten or
fifteen years ago. I think everybody would agree with me that and I
think we should at least give credit to this team in very difficult
circumstances that they may not have got all the answers but they’ve
taken us a step or two towards the answers.
But I want to ask two specific questions about, if you like, the trail
that’s gone cold. The section which relates to correspondence with
Dr Richard Newman makes it clear that had your group, chairman,
been able to see his report, his medical records - and this is
paragraphs 537 to 540 - I think they would have been extremely
helpful to your investigation.
Reference has already been made to the evidence of Mrs Jenny
McCardle, the trained nurse who was then practising in this area, and www.wordwave.co.uk 40
again her evidence of course is very helpful, although it’s a long time
since it was prepared.
What I find quite extraordinary - and I don’t know whether you’re in a
position to comment on this - is that in her case it said the final report
could not be located in the Health Authority file. Now given this was a
very, very high profile contamination of the most basic of all supplies,
the water supply, how can it be that the health authority cannot
provide the most meticulous records for everything that was provided
to them from the medical practitioners at the time?
Dr Richard Newman, sadly not practising in this area any longer and
living abroad, and Mrs McCardle who it said was only able to provide
you with her interim report.
I believe that the trail went cold because, frankly, the health
authorities in Cornwall were totally inadequate to their task, which
should have been to monitor very, very carefully indeed the health of
all ages - babies, unborn babies, right through to elderly people.
And I, as the representative for this area, feel that the community at
large has been let down, not just by the failure to investigate - which
is bad enough - I mean, this work should have been done, as I’ve
already said, 15 years ago, by the total failure of the health authorities
at the time to monitor one of the most serious contaminations that has
ever taken place in this country.
CHAIRMAN: I wonder if I might deal with your second point first, Mr Tyler. I think
that what is written in our report in relation to our wishing to see Mrs
McCardle’s report based on more than 100 individuals, that I think is
a small demonstration of the lengths to which we went in order to try
and dig out the information. www.wordwave.co.uk 41
We had and have no powers of compulsion. We are not that sort of
committee. We are not conducting that sort of investigation. All we
could do was to ask whether or not that report - which would have
been very helpful to us - was available and the answer that we got
was printed and is in the report.
So far as your first point is concerned, we were not able to speak
directly with Dr Newman. As you’ve already said, he does not live
any longer in the United Kingdom, but we were fortunate, through
contacts which Douglas Cross and others arranged, to have some
written contact with him and pose to him in writing those questions
which we directed at the other general practitioners with whom we
were able to meet face to face.
So far as when this work was done, we did the work when we were
asked to do it and we can’t comment.
There is a lady at the back whom I’ve ignored.
FEMALE SPEAKER: You keep mentioning that you only deal with facts. Well, this report of
yours to me is not fact because South West Water did not give you
the facts. Everybody I know who had water tested, the water was run
down the sink for at least 20 minutes before it was tested so that did
not give you a factual report on the analysis of that water. I, myself,
called out South West Water in 1991 for a test on my water because
it was coming out the tap like mud. They came and they turned on
the stop cock in the road and it ran down the road for half an hour and
then they sampled it when the water had turned clear. I’ve also in my
hand got a copy of the report that was in the newspaper at the time
over that incident.
www.wordwave.co.uk 42
So I suggest that your facts are not facts at all. They were just a
mishmash of things that you’ve dug up from I don’t know where, and
I’d like to know why Mr Peter Smith’s facts are not in here as a
homeopath.
CHAIRMAN: Well, madam, the figures that we have in this report are those figures
which were provided for us. If you have other information based on
analysis of water, which I believe you were talking about, which gives
an alternative set of facts, we would, of course, be very pleased to
see it because if that is the case, if what you are suggesting is right
and there are other figures which are different from those which were
provided to us, that alternative information would therefore alter any
conclusions that we have made.
And I ask you again, as I ask the whole of this audience and
everybody else that is involved, if you have additional information,
please let us have it.
MALE SPEAKER: Well, you’ve had the (inaudible) reports of the old South West Water.
You’ve had the report from the (several inaudible words)?
CHAIRMAN: Yes.
MR GIBBONS: And you’ve read it. And it’s all 0, 0, 0, 0, 0.
CHAIRMAN: Indeed it is.
www.wordwave.co.uk 43
MR GIBBONS: (overspeaking) hundreds of thousands of times over the EEC limit,
hundreds of thousands of times over. It’s all 0, 0, 0. Are you blind?
Are you blind?
CHAIRMAN: I am somewhat short-sighted, sir, and have to wear these but I’m not
blind yet!
DOUGLAS CROSS: Richard, if you look at the modelling I think you’ll find much of the
answer. Yes, there were occasions when there was bad water
coming through afterwards - sometimes for quite a long time. But the
interesting thing is that all the South West Water’s samples were
taken after that main peak went through. They were too damned late.
That’s why the low readings you get.
MR GIBBONS: What, for a whole dozen?
DOUGLAS CROSS: No, there are --
MALE SPEAKER: (overspeaking)
DOUGLAS CROSS: There are occasions when there was stuff coming through. We all
know. We all got bad water on occasion for a long time.
MR GIBBONS: (several inaudible words). You are telling me all the misery -- they
took all the way through July -- (inaudible) early part of August were
all mis-readings?
DOUGLAS CROSS: No, I -- www.wordwave.co.uk 44
MR GIBBONS: They were all 0, 0, 0?
DOUGLAS CROSS: No, they all say something. It just depends where you start.
MR GIBBONS: I can’t believe this panel has been taken in by --
FRANK WOODS: Before you go, sir, you showed or referred to a report from Pennan(?)
which is the --
MR GIBBONS: Pennon Group, yes.
FRANK WOODS: Yes. Did you provide that for us?
MR GIBBONS: No, I’ve just checked (several inaudible words).
FRANK WOODS: Ah, I see.
MR GIBBONS : (several inaudible words) stuff that has gone missing.
FRANK WOODS: So would you --
MR GIBBONS: I’ll give you a copy.
FRANK WOODS: Excellent, sir, that is what I hoped you’d say.
CHAIRMAN: The gentleman right at the back.
www.wordwave.co.uk 45
MALE SPEAKER: You’ll have to forgive my ignorance because I’ve only come to this
really in the past 6 to 12 months because of the condition of my
stepson who has deteriorated in that time, so if I ask questions that
have already been asked in the past 15 years, I apologise. Firstly, to
possibly back up the gentleman over there about the comments about
his thyroid condition, my stepson has an under-active thyroid. He
doesn’t produce any growth hormone, he’s the fourth of five children.
When my wife was pregnant with him she was actually down here on
honeymoon between 4 July and 15 July 1988. Her other four
children, the three that were born previous to Matthew, and the child
that was born after, were not affected with any thyroid condition or
any other condition. There’s no history of it in either my wife’s family
or her ex-husband’s family.
The doctors that treat my stepson - one’s based in Yeovil Hospital
which is where I come from, the other is based up at BRI in Bristol
who’s the endocrinology doctor - when they were presented with the
possibility that these contaminants might have affected his growth
and development were fairly certain that, yes that would have
happened.
Obviously, I realise that you haven’t got any details of his medical
history and I’d be more than willing to provide the committee with
those.
I just made a couple of notes, watching the presentations earlier.
While I go through those, would it be possible for the first speaker,
your consultant, to bring up the water flow chart of the contact tank, at
all? If we could have a look at that, please?
CHAIRMAN: Yes, I’m sure you could. Press the buttons and (overspeaking). www.wordwave.co.uk 46
MALE SPEAKER: Whilst we’re waiting for that, the lady who was talking about the
population studies, I noticed that she was talking about hospital
admissions but there were no bullet points from GP referrals. Was
there any reason for that? Has it all been lost or something? I don’t
know.
The chemical effects, the professor - I’m sorry, I didn’t catch your
name, sir - you were speaking about aluminium as a separate issue
to the other contaminants. Would the aluminium have reacted with
those other contaminants to produce any of these effects? From the
small points you made it didn’t sound like any of that came through.
As for the contact tank, you’ve got a small water flow chart there.
Your consultant did mention -- he said that -- was it 6% of the
aluminium stayed in that tank for a while and some of it actually
flowed upstream in that tank. I was wondering, how would that be
possible?
From where the aluminium was put in at the bottom left of the
diagram there, through a small knowledge of hydrodynamics that I
have, it would possibly go round the corner of the bottom baffle -- the
bottom left hand corner. Possibly a small amount would flow
upstream past the second baffle, but it certainly wouldn’t get further
than that if that tank was full up. Where the outlet is, Mr Cross has
already mentioned this sludge was virtually up to the level of the
outlet. It would be quite easy for water flow to scour the bottom of
that tank and take all this stuff out. I don’t see how that amount of
aluminium stayed in that tank for so long accordingly to the flow
model.
www.wordwave.co.uk 47
Also, where your consultant said that it would have caught in the
reservoirs -- in Delabole reservoir or whichever one it was.
Obviously, when flow of water gets weak, it tends to drop whatever it
contains and when the flow gets weak, the contaminants or whatever
drop to the bottom of the reservoir as reverse pipes etc, etc. Every
time you get a flow out, it’s going to pick those up and carry them on
a bit further.
Eventually if, obviously, no taps are running, no toilets are being
flushed, no showers are being used, the final place it’s going to drop
all its contaminants is at the weakest part of the flow, which is the end
of consumers’ pipes. Were there any studies done at the time of
contaminants being held in the water flow, held in pipes in
consumer’s houses?
MALE SPEAKER: It was locked into the system for years.
CHAIRMAN: Sir, you’ve asked a lot of questions and we’ll try and answer them.
The first one, you’re talking about backward flow, in effect?
MALE SPEAKER: Yes.
CHAIRMAN: Does it happen?
MALE SPEAKER: I know it happens (overspeaking).
CHAIRMAN: Counter-intuitive?
www.wordwave.co.uk 48
MALE SPEAKER: I am surprised that (several inaudible words) take it. It (several
inaudible words) there for so long, you know, I don’t think (several
inaudible words).
JAMES POWELL: Well, perhaps I’ll answer that because I built that model. The answer
is that the aluminium sulphate is about 30% heavier than water, so it
sinks to the bottom quite rapidly and if you see on the next slide,
here, it’s not that turbulent in this region here. So once it’s sunk to
the bottom, before the fresh water, if you like, the uncontaminated
water, is simply displacing it over the top of it. So it will actually just --
as if you’d emptied a bucket of water on this floor, if it sort of fell out in
every direction on the floor.
And it’s only when it gets stuck to this region here where the water is
very, very turbulent and mixing up a lot, that causes most of the
mixing in the tank.
MALE SPEAKER: What was the (several inaudible words)? Do you know? Just out of
interest.
JAMES POWELL: Yes, the flow through tank is 62 litres per second compared with
about 6 litres a second, I believe or round about that, in terms of the
discharge of aluminium sulphate.
MALE SPEAKER: Because if you -- if you have a high flow -- I mean my knowledge is
confined to rivers, unfortunately, but if you have a high flow through a
channel --
JAMES POWELL: Not, sorry -- www.wordwave.co.uk 49
MALE SPEAKER: If you have a high flow through a channel, not only do you get eddies
at the sides of the flow, but you also have a scouring effect where
there is an eddy if you can imagine, you’ve got the current in the
middle of the water. You have an eddy around the sides of the water
but you also have a scouring effect coming off the bottom of the flow
and that would pick up an amount.
JAMES POWELL: That does happen to a certain extent, but you’ve got to remember
that this is a very high concentration being discharged into here in the
first place and so when you look at -- if you’re looking at what
happens to, say, 90% of the material which -- the aluminium sulphate
which has been put in, the majority of it is sinking to the bottom and
spreading out.
Yes, there is -- certainly, there is a certain amount of mixing occurring
along the front but it’s a relatively small proportion of the total amount
which was discharged into the tank.
MR GILBERT: How many gallons a day was there when it -- coming from the
safety(?) room across the whole of North Cornwall? How may
gallons per day were there coming from the safety, from that
(inaudible) tank?
CHAIRMAN: We do have information on the flow rate, Mr Gilbert.
JAMES POWELL: Can we give it to you afterwards?
www.wordwave.co.uk 50
CHAIRMAN: Yes, while he’s looking it up, Mr Gilbert, I want my colleague to
answer another question about the studies.
LESLEY RUSHTON: Yes, you were basically saying why hasn’t there been a study using
general practice records? Okay, I was -- first of all, general practice
records have been used in two of the studies, specific ones. One of
them was the study of pregnancy outcomes where they did look at
some of the records of GPs to get some of the information about
mothers’ obstetric history, then the other study that used general
practice records was the study that looked at infections for leukaemia.
For the leukaemia study and the infection data was an infection in
which the child was seen at the GP. So it wasn’t, you know, an
infection which never got to the GP, it used GP records.
I think a general point -- you’re quite right, there’s never been a whole
population study looking at reports and consultations with general
practitioners. I don’t know why but I can guess why, and the clue
comes from that study of the leukaemias, where if you read the
paper, it’s an ethical approval, sort of a data protection type issue,
and some of the GPs were unhappy about giving anonymised data
even, without the consent, the specific consent of the patients
concerned.
And as a result, that study has a major flaw in that in some of the
information from the GP they’re actually missing lots of information
because a lot of patients didn’t respond or refused.
So I guess that you’re going to have two problems if you try and do a
study of general practitioner records. One is this ethical data consent
problem and the second is a logistical problem.
www.wordwave.co.uk 51
At -- particularly at the time when this took place - and the records
that you want to look at are in 1988 and around about that - most of
the GPs would not have had computerised records. They will be
probably paper records, so you would have to go through all the
paper records of the patients and I guess that it’s a partly practical,
partly ethical, partly cost that nobody’s done a study, but there
certainly aren’t any, you know, in the public domain, nobody’s done a
big population study. You’re quite right.
CHAIRMAN: Your next question point, sir, which related to Professor Chipman,
and that was in effect whether there was any evidence of combination
toxicity, whereas a single toxicant may not have an effect, what -- two
or more might. Kevin, would you like to say something about that?
KEVIN CHIPMAN: Yes, you’re quite right. I mentioned it only very briefly. We certainly
did look at other metals, other exposures in addition to aluminium and
I did refer to some of those, particularly having the early effects on,
for example, the ulceration.
We also -- in the document you’ll find there is a section where we
looked at potential additive or synergistic effects between metals and
the main effect that we came across really was interactive effects on
inhibition of absorption from one metal to another - transport. That
was the main effect that we were able to isolate.
MALE SPEAKER: Do you think the aluminium would have reacted with the copper as
ions etc already in the pipes? This is basically what I was getting at.
www.wordwave.co.uk 52
KEVIN CHIPMAN: We didn’t find any evidence of biological interaction. I don’t know if
anyone wants to comment on a potential chemical interaction in the
pipes?
CHAIRMAN: Douglas?
DOUGLAS CROSS: I don’t think there is any chemical interaction, the problem is that we
just don’t know.
MALE SPEAKER: Have you looked into deaths of the original sufferers (several
inaudible words) aluminium?
CHAIRMAN: We have already mentioned, in fact Dr Rushton mentioned the
mortality study which is in fact --
MALE SPEAKER: No, but I’m saying, have you looked into the actual original sufferers
who went forward and tried to get a court case to High Court and was
denied? And there’s Mr and Mrs Scudder --
CHAIRMAN: Well, sir, I --
MALE SPEAKER: -- very (overspeaking).
CHAIRMAN: I’ve said it before, sir, I cannot discuss in an --
MALE SPEAKER: We will discuss it. They’re dead now.
CHAIRMAN: Sir, I cannot discuss. I cannot discuss in an open forum -- www.wordwave.co.uk 53
MALE SPEAKER: No --
CHAIRMAN: -- the health of anybody, either alive or dead.
MR GIBBONS: Why not? These are the sufferers that were (several inaudible words)
CHAIRMAN: You --
MR GIBBONS: -- these are the sufferers that have come from (inaudible), they’ve
died. They’ve -- (several inaudible words)
CHAIRMAN: Yes.
MALE SPEAKER: -- were diagnosed by doctors (several inaudible words) in (inaudible)
surgery --
CHAIRMAN: Mr Gibbons.
MR GIBBONS: (several inaudible words) and go to bed. (several inaudible words)
back to Delabole and (inaudible) was stone dead outside his gate.
CHAIRMAN: Mr Gibbons, I’m going to say this once more to you, I cannot and
neither can my colleagues in a public forum like this discuss the
health of any individual, either alive or dead, and that’s where it
stands until finally, sir, to deal with your question, we cannot discuss
the health of your stepson for the reason that I have just given. All I
will say to you is that there are certain threads that go through certain www.wordwave.co.uk 54
sorts of medical history, particularly in relation to autoimmunity and
disease which we will take note of, sir. And my colleague, Professor
Strobel, who is a paediatrician with a special interest in autoimmune
disorders is going to follow this up as part of our consultation.
This lady here.
CAROLE WYATT: Okay, thank you. Yes, it’s Carole Wyatt from St Minver . Now, I’ve
got two points to put to the panel. First of all, if I go on to -- it seems -
- it’s strange to be -- many of us who are -- who actually lost nails,
yeah? That your expert dismissed -- it -- it’s. Oh, I can’t say it.
FEMALE SPEAKER: It’s so airy.
CAROLE WYATT: Airy. It -- isn’t loss of nails a sign of metal poisoning? Now, I’ll give
you a little story. You may not have time, but I want you to hear it.
Now in 1994, the year of 1994, I was sent to London to see various
different doctors in different hospitals, to see South West Water’s
doctors. And I was asked to go to St Thomas’s Hospital, to go to the
dermatologist’s clinic or department. So we went there looking at the
nails. Anyway, this -- on this occasion I had a nail hanging off. So he
asked permission if he could remove the nail and if he could put it
under a microscope to test it to see if it was fungal.
So we waited and he came back and he had a look on his face and
he said, “Well, it’s not fungal”. I can’t remember the rest of what he
did say but it wasn’t fungal; but that was to prove the point that it
wasn’t fungus, nails were falling off. Okay?
Now, the second point I want to bring in. Now, I’ve read your report
and I’ve seen the list of doctors who’ve come forward which, to my www.wordwave.co.uk 55
surprise -- well, it isn’t my surprise that none of Rock, Camel Estuary
practice down at Rock, none of them have come forward to give their
evidence on sufferers, the local people. Now I know for a fact I went
there on several occasions, especially in the beginning in the July and
this one particular doctor ordered me out.
He shouted at me and he banged on his table and he told me to go
home and stop talking about the water. So after that, every time you
went, you wasn’t allowed to talk about the water. Of course, I just
had to say that I thought I was being ill because of the water and he
put his hands over his ears and shut his eyes and said he didn’t want
to know and he didn’t want to talk about it.
So that’s -- you’ve been ridiculed. And ever since then, I’ve had my
medical reports been off the computer totally and also since then, two
years, I’ve had things put on the computer, the medical records, such
as I drink and I smoke. Well, I don’t do any of them. I stopped
smoking 25 years ago, but it said I was a heavy smoker. And on
another occasion it said I stopped 10 years ago. It’s all lies and it
also said I was having a unit of drink once a week.
Well, with my kidney complaint I’ve had -- all the illnesses I’ve had the
only time I drink is on -- once a year on my birthday, once Christmas
and a wedding anniversary. I wouldn’t class that as one unit a week.
That’s all I’ve got to say. Thank you.
CHAIRMAN: Thank you.
DOUGLAS CROSS: Can I ask a question?
CHAIRMAN: Yes, of course. www.wordwave.co.uk 56
DOUGLAS CROSS: I’d like to ask a question of the audience here. We’ve looked at these
various conditions pretty well in isolation, for example, nails. How
many people -- or maybe you know how many people had more than
one of the conditions, a group of symptoms?
Do we have a syndrome or do we have individual conditions each
person? All of you have mixtures of syndromes? And what would
they be?
CAROLE WYATT: (inaudible) vomiting and diarrhoea.
DOUGLAS CROSS: No, apart from the acute ones, the long-term things, nails falling off.
Do you have other conditions, long-term ones?
FEMALE SPEAKER: Yes, (several inaudible words) of thyroid in certain villages --
FEMALE SPEAKER: Yes.
FEMALE SPEAKER: -- like in my village where seven men died. That has never been
investigated. There’s never been a (inaudible) for us to go in and to
collect and then collate the information. And I notice that in here
there (several inaudible words). His report and everything -- all he
(inaudible) logic to it. We’ve not had access to it. And the other GPs
in the whole area haven’t had them. They’ve got no symptoms and
none of us have ever complained to them at all.
I’d like to ask the panel who interviewed the people (several inaudible
words), did they feel like the people came along and made up these
stories just because they didn’t belong to Dr Newman’s practice? www.wordwave.co.uk 57
Some them had to cross over to Dr Newman’s practice because they
were told to get out of their own doctors (inaudible).
FEMALE SPEAKER: Yes.
SYBIL GRIFFITHS: I am putting this forward because we have never had the money or
the allowance (inaudible). Everything’s been closed off (several
inaudible words) and I would like to ask why didn’t somebody check
up on all the medical evidence and the factual evidence and the
chemical evidence and all the stuff that we can’t get our hands on and
could never get our hands on?
It’s no good saying to somebody, “Go and find that evidence”. We’re
asking the water board to give us evidence and we’ve been (several
inaudible words). We need the money, we need the finances and we
need an honest person - just one honest person up there, out there,
anywhere to come on board with the whole community of people.
Animals are not influenced by the (inaudible). We are not liars, we
just want justice and the truth.
Please listen to us and give us a truthful report. Don’t give us what
you’re giving us here, please, not another. We’ve got (several
inaudible words).
CHAIRMAN: Mr Tyler has already alluded to the matter of information. You will
realise that this committee asked for information and asked for
individuals to come forward. We have no powers, nor do we wish to
have any powers or would wish to have any powers to compel
individuals.
www.wordwave.co.uk 58
The information in this report was given to us at our request and we
have no way of obtaining information from, for example, other general
practitioners. These are the general practitioners who came forward.
In relation to the point you made about nails, you have seen we’ve
quoted from Professor Burton’s report, and that is the only information
that was made available to us in relation to a group of individuals from
this area who were seen by then -- he was then plain Dr Burton --
CAROLE WYATT: The only person -- at that time, when one of the nails was hanging off,
was to go to St Thomas’s Hospital in London and see the
dermatologist whose name was Dr Wright(?) or Mr Wright I don’t
know. I mean, he will tell you and he was for the South West Water
doctors.
CHAIRMAN: Right, sir?
MALE SPEAKER: Just a brief question. You’ve just said in your brief you didn’t actually
have the power to, I mean, you mentioned the word ‘interrogate’
earlier, but I mean we all sort of laughed, but on the basis of this
committee, you didn’t have the power to forcibly elicit information
which has wrecked people’s lives here for 16 years. Would a genuine
public enquiry have had that power?
CHAIRMAN: Well, I am not a lawyer, sir. Nor are there lawyers on this committee,
but I am very well aware that there are people in this hall who wanted
to have a public enquiry and I am very well aware that the whole
matter of a possible public enquiry was, for example, discussed with
your member of parliament, Mr Tyler, who is with us this evening. We www.wordwave.co.uk 59
are not a public enquiry. We know our terms of reference and we
stuck to those terms of reference.
All I would say to you is that, obviously, if there is a public enquiry,
that is much more adversarial than the sort of investigation that we
have carried out. We asked for information and we did discover a
substantial amount of information which we are informed -- a lot of
this information was not available to you until this report was
published. Now, Mr Mazlyn Jones have you had your …?
NIGEL MAZLYN JONES: Thank you very much. I’ll try and be really quick because I
want to let everyone else speak. There is a couple of things that I’m
really quite keen to raise.
One is that there was an easily available mathematical and statistical
analysis that could have been done by the committee which doesn’t
appear -- I can’t find it in the report. It would have been a completely
anonymous procedure, not requiring -- not embarrassing anybody or
causing any anxiety in the public domain and it was simply this - to
look at the schools’ registers of attendance.
I’m speaking basically on behalf of my own two kids, one of whom
has top of the field dyslexia and is struggling to repeat his first year at
university in Bristol at the moment. But my daughter reminded me
that when they were children they were inordinately away from
school, as were many children, and it occurred to me there never has
been done a simple, very simple analysis of the school registers.
Now I did have a word with a retired teacher just the other day about
this and she said, “You’re joking. An awful lot of people would have
slung their files out”. But I put it to you, could that be put in train?
www.wordwave.co.uk 60
The other thing I’d like to mention is that there was a lot of talk
about -- I mean for instance Mr Tyler mentioned the local health
authority, and I’ve criticised them in the past, but I note that Dr Miles
is here this evening with us and maybe he’d like to answer.
Yourselves, as a committee, I have no doubt, having met you a
couple of times briefly, that you all are convinced of your own integrity
and independence, and yet to us here it does look as though there is
the invisible hand at work from 16 years from the very beginning
which sought to minimise this. Now you yourselves have discovered
some facts which you regard as important enough to warrant further
investigation. There are certainly -- we’ve definitely boiled it down
to -- it perhaps wasn’t the whole of North Cornwall but very much was
pockets which we can no longer identify. Now, it was a fact that the
National Poisons Unit were discouraged in the first month from
coming to Cornwall. Now we asked and never got answers as to who
made that recommendation.
Now, we also noted that the local – the doctors seeing all of us, who
were very discouraging, saying, “Oh, there, there, there, it’s not the
water. There are to be no long term health effects”. Now that diktat
came through the conduit, and in a way I feel sorry for slagging off the
local department of health, but by their own admission, it was over 3½
weeks before they even knew that we had problems up here, only 35
miles away. So that does represent a failure of duty on their behalf.
However, their bosses are the Department of Health. And again, this
word, the Department of Health, keeps cropping up because,
although each of you are convinced of your integrity, and I’m sure that
you all feel very independent, it does call into question the fact that
www.wordwave.co.uk 61
the Department of Health actually set up this committee. The
secretariat is appointed by the Department of Health.
The Department of Health -- Dr Waring, who I believe is qualified as a
surgeon, I’m not sure when he got his toxicology qualifications, but he
made that definitive statement which has caused us all to be in these
various meetings, including this one, for 16 years.
Now this has cost the public purse, let alone local anxiety, it has cost
the public purse a fortune. Person after person from Government has
admitted that lessons have been learned. This is an admission that
there were mistakes made. And that if you’re learning lessons, it’s
lessons about mistakes by definition.
So I say that the Department of Health in London has not been held
accountable. They have an awful lot of questions to answer, and Dr
Waring is notable by his complete absence in 16 years from public
availability.
Now the Department of Health in Cornwall has changed into the
North & East Cornwall Primary Healthcare Trust. And when you
came here to issue the draft report, your entire good work for two
years, your entire anonymity of, you know, making everything very
safe and confidential, you were usurped 48 hours before you arrived
to issue your report by the Department of Health, who are very fond
of calling you, not an investigative committee, but they are very fond
of quoting in public press that you are an inquiry. All the way through
I can pick up grammatically over the last 16 years an awful lot of spin,
and it’s taken us a while to realise where this is coming from.
The Department of Health recently call you an inquiry, thus giving you
powers to call witnesses, giving you power to look into – well you
know you don’t have those powers. There’s a lot of spin coming from www.wordwave.co.uk 62
the Department of Health. They used the North & East Cornwall
Primary Healthcare Trust as a conduit for that press release two
weeks ago.
I have been in touch with them. They realise they were used as a
conduit. They feel somewhat aggrieved about professionally being
used as a conduit to create the wrong impression, because in that
press release again the Department of Health trotted out a well-worn
phrase, “There are to be no long term health effects”.
Now the bottom line is that the doctors, whose bosses are Cornwall
and then the Department of Health in London -- when the patients
went to the doctors, the doctors worked under the diktat that they’ve
got from their bosses, who had got it from their bosses, who had got it
from somebody who was only a surgeon at the time.
So every one of us who has tried to say, “Do you think, doctor, that it
might be involved with the water?” has had the answer, “There, there,
now, there are to be no long term health effects. This has been
shown by people far more specialist than me. So there, there, there,
don’t worry, we’ll look into your problems”. But I say accountability
lies with the Department of Health. They have used people. They
have sought to minimise the events. They have used spin, and if they
think they’re going to get away with it by reducing the third remit,
which Michael Meacher promised to Mr Tyler here, which Mr Tyler
then promised to his constituents. And then it became the furore of
where is this third remit. I’ll tell you what the third remit was. That
was to look into the handling of the affair at the time.
Now, if they had looked into the handling of the affair at the time, I put
it to everyone else that the people who would have come up rather
badly in this would have been the Department of Health. So I say, www.wordwave.co.uk 63
Department of Health, come down out of your ivory tower, get
modern, get accountable, try using the word Sorry. We all make
mistakes. We own up to them. We’ve got the law on our backs to
make us own up to our mistakes. We are seeking to get truth,
accountability and transparency from what I suggest is a hidden
bunch of people in ivory towers. This inadvertently puts at question
your no doubt honestly felt independence. You are not viewed as
being fully independent. Thank you.
CHAIRMAN: What you are referring to is the, like the handling of this incident
initially, and can I just deal with the initial part first? In fact the third
term of reference read like this: “To examine the adequacy and
transparency of the process by which this incident and incidents of
this kind are investigated, with particular reference to the inclusion of
those most directly involved in the incident”. That is the exact
wording.
Now, you know that that is not one of our terms of reference.
NIGEL MAZLYN JONES: (several inaudible words)
CHAIRMAN: You know that that was not one of our terms of reference, and you
also know that if that was to be the subject of an investigation or an
inquiry as you call it, of the sort that we have carried out, the people
sitting at this table are not qualified to carry that out. And we have
stuck to those terms of reference that we were given. And this –
MAZLYNJONES: (several inaudible words)
www.wordwave.co.uk 64
CHAIRMAN: And – thank you – and this report only deals with those two terms of
reference. And, we can’t comment, nor will we comment, on matters
that are outside our terms of reference.
NIGEL MAZLYN JONES: (several inaudible words)
CHAIRMAN: Yes, you raise an interesting point. We have not made any inquiry as
to whether or not that information is still available.
NIGEL MAZLYN JONES: Didn’t it occur to you? It’s a terribly simple point.
CHAIRMAN: It is an interesting point. I’m not quite sure, and I’m thinking on my
feet, although I’m sitting, it’s not quite as simple because, of course,
school registers show who is there and who isn’t, and it is not
necessarily the case that if an individual child is not there, that their
absence is due to illness caused by a particular cause. But I will, I
will, Mr Jones, make sure, I will make –
NIGEL MAZLYN JONES: They bring in sick notes. (several inaudible words)
CHAIRMAN: Yes, yes, all right. Well, I will – I will make sure. This is the whole
beauty of this sort of meeting. I will make sure and see if this line of
investigation can be carried out, if the information is available. You
know from this report that a lot of information is no longer available.
It’s been destroyed. And if a study of this sort is possible, we will
obviously consider that as a further recommendation. You have –
you know, you’ve heard it here. That’s what we’ll do. So, gentleman
with the glasses? www.wordwave.co.uk 65
DAN ROGERSON: My question relates to the population studies, and I understand that
there are difficulties in comparing like areas. But I’m the prospective
parliamentary candidate for the Liberal Democrats here in North
Cornwall, and potentially Paul’s successor. And therefore very
familiar with the electoral register and the huge turnover in population
over the last four years since the last general election, which
obviously interests me. But since 1988, there will be a huge turn over
in population.
I can understand - you mentioned Derbyshire neck and things like
that - where people moving into the area will be subject to the same
environmental conditions as those who have moved out of it, and
therefore there could be a constant – something which could be
mentioned over a constant period. However, something like this
incident which happened to a very specific group of people who
happened to be in the area for that week, for those couple of weeks.
Those people, many of them, will have moved on. And therefore how
can the population studies be robust in terms of measuring the people
who were affected?
CHAIRMAN: That’s a very good question. Dr Rushton will deal with it.
LESLEY RUSHTON: Well, I’ll try and – you’ve brought up a lot of very interesting points,
which I didn’t really have time to discuss, but they’re all absolutely
relevant. The population studies that are looking at say death records
or cancer registrations and so on, basically what they’ve done is to
identify from the electoral registers and so on the people who were
www.wordwave.co.uk 66
resident at the time in certain areas. And they’ve defined areas as in
a contaminated area and a comparison area and so on.
Now, there are flaws in that as well. They don’t include the holiday
makers. So all those holiday makers, they do not have data on those
individuals.
But nevertheless they have done – they attempt to define the
population. Now, in this country we are able to, because of our
National Health Service register that we have, that we have to have a
number, etc, we are able to trace the death records and cancer
registrations of those people as they progress over the years. So we
are able to look at the deaths by cause and we are able to compare
them, taking into account that maybe the age and sex sort of
numbers in -- the proportions in each group and the number of males
and females and so on might be different. But we are able to
compare them, say, with the sort of rates you might get in England
and Wales as a whole, or the whole of Cornwall. So you can do that.
But what you – the other major point that you’ve really made, which I
didn’t make too much of, but you’re quite right, is that first of all you
know nothing about the population before the incident in these
studies. You don’t know whether they were ill. You don’t know what
they do as a job. You don’t know whether they smoke. You don’t
know anything about them. All you’ve got is a person and you’ve got
a death record later on.
You have an estimate or some idea that they are exposed, because
you maybe have got the contaminated area defined by an area of
residents.
I think the other major point you’re noting is, though, that many of
these people will have moved out of the area. They will have done all www.wordwave.co.uk 67
sorts of things in the intervening year before they developed the
cancer or whatever. And again you won’t have any information on
those just by looking at the death records or the cancer incidence
records.
To do that, you would have to do a very different study, which would
be to go to people or proxy people. You can’t interview, obviously,
somebody who has died. You could potentially interview people who
have got cancer, but again you have to be careful how you treat
people, obviously, who are ill. But you could make an attempt to get
information about what happened to people, both before and after,
that you think might be relevant to the development of disease.
This is done sometimes in studies where you define some, for
example, some census studies where they – or birth cohorts, where
you follow up a cohort of people for a very long time and you collect
information at intervals.
But unless you do that, you can’t really absolutely say for certainty
that A causes B. All you can do is to say there seems to be an
excess or a deficit or it’s about the same, compared to another
population.
And that is one of the recommendations that we’ve made. We do feel
that there hasn’t been sufficient analysis of this data, for example, by
causes of – the different causes of cancer and the different causes of
death. And there is an opportunity to do this. There is also an
opportunity to do further analysis in the future, when the time has
elapsed. So that is one of our recommendations.
But having said that, the interpretation of the results is, as you have
really noted, difficult. Because you don’t know what happened to the
people who have emigrated or moved to different parts of the country. www.wordwave.co.uk 68
DOUG CROSS: They were supposed to be tagged. People who were exposed were
supposed to be tagged, under the scheme, so that they could monitor
them. What does that – does that involve National Insurance
numbers or what?
LESLEY RUSHTON: No, it’s a wonderful system, if you ever get – it started in – I’m sorry, I
know I’m going to get in trouble with the Chairman here. But, in fact,
they actually literally used to put a flag by the paper record. Now it’s
computerised. But basically, once a person has been identified as
part of a group that you want to study, and you’ve got the appropriate
ethical approval and so on, basically that flag, if you like, stays on
until you die, or you – and if you develop a cancer. And it’s a record
linkage system which has enabled the person who is doing the study
to be given a copy of the death certificate or a copy of the cancer
registration. And so it actually carries on until the whole group,
putting it frankly, dies.
DOUG CROSS: That’s only any use in the place where you’re flagged. I mean if you
move away –
LESLEY RUSHTON: No, no. No, no. No, no. Because it’s a national system and you
don’t change your National Health Service number as you move
around the country. Of course there are difficulties. If you emigrated
to Australia then we wouldn’t be able to follow your record and so on.
But as long as you stayed within the UK, then you would be – you
would pick up the record. It would be national.
www.wordwave.co.uk 69
DOUG CROSS: And this comes from birth, not some later age? You’re actually
identified by a flag at birth?
LESLEY RUSHTON: Well, for this particular study, the people are identified from the area
they lived in and then followed up. Sorry, it was rather a long answer.
DOUG CROSS: Thank you very much for that answer. So the point, just to clarify in
my mind, the groups that you’ve been looking at for your evidence
have been based then upon people who were living here at this time,
and following them, and not upon any – who’s in the geographical
area now, it’s been –
LESLEY RUSHTON: No, no. You’re quite right. That’s correct. Well, the studies that have
been published, in fact, there was a study in the British Medical
Journal.
CHAIRMAN: Can you wait for the microphone, because we are recording all this?
SARAH ALMOND: I started by saying, this might be a silly question, because I might
have just misunderstood what you were saying. But if I personally am
being monitored then as being a resident in this area from the time,
before the time, until now, would I have to have given my permission
for that? Or -- I mean I haven’t knowingly given my permission, to be
frank, so does that mean that I am actually not being monitored on
this national thing?
LESLEY RUSHTON: I’m not the person who is doing the study, so I haven’t got access to
the data at all, of course. I – www.wordwave.co.uk 70
CHAIRMAN: Dr Miles is the man. He will tell you. He’s there. Dr Miles.
DR MILES: All right, yeah, I’m happy to try and answer that, but my colleague,
Pat Owen, is the detailed expert. Maybe between the three we’ll do
it. The Clayton committee, when they came down, recommended
that residents’ records be flagged. And that was in 1990.
Approximately then, anyway. So we didn’t actually manage to
capture, for want of a better word, everybody who was resident in
July 1988. We were about 18 months late in doing that, because it
based on the case and recommendations.
All those people who were resident in the area now have their NHS
number, so to speak, as has been explained, marked in the central
register. And if one of two things happens to those people, either
they die or they develop cancer, then we are advised of that and that
helps to form the research material which is being published. And
that was part of the Clayton recommendation.
The flagging doesn’t do any more than measure those two things.
PAT OWEN: (several inaudible words) permission is given is via section – it’s a
sort of an Act that went through quite recently. That if the studies
were done before – the law sort of changed, and when we did it we
didn’t have to ask everybody’s permission. And there was a – studies
that were ongoing have a thing called a section 60 of an Act and I’ve
forgotten the exact Act. I apologise. And that allows us to carry on
with the study, even though we haven’t asked everyone’s permission.
Because it’s thought that in the good of things that we should carry
on, rather than have to go back and ask everybody’s permission. www.wordwave.co.uk 71
Because, exactly like Dr Rushton was saying, that would actually – it
means that we’d only be looking at a very small number. So the idea
is that we are allowed to look at the whole number, but through this
section 60, and we have to fill that in each year, to show that we’re
doing it in an ethical fashion.
(inaudible off mike comments)
PAT OWEN: No, we don’t – if children are born after the event, no they don’t get
flagged.
(inaudible off mike comments)
PAT OWEN: No, the ones that were born then, but if they didn’t receive – it’s only
to look at the ones that received the water.
(inaudible off mike comments)
SARAH ALMOND: Were foetus – were people -- were foetuses flagged?
CHAIRMAN: Well, given that the – we can go back and check that detail point.
But, given that the flagging took place in 1990, then it’s likely that
those who were in utero at the time formed part of this group. But I
don’t have that detail in my head at this moment, and we’re happy to
supply that point to the committee.
MALE SPEAKER: She’s asking, if she gives you her name and address, would you be
able to check? www.wordwave.co.uk 72
CHAIRMAN: Indeed, yes.
MALE SPEAKER: Are there, apart from cancer and death, are there any circumstances,
say I went to see a specialist over in, particularly Eltham, would he
automatically have access to the fact that I’ve got a tag?
PAT OWEN: No.
MALE SPEAKER: So it’s quite extreme circumstances that a doctor will get that
information?
PAT OWEN: Mm.
(inaudible off mike comments)
MALE SPEAKER: That brings to mind a few questions. First of all is that I understand
it’s not your fault and the fact that you brought in. But that’s – along
with the water testing people have talked about, and (inaudible) very
much after the event, the population (inaudible) already, in a couple
of years, has been significant. And the other thing is many people
here are reporting, not cancer or actually death, but lots of other
symptoms. And of course this – it wouldn’t be (inaudible) only comes
into play when it’s just cancer or –
LESLEY RUSHTON: That’s correct. That’s correct. It is a limited system and it just so
happens that because death records and cancer registrations are
pretty complete and systematically collected, and we all have an NHS www.wordwave.co.uk 73
number, that it’s possible to link them. What is much more difficult, is
to do studies of primary – you know, GP records. And in fact it’s only
in the last few years that most GPs have had computerised records,
and in the next couple of years there’s going to be a major push to
make sure there’s some kind of unified system. But if you look at –
and I’m looking at Anita, because I’m sure she can tell me as she’s a
GP, but there are lots of different systems at the moment, and so on.
And the unification of patient records from primary right through to
hospital, right through to cancer, hasn’t yet been achieved in this
country. And if it were, of course, it would make it a lot easier to see
the whole picture. But we’re not there yet, in the UK, and we certainly
weren’t there in 1988. So any study that has been done has --
(inaudible off mike comments)
FEMALE SPEAKER: Well, that’s not entirely so, because there have been some special
studies. So, for example, there was a survey immediately afterwards,
asking people what they felt and so on. There have been special
studies of children and so on. But they’ve had to be these special
ones. It isn’t – we don’t have the routine – and we certainly didn’t in
1988 have the routine data systems where you could just look them
up.
(inaudible off mike comments)
CHAIRMAN: Yes, well I can’t tell you what a public inquiry would or would not
allow. You would have to ask a lawyer that. As I said, we’re not
lawyers. We – this committee understands completely your
frustration. Because many of the individuals with whom we spoke www.wordwave.co.uk 74
would love to know if there was in place a system which would, firstly,
identify an exposed population, identify a non-exposed population for
comparison, and then over the years until now look at the rate at
which, or the incidence of, or the prevalence of, specific disorders.
You would like to know whether or not, for example, the diagnosis
Alzheimers disease is more common in the exposed/non-exposed
population. That is a question we asked. I’m afraid the information
does not exist which would allow us to draw any conclusions
whatsoever on that. And the same applies to certain other major
diagnosis.
(inaudible off mike comments)
SYBIL GRIFFITHS: Page 105, where Dr Nash is quoted, and you actually say, “There
was no indication among the practice’s patients of cognitive
impairment as a result of the incident”. Now Dr Nash shared the
practice with Dr Newman, and I know amongst Dr Newman’s patients
there were definitely cases of cognitive impairment. I actually
reported at the meeting we had, I think two plus years ago, in the
council offices here. Problems I had with co-ordination, with hand
eye co-ordination and perception. And I have been particularly
interested in the problems that children may have.
I have recently been doing a course, the Reveve(?) method, in
London, which is a technique devised in Israel seven years ago to
help children with dyslexia and learning problems. And it actually is a
series of exercises that is devised to retrain another part of the brain
to take over from the area of the brain that isn’t working correctly or is
impaired. www.wordwave.co.uk 75
Now, I thought -- over the years I have done lots of detoxes and
various things, and I thought that the problems I had back in 1989
were because it was very close to the incident. I was very shocked
last December, December 2004, when we are in the middle of a
weekend course, and we were going over exercises, and I’m going to
demonstrate here. We were asked to actually make large letters in
the air and we had to focus on a pen as we were making the letters.
And the lady who devised the technique herself came up to me and
stopped me. And she said, “Sybil, you’re obviously having terrible
problems concentrating on focusing”. She said, “Your face,” you
know, “you’re really finding it hard”. And I said, “Yes, I am”. And she
stopped me and she said, “You’re not to do this. You’ll have to
actually go with one of the other people involved in the course and let
them take you through it”.
Now, this came as a terrible shock to me, but it actually reinforced
things that I know I still have problems with today. With written
documents, if I have to concentrate, I am exhausted afterwards. And
the fact that I had to focus so hard on that pen was taking so much
more energy than for the normal person. And I’m talking now of,
what, 15 years after this initial thing happened. I am a teacher by
profession. It’s knocked me sideways. And I was actually doing this
course in the hope that you would find problems with the children
here, and learning problems with the adults. And that I could come
back to Cornwall, and I could actually help treat those people.
And I would like to know what you have done to look into this side of
our problems?
www.wordwave.co.uk 76
CHAIRMAN: You will find in the report a discussion of the neuropsychological
investigations that were published by, for example, Dr Altman and
others. And you will also find a recommendation from us, based on
the expert advice that Professor Rugg gave us. Professor Rugg is at
the University of California, at the Irvine Campus, but he was in
London at the time when he advised us. Rugg is an expert in these
matters and believes that however you may criticise the structure of
those investigations, for example, Altman’s investigation, there is
sufficient information in Altman’s results and in the other
neuropsychological investigations, to justify our suggesting, which we
do strongly in this report, that if it is possible to devise a better study
of individuals who were exposed and not exposed, in terms of
neuropsychological aspects of their problems, that that study should
be carried out.
And that is one of our recommendations, and it will remain one of our
recommendations. And you know, madam, we cannot and we will not
discuss your case specifically, and I will have to use generalisations,
but we are well aware, in our discussions with individuals, and also
our consideration of the literature, given also expert outside advice,
that there are a population within the exposed area who do indeed –
did indeed and do indeed suffer from neuropsychological problems.
And we hope that an expert may advise us – be able to advise us on
the ideal structure of a future study.
Our discussions with Altmann, and it’s mentioned in the report,
Altmann told us quite frankly that he was not able to do the ideal
study. We hope that we may be able to see an ideal study done, but
our recommendations will have to be followed through by the relevant
minister. Mr Tyler? www.wordwave.co.uk 77
(inaudible off mike comments)
CHAIRMAN: No, no, no. I’m asking you to ask a question.
MR TYLER: Well, it’s relevant to follow up that particular point. I wonder whether,
at this stage in the evening, you could indicate to us what happens
next. Because one of the major advantages of the inquiry that you
have undertaken, which would not have been of course the case in a
public inquiry, is that you have produced a draft report, and there is
now consultation. And I hope very much that everybody here, who
still has -- I know some people have medical records that may be of
relevance to the inquiry, will make them available. And if anybody
has any other evidence - and some has come up this evening - I hope
it will still be made available. Because this is not the last word. You
have not put on the table a fait accompli and said this is it. And that, I
think, is, if I may use the expression in this context, very healthy. But
what I wanted really to do was to take up your last point about your
recommendations. What is the view of you, Chairman, and your
panel, as to what now will happen to your recommendations? The
particular one that you were referring to just now, about the
neuropsychological effects. I note in particular in paragraph 826 that
in a series of tests at St Lawrence’s Hospital it was reported that 75%
of a group of individuals from the area supplied with the contaminated
water had significant memory deficit of some kind. Now that is a very
high figure, even to a layman like me. And therefore, I entirely
endorse your recommendation. But what I’m worried about is, is this
www.wordwave.co.uk 78
recommendation going to be followed through or is it going to be
forgotten as so many other of these issues have over the years?
CHAIRMAN: Well, to take your first point first, we are just over two weeks into a
consultation. It says in large letters, on the front of this report, "A
Draft for Consultation”. This committee is open to and wishes to
receive any suggestions, discussions, new information, new
interpretations of that evidence that we have discussed in the report.
And this is not the final report. I am going to say that once more.
This is not the final report.
Once the consultation period of 12 weeks is over, this committee will
convene and look at all of the responses. And the final report will be
written, taking into consideration those responses. For example, Mr
Gibbons tonight, although I see he has now left us, referred to some
water analyses that so far as I can see and detect, this committee has
not seen. And if he has those bits of information, that is the sort of
information that this committee wants to see. Because if they are in
fact new and they are different to those which were provided to us by
private individuals, but also by South West Water and their
successors, that will, as I said in the relevant part of this meeting,
alter the sort of information that Mr Bryant and his colleagues have
available to them, in relation to looking at the time course of the
spread of the contamination through the system.
So far as the future of our recommendations are concerned, Mr Tyler
will know that a committee like this can only make recommendations.
It is up to the relevant minister to look at those recommendations and
make the decision as to whether or not they will be followed through.
It must be obvious to all of you that these recommendations mean -- if www.wordwave.co.uk 79
the relevant studies can be properly constructed, it means the
spending of money. But in our opinion, and we feel very strongly -
and I think the strength of our opinion does come out from the
wording - we feel very strongly that these studies should be
conducted if it is possible to construct a proper study in each of those
cases. And we will be pressing as much as we can for those studies
to be done. And indeed, sir, we would – from what the gentleman
behind you was saying, and from what I know, you are retiring, sir,
from your seat. But perhaps the gentleman is going to follow you. If
he does, we would obviously look to him to be a conduit to put
pressure on the relevant…good. Sir?
RAY BOWLER: This is a point that’s not been covered at all this evening. It’s a
question I raised when Michael Meacher came to visit us. And I think
it could be significant, and it cropped up for me around the time of the
leukemia class, and the announcement that we had three children at
the school with leukemia. I had, by chance, subscribed to New
Scientist around that time, and the very first issue I got had an article
about a paper that was being published by a team from Oxford. I’m
not quite sure whether it was the university or some other institute
who were commissioned to do a study in the Camelford area within
the first week, and the timing of this is quite significant, to see what
the effects of the uranium found in the water pipes might have on
people.
Now, uranium has not been mentioned as one of the contaminants in
this. It does exist naturally in our rocks and normally, in very small
quantities, passes through us with no ill effects. However, the
uranium that lay in the sludge in the pipes was stripped out and www.wordwave.co.uk 80
almost certainly in cocktail with the other metals, and was delivered to
people’s taps in an acidic form that may well be absorbed by the
body, and it may well have been a factor in the bones of those
children who have leukemia, albeit small quantities, irradiating their
bone marrow.
Now, I’m only a lay person, but this string of events seems quite
significant to me. I did raise it at the time I got the article with the
headmistress of the school and also with two people who were
researching the leukemia cluster. One of them – I heard of neither of
them ever again, but it’s something that needs to be considered.
What happened to the uranium?
CHAIRMAN: Thank you. Mr Cross?
DOUGLAS CROSS: Well, I’ve got the paper here. It’s mentioned extensively in the report,
but in conjunction with lead. The comment at the end of the abstract
is, “The accumulation of the uranium in such residues” - and they’re
talking about residues in the pipes - “and its potential for acute
mobilisation requires further study”. It hasn’t been done.
RAY BOWLER: But this team came and did a study. They didn’t publish their paper
until after the court case had passed.
DOUGLAS CROSS: This is 1995?
RAY BOWLER: I don’t know. I don’t remember (inaudible off mike) had this article.
But I thought the timing of it was very significant. I also think it’s very
interesting, if this team were commissioned within the first week, and www.wordwave.co.uk 81
yet the area health authority were not officially informed until 3½ or 4
weeks after the event, then who was commissioning this team to do
the study? It must have been of considerable import for people to go
about that.
DOUGLAS CROSS: I don’t know, but one of the important things is the people who were
helping them. One of them was Virginia Murray who is the head of
the Poisons Unit in London.
RAY BOWLER: I did look at that, and I’m not absolutely sure it’s the same study,
but --
CHAIRMAN: Have you got the copy of the New Scientist?
RAY BOWLER: I do have a copy of the New Scientist, but not here.
CHAIRMAN: Could you send it to us?
RAY BOWLER: Yes, sure.
CHAIRMAN: Because, then we would be able to perhaps cross correlate it with our
database, and we’ll look into it.
RAY BOWLER: By sheer chance, it happened to be 1 April, the date on the issue.
CHAIRMAN: We can’t comment on that. Sir?
RAY BOWLER: (several inaudible words) in terms of you said about the need for any
new evidence, particularly medical evidence. I was one of the ones www.wordwave.co.uk 82
fortunate enough to give evidence to the committee. I believe, my
memory may be failing me, but I believe we had a form and we gave
permission for you to look at our personal medical records from our
GP. Was that taken up with any of us or was it a case there wasn’t
time?
LESLEY RUSHTON: We haven’t taken –
CHAIRMAN: The answer is no, sir. We did not do that. Well, just think about it.
We would have a major problem in the design of such a study and the
carrying through of such a study. We did in fact look at that in some
detail, or consider it in committee. We would need to have an
exposed – we would need to have an exposed population and a non-
exposed population. We would again run into the difficulty that it was
estimated that there were 8,000 individuals who were transient
visitors to the area during that time, who we would have been virtually
unable to trace. And we decided that such a study on a small scale -
we had some small scale data - with self-selected individuals -- it’s no
criticism of you. You select yourself if you came forward.
MALE SPEAKER: (inaudible off mike) Number one, I don’t think it would have been too
much trouble to go to the trouble of getting the records of 54 or even
100 of us, but –
CHAIRMAN: I don’t think that would be big enough, sir, that’s the point.
MALE SPEAKER: No, but my ancillary question there is, I accept that statistically 100
means nothing. www.wordwave.co.uk 83
CHAIRMAN: It doesn’t, no.
MALE SPEAKER: I doesn’t mean anything. In other words you’ve wasted a lot of time
and money, doing something that doesn’t mean anything.
CHAIRMAN: We haven’t wasted any time, sir. And I never think I waste money,
particularly in an inquiry like this. Because no such time speaking to
individuals who are concerned is either time wasted or money
wasted. I have said once this evening, I’m going to repeat myself,
that the conversations that we had with people were invaluable to us,
absolutely invaluable. And the whole of this committee agrees that is
the case.
Because if you conduct an investigation of this sort, there is
absolutely no substitute for talking to the people who are involved, not
just relying on what is written about the people who are involved. And
I have already given you the example that the proposition that nobody
could possibly have drunk the water because of the nature of the
contamination and the taste of that water, and that was a proposition,
you only have to look at the contemporary documents to see that in
writing. That was clearly not the case. And that one piece of
information was of vital importance to us, because no investigation of
this sort means anything unless you can make some sort of estimate
of the amount of toxicant that people were exposed to and the length
of time that they were exposed to that particular toxic compound.
And that one clue, amongst others, was very important.
www.wordwave.co.uk 84
MALE SPEAKER: (several inaudible words) I accept that. And I read in the report it was
invaluable. And I think we all appreciate the work you’ve done within
the brief that the committee had. But at the same time, in the report,
to an outsider looking at this now, it almost invalidates all that by
saying it’s such a small number of people it doesn’t really mean
anything.
CHAIRMAN: Well, it does not mean a great deal statistically, sir, but we did not do
it in order to construct a statistical cohort. We did it in order to obtain
an impression, a footprint, an outline map, a skeleton, of what was
going on, and you can only do that by talking to people. We have
some experience of doing this before, sir, in other circumstances.
Now, it’s 10.15 pm. I am prepared to stay here all night if necessary.
But I think perhaps if we can have a few final questions and then I will
make a final plea to you. Sir?
MALE SPEAKER: I have one or two thoughts concerning the aluminium levels. I realise
that aluminium isn’t a very toxic substance by most people’s
recollection, simply because it forms such an insoluble hydroxide. In
this respect the other elements that also form these very, very, non-
soluble precipitates are iron and manganese.
The iron and manganese are treated routinely – have always been
treated routinely in North Cornwall, because they present such a
problem. They turbid waters. And I believe what they add is some
sort of polyphosphate or something that keeps the iron and
manganese in solution, rather than falling out as a precipitate. And
what crossed my mind is that whether maybe the polyphosphate can
also do the same to aluminium? By preventing it from falling out as a www.wordwave.co.uk 85
precipitate, it retains it in solution through and enables you to absorb
it in the gut.
Further to this, following upon the pollution incident, the pipes are in
such a bad state due to corrosion that there was an enormous
amount of iron and manganese problem that was being routinely
treated, presumably by probably very large quantities of
polyphosphate. And I believe the aluminium pollution, although it
wasn’t at such high levels initially, it went on and on and on, at the
same time as polyphosphate being added on and on and on.
So although at the acute time people probably didn’t drink the water
very much when it was very acute, because as you said, it wasn’t
very nice.
But long after the event the water was quite tolerable and it also had
been treated by polyphosphates, and it may well have contained
aluminium that would not precipitate in the stomach, would pass
through.
CHAIRMAN: Well, let’s see if Professor Chipman can comment on that?
KEVIN CHIPMAN: You’re absolutely correct. The form of the salt is very important in
terms of absorption. And what we did, we looked at the extent of
absorption for different types of salts, and in the final assessment we
took the sort of worst-case situation, and the exact value of uptake
that was estimated I don’t recall precisely. It’s in the document. But
we did look at the differences between the solubility of different salts.
And you’re absolutely right, there are differences in that.
Has any study been done on the effect of aluminium and
polyphosphate? You mentioned orange juice as enabling the www.wordwave.co.uk 86
aluminium to pass through a bit better. Well, I would imagine that
polyphosphate, designed as it is to prevent these particular metal
oxides from forming, might be particularly effective in this respect.
Yes, in terms of the orange juice, it’s the citrate that forms that really
does enhance absorption. I think your point is very good. We should
look specifically at the polyphosphate, just to see if there is any
alteration of the absorption. So I think that’s very valuable information
for us to look at.
MALE SPEAKER: At the local primary school, it was recommended to mask the taste of
the water with orange juice (several inaudible words).
KEVIN CHIPMAN: Yes, we’re aware of that. We are aware of that, yes. And we took
that into account.
CHAIRMAN: But we’ll follow up your point about polyphosphates. The gentleman
behind you?
MALE SPEAKER: Yes, I’m surprised that the role of the police hasn’t been mentioned
tonight, because I was interviewed by the police, sort of I’d imagine
around two weeks after the incident.
CHAIRMAN: Yes?
MALE SPEAKER: And they took water samples from me. Unfortunately I gave them all
the samples I had. And apparently they don’t keep records after ten
years. But you would think with the seriousness of the event that
there ought to have been some records kept. www.wordwave.co.uk 87
CHAIRMAN: We were aware, sir, from information we derived from individuals, that
the police did conduct an inquiry and indeed did ask questions about
their health. And they asked a substantial number of people.
Unfortunately, as it says in the report, the results of those
investigations are no longer available because the records are
destroyed, and I can’t remember whether it was 10 or 12 years
afterwards. Frances?
FRANCES POLLITT: That’s the information that the committee had. I have recently heard
that actually South West Water have a copy of all those police
records and we’re trying to get the legal permission to be able to
access those records and have a look at them, so that for the final
report we will have been able to look at those records.
DOUG CROSS: Can I add a rider to that? I have correspondence from the Chief
Constable of Cornwall about a year ago saying that they had made
an investigation into the incident and they found there were no
criminal implications, and therefore they dropped it.
CHAIRMAN: However, we will look at what is in this report if we can get the legal
permission to see it. One final question, please?
BRIDGET PENTECOST: We seem to have experts; Dr Rugg is an expert, and to my
knowledge there’s no experts in what we’re talking about. Because
how can they be experts if they’ve never had the experience? I am
not aware that anybody was poisoned with this amount of aluminium
anywhere before, plus all the other stuff and chemicals and etc that www.wordwave.co.uk 88
was in the water. So I would like to ask where his expertise comes
from in dealing with our case?
CHAIRMAN: Who is this?
BRIDGET PENTECOST: Dr Rugg?
CHAIRMAN: Dr Rugg – Professor Rugg is –
BRIDGET PENTECOST: Professor Rugg, then?
CHAIRMAN: Is Professor of Psychology at the University of Southern California at
the Irvine Campus, and before that was a Professor in London.
Professor Rugg is an expert in the design of neuropsychological
studies and their interpretation and indeed, has provided expert
opinion on other reports that have been written. For example, about
the neuropsychological effects of organophospate insecticides. And
Rugg is acknowledged to be a considerable expert so far as the
subtle interpretation of the results of these tests. And as such we are
taking notice of what he says. Because he is the one that
recommends that we recommend that further investigation should be
done of these neuropsychological effects. And we are going to make
that recommendation.
BRIDGET PENTECOST: Thank you.
CHAIRMAN: Well now, you have shown remarkable stamina, and I thank you very
much for your attendance and for your excellent questions. We have www.wordwave.co.uk 89
a list now, our secretary has been writing busily, and we have a list of
matters that we wish to follow up and we will be contacting certain
individuals, for example, we will want your copy of the New Scientist,
if we could, so we can look at that in relation to our database. And
we will be taking notice of what you say.
If after this meeting, either you or anybody that you know of or speak
with, who was involved in this incident, can remember or has
information that you think would be helpful to us, we would like to see
it.
(inaudible off mike comments)
CHAIRMAN: Well, we will. If necessary we can place another advertisement. But
as I said, the next stage is for us to wait until the end of the
consultation period, and then this committee will convene again and
we will discuss in detail all those facts and interpretations that have
been brought to our attention. And that will form the basis of the final
report. We are available. You know how to get in touch with us. If
any of you want further copies of this report, they are available and
we will gladly give you more copies to read. So far the consultation
period has only lasted just over two weeks and there’s a lot of
information in here to consider. Can I thank you very much for your
attendance, and you know where we are. Come and speak with us or
write to us or telephone us, as the case may be. Thank you very
much indeed.
NIGEL JONES: I’m sure that there are many of us who would like to thank you
yourselves for your ongoing deliberations and wish you all the best. www.wordwave.co.uk 90
CHAIRMAN: Thank you.
www.wordwave.co.uk 91