FSA MORE BSE MAD COW CONTROL BREACHES JUNE 2013
 
 
 Last updated on 6 June 2013 . 
 
 The FSA has published an update of BSE control breaches 
 
 The Food Standards Agency has investigated three incidents in which meat 
from cattle over 72 months of age has entered the food chain without the animals 
being tested for BSE. . 
 
 All of the incidents predate changes to the BSE testing rules that came in 
on 1 March 2013. Before then it was mandatory for all cattle slaughtered for 
human consumption and aged over 72 months to have a negative BSE test result 
before they entered the food supply. Since 1 March this has no longer been a 
requirement.
 
The health risk from eating the meat associated with any of these incidents 
is very low as it is extremely unlikely that any of the cattle involved had BSE. 
In addition, the parts of the animals most likely to contain BSE, the specified 
risk material, had been removed and destroyed.
 
Under the BSE regulations, as a precaution, the animal slaughtered 
immediately before the untested cattle and the two immediately after it are also 
stopped from entering the food supply. ..
 
 First incident 
 
 In the first incident, a cow aged 72 months and 3 days was slaughtered on 
23 July 2012 at J A Jewitt (Meat) Ltd, a combined abattoir and cutting plant in 
Co. Durham. The missed test was discovered in September during routine 
cross-checks of slaughter and BSE testing data.
 
The carcass slaughtered immediately before the untested animal was rejected 
for other reasons and was disposed of. The untested carcass and two associated 
carcasses were dispatched as part of a consignment of 52 sides to a meat 
processor. All the sides were then processed and mixed with other consignments 
of beef and dispatched to eight different food businesses as both fresh and 
frozen product. Much of the product was sold on and consumed. However, 21 cases 
of frozen meat associated with the untested animal were traced, detained and 
destroyed. ..
 
 Second incident 
 
 In the second incident, a cow aged 77 months and 18 days was slaughtered 
on 11 September 2012 at Simply Halal (Banham), a combined abattoir and cutting 
plant in Norfolk. The missed test was discovered in November during routine 
cross-checks of slaughter and BSE testing data.
 
Meat from the untested carcass and three associated carcasses was sold to 
five separate food businesses. The local authorities for the food businesses 
that received the meat confirmed that it had all had been sold, in chilled form, 
and most likely consumed. ..
 
 Third incident 
 
 In the third incident, the animal, aged 72 months and 193 days, was 
slaughtered on 29 November 2012, at Anglo Dutch Meats (Charing), a combined 
abattoir and cutting plant in Kent. A batch of 70 animals was processed that 
day. Of these, 41 required testing. Forty animals were tested and all found to 
be negative. The one remaining untested carcass went into the food supply.
 
The missed test was discovered in January following routine cross-checks of 
slaughter and BSE testing data. The untested carcass, together with the three 
associated carcasses, was sold to Alec Jarrett Ltd, a combined slaughterhouse 
and cutting plant in Bristol as part of a consignment of 108 sides. The meat was 
then cut at Alec Jarrett alongside a second consignment from Anglo Dutch Meats. 
Some of the cut meat was sold as chilled product to a number of businesses. The 
remaining frozen meat was voluntarily detained at the cold store and 
subsequently sent for disposal by Alec Jarrett Ltd. The breach was not the 
responsibility of Alec Jarrett Ltd. ..
 
 Goats test positive for scrapie 
 
 Two goats that tested positive for scrapie entered the food supply 
following an error at the testing laboratory.
 
Scrapie is a disease found in sheep and goats and is similar to BSE. 
However, there is no known risk to humans from eating meat from scrapie infected 
animals. In addition, the parts of the animal most likely to contain infectivity 
were removed before entering the human food chain.
 
The two animals were slaughtered as part of a batch of 26 goats on 21 
January 2013 at Melton Meat Ltd, a slaughterhouse in Leicestershire. This was 
part of the Compulsory Scrapie Flocks Scheme, which allows undiagnosed animals 
from flocks affected by scrapie to be monitored for the disease at 
slaughter.
 
The slaughterhouse took the required samples from all the goats slaughtered 
that day and received the test results from LGC Runcorn, an approved testing 
laboratory, on 22 January. On 23 January, the results identified two positive 
samples and those carcasses were destroyed. The remaining carcasses were 
immediately released for sale. However, on 25 January LGC notified the FSA that 
an error had occurred at the laboratory and the wrong carcasses were identified 
as positive. The two positive carcasses were sold direct to two private 
customers from Melton Meat Ltd’s on site shop. These were cash sales and it was 
not possible to identify the customers and retrieve the meat.
 
LGC has carried out their its internal investigation regarding the reasons 
for the error at its laboratory. Melton Meat Ltd was not responsible for the 
positive animals entering the food chain. 
 
 
 
 
 
 
EURO QUALITY RECALLS ITS LAMBS' BRAINS
 
Euro Quality Lambs Ltd is recalling its lambs’ brains, which have entered 
the food chain without being inspected properly. The Food Standards Agency is 
asking all local authority enforcement officers to ensure that the product is 
withdrawn from sale and destroyed. The Agency has issued a Food Alert for 
Action.
 
 
 
 
 
Tuesday, March 5, 2013 
 
FSA notified of BSE control breaches again and again 5 March 2013 
 
 
 
 
 
Thursday, January 17, 2013 
 
FSA notified of two breaches of BSE testing regulations 14 January 2013 
 
 
 
 
 
BREACHES OF BSE CONTROLS IN CONSIGNMENTS OF BEEF
 
Due to an oversight, four breaches of BSE controls in British beef 
identified last year were not publicised immediately on the Agency’s website in 
the normal manner. 
 
 
 
 
 
COW AGED OVER 72 MONTHS ENTERS FOOD SUPPLY WITHOUT BEING TESTED FOR BSE 
 
The Agency has been notified that meat has entered the food supply from a 
cow aged over 72 months that had not been tested for BSE. A negative BSE test 
result is mandatory for cattle slaughtered for human consumption at over 72 
months of age.
 
 
 
 
 
UNTESTED COW ENTERS THE FOOD SUPPLY
 
The Agency has been notified that meat from a cow that did not have the 
required BSE test has entered the food supply. The 62 month old cow had been 
slaughtered on farm for welfare reasons. 
 
 
 
 
 
Friday, November 30, 2012 
 
PROPOSED DECISION TO STOP BSE TESTING OF HEALTHY CATTLE SLAUGHTERED FOR 
HUMAN CONSUMPTION FSA 12/12/04 Open Board – 11 December 2012
 
 
 
 
 
Thursday, September 6, 2012 
 
UK Breaches of BSE controls in consignments of beef 2011 communications 
missing four reports 
 
 
 
 
 
Wednesday, December 21, 2011
 
Potential mad cows that entered food supply without being tested for BSE 
2011: UK END OF YEAR REVIEW 
 
 
 
 
 
Monday, November 14, 2011 
 
Bullock aged over 72 months enters food supply without being tested for 
BSE
 
 
 
 
 
Monday, June 3, 2013 
 
Unsuccessful oral transmission of scrapie from British sheep to 
cattle
 
 
 
 
 
Sunday, June 2, 2013 
 
Characterisation of an Unusual TSE in a Goat by Transmission in Knock-in 
Transgenic Mice 
 
 
 
 
 
Thursday, May 30, 2013 
 
World Organization for Animal Health (OIE) has upgraded the United States' 
risk classification for mad cow disease to "negligible" from "controlled", and 
risk further exposing the globe to the TSE prion mad cow type disease U.S. gets 
top mad-cow rating from international group and risk further exposing the globe 
to the TSE prion mad cow type disease 
 
 
 
 
 
 
 
 
 
Tuesday, May 21, 2013 
 
Canada, USA, Bad feed, mad cows: Why we know three BSE cases had a common 
origin and why the SSS policy is in full force $$$ 
 
 
 
 
 
 
Friday, May 10, 2013 
 
Evidence of effective scrapie transmission via colostrum and milk in 
sheep
 
 
 
 
 
 
 
Tuesday, April 30, 2013 
 
Transmission of classical scrapie via goat milk 
 
Veterinary Record2013;172:455 doi:10.1136/vr.f2613 
 
 
 
 
 
 
 
Monday, May 6, 2013 
 
Warning of mad cow disease threat to blood transfusions 
 
 
 
 
 
 
Thursday, April 4, 2013
 
Variably protease-sensitive prionopathy in the UK: a retrospective review 
1991–2008 
 
Brain (2013) 136 (4): 1102-1115. doi: 10.1093/brain/aws366 
 
 
 
 
 
 
 
 
*** The discovery of previously unrecognized prion diseases in both humans 
and animals (i.e., Nor98 in small ruminants) demonstrates that the range of 
prion diseases might be wider than expected and raises crucial questions about 
the epidemiology and strain properties of these new forms. We are investigating 
this latter issue by molecular and biological comparison of VPSPr, GSS and 
Nor98. 
 
 
 
 
 VARIABLY PROTEASE-SENSITVE PRIONOPATHY IS TRANSMISSIBLE ...price of prion 
poker goes up again $ 
 
 OR-10: Variably protease-sensitive prionopathy is transmissible in bank 
voles 
 
 Romolo Nonno,1 Michele Di Bari,1 Laura Pirisinu,1 Claudia D’Agostino,1 
Stefano Marcon,1 Geraldina Riccardi,1 Gabriele Vaccari,1 Piero Parchi,2 Wenquan 
Zou,3 Pierluigi Gambetti,3 Umberto Agrimi1 1Istituto Superiore di Sanità; Rome, 
Italy; 2Dipartimento di Scienze Neurologiche, Università di Bologna; Bologna, 
Italy; 3Case Western Reserve University; Cleveland, OH USA 
 
 Background. Variably protease-sensitive prionopathy (VPSPr) is a recently 
described “sporadic”neurodegenerative disease involving prion protein 
aggregation, which has clinical similarities with non-Alzheimer dementias, such 
as fronto-temporal dementia. Currently, 30 cases of VPSPr have been reported in 
Europe and USA, of which 19 cases were homozygous for valine at codon 129 of the 
prion protein (VV), 8 were MV and 3 were MM. A distinctive feature of VPSPr is 
the electrophoretic pattern of PrPSc after digestion with proteinase K (PK). 
After PK-treatment, PrP from VPSPr forms a ladder-like electrophoretic pattern 
similar to that described in GSS cases. The clinical and pathological features 
of VPSPr raised the question of the correct classification of VPSPr among prion 
diseases or other forms of neurodegenerative disorders. Here we report 
preliminary data on the transmissibility and pathological features of VPSPr 
cases in bank voles. 
 
Materials and Methods. Seven VPSPr cases were inoculated in two genetic 
lines of bank voles, carrying either methionine or isoleucine at codon 109 of 
the prion protein (named BvM109 and BvI109, respectively). Among the VPSPr cases 
selected, 2 were VV at PrP codon 129, 3 were MV and 2 were MM. Clinical 
diagnosis in voles was confirmed by brain pathological assessment and western 
blot for PK-resistant PrPSc (PrPres) with mAbs SAF32, SAF84, 12B2 and 9A2. 
 
Results. To date, 2 VPSPr cases (1 MV and 1 MM) gave positive transmission 
in BvM109. Overall, 3 voles were positive with survival time between 290 and 588 
d post inoculation (d.p.i.). All positive voles accumulated PrPres in the form 
of the typical PrP27–30, which was indistinguishable to that previously observed 
in BvM109 inoculated with sCJDMM1 cases. 
 
In BvI109, 3 VPSPr cases (2 VV and 1 MM) showed positive transmission until 
now. Overall, 5 voles were positive with survival time between 281 and 596 
d.p.i.. In contrast to what observed in BvM109, all BvI109 showed a GSS-like 
PrPSc electrophoretic pattern, characterized by low molecular weight PrPres. 
These PrPres fragments were positive with mAb 9A2 and 12B2, while being negative 
with SAF32 and SAF84, suggesting that they are cleaved at both the C-terminus 
and the N-terminus. Second passages are in progress from these first successful 
transmissions. 
 
Conclusions. Preliminary results from transmission studies in bank voles 
strongly support the notion that VPSPr is a transmissible prion disease. 
Interestingly, VPSPr undergoes divergent evolution in the two genetic lines of 
voles, with sCJD-like features in BvM109 and GSS-like properties in BvI109. 
 
The discovery of previously unrecognized prion diseases in both humans and 
animals (i.e., Nor98 in small ruminants) demonstrates that the range of prion 
diseases might be wider than expected and raises crucial questions about the 
epidemiology and strain properties of these new forms. We are investigating this 
latter issue by molecular and biological comparison of VPSPr, GSS and Nor98. 
 
 
 
 
 
 
 
 
Wednesday, March 28, 2012 
 
VARIABLY PROTEASE-SENSITVE PRIONOPATHY IS TRANSMISSIBLE, price of prion 
poker goes up again $ 
 
 
 
 
 
 
Sunday, March 31, 2013 
 
Creutzfeldt Jakob Disease CJD worlds youngest documented victim, 11 years 
old, shall we pray 
 
 
 
 
 
 
Volume 33, Issue 3, Article first published online: 20 JAN 2013
 
Special Lecture
 
Human prion diseases: Molecular, cellular and population biology
 
Mark W. Head
 
National CJD Research & Surveillance Unit, Centre for Clinical Brain 
Sciences, School of Clinical Sciences,
 
The University of Edinburgh, Edinburgh, UK 
 
snip... 
 
Potential future zoonoses 
 
Scrapie is endemic in many countries around the world, yet there is no 
evidence to suggest that it is pathogenic for humans. The intense investigations 
of ruminant TSEs that followed the BSE epidemic have resulted in the 
identification of several distinct animal prion diseases, atypical or Nor98 
scrapie in sheep and H-type and L-type BSE in cattle.32 Moreover, BSE is 
experimentally transmissible to sheep and there are concerns that if BSE were to 
have infected the national flock in the UK its presence might be masked by 
endemic scrapie, but it might retain its pathogenicity for humans.33,34 Another 
concern, particularly for the North American countries, is the spread of chronic 
wasting disease in farmed and free-ranging deer and elk.35 There is no known 
epidemiological link between any of these animal prion diseases and human 
disease, but there are active efforts to try to quantify strain-related species 
barriers between the diseases known to be a risk (BSE/ vCJD), those thought not 
to represent a risk (scrapie) and those for which data is lacking (atypical 
scrapie, H- and L-type BSE and BSE in sheep).36 In assessing whether or not 
human prion diseases might have an animal origin, it is important to have a 
proper understanding of the clinicopathological heterogeneity of the sporadic 
human prion diseases, because it is against this backdrop that any new acquired 
forms of the disease will be seen and from which it will need to be 
distinguished. 
 
Sporadic CJD and variably protease-sensitive prionopathy 
 
Sporadic CJD is the most commonly occurring human prion disease; it occurs 
world-wide and it has long been known to be clinically and pathologically 
heterogeneous. The molecular basis for this heterogeneity is currently thought 
to reside in a combination of the PRNP codon 129 polymorphic status of the 
patient (MM, MV, or VV) and the type (type 1 or type 2) of the 
protease-resistant component of PrPSc determined by protease K digestion and 
Western blotting (termed PrPres).37,38 The original sCJD sub-classification 
system of Parchi et al. that recognized six sCJD subtypes (MM1/MV1, MM2c, MM2t, 
MV2,VV2 and VV1) has had to be modified to accommodate the growing number of 
cases recognized to contain both type 1 and type 2 PrPres in different or 
sometimes the same regions of the brain.39,40 Moreover, intensive surveillance 
and investigation of forms of human prion disease that lack PRNP mutation and 
known risk factors has identified another sporadic human prion disease, termed 
protease-sensitive prionopathy (VPSPr).41While intensively investigated, the 
etiology and diversity of the sporadic human prion diseases remain poorly 
understood. 
 
 snip... 
 
There is also a potentially important practical corollary to the idea of 
prion-like spread, which may affect future stem cell therapies for 
neurodegenerative diseases. Presumably therapeutic stem cell-derived neurons 
would be equally susceptible to “infection” (with misfolded protein aggregates) 
as the patient’s own cells, unless steps were taken to prevent this,55 the most 
obvious of which would be to prevent expression of the gene product that can be 
converted to a pathological prion-like isoform.The suggestion that a prion-like 
mechanism of spread of molecular pathology underlies diseases as diverse as 
Alzheimer’s disease and Parkinson’s disease has led some researchers to explore 
whether the molecular pathology of these diseases is transmissible in an 
experimental setting56–58 and to suggest that perhaps some cases of these more 
common neurodegenerative illnesses might, like CJD, be acquired.58,59 
 
snip... 
 
MOLECULAR BASIS OF HUMAN PRION DISEASES Molecular strain typing Molecular 
strain typing in the form of classifying the mobility and glycoform ratio of 
protease-resistant prion protein byWestern blotting is a remarkably useful 
adjunct to neuropathological assessment during the post-mortem diagnosis of 
human prion diseases (Fig. 1). The glycoform ratio difference between vCJD and 
all forms of sCJD is a remarkably robust phenomenon, although the mechanism 
underlying it remains obscure. All cases of vCJD examined show type 2B PrPres, 
irrespective of brain region assayed and the PrPres type is also found in 
lymphoreticular tissues, albeit with presumably tissue-specific minor 
modification of mobility and an accentuation of the glycoform ratio. Similarly 
sCJD cases are characterized by a narrow range of glycoform ratios, distinct 
from vCJD, and the presence of either type 1 or type 2 PrPres (type 1A and type 
2A).The PrPres types found in the brain in iCJD and kuru resemble those found in 
sCJD (type 1A and type 2A), from which they were presumably derived. Individual 
cases of gCJD, GSS and FFI usually have type 1 or type 2 PrPres, but with a 
glycoform ratio in which the non-glycosylated component is under-represented 
(which we have termed A/B). However, this is not always true and a broad 
spectrum of glycoform ratios can be found in genetic prion diseases. Moreover, 
some cases of GSS are characterized by an approximately 8 kDa (N- and 
C-terminally truncated) PrPres fragment, and some cases of FFI have little 
detectable PrPres at all. Despite the diagnostic utility, a simple one-to-one 
correspondence between PrPres type and disease phenotype (and by implication to 
agent strain) seems unlikely in principle and is complicated by the facts. 
First, the choice of analyzing only that fraction of PrPSc which survives a 
particular concentration of protease may seem arbitrary. Second, the 
interpretation of a molecular population variable, such as glycosylation site 
occupancy, as conforming to two or three discrete types, could be seen as 
simplistic. Lastly, protease digestion may be considered to be a somewhat blunt 
instrument to distinguish secondary and higherorder conformational differences 
in PrPSc. Even when genotype (mutations and polymorphisms) is taken into 
account, three major types (1, 2, 8 kDa) and three wild-type genotypes (MM,MV 
and VV) provide insufficient molecular variation to account for all the 
phenotypic variations observed. For example, two forms of sCJD share methione 
homozygosity and type 2A PrPres but one form closely resembles FFI (without the 
causative mutation) and the other is CJD-like.8 Two more substantial problems, 
which may point toward a more subtle and perhaps informative approach to PrPSc 
analysis, are discussed below. The co-occurrence of PrPres types 1 and 2 Once 
controversial, the idea that PrPSc in individual cases might be composed of 
mixtures (or different types co-occurring) is now well recognized and 
accepted.40,70 There are probably two phenomena at play here. One is the finding 
of different predominant types in individual samples from different parts of the 
brain or more rarely approximately equal amounts of type 1A and type 2A in the 
same sCJD brain samples.The other is the observation made using antibodies that 
specifically recognize type 1 or type 2 PrPres, that a minority type always 
accompanies a majority type in sCJD and vCJD, albeit at sub-detectable levels 
when conventional antibodies are used.71–75 The former issue is more tractable 
and a consensus is beginning to emerge that when multiple brain sampling and 
sensitive co-detection is performed on cohorts of sCJD cases, a plateau is 
reached at between 30–40% of cases showing co-occurrence. Our own data examining 
four regions (temporal cortex, parietal cortex, occipital cortex and thalamus) 
instead of frontal cortex only, shows a rise in detected co-occurrence from 3% 
to 24% of cases.76 Interestingly, only very rarely did this re-analysis involve 
a change in the predominant type found in the brain overall. Parchi et al. have 
offered a revised version of their 1999 sporadic CJD classification system that 
adds mixed type to the original “pure” types and have shown that the most common 
of these 12 sCJD subtypes can be recognized on histological grounds, without 
reference to biochemical analysis.39,40,77 It will be interesting to see in the 
fullness of time whether this additional complexity reflects a more refined 
series of discrete clinicopathological phenotypes or whether it is indicative of 
a spectrum of phenotypes depending on the spacio-temporal accumulation of PrPSc 
types set against the patient genotype.78 
 
Variably protease-sensitive prionopathy The phenotypic complexity of the 
sporadic forms of human prion disease has increased with the report of a new 
sporadic human prion disease, termed variably proteasesensitive prionopathy 
(VPSPr) that is distinct from previously recognized sub-types of sCJD.41,79 
There are no mutations in the open reading frame of PRNP. The patients have no 
known risk factors for the disease, but the disease is most common in theVV 
genotype, as opposed to sCJD, which is most common in the MM genotype. The 
neuropathology involves medium-sized vacuolation and characteristic 
microplaques. Durations of illness can be very long and this coupled with 
symptoms that do not conform well to CJD have prompted speculation that the 
condition may be under-ascertained. The most interesting aspect of the disease 
from a biochemical perspective is that although PrPSc is abundantly present in 
the brain, PrPres is difficult to detect because of its sensitivity to 
proteolysis and because what remains after proteinase K (PK) digestion is both 
C- and N-terminally cleaved by PK digestion and seen as a faint 8 kDa band on 
Western blots (Fig. 2). The degree of protease resistance is reported to reflect 
the codon 129 genotype, withVV being least resistant andMM being most resistant, 
despite having the same 8 kDa PrPres fragment predominating.79We have identified 
two cases of VPSPr prospectively in the UK80,81 and recently completed a 
retrospective review for such cases confirming many of the original observations 
by Gambetti and colleagues.41,79 Our work has shown that some areas of the VPSPr 
brain contain PrPres similar in appearance to that found in sCJD and conversely 
that some cases of sCJD have a very minor PrPres band similar to the 8 kDa 
PrPres band that typifies VPSPr.82 
 
snip...
 
The biochemical basis of the strain phenomenon The results of transmission 
of individual samples from single examples of the six different Parchi et al.39 
sCJD subtypes (MM1/MV1, VV1, MM2c, MV2, VV2) into humanized transgenic mice 
suggest the existence of four distinct sCJD agents, termed M1, M2, V1 and V2, 
and a fifth strain corresponding to MM2t or sporadic fatal insomnia.99,100 
Interestingly, when we performed formally analogous experiments in the cell-free 
PMCA reaction, similar results were obtained: The PrPres type of the seed was 
conserved in the PMCA product and the efficiency of conversion appeared to be 
determined by compatibility at codon 129 of PRNP.101 The behavior of the seeds 
from heterozygous patients were particularly interesting, in that MV1 sCJD seeds 
selectively amplified in MM substrate producing type 1 PrPres and MV2 sCJD seeds 
selectively amplified in VV substrate producing type 2 PrPres (Fig. 6). These 
results reinforce the association between methionine at codon 129 and the 
production of type 1 PrPres and valine at codon 129 and the production of type 2 
PrPres. 
 
EMERGING RISKS Zoonotic disease BSE is the only animal prion strain with 
demonstrated pathogenicity for humans.While it is tempting to suggest that 
scrapie might represent the animal reservoir that results in some cases of sCJD, 
there is no epidemiological evidence to support this hypothesis. The 
pathogenicity of new or newly described animal prion diseases for humans is 
unclear and this is particularly true for H- and L-type BSE, atypical scrapie 
and for chronic wasting disease (CWD), all of which are probably consumed. Human 
susceptibility has been modeled by attempted transmission to (humanized) 
transgenic mice with sometimes conflicting results, depending on the transgenic 
model used and depending upon whether central or peripheral tissues are 
examined.102–106 We have attempted to establish whether PMCA can model the 
molecular component of these hypothetical cross-species transmission events.107 
The existing data correspond well with the established facts. First, PrPSc in 
vCJD brain samples amplifies most efficiently in humanized mouse MM substrate, 
less efficiently in MV substrate and not at all in VV. Cattle BSE PrPres is less 
efficient than vCJD, but shows the same substrate genotypic preference. Sheep 
scrapie fails to amplify detectably in any of the three substrates; however, 
sheep BSE PrPres does amplify, again with a codon 129 preference for methionine 
(Fig. 7). We are currently extending this approach to encompass atypical 
scrapie, H- and L-type BSE and CWD using human rather than humanized PMCA 
substrates. 
 
Secondary infection 
 
In the same way that animal reservoirs cannot be completely excluded as 
causes of individual sCJD cases, neither can other environmental sources, such 
as medical procedures. The known routes of iatrogenic CJD acquisition are 
historically growth hormone therapy, dura mater grafting, corneal grafting and 
certain highly specialized neurosurgical procedures. The secondary transmission 
of vCJD by blood transfusion and experimental evidence showing the efficiency of 
the transfusion of viable blood cells between scrapie and BSE-infected and naive 
sheep have prompted a reappraisal of transfusion-transmitted CJD, including 
consideration being given to the possibility of prion blood testing or 
filtration.25,26,108,109
 
Blood transfusion is the original and most extensively used cellular 
therapy, but we may be on the threshold of a new era of cellular therapies based 
on embryonic stem cell and induced pluripotent stem cell technologies. Although 
the potential for stem cell therapy-mediated prion transmission might be judged 
remote, this was also considered to be the case for transfusion transmission of 
CJD before 2004. 
 
snip... 
 
 
 
 
SUMMARY AND PERSPECTIVE 
 
 
 
While the prospect of a major epidemic of vCJD in the UK and elsewhere 
seems to be receding, there remain a series of uncertainties surrounding the 
eventual numbers of individuals that will suffer from this devastating 
condition.The issues include the effects of genotype on susceptibility and the 
possible existence of substantial numbers of asymptomatic infected individuals 
that may pose risks of onward transmission. sCJD remains the most frequently 
occurring human prion disease and arguably the least well understood. Other 
idiopathic forms of human prion disease (such as VPSPr), characterized by 
protease-sensitive forms of the prion protein, also exist and their true 
prevalence may be hard to ascertain. The possible risks from newly described 
animal prion diseases and from emerging cellular therapies are currently poorly 
quantified. On a more theoretic level the prion hypothesis has provided a 
unifying conceptual framework for TSE research and provided a paradigm to 
interrogate the similarities and differences between the diverse 
neurodegenerative conditions involving prion-like mechanisms of molecular 
pathology. 
 
 
 
 
 
 
SNIP...see more here ; 
 
 
 
Tuesday, June 4, 2013 
 
INTERPRETING RESULTS OF FSIS VERIFICATION SAMPLING OF DOMESTIC BEEF PRODUCT 
DERIVED FROM ADVANCED MEAT RECOVERY SYSTEMS (AMR01/FAMR01) FSIS Notice 
38-12
 
 
 
 
 
 
Thursday, February 21, 2013 
 
National Prion Disease Pathology Surveillance Center Cases Examined January 
16, 2013 
 
 
 
 
 
16 YEAR OLD SPORADIC FFI ? 
 
 
 
 
Monday, January 14, 2013 
 
Gambetti et al USA Prion Unit change another highly suspect USA mad cow 
victim to another fake name i.e. sporadic FFI at age 16 CJD Foundation goes 
along with this BSe 
 
 
 
 
 
 
Monday, December 31, 2012 
 
Creutzfeldt Jakob Disease and Human TSE Prion Disease in Washington State, 
2006–2011-2012 
 
 
 
 
 
 
Tuesday, December 25, 2012 
 
CREUTZFELDT JAKOB TSE PRION DISEASE HUMANS END OF YEAR REVIEW DECEMBER 25, 
2012 
 
 
 
 
 
 
Tuesday, June 26, 2012 
 
Creutzfeldt Jakob Disease Human TSE report update North America, Canada, 
Mexico, and USDA PRION UNIT as of May 18, 2012 
 
type determination pending Creutzfeldt Jakob Disease (tdpCJD), is on the 
rise in Canada and the USA 
 
 
 
 
 
 
Wednesday, June 13, 2012 
 
MEXICO IS UNDER or MIS DIAGNOSING CREUTZFELDT JAKOB DISEASE AND OTHER PRION 
DISEASE SOME WITH POSSIBLE nvCJD 
 
 
 
 
 
 
Monday, October 10, 2011 
 
EFSA Journal 2011 The European Response to BSE: A Success Story 
 
snip... 
 
EFSA and the European Centre for Disease Prevention and Control (ECDC) 
recently delivered a scientific opinion on any possible epidemiological or 
molecular association between TSEs in animals and humans (EFSA Panel on 
Biological Hazards (BIOHAZ) and ECDC, 2011). This opinion confirmed Classical 
BSE prions as the only TSE agents demonstrated to be zoonotic so far but the 
possibility that a small proportion of human cases so far classified as 
"sporadic" CJD are of zoonotic origin could not be excluded. Moreover, 
transmission experiments to non-human primates suggest that some TSE agents in 
addition to Classical BSE prions in cattle (namely L-type Atypical BSE, 
Classical BSE in sheep, transmissible mink encephalopathy (TME) and chronic 
wasting disease (CWD) agents) might have zoonotic potential. 
 
snip... 
 
 
 
 
 
 
 
 
 
 
 
Tuesday, May 28, 2013 
 
Late-in-life surgery associated with Creutzfeldt-Jakob disease: a 
methodological outline for evidence-based guidance 
 
 
 
 
 
 
 
Thursday, August 12, 2010
 
Seven main threats for the future linked to prions
 
First threat
 
The TSE road map defining the evolution of European policy for protection 
against prion diseases is based on a certain numbers of hypotheses some of which 
may turn out to be erroneous. In particular, a form of BSE (called atypical 
Bovine Spongiform Encephalopathy), recently identified by systematic testing in 
aged cattle without clinical signs, may be the origin of classical BSE and thus 
potentially constitute a reservoir, which may be impossible to eradicate if a 
sporadic origin is confirmed.
 
***Also, a link is suspected between atypical BSE and some apparently 
sporadic cases of Creutzfeldt-Jakob disease in humans. These atypical BSE cases 
constitute an unforeseen first threat that could sharply modify the European 
approach to prion diseases.
 
Second threat
 
snip... 
 
 
 
 
 
 
 
 
 
 
Rural and Regional Affairs and Transport References Committee
 
The possible impacts and consequences for public health, trade and 
agriculture of the Government's decision to relax import restrictions on beef 
Final report June 2010
 
2.65 At its hearing on 14 May 2010, the committee heard evidence from Dr 
Alan Fahey who has recently submitted a thesis on the clinical neuropsychiatric, 
epidemiological and diagnostic features of Creutzfeldt-Jakob disease.48 Dr Fahey 
told the committee of his concerns regarding the lengthy incubation period for 
transmissible spongiform encephalopathies, the inadequacy of current tests and 
the limited nature of our current understanding of this group of 
diseases.49
 
2.66 Dr Fahey also told the committee that in the last two years a link has 
been established between forms of atypical CJD and atypical BSE. Dr Fahey said 
that: They now believe that those atypical BSEs overseas are in fact causing 
sporadic Creutzfeldt-Jakob disease. They were not sure if it was due to mad 
sheep disease or a different form. If you look in the textbooks it looks like 
this is just arising by itself. But in my research I have a summary of a 
document which states that there has never been any proof that sporadic 
Creutzfeldt-Jakob disease has arisen de novo-has arisen of itself. There is no 
proof of that. The recent research is that in fact it is due to atypical forms 
of mad cow disease which have been found across Europe, have been found in 
America and have been found in Asia. These atypical forms of mad cow disease 
typically have even longer incubation periods than the classical mad cow 
disease.50 
 
 
 
 
 
 
Wednesday, March 31, 2010
 
Atypical BSE in Cattle
 
To date the OIE/WAHO assumes that the human and animal health standards set 
out in the BSE chapter for classical BSE (C-Type) applies to all forms of BSE 
which include the H-type and L-type atypical forms. This assumption is 
scientifically not completely justified and accumulating evidence suggests that 
this may in fact not be the case. Molecular characterization and the spatial 
distribution pattern of histopathologic lesions and immunohistochemistry (IHC) 
signals are used to identify and characterize atypical BSE. Both the L-type and 
H-type atypical cases display significant differences in the conformation and 
spatial accumulation of the disease associated prion protein (PrPSc) in brains 
of afflicted cattle. Transmission studies in bovine transgenic and wild type 
mouse models support that the atypical BSE types might be unique strains because 
they have different incubation times and lesion profiles when compared to C-type 
BSE.
 
When L-type BSE was inoculated into ovine transgenic mice and Syrian 
hamster the resulting molecular fingerprint had changed, either in the first or 
a subsequent passage, from L-type into C-type BSE. In addition, non-human 
primates are specifically susceptible for atypical BSE as demonstrated by an 
approximately 50% shortened incubation time for L-type BSE as compared to 
C-type. Considering the current scientific information available, it cannot be 
assumed that these different BSE types pose the same human health risks as 
C-type BSE or that these risks are mitigated by the same protective 
measures.
 
This study will contribute to a correct definition of specified risk 
material (SRM) in atypical BSE. The incumbent of this position will develop new 
and transfer existing, ultra-sensitive methods for the detection of atypical BSE 
in tissue of experimentally infected cattle. 
 
 
 
 
*** The potential impact of prion diseases on human health was greatly 
magnified by the recognition that interspecies transfer of BSE to humans by beef 
ingestion resulted in vCJD. While changes in animal feed constituents and 
slaughter practices appear to have curtailed vCJD, there is concern that CWD of 
free-ranging deer and elk in the U.S. might also cross the species barrier. 
Thus, consuming venison could be a source of human prion disease. Whether BSE 
and CWD represent interspecies scrapie transfer or are newly arisen prion 
diseases is unknown. Therefore, the possibility of transmission of prion disease 
through other food animals cannot be ruled out. There is evidence that vCJD can 
be transmitted through blood transfusion. There is likely a pool of unknown size 
of asymptomatic individuals infected with vCJD, and there may be asymptomatic 
individuals infected with the CWD equivalent. These circumstances represent a 
potential threat to blood, blood products, and plasma supplies. 
 
 
 
 
 
The chances of a person or domestic animal contracting CWD are “extremely 
remote,” Richards said. The possibility can’t be ruled out, however. “One could 
look at it like a game of chance,” he explained. “The odds (of infection) 
increase over time because of repeated exposure. That’s one of the downsides of 
having CWD in free-ranging herds: We’ve got this infectious agent out there that 
we can never say never to in terms of (infecting) people and domestic 
livestock.” 
 
 
 
 
 
 
TSS