Annual report of the Scientific Network on BSE-TSE 
Question number: EFSA-Q-2011-01110 Issued: 20 December 2011 
Report(0.2 Mb)
Summary
Developing networking and stronger co-operation with the Member States and  strengthening EFSA’s relationship with its institutional partners (EU and  international) and stakeholders are among the key recommendations formulated by  EFSA’s Management Board. In accordance with EFSA’s strategy for cooperation and  networking with Member States, the Scientific Network on BSE-TSE was launched in  2006. The BSE/TSE network had its first meeting in 2006 and following this, one  meeting per year. 
The main overall goals of the Scientific Network on BSE-TSE are to: improve  dialogue among participants; build mutual understanding of risk assessment  principles; enhance knowledge on and confidence in the scientific assessments  carried out in EU; and to provide increased transparency in the current process  among Member States and EFSA. In turn, it aims to raise the harmonisation level  of the risk assessments developed in EU. 
The network is currently composed as follows: Network Members representing  26 Member States (MSs) and Network Observers representing EFTA countries, EU  Candidate Countries, Potential EU Candidate Countries. There is also  representation from the European Commission Directorates-General of Health and  Consumers and of Research. 
Beyond exchanging information on the activities in the BSE-TSE field  carried out by the Members, Observers and EFSA since the last meeting, the  following issues were discussed in the 2011 meeting: the details of the  Commission strategy paper “The TSE Road map 2”, the inspections of the Food and  Veterinary Office regarding the verification of official controls on BSE and  TSE, the update on the epidemiological situation on TSEs in ruminants in the EU  and the approval process of the rapid TSE tests employed in the EU. The finding  of two BSE cases that occurred in Switzerland in 2011 that presented a prion  protein phenotype distinct from those of Classical, L-type and H-type Atypical  BSE was discussed. Finally, the state of the art of several scientific issues  related to TSEs in small ruminants was presented by a guest Lecturer. 
Following the discussion on future activities of the Network, it was  decided by the Members and Observers of the Network to continue meeting once per  year and to use the available electronic tools for discussion and data exchange  if needed. 
 Published: 17 January 2012 
 Suggested citation: European Food Safety Authority; Annual report of the  Scientific Network on BSE-TSE. Supporting Publications 2012:EN-221. [7 pp.].  Available online: www.efsa.europa.eu/publications © European Food Safety  Authority, 2012 TECHNICAL REPORT Annual report of the Scientific Network on  BSE-TSE1 European Food Safety Authority2, 3 European Food Safety Authority  (EFSA), Parma, Italy KEY WORDS Network, BSE, TSE, meeting 
 EFSA Journal 2011 The European Response to BSE: A Success Story 
This is an interesting editorial about the Mad Cow Disease debacle, and  it’s ramifications that will continue to play out for decades to come ; 
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… 
 see follow-up here about North America BSE Mad Cow TSE prion risk factors,  and the ever emerging strains of Transmissible Spongiform Encephalopathy in many  species here in the USA, including humans ; 
 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. 
 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... 
 Saturday, June 25, 2011
Transmissibility of BSE-L and Cattle-Adapted TME Prion Strain to Cynomolgus  Macaque 
"BSE-L in North America may have existed for decades" 
Friday, December 23, 2011 
Oral Transmission of L-type Bovine Spongiform Encephalopathy in Primate  Model 
Volume 18, Number 1—January 2012 Dispatch 
Wednesday, January 4, 2012 
A Bovine Prion Acquires an Epidemic Bovine Spongiform Encephalopathy  Strain-Like Phenotype on Interspecies Transmission 
Over the next 8-10 weeks, approximately 40% of all the adult mink on the  farm died from TME.
snip...
The rancher was a ''dead stock'' feeder using mostly (>95%) downer or  dead dairy cattle... 
 P.4.23
Transmission of atypical BSE in humanized mouse models
Liuting Qing1, Wenquan Zou1, Cristina Casalone2, Martin Groschup3, Miroslaw  Polak4, Maria Caramelli2, Pierluigi Gambetti1, Juergen Richt5, Qingzhong Kong1  1Case Western Reserve University, USA; 2Instituto Zooprofilattico Sperimentale,  Italy; 3Friedrich-Loeffler-Institut, Germany; 4National Veterinary Research  Institute, Poland; 5Kansas State University (Previously at USDA National Animal  Disease Center), USA 
Background: Classical BSE is a world-wide prion disease in cattle, and the  classical BSE strain (BSE-C) has led to over 200 cases of clinical human  infection (variant CJD). Atypical BSE cases have been discovered in three  continents since 2004; they include the L-type (also named BASE), the H-type,  and the first reported case of naturally occurring BSE with mutated bovine PRNP  (termed BSE-M). The public health risks posed by atypical BSE were largely  undefined. 
Objectives: To investigate these atypical BSE types in terms of their  transmissibility and phenotypes in humanized mice. Methods: Transgenic mice  expressing human PrP were inoculated with several classical (C-type) and  atypical (L-, H-, or Mtype) BSE isolates, and the transmission rate, incubation  time, characteristics and distribution of PrPSc, symptoms, and histopathology  were or will be examined and compared. 
Results: Sixty percent of BASE-inoculated humanized mice became infected  with minimal spongiosis and an average incubation time of 20-22 months, whereas  only one of the C-type BSE-inoculated mice developed prion disease after more  than 2 years. Protease-resistant PrPSc in BASE-infected humanized Tg mouse  brains was biochemically different from bovine BASE or sCJD. PrPSc was also  detected in the spleen of 22% of BASE-infected humanized mice, but not in those  infected with sCJD. Secondary transmission of BASE in the humanized mice led to  a small reduction in incubation time.*** The atypical BSE-H strain is also  transmissible with distinct phenotypes in the humanized mice, but no BSE-M  transmission has been observed so far. 
Discussion: Our results demonstrate that BASE is more virulent than  classical BSE, has a lymphotropic phenotype, and displays a modest transmission  barrier in our humanized mice. BSE-H is also transmissible in our humanized Tg  mice. The possibility of more than two atypical BSE strains will be discussed.  
Supported by NINDS NS052319, NIA AG14359, and NIH AI 77774.
P26 TRANSMISSION OF ATYPICAL BOVINE SPONGIFORM ENCEPHALOPATHY (BSE) IN  HUMANIZED MOUSE MODELS 
Liuting Qing1, Fusong Chen1, Michael Payne1, Wenquan Zou1, Cristina  Casalone2, Martin Groschup3, Miroslaw Polak4, Maria Caramelli2, Pierluigi  Gambetti1, Juergen Richt5*, and Qingzhong Kong1 1Department of Pathology, Case  Western Reserve University, Cleveland, OH 44106, USA; 2CEA, Istituto  Zooprofilattico Sperimentale, Italy; 3Friedrich-Loeffler-Institut, Germany;  4National Veterinary Research Institute, Poland; 5Kansas State University,  Diagnostic Medicine/Pathobiology Department, Manhattan, KS 66506, USA. *Previous  address: USDA National Animal Disease Center, Ames, IA 50010, USA 
Classical BSE is a world-wide prion disease in cattle, and the classical  BSE strain (BSE-C) has led to over 200 cases of clinical human infection  (variant CJD). Two atypical BSE strains, BSE-L (also named BASE) and BSE-H, have  been discovered in three continents since 2004. The first case of naturally  occurring BSE with mutated bovine PrP gene (termed BSE-M) was also found in 2006  in the USA. The transmissibility and phenotypes of these atypical BSE  strains/isolates in humans were unknown. We have inoculated humanized transgenic  mice with classical and atypical BSE strains (BSE-C, BSE-L, BSE-H) and the BSE-M  isolate. We have found that the atypical BSE-L strain is much more virulent than  the classical BSE-C.*** The atypical BSE-H strain is also transmissible in the  humanized transgenic mice with distinct phenotype, but no transmission has been  observed for the BSE-M isolate so far.
III International Symposium on THE NEW PRION BIOLOGY: BASIC SCIENCE,  DIAGNOSIS AND THERAPY 2 - 4 APRIL 2009, VENEZIA (ITALY)
 I ask Professor Kong ;
Thursday, December 04, 2008 3:37 PM Subject: RE: re--Chronic Wating Disease  (CWD) and Bovine Spongiform Encephalopathies (BSE): Public Health Risk  Assessment
''IS the h-BSE more virulent than typical BSE as well, or the same as cBSE,  or less virulent than cBSE? just curious.....''
Professor Kong reply ;
.....snip
''As to the H-BSE, we do not have sufficient data to say one way or  another, but we have found that H-BSE can infect humans. I hope we could publish  these data once the study is complete. Thanks for your interest.''
Best regards, Qingzhong Kong, PhD Associate Professor Department of  Pathology Case Western Reserve University Cleveland, OH 44106 USA
END...TSS 
Thursday, December 04, 2008 2:37 PM
"we have found that H-BSE can infect humans."
personal communication with Professor Kong. ...TSS 
 BSE-H is also transmissible in our humanized Tg mice. 
The possibility of more than two atypical BSE strains will be discussed.  
 Supported by NINDS NS052319, NIA AG14359, and NIH AI 77774. 
 Saturday, December 01, 2007
Phenotypic Similarity of Transmissible Mink Encephalopathy in Cattle and  L-type Bovine Spongiform Encephalopathy in a Mouse Model 
Volume 13, Number 12–December 2007
Research 
2010-2011 
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.
 Friday, December 23, 2011 
 Oral Transmission of L-type Bovine Spongiform Encephalopathy in Primate  
 Model
Volume 18, Number 1—January 2012 Dispatch 
 BSE - ATYPICAL LESION DISTRIBUTION (RBSE 92-21367) statutory (obex only)  diagnostic criteria CVL 1992 
IN CONFIDENCE 
The information contained herein should not be disseminated further except  on the basis of "NEED TO KNOW". 
 2011 Monday, September 26, 2011
L-BSE BASE prion and atypical sporadic CJD
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 2.66 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 
Tuesday, March 16, 2010 
COMMONWEALTH OF AUSTRALIA Hansard Import restrictions on beef FRIDAY, 5  FEBRUARY 2010 AUSTRALIA 
COMMONWEALTH OF AUSTRALIA 
Proof Committee Hansard 
RRA&T 2 Senate Friday, 5 February 2010 
RURAL AND REGIONAL AFFAIRS AND TRANSPORT 
[9.03 am] 
BELLINGER, Mr Brad, Chairman, Australian Beef Association CARTER, Mr John  Edward, Director, Australian Beef Association CHAIR—Welcome. Would you like to  make an opening statement? Mr Bellinger—Thank you. The ABA stands by its  submission, which we made on 14 December last year, that the decision made by  the government to allow the importation of beef from BSE affected countries is  politically based, not science based. During this hearing we will bring forward  compelling new evidence to back up this statement. When I returned to my  property after the December hearing I received a note from an American citizen.  I will read a small excerpt from the mail he sent me in order to reinforce the  dangers of allowing the importation of beef from BSE affected countries. I have  done a number of press releases on this topic, and this fellow has obviously  picked my details up from the internet. His name is Terry Singeltary and he is  from Bacliff, Texas. He states, and rightfully so: You should be worried. Please  let me explain. I’ve kept up with the mad cow saga for 12 years today, on  December 14th 1997, some four months post voluntary and partial mad cow feed ban  in the USA, I lost my mother to the Heinemann variant Creutzfeldt-Jakob disease  (CJD). I know this is just another phenotype of the infamous sporadic CJDs. Here  in the USA, when USA sheep scrapie was transmitted to USA bovine, the agent was  not UK BSE—it was a different strain. So why then would human TSE from USA  cattle look like UK CJD from UK BSE? It would not. So this accentuates that the  science is inconclusive still on this devastating disease. He goes on to state:  
snip...see full text 110 pages ; 
for those interested, please see much more here ; 
 Monday, January 16, 2012 
9 GAME FARMS IN WISCONSIN TEST POSITIVE FOR CWD 
 see full text and more here ; 
 Thursday, December 29, 2011 
Aerosols An underestimated vehicle for transmission of prion diseases?  
 Scrapie Nor-98 like case in California FY 2011 AS of December 31, 2010.  
Scrapie cases in goats FY 2002 - 2011 AS of December 31, 2010 Total goat  cases = 21 Scrapie cases, 0 Nor-98 like Scrapie cases (21 field cases, 0 RSSS  cases) 
Last herd with infected goats disignated in FY 2008 Michigan 8 cases 
 UPDATE PLEASE NOTE ; 
AS of June 30, 2011, 
snip...
INCLUDING 10 POSITIVE GOATS FROM THE SAME HERD (FIGURE 7).
snip...
see updated APHIS scrapie report ; 
 Tuesday, February 01, 2011 
Sparse PrP-Sc accumulation in the placentas of goats with naturally  acquired scrapie 
Research article 
snip... 
Date: Tuesday, February 01, 2011 5:03 PM 
To: Mr Terry Singeltary 
Subject: Your comment on BMC Veterinary Research 2011, 7:7 
Dear Mr Singeltary 
 Thank you for contributing to the discussion of BMC Veterinary Research  2011, 7:7 . 
Your comment will be posted within 2 working days, as long as it  contributes to the topic under discussion and does not breach patients'  confidentiality or libel anyone. You will receive a further notification by  email when the posting appears on the site or if it is rejected by the  moderator. 
Your posting will read: 
Mr Terry Singeltary, retired Scrapie cases Goats from same herd USA  Michigan 
Comment: " In spite of the poorly defined effects of PRNP genetics, scrapie  strain, dose, route and source of infection, the caprine placenta may represent  a source of infection to progeny and herd mates as well as a source of  persistent environmental contamination. " 
Could this route of infection be the cause of the many cases of Goat  scrapie from the same herd in Michigan USA ? 
Has this been investigated ? 
(Figure 6) including five goat cases in FY 2008 that originated from the  same herd in Michigan. This is highly unusual for goats, and I strenuously urge  that there should be an independent investigation into finding the common  denominator for these 5 goats in the same herd in Michigan with Scrapie. ...  
 Kind Regards, Terry 
 Thursday, January 07, 2010
Scrapie and Nor-98 Scrapie November 2009 Monthly Report Fiscal Year 2010  and FISCAL YEAR 2008
 In FY 2010, 72 cases of classical Scrapie and 5 cases of Nor-98 like  Scrapie were confirmed... 
 Scrapie Nor-98 like case in California FY 2011 AS of December 31, 2010.  
Scrapie cases in goats FY 2002 - 2011 AS of December 31, 2010 Total goat  cases = 21 Scrapie cases, 0 Nor-98 like Scrapie cases (21 field cases, 0 RSSS  cases) 
Last herd with infected goats disignated in FY 2008 Michigan 8 cases 
 Thursday, November 18, 2010 
Increased susceptibility of human-PrP transgenic mice to bovine spongiform  encephalopathy following passage in sheep 
 Sunday, October 3, 2010 
Scrapie, Nor-98 atypical Scrapie, and BSE in sheep and goats North America,  who's looking ? 
 J Vet Diagn Invest 21:454-463 (2009) 
Nor98 scrapie identified in the United States 
Christie M. Loiacono,' Bruce V. Thomsen, S. Mark Hall, Matti Kiupe!, Diane  Sutton, Katherine O'Rourke, Bradd Barr, Lucy Anthenill, Deiwyn Keane 
Abstract. 
A distinct strain of scrapic identified in sheep of Norway in 1998 has  since been identified in numerous countries throughout Europe. The disease is  known as Nor98 or Not-98-like scrapic. among other names. Distinctions between  classic scrapie and Nor98 scrapie are made based on histopathologv and  immunodiagnostic results. There are also differences in the epidemiology,  typical signalment, and likelihood of clinical signs being observed. In  addition, sheep that have genotypes associated with resistance to classic  scrapie are not spared from Nor98 disease. The various differences between  classic and Nor98 scrapie have been consistently reported in the vast majority  of cases described across Europe. The current study describes in detail the  patholo gic changes and diagnostic results of the first 6 cases of' Nor98  scrapic disease diagnosed in sheep of the United States. Key words:  Hisiopathology: Nor98: PrP imniunolabeling; scrapie: sheep. 
 snip... 
 Results 
 Case I 
The first case identified as consistent with Nor98 scrapie had nonclassic  PrP distribution in brain tissue, no PrPSC in lymph tissue, and nonclassic  migration of protein bands on a Western blot test. The animal was an aged,  mottled-faced ewe that was traced back to a commercial flock in Wyoming. ...  
Case 2 
The second case was a clinically normal 8-year-old Suffolk ewe that had  been in a quarantined flock for 5 years at a USDA facility in Iowa. 
Case 3 
 A 16-year-old, white-faced, cross-bred wether was born to a black-faced  ewe. He lived his entire life as a pet on a farm in California. 
Case 4 
The fourth case of Nor98 scrapie was identified in an approximately  8-year-old Dorset ewe that was born into a flock of approximately 20 ewes in  Indiana. 
Case 5 
The fifth case was a clinically normal, approximately 3-year-old,  white-faced, cross-bred ewe from an approximately 400 head commercial flock in  Minnesota. 
Case 6 
The sixth case of Nor98 scrapie was identified in a 4-year-old, white-faced  ewe that was purchased and added to a commercial flock in Pennsylvania 
 snip... 
see full text ; 
 Increased Atypical Scrapie Detections 
Press reports indicate that increased surveillance is catching what  otherwise would have been unreported findings of atypical scrapie in sheep. In  2009, five new cases have been reported in Quebec, Ontario, Alberta, and  Saskatchewan. With the exception of Quebec, all cases have been diagnosed as  being the atypical form found in older animals. Canada encourages producers to  join its voluntary surveillance program in order to gain scrapie-free status.  The World Animal Health will not classify Canada as scrapie-free until no new  cases are reported for seven years. The Canadian Sheep Federation is calling on  the government to fund a wider surveillance program in order to establish the  level of prevalence prior to setting an eradication date. Besides long-term  testing, industry is calling for a compensation program for farmers who report  unusual deaths in their flocks. 
 Wednesday, January 11, 2012 
Bucks for brains on offer to cattle and sheep producers Queensland TSE  PRION TESTING 
Price of PRION TSE aka MAD COW POKER GOES UP $$$ 
 Saturday, December 3, 2011
Isolation of Prion with BSE Properties from Farmed Goat Volume 17, Number  12—December 2011
 Monday, January 2, 2012
EFSA Minutes of the 6th Meeting of the EFSA Scientific Network on BSE-TSE  Brussels, 29-30 November 2011 
 Thursday, January 5, 2012
Ten years of BSE surveillance in Italy: Neuropathological findings in  clinically suspected cases 
 Saturday, November 19, 2011 
Novel Prion Protein in BSE-affected Cattle, Switzerland 
 Friday, December 16, 2011 
OIG VULNERABILITIES IN FDA’S OVER SIGHT OF STATE FOOD FACILITY INSPECTIONS  
FDA faulted over state inspections 
 14th ICID International Scientific Exchange Brochure - 
Final Abstract Number: ISE.114 
Session: International Scientific Exchange 
Transmissible Spongiform encephalopathy (TSE) animal and human TSE in North  America update October 2009 
T. Singeltary 
Bacliff, TX, USA 
Background: 
An update on atypical BSE and other TSE in North America. Please remember,  the typical U.K. c-BSE, the atypical l-BSE (BASE), and h-BSE have all been  documented in North America, along with the typical scrapie's, and atypical  Nor-98 Scrapie, and to date, 2 different strains of CWD, and also TME. All these  TSE in different species have been rendered and fed to food producing animals  for humans and animals in North America (TSE in cats and dogs ?), and that the  trading of these TSEs via animals and products via the USA and Canada has been  immense over the years, decades. 
Methods: 
12 years independent research of available data 
Results: 
I propose that the current diagnostic criteria for human TSEs only enhances  and helps the spreading of human TSE from the continued belief of the UKBSEnvCJD  only theory in 2009. With all the science to date refuting it, to continue to  validate this old myth, will only spread this TSE agent through a multitude of  potential routes and sources i.e. consumption, medical i.e., surgical, blood,  dental, endoscopy, optical, nutritional supplements, cosmetics etc. 
Conclusion: 
I would like to submit a review of past CJD surveillance in the USA, and  the urgent need to make all human TSE in the USA a reportable disease, in every  state, of every age group, and to make this mandatory immediately without  further delay. The ramifications of not doing so will only allow this agent to  spread further in the medical, dental, surgical arena's. Restricting the  reporting of CJD and or any human TSE is NOT scientific. Iatrogenic CJD knows NO  age group, TSE knows no boundaries. I propose as with Aguzzi, Asante, Collinge,  Caughey, Deslys, Dormont, Gibbs, Gajdusek, Ironside, Manuelidis, Marsh, et al  and many more, that the world of TSE Transmissible Spongiform Encephalopathy is  far from an exact science, but there is enough proven science to date that this  myth should be put to rest once and for all, and that we move forward with a new  classification for human and animal TSE that would properly identify the  infected species, the source species, and then the route. 
 Terry S. Singeltary Sr. on the Creutzfeldt-Jakob Disease Public Health  Crisis 
full text with source references ; 
 SEE RISE OF SPORADIC CJD YEAR TO YEAR ; 
TSS 

 
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