ESHRE position statement concerning prion detection in urinary gonadotropin  formulations 
A recent laboratory evaluation, partly funded by a company producing  recombinant human gonadotropin, questions the safety of urinary-derived human  chorionic gonadotropin. Based on the detection of traces of normal prion protein  in licensed urinary derived products, the authors surmise that these widely used  gonadotropins might also harbor abnormally folded prion proteins that could  result in cases of nosocomial transmission of Creutzfeldt-Jakob Disease (CJD).  
The ESHRE task-force for transmissible viral diseases has reviewed the  study but found no convincing evidence that would support the concern raised by  Dorsselaer et al. Biological and epidemiological evidence argues against the  possibility of CJD-transmission through urine-derived gonadotropins. Prion  proteins are normally found in human urine and are not associated with CJD.  Dorsselaer et al. did not document the detection of the CJD-associated  abnormally folded form of prion proteins. The incidence of CJD is extremely rare  (1 case / mio/year) and there is no indication that abnormal prion proteins are  found in urine prior to the manifestation of the disease. As for urine donors,  those contributing samples for hCG extraction, who are pregnant women, are in  the age range far before the age of 50 years, when the vast majority of CJD  cases are diagnosed. Those contributing samples for FSH extraction are in the  menopausal age range, when eventual clinical manifestation of CJD can be  diagnosed. 
One particular nature of the transmission of prions associated with the  development of the diseases is the association between the infectious dose and  the latency from infection to disease development (Klöhn et al.). This is a  fundamental difference to the transmission of a virus or a bacteria. Thus, low  level exposure to the transmissible agent does not result in the development of  overt disease during a lifetime. Since urine-derived products are pooled from  large numbers of urine samples any specific protein from one individual donor  would be diluted. Thus, even in the unlikely event that a young woman donor is  shedding abnormal prion protein in her urine, the potentially transmissible  agent is so far diluted that it makes transmission of CJD biologically unlikely  event. This theoretical concept is supported by epidemiological evidence.  Despite the use of urine derived gonadotropins for more than 50 years by  millions of women worldwide, there is not a single case of CJD associated with  these products. More importantly, the M/F sex ratio of CJD has remained stable  at one (or slightly above at 1.05 in a large french survey 1998-2000; 
Further evidence against the suspected possibility of CJD transmission  through urine-derived gonadotropins is also summarized in a position statement  of the Candadian Fertility and Andrology Society. Based on this careful  evaluation of the facts, the ESHRE task force does fully support the use of  urine-derived gonadotropins and will continue to follow the published evidence.  
Pietro Vernazza, Enrico Semprini For the Task Force Viral Diseases in ART  Petra De Sutter Special Interest Group Safety and Quality in ART 
Reference
Klöhn PC, Stoltze L, Flechsig E, Enari M, Weissmann C. A quantitative,  highly sensitive cell-based infectivity assay for mouse scrapie prions. Proc Nat  Acad Sci 2003, vol 100 (20); 11666-11671. 
 here we go again... 
Posted by flounder on 29 Mar 2011 at 15:12 GMT 
 again, many many thanks to PLOS for open access ! 
Nice work Dr. Cashman and Dr. Vandors et al ! 
 THIS is not surprising at all, and the warning shots for this risk factor  of exposure to TSE were shot over the bow of the boat over a decade ago, but  politics and the industry put up a good PR media blackout, or best they could.  now look how many have become needlessly exposed around the globe. before  synthetic growth hormones, CJD was killing via human growth hormone, this has  been proven time and time again through death. the hospitals, medical, surgical  procedures are spreading the TSE prion disease and their many different strains  around the globe, as we speak, and the insanity, along with exposure continues.  ... 
how, why, has this been allowed to happen again ? 
how many will die due to this needless exposure ? 
how many times does science have to repeat itself, before our officials act  ? 
how many dead is enough ? 
 please see reference sources below ; 
more than 1500 women were treated with the injectable fertility drug, human  pituitary gonadotrophin (hPG) between the 1960s and 1985. It created miracle  children, infamous multiple births - and tragedy.
This Federal Government-sponsored hormone extract, made from pituitary  glands sliced from the brains of bodies in morgues, has killed four women, all  in Australia where the most use of this drug was made, in the years 1988, 1989,  1990 and 1991. One young man, among the 700-odd children who received hGH (human  growth hormone) injections between 1967 and 1985 in Australia, has died. 
Jennifer Cooke is the author of Cannibals, Cows & the CJD Catastrophe  (Random House Australia) which won the 1999 Eureka Science Book Prize,  Australia’s most prestigious award for popular science writing. 
 Background of Australian Human Pituitary Hormone Program From 1967 until  1985 2,100 Australians were treated with human pituitary hormones under the  Australian Human Pituitary Hormone Program (AHPHP).
In similar programs in overseas countries the majority of recipients of  human pituitary hormones (hPH) were treated with human growth hormone (hGH) for  short statue. In Australia the Australian Human Pituitary Hormone Program  (AHPHP) treated approximately 1570 woman and about 60 men for infertility using  human pituitary gonadotrophin (hPG). Approximately 660 Australian children were  treated for short statue with human growth hormone (hGH).
Five Australians may so far have developed and died from health-care  associated (iatrogenic) Creutzfeldt-Jakob disease (CJD) after hPH treatment .  The program was suspended in 1985 following CJD deaths of recipients of hGH in  the United States and England.
All those treated with hPH are at low risk of developing CJD. There is no  way of knowing if batches received by recipients were contaminated. To date  there is no test to show if recipients are incubating CJD.
The AHPHP was run under the auspices of the Commonwealth Department of  Health. The hormones were manufactured by the then government-owned Commonwealth  Serum Laboratories in Melbourne.
The AHPHP was conceived and operated by the Human Pituitary Advisory  Committee (HPAC) until its activities ceased in 1985 and the committee was  disbanded.
From 1992 intense media and political pressure followed news of the first  two deaths from iatrogenic CJD as the families demanded an explanation. The then  Minister for Health, Senator Graham Richardson, ordered an independent  inquiry.
Associate Professor Margaret Allars, an administrative law expert from the  University of Sydney conducted the inquiry into the use of Pituitary Derived  Hormones in Australia and Creutzfeldt-Jakob Disease, which reported in June  1994.
The inquiry report made a number of recommendations concerning the care of  recipients, the establishment of support services and the formation of a  ministerial advisory council.
Recipients of hPH now live with a health status of being at “low risk” of  CJD. Current infection control guidelines refer to “low risk” patients.  Recipients and their families also live with anxiety linked to the threat of  contracting a disease which can lie dormant for decades and for which there is  no test, treatment or cure. 
1: Dev Biol Stand 1996;88:237-41
Transmissible encephalopathies and biopharmaceutical production.
Robinson MM
USDA-ARS Animal Disease Research Unit, Washington State University,  Pullman, USA.
The use of post-mortem tissues as sources for the production of  biologicals, vaccines and feedstuffs has led to the transmission or generation  of transmissible encephalopathies in some recipients. For example, the use of  pituitary-derived human growth hormone and gonadotropins has resulted in the  transmission of Creutzfeldt-Jakob disease to other humans [1], the use of  formalin-inactivated sheep brain as a source for louping ill vaccine led to the  transmission of scrapie to over 1,000 sheep from one vaccine lot [2], and the  use of rendered products from ruminant carcasses in the domestic animal food  chain led to the emergence and epizootic of bovine spongifrom encephalopathy in  the United Kingdom [3]. Infection with transmissible encephalopathies by  iatrogenic or other mechanisms is difficult to predict or control. The  characteristics of these pathogens do not permit easy detection, clearance, or  inactivation in routine biopharmaceutical production environments.
Publication Types: Review Review, tutorial
PMID: 9119144, UI: 97169782
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9119144&dopt=Abstract  
 PLUS, ARMOUR MADE A BOVINE THYROID MEDICATION SOME TIME BACK CALLED  "THYRAR" MADE FROM DESSICATED BOVINE THYROID GLAND...
Creutzfeldt-Jakob Disease, CJD Support Group for short statured children of  the 1970's and 1980's. Recommendations for Unapproved/Unregistered recipiants  
SHORT REPORT
Creutzfeldt-Jakob disease 38 years after diagnostic use of human growth  hormone
 the warning shots fired over the bow of the boat that were never heard ;  
 PITUITARY EXTRACT
This was used to help cows super ovulate. This tissue was considered to be  of greatest risk of containing BSE and consequently transmitting the  disease...
NON-LICENSED HUMAN TISSUE DEVICES WERE NOT COMMERCIALLY AVAILABLE
snip...
I was quite prepared to believe in unofficial pituitary hormones, also in  the 1970's, whether as described by Dr. Little, or in other circumstances, for  animal use.
snip...
The fact that there were jars of pituitaries (or extract) around on shelves  is attested by the still potent 1943 pituitaries, described in Stockell Hartree  et al. (J/RF/17/291) which had come from the lab. at Mill Hill. Having taken the  trouble to collect them, they were not lightly thrown out...
B.S.E. and Veterinary Medicines
Thank you very much indeed for your letter of the 26th of January outlining  to me the various steps that are proposing to take in order to reduce the risk  from B.S.E. in veterinary medicines. It is, as you say, and extremely difficult  problem. ....
http://web.archive.org/web/20030526124448/http://www.bseinquiry.gov.uk/files/yb/1989/01/30008001.pdf  
Draft cover letter to product licence holders (considered by Human and Vet  Medicines including deer)
(It was noted with concern that hormone extracts could be manufactured by a  veterinary surgeon for administration to animals under his care without any  Medicines Act Control.)
PITUITARY EXTRACT
This was used to help cows super ovulate. This tissue was considered to be  of greatest risk of containing BSE and consequently transmitting the  disease.
BEEF BRAIN AND BRAIN INFUSION BROTHS
Considered to be of great risk.
COMMERCIAL IN CONFIDENCE
MEDICINES ACT - VETERINARY PRODUCTS COMMITTEE
5 BLANK PAGES. ...TSS
7. Any Other Business
TWA LITTLE STATEMENT 331
8 June 1988 Internal CVL meeting to discuss the implications of BSE to  Biologicals Products containing bovine extracted material (Annex 6). (YB  88/06.08/11.1-11.2) Following a detailed review of situation the following  recommendations were made:
1. Specific concern over use of pituitary gland products by veterinary  surgeons and companies. Paper to be produced for Tolworth (Veterinary Medicines  Division).
2. Urgent review of all products both immunological and pharmaceutical for  possible inclusion of ingredients of bovine origin.
3. Draft guidelines to be presented in full to the National Office of  Animal Health (NOAH), the trade body representing the Veterinary Medicines part  of the pharmaceutical industry, at next meeting on 11 July 1988
TWA LITTLE minute
2. We have identified one problem over where we are unable to act and this  is the use of gonadotrophins in embryo transfer work. Some veterinary surgeons  are quite legally using this exemption from the Medicines Act contained in  Section 9(2) to prepare gonadotrophins from pituitary glands from various  species, including cattle. These hormones are used to stimulate superovulation  in donor cows.
COMMERCIAL IN CONFIDENCE
3.2 Minute 5.3 - 5.4 Bovine Spongiform Encephalopathy
It was reported that some replies had been received from Companies using  pituitary glands in their products. Copies of the BSE document had also been  sent to DHSS and NIBSC.
and then another 3 + pages of blank space. ...TSS
COMMERCIAL IN CONFIDENCE
BSE - CURRENT POSITION WITH VETERINARY LICENCED PRODUCTS (MA.1968)
There are three areas of particular concern, vaccines (including emergency  vaccines), pharmaceuticals which are covered by MA licences and unlicenses  hormonal products produced under exemptions claimed under (Section 9(2)  Medicines Act).
1) Vaccines
NOT FOR PUBLICATION
another 6 pages of blank space. ...TSS
COMMERCIAL IN CONFIDENCE
COMMERCIAL IN CONFIDENCE
Medicines Act - Veterinary Products Committee
COMMERCIAL IN CONFIDENCE
MANAGEMENT IN CONFIDENCE
CERTIFIED BSE-FREE HERDS FOR SOURCE OF MATERIAL FOR BIOLOGICAL  PRODUCTS
Subject: BSE--U.S. 50 STATE CONFERENCE CALL Jan. 9, 2001
Date: Tue, 9 Jan 2001 16:49:00 -0800
From: "Terry S. Singeltary Sr." 
Reply-To: Bovine Spongiform Encephalopathy 
To: BSE-L@uni-karlsruhe.de
[host Richard Barns] and now a question from Terry S. Singeltary of CJD  Watch.
[TSS] yes, thank you, U.S. cattle, what kind of guarantee can you give for  serum or tissue donor herds?
[no answer, you could hear in the back ground, mumbling and 'we can't. have  him ask the question again.]
[host Richard] could you repeat the question?
[TSS] U.S. cattle, what kind of guarantee can you give for serum or tissue  donor herds?
[not sure whom ask this] what group are you with?
[TSS] CJD Watch, my Mom died from hvCJD and we are tracking CJD  world-wide.
[not sure who is speaking] could you please disconnect Mr. Singeltary
[TSS] you are not going to answer my question?
[not sure whom speaking] NO
from this point, i was still connected, got to listen and tape the whole  conference. at one point someone came on, a woman, and ask again;
[unknown woman] what group are you with?
[TSS] CJD Watch and my Mom died from hvCJD we are trying to tract down CJD  and other human TSE's world wide. i was invited to sit in on this from someone  inside the USDA/APHIS and that is why i am here. do you intend on banning me  from this conference now?
at this point the conference was turned back up, and i got to finish  listening. They never answered or even addressed my one question, or even  addressed the issue. BUT, i will try and give you a run-down for now, of the  conference.
snip...full text ;
COMMERCIAL IN CONFIDENCE
NOT FOR PUBLICATION
COMMITTEE ON SAFETY OF MEDICINES
another 6 pages or so that are blank. ...TSS
COMMERCIAL IN CONFIDENCE
NOT FOR PUBLICATION
COMMITTEE ON SAFETY OF MEDICINES
WORKING PARTY ON BOVINE SPONGIFORM ENCEPHALOPATHY
7.2.1. Products with bovine brain/lymphoid tissue as ingredients and  administered by injection...[111]
7.2.2 Products with bovine ingredients (other than brain/lymphoid tissue)  and administered by injection...[135]
7.2.3 Tissue implants, open wound dressings, surgical materials, dental and  opthalmic products with bovine ingredients...[27]
7.2.4. Products with bovine ingredients and administered  topically...[5]
7.2.5 Products with bovine ingredients and administered orally...[9]
7.2.6 Products with other animal/insect/bird ingredients and  administered:
a. by injection a: 117
b. by topically b: 6
c. orally c: 8
7.2.7 Products with materials produced from animal material by chemical  processes, eg stearic acid, gelatin and lanolin...[156]
With two exceptions, the replies to date have not given any immediate cause  for concern, although 176 products do not conform to the CSM/VPC  guidelines.
8. The first exception was from which gave very limited information about a  very large number of homoepathic medicines with material obtained from cattle  and a number with material from the brain. Of these, 53 were injectable products  of which 20 were derived from cattle brain. A list of these products is attached  as Appendix 1 to Annex D. The second exception relates to the product, 'Surgical  Catgut', which is sourced from UK bovine intestines and will contain lymphoid  material...
see full text ;
please see ;
Sunday, December 16, 2007
Risk factors for sporadic Creutzfeldt-Jakob disease
Increased risk was not associated with surgical categories chosen a priori  but was confined to the residual category other surgery, in which the increase  in risk appeared most marked for three subcategories: skin stitches, nose/throat  operations, and removal of growths/cysts/moles.
snip...
which the increase in risk appeared most marked for three  subcategories:
skin stitches, nose/throat operations, and removal of  growths/cysts/moles.
10 January 1990
Other US BSE risks: the imported products picture
24 Jul 00 Trade Statistics: UK to US
Compiled by Terry S.Singeltary Sr of Bacliff, Texas
[Opinion (webmaster): The US has focused for years on tracing, containing,  and eradicating live animal imports from the UK or other countries with  acknowledged BSE like Belgium, including some 499 cattle and the Vermont sheep.  This strategy does not acknowledge imports of rendered bovine products from  England during the BSE period nor secondary products such as surgical catgut,  which is to say surgical cowgut, or dairy cattle embryos, vaccines for  veterinarian and human medicines. What has become of these?
Mr. Singeltary, who lost his mother to CJD of unexplained origin a few  years back and went on to became a well-known TSE activist, has tracked down  voluminous pertinent import data through correspondence with UK officials and  searches of government web sites. Imports of such products are frequently cited  by Europeans in rating BSE risks in the US and in shutting out US exports.
Many people's eyes glaze over when reviewing reams of sometimes older trade  statistics. There is no proof that any of the imported products was contaminated  with BSE nor if so, any evidence that any BSE product lead to infection in US  livestock, surgical patients, or what not. Nonetheless, the data obtained by Mr.  Singeltary establish that an appalling variety and tonnage of products that were  imported by the US from the UK and othr BSE-affected countries during the peak  of the BSE epidemic years.]
10 January 1990
NOT FOR PUBLICATION
COMMITTEE ON SAFETY OF MEDICINES
WORKING PARTY ON BOVINE SPONGIFORM ENCEPHALOPATHY
SURGICAL CATGUT SUTURES
2.1 At the first meeting of the Working Party on Bovine Spongiform  Encephalopathy on 6 September 1989, detailed consideration was given to XXXXX  Surgical Catgut. This arose from the Company's response to the Letter to License  Holders, indicating that the bovine small intestine source material was derived  from UK cattle, unlike 8 other licensed catgut sutures. In contrast XXXXX  Surgical Catgut was stated to hold over 90% share of the market for catgut  sutures, and to constitute approximately 83% of all sutures used in U.K.
IMPORTS OF SUTURES FROM THE KNOWN BSE COUNTRY;
3006.10.0000: STERILE SURGICAL CATGUT, SIMILAR STERILE SUTURE MATERIALS AND  STERILETISSUE ADHESIVES FOR SURGICAL WOUND CLOSURE; AND SIMILAR STERILE  MATERIAL
U.S. Imports for Consumption: December 1998 and 1998 Year-to-Date (Customs  Value, in Thousands of Dollars) (Units of Quantity: Kilograms)
<--- Dec 1998 ---> <--- 1998 YTD --->
Country Quantity Value Quantity Value
===================================================
WORLD TOTAL . . . . . . . 10,801 3,116 143,058 40,068
Belgium . . . . . . . . . --- --- 107 14
France . . . . . . . . . 81 49 2,727 1,132
Switzerland . . . . . . . --- --- 1,357 1,693
United Kingdom . . . . . 1,188 242 35,001 5,564 
see url now available at ;
Part II
2.1 Bovine Small Intestine
This is the largest single category, comprising 9 product licenses for  surgical catgut, held by 3 Companies ;
2.2 Skin
Bovine dermal collagen is present in 2 products for correction of tissue  contour deformities by injection and 4 implantable haemostates.
Source USA, USA, W Germany, W. Germany, France. ...
UPDATE ON SURGICAL CATGUT
MAY 1990
40,000 human heart valves a year from BSE herds
Sun, 3 Sep 2000.
Unpublished Inquiry documents obtained by CJD activist Terry S. Singeltary  Sr. of Bacliff, Texas
The documents below were provided by Terry S. Singeltary Sr on 8 May 2000.  They are optically character read (scanned into computer) and so may contain  typos and unreadable parts.
TIP740203/l 0424 CONFIDENTIAL
snip...
The responses by the companies were presented by Ms Turner and were  categorised by MCA standards, the products that were discussed were all low  volume usage products eg sutures, heart valves.
8. As the responses included some materials of human origin it was decided  that more information should be sought about CJD. There had been 2 recent deaths  reported associated with human growth hormone. These were being  investigated.
snip...
5.3.3 The greatest risk, in theory, would be from parenteral injection of  material derived from bovine brain or lymphoid tissue. Medicinal products for  injection or surgical implantation which are prepared from bovine tissues, or  which utilise bovine serum albumin or similar agents in their manufacture, might  also be capable of transmitting infectious agents. All medicinal products are  licensed under the Medicines Act by the Licensing Authority following guidance,  for example from the Committee on Safety of Medicines (CSM), the Committee on  Dental and Surgical Materials (CDSM) and their subcommittees. The Licensing  Authority have been alerted to potential concern about BSE in medicinal products  and will ensure that scrutiny of source materials and manufacturing processes  now takes account of BSE agent.
see all 76 pages ;
EXPORT OF BRITISH BIOLOGICAL PHARMACEUTICALS
1. Please see the attached note of a recent meeting in Brussels. For Dr.  Purford should read Dr. Purves (I think). If the Germans get their way, and it  looks as if they might, because of worries about BSE we could end up with a ban  on certain bovine materials being exported from the UK for pharmaceutical  manufacture. Thse materials include cell cultures of bovine origin (? and also  any cultures which have been fed bovine nutrient material), bovine serum, and  fetal calf serum.
2. Whilst export of these raw materials may be very limited, it is only a  small step to include in this export ban any finished product made from such  materials. This would include virtually all biologicals and vaccines. This could  have very serious effects on the export trade of British Manufacturers of  biologicals because even where they source their bovine ingredients outside the  UK it might be impossible or at least very difficult to bypass any export  ban.
3. Our own line is that we have not used regulations to restrict the use of  British bovine material for non-food use, although certain offals cannot be used  for human consumption. ...
Export of British 'Biological' Pharmaceuticals
No papers were presented by our American guests and none covered the  subject of pharmaceuticals. ... 
STANDING COMMITTEE MEETING ON BSE
Thanks for your note. I am disappointed not to have been informed about  this meeting in advance and am surprised that Dr. Tyrrell was not involved  either. I find it insulting to be told the proceedings were in confidence and  find your excuse about only hosting the meeting unconvincing.
The documents below were provided by Terry S. Singeltary Sr on 8 May 2000.  They are optically character read (scanned into computer) and so may contain  typos and unreadable parts.
TIP740203/l 0424 CONFIDENTIAL
Mr Cunningham CMP3 From: D O Hagger MBI Dr Salisbury MED/IMCD3 Mr Burton  PD/STB/PG1B B/17/2 Date: 15.02.1989 Mr Dudley PD/AD4
snip...
89/06.19/8.1 BSE3/1 0191 Hr J Maslin (MAFF) Ref: Maslin3g
From: Dr H Pickles Med SEB/B Date: 3 July 1989
CATTLE BY-PRODUCTS AND BSE
I was interested to see the list of by-products sent to the HSE. Those of  particular concern included:
* small intestines: sutures (I thought the source was ovine but you are  checking this)
* spinal cord: pharmaceuticals
* thymus: pharmaceuticals
Are you able to give me more information on which UK manufacturers use  these materials? Our proposed ban on bovine offal for human consumption would  not affect these uses, I assume.
snip...see full text ;
USDA allows diseased animals into human food supply 
 Mon, 14 Aug 2000. Information provided by Terry S. Singeltary Sr. Farm  Sanctuary web site
In Confidence - Perceptions of unconventional slow virus diseases of  animals in the USA - Report of a visit to the USA - April-May 1989 - G A H Wells  [head of England's main veterinary lab -- webmaster]
2. Meeting with USDA, BSE Task Force
 MAD COW DISEASE BSE CJD CHILDREN VACCINES
Sunday, May 18, 2008
MAD COW DISEASE BSE CJD CHILDREN VACCINES
TIP740203/l 0424 CONFIDENTIAL
2011 
 Friday, March 25, 2011 
Detection of Prion Protein in Urine-Derived Injectable Fertility Products  by a Targeted Proteomic Approach 
 Saturday, December 3, 2011
Candidate Cell Substrates, Vaccine Production, and Transmissible Spongiform  Encephalopathies 
Volume 17, Number 12—December 2011 
 Thursday, December 22, 2011 
Risk of Prion Disease Transmission through Bovine-Derived Bone Substitutes:  A Systematic Review 
Clin Implant Dent Relat Res. 2011 Dec 15. doi:  10.1111/j.1708-8208.2011.00407.x. [Epub ahead of print] 
 Thursday, December 29, 2011 
 Aerosols An underestimated vehicle for transmission of prion diseases?  
PRION www.landesbioscience.com 
 please see more on Aerosols and TSE prion disease here ; 
Monday, January 2, 2012
EFSA Minutes of the 6th Meeting of the EFSA Scientific Network on BSE-TSE  Brussels, 29-30 November 2011 
Sunday, July 03, 2011 
J. Virol. doi:10.1128/JVI.05111-11 Copyright © 2011,American Society for  Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.
Prion Disease Detection, PMCA Kinetics, and IgG in Urine from  Naturally/Experimentally Infected Scrapie Sheep and Preclinical/Clinical CWD  Deer 
 Thursday, June 09, 2011 
Detection of CWD prions in salivary, urinary, and intestinal tissues of  deer: potential mechanisms of prion shedding and transmission 
Wednesday, March 18, 2009
Detection of CWD Prions in Urine and Saliva of Deer by Transgenic Mouse  Bioassay
Sunday, December 06, 2009
Detection of Sub-Clinical CWD Infection in Conventional Test-Negative Deer  Long after Oral Exposure to Urine and Feces from CWD+ Deer
 THEN YOU have water that has been contaminated from a CWD-endemic area ;  
 Wednesday, October 14, 2009
Detection of protease-resistant cervid prion protein in water from a  CWD-endemic area
 ALSO, NOTE MINERAL LICKS A POSSIBLE SOURCE AND TRANSMISSION MODE FOR CWD  ;
Tuesday, September 02, 2008
Detection of infectious prions in urine (Soto et al Available online 13  August 2008.) 
Wednesday, January 5, 2011
ENLARGING SPECTRUM OF PRION-LIKE DISEASES Prusiner Colby et al 2011
Prions
David W. Colby1,* and Stanley B. Prusiner1,2 
 UPDATED DATA ON 2ND CWD STRAIN 
Wednesday, September 08, 2010
CWD PRION CONGRESS SEPTEMBER 8-11 2010
 Saturday, May 14, 2011
Modeling Routes of Chronic Wasting Disease Transmission: Environmental  Prion Persistence Promotes Deer Population Decline and Extinction
Tuesday, May 31, 2011
Chronic Wasting Disease 
DOI: 10.1007/128_2011_159 # Springer-Verlag Berlin Heidelberg 2011 
 Saturday, November 12, 2011 
Human Prion Disease and Relative Risk Associated with Chronic Wasting  Disease 
Fri, 22 Sep 2006 09:05:59 –0500 
 Monday, June 27, 2011 
Zoonotic Potential of CWD: Experimental Transmissions to Non-Human Primates  
 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, August 24, 2011 
There Is No Safe Dose of Prions 
 Wednesday, August 24, 2011 
All Clinically-Relevant Blood Components Transmit Prion Disease following a  Single Blood Transfusion: A Sheep Model of vCJD 
http://transmissiblespongiformencephalopathy.blogspot.com/2011/08/all-clinically-relevant-blood.html  
Thursday, December 08, 2011 
A case of Iatrogenic Creutzfeldt Jakob Disease (iCJD) in a patient who had  received a German-manufactured human dura mater graft 23 years ago 
Monday, December 12, 2011 
 Second iatrogenic CJD case confirmed Korea 
 Monday, December 26, 2011
Prion Uptake in the Gut: Identification of the First Uptake and Replication  Sites 
 Tuesday, November 08, 2011 
Can Mortality Data Provide Reliable Indicators for Creutzfeldt-Jakob  Disease Surveillance? A Study in France from 2000 to 2008 Vol. 37, No. 3-4,  2011
Original Paper 
 Conclusions:These findings raise doubt about the possibility of a reliable  CJD surveillance only based on mortality data. 
tss

 
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