Cost benefit analysis of the development and use of ante-mortem tests for 
transmissible spongiform encephalopathiesProject Code: M03067 
 14/02/2014 
The FSA’s Strategic Plan for 2005–2010 committed the Agency to promote and 
aid the development of a sensitive, rapid live test for TSEs by 2010. This study 
carried out a cost-benefit analysis of the implementation of such tests. 
The review of the state of the science has not identified any ante-mortem 
test for BSE that is currently ready for use or for approval. Taking into 
account the likely timescale for approval and modification of policy to enable 
the introduction of live animal tests, and the attitude of commercial companies 
to the challenges and risks involved, there appears to be little scope for their 
introduction in the foreseeable future. 
This study has demonstrated that although desirable, it is not necessary to 
have a live animal test that works at all stages of incubation. It has been 
shown that improving sensitivity from 3 to 12 months before clinical onset has a 
real impact, and potential benefits. This could help to define the minimum 
specification for a live animal test, i.e. 100% specificity and 95% sensitivity 
within 12 months of clinical onset, at least for the protection of the food 
chain. Applying an ante-mortem test to all cattle slaughtered increases the 
costs significantly with no additional benefit in terms of TSE exposure, 
resulting in a cost effectiveness value of 0.4. 
July 2010
Cost Effectiveness Study of the use of Ante-mortem TSE Tests
Food Standards Agency
Page i
DNV
Final Report v 4 M03067 21-07-10
Reference to part of this report which may lead to misinterpretation is not 
permissible
Executive Summary
This report presents the results of a study carried out by Det Norske 
Veritas (DNV) for the Food Standards Agency (FSA) to assess the cost 
effectiveness of the introduction of ante-mortem tests for Transmissible 
Spongiform Encephalopathies (TSEs) in the United Kingdom. The study has focused 
on the implementation of ante-mortem tests for BSE in cattle at the current 
stage of the BSE epidemic, when prevalence levels are low.
The study has included a review of the state of the science relating to the 
development and approval of ante-mortem TSE tests. This included a review of the 
literature intended to inform the development of possible test scenarios, and 
consultation with scientists and companies known to be involved in the research 
and development of ante-mortem tests. This review led to the definition of a set 
of possible scenarios for the introduction of live animal tests for TSEs. These 
were discussed and reviewed at an Expert Workshop held in September 2009 and 
involving experts from a range of stakeholders, including regulators, the meat 
industry, veterinarians and people involved in test development. The outcome of 
the Expert Workshop was that the cost effectiveness assessment should focus on 
the introduction of a live test on healthy cattle carried out on farm before 
being sent for slaughter and involve either all cattle sent for slaughter or 
just adult cattle (over 48 months old at slaughter) as currently tested 
post-mortem. Testing of healthy cattle pre-slaughter at abattoirs was also 
considered, but it was felt that this would only be possible if the test 
provided an almost instant result and that this was unlikely to be 
achieved.
The cost effectiveness of the introduction of an ante-mortem TSE test has 
been evaluated by considering the range of costs that would be associated with 
implementing ante-mortem testing for the agreed scenarios compared with the 
benefit, measured as the estimated change in exposure to TSE infectivity 
resulting from the use of the test. The potential for TSE infectivity to enter 
the human food supply has been evaluated using a model based on the DNV SRM 
Controls Model that was developed for the FSA and used to estimate the impact of 
alternative supervision strategies for SRM Controls. The DNV SRM Controls Model 
has been previously reviewed by the Spongiform Encephalopathy Advisory Committee 
(SEAC) and the results for assessing alternative options for supervision of SRM 
controls accepted.
Study Conclusions:
1. The review of the state of the science has not identified any 
ante-mortem test for BSE that is currently ready for use or for approval. Taking 
into account the likely timescale for approval and modification of policy to 
enable the introduction of live animal tests, and the attitude of commercial 
companies to the challenges and risks involved, there appears to be little scope 
for their introduction in the foreseeable future.
2. Test specificity is likely to be critical to the acceptance of live 
animal testing, by both industry and consumers. The prospect of substantial 
numbers of false positive results that perpetuate fear of undetected or 
unconfirmed infection may undermine any attempts to introduce such tests.
3. Assuming that an ante-mortem test would be able to detect infectivity 
for a wider range of the incubation period than is currently possible with the 
present post-mortem tests, at least for the last 12 months of the incubation 
period, then it is estimated that the median exposure would reduce from 3 bovine 
oral ID50 units with the present post-mortem testing programme (range 0.2 to 52) 
to 0.02 bovine oral ID50 units (range <0 .01="" 0.5="" 100="" 48="" a="" and="" animals="" ante-mortem="" applied="" div="" food="" for="" months="" older="" only="" sensitivity.="" slaughtered="" test="" than="" the="" to="" with="">
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
what is the BIG SECRET about this recent case of nvCJD in Texas ???
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
0>
July 2010
Cost Effectiveness Study of the use of Ante-mortem TSE Tests
Food Standards Agency
Page ii
DNV
Final Report v 4 M03067 21-07-10
Reference to part of this report which may lead to misinterpretation is not 
permissible
4. The estimated exposure for an ante-mortem test with 95% sensitivity is a 
median value of 0.3 (range 0.02 to 6) bovine oral ID50 units; this is still 
significantly less than the exposure with the present post-mortem test.
5. Testing the prime beef cattle in addition to those over 48 months of age 
at slaughter, does not result in any significant further reduction in exposure 
to TSE infectivity, as the untested prime beef animals contribute only 3% of the 
total exposure.
6. The cost of applying an ante-mortem test to over 48 month old cattle on 
farm prior to being sent for slaughter is estimated to be only slightly greater 
than that for the present post-mortem test; £6.9 million per year as opposed to 
£6.2 million. The higher costs of sampling on farm with the need for cattle 
handling and for a veterinarian to take the sample is partly off set by a 
reduction in MHS supervision costs.
7. The higher cost for ante-mortem testing is balanced by the additional 
reduction in TSE exposure, so that the cost effectiveness of the ante-mortem 
test applied to over 48 month animals is estimated to be 2.1 bovine oral ID50 
units per £million spent as opposed to 0.9 for the post-mortem test. However, 
the significance of this increase in cost effectiveness needs to take into 
account the fact that the TSE exposure to the UK population from beef 
consumption is already at a very low level.
8. Applying an ante-mortem test to all cattle slaughtered increases the 
costs significantly with no additional benefit in terms of TSE exposure, 
resulting in a cost effectiveness value of 0.4.
9. With no data on the actual cost of an ante-mortem test it has been 
assumed that this would be the same as for the post-mortem test. If this cost 
were higher it would reduce the cost effectiveness of the ante-mortem test; 
however it has been shown that the ante-mortem test remains more cost effective 
provided that the cost of the test is no more than 3 times that of the 
post-mortem test.
10. The sampling costs for the ante-mortem test could be reduced by using a 
technical officer rather than a veterinarian to take the sample. It has been 
shown that this would increase the cost effectiveness only slightly from 2.1 to 
2.4 Bovine oral ID50 units per million GBP.
11. If the introduction of a reliable ante-mortem test were to enable a 
change in the EU requirements for removing and disposing of SRM, this could 
result in a substantial cost saving, estimated to be £16 million. This estimated 
cost saving is greater than the cost of the test. However, discussions with the 
EU indicate that rapid ante-mortem tests will never be accepted as alternatives 
to the removal of SRM.
12. This study has demonstrated that although desirable, it is not 
necessary to have a live animal test that works at all stages of incubation. It 
has been shown that improving sensitivity from 3 to 12 months before clinical 
onset has a real impact, and potential benefits. This could help to define the 
minimum specification for a live animal test, i.e., 100% specificity and 95% 
sensitivity within 12 months of clinical onset, at least for the protection of 
the food chain.
13. This study has focussed on the application of TSE testing in cattle. 
Whilst there are grounds for greater optimism for the development of ante-mortem 
tests in small ruminants, there is currently little evidence of a test approach 
that could be used in a similar way as that investigated for bovines in this 
study.
July 2010
Cost Effectiveness Study of the use of Ante-mortem TSE Tests
Food Standards Agency
SNIP...
2.2.5 Lymphoreticular biopsies
Despite the extensive body of evidence that lymphoreticular biopsies can be 
used for the screening of sheep exposed to scrapie (Espenes et al, 2006; 
Gonzalez et al, 2005, 2006, 2008, a, b; O’Rourke et al, 1998, 2000, 2002), or 
farmed and wild cervids infected with CWD (Keane et al, 2009; Spraker et al, 
2009; Wild et al, 2002), there is no published evidence of any attempt to use 
lymphoid biopsies as a matrix for testing in bovines. Nevertheless, in the 
context of BSE, where testing of cattle must provide equivalent protection to 
the removal of SRM, none of the evidence from sheep and cervids suggests that 
satisfactory levels of sensitivity and specificity would have been achieved, 
even if bovine LRS had been found to be PrPres–positive.
2.3 Consultations
2.3.1 Consultation with test-developers
A questionnaire was sent via the Veterinary Laboratories Agency (VLA) to 23 
companies or institutes that had requested materials from the VLA TSE archive in 
the past for the purposes of test development or validation, with particular 
emphasis on live tests. Another company known to be involved in both research 
and continued test development, but which had not received materials from the 
VLA, was approached directly. In addition, some scientists funded by the FSA and 
Defra in recent years under the banner of “diagnostics” were sent an equivalent 
questionnaire, either via their funding body (FSA), or directly in the case of 
staff at the VLA and the Roslin Biocentre. Four detailed questionnaires, and one 
background note, were received from scientists contacted via the FSA or 
directly. Two commercial companies, currently involved in marketing post-mortem 
tests for BSE and scrapie, responded with a completed questionnaire. Three
July 2010 Cost Effectiveness Study of the use of Ante-mortem TSE Tests Food 
Standards Agency Page 6 DNV Final Report v 4 M03067 21-07-10 Reference to part 
of this report which may lead to misinterpretation is not permissible
others confirmed their withdrawal from this field of development. Many 
others are known, on the basis of historical personal contact, to have 
re-directed their activities.
The following represents a summary of relevant detail provided in the six 
completed questionnaires. All six confirmed a desire to develop a test for use 
on blood, while two also expressed an interest in testing milk, and one also 
targeted CSF. Four approaches involved the detection of PrPSc, one used 
proteomics while the fifth targeted up-regulation of ERAF. The latter approach 
has since been abandoned because of the considerable variability in results from 
healthy large animals and humans which confounded discrimination between 
infected and healthy individuals.
Only three of the six responses indicated a desire or scope to test 
bovines; these three did not include the commercial companies. All six were 
interested in testing sheep both as an end in itself and as a model for test 
development. Only three groups had an immediate interest in developing a test 
for humans, while two felt there was scope for testing cervids (but subsequently 
abandoned by one).
It was suggested that a test for BSE in bovines could possibly be available 
within two to three years, but only if it was firstly demonstrated that test 
methodology that worked on sheep could actually detect PrPSc in bovine blood. 
The key challenge to test development was the continuing lack of understanding 
of pathogenesis.
The commercial companies confirmed that the absence of national and 
international policy for the future use of live tests was a factor that hindered 
test development. Because of the inability to define a future market, the costs 
of developing a test could not be compared with potential future income in order 
to offer confidence that there would be returns on investment.
In summary, none of the respondents indicated that a live test for BSE was 
likely to be available in the immediate future. Nevertheless, it is known that 
at least three commercial companies that were not amongst the respondents are 
still interested in marketing a test for CJD in humans, and can legitimately be 
considered to have a real interest in the testing of bovines. This is no longer 
a priority for them however, and will probably not be progressed if they fail to 
gain approval for the testing of human blood.
2.4 Consultation with the European Commission/EFSA
The European Commission was consulted with respect to its medium term 
expectations, in the context of the TSE RoadMap (EC, 2005), which acknowledges a 
need to de-regulate with time, and its open-call for test developers to submit 
tests for approval. The benchmark of 100% sensitivity and specificity 
established in the first evaluation of post-mortem tests conducted in 1999 
remains a serious challenge to the approval of any live animal test. The absence 
of a definitive gold standard to confirm the status of preclinical animals 
irrespective of stage of incubation remains a major obstacle to evaluating the 
true performance of ante-mortem tests. At present the EFSA guidelines for the 
evaluation of a live animal test are limited to a preliminary evaluation of 
sensitivity and specificity (EFSA, 2007b). How a formal evaluation of 
suitability for use on a wider scale will be conducted is partly dependent on 
the analyte to be measured, and whether appropriate test materials are available 
to enable such studies to be carried out. It is not however expected that rapid 
ante-mortem tests will ever be accepted as alternatives to the removal of SRM. 
It is also clear that tests will be expected to have diagnostic sensitivity not 
less than 100% (95% confidence limit not less than 98.5%)(EFSA 2007a).
July 2010
Cost Effectiveness Study of the use of Ante-mortem TSE Tests Food Standards 
Agency Page 7 DNV Final Report v 4 M03067 21-07-10 Reference to part of this 
report which may lead to misinterpretation is not permissible
The Commission cannot offer a forward plan for the integration of live 
animal testing within the EU programme of statutory testing.
Although it has no plans to extend the call for test evaluations any 
further than 2012, and cannot confirm its policy regarding the likely context in 
which such a test might be introduced, much will inevitably depend on timing, 
the prevalence of infection and costs of introduction at the time. If live 
animal tests are not available until such time as the EU testing programme has 
been reduced significantly, because of the low prevalence of BSE, the issue of 
equivalence with SRM removal will be less of an issue, and may enable a flexible 
and positive approach to application for herd certification if such a demand 
exists.
2.5 Consultation with the OIE
The OIE confirmed that although it could accommodate live animal tests 
within guidelines for international trade, and for diagnosis of BSE, it has not 
yet drafted protocols for the evaluation of live-animal tests, and has no plans 
to draft any at present. Consequently it has no proposals for the context in 
which it may accept the introduction of live tests, and will no doubt await 
evidence of successful development before taking this issue forward.
2.6 Small Ruminants
With respect to small ruminants it is clear that while there are grounds 
for greater optimism than with bovines, significant challenges remain. There is 
a need for clarity on the extent to which genotype confers resistance to 
infection with specific strains (absolute or relative) when exposed by natural 
routes. Within specific breed/genotype/scrapie strain combinations there is a 
need to confirm the performance of putative tests. Finally there will be 
difficulties in confirming the effectiveness of a test with respect to all 
strain/genotype combinations present within a national flock. Where there may 
only be a limited number of strains involved, there may be scope for live tests 
to be used in specific scenarios, such as flock/herd certification or culling of 
exposed animals. At the moment there is little evidence of a test approach that 
can be used for scenarios equivalent to those discussed for cattle in this 
study.
2.7 Conclusion
The review of the state of the science identified no test for BSE that is 
currently ready for use or for approval. Taking into account the likely 
timescale for approval and modification of policy to enable the introduction of 
live animal tests, and the attitude of commercial companies to the challenges 
and risks involved, there appears to be little scope for their use in the 
foreseeable future.
An issue that has also been highlighted by the review and the stakeholder 
consultation is that test specificity is likely to be critical to the acceptance 
of live animal testing, by both industry and consumers. While test sensitivity 
is already recognised as important when perception of risk is so important in 
determining the climate of national and international acceptability, the 
prospect of substantial numbers of false positive results that perpetuate fear 
of undetected or unconfirmed infection may undermine any attempts to introduce 
such tests. Realistically there is a need for not one but two tests that are 
capable of detecting infected animals at any stage of incubation, one for 
screening and one for confirmation. Failure to confirm the results of a primary 
positive result will critically undermine confidence in any screening programme. 
It will also be important to ensure that approaches to diagnosis in the 
screening and confirmatory tests are sufficiently different to ensure that they 
are not compromised for the same reason, in order to discriminate between false 
and true positives.
July 2010
Cost Effectiveness Study of the use of Ante-mortem TSE Tests
Food Standards Agency 
 SNIP...
PLEASE SEE FULL TEXT ;
BOTTOM LINE $$$
IF YOU TEST, YOU FIND, and the more you test, the more you will find.
HUMANS ARE EXPENDABLE WITH A SLOW, LONG INCUBATING, 100% FATAL DISEASE, 
ONCE CLINICAL DISEASE...tss
Transmissible Spongiform Encephalopathy TSE Prion Disease North America 
2014
Transmissible Spongiform Encephalopathy TSE Prion Disease have now been 
discovered in a wide verity of species across North America. typical C-BSE, 
atypical L-type BASE BSE, atypical H-type BSE, atypical H-G BSE, of the bovine, 
typical and atypical Scrapie strains, in sheep and goats, with atypical Nor-98 
Scrapie spreading coast to coast in about 5 years. Chronic Wasting Disease CWD 
in cervid is slowly spreading without any stopping it in Canada and the USA and 
now has mutated into many different strains. Transmissible Mink Encephalopathy 
TME outbreaks. These Transmissible Spongiform Encephalopathy TSE Prion Disease 
have been silently mutating and spreading in different species in North America 
for decades. 
The USDA, FDA, et al have assured us of a robust Triple BSE TSE prion 
Firewall, of which we now know without a doubt, that it was nothing but ink on 
paper. Since the 1997 mad cow feed ban in the USA, literally tons and tons of 
banned mad cow feed has been put out into commerce, never to return, as late as 
December of 2013, serious, serious breaches in the FDA mad cow feed ban have 
been documented. The 2004 enhanced BSE surveillance program was so flawed, that 
one of the top TSE prion Scientist for the CDC, Dr. Paul Brown stated ; Brown, 
who is preparing a scientific paper based on the latest two mad cow cases to 
estimate the maximum number of infected cows that occurred in the United States, 
said he has "absolutely no confidence in USDA tests before one year ago" because 
of the agency's reluctance to retest the Texas cow that initially tested 
positive. 
see ; 
The BSE surveillance and testing have also been proven to be flawed, and 
the GAO and OIG have both raised serious question as to just how flawed it has 
been (see GAO and OIG reports). North America has more documented TSE prion 
disease, in different documented species (excluding the Zoo BSE animals in the 
EU), then any other place on the Globe. This does not include the very 
likelihood that TSE prion disease in the domestic feline and canine have been 
exposed to high doses of the TSE prion disease vid pet food. To date, it’s still 
legal to include deer from cwd zone into pet food or deer food. Specified Risk 
Material i.e. SRM bans still being breach, as recently as just last month. 
nvCJD or what they now call vCJD, another case documented in Texas last 
month, with very little information being released to the public on about this 
case? with still the same line of thought from federal officials, ‘it can’t 
happen here’, so another vCJD blamed on travel of a foreign animal disease from 
another country, while ignoring all the BSE TSE Prion risk factors we have here 
in the USA and Canada, and the time that this victim and others, do spend in the 
USA, and exposed to these risk factors, apparently do not count in any way with 
regard to risk factor. a flawed process of risk assessment. 
sporadic CJD, along with new TSE prion disease in humans, of which the 
young are dying, of which long duration of illness from onset of symptoms to 
death have been documented, only to have a new name added to the pot of prion 
disease i.e. sporadic GSS, sporadic FFI, and or VPSPR. I only ponder how a 
familial type disease could be sporadic with no genetic link to any family 
member? when the USA is the only documented Country in the world to have 
documented two different cases of atypical H-type BSE, with one case being 
called atypical H-G BSE with the G meaning Genetic, with new science now showing 
that indeed atypical H-type BSE is very possible transmitted to cattle via oral 
transmission (Prion2014). sporadic CJD and VPSPR have been rising in Canada, 
USA, and the UK, with the same old excuse, better surveillance. You can only use 
that excuse for so many years, for so many decades, until one must conclude that 
CJD TSE prion cases are rising. a 48% incease in CJD in Canada is not just a 
blip or a reason of better surveillance, it is a mathematical rise in numbers. 
More and more we are seeing more humans exposed in various circumstance in the 
Hospital, Medical, Surgical arenas to the TSE Prion disease, and at the same 
time in North America, more and more humans are becoming exposed to the TSE 
prion disease via consumption of the TSE prion via deer and elk, cattle, sheep 
and goats, and for those that are exposed via or consumption, go on to further 
expose many others via the iatrogenic modes of transmission of the TSE prion 
disease i.e. friendly fire. I pondered this mode of transmission via the victims 
of sporadic FFI, sporadic GSS, could this be a iatrogenic event from someone 
sub-clinical with sFFI or sGSS ? what if? 
Two decades have passed since Dr. Ironside first confirmed his first ten 
nvCJD victims in 1995. Ten years later, 2005, we had Dr. Gambetti and his first 
ten i.e. VPSPR in younger victims. now we know that indeed VPSPR is 
transmissible. yet all these TSE prion disease and victims in the USA and Canada 
are being pawned off as a spontaneous event, yet science has shown, the 
spontaneous theory has never been proven in any natural case of TSE prion 
disease, and scientist have warned, that they have now linked some sporadic CJD 
cases to atypical BSE, to atypical Scrapie, and to CWD, yet we don’t here about 
this in the public domain. We must make all human and animal TSE prion disease 
reportable in every age group, in ever state and internationally, we must have a 
serious re-evaluation and testing of the USA cattle herds, and we must ban 
interstate movement of all cervids. Any voluntary effort to do any of this will 
fail. Folks, we have let the industry run science far too long with regards to 
the TSE prion disease. While the industry and their lobbyist continues to funnel 
junk science to our decision policy makers, Rome burns. ...end 
REFERENCES
Sunday, June 29, 2014 
*** Transmissible Spongiform Encephalopathy TSE Prion Disease North America 
2014 
Wednesday, August 27, 2014 
Highly sensitive detection of small ruminant BSE within TSE mixes by serial 
Protein Misfolding Cyclic Amplification 
Tuesday, September 2, 2014 
*** COOL UPDATE September 2, 2014 
Tuesday, August 12, 2014 
*** MAD COW USDA TSE PRION COVER UP or JUST IGNORANCE, for the record 
AUGUST 2014 
Monday, July 28, 2014 
Mitigating the Risk of Transmission and Environmental Contamination of 
Transmissible Spongiform Encephalopathies 2013 Annual Report
Sunday, August 24, 2014 
*** USAHA 117TH ANNUAL MEETING USDA-APHIS–VS CWD Herd Certification Program 
Goals TSE PRION October 17 – 23, 2013
Monday, May 05, 2014 
*** Member Country details for listing OIE CWD 2013 against the criteria of 
Article 1.2.2., the Code Commission recommends consideration for listing 
*** OIE GROUP RECOMMENDS THAT SCRAPE PRION DISEASE BE DELISTED, WISHES TO 
CONTINUE SPREADING IT AROUND THE GLOBE 
Monday, November 30, 2009 
*** USDA AND OIE COLLABORATE TO EXCLUDE ATYPICAL SCRAPIE NOR-98 ANIMAL 
HEALTH CODE, DOES NOT SURPRISE ME $
why do we not want to do TSE transmission studies on chimpanzees $ 
5. A positive result from a chimpanzee challenged severly would likely 
create alarm in some circles even if the result could not be interpreted for 
man. I have a view that all these agents could be transmitted provided a large 
enough dose by appropriate routes was given and the animals kept long enough. 
Until the mechanisms of the species barrier are more clearly understood it might 
be best to retain that hypothesis. 
snip... 
R. BRADLEY 
1: J Infect Dis 1980 Aug;142(2):205-8 
Oral transmission of kuru, Creutzfeldt-Jakob disease, and scrapie to 
nonhuman primates. 
Gibbs CJ Jr, Amyx HL, Bacote A, Masters CL, Gajdusek DC. 
Kuru and Creutzfeldt-Jakob disease of humans and scrapie disease of sheep 
and goats were transmitted to squirrel monkeys (Saimiri sciureus) that were 
exposed to the infectious agents only by their nonforced consumption of known 
infectious tissues. The asymptomatic incubation period in the one monkey exposed 
to the virus of kuru was 36 months; that in the two monkeys exposed to the virus 
of Creutzfeldt-Jakob disease was 23 and 27 months, respectively; and that in the 
two monkeys exposed to the virus of scrapie was 25 and 32 months, respectively. 
Careful physical examination of the buccal cavities of all of the monkeys failed 
to reveal signs or oral lesions. One additional monkey similarly exposed to kuru 
has remained asymptomatic during the 39 months that it has been under 
observation. 
snip... 
The successful transmission of kuru, Creutzfeldt-Jakob disease, and scrapie 
by natural feeding to squirrel monkeys that we have reported provides further 
grounds for concern that scrapie-infected meat may occasionally give rise in 
humans to Creutzfeldt-Jakob disease. 
PMID: 6997404 
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=6997404&dopt=Abstract 
Recently the question has again been brought up as to whether scrapie is 
transmissible to man. This has followed reports that the disease has been 
transmitted to primates. One particularly lurid speculation (Gajdusek 1977) 
conjectures that the agents of scrapie, kuru, Creutzfeldt-Jakob disease and 
transmissible encephalopathy of mink are varieties of a single "virus". The U.S. 
Department of Agriculture concluded that it could "no longer justify or permit 
scrapie-blood line and scrapie-exposed sheep and goats to be processed for human 
or animal food at slaughter or rendering plants" (ARC 84/77)" The problem is 
emphasised by the finding that some strains of scrapie produce lesions identical 
to the once which characterise the human dementias" 
Whether true or not. the hypothesis that these agents might be 
transmissible to man raises two considerations. First, the safety of laboratory 
personnel requires prompt attention. Second, action such as the "scorched meat" 
policy of USDA makes the solution of the acrapie problem urgent if the sheep 
industry is not to suffer grievously. 
snip... 
76/10.12/4.6 
Nature. 1972 Mar 10;236(5341):73-4. 
Transmission of scrapie to the cynomolgus monkey (Macaca fascicularis). 
Gibbs CJ Jr, Gajdusek DC. 
Nature 236, 73 - 74 (10 March 1972); doi:10.1038/236073a0 
Transmission of Scrapie to the Cynomolgus Monkey (Macaca fascicularis) 
C. J. GIBBS jun. & D. C. GAJDUSEK 
National Institute of Neurological Diseases and Stroke, National Institutes 
of Health, Bethesda, Maryland 
SCRAPIE has been transmitted to the cynomolgus, or crab-eating, monkey 
(Macaca fascicularis) with an incubation period of more than 5 yr from the time 
of intracerebral inoculation of scrapie-infected mouse brain. The animal 
developed a chronic central nervous system degeneration, with ataxia, tremor and 
myoclonus with associated severe scrapie-like pathology of intensive astroglial 
hypertrophy and proliferation, neuronal vacuolation and status spongiosus of 
grey matter. The strain of scrapie virus used was the eighth passage in Swiss 
mice (NIH) of a Compton strain of scrapie obtained as ninth intracerebral 
passage of the agent in goat brain, from Dr R. L. Chandler (ARC, Compton, 
Berkshire). 
Wednesday, February 16, 2011 
IN CONFIDENCE 
SCRAPIE TRANSMISSION TO CHIMPANZEES 
IN CONFIDENCE 
Sunday, December 12, 2010 
EFSA reviews BSE/TSE infectivity in small ruminant tissues News Story 2 
December 2010 
Sunday, April 18, 2010 
SCRAPIE AND ATYPICAL SCRAPIE TRANSMISSION STUDIES A REVIEW 2010 
Thursday, December 23, 2010 
Molecular Typing of Protease-Resistant Prion Protein in Transmissible 
Spongiform Encephalopathies of Small Ruminants, France, 2002-2009 
Volume 17, Number 1 January 2011 
Thursday, November 18, 2010 
Increased susceptibility of human-PrP transgenic mice to bovine spongiform 
encephalopathy following passage in sheep 
Monday, April 25, 2011 
Experimental Oral Transmission of Atypical Scrapie to Sheep 
Volume 17, Number 5-May 2011 
Friday, February 11, 2011 
Atypical/Nor98 Scrapie Infectivity in Sheep Peripheral Tissues 
Thursday, March 29, 2012 
atypical Nor-98 Scrapie has spread from coast to coast in the USA 2012 
NIAA Annual Conference April 11-14, 2011San Antonio, Texas 
*** Canada 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.
Sporadic CJD type 1 and atypical/ Nor98 scrapie are characterized by fine 
(reticular) deposits, see also ; All of the Heidenhain variants were of the 
methionine/ methionine type 1 molecular subtype. 
P.5.21 Parallels between different forms of sheep scrapie and types of 
Creutzfeldt-Jakob disease (CJD) 
Wiebke M. Wemheuer1, Sylvie L. Benestad2, Arne Wrede1, Wilhelm E. 
Wemheuer3, Tatjana Pfander1, Bjørn Bratberg2, Bertram Brenig3,Walter J. 
Schulz-Schaeffer1 1University Medical Center Goettingen, Germany; 2Institute of 
Veterinary Medicine Oslo, Norway; 3Institute of Veterinary Medicine Goettingen, 
Germany 
Background: Scrapie in sheep and goats is often regarded as the archetype 
of prion diseases. In 1998, a new form of scrapie - atypical/Nor98 scrapie - was 
described that differed from classical scrapie in terms of epidemiology, Western 
blot profile, the distribution of pathological prion protein (PrPSc) in the body 
and its stability against proteinase K. In a similar way, distinct disease types 
exist in sporadic Creutzfeldt-Jakob disease (CJD). They differ with regard to 
their clinical outcome, Western blot profile and PrPSc deposition pattern in the 
central nervous system (CNS). Objectives: The comparison of PrPSc deposits in 
sheep scrapie and human sporadic CJD. 
Methods: Tissues of the CNS of sheep with classical scrapie, sheep with 
atypical/Nor98 scrapie and 20 patients with sporadic CJD were examined using the 
sensitive Paraffin Embedded Tissue (PET) blot method. The results were compared 
with those obtained by immunohistochemistry. With the objective of gaining 
information on the protein conformation, the PrPSc of classical and 
atypical/Nor98 sheep scrapie and sporadic CJD was tested for its stability 
against denaturation with guanidine hydrochloride (GdnHCl) using a Membrane 
Adsorption Assay. 
Results: The PrPSc of atypical/Nor98 scrapie cases and of CJD prion type 1 
patients exhibits a mainly reticular/synaptic deposition pattern in the brain 
and is relatively sensitive to denaturation with GdnHCl. In contrast classical 
scrapie cases and CJD prion type 2 patients have a more complex PrPSc deposition 
pattern in common that consists of larger PrPSc aggregates and the PrPSc itself 
is comparatively stable against denaturation. 
Discussion: The similarity between CJD types and scrapie types indicates 
that at least two comparable forms of the misfolded prion protein exist beyond 
species barriers and can elicit prion diseases. It seems therefore reasonable to 
classify classical and atypical/Nor98 scrapie - in analogy to the existing CJD 
types - as different scrapie types. 
What if you can catch old-fashioned CJD by eating meat from a sheep 
infected with scrapie?
28 Mar 01
Like lambs to the slaughter 31 March 2001 by Debora MacKenzie Magazine 
issue 2284. Subscribe and get 4 free issues. FOUR years ago, Terry Singeltary 
watched his mother die horribly from a degenerative brain disease. Doctors told 
him it was Alzheimer's, but Singeltary was suspicious. The diagnosis didn't fit 
her violent symptoms, and he demanded an autopsy. It showed she had died of 
sporadic Creutzfeldt-Jakob disease.
Most doctors believe that sCJD is caused by a prion protein deforming by 
chance into a killer. But Singeltary thinks otherwise. He is one of a number of 
campaigners who say that some sCJD, like the variant CJD related to BSE, is 
caused by eating meat from infected animals. Their suspicions have focused on 
sheep carrying scrapie, a BSE-like disease that is widespread in flocks across 
Europe and North America.
Now scientists in France have stumbled across new evidence that adds weight 
to the campaigners' fears. To their complete surprise, the researchers found 
that one strain of scrapie causes the same brain damage in mice as sCJD.
"This means we cannot rule out that at least some sCJD may be caused by 
some strains of scrapie," says team member Jean-Philippe Deslys of the French 
Atomic Energy Commission's medical research laboratory in Fontenay-aux-Roses, 
south-west of Paris. Hans Kretschmar of the University of Göttingen, who 
coordinates CJD surveillance in Germany, is so concerned by the findings that he 
now wants to trawl back through past sCJD cases to see if any might have been 
caused by eating infected mutton or lamb.
Scrapie has been around for centuries and until now there has been no 
evidence that it poses a risk to human health. But if the French finding means 
that scrapie can cause sCJD in people, countries around the world may have 
overlooked a CJD crisis to rival that caused by BSE.
Deslys and colleagues were originally studying vCJD, not sCJD. They 
injected the brains of macaque monkeys with brain from BSE cattle, and from 
French and British vCJD patients. The brain damage and clinical symptoms in the 
monkeys were the same for all three. Mice injected with the original sets of 
brain tissue or with infected monkey brain also developed the same 
symptoms.
As a control experiment, the team also injected mice with brain tissue from 
people and animals with other prion diseases: a French case of sCJD; a French 
patient who caught sCJD from human-derived growth hormone; sheep with a French 
strain of scrapie; and mice carrying a prion derived from an American scrapie 
strain. As expected, they all affected the brain in a different way from BSE and 
vCJD. But while the American strain of scrapie caused different damage from 
sCJD, the French strain produced exactly the same pathology.
"The main evidence that scrapie does not affect humans has been 
epidemiology," says Moira Bruce of the neuropathogenesis unit of the Institute 
for Animal Health in Edinburgh, who was a member of the same team as Deslys. 
"You see about the same incidence of the disease everywhere, whether or not 
there are many sheep, and in countries such as New Zealand with no scrapie." In 
the only previous comparisons of sCJD and scrapie in mice, Bruce found they were 
dissimilar.
But there are more than 20 strains of scrapie, and six of sCJD. "You would 
not necessarily see a relationship between the two with epidemiology if only 
some strains affect only some people," says Deslys. Bruce is cautious about the 
mouse results, but agrees they require further investigation. Other trials of 
scrapie and sCJD in mice, she says, are in progress.
People can have three different genetic variations of the human prion 
protein, and each type of protein can fold up two different ways. Kretschmar has 
found that these six combinations correspond to six clinical types of sCJD: each 
type of normal prion produces a particular pathology when it spontaneously 
deforms to produce sCJD.
But if these proteins deform because of infection with a disease-causing 
prion, the relationship between pathology and prion type should be different, as 
it is in vCJD. "If we look at brain samples from sporadic CJD cases and find 
some that do not fit the pattern," says Kretschmar, "that could mean they were 
caused by infection."
There are 250 deaths per year from sCJD in the US, and a similar incidence 
elsewhere. Singeltary and other US activists think that some of these people 
died after eating contaminated meat or "nutritional" pills containing dried 
animal brain. Governments will have a hard time facing activists like Singeltary 
if it turns out that some sCJD isn't as spontaneous as doctors have 
insisted.
Deslys's work on macaques also provides further proof that the human 
disease vCJD is caused by BSE. And the experiments showed that vCJD is much more 
virulent to primates than BSE, even when injected into the bloodstream rather 
than the brain. This, says Deslys, means that there is an even bigger risk than 
we thought that vCJD can be passed from one patient to another through 
contaminated blood transfusions and surgical instruments.
Monday, December 1, 2008 
When Atypical Scrapie cross species barriers 
Thursday, December 20, 2012 
OIE GROUP RECOMMENDS THAT SCRAPE PRION DISEASE BE DELISTED, WISHES TO 
CONTINUE SPREADING IT AROUND THE GLOBE 
Monday, November 30, 2009 
USDA AND OIE COLLABORATE TO EXCLUDE ATYPICAL SCRAPIE NOR-98 ANIMAL HEALTH 
CODE, DOES NOT SURPRISE ME $
Saturday, August 02, 2014 
*** Structural effects of PrP polymorphisms on intra- and inter-species 
prion transmission 
In contrast, the scrapie prions used in the deer transmission studies of 
Greenlee and colleagues were isolated from a sheep encoding A136, ***raising the 
possibility that deer may be susceptible to multiple scrapie strains.
snip...
Significance
The unpredictable recurrences of prion epidemics, their incurable 
lethality, and the capacity of animal prions to infect humans, provide 
significant motivation to ascertain the parameters governing disease 
transmission. The unprecedented spread, and uncertain zoonotic potential of 
chronic wasting disease (CWD), a contagious epidemic among deer, elk, and other 
cervids, is of particular concern. Here we demonstrate that naturally occurring 
primary structural differences in cervid PrPs differentially impact the 
efficiency of intra- and interspecies prion transmission. Our results not only 
deliver new information about the role of primary structural variation on prion 
susceptibility, but also provide functional support to a mechanism in which 
plasticity of a tertiary structural epitope governs prion protein conversion and 
intra- and inter-species susceptibility to prions.-
snip...
*** Spraker suggested an interesting explanation for the occurrence of CWD. 
The deer pens at the Foot Hills Campus were built some 30-40 years ago by a Dr. 
Bob Davis. At or abut that time, allegedly, some scrapie work was conducted at 
this site. When deer were introduced to the pens they occupied ground that had 
previously been occupied by sheep. 
now, decades later ; 
2012 
PO-039: A comparison of scrapie and chronic wasting disease in white-tailed 
deer 
snip... 
After a natural route of exposure, 100% of WTD were susceptible to scrapie. 
Deer developed clinical signs of wasting and mental depression and were 
necropsied from 28 to 33 months PI. Tissues from these deer were positive for 
PrPSc by IHC and WB. Similar to IC inoculated deer, samples from these deer 
exhibited two different molecular profiles: samples from obex resembled CWD 
whereas those from cerebrum were similar to the original scrapie inoculum. On 
further examination by WB using a panel of antibodies, the tissues from deer 
with scrapie exhibit properties differing from tissues either from sheep with 
scrapie or WTD with CWD. Samples from WTD with CWD or sheep with scrapie are 
strongly immunoreactive when probed with mAb P4, however, samples from WTD with 
scrapie are only weakly immunoreactive. In contrast, when probed with mAb’s 6H4 
or SAF 84, samples from sheep with scrapie and WTD with CWD are weakly 
immunoreactive and samples from WTD with scrapie are strongly positive. This 
work demonstrates that WTD are highly susceptible to sheep scrapie, but on first 
passage, scrapie in WTD is differentiable from CWD. 
2011 
*** After a natural route of exposure, 100% of white-tailed deer were 
susceptible to scrapie. 
see ;
Scrapie in Deer: Comparisons and Contrasts to Chronic Wasting Disease 
(CWD)
Justin J. Greenlee of the Virus and Prion Diseases Research Unit, National 
Animal Disease Center, ARS, USDA, Ames, IA provided a presentation on scrapie 
and CWD in inoculated deer. 
Interspecies transmission studies afford the opportunity to better 
understand the potential host range and origins of prion diseases. We inoculated 
white-tailed deer intracranially (IC) and by a natural route of exposure 
(concurrent oral and intranasal inoculation) with a US scrapie isolate. All deer 
inoculated by the intracranial route had evidence of PrPSc accumulation and 
those necropsied after 20 months post-inoculation (PI) (3/5) had clinical signs, 
spongiform encephalopathy, and widespread distribution of PrPSc in neural and 
lymphoid tissues. A single deer that was necropsied at 15.6 months PI did not 
have clinical signs, but had widespread distribution of PrPSc. This highlights 
the facts that 1) prior to the onset of clinical signs PrPSc is widely 
distributed in the CNS and lymphoid tissues and 2) currently used diagnostic 
methods are sufficient to detect PrPSc prior to the onset of clinical signs. The 
results of this study suggest that there are many similarities in the 
manifestation of CWD and scrapie in white-tailed deer after IC inoculation 
including early and widespread presence of PrPSc in lymphoid tissues, clinical 
signs of depression and weight loss progressing to wasting, and an incubation 
time of 21-23 months. Moreover, western blots (WB) done on brain material from 
the obex region have a molecular profile consistent with CWD and distinct from 
tissues of the cerebrum or the scrapie inoculum. However, results of microscopic 
and IHC examination indicate that there are differences between the lesions 
expected in CWD and those that occur in deer with scrapie: amyloid plaques were 
not noted in any sections of brain examined from these deer and the pattern of 
immunoreactivity by IHC was diffuse rather than plaque-like. After a natural 
route of exposure, 100% of white-tailed deer were susceptible to scrapie. Deer 
developed clinical signs of wasting and mental depression and were necropsied 
from 28 to 33 months PI. Tissues from these deer were positive for scrapie by 
IHC and WB. Tissues with PrPSc immunoreactivity included brain, tonsil, 
retropharyngeal and mesenteric lymph nodes, hemal node, Peyer’s patches, and 
spleen. While two WB patterns have been detected in brain regions of deer 
inoculated by the natural route, unlike the IC inoculated deer, the pattern 
similar to the scrapie inoculum predominates. 
Scrapie in Deer: Comparisons and Contrasts to Chronic Wasting Disease (CWD) 
Justin J. Greenlee of the Virus and Prion Diseases Research Unit, National 
Animal Disease Center, ARS, USDA, Ames, IA provided a presentation on scrapie 
and CWD in inoculated deer. Interspecies transmission studies afford the 
opportunity 
After a natural route of exposure, 100% of white-tailed deer were 
susceptible to scrapie. Deer developed clinical signs of wasting and mental 
depression and were necropsied from 28 to 33 months PI. Tissues from these deer 
were positive for scrapie by IHC and WB. Tissues with PrPSc immunoreactivity 
included brain, tonsil, retropharyngeal and mesenteric lymph nodes, hemal node, 
Peyer’s patches, and spleen. While two WB patterns have been detected in brain 
regions of deer inoculated by the natural route, unlike the IC inoculated deer, 
the pattern similar to the scrapie inoculum predominates. 
2011 Annual Report 
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES Location: Virus and Prion Research 
Unit 2011 Annual Report 
In Objective 1, Assess cross-species transmissibility of transmissible 
spongiform encephalopathies (TSEs) in livestock and wildlife, numerous 
experiments assessing the susceptibility of various TSEs in different host 
species were conducted. Most notable is deer inoculated with scrapie, which 
exhibits similarities to chronic wasting disease (CWD) in deer suggestive of 
sheep scrapie as an origin of CWD. 
snip... 
4. Accomplishments 
1. Deer inoculated with domestic isolates of sheep scrapie. 
Scrapie-affected deer exhibit 2 different patterns of disease associated prion 
protein. In some regions of the brain the pattern is much like that observed for 
scrapie, while in others it is more like chronic wasting disease (CWD), the 
transmissible spongiform encephalopathy typically associated with deer. This 
work conducted by ARS scientists at the National Animal Disease Center, Ames, IA 
suggests that an interspecies transmission of sheep scrapie to deer may have 
been the origin of CWD. This is important for husbandry practices with both 
captive deer, elk and sheep for farmers and ranchers attempting to keep their 
herds and flocks free of CWD and scrapie. 
White-tailed Deer are Susceptible to Scrapie by Natural Route of Infection 
snip... 
This work demonstrates for the first time that white-tailed deer are 
susceptible to sheep scrapie by potential natural routes of inoculation. 
In-depth analysis of tissues will be done to determine similarities between 
scrapie in deer after intracranial and oral/intranasal inoculation and chronic 
wasting disease resulting from similar routes of inoculation. 
see full text ; 
Infectivity and abnormal prion protein in tissues from sheep exposed to 
atypical scrapie (ongoing)
Last updated: 22 July 2007
This project will establish distribution of abnormal PrP and infectivity in 
sheep tissues, such as blood, muscle, central nervous system(CNS) and milk. 
Study Duration: July 2007 to June 2013
Contractor: ENVT
Project Code: FS231050 (M03058)
Background
Recently identified atypical scrapie cases in sheep represent an emerging 
TSE of which little is known. Incidence in EU countries seems to vary between 3 
and 11 per 10,000 tested animals. However, because there is probably a lack of 
sensitivity in screening tests towards this particular TSE, this value is likely 
to be an underestimation. There is no consistent information concerning the 
abnormal PrP or infectivity distribution in peripheral tissues of atypical 
cases. This absence of data, combined with the involvement of ARR/ARR (genotype 
most resistant to BSE) animals that were believed to be resistant to TSE, 
represent a major concern with regards to the efficiency of the current food 
protection policy against TSE. 
Research Approach
This project will establish distribution of abnormal PrP using various 
tools including Immunohistochemistry, and infectivity (using transgenic mice 
model) in sheep tissues such as blood, muscle, central nervous system(CNS) and 
milk. The research will give consideration to the fact that atypical cases could 
be either a spontaneous affection from CNS origin or an acquired infectious 
disease resulting from an oral contamination. 
Andréoletti, O., Orge, L., Benestad, S.L., Beringue, V., Litaise, C., 
Simon, S., Le Dur, A., Laude, H., Simmons, H., Lugan, S., Corbière, F., Costes, 
P., Morel, N., Schelcher, F. & Lacroux, C. (2011) Atypical/Nor98 scrapie 
infectivity in sheep peripheral tissues. Published online PLoS Pathogens 7: 
e1001285
Exploring permeability of human species barrier to circulating TSE agent 
(ongoing)
Last updated: 17 March 2007
This research project aims to explore the abilities of a number of 
different TSE isolates including cattle BSE, atypical BSE in cattle, atypical 
scrapie in sheep and chronic wasting disease in deer. It will also examine the 
potential alteration of permeability of human species barrier for prions that 
have adapted to a species other than their natural host, for example 
experimental BSE in sheep. 
Study Duration: March 2007 to February 2013
Contractor: ENVT
Project Code: FS231051 (M03043)
Background
The species barrier has appeared to be efficient for limiting propagation 
of the TSE agent between animal species. One consequence of such a barrier is 
the apparent absence of natural transmission from a number of animal TSE agents 
to humans, however, that statement remains essentially based on epidemiological 
observations. Very little data is available in this field, however, in the case 
of cattle BSE its ability to cross the species barrier has been demonstrated. 
The recent discovery of atypical forms of BSE in cattle as well as atypical 
forms of scrapie in sheep raise the question of their transmissibility to 
humans. 
Research Approach
The research will use Enzyme-Linked ImmunoSorbent Assays and western blot 
techniques to characterisation phenotypic features that are linked to a strain 
of TSE agent. 
Padilla, D., Béringue, V., Espinosa, J.C., Andréoletti, O., Jaumain, E., 
Reine, F., Herzog, L., Gutierrez-Adan, A., Pintado B., Laude H. & Torres 
J.M. (2011) Sheep and goat BSE propagate more efficiently than cattle BSE in 
human PrP transgenic mice. Published online PLoS Pathogens 7: e1001319 Espinosa, 
J.C., Herva, M.E., Andréoletti, O., Padilla, D., Lacroux,C., Cassard, H., 
Lantier, I., Castilla, J. & Torres, J.M. (2009) Transgenic mice expressing 
porcine prion protein resistant to classical scrapie but susceptible to sheep 
bovine spongiform encephalopathy and atypical scrapie. Emerging Infectious 
Diseases, 15, 1214-21 
Occurrence and quantification of CNS contamination on bovine head meat 
after slaughter (ongoing)
Last updated: 12 October 2008
This project aims to asses the risk of CNS contamination of head meat from 
cattle slaughtered in UK abattoirs should a slaughtered animal be infected with 
BSE. 
Study Duration: October 2008 to March 2013
Contractor: Department of clinical veterinary science, University of 
Bristol
Project Code: FS235009 (M03066)
Background
During the slaughter and dressing of bovines, there are several 
conventional practices that disrupt the integrity of the central nervous system, 
(CNS) and have the potential to disseminate it on edible meat. This applies not 
only to carcass meat, but also to head meat, possibly contaminated by brain 
material (which is specified risk material) at, or following, stunning an animal 
with a captive bolt gun. 
Head removal also is an invasive procedure, as the spinal cord is severed, 
and there may be leakage of brain tissue through the foramen magnum. There is no 
information on the prevalence or amount of CNS contamination of head meat from 
cattle slaughtered in UK abattoirs and therefore no basis for an assessment of 
public health risk from these sources should a slaughtered animal be infected 
with BSE. 
There are many factors that have potential to introduce substantial 
variability in the degree of contamination of head meat, including abattoir 
practices and subsequent moving and storage of heads if harvesting meat is 
performed off-line or in separate premises. 
Research Approach A comprehensive evaluation of the contamination of bovine 
heads and head meat by CNS material will be based on current industry practices 
and on a simulation of procedures that would be used if heads were processed at 
cutting plants. 
Contamination will be quantified using CNS marker protein(s) and will be 
measured on head meat after different handling and harvesting methods currently 
used. The effects of bunging the captive bolt shooting hole and the foramen 
magnum (including after brain stem sampling) on contamination of heads will be 
determined. The effects of surface dehydration of heads during storage on the 
detection and amount of CNS material will be measured. Two options to simulate 
loading, within-plant/road transport, and unloading of heads being transferred 
to a cutting plant will be explored. 
A best practice for the procedures involved in shipping heads will be 
identified and contamination levels after transfer will be compared with that on 
heads harvested on-line. 
Results Additional Info Dissemination Published Papers 
Thursday, February 27, 2014 
BEEF, CANCER, PRIONS, AND OTHER DANGEROUS AND DEADLY PATHOGENS, APPARENTLY, 
IT'S WHAT'S FOR DINNER 
Thursday, March 6, 2014 
TEXAS RECALL LIST MASSIVE FROM DEAD STOCK DOWNER CANCER COWS OFFAL from 
Class I Recall 002-2014 and 013-2014 Health Risk: High Jan 13, 2014 and Feb 8, 
2014 shipped to Texas, Florida, and Illinois UPDATE FEBRUARY 14, 2014 
Thursday, March 20, 2014 
JACK IN THE BOX NOW CAUGHT UP IN MASSIVE RANCHO DEAD STOCK DOWNER CANCER 
COW RECALL 
Thursday, June 12, 2014 
Missouri Firm Recalls Ribeye and Carcass Products That May Contain 
Specified Risk Materials 4,012 pounds of fresh beef products because the dorsal 
root ganglia may not have been completely removed 
Saturday, June 14, 2014 
Rep. Rosa DeLauro (D-CT) Calls for Briefing on Beef Recalled for Mad Cow 
Potential Rep. Rosa DeLauro (D-CT) 
Tuesday, August 19, 2014 
Former Rancho Employees Charged With 11 Felonies processed meat from 101 
condemned cattle, including 79 with “cancer eye'' 
Thursday, November 28, 2013 
Department of Justice Former Suppliers of Beef to National School Lunch 
Program Settle Allegations of Improper Practices and Mistreating Cows 
seems USDA NSLP et al thought that it would be alright, to feed our 
children all across the USA, via the NSLP, DEAD STOCK DOWNER COWS, the most high 
risk cattle for mad cow type disease, and other dangerous pathogens, and they 
did this for 4 years, that was documented, then hid what they did by having a 
recall, one of the largest recalls ever, and they made this recall and masked 
the reason for the recall due to animal abuse (I do not condone animal abuse), 
not for the reason of the potential for these animals to have mad cow BSE type 
disease (or other dangerous and deadly pathogens). these TSE prion disease can 
lay dormant for 5, 10, 20 years, or longer, WHO WILL WATCH OUR CHILDREN FOR THE 
NEXT 5 DECADES FOR CJD ??? 
Saturday, September 21, 2013 
Westland/Hallmark: 2008 Beef Recall A Case Study by The Food Industry 
Center January 2010 THE FLIM-FLAM REPORT 
DID YOUR CHILD CONSUME SOME OF THESE DEAD STOCK DOWNER COWS, THE MOST HIGH 
RISK FOR MAD COW DISEASE ??? this recall was not for the welfare of the animals. 
...tss you can check and see here ; (link now dead, does not work...tss) 
try this link ; 
Sunday, November 13, 2011 
*** California BSE mad cow beef recall, QFC, CJD, and dead stock downer 
livestock 
Thursday, February 13, 2014 
HSUS VS USDA ET AL BAN DOWNER CALVES FOR HUMAN CONSUMPTION (*veal) and 
potential BSE risk factor there from 
what’s the big secret about the age and history of this poor gentleman ??? 
MAD COW COVER UP USA, THE EVIDENCE MOUNTS $$$ 
Monday, June 02, 2014 
Confirmed Human BSE aka mad cow Variant CJD vCJD or nvCJD Case in Texas 
*** Infectious agent of sheep scrapie may persist in the environment for at 
least 16 years 
Gudmundur Georgsson1, Sigurdur Sigurdarson2 and Paul Brown3 
New studies on the heat resistance of hamster-adapted scrapie agent: 
Threshold survival after ashing at 600°C suggests an inorganic template of 
replication 
Prion Infected Meat-and-Bone Meal Is Still Infectious after Biodiesel 
Production 
Detection of protease-resistant cervid prion protein in water from a 
CWD-endemic area 
A Quantitative Assessment of the Amount of Prion Diverted to Category 1 
Materials and Wastewater During Processing 
Rapid assessment of bovine spongiform encephalopathy prion inactivation by 
heat treatment in yellow grease produced in the industrial manufacturing process 
of meat and bone meals 
PPo4-4: 
Survival and Limited Spread of TSE Infectivity after Burial 
AD.63: 
Susceptibility of domestic cats to chronic wasting disease 
Amy V.Nalls,1 Candace Mathiason,1 Davis Seelig,2 Susan Kraft,1 Kevin 
Carnes,1 Kelly Anderson,1 Jeanette Hayes-Klug1 and Edward A. Hoover1 1Colorado 
State University; Fort Collins, CO USA; 2University of Minnesota; Saint Paul, MN 
USA 
Domestic and nondomestic cats have been shown to be susceptible to feline 
spongiform encephalopathy (FSE), almost certainly caused by consumption of 
bovine spongiform encephalopathy (BSE)-contaminated meat. Because domestic and 
free-ranging nondomestic felids scavenge cervid carcasses, including those in 
areas affected by chronic wasting disease (CWD), we evaluated the susceptibility 
of the domestic cat (Felis catus) to CWD infection experimentally. Cohorts of 5 
cats each were inoculated either intracerebrally (IC) or orally (PO) with 
CWD-infected deer brain. At 40 and 42 mo post-inoculation, two IC-inoculated 
cats developed signs consistent with prion disease, including a stilted gait, 
weight loss, anorexia, polydipsia, patterned motor behaviors, head and tail 
tremors, and ataxia, and progressed to terminal disease within 5 mo. Brains from 
these two cats were pooled and inoculated into cohorts of cats by IC, PO, and 
intraperitoneal and subcutaneous (IP/SC) routes. Upon subpassage, feline-adapted 
CWD (FelCWD) was transmitted to all IC-inoculated cats with a decreased 
incubation period of 23 to 27 mo. FelCWD was detected in the brains of all the 
symptomatic cats by western blotting and immunohistochemistry and abnormalities 
were seen in magnetic resonance imaging, including multifocal T2 fluid 
attenuated inversion recovery (FLAIR) signal hyper-intensities, ventricular size 
increases, prominent sulci, and white matter tract cavitation. Currently, 3 of 4 
IP/SQ and 2 of 4 PO inoculared cats have developed abnormal behavior patterns 
consistent with the early stage of feline CWD. 
*** These results demonstrate that CWD can be transmitted and adapted to 
the domestic cat, thus raising the issue of potential cervid-to- feline 
transmission in nature. 
www.landesbioscience.com 
PO-081: Chronic wasting disease in the cat— Similarities to feline 
spongiform encephalopathy (FSE) 
FELINE SPONGIFORM ENCEPHALOPATHY FSE 
Chronic Wasting Disease Susceptibility of Four North American Rodents 
Chad J. Johnson1*, Jay R. Schneider2, Christopher J. Johnson2, Natalie A. 
Mickelsen2, Julia A. Langenberg3, Philip N. Bochsler4, Delwyn P. Keane4, Daniel 
J. Barr4, and Dennis M. Heisey2 1University of Wisconsin School of Veterinary 
Medicine, Department of Comparative Biosciences, 1656 Linden Drive, Madison WI 
53706, USA 2US Geological Survey, National Wildlife Health Center, 6006 
Schroeder Road, Madison WI 53711, USA 3Wisconsin Department of Natural 
Resources, 101 South Webster Street, Madison WI 53703, USA 4Wisconsin Veterinary 
Diagnostic Lab, 445 Easterday Lane, Madison WI 53706, USA *Corresponding author 
email: cjohnson@svm.vetmed.wisc.edu 
We intracerebrally challenged four species of native North American rodents 
that inhabit locations undergoing cervid chronic wasting disease (CWD) 
epidemics. The species were: deer mice (Peromyscus maniculatus), white-footed 
mice (P. leucopus), meadow voles (Microtus pennsylvanicus), and red-backed voles 
(Myodes gapperi). The inocula were prepared from the brains of hunter-harvested 
white-tailed deer from Wisconsin that tested positive for CWD. Meadow voles 
proved to be most susceptible, with a median incubation period of 272 days. 
Immunoblotting and immunohistochemistry confirmed the presence of PrPd in the 
brains of all challenged meadow voles. Subsequent passages in meadow voles lead 
to a significant reduction in incubation period. The disease progression in 
red-backed voles, which are very closely related to the European bank vole (M. 
glareolus) which have been demonstrated to be sensitive to a number of TSEs, was 
slower than in meadow voles with a median incubation period of 351 days. We 
sequenced the meadow vole and red-backed vole Prnp genes and found three amino 
acid (AA) differences outside of the signal and GPI anchor sequences. Of these 
differences (T56-, G90S, S170N; read-backed vole:meadow vole), S170N is 
particularly intriguing due its postulated involvement in "rigid loop" structure 
and CWD susceptibility. Deer mice did not exhibit disease signs until nearly 1.5 
years post-inoculation, but appear to be exhibiting a high degree of disease 
penetrance. White-footed mice have an even longer incubation period but are also 
showing high penetrance. Second passage experiments show significant shortening 
of incubation periods. Meadow voles in particular appear to be interesting lab 
models for CWD. These rodents scavenge carrion, and are an important food source 
for many predator species. Furthermore, these rodents enter human and domestic 
livestock food chains by accidental inclusion in grain and forage. Further 
investigation of these species as potential hosts, bridge species, and 
reservoirs of CWD is required. 
please see ; 
UPDATED CORRESPONDENCE FROM AUTHORS OF THIS STUDY I.E. COLBY, PRUSINER ET 
AL, ABOUT MY CONCERNS OF THE DISCREPANCY BETWEEN THEIR FIGURES AND MY FIGURES OF 
THE STUDIES ON CWD TRANSMISSION TO CATTLE ; 
----- Original Message ----- 
From: David Colby To: flounder9@verizon.net 
Cc: stanley@XXXXXXXX 
Sent: Tuesday, March 01, 2011 8:25 AM 
Subject: Re: FW: re-Prions David W. Colby1,* and Stanley B. Prusiner1,2 + 
Author Affiliations 
Dear Terry Singeltary, 
Thank you for your correspondence regarding the review article Stanley 
Prusiner and I recently wrote for Cold Spring Harbor Perspectives. Dr. Prusiner 
asked that I reply to your message due to his busy schedule. We agree that the 
transmission of CWD prions to beef livestock would be a troubling development 
and assessing that risk is important. In our article, we cite a peer-reviewed 
publication reporting confirmed cases of laboratory transmission based on 
stringent criteria. The less stringent criteria for transmission described in 
the abstract you refer to lead to the discrepancy between your numbers and ours 
and thus the interpretation of the transmission rate. We stand by our assessment 
of the literature--namely that the transmission rate of CWD to bovines appears 
relatively low, but we recognize that even a low transmission rate could have 
important implications for public health and we thank you for bringing attention 
to this matter. Warm Regards, David Colby -- David Colby, PhDAssistant Professor 
Department of Chemical Engineering University of Delaware 
===========END...TSS============== 
> First transmission of CWD to transgenic mice over-expressing bovine 
prion protein gene (TgSB3985) 
PRION 2014 - PRIONS: EPIGENETICS and NEURODEGENERATIVE DISEASES – Shaping 
up the future of prion research
Animal TSE Workshop 10.40 – 11.05 Talk Dr. L. Cervenakova First 
transmission of CWD to transgenic mice over-expressing bovine prion protein gene 
(TgSB3985) 
Thursday, November 21, 2013 
*** Assessing the susceptibility of transgenic mice over-expressing deer 
prion protein to bovine spongiform encephalopathy 
The present study was designed to assess the susceptibility of the 
prototypic mouse line, Tg(CerPrP)1536+/- to bovine spongiform encephalopathy 
(BSE) prions, which have the ability to overcome species barriers. 
Tg(CerPrP)1536+/- mice challenged with red deer-adapted BSE resulted in a 
90-100% attack rates, BSE from cattle failed to transmit, indicating agent 
adaptation in the deer. 
P.126: Successful transmission of chronic wasting disease (CWD) into mice 
over-expressing bovine prion protein (TgSB3985) 
Larisa Cervenakova,1 Christina J Sigurdson,2 Pedro Piccardo,3 Oksana 
Yakovleva,1 Irina Vasilyeva,1 Jorge de Castro,1 Paula Saá,1 and Anton Cervenak1 
1American Red Cross, Holland Laboratory; Rockville, MD USA; 2University of 
California; San Diego, CA USA; 3Lab TSE/OBRR /CBER/FDA; Rockville, MD USA 
Keywords: chronic wasting disease, transmission, transgenic mouse, bovine 
prion protein 
Background. CWD is a disease affecting wild and farmraised cervids in North 
America. Epidemiological studies provide no evidence of CWD transmission to 
humans. Multiple attempts have failed to infect transgenic mice expressing human 
PRNP gene with CWD. The extremely low efficiency of PrPCWD to convert normal 
human PrPC in vitro provides additional evidence that transmission of CWD to 
humans cannot be easily achieved. However, a concern about the risk of CWD 
transmission to humans still exists. This study aimed to establish and 
characterize an experimental model of CWD in TgSB3985 mice with the following 
attempt of transmission to TgHu mice. 
Materials and Methods. TgSB3985 mice and wild-type FVB/ NCrl mice were 
intracranially injected with 1% brain homogenate from a CWD-infected Tga20 mouse 
(CWD/Tga20). TgSB3985 and TgRM (over-expressing human PrP) were similarly 
injected with 5% brain homogenates from CWD-infected white-tailed deer (CWD/WTD) 
or elk (CWD/Elk). Animals were observed for clinical signs of neurological 
disease and were euthanized when moribund. Brains and spleens were removed from 
all mice for PrPCWD detection by Western blotting (WB). A histological analysis 
of brains from selected animals was performed: brains were scored for the 
severity of spongiform change, astrogliosis, and PrPCWD deposition in ten brain 
regions. 
Results. Clinical presentation was consistent with TSE. More than 90% of 
TgSB3985 and wild-type mice infected with CWD/Tga20, tested positive for PrPres 
in the brain but only mice in the latter group carried PrPCWD in their spleens. 
We found evidence for co-existence or divergence of two CWD/ Tga20 strains based 
on biochemical and histological profiles. In TgSB3985 mice infected with CWD-elk 
or CWD-WTD, no animals tested positive for PrPCWD in the brain or in the spleen 
by WB. However, on neuropathological examination we found presence of amyloid 
plaques that stained positive for PrPCWD in three CWD/WTD- and two 
CWD/Elk-infected TgSB3985 mice. The neuropathologic profiles in CWD/WTD- and 
CWD/Elkinfected mice were similar but unique as compared to profiles of BSE, 
BSE-H or CWD/Tg20 agents propagated in TgSB3985 mice. None of CWD-infected TgRM 
mice tested positive for PrPCWD by WB or by immunohistochemical detection. 
Conclusions. To our knowledge, this is the first established experimental 
model of CWD in TgSB3985. We found evidence for co-existence or divergence of 
two CWD strains adapted to Tga20 mice and their replication in TgSB3985 mice. 
Finally, we observed phenotypic differences between cervid-derived CWD and 
CWD/Tg20 strains upon propagation in TgSB3985 mice. Further studies are underway 
to characterize these strains. 
P.89: Prions survive long-term burial in soil with some groundwater 
dissemination
Allister JA Smith,1 Karen Fernie,1 Ben Maddison,2 Keith Bishop,2 Kevin 
Gough,3 and Robert A Somerville1 1The Roslin Institute; University of Edinburgh; 
Edinburgh, UK; 2ADAS Biotechnology Group, University of Nottingham; Nottingham, 
UK; 3University of Nottingham; Nottingham, UK
An intrinsic property of prions is their extreme resistance to degradation. 
When they are deposited within the environment, whether from inappropriate 
disposal by man or from fallen diseased livestock, there is the potential to 
further propagate cases of disease for many years. It is evidenced that the 
spread of scrapie in sheep and chronic wasting disease in deer have occurred in 
this manner.
We mimicked such scenarios under large-scale field conditions to determine 
the extent to which TSE infectivity survives or disseminates in soil and soil 
water over five years. The mouse passaged BSE strain, 301V, was used to spike 
buried bovine heads, or was buried as an uncontained bolus in large soil-filled 
lysimeters. Two soils were examined, a free-draining sandy loam and a 
water-retentive clay loam.
Infectivity, determined by bioassay in mice, was recovered from all heads 
exhumed annually for 5 years from both soil types, with little reduction in the 
amount of infectivity over time. Small amounts of infectivity were found in soil 
samples immediately surrounding the heads but not in samples remote from them. 
Commensurate with this there was no evidence of significant lateral movement of 
infectivity from the bolus buried in a large soil mass. However large amounts of 
infectivity were recovered at the original bolus burial site in both soils. 
There was limited vertical upward movement of infectivity from the bolus buried 
in clay and downward movement from the bolus buried in sand perhaps reflecting 
the clay soils propensity to flood.
Throughout the course of the experiment rainwater particulate from several 
lysimeters was trapped on glass-fibre filters. Extracts from these filters were 
subject to serial PMCA (protein misfolding cyclic amplification) which was 
optimised using 301V-spiked samples and blinded controls. All positive and 
negative control samples were correctly determined. We have tested 44 samples 
from rainwater passed through the clay lysimeter filters, and found 9 positive 
samples, mainly from the initial 8 months of the experiment.
We conclude that TSE infectivity is likely to survive burial for long time 
periods with minimal loss of infectivity and limited movement from the original 
burial site. However PMCA results have shown that there is the potential for 
rainwater to elute TSErelated material from soil which could lead to the 
contamination of a wider area. These experiments reinforce the importance of 
risk assessment when disposing of TSE risk materials. 
P.121: Efficient transmission of prion disease through environmental 
contamination
Sandra Pritzkow, Rodrigo Morales, and Claudio Soto Mitchell Center for 
Alzheimer’s disease and related Brain disorders; University of Texas Medical 
School at Houston; Hourston, TX USA
Chronic wasting disease (CWD) is a prion disorder effecting captive and 
free-ranging deer and elk. The efficient propagation suggests that horizontal 
transmission through contaminated environment may play an important role. It has 
been shown that infectious prions enter the environment through saliva, feces, 
urine, blood or placenta tissue from infected animals, as well as by carcasses 
from diseased animals and can stay infectious inside soil over several 
years.
82 Prion Volume 8 Supplement
We hypothesize that environmental components getting in contact with 
infectious prions can also play a role for the horizontal transmission of prion 
diseases. To study this issue, surfaces composed of various environmentally 
relevant materials were exposed to infectious prions and the attachment and 
retention of infectious material was studied in vitro and in vivo. We analyzed 
polypropylene, glass, stainless steel, wood, stone, aluminum, concrete and brass 
surfaces exposed to 263K-infected brain homogenate. For in vitro analyses, the 
material was incubated in serial dilutions of 263K-brain homogenate, washed 
thoroughly and analyzed for the presence of PrPSc by PMCA. The results show that 
even highly diluted PrPSc can bind efficiently to polypropylene, stainless 
steel, glass, wood and stone and propagate the conversion of normal prion 
protein. For in vivo experiments, hamsters were ic injected with implants 
incubated in 1% 263K-infected brain homogenate. Hamsters, inoculated with 
263K-contaminated implants of all groups, developed typical signs of prion 
disease, whereas control animals inoculated with non-contaminated materials did 
not.
In addition, in order to study the transmission in a more natural setting, 
we exposed a group of hamster to habit in the presence of spheres composed of 
various materials that were pretreated with 263K prions. Many of the hamsters 
exposed to these contaminated materials developed typical signs of the disease 
that were confirmed by immunohistological and biochemical analyses.
These findings suggest that various surfaces can efficiently bind 
infectious prions and act as carriers of infectivity, suggesting that diverse 
elements in the environment may play an important role in horizontal prion 
transmission. 
P.138: Phenotypic diversity in meadow vole (Microtus pennsylvanicus) prion 
diseases following challenge with chronic wasting disease isolates
Christopher J Johnson,1 Christina M Carlson,1,2 Jay R Schneider,1 Jamie K 
Wiepz,1 Crystal L Meyerett-Reid,3 Mark D Zabel,3 Joel A Pedersen,2 and Dennis M 
Heisey1 1USGS National Wildlife Health Center; Madison, WI USA; 2University of 
Wisconsin— Madison; Madison, WI USA; 3Colorado State University; Fort Collins, 
CO USA
Chronic wasting disease (CWD), a prion disease of cervids (deer, elk and 
moose), is spreading unchecked through large sections of North America. 
Transmission of CWD among cervids is especially facile and can occur through 
direct animal-toanimal contact and indirectly through contact with prions shed 
from infected animals. The disease transmission threat posed by CWD to other 
wildlife species remains unknown, but other species are inevitably exposed to 
CWD by consumption of infectious materials and through contact with 
environmental CWD contamination. 
In this study, we investigated the transmission and adaptation of various 
white-tailed deer CWD isolates in the meadow vole (Microtus pennsylvanicus), a 
native North American rodent that is sympatric with current CWD epizootics that 
we have previously established is susceptible to CWD. We found that serial 
subpassage of CWD from white-tailed deer homozygous for glycine at position 96 
(96GG) of the prion protein in meadow voles resulted in the selection of a 
single prion strain that was characterized by homogeneity in incubation period, 
abnormal prion protein (PrPTSE) glycoform ratio, lesion profile and PrPTSE 
deposition pattern. In contrast, passage of CWD from heterozygous 96GS genotype 
deer produced four unique disease phenotypes upon first passage. Subpassage of 
these types ultimately resulted in selection of a single strain by third passage 
that was distinct from the 96GG genotype CWD-derived strain.
We also establish that meadow voles are susceptible to CWD via peripheral 
challenge, albeit with lower attack rates and longer incubation periods. 
Interestingly, oral challenge of meadow voles with CWD resulted in subclinical 
infection in primary passage animals, but manifested as clinical prion disease 
upon subpassage. 
Our data establish that meadow voles are permissive to CWD via peripheral 
exposure route, suggesting they could serve as an environmental reservoir for 
CWD. Additionally, our data are consistent with the hypothesis that at least two 
strains of CWD circulate in naturally-infected cervid populations and provide 
evidence that meadow voles are a useful tool for CWD strain typing. 
P.141: Abundant prion shedding in CWD-infected deer revealed by Realtime 
conversion
Edward A Hoover,1 Davin M Henderson,1 Nathaniel D Denkers,1 Candace K 
Mathiason,1 Matteo Manca,2,3 and Byron Caughey2 1Prion Research Center, Colorado 
State University; Fort Collins, CO USA; 2Laboratory of Persistent Viral 
Diseases, NI AID; Hamilton, MT USA; 3Department of Biomedical Sciences, 
University of Cagliari; Monserrato, Italy
Background/Introduction. Chronic wasting disease (CWD) is unique among 
prion diseases in its efficient lateral transmission in nature. While the 
presence of infectious prions in body fluids and excreta of infected cervids has 
been demonstrated by bioassay, the dynamics, magnitude, and consequences of 
prion shedding remain unknown. The present studies were undertaken to determine 
the kinetics, duration, and magnitude of prion shedding in infected white-tailed 
deer.
Materials and Methods. Longitudinal samples were collected from 
white-tailed deer over a 2-year span after either oral (n=11)] aerosol (n = 6) 
CWD exposure. The assay protocol employed phosphotungstic acid precipitation of 
either whole saliva or the pelleted fraction of urine to seed recombinant Syrian 
hamster prion PrP substrate in RT-QuIC reactions. Prion seeding activity was 
assayed in 8 replicates of each sample employing thioflavin T detection in a 
96-well plate-based fluorometer. Prion seeding reaction rate was determined by 
taking the inverse of the time at which samples exceeded a threshold of 5 
standard deviations above the mean fluorescence of negative controls (1/time to 
threshold). Seeding activity was quantitated by comparing the realtime 
conversion reaction rate to a standard curve derived from a reference bioassayed 
brain pool homogenate from deer with terminal CWD.
Results. We analyzed >200 longitudinally collected, blinded, then 
randomized saliva and urine samples from 17 CWDinfected and 3 uninfected 
white-tailed deer. We detected prion shedding as early as 3 months post exposure 
and sustained thereafter throughout the disease course in both aerosol and 
orally exposed deer. The incidence of non-specific false positive results from 
>500 saliva and urine samples from negative control deer was 0.8%. By 
comparing real-time reaction rates for these body fluids to a bioassayed 
serially diluted brain control, we estimated that ≤1 ml of saliva or urine from 
pre-symptomatic infected deer constitutes a lethal infectious prion dose.
Conclusion. CWD prions are shed in saliva and urine of infected deer as 
early as 3 months post infection and throughout the subsequent >1.5 year 
course of infection. In current work we are examining the relationship of 
prionemia to excretion and the impact of excreted prion binding to surfaces and 
particulates in the environment.
Acknowledgments. Support: NIH-RO1-NS-061902; Morris Animal Foundation 
D12ZO-045 
P.154: Urinary shedding of prions in Chronic Wasting Disease infected 
white-tailed deer
Nathaniel D Denkers,1 Davin M Henderson, 1 Candace K Mathiason,1 and Edward 
A Hoover1 1Prion Research Center, Department of Microbiology, Immunology, and 
Pathology, Colorado State University; Fort Collins, CO USA
Background/Introduction. Chronic wasting disease (CWD) is unique among 
prion diseases in its efficient lateral transmission in nature, yet the dynamics 
and magnitude of shedding and its immediate and long term consequences remain 
unknown. The present study was designed to determine the frequency and time span 
in which CWD prions are shed in urine from infected white-tailed deer using 
adapted real-time quaking-induced conversion (RT-QuIC) methodology.
Materials and Methods. Longitudinal urine samples were collected by free 
catch or catheterization over a 2-year period from oral-route infected [CWD+ (n 
= 11)] and aerosol-route-infected [CWD+ (n = 6); CWD- (n = 3)] white-tailed 
deer. High speed centrifugation pelleted material from 500 µl of urine was 
treated with sodium phosphotungstic acid (Na-PTA), resuspended in 0.05% SDS 
buffer, and used as seed in RT-QuIC assays employing recombinant Syrian hamster 
prion PrP substrate. Eight (8) replicates of each sample were run and prion 
seeding activity was recorded as thioflavin T binding fluorescence (480 nm 
emission) using a fluorimeter-shaker. Samples were considered positive if they 
crossed an established threshold (5 standard deviations above the negative mean 
fluorescence).
Results. In our oral-route inoculation studies, prion seeding activity has 
been demonstrated in urine collected at 6 months post-inoculation in 6 of 10 
deer (11 of 80 replicates; 14%), and intermittently at later time points in all 
11 CWD+ exposed deer. Our aerosol-route inoculation studies also showed prion 
seeding activity in urine collected at 6 months post-inoculation in 1 of 2 deer 
(3 of 16 replicates; 19%), and intermittently at later time points in 4 of 6 
CWD+ exposed deer. Urine from sham-inoculated control deer and all baseline 
samples yielded 3 false-positive prion seeding activities (3 of 352 replicates; 
0.8%).
Conclusion. CWD prions (as inferred by prion seeding activity by RT-QuIC) 
are shed in urine of infected deer as early as 6 months post inoculation and 
throughout the subsequent disease course. Further studies are in progress 
refining the real-time urinary prion assay sensitivity and we are examining more 
closely the excretion time frame, magnitude, and sample variables in 
relationship to inoculation route and prionemia in naturally and experimentally 
CWD-infected cervids.
Acknowledgments. Support: NIH: RO1-NS-061902 and Morris Animal Foundation: 
D12ZO-045 
P.158: Structurally and phenotypically different prions in CWD-infected 
white-tailed deer
Martin L Daus, Peter Lasch, and Michael Beekes Robert Koch-Institut; 
Berlin, Germany
Prions can exist as multiple strains within mammals. We could detect, for 
the first time, two distinct chronic wasting disease (CWD) isolates in 
white-tailed deer (WTD). 
WTD had been challenged with CWD from either mule deer (MD) or WTD. 
Brain-derived prions from MD-infected WTD and WTD-infected WTD could be 
distinguished by biochemical, biophysical and biological methods. PK-mediated 
limited proteolysis at different pH-values indicated conformational differences 
between pathological prion proteins (PrPTSE) from MD-infected WTD and 
WTD-infected WTD. More specifically, Fouriertransform infrared microspectroscopy 
revealed secondary structure differences between highly purified PrPTSE extracts 
from MD-infected WTD and WTD-infected WTD. Different sedimentation velocities of 
PrPTSE in gradient centrifugations provided additional evidence for structure 
differences between prions from MD-infected WTD and WTD-infected WTD. Brain 
homogenate from WTD-infected WTD showed a substantially lower seeding activity 
on cellular prion protein (PrPC) of Syrian hamsters in protein misfolding cyclic 
amplification (PMCA) than its conformationally distinct counterpart from 
MD-infected WTD. When hamsters were intracerebrally inoculated with brain tissue 
from MD-infected WTD disease could be transmitted, which was not observed after 
similar inoculation with brain homogenate from WTD-infected WTD. In an ongoing 
macaque-study both CWD-isolates are currently being further tested for their 
transmissibility to primates. 
P.163: Bayesian hierarchical modeling of chronic wasting disease in 
free-ranging white-tailed deer in the eastern U.S.
Tyler S Evans1 and W David Walter2 1Pennsylvania Cooperative Fish and 
Wildlife Research Unit; The Pennsylvania State University; University Park, PA 
USA; 2US Geological Survey; Pennsylvania Cooperative Fish and Wildlife Research 
Unit; The Pennsylvania State University; University Park, PA USA
Introduction. Chronic wasting disease (CWD) is a prion disease that affects 
both free-ranging and captive cervid populations. In the past 45 years, CWD has 
spread from a single region in Colorado to all bordering states, as well as 
Canada, the Midwest and the northeastern United States. In 2005, CWD was 
detected in the eastern U.S. in a free-ranging white-tailed deer (Odocoileus 
virginianus) killed by a vehicle in West Virginia followed by positives from 
Virginia, Maryland, and Pennsylvania. Although considerable information has been 
learned about CWD in wildlife from several areas of the U.S. and Canada, little 
information is available on spatial epidemiology of disease in the eastern 
U.S.
Materials and Methods. In order to develop a CWD surveillance plan for the 
region, we determined covariates and the best scale for analysis by exploring 
habitat use and estimating the mean size of home range for deer in the central 
Appalachian region (6 km2). We conducted Bayesian hierarchical modeling in 
WinBUGS on 24 a priori models using 11,320 free-ranging white-tailed deer (69 
positive, 11,251 negative) that have been tested for CWD since 2005. Testing for 
CWD was conducted using standard protocols on a variety of tissues extracted 
from hunter-harvested deer that included retropharyngeal lymph nodes, tonsil 
lymph nodes, and the medulla oblongata sectioned at the obex.
Results. We found 94% of models weights were accounted for in our top model 
that identified habitats such as developed and open as covariates that increased 
the odds of infection for CWD in this region. Contrary to research in the 
endemic area of Colorado, we did not identify clay soil as a significant 
predictor of disease even though clay soil ranged from 9% to 19% in our study 
samples. Furthermore, contrary to results from the recent expansion of CWD into 
the agricultural Midwestern U.S. (Wisconsin, Illinois), we identified developed 
and open habitats were better predictors of disease occurrence compared to 
forest habitat considered more critical to deer population dynamics in the 
U.S.
Conclusions. Our results suggested that the odds of infection for CWD is 
likely controlled by areas that congregate deer thus increasing direct 
transmission (deer-to-deer interactions) or indirect transmission 
(deer-to-environment) by sharing or depositing infectious prion proteins in 
these preferred habitats. Epidemiology of CWD in the eastern U.S. is likely 
controlled by separate factors than found in the Midwestern and endemic areas 
for CWD and can assist in performing more efficient surveillance efforts for the 
region.
P.178: Longitudinal quantitative analysis of CWD prions shed in saliva of 
deer
Davin M Henderson, Nina Garbino, Nathaniel D Denkers, Amy V Nalls, Candace 
K Mathiason, and Edward A Hoover Prion Research Center, College of Veterinary 
Medicine and Biomedical Sciences, Colorado State University; Fort Collins, CO 
USA
Background/Introduction. Chronic Wasting Disease (CWD) is an emergent 
rapidly spreading fatal prion disease of cervids (deer, elk and moose). CWD has 
now been identified in 22 States (including two new states within the last 
year), 2 Canadian provinces, and South Korea. Shedding of infectious prions in 
excreta (saliva, urine, feces) may be an important factor in CWD transmission. 
Here we apply an adapted version of a rapid in vitro assay [real-time 
quaking-induced conversion (RT-QuIC)] to determine the time of onset, length, 
pattern, and magnitude of prion shedding in saliva of infected deer.
Materials and Methods. The RT-QuIC assay was performed as previously 
described in Henderson et al. PLoS-One (2013). Saliva samples were quantitated 
by comparison to a RT-QuIC reaction rate standard curve of a bioassayed obex 
sample from a terminally ill cervid.
Results. To better understand the onset and length of CWD prion shedding we 
analyzed >150 longitudinally collected, blinded, then randomized saliva 
samples from 17 CWD-infected and 3 uninfected white-tailed deer. We observed 
prion shedding, as detected by the RT-QuIC assay, as early as 3 months from 
inoculation and sustained shedding throughout the disease course in both aerosol 
and orally exposed deer. We estimated the infectious lethal dose of prions shed 
in saliva from infected deer by comparing real-time reaction rates of saliva 
samples to a bioassayed serially diluted brain control. Our results indicate 
that as little as 1 ml of saliva from pre-symptomatic infected deer constitutes 
a lethal CWD prion dose.
Conclusions. During the pre-symptomatic stage of CWD infection and 
throughout the course of disease deer may be shedding multiple LD50 doses per 
day in their saliva. CWD prion shedding through saliva and excreta may account 
for the unprecedented spread of this prion disease in nature.
Acknowledgments. Supported by NIH grant RO1-NS-061902 and grant D12ZO-045 
from the Morris Animal Foundation. 
PRION 2014 CONFERENCE
CHRONIC WASTING DISEASE CWD 
A FEW FINDINGS ; 
Conclusions. To our knowledge, this is the first established experimental 
model of CWD in TgSB3985. We found evidence for co-existence or divergence of 
two CWD strains adapted to Tga20 mice and their replication in TgSB3985 mice. 
Finally, we observed phenotypic differences between cervid-derived CWD and 
CWD/Tg20 strains upon propagation in TgSB3985 mice. Further studies are underway 
to characterize these strains. 
We conclude that TSE infectivity is likely to survive burial for long time 
periods with minimal loss of infectivity and limited movement from the original 
burial site. However PMCA results have shown that there is the potential for 
rainwater to elute TSE related material from soil which could lead to the 
contamination of a wider area. These experiments reinforce the importance of 
risk assessment when disposing of TSE risk materials. 
The results show that even highly diluted PrPSc can bind efficiently to 
polypropylene, stainless steel, glass, wood and stone and propagate the 
conversion of normal prion protein. For in vivo experiments, hamsters were ic 
injected with implants incubated in 1% 263K-infected brain homogenate. Hamsters, 
inoculated with 263K-contaminated implants of all groups, developed typical 
signs of prion disease, whereas control animals inoculated with non-contaminated 
materials did not.
Our data establish that meadow voles are permissive to CWD via peripheral 
exposure route, suggesting they could serve as an environmental reservoir for 
CWD. Additionally, our data are consistent with the hypothesis that at least two 
strains of CWD circulate in naturally-infected cervid populations and provide 
evidence that meadow voles are a useful tool for CWD strain typing. 
Conclusion. CWD prions are shed in saliva and urine of infected deer as 
early as 3 months post infection and throughout the subsequent >1.5 year 
course of infection. In current work we are examining the relationship of 
prionemia to excretion and the impact of excreted prion binding to surfaces and 
particulates in the environment.
Conclusion. CWD prions (as inferred by prion seeding activity by RT-QuIC) 
are shed in urine of infected deer as early as 6 months post inoculation and 
throughout the subsequent disease course. Further studies are in progress 
refining the real-time urinary prion assay sensitivity and we are examining more 
closely the excretion time frame, magnitude, and sample variables in 
relationship to inoculation route and prionemia in naturally and experimentally 
CWD-infected cervids.
Conclusions. Our results suggested that the odds of infection for CWD is 
likely controlled by areas that congregate deer thus increasing direct 
transmission (deer-to-deer interactions) or indirect transmission 
(deer-to-environment) by sharing or depositing infectious prion proteins in 
these preferred habitats. Epidemiology of CWD in the eastern U.S. is likely 
controlled by separate factors than found in the Midwestern and endemic areas 
for CWD and can assist in performing more efficient surveillance efforts for the 
region.
Conclusions. During the pre-symptomatic stage of CWD infection and 
throughout the course of disease deer may be shedding multiple LD50 doses per 
day in their saliva. CWD prion shedding through saliva and excreta may account 
for the unprecedented spread of this prion disease in nature. 
see full text and more ; 
Monday, June 23, 2014 
*** PRION 2014 CONFERENCE CHRONIC WASTING DISEASE CWD 
*** 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. 
First Live Test for Chronic Wasting Disease Last Modified: Jan 30, 2014 
NWRC researchers and partners recently completed their third year of evaluating 
and validating the first live rectal-tissue biopsy method for detecting chronic 
wasting disease (CWD) in captive and wild elk. To date, researchers have 
collected over 1,500 biopsies from captive elk in Colorado and used the 
technique to find 15 elk that were positive for CWD. As compared to proven 
post-mortem diagnostic tests, this live test appears to be nearly as 
accurate.
“The key advantage to the rectal biopsy test is that it can be performed on 
live animals. Until now, there was no practical live test for CWD in elk,” said 
NWRC's Dr. Kurt VerCauteren. “With this technique we can detect CWD in animals 
not showing any signs of the disease and, thus, remove them so they are not left 
to infect other individuals and further contaminate the environment.”
The research is a collaborative effort between APHIS' WS and Veterinary 
Services programs, the Agricultural Research Service, and the Colorado State 
University Veterinary Diagnostic Laboratory within the College of Veterinary 
Medicine and Biomedical Sciences. The majority of the research was conducted on 
the Velvet Ridge Elk Ranch, owned by Dennis and Stephanie White, near Fort 
Collins, Colorado. In 2002, an elk on the ranch was confirmed to have CWD and 
since that time the Whites have worked closely with NWRC and other collaborators 
to learn more about CWD and to develop methods to manage it in captive and wild 
settings.
“The use of this new live test in the initial screening, surveillance and 
monitoring of CWD will greatly aid in the management and control of the disease 
in the wild, as well as in captive settings,” said VerCauteren. More studies are 
needed before the live rectal test can be used on a large scale. For more 
information, please contact nwrc@aphis.usda.gov.
Monday, May 05, 2014 
cwd tse prion testing PMCA , IHC, tonsil, rectal, biopsy ??? 
Thursday, July 03, 2014 
*** How Chronic Wasting Disease is affecting deer population and what’s the 
risk to humans and pets? 
Tuesday, July 01, 2014 
*** CHRONIC WASTING DISEASE CWD TSE PRION DISEASE, GAME FARMS, AND 
POTENTIAL RISK FACTORS THERE FROM 
Wednesday, September 17, 2014 
Cervid Health Business Plan Fiscal Years 2014 to 2018 Animal and Plant 
Health Inspection Service Veterinary Services
what is the BIG SECRET about this recent case of nvCJD in Texas ???
Monday, June 02, 2014 
*** Confirmed Human BSE aka mad cow Variant CJD vCJD or nvCJD Case in Texas 
Tuesday, April 01, 2014 
*** Questions linger in U.S. CJD cases 2005, and still do in 2014 ***
Sunday, March 09, 2014 
A Creutzfeldt-Jakob Disease (CJD) Lookback Study: Assessing the Risk of 
Blood Borne Transmission of Classic Forms of Creutzfeldt-Jakob Disease 
FDA TSEAC CIRCUS AND TRAVELING ROAD SHOW FOR THE TSE PRION DISEASES
Sunday, April 06, 2014 
SPORADIC CJD and the potential for zoonotic transmission there from, either 
directly or indirectly via friendly fire iatrogenic mode, evidence to date
Wednesday, December 11, 2013 
*** Detection of Infectivity in Blood of Persons with Variant and Sporadic 
Creutzfeldt-Jakob Disease ***
Wednesday, September 10, 2014 
Creutzfeldt-Jakob disease (CJD) biannual update (August 2014), with updated 
guidance on decontamination of gastrointestinal endoscopy equipment 
Research and analysis
Tuesday, September 16, 2014 
mad cow scaremongers consumerfreedom.com December 20, 2003 article and a 
2014 review 
tss
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