Public Release: 29-Jun-2016
NIH awards $11 million to UTHealth researchers to study deadly prion 
diseases 
University of Texas Health Science Center at Houston   
HOUSTON (June 29, 2016) - Led by Claudio Soto, Ph.D., researchers from 
McGovern Medical School at The University of Texas Health Science Center at 
Houston (UTHealth) have been awarded $11 million from the National Institute of 
Allergy and Infectious Diseases to study the pathogenesis, transmission and 
detection of prion diseases - such as chronic wasting disease in deer - that can 
potentially spread to humans. 
Prions are the protein-based infectious agents responsible for a group of 
diseases called transmissible spongiform encephalopathies, which includes bovine 
spongiform encephalopathy (mad cow disease) in cattle, scrapie in sheep, variant 
Creutzfeldt-Jakob disease in humans and chronic wasting disease (CWD) in deer, 
elk and moose. All are fatal brain diseases with incubation periods that last 
years or even decades.
"Prion diseases are rare but because of their incurability, lethality and 
potential to spread from animals to humans, we need to better understand them 
from how they replicate to the development of efficient detection methods," said 
Soto, principal investigator and director of The George and Cynthia Mitchell 
Center for Research in Alzheimer's disease and Related Brain Disorders.
"Dr. Soto's groundbreaking research is an outstanding example of our 
ongoing efforts to advance the understanding, detection and treatment of all 
neurological disorders," said Giuseppe N. Colasurdo, M.D., president of UTHealth 
and Alkek-Williams Distinguished Chair. "This grant supports and reinforces the 
work of our exceptional team of scientists."
In previous laboratory research published in the May 2015 issue of Cell 
Report, Soto and a team of researchers including Glenn C. Telling, Ph.D. and 
Edward Hoover, D.V.M., Ph.D. of Colorado State University reported that grass 
plants can bind, uptake and transport infectious prions. The team also found 
that plants can uptake prions from contaminated soil and transport them to 
different parts of the plant, which can act as carriers of infectivity. This 
suggested that plants may play an important role in environmental prion 
contamination and the horizontal transmission of the disease. That research also 
received funding from the NIH.
"Dr Soto's pioneering work on prions and their link to devastating brain 
diseases is receiving national attention," said Barbara J. Stoll, M.D., dean and 
H. Wayne Hightower Distinguished Professor in the Medical Sciences at McGovern 
Medical School. "His impressive funding record from the National Institutes of 
Health is further testimony to Dr Soto's important and innovative work."
The new research focuses on CWD in the laboratory and the environment, 
particularly the route of disease transmission among animals. CWD was first 
diagnosed in mule deer in Colorado in the late 1960s and has spread across the 
country into 20 states, according to the Centers for Disease Control and 
Prevention (CDC), including the counties of El Paso and Hudspeth in Texas. In 
northeastern Colorado and southeastern Wyoming, the disease is endemic.
Soto will explore the zoonotic - the ability to transfer from animal to 
human - potential of CWD and factors that may alter the resistance of humans to 
that transfer. His team at McGovern Medical School will also investigate the 
possibility that prions accumulate in the environment in plants and other 
surfaces where they may concentrate and remain infectious for years.
This project includes some of the most accomplished prion researchers in 
the United States. The team of Hoover and Jason C. Bartz, Ph.D., of Creighton 
University, will look at the role of the interaction between prions and the 
environment, both in preclinical lab studies and in the field in native cervids 
- the class of hoofed animal that includes deer, elk and moose. Telling's group 
will study the molecular mechanisms behind prion replication and factors that 
affect the generation, mutation and evolution of prion strains, as well as the 
barrier that prevents prion diseases from jumping to another species. 
To minimize the risk of exposure to CWD, the CDC recommends that people 
avoid eating meat from deer and elk that look sick or test positive for CWD. 
Hunters who field-dress deer in an affected area should wear gloves and minimize 
handling of the brain and spinal cord tissues. The infectious agents that 
transmit prion diseases are resistant to inactivation by heat and 
chemicals.
Soto, who is on the faculty of The University of Texas Graduate School of 
Biomedical Sciences at Houston, has been investigating prions for two decades. 
His invention of an innovative method for highly efficient prion amplification 
and detection has revolutionized the field and led to the first test to detect 
prions in human biological fluids. His group reported the presence of the prion 
protein in the urine of patients with variant Creutzfeld-Jakob disease in the 
Aug. 7, 2014 edition of the New England Journal of Medicine. The development and 
evaluation of a blood test for humans is supported by a grant from the National 
Institute of Neurological Disorders and Stroke and is under late stages of 
validation for regulatory approval in Europe and the United States. 
###
The latest study is supported by a grant from the National Institute of 
Allergy and Infectious Diseases, part of the National Institutes of Health 
(P01AI077774). The content is solely the responsibility of the authors and does 
not necessarily represent the official views of the National Institutes of 
Health. 
BRAVO! way to go NIH, it’s about damn time, and congratulations to 
Professor Soto ET AL @ UT HEALTH. I am very excited for you. I urge everyone to 
take heed to the iatrogenic aspect of these TSE prion disease. Thank YOU 
ALL!
kindest regards, terry
PRION 2016 TOKYO
Zoonotic Potential of CWD Prions: An Update
Ignazio Cali1, Liuting Qing1, Jue Yuan1, Shenghai Huang2, Diane Kofskey1,3, 
Nicholas Maurer1, Debbie McKenzie4, Jiri Safar1,3,5, Wenquan Zou1,3,5,6, 
Pierluigi Gambetti1, Qingzhong Kong1,5,6
1Department of Pathology, 3National Prion Disease Pathology Surveillance 
Center, 5Department of Neurology, 6National Center for Regenerative Medicine, 
Case Western Reserve University, Cleveland, OH 44106, USA.
4Department of Biological Sciences and Center for Prions and Protein 
Folding Diseases, University of Alberta, Edmonton, Alberta, Canada,
2Encore Health Resources, 1331 Lamar St, Houston, TX 77010
Chronic wasting disease (CWD) is a widespread and highly transmissible 
prion disease in free-ranging and captive cervid species in North America. The 
zoonotic potential of CWD prions is a serious public health concern, but the 
susceptibility of human CNS and peripheral organs to CWD prions remains largely 
unresolved. We reported earlier that peripheral and CNS infections were detected 
in transgenic mice expressing human PrP129M or PrP129V. Here we will present an 
update on this project, including evidence for strain dependence and influence 
of cervid PrP polymorphisms on CWD zoonosis as well as the characteristics of 
experimental human CWD prions.
PRION 2016 TOKYO
In Conjunction with Asia Pacific Prion Symposium 2016
PRION 2016 Tokyo 
Prion 2016
Prion 2016
Purchase options Price * Issue Purchase USD 198.00 
Cervid to human prion transmission 
Kong, Qingzhong 
Case Western Reserve University, Cleveland, OH, United States 
Abstract
Prion disease is transmissible and invariably fatal. Chronic wasting 
disease (CWD) is the prion disease affecting deer, elk and moose, and it is a 
widespread and expanding epidemic affecting 22 US States and 2 Canadian 
provinces so far. CWD poses the most serious zoonotic prion transmission risks 
in North America because of huge venison consumption (>6 million deer/elk 
hunted and consumed annually in the USA alone), significant prion infectivity in 
muscles and other tissues/fluids from CWD-affected cervids, and usually high 
levels of individual exposure to CWD resulting from consumption of the affected 
animal among often just family and friends. However, we still do not know 
whether CWD prions can infect humans in the brain or peripheral tissues or 
whether clinical/asymptomatic CWD zoonosis has already occurred, and we have no 
essays to reliably detect CWD infection in humans. We hypothesize that: 
(1) The classic CWD prion strain can infect humans at low levels in the 
brain and peripheral lymphoid tissues;
(2) The cervid-to-human transmission barrier is dependent on the cervid 
prion strain and influenced by the host (human) prion protein (PrP) primary 
sequence;
(3) Reliable essays can be established to detect CWD infection in 
humans;and 
(4) CWD transmission to humans has already occurred. We will test these 
hypotheses in 4 Aims using transgenic (Tg) mouse models and complementary in 
vitro approaches. 
Aim 1 will prove that the classical CWD strain may infect humans in brain 
or peripheral lymphoid tissues at low levels by conducting systemic bioassays in 
a set of "humanized" Tg mouse lines expressing common human PrP variants using a 
number of CWD isolates at varying doses and routes. Experimental "human CWD" 
samples will also be generated for Aim 3. 
Aim 2 will test the hypothesis that the cervid-to-human prion transmission 
barrier is dependent on prion strain and influenced by the host (human) PrP 
sequence by examining and comparing the transmission efficiency and phenotypes 
of several atypical/unusual CWD isolates/strains as well as a few prion strains 
from other species that have adapted to cervid PrP sequence, utilizing the same 
panel of humanized Tg mouse lines as in Aim 1. 
Aim 3 will establish reliable essays for detection and surveillance of CWD 
infection in humans by examining in details the clinical, pathological, 
biochemical and in vitro seeding properties of existing and future experimental 
"human CWD" samples generated from Aims 1-2 and compare them with those of 
common sporadic human Creutzfeldt-Jakob disease (sCJD) prions. 
Aim 4 will attempt to detect clinical CWD-affected human cases by examining 
a significant number of brain samples from prion-affected human subjects in the 
USA and Canada who have consumed venison from CWD-endemic areas utilizing the 
criteria and essays established in Aim 3. The findings from this proposal will 
greatly advance our understandings on the potential and characteristics of 
cervid prion transmission in humans, establish reliable essays for CWD zoonosis 
and potentially discover the first case(s) of CWD infection in humans.
Public Health Relevance There are significant and increasing human exposure 
to cervid prions because chronic wasting disease (CWD, a widespread and highly 
infectious prion disease among deer and elk in North America) continues 
spreading and consumption of venison remains popular, but our understanding on 
cervid-to-human prion transmission is still very limited, raising public health 
concerns. This proposal aims to define the zoonotic risks of cervid prions and 
set up and apply essays to detect CWD zoonosis using mouse models and in vitro 
methods. The findings will greatly expand our knowledge on the potentials and 
characteristics of cervid prion transmission in humans, establish reliable 
essays for such infections and may discover the first case(s) of CWD infection 
in humans.
Funding Agency Agency National Institute of Health (NIH) 
Institute National Institute of Neurological Disorders and Stroke (NINDS) 
Type Research Project (R01) 
Project # 1R01NS088604-01A1 
Application # 9037884 
Study Section Cellular and Molecular Biology of Neurodegeneration Study 
Section (CMND) 
Program Officer Wong, May 
Project Start 2015-09-30 
Project End 2019-07-31 
Budget Start 2015-09-30 
Budget End 2016-07-31 
Support Year 1 
Fiscal Year 2015 
Total Cost $337,507 
Indirect Cost $118,756
Institution 
Name Case Western Reserve University 
Department Pathology 
Type Schools of Medicine 
DUNS # 077758407
City Cleveland 
State OH 
Country United States 
Zip Code 44106
===========================================================
We hypothesize that: 
(1) The classic CWD prion strain can infect humans at low levels in the 
brain and peripheral lymphoid tissues;
(2) The cervid-to-human transmission barrier is dependent on the cervid 
prion strain and influenced by the host (human) prion protein (PrP) primary 
sequence;
(3) Reliable essays can be established to detect CWD infection in 
humans;and 
(4) *** CWD transmission to humans has already occurred. *** We will test 
these hypotheses in 4 Aims using transgenic (Tg) mouse models and complementary 
in vitro approaches. 
============================================================ 
Key Molecular Mechanisms of TSEs 
Zabel, Mark D. 
Colorado State University-Fort Collins, Fort Collins, CO, United States 
Abstract Prion diseases, or transmissible spongiform encephalopathies (TSEs), 
are fatal neurodegenerative diseases affecting humans, cervids, bovids, and 
ovids. The absolute requirement of PrPC expression to generate prion diseases 
and the lack of instructional nucleic acid define prions as unique infectious 
agents. Prions exhibit species-specific tropism, inferring that unique prion 
strains exist that preferentially infct certain host species and confront 
transmission barriers to heterologous host species. However, transmission 
barriers are not absolute. Scientific consensus agrees that the sheep TSE 
scrapie probably breached the transmission barrier to cattle causing bovine 
spongiform encephalopathy that subsequently breached the human transmission 
barrier and likely caused several hundred deaths by a new-variant form of the 
human TSE Creutzfeldt-Jakob disease in the UK and Europe. The impact to human 
health, emotion and economies can still be felt in areas like farming, blood and 
organ donations and the threat of a latent TSE epidemic. This precedent raises 
the real possibility of other TSEs, like chronic wasting disease of cervids, 
overcoming similar human transmission barriers. A groundbreaking discovery made 
last year revealed that mice infected with heterologous prion strains facing 
significant transmission barriers replicated prions far more readily in spleens 
than brains6. Furthermore, these splenic prions exhibited weakened transmission 
barriers and expanded host ranges compared to neurogenic prions. These data 
question conventional wisdom of avoiding neural tissue to avoid prion 
xenotransmission, when more promiscuous prions may lurk in extraneural tissues. 
Data derived from work previously funded by NIH demonstrate that Complement 
receptors CD21/35 bind prions and high density PrPC and differentially impact 
prion disease depending on the prion isolate or strain used. Recent advances in 
live animal and whole organ imaging have led us to generate preliminary data to 
support novel, innovative approaches to assessing prion capture and transport. 
We plan to test our unifying hypothesis for this proposal that CD21/35 control 
the processes of peripheral prion capture, transport, strain selection and 
xenotransmission in the following specific aims. 1. Assess the role of CD21/35 
in splenic prion strain selection and host range expansion. 2. Determine whether 
CD21/35 and C1q differentially bind distinct prion strains 3. Monitor the 
effects of CD21/35 on prion trafficking in real time and space 4. Assess the 
role of CD21/35 in incunabular prion trafficking
Public Health Relevance Transmissible spongiform encephalopathies, or prion 
diseases, are devastating illnesses that greatly impact public health, 
agriculture and wildlife in North America and around the world. The impact to 
human health, emotion and economies can still be felt in areas like farming, 
blood and organ donations and the threat of a latent TSE epidemic. This 
precedent raises the real possibility of other TSEs, like chronic wasting 
disease (CWD) of cervids, overcoming similar human transmission barriers. Early 
this year Canada reported its first case of BSE in over a decade audits first 
case of CWD in farmed elk in three years, underscoring the need for continued 
vigilance and research. Identifying mechanisms of transmission and zoonoses 
remains an extremely important and intense area of research that will benefit 
human and other animal populations.
Funding Agency Agency National Institute of Health (NIH) 
Institute National Institute of Allergy and Infectious Diseases (NIAID) 
Type High Priority, Short Term Project Award (R56) 
Project # 1R56AI122273-01A1 
Application # 9211114 
Study Section Cellular and Molecular Biology of Neurodegeneration Study 
Section (CMND) 
Program Officer Beisel, Christopher E 
Project Start 2016-02-16 
Project End 2017-01-31 
Budget Start 2016-02-16 
Budget End 2017-01-31 
Support Year 1 
Fiscal Year 2016 
Total Cost 
Indirect Cost Institution Name Colorado State University-Fort Collins 
Department Microbiology/Immun/Virology 
Type Schools of Veterinary Medicine 
DUNS # 785979618 City Fort Collins 
State CO 
Country United States 
Zip Code 80523 
PMCA Detection of CWD Infection in Cervid and Non-Cervid Species 
Hoover, Edward Arthur 
Colorado State University-Fort Collins, Fort Collins, CO, United States 
Abstract Chronic wasting disease (CWD) of deer and elk is an emerging highly 
transmissible prion disease now recognized in 18 States, 2 Canadian provinces, 
and Korea. We have shown that Infected deer harbor and shed high levels of 
infectious prions in saliva, blood, urine, and feces, and in the tissues 
generating those body fluids and excreta, thereby leading to facile transmission 
by direct contact and environmental contamination. We have also shown that CWD 
can infect some non-cervid species, thus the potential risk CWD represents to 
domestic animal species and to humans remains unknown. Whether prions borne in 
blood, saliva, nasal fluids, milk, or excreta are generated or modified in the 
proximate peripheral tissue sites, may differ in subtle ways from those 
generated in brain, or may be adapted for mucosal infection remain open 
questions. The increasing parallels in the pathogenesis between prion diseases 
and human neurodegenerative conditions, such as Alzheimer's and Parkinson's 
diseases, add relevance to CWD as a transmissible protein misfolding disease. 
The overall goal of this work is to elucidate the process of CWD prion 
transmission from mucosal secretory and excretory tissue sites by addressing 
these questions: (a) What are the kinetics and magnitude of CWD prion shedding 
post-exposure? (b) Are excreted prions biochemically distinct, or not, from 
those in the CNS? (c) Are peripheral epithelial or CNS tissues, or both, the 
source of excreted prions? and (d) Are excreted prions adapted for horizontal 
transmission via natural/trans-mucosal routes? The specific aims of this 
proposal are: (1) To determine the onset and consistency of CWD prion shedding 
in deer and cervidized mice; (2); To compare the biochemical and biophysical 
properties of excretory vs. CNS prions; (3) To determine the capacity of 
peripheral tissues to support replication of CWD prions; (4) To determine the 
protease- sensitive infectious fraction of excreted vs. CNS prions; and (5) To 
compare the mucosal infectivity of excretory vs. CNS prions. Understanding the 
mechanisms that enable efficient prion dissemination and shedding will help 
elucidate how horizontally transmissible prions evolve and succeed, and is the 
basis of this proposal. Understanding how infectious misfolded proteins (prions) 
are generated, trafficked, shed, and transmitted will aid in preventing, 
treating, and managing the risks associated with these agents and the diseases 
they cause.
Public Health Relevance Chronic wasting disease (CWD) of deer and elk is an 
emergent highly transmissible prion disease now recognized throughout the USA as 
well as in Canada and Korea. We have shown that infected deer harbor and shed 
high levels of infectious prions in saliva, blood, urine, and feces thereby 
leading to transmission by direct contact and environmental contamination. In 
that our studies have also shown that CWD can infect some non-cervid species, 
the potential risk CWD may represents to domestic animal species and humans 
remains unknown. The increasing parallels in the development of major human 
neurodegenerative conditions, such as Alzheimer's and Parkinson's diseases, and 
prion diseases add relevance to CWD as a model of a transmissible protein 
misfolding disease. Understanding how infectious misfolded proteins (prions) are 
generated and transmitted will aid in interrupting, treating, and managing the 
risks associated with these agents and the diseases they cause.
Funding Agency Agency National Institute of Health (NIH) 
Institute National Institute of Neurological Disorders and Stroke (NINDS) 
Type Research Project (R01) 
Project # 4R01NS061902-07 
Application # 9010980 
Study Section Cellular and Molecular Biology of Neurodegeneration Study 
Section (CMND) 
Program Officer Wong, May Project Start 2009-09-30 
Project End 2018-02-28 
Budget Start 2016-03-01 
Budget End 2017-02-28 
Support Year 7 
Fiscal Year 2016 
Total Cost $409,868 
Indirect Cost $134,234 Institution Name Colorado State University-Fort 
Collins 
Department Microbiology/Immun/Virology 
Type Schools of Veterinary Medicine 
DUNS # 785979618 City Fort Collins 
State CO 
Country United States 
Zip Code 80523 
LOOKING FOR CWD IN HUMANS AS nvCJD or as an ATYPICAL CJD, LOOKING IN ALL 
THE WRONG PLACES $$$ 
*** These results would seem to suggest that CWD does indeed have zoonotic 
potential, at least as judged by the compatibility of CWD prions and their human 
PrPC target. Furthermore, extrapolation from this simple in vitro assay suggests 
that if zoonotic CWD occurred, it would most likely effect those of the PRNP 
codon 129-MM genotype and that the PrPres type would be similar to that found in 
the most common subtype of sCJD (MM1).*** 
PRION 2015 CONFERENCE FT. COLLINS CWD RISK FACTORS TO HUMANS 
*** LATE-BREAKING ABSTRACTS PRION 2015 CONFERENCE *** 
O18 
Zoonotic Potential of CWD Prions 
Liuting Qing1, Ignazio Cali1,2, Jue Yuan1, Shenghai Huang3, Diane Kofskey1, 
Pierluigi Gambetti1, Wenquan Zou1, Qingzhong Kong1 1Case Western Reserve 
University, Cleveland, Ohio, USA, 2Second University of Naples, Naples, Italy, 
3Encore Health Resources, Houston, Texas, USA 
*** These results indicate that the CWD prion has the potential to infect 
human CNS and peripheral lymphoid tissues and that there might be asymptomatic 
human carriers of CWD infection. 
================== 
***These results indicate that the CWD prion has the potential to infect 
human CNS and peripheral lymphoid tissues and that there might be asymptomatic 
human carriers of CWD infection.*** 
================== 
P.105: RT-QuIC models trans-species prion transmission 
Kristen Davenport, Davin Henderson, Candace Mathiason, and Edward Hoover 
Prion Research Center; Colorado State University; Fort Collins, CO USA 
Conversely, FSE maintained sufficient BSE characteristics to more 
efficiently convert bovine rPrP than feline rPrP. Additionally, human rPrP was 
competent for conversion by CWD and fCWD. 
***This insinuates that, at the level of protein:protein interactions, the 
barrier preventing transmission of CWD to humans is less robust than previously 
estimated. 
================ 
***This insinuates that, at the level of protein:protein interactions, the 
barrier preventing transmission of CWD to humans is less robust than previously 
estimated.*** 
================ 
*** PRICE OF CWD TSE PRION POKER GOES UP 2014 *** 
Transmissible Spongiform Encephalopathy TSE PRION update January 2, 2014 
*** chronic wasting disease, there was no absolute barrier to conversion of 
the human prion protein. 
*** Furthermore, the form of human PrPres produced in this in vitro assay 
when seeded with CWD, resembles that found in the most common human prion 
disease, namely sCJD of the MM1 subtype. 
*** These results would seem to suggest that CWD does indeed have zoonotic 
potential, at least as judged by the compatibility of CWD prions and their human 
PrPC target. Furthermore, extrapolation from this simple in vitro assay suggests 
that if zoonotic CWD occurred, it would most likely effect those of the PRNP 
codon 129-MM genotype and that the PrPres type would be similar to that found in 
the most common subtype of sCJD (MM1).*** 
*** 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. 
***********CJD REPORT 1994 increased risk for consumption of veal and 
venison and lamb*********** 
CREUTZFELDT JAKOB DISEASE SURVEILLANCE IN THE UNITED KINGDOM THIRD ANNUAL 
REPORT AUGUST 1994 
Consumption of venison and veal was much less widespread among both cases 
and controls. For both of these meats there was evidence of a trend with 
increasing frequency of consumption being associated with increasing risk of 
CJD. (not nvCJD, but sporadic CJD...tss) 
These associations were largely unchanged when attention was restricted to 
pairs with data obtained from relatives. ... 
Table 9 presents the results of an analysis of these data. 
There is STRONG evidence of an association between ‘’regular’’ veal eating 
and risk of CJD (p = .0.01). 
Individuals reported to eat veal on average at least once a year appear to 
be at 13 TIMES THE RISK of individuals who have never eaten veal. 
There is, however, a very wide confidence interval around this estimate. 
There is no strong evidence that eating veal less than once per year is 
associated with increased risk of CJD (p = 0.51). 
The association between venison eating and risk of CJD shows similar 
pattern, with regular venison eating associated with a 9 FOLD INCREASE IN RISK 
OF CJD (p = 0.04). 
There is some evidence that risk of CJD INCREASES WITH INCREASING FREQUENCY 
OF LAMB EATING (p = 0.02). 
The evidence for such an association between beef eating and CJD is weaker 
(p = 0.14). When only controls for whom a relative was interviewed are included, 
this evidence becomes a little STRONGER (p = 0.08). 
snip... 
It was found that when veal was included in the model with another 
exposure, the association between veal and CJD remained statistically 
significant (p = < 0.05 for all exposures), while the other exposures ceased 
to be statistically significant (p = > 0.05). 
snip... 
In conclusion, an analysis of dietary histories revealed statistical 
associations between various meats/animal products and INCREASED RISK OF CJD. 
When some account was taken of possible confounding, the association between 
VEAL EATING AND RISK OF CJD EMERGED AS THE STRONGEST OF THESE ASSOCIATIONS 
STATISTICALLY. ... 
snip... 
In the study in the USA, a range of foodstuffs were associated with an 
increased risk of CJD, including liver consumption which was associated with an 
apparent SIX-FOLD INCREASE IN THE RISK OF CJD. By comparing the data from 3 
studies in relation to this particular dietary factor, the risk of liver 
consumption became non-significant with an odds ratio of 1.2 (PERSONAL 
COMMUNICATION, PROFESSOR A. HOFMAN. ERASMUS UNIVERSITY, ROTTERDAM). (???...TSS) 
snip...see full report ; 
CJD9/10022 
October 1994 
Mr R.N. Elmhirst Chairman British Deer Farmers Association Holly Lodge 
Spencers Lane BerksWell Coventry CV7 7BZ 
Dear Mr Elmhirst, 
CREUTZFELDT-JAKOB DISEASE (CJD) SURVEILLANCE UNIT REPORT 
Thank you for your recent letter concerning the publication of the third 
annual report from the CJD Surveillance Unit. I am sorry that you are 
dissatisfied with the way in which this report was published. 
The Surveillance Unit is a completely independant outside body and the 
Department of Health is committed to publishing their reports as soon as they 
become available. In the circumstances it is not the practice to circulate the 
report for comment since the findings of the report would not be amended. In 
future we can ensure that the British Deer Farmers Association receives a copy 
of the report in advance of publication. 
The Chief Medical Officer has undertaken to keep the public fully informed 
of the results of any research in respect of CJD. This report was entirely the 
work of the unit and was produced completely independantly of the the 
Department. 
The statistical results reqarding the consumption of venison was put into 
perspective in the body of the report and was not mentioned at all in the press 
release. Media attention regarding this report was low key but gave a realistic 
presentation of the statistical findings of the Unit. This approach to 
publication was successful in that consumption of venison was highlighted only 
once by the media ie. in the News at one television proqramme. 
I believe that a further statement about the report, or indeed statistical 
links between CJD and consumption of venison, would increase, and quite possibly 
give damaging credence, to the whole issue. From the low key media reports of 
which I am aware it seems unlikely that venison consumption will suffer 
adversely, if at all. 
http://web.archive.org/web/20030511010117/http://www.bseinquiry.gov.uk/files/yb/1994/10/00003001.pdf 
Monday, May 02, 2016 
*** Zoonotic Potential of CWD Prions: An Update Prion 2016 Tokyo ***
Wednesday, May 25, 2016 
USDA APHIS National Scrapie TSE Prion Eradication Program April 2016 
Monthly Report Prion 2016 Tokyo Update
***Moreover, sporadic disease has never been observed in breeding colonies 
or primate research laboratories, most notably among hundreds of animals over 
several decades of study at the National Institutes of Health25, and in nearly 
twenty older animals continuously housed in our own facility.*** 
now, let’s see what the authors said about this casual link, personal 
communications years ago, and then the latest on the zoonotic potential from CWD 
to humans from the TOKYO PRION 2016 CONFERENCE.
see where it is stated NO STRONG evidence. so, does this mean there IS 
casual evidence ???? “Our conclusion stating that we found no strong evidence of 
CWD transmission to humans” 
From: TSS (216-119-163-189.ipset45.wt.net) 
Subject: CWD aka MAD DEER/ELK TO HUMANS ??? 
Date: September 30, 2002 at 7:06 am PST 
From: "Belay, Ermias" 
To: Cc: "Race, Richard (NIH)" ; ; "Belay, Ermias" 
Sent: Monday, September 30, 2002 9:22 AM 
Subject: RE: TO CDC AND NIH - PUB MED- 3 MORE DEATHS - CWD - YOUNG HUNTERS 
Dear Sir/Madam, 
In the Archives of Neurology you quoted (the abstract of which was attached 
to your email), we did not say CWD in humans will present like variant CJD. That 
assumption would be wrong. I encourage you to read the whole article and call me 
if you have questions or need more clarification (phone: 404-639-3091). Also, we 
do not claim that "no-one has ever been infected with prion disease from eating 
venison." Our conclusion stating that we found no strong evidence of CWD 
transmission to humans in the article you quoted or in any other forum is 
limited to the patients we investigated. 
Ermias Belay, M.D. Centers for Disease Control and Prevention 
-----Original Message----- 
From: Sent: Sunday, September 29, 2002 10:15 AM 
To: rr26k@nih.gov; rrace@niaid.nih.gov; ebb8@CDC.GOV 
Subject: TO CDC AND NIH - PUB MED- 3 MORE DEATHS - CWD - YOUNG HUNTERS 
Sunday, November 10, 2002 6:26 PM ......snip........end..............TSS 
Thursday, April 03, 2008 
A prion disease of cervids: Chronic wasting disease 2008 1: Vet Res. 2008 
Apr 3;39(4):41 A prion disease of cervids: Chronic wasting disease Sigurdson CJ. 
snip... 
*** twenty-seven CJD patients who regularly consumed venison were reported 
to the Surveillance Center***, 
snip... full text ; 
I urge everyone to watch this video closely...terry 
*** you can see video here and interview with Jeff's Mom, and scientist 
telling you to test everything and potential risk factors for humans *** 
now, before getting into the latest sound science on the potential 
transmission of CWD TSE Prion to humans, and the likelihood therefrom, IF it has 
not already happened. I assure you that the FDA did not recall all this Elk 
Tenderloin that was confirmed to have had CWD, the FDA did not recall all this 
meat, FOR THE HEALTH OF THE DEAD CWD INFECTED ELK, recalled right here in 
Texas...
Exotic Meats USA Announces Urgent Statewide Recall of Elk Tenderloin 
Because It May Contain Meat Derived From An Elk Confirmed To Have Chronic 
Wasting Disease 
Contact: Exotic Meats USA 1-800-680-4375
FOR IMMEDIATE RELEASE -- February 9, 2009 -- Exotic Meats USA of San 
Antonio, TX is initiating a voluntary recall of Elk Tenderloin because it may 
contain meat derived from an elk confirmed to have Chronic Wasting Disease 
(CWD). The meat with production dates of December 29, 30 and 31, 2008 was 
purchased from Sierra Meat Company in Reno, NV. The infected elk came from Elk 
Farm LLC in Pine Island, MN and was among animals slaughtered and processed at 
USDA facility Noah’s Ark Processors LLC.
Chronic Wasting Disease (CWD) is a fatal brain and nervous system disease 
found in elk and deer. The disease is caused by an abnormally shaped protein 
called a prion, which can damage the brain and nerves of animals in the deer 
family. Currently, it is believed that the prion responsible for causing CWD in 
deer and elk is not capable of infecting humans who eat deer or elk contaminated 
with the prion, but the observation of animal-to-human transmission of other 
prion-mediated diseases, such as bovine spongiform encephalopathy (BSE), has 
raised a theoretical concern regarding the transmission of CWD from deer or elk 
to humans. At the present time, FDA believes the risk of becoming ill from 
eating CWD-positive elk or deer meat is remote. However, FDA strongly advises 
consumers to return the product to the place of purchase, rather than disposing 
of it themselves, due to environmental concerns.
Exotic Meats USA purchased 1 case of Elk Tenderloins weighing 16.9 lbs. The 
Elk Tenderloin was sold from January 16 – 27, 2009. The Elk Tenderloins was 
packaged in individual vacuum packs weighing approximately 3 pounds each. A 
total of six packs of the Elk Tenderloins were sold to the public at the Exotic 
Meats USA retail store. Consumers who still have the Elk Tenderloins should 
return the product to Exotic Meats USA at 1003 NE Loop 410, San Antonio, TX 
78209. Customers with concerns or questions about the Voluntary Elk Recall can 
call 1-800-680-4375. The safety of our customer has always been and always will 
be our number one priority.
Exotic Meats USA requests that for those customers who have products with 
the production dates in question, do not consume or sell them and return them to 
the point of purchase. Customers should return the product to the vendor. The 
vendor should return it to the distributor and the distributor should work with 
the state to decide upon how best to dispose. If the consumer is disposing of 
the product he/she should consult with the local state EPA office.
# 
Envt.07: 
Pathological Prion Protein (PrPTSE) in Skeletal Muscles of Farmed and Free 
Ranging White-Tailed Deer Infected with Chronic Wasting Disease 
***The presence and seeding activity of PrPTSE in skeletal muscle from 
CWD-infected cervids suggests prevention of such tissue in the human diet as a 
precautionary measure for food safety, pending on further clarification of 
whether CWD may be transmissible to humans. 
Prions in Skeletal Muscles of Deer with Chronic Wasting Disease Rachel C. 
Angers1,*, Shawn R. Browning1,*,†, Tanya S. Seward2, Christina J. Sigurdson4,‡, 
Michael W. Miller5, Edward A. Hoover4, Glenn C. Telling1,2,3,§ snip... 
Abstract The emergence of chronic wasting disease (CWD) in deer and elk in 
an increasingly wide geographic area, as well as the interspecies transmission 
of bovine spongiform encephalopathy to humans in the form of variant Creutzfeldt 
Jakob disease, have raised concerns about the zoonotic potential of CWD. Because 
meat consumption is the most likely means of exposure, it is important to 
determine whether skeletal muscle of diseased cervids contains prion 
infectivity. Here bioassays in transgenic mice expressing cervid prion protein 
revealed the presence of infectious prions in skeletal muscles of CWD-infected 
deer, demonstrating that humans consuming or handling meat from CWD-infected 
deer are at risk to prion exposure. 
News Release Media Contact: TPWD News, news@tpwd.texas.gov, 
512-389-8030
June 20, 2016 
TPW Commission Adopts Amended Deer Movement Rules
AUSTIN – After extensive public testimony, the Texas Parks and Wildlife 
Commission Monday approved an amended set of regulations for artificial movement 
of deer by permit as part of the state’s chronic wasting disease (CWD) 
management plan.
Adopted provisions are the result of extensive collaboration between the 
Texas Parks and Wildlife Department (TPWD), Texas Animal Health Commission 
(TAHC), the deer breeding community and landowners to address concerns over the 
future of permitted unnatural deer movement qualifications following the 
discovery of CWD in 2015, while providing continued protection against the fatal 
neurological disease for Texas’ 4 million free-ranging and captive deer.
“This is bigger than the interests of one group and it’s not about choosing 
winners or losers,” said Texas Parks and Wildlife Commission Chairman T. Dan 
Friedkin. “The fundamental issue is how best to protect our state’s deer herds 
from a deadly disease. The overwhelming amount of interest this issue has 
generated illustrates just how passionate Texans are about deer and our deer 
hunting heritage. The actions taken by the commission today are the result of 
extensive deliberation with input from all stakeholders, and I applaud the many 
individuals and groups from all over the state who took the time and effort to 
remain engaged in the process until the end.”
Among the provisions adopted by the commission include a suite of options 
to attain artificial deer movement qualified status through a multilevel system 
of ante-mortem (“live”) and post-mortem deer testing for CWD. Key changes to the 
rules include: 
•Establishing a minimum level of post-mortem testing in deer breeding 
facilities at 80 percent 
•Providing an opportunity for all captive deer breeders to test-up to 
Transfer Category 1 (TC1) status through 50 percent ante-mortem testing of their 
entire herd (a proposed May 15, 2017, testing deadline was eliminated from the 
rules) and breeders may choose their preferred ante-mortem testing means 
(rectal, lymph nodes, tonsillar etc.). 
•Clarification that the 5-year, 80 percent eligible mortality testing 
requirement to realize TC1 status may be obtained through testing a 5-year 
average of annual mortalities and deer breeders may use a 3:1 ratio to 
substitute live tests for post-mortem tests to meet required testing thresholds. 
•Property owners may request to expand release sites, provided release site 
requirements apply to the expanded acreage. 
•Elimination of testing requirements on Trap, Transfer and Transplant 
(Triple T) release sites.
Details of CWD rule changes affecting specific artificial deer movement 
permits are available online at www.tpwd.texas.gov/cwd/.
The rules take effect upon completion of programming modifications to the 
Texas Wildlife Information Management System (TWIMS), but no later than Aug. 15, 
2016, and apply to the movement of deer under TPWD permits, including Triple T, 
DMP (deer management permit), TTP (trap, transport and process) and deer 
breeder.
2016-06-20 
Thursday, June 23, 2016 
TEXAS A&M AGRILIFE EXTENSION A Guide to Chronic Wasting Disease (CWD) 
in Texas Cervids 
Texas Parks & Wildlife tightens rules on deer breeders
By Tim Eaton - American-Statesman Staff 
Posted: 1:36 p.m. Monday, June 20, 2016 
Highlights 
Commission vote came after months of talks. 
Deer breeders walk out of Texas Parks & Wildlife Commission hearing 
Anti-breeding forces want to see strict regulations to protect wild deer 
from chronic wasting disease. 
The Texas Parks and Wildlife Commission adopted new rules Monday to combat 
a disease found in deer, but the new rules could put a strain on many of the 
state’s 1,300 deer breeding businesses.
The commission’s vote came after months of discussions with interested 
groups, including breeders, ranch owners who sell hunting leases, environmental 
groups and livestock organizations. 
snip...
Deer breeding opponent Jenny Sanders, who is executive director of Texans 
for Saving our Hunting Heritage, called the commission vote a win.
Sanders, who also has served a manager on the 11,300-acre Temple Ranch near 
Freer in South Texas, said chronic wasting disease as a major threat to 
white-tailed deer in Texas and to the multibillion-dollar hunting industry. The 
state had the responsibility to protect the state’s 4 million white-tailed deer, 
she said.
Not everyone agreed with Sanders and the commissioners. 
snip...
Hugo Berlanga, a former member of the Texas House from Corpus Christi and 
owner of a deer breeding business, said the breeding industry in Texas is 
already on “life support.” The new regulations will come with high costs and 
will force some breeding operations of out business, he said.
“They have done so much damage to breeders,” he said.
Berlanga said the process was rigged to the benefit of large ranch owners 
who fear competition from smaller businesses that are often close to metro 
areas.
“It’s a bunch of elitists. I can’t explain it any simpler than that,” said 
Berlanga, a board member of the Texas Deer Association.
Sanders, whose group’s members include some representatives from major 
Texas ranches, has rejected the notion that the breeder fight is about large 
ranch owners trying to eliminate competition from breeders.
Rather, she said in a recent op-ed published in the San Antonio Express 
News, that “a small group of deer breeders” has “embarked on an effort to 
undermine” the efforts of the Texas Parks and Wildlife Department.
Josh Havens, a spokesman for the Texas Parks and Wildlife Department, said 
the commission has heard testimony from a number of individuals who either 
represent themselves, organizations and landowners.
“(T)his is a public resource issue, and the commission will make their 
decision based on science and what is in the best interest of the states 
wildlife and hunting heritage,” Havens wrote in a text message.
Berry, the South Texas breeder, said his and other breeders’ fight won’t 
end with the commission vote.
An already-filed lawsuit is going to be part of the answer, he said.
“That’s going to be the next step before the Legislature,” he said. 
>>> “(T)his is a public resource issue, and the commission will 
make their decision based on science and what is in the best interest of the 
states wildlife and hunting heritage,” Havens wrote in a text 
message.<<< 
Bravo!...tss 
Deer Breeders Hint At Suing State Over New Chronic Wasting Regulations 
By Ryan Poppe • 2 hours ago 
snip...
“Under the emergency rules breeders tested about 11-thousand animals, these 
rules could potentially have the effect of testing 50-plus thousand animals, 
that’s an increase of about five-times the amount of testing," Tarleton 
explains.
Tarleton says deer breeders and captive deer ranchers are ready to take 
their fight against the regulations to the courtroom.
Carter Smith is the executive director of the Texas Parks and Wildlife 
Department. He says the new rules are in place to make sure the disease does not 
spread across both the wild and captive deer population.
“The debate is not about low-fence vs. high-fence or breeders vs. 
anti-breeders, it’s how do we help try to detect and contain a disease that 
affects the entirety of our state’s 4-million deer," Smith explains.
Smith says last month the agency found a mule deer in the Texas Panhandle 
that had died from chronic wasting disease in the wild. So far Parks and 
Wildlife officials have not detected transmission of the disease among the 
state’s whitetail deer population. 
>>>“The debate is not about low-fence vs. high-fence or breeders 
vs. anti-breeders, it’s how do we help try to detect and contain a disease that 
affects the entirety of our state’s 4-million deer," Smith 
explains.<<<
Bravo!...tss 
*** Scrapie Field Trial Experiments Mission, Texas, The Moore Air Force 
Base Scrapie Experiment 1964 ***
*** How Did CWD Get Way Down In Medina County, Texas? 
Confucius ponders...
Could the Scrapie experiments back around 1964 at Moore Air Force near 
Mission, Texas, could this area have been ground zero for CWD TSE Prion (besides 
the CWD cases that have waltzed across the Texas, New Mexico border near WSMR 
Trans Pecos region since around 2001)?
Epidemiology of Scrapie in the United States 1977 
snip...
Scrapie Field Trial Experiments Mission, Texas
A Scrapie Field Trial was developed at Mission, Texas, to provide 
additional information for the eradication program on the epidemiology of 
natural scrapie. The Mission Field Trial Station is located on 450 acres of 
pastureland, part of the former Moore Air Force Base, near Mission, Texas. It 
was designed to bring previously exposed, and later also unexposed, sheep or 
goats to the Station and maintain and breed them under close observation for 
extended periods to determine which animals would develop scrapie and define 
more closely the natural spread and other epidemiological aspects of the 
disease.
The 547 previously exposed sheep brought to the Mission Station beginning 
in 1964 were of the Cheviot, Hampshire, Montadale, or Suffolk breeds. They were 
purchased as field outbreaks occurred, and represented 21 bloodlines in which 
scrapie had been diagnosed. Upon arrival at the Station, the sheep were 
maintained on pasture, with supplemental feeding as necessary. The station was 
divided into 2 areas: (1) a series of pastures and-pens occupied by male animals 
only, and (2) a series of pastures and pens occupied by females and young 
progeny of both sexes. ...
snip...see full text ;
Mission, Texas Scrapie transmission to cattle study
Wilbur Clarke (reference the Mission, Texas scrapie transmission 
transmission to cattle study) is now the State Veterinarian for Montana based at 
Helena.
I was given confidential access to sections from the Clarke scrapie-cattle 
transmission experiment. Details of the experimental design were as supplied 
previously by Dr. Wrathall (copy of relevant information appended). Only 3 
animals (2 inoculated with 2nd pass Suffolk scrapie and 1 inoculated with Angora 
goat passaged scrapie) showed clinical signs. Clinical signs were characterised 
by weakness, ''a stilted hindlimb gait'', disorientation, ataxia and, 
terminally, lateral recumbency. The two cattle from which I examined material 
were inocluated at 8 months of age and developed signs 36 months pi (goat 
scrapie inoculum) and 49 months pi (one of the Suffolk scrapie inoculated) 
respectively. This latter animal was killed at 58 months of age and so the 
clinical duration was only 1 month. The neuropathology was somewhat different 
from BSE or the Stetsonville TME in cattle. Vacuolar changes were minimal, to 
the extent that detection REQUIRED CAREFUL SEARCHING. Conversely astrocyte 
hypertrophy was a widespread and prominent feature. The material requires 
DETAILED NEUROPATHOLOGICAL ASSESSMENT BUT WHETHER OR NOT THIS WILL BE DONE 
REMAINS A QUESTION.
Transmission Studies
Mule deer transmissions of CWD were by intracerebral inoculation and 
compared with natural cases {the following was written but with a single line 
marked through it ''first passage (by this route)}...TSS
resulted in a more rapidly progressive clinical disease with repeated 
episodes of synocopy ending in coma. One control animal became affected, it is 
believed through contamination of inoculum (?saline). Further CWD transmissions 
were carried out by Dick Marsh into ferret, mink and squirrel monkey. 
Transmission occurred in ALL of these species with the shortest incubation 
period in the ferret.
snip...
Spongiform Encephalopathy in Captive Wild ZOO BSE INQUIRY
Tuesday, April 19, 2016 
Docket No. FDA-2013-N-0764 for Animal Feed Regulatory Program Standards 
Singeltary Comment Submission 
Thursday, June 09, 2016 
Scrapie Field Trial Experiments Mission, Texas, The Moore Air Force Base 
Scrapie TSE Prion Experiment 1964 
How Did CWD Get Way Down In Medina County, Texas? 
Thursday, June 16, 2016 
Help fight this fatal disease CWD TSE PRION threat to Texas wild deer herd 
WISCONSIN CHRONIC WASTING DISEASE CWD TSE PRION SPIRALING FURTHER INTO THE 
ABYSS UPDATE 
Tuesday, May 03, 2016 
Arkansas Chronic Wasting Disease CWD TSE Prion and Elk Restoration Project 
and Hunkering Down in the BSE Situation Room USDA 1998 
Friday, April 22, 2016 
COLORADO CHRONIC WASTING DISEASE CWD TSE PRION SURVEILLANCE AND TESTING 
PROGRAM IS MINIMAL AND LIMITED 
*** SEE CWD HIGH INFECTION RATE MAPS FOR COLORADO ! ***
Saturday, May 28, 2016 
*** Infection and detection of PrPCWD in soil from CWD infected farm in 
Korea Prion 2016 Tokyo ***
Friday, February 05, 2016 
Report of the Committee on Wildlife Diseases FY2015 CWD TSE PRION 
Detections in Farmed Cervids and Wild 
Saturday, April 23, 2016 
*** SCRAPIE WS-01: Prion diseases in animals and zoonotic potential 2016 
***
Prion. 10:S15-S21. 2016 ISSN: 1933-6896 printl 1933-690X online
Monday, May 02, 2016 
*** Zoonotic Potential of CWD Prions: An Update Prion 2016 Tokyo ***
Tuesday, June 07, 2016 
*** Comparison of two US sheep scrapie isolates supports identification as 
separate strains ***
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Tuesday, June 21, 2016 
TPW Commission Adopts Amended Deer Movement Rules and Some Deer breeders 
walk out of hearing on chronic wasting disease CWD TSE Prion 
Friday, June 03, 2016 
Chronic Wasting Disease CWD TSE Prion Surveillance and Testing in Texas, a 
very concerning situation 
Saturday, May 28, 2016 
TPWD gives in to Breeders again and postponed their decision regarding 
proposed changes to state regulations for managing CWD allowing the TSE Prion to 
spread further
Sunday, May 22, 2016 
TEXAS CWD DEER BREEDERS PLEA TO GOVERNOR ABBOTT TO CIRCUMVENT TPWD SOUND 
SCIENCE TO LET DISEASE SPREAD 
Sunday, June 12, 2016 
TPWD Special Meeting Chronic Wasting Disease Response Rules June 20, 2016 
Wednesday, May 04, 2016 
TPWD proposes the repeal of §§65.90 -65.94 and new §§65.90 -65.99 
Concerning Chronic Wasting Disease - Movement of Deer Singeltary Comment 
Submission 
Friday, April 22, 2016 
*** Texas Scrapie Confirmed in a Hartley County Sheep where CWD was 
detected in a Mule Deer 
Monday, April 25, 2016 
TEXAS Nilgai Exotic Antelope Let Loose for Trophy Hunts Blamed for 
Spreading Cattle Tick Fever, and what about CWD TSE Prion Disease ? 
Saturday, April 02, 2016 
TEXAS TAHC BREAKS IT'S SILENCE WITH TWO MORE CASES CWD CAPTIVE DEER 
BRINGING TOTAL TO 10 CAPTIVES REPORTED TO DATE 
Friday, February 26, 2016 
TEXAS Hartley County Mule Deer Tests Positive for Chronic Wasting Disease 
CWD TSE Prion 
Friday, February 05, 2016 
TEXAS NEW CHRONIC WASTING DISEASE CWD CASE DISCOVERD AT CAPTIVE DEER 
RELEASE SITE 
Saturday, January 23, 2016 
Texas new interim rule governing Deer Management Permit (DMP) activities as 
part of the state’s response to the detection of chronic wasting disease (CWD) 
in captive deer populations 
Sunday, January 17, 2016 
Texas 10,000 deer in Texas tested for deadly disease CWD TSE, but not 
tested much in the most logical place, the five-mile radius around the Medina 
County captive-deer facility where it was discovered 
Friday, January 15, 2016 
TEXAS PARKS & WILDLIFE CWD Ante-Mortem Testing Symposium Texas Disposal 
Systems Events Pavilion January 12, 2016 
Sunday, January 10, 2016 
TEXAS MEDIA REPORTING A BIT OF GOOD NEWS ON CWD TESTING SO FAR INSTEAD OF 
TAHC which is still mum, still refusing timely updates to the public TSE PRION 
DISEASE 
Tuesday, December 29, 2015 
*** TEXAS MONTHLY CHRONIC WASTING DISEASE CWD JANUARY 2016 DEER BREEDERS 
STILL DON'T GET IT $ 
Chronic Wasting Unease 
*** The emergence of a deadly disease has wildlife officials and deer 
breeders eyeing each other suspiciously. *** 
Monday, November 16, 2015 
*** TEXAS PARKS AND WILDLIFE DEPARTMENT EXECUTIVE DIRECTOR ORDER NO. 
015-006 
*** Chronic Wasting Disease (CWD) immediate danger to the white-tailed deer 
and mule deer resources of Texas 
Saturday, November 14, 2015 
TEXAS CAPTIVE BREEDER CHRONIC WASTING DISEASE CWD 2 MORE SUSPECTS DECTECTED 
BRINGING NUMBER TO 7 DETECTED IN CAPTIVE BREEDER (if/when the last two are 
confirmed). 
Thursday, November 05, 2015 
*** TPW Commission Adopts Interim Deer Breeder Movement Rules 
Friday, October 09, 2015 
Texas TWA Chronic Wasting Disease TSE Prion Webinars and Meeting October 
2015 
Saturday, October 03, 2015 
TEXAS CHRONIC WASTING DISEASE CWD TSE PRION GOD MUST NOT BE A TEXAN 2002 TO 
2015 
Thursday, September 24, 2015 
TEXAS Hunters Asked to Submit Samples for Chronic Wasting Disease CWD TSE 
Prion Testing 
*** I cannot stress enough to all of you, for the sake of your family and 
mine, before putting anything in the freezer, have those deer tested for CWD. 
...terry 
***raw and uncut 
Sunday, August 23, 2015 
TAHC Chronic Wasting Disease CWD TSE Prion and how to put lipstick on a pig 
and take her to the dance in Texas 
Friday, August 07, 2015 
*** Texas CWD Captive, and then there were 4 ? 
Thursday, August 06, 2015 
*** WE HAVE LOST TEXAS TO CWD TASK FORCE CATERING TO INDUSTRY 
Tuesday, July 21, 2015 
*** Texas CWD Medina County Herd Investigation Update July 16, 2015 *** 
Thursday, July 09, 2015 
TEXAS Chronic Wasting Disease (CWD) Herd Plan for Trace-Forward Exposed 
Herd with Testing of Exposed Animals 
Wednesday, July 01, 2015 
TEXAS Chronic Wasting Disease Detected in Medina County Captive Deer 
Wednesday, March 18, 2015 
Chronic Wasting Disease CWD Confirmed Texas Trans Pecos March 18, 2015 
Wednesday, March 25, 2015 
Chronic Wasting Disease CWD Cases Confirmed In New Mexico 2013 and 2014 
UPDATE 2015 
Thursday, May 02, 2013 
*** Chronic Wasting Disease (CWD) Texas Important Update on OBEX ONLY 
TEXTING 
Monday, February 11, 2013 
TEXAS CHRONIC WASTING DISEASE CWD Four New Positives Found in Trans Pecos 
Tuesday, July 10, 2012 
Chronic Wasting Disease Detected in Far West Texas 
Monday, March 26, 2012 
Texas Prepares for Chronic Wasting Disease CWD Possibility in Far West 
Texas 
2011 – 2012 
Friday, October 28, 2011 
CWD Herd Monitoring Program to be Enforced Jan. 2012 TEXAS 
Greetings TAHC et al, 
A kind greetings from Bacliff, Texas. 
In reply to ; 
Texas Animal Health Commission (TAHC) Announcement October 27, 2011 
I kindly submit the following ; 
***for anyone interested, here is some history of CWD along the Texas, New 
Mexico border, and my attempt to keep up with it...terry 
snip... 
see history CWD Texas, New Mexico Border ; 
Monday, March 26, 2012 
3 CASES OF CWD FOUND NEW MEXICO MULE DEER SEVERAL MILES FROM TEXAS BORDER 
Sunday, October 04, 2009 
CWD NEW MEXICO SPREADING SOUTH TO TEXAS 2009 2009 Summary of Chronic 
Wasting Disease in New Mexico New Mexico Department of Game and Fish 
I could go on, for more see ; 
Thursday, March 31, 2016 
*** Chronic Wasting Disease CWD TSE Prion Roundup USA April 1, 2016 *** 
P.97: Scrapie transmits to white-tailed deer by the oral route and has a 
molecular profile similar to chronic wasting disease and distinct from the 
scrapie inoculum
Justin Greenlee1, S Jo Moore1, Jodi Smith1, M Heather West Greenlee2, and 
Robert Kunkle1
1National Animal Disease Center; Ames, IA USA;
2Iowa State University; Ames, IA USA
The purpose of this work was to determine susceptibility of white-tailed 
deer (WTD) to the agent of sheep scrapie and to compare the resultant PrPSc to 
that of the original inoculum and chronic wasting disease (CWD). We inoculated 
WTD by a natural route of exposure (concurrent oral and intranasal (IN); n D 5) 
with a US scrapie isolate. All scrapie-inoculated deer had evidence of PrPSc 
accumulation. PrPSc was detected in lymphoid tissues at preclinical time points, 
and deer necropsied after 28 months post-inoculation had clinical signs, 
spongiform encephalopathy, and widespread distribution of PrPSc in neural and 
lymphoid tissues. Western blotting (WB) revealed PrPSc with 2 distinct molecular 
profiles. WB on cerebral cortex had a profile similar to the original scrapie 
inoculum, whereas WB of brainstem, cerebellum, or lymph nodes revealed PrPSc 
with a higher profile resembling CWD. Homogenates with the 2 distinct profiles 
from WTD with clinical scrapie were further passaged to mice expressing cervid 
prion protein and intranasally to sheep and WTD. In cervidized mice, the 2 
inocula have distinct incubation times. Sheep inoculated intranasally with WTD 
derived scrapie developed disease, but only after inoculation with the inoculum 
that had a scrapie-like profile. The WTD study is ongoing, but deer in both 
inoculation groups are positive for PrPSc by rectal mucosal biopsy. In summary, 
this work demonstrates that WTD are susceptible to the agent of scrapie, 2 
distinct molecular profiles of PrPSc are present in the tissues of affected 
deer, and inoculum of either profile readily passes to deer.
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Scrapie transmits to white-tailed deer by the oral route and has a 
molecular profile similar to chronic wasting disease 
Authors 
item Greenlee, Justin item Moore, S - item Smith, Jodi - item Kunkle, 
Robert item West Greenlee, M - 
Submitted to: American College of Veterinary Pathologists Meeting 
Publication Type: Abstract Only Publication Acceptance Date: August 12, 2015 
Publication Date: N/A Technical Abstract: The purpose of this work was to 
determine susceptibility of white-tailed deer (WTD) to the agent of sheep 
scrapie and to compare the resultant PrPSc to that of the original inoculum and 
chronic wasting disease (CWD). We inoculated WTD by a natural route of exposure 
(concurrent oral and intranasal (IN); n=5) with a US scrapie isolate. All 
scrapie-inoculated deer had evidence of PrPSc accumulation. PrPSc was detected 
in lymphoid tissues at preclinical time points, and deer necropsied after 28 
months post-inoculation had clinical signs, spongiform encephalopathy, and 
widespread distribution of PrPSc in neural and lymphoid tissues. Western 
blotting (WB) revealed PrPSc with 2 distinct molecular profiles. WB on cerebral 
cortex had a profile similar to the original scrapie inoculum, whereas WB of 
brainstem, cerebellum, or lymph nodes revealed PrPSc with a higher profile 
resembling CWD. Homogenates with the 2 distinct profiles from WTD with clinical 
scrapie were further passaged to mice expressing cervid prion protein and 
intranasally to sheep and WTD. In cervidized mice, the two inocula have distinct 
incubation times. Sheep inoculated intranasally with WTD derived scrapie 
developed disease, but only after inoculation with the inoculum that had a 
scrapie-like profile. The WTD study is ongoing, but deer in both inoculation 
groups are positive for PrPSc by rectal mucosal biopsy. In summary, this work 
demonstrates that WTD are susceptible to the agent of scrapie, two distinct 
molecular profiles of PrPSc are present in the tissues of affected deer, and 
inoculum of either profile readily passes to deer. 
White-tailed Deer are Susceptible to Scrapie by Natural Route of Infection 
Jodi D. Smith, Justin J. Greenlee, and Robert A. Kunkle; Virus and Prion 
Research Unit, National Animal Disease Center, USDA-ARS 
Interspecies transmission studies afford the opportunity to better 
understand the potential host range and origins of prion diseases. Previous 
experiments demonstrated that white-tailed deer are susceptible to sheep-derived 
scrapie by intracranial inoculation. The purpose of this study was to determine 
susceptibility of white-tailed deer to scrapie after a natural route of 
exposure. Deer (n=5) were inoculated by concurrent oral (30 ml) and intranasal 
(1 ml) instillation of a 10% (wt/vol) brain homogenate derived from a sheep 
clinically affected with scrapie. Non-inoculated deer were maintained as 
negative controls. All deer were observed daily for clinical signs. Deer were 
euthanized and necropsied when neurologic disease was evident, and tissues were 
examined for abnormal prion protein (PrPSc) by immunohistochemistry (IHC) and 
western blot (WB). One animal was euthanized 15 months post-inoculation (MPI) 
due to an injury. At that time, examination of obex and lymphoid tissues by IHC 
was positive, but WB of obex and colliculus were negative. Remaining deer 
developed clinical signs of wasting and mental depression and were necropsied 
from 28 to 33 MPI. 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. 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 ; 
PO-039: A comparison of scrapie and chronic wasting disease in white-tailed 
deer 
Justin Greenlee, Jodi Smith, Eric Nicholson US Dept. Agriculture; 
Agricultural Research Service, National Animal Disease Center; Ames, IA USA 
White-tailed deer are susceptible to the agent of sheep scrapie by 
intracerebral inoculation 
snip...
It is unlikely that CWD will be eradicated from free-ranging cervids, and 
the disease is likely to continue to spread geographically [10]. However, the 
potential that white-tailed deer may be susceptible to sheep scrapie by a 
natural route presents an additional confounding factor to halting the spread of 
CWD. This leads to the additional speculations that 
1) infected deer could serve as a reservoir to infect sheep with scrapie 
offering challenges to scrapie eradication efforts and 
2) CWD spread need not remain geographically confined to current endemic 
areas, but could occur anywhere that sheep with scrapie and susceptible cervids 
cohabitate.
This work demonstrates for the first time that white-tailed deer are 
susceptible to sheep scrapie by intracerebral inoculation with a high attack 
rate and that the disease that results has similarities to CWD. These 
experiments will be repeated with a more natural route of inoculation to 
determine the likelihood of the potential transmission of sheep scrapie to 
white-tailed deer. If scrapie were to occur in white-tailed deer, results of 
this study indicate that it would be detected as a TSE, but may be difficult to 
differentiate from CWD without in-depth biochemical analysis. 
2012 
PO-039: A comparison of scrapie and chronic wasting disease in white-tailed 
deer 
Justin Greenlee, Jodi Smith, Eric Nicholson US Dept. Agriculture; 
Agricultural Research Service, National Animal Disease Center; Ames, IA USA 
snip...
The results of this study suggest that there are many similarities in the 
manifestation of CWD and scrapie in WTD 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 similar to 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 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. 
White-tailed Deer are Susceptible to Scrapie by Natural Route of Infection 
Jodi D. Smith, Justin J. Greenlee, and Robert A. Kunkle; Virus and Prion 
Research Unit, National Animal Disease Center, USDA-ARS 
Interspecies transmission studies afford the opportunity to better 
understand the potential host range and origins of prion diseases. Previous 
experiments demonstrated that white-tailed deer are susceptible to sheep-derived 
scrapie by intracranial inoculation. The purpose of this study was to determine 
susceptibility of white-tailed deer to scrapie after a natural route of 
exposure. Deer (n=5) were inoculated by concurrent oral (30 ml) and intranasal 
(1 ml) instillation of a 10% (wt/vol) brain homogenate derived from a sheep 
clinically affected with scrapie. Non-inoculated deer were maintained as 
negative controls. All deer were observed daily for clinical signs. Deer were 
euthanized and necropsied when neurologic disease was evident, and tissues were 
examined for abnormal prion protein (PrPSc) by immunohistochemistry (IHC) and 
western blot (WB). One animal was euthanized 15 months post-inoculation (MPI) 
due to an injury. At that time, examination of obex and lymphoid tissues by IHC 
was positive, but WB of obex and colliculus were negative. Remaining deer 
developed clinical signs of wasting and mental depression and were necropsied 
from 28 to 33 MPI. 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. 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 ; 
Thursday, April 07, 2016 
*** What is the risk of chronic wasting disease being introduced into Great 
Britain? An updated Qualitative Risk Assessment March 2016 *** 
Sheep and cattle may be exposed to CWD via common grazing areas with 
affected deer but so far, appear to be poorly susceptible to mule deer CWD 
(Sigurdson, 2008). 
***In contrast, cattle are highly susceptible to white-tailed deer CWD and 
mule deer CWD in experimental conditions but no natural CWD infections in cattle 
have been reported (Sigurdson, 2008; Hamir et al., 2006). It is not known how 
susceptible humans are to CWD but given that the prion can be present in muscle, 
it is likely that humans have been exposed to the agent via consumption of 
venison (Sigurdson, 2008). Initial experimental research, however, suggests that 
human susceptibility to CWD is low and there may be a robust species barrier for 
CWD transmission to humans (Sigurdson, 2008). It is apparent, though, that CWD 
is affecting wild and farmed cervid populations in endemic areas with some deer 
populations decreasing as a result. 
snip... 
For the purpose of the qualitative risk assessment developed here it is 
necessary to estimate the probability that a 30-ml bottle of lure contains urine 
from an infected deer. This requires an estimate of the proportion of deer herds 
in the USA which are infected with CWD together with the within herd prevalence. 
The distribution map of CWD in US shows it is present mainly in central 
states (Figure 1). However, Virginia in the east of the country has recorded 
seven recent cases of CWD (Anon 2015a). Some US manufacturers claim to take 
steps to prevent urine being taken from infected animals eg by sourcing from 
farms where the deer are randomly tested for CWD (Anon 2015a). However, if 
disease is already present and testing is not carried out regularly, captive 
populations are not necessarily disease free (Strausser 2014). Urine-based deer 
lures have been known to be collected from domestic white-tailed deer herds and 
therefore there is a recognised risk. This is reflected by 6 US States which 
have 
14 
banned the use of natural deer urine for lures, as the deer urine may be 
sourced from CWD-endemic areas in the USA as well as from areas free of CWD. For 
example, the US State of Virginia is banning the use of urine-based deer lures 
on July 2015 and Vermont from 2016 due to the risk of spread of CWD. Alaska 
banned their use in 2012 (Anon 2015a). Pennsylvania Game Commission has banned 
urine-based deer lures and acknowledged that there is no way to detect their use 
(Strausser 2014). On the basis of unpublished data (J. Manson, Pers. Comm.) it 
appears that up to 50% of deer herds can be infected with 80-90% of animals 
infected within some herds. 
*** It is therefore assumed that probability that a 30-ml bottle of deer 
urine lure imported from the USA is sources from an infected deer is medium. 
SNIP... 
In the USA, under the Food and Drug Administration’s BSE Feed Regulation 
(21 CFR 589.2000) most material (exceptions include milk, tallow, and gelatin) 
from deer and elk is prohibited for use in feed for ruminant animals. With 
regards to feed for non-ruminant animals, under FDA law, CWD positive deer may 
not be used for any animal feed or feed ingredients. ***For elk and deer 
considered at high risk for CWD, the FDA recommends that these animals do not 
enter the animal feed system. ***However, this recommendation is guidance and 
not a requirement by law. 
***Animals considered at high risk for CWD include: 
***1) animals from areas declared to be endemic for CWD and/or to be CWD 
eradication zones and 
***2) deer and elk that at some time during the 60-month period prior to 
slaughter were in a captive herd that contained a CWD-positive animal. 
***Therefore, in the USA, materials from cervids other than CWD positive 
animals may be used in animal feed and feed ingredients for non-ruminants. The 
amount of animal PAP that is of deer and/or elk origin imported from the USA to 
GB cannot be determined, however, as it is not specified in TRACES. It may 
constitute a small percentage of the very low tonnage of non-fish origin 
processed animal proteins that were imported from US into GB. 
*** Overall, therefore, it is considered there is a greater than negligible 
risk that (non-ruminant) animal feed and pet food containing deer and/or elk 
protein is imported into GB. There is uncertainty associated with this estimate 
given the lack of data on the amount of deer and/or elk protein possibly being 
imported in these products. 
SNIP... 
Summary and MORE HERE ; 
What is the risk of chronic wasting disease being introduced into Great 
Britain? An updated Qualitative Risk Assessment March 2016 
Tuesday, April 12, 2016 
*** The first detection of Chronic Wasting Disease (CWD) in Europe *** 
Tuesday, June 14, 2016 
*** Chronic Wasting Disease (CWD) in a moose from Selbu in Sør-Trøndelag 
Norway ***
I strenuously once again urge the FDA and its industry constituents, to 
make it MANDATORY that all ruminant feed be banned to all ruminants, and this 
should include all cervids, as well as non-ruminants such as cats and dogs as 
well, as soon as possible for the following reasons... 
31 Jan 2015 at 20:14 GMT 
*** Ruminant feed ban for cervids in the United States? ***
31 Jan 2015 at 20:14 GMT 
see Singeltary comment ;
*** PLEASE SEE THIS URGENT UPDATE ON CWD AND FEED ANIMAL PROTEIN ***
Sunday, March 20, 2016 
Docket No. FDA-2003-D-0432 (formerly 03D-0186) Use of Material from Deer 
and Elk in Animal Feed ***UPDATED MARCH 2016*** Singeltary Submission 
Docket No. FDA-2003-D-0432 (formerly 03D-0186) Use of Material from Deer 
and Elk in Animal Feed Singeltary Submission 
*** Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats Terry Singeltary 
Sr. Submission ***
Monday, November 16, 2015 
*** Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats Terry Singeltary 
Sr. Submission ***
Draft Guidance for Industry on Ensuring Safety of Animal Feed Maintained 
and Fed On-Farm; Availability
# 203 entitled “Ensuring Safety of Animal Feed Maintained and Fed 
On-Farm.”
Terry S. Singeltary Sr. submission ;
Docket No. APHIS-2014-0107 Bovine Spongiform Encephalopathy; Importation of 
Animals and Animal Products Singeltary Submission 
Posted: 12/30/2014ID: APHIS-2014-0107-0001 
Notice: Environmental Impact Statements; Availability, etc.: Animal Carcass 
Management 
Document ID: APHIS-2013-0044-0001 Docket ID: APHIS-2013-0044 Comment ID: 
APHIS-2013-0044-0002 
(APHIS) Notice: Agency Information Collection Activities; Proposals, 
Submissions, and Approvals: Chronic Wasting Disease Herd Certification Program 
Agency Information Collection Activities; Proposals, Submissions, and Approvals: 
Chronic Wasting Disease Herd Certification Program (Document ID 
APHIS-2011-0032-0001) 
Owens, Julie 
From: Terry S. Singeltary Sr. [flounder9@verizon.net] 
Sent: Monday, July 24, 2006 1:09 PM 
To: FSIS RegulationsComments 
Subject: [Docket No. FSIS-2006-0011] FSIS Harvard Risk Assessment of Bovine 
Spongiform Encephalopathy (BSE) Page 1 of 98 
FSIS, USDA, REPLY TO SINGELTARY 
From:Terry S. Singeltary Sr. [flounder9@verizon.net]
Sent:Thursday, September 08, 2005 6:17 PM
To:fsis.regulationscomments@fsis.usda.gov
Subject: [Docket No. 03-025IFA] FSIS Prohibition of the Use of Specified 
Risk Materials for Human Food and Requirements for the Disposition of 
Non-Ambulatory Disabled Cattle 
APHIS-2006-0118-0096 CWD 
DOCKET-- 03D-0186 -- FDA Issues Draft Guidance on Use of Material From Deer 
and Elk in Animal Feed; Availability Date: Fri, 16 May 2003 11:47:37 0500 EMC 1 
Terry S. Singeltary Sr. Vol #: 1 
PLEASE SEE FULL TEXT SUBMISSION ; 
*** 2001 Terry S. Singeltary Sr. comment submission ***
Subject: USDA OIG SEMIANNUAL REPORT TO CONGRESS FY 2007 1st Half (bogus BSE 
sampling FROM HEALTHY USDA CATTLE)
Date: June 21, 2007 at 2:49 pm PST
Owner and Corporation Plead Guilty to Defrauding Bovine Spongiform 
Encephalopathy (BSE) Surveillance Program
An Arizona meat processing company and its owner pled guilty in February 
2007 to charges of theft of Government funds, mail fraud, and wire fraud. The 
owner and his company defrauded the BSE Surveillance Program when they falsified 
BSE Surveillance Data Collection Forms and then submitted payment requests to 
USDA for the services. 
In addition to the targeted sample population (those cattle that were more 
than 30 months old or had other risk factors for BSE), 
*** the owner submitted to USDA, or caused to be submitted, BSE obex (brain 
stem) samples from healthy USDA-inspected cattle. 
As a result, the owner fraudulently received approximately $390,000. 
Sentencing is scheduled for May 2007.
snip...
Topics that will be covered in ongoing or planned reviews under Goal 1 
include:
soundness of BSE maintenance sampling (APHIS),
implementation of Performance-Based Inspection System enhancements for 
specified risk material (SRM) violations and improved inspection controls over 
SRMs (FSIS and APHIS),
snip...
The findings and recommendations from these efforts will be covered in 
future semiannual reports as the relevant audits and investigations are 
completed.
4 USDA OIG SEMIANNUAL REPORT TO CONGRESS FY 2007 1st Half 
Wednesday, July 15, 2015 
Additional BSE TSE prion testing detects pathologic lesion in unusual brain 
location and PrPsc by PMCA only, how many cases have we missed?
***however in 1 C-type challenged animal, Prion 2015 Poster Abstracts S67 
PrPsc was not detected using rapid tests for BSE. 
***Subsequent testing resulted in the detection of pathologic lesion in 
unusual brain location and PrPsc detection by PMCA only. 
IBNC Tauopathy or TSE Prion disease, it appears, no one is sure
Posted by flounder on 03 Jul 2015 at 16:53 GMT
*** Needless conflict *** 
Nature 485, 279–280 (17 May 2012) doi:10.1038/485279b 
Published online 16 May 2012 
Terry S. Singeltary Sr. said: 
I kindly wish to submit the following please ; 
***Moreover, sporadic disease has never been observed in breeding colonies 
or primate research laboratories, most notably among hundreds of animals over 
several decades of study at the National Institutes of Health25, and in nearly 
twenty older animals continuously housed in our own facility.*** 
Saturday, April 16, 2016 
APHIS [Docket No. APHIS-2016-0029] Secretary's Advisory Committee on Animal 
Health; Meeting May 2, 2016, and June 16, 2016 Singeltary Submission 
Evidence That Transmissible Mink Encephalopathy Results from Feeding 
Infected Cattle 
Over the next 8-10 weeks, approximately 40% of all the adult mink on the 
farm died from TME. 
snip... 
The rancher was a ''dead stock'' feeder using mostly (>95%) downer or 
dead dairy cattle... 
In Confidence - Perceptions of unconventional slow virus diseases of 
animals in the USA - APRIL-MAY 1989 - G A H Wells 
3. Prof. A. Robertson gave a brief account of BSE. The US approach was to 
accord it a very low profile indeed. Dr. A Thiermann showed the picture in the 
''Independent'' with cattle being incinerated and thought this was a fanatical 
incident to be avoided in the US at all costs. ... 
”The occurrence of CWD must be viewed against the contest of the locations 
in which it occurred. It was an incidental and unwelcome complication of the 
respective wildlife research programmes. Despite it’s subsequent recognition as 
a new disease of cervids, therefore justifying direct investigation, no specific 
research funding was forthcoming. The USDA veiwed it as a wildlife problem and 
consequently not their province!” ...page 26. 
Monday, May 09, 2016 
A comparison of classical and H-type bovine spongiform encephalopathy 
associated with E211K prion protein polymorphism in wild type and EK211 cattle 
following intracranial inoculation 
Monday, June 20, 2016 
Specified Risk Materials SRMs BSE TSE Prion Program 
Saturday, April 23, 2016 
SCRAPIE WS-01: Prion diseases in animals and zoonotic potential 2016 
Prion. 10:S15-S21. 2016 ISSN: 1933-6896 printl 1933-690X online 
Taylor & Francis 
Prion 2016 Animal Prion Disease Workshop Abstracts 
WS-01: Prion diseases in animals and zoonotic potential 
Juan Maria Torres a, Olivier Andreoletti b, J uan-Carlos Espinosa a. 
Vincent Beringue c. Patricia Aguilar a, 
Natalia Fernandez-Borges a. and Alba Marin-Moreno a 
"Centro de Investigacion en Sanidad Animal ( CISA-INIA ). Valdeolmos, 
Madrid. Spain; b UMR INRA -ENVT 1225 Interactions Holes Agents Pathogenes. ENVT. 
Toulouse. France: "UR892. Virologie lmmunologie MolécuIaires, Jouy-en-Josas. 
France 
Dietary exposure to bovine spongiform encephalopathy (BSE) contaminated 
bovine tissues is considered as the origin of variant Creutzfeldt Jakob (vCJD) 
disease in human. To date, BSE agent is the only recognized zoonotic prion. 
Despite the variety of Transmissible Spongiform Encephalopathy (TSE) agents that 
have been circulating for centuries in farmed ruminants there is no apparent 
epidemiological link between exposure to ruminant products and the occurrence of 
other form of TSE in human like sporadic Creutzfeldt Jakob Disease (sCJD). 
However, the zoonotic potential of the diversity of circulating TSE agents has 
never been systematically assessed. The major issue in experimental assessment 
of TSEs zoonotic potential lies in the modeling of the ‘species barrier‘, the 
biological phenomenon that limits TSE agents’ propagation from a species to 
another. In the last decade, mice genetically engineered to express normal forms 
of the human prion protein has proved essential in studying human prions 
pathogenesis and modeling the capacity of TSEs to cross the human species 
barrier. 
To assess the zoonotic potential of prions circulating in farmed ruminants, 
we study their transmission ability in transgenic mice expressing human PrPC 
(HuPrP-Tg). Two lines of mice expressing different forms of the human PrPC 
(129Met or 129Val) are used to determine the role of the Met129Val dimorphism in 
susceptibility/resistance to the different agents. 
These transmission experiments confirm the ability of BSE prions to 
propagate in 129M- HuPrP-Tg mice and demonstrate that Met129 homozygotes may be 
susceptible to BSE in sheep or goat to a greater degree than the BSE agent in 
cattle and that these agents can convey molecular properties and 
neuropathological indistinguishable from vCJD. However homozygous 129V mice are 
resistant to all tested BSE derived prions independently of the originating 
species suggesting a higher transmission barrier for 129V-PrP variant. 
Transmission data also revealed that several scrapie prions propagate in 
HuPrP-Tg mice with efficiency comparable to that of cattle BSE. While the 
efficiency of transmission at primary passage was low, subsequent passages 
resulted in a highly virulent prion disease in both Met129 and Val129 mice. 
Transmission of the different scrapie isolates in these mice leads to the 
emergence of prion strain phenotypes that showed similar characteristics to 
those displayed by MM1 or VV2 sCJD prion. These results demonstrate that scrapie 
prions have a zoonotic potential and raise new questions about the possible link 
between animal and human prions. 
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Transmission of scrapie prions to primate after an extended silent 
incubation period 
Authors 
item Comoy, Emmanuel - item Mikol, Jacqueline - item Luccantoni-Freire, 
Sophie - item Correia, Evelyne - item Lescoutra-Etchegaray, Nathalie - item 
Durand, Valérie - item Dehen, Capucine - item Andreoletti, Olivier - item 
Casalone, Cristina - item Richt, Juergen item Greenlee, Justin item Baron, 
Thierry - item Benestad, Sylvie - item Hills, Bob - item Brown, Paul - item 
Deslys, Jean-Philippe - 
Submitted to: Scientific Reports Publication Type: Peer Reviewed Journal 
Publication Acceptance Date: May 28, 2015 Publication Date: June 30, 2015 
Citation: Comoy, E.E., Mikol, J., Luccantoni-Freire, S., Correia, E., 
Lescoutra-Etchegaray, N., Durand, V., Dehen, C., Andreoletti, O., Casalone, C., 
Richt, J.A., Greenlee, J.J., Baron, T., Benestad, S., Brown, P., Deslys, J. 
2015. Transmission of scrapie prions to primate after an extended silent 
incubation period. Scientific Reports. 5:11573. 
Interpretive Summary: The transmissible spongiform encephalopathies (also 
called prion diseases) are fatal neurodegenerative diseases that affect animals 
and humans. The agent of prion diseases is a misfolded form of the prion protein 
that is resistant to breakdown by the host cells. Since all mammals express 
prion protein on the surface of various cells such as neurons, all mammals are, 
in theory, capable of replicating prion diseases. One example of a prion 
disease, bovine spongiform encephalopathy (BSE; also called mad cow disease), 
has been shown to infect cattle, sheep, exotic undulates, cats, non-human 
primates, and humans when the new host is exposed to feeds or foods contaminated 
with the disease agent. The purpose of this study was to test whether non-human 
primates (cynomologous macaque) are susceptible to the agent of sheep scrapie. 
After an incubation period of approximately 10 years a macaque developed 
progressive clinical signs suggestive of neurologic disease. Upon postmortem 
examination and microscopic examination of tissues, there was a widespread 
distribution of lesions consistent with a transmissible spongiform 
encephalopathy. This information will have a scientific impact since it is the 
first study that demonstrates the transmission of scrapie to a non-human primate 
with a close genetic relationship to humans. This information is especially 
useful to regulatory officials and those involved with risk assessment of the 
potential transmission of animal prion diseases to humans. Technical Abstract: 
Classical bovine spongiform encephalopathy (c-BSE) is an animal prion disease 
that also causes variant Creutzfeldt-Jakob disease in humans. Over the past 
decades, c-BSE's zoonotic potential has been the driving force in establishing 
extensive protective measures for animal and human health. 
*** In complement to the recent demonstration that humanized mice are 
susceptible to scrapie, we report here the first observation of direct 
transmission of a natural classical scrapie isolate to a macaque after a 10-year 
incubation period. Neuropathologic examination revealed all of the features of a 
prion disease: spongiform change, neuronal loss, and accumulation of PrPres 
throughout the CNS. 
*** This observation strengthens the questioning of the harmlessness of 
scrapie to humans, at a time when protective measures for human and animal 
health are being dismantled and reduced as c-BSE is considered controlled and 
being eradicated. 
*** Our results underscore the importance of precautionary and protective 
measures and the necessity for long-term experimental transmission studies to 
assess the zoonotic potential of other animal prion strains. 
Scrapie to Humans USA? 
1: Neuroepidemiology. 1985;4(4):240-9. Related Articles, 
Links 
Sheep consumption: a possible source of spongiform encephalopathy in 
humans. 
Davanipour Z, Alter M, Sobel E, Callahan M. 
A fatal spongiform encephalopathy of sheep and goats (scrapie) shares many 
characteristics with Creutzfeldt-Jakob disease (CJD), a similar dementing 
illness of humans. To investigate the possibility that CJD is acquired by 
ingestion of contaminated sheep products, we collected information on 
production, slaughtering practices, and marketing of sheep in Pennsylvania. The 
study revealed that sheep were usually marketed before central nervous system 
signs of scrapie are expected to appear; breeds known to be susceptible to the 
disease were the most common breeds raised in the area; sheep were imported from 
other states including those with a high frequency of scrapie; use of veterinary 
services on the sheep farms investigated and, hence, opportunities to detect the 
disease were limited; sheep producers in the area knew little about scrapie 
despite the fact that the disease has been reported in the area, and animal 
organs including sheep organs were sometimes included in processed food. 
Therefore, it was concluded that in Pennsylvania there are some 'weak links' 
through which scrapie-infected animals could contaminate human food, and that 
consumption of these foods could perhaps account for spongiform encephalopathy 
in humans. The weak links observed are probably not unique to Pennsylvania. 
PMID: 3915057 [PubMed - indexed for MEDLINE] 
2015 
O.05: Transmission of prions to primates after extended silent incubation 
periods: Implications for BSE and scrapie risk assessment in human populations 
Emmanuel Comoy, Jacqueline Mikol, Valerie Durand, Sophie Luccantoni, 
Evelyne Correia, Nathalie Lescoutra, Capucine Dehen, and Jean-Philippe Deslys 
Atomic Energy Commission; Fontenay-aux-Roses, France 
Prion diseases (PD) are the unique neurodegenerative proteinopathies 
reputed to be transmissible under field conditions since decades. The 
transmission of Bovine Spongiform Encephalopathy (BSE) to humans evidenced that 
an animal PD might be zoonotic under appropriate conditions. Contrarily, in the 
absence of obvious (epidemiological or experimental) elements supporting a 
transmission or genetic predispositions, PD, like the other proteinopathies, are 
reputed to occur spontaneously (atpical animal prion strains, sporadic CJD 
summing 80% of human prion cases). Non-human primate models provided the first 
evidences supporting the transmissibiity of human prion strains and the zoonotic 
potential of BSE. Among them, cynomolgus macaques brought major information for 
BSE risk assessment for human health (Chen, 2014), according to their 
phylogenetic proximity to humans and extended lifetime. We used this model to 
assess the zoonotic potential of other animal PD from bovine, ovine and cervid 
origins even after very long silent incubation periods. 
*** We recently observed the direct transmission of a natural classical 
scrapie isolate to macaque after a 10-year silent incubation period, 
***with features similar to some reported for human cases of sporadic CJD, 
albeit requiring fourfold long incubation than BSE. Scrapie, as recently evoked 
in humanized mice (Cassard, 2014), 
***is the third potentially zoonotic PD (with BSE and L-type BSE), 
***thus questioning the origin of human sporadic cases. We will present an 
updated panorama of our different transmission studies and discuss the 
implications of such extended incubation periods on risk assessment of animal PD 
for human health. 
=============== 
***thus questioning the origin of human sporadic cases*** 
=============== 
***our findings suggest that possible transmission risk of H-type BSE to 
sheep and human. Bioassay will be required to determine whether the PMCA 
products are infectious to these animals. 
============== 
Tuesday, December 16, 2014 
*** Evidence for zoonotic potential of ovine scrapie prions 
Hervé Cassard,1, n1 Juan-Maria Torres,2, n1 Caroline Lacroux,1, Jean-Yves 
Douet,1, Sylvie L. Benestad,3, Frédéric Lantier,4, Séverine Lugan,1, Isabelle 
Lantier,4, Pierrette Costes,1, Naima Aron,1, Fabienne Reine,5, Laetitia 
Herzog,5, Juan-Carlos Espinosa,2, Vincent Beringue5, & Olivier Andréoletti1, 
Affiliations Contributions Corresponding author Journal name: Nature 
Communications Volume: 5, Article number: 5821 DOI: doi:10.1038/ncomms6821 
Received 07 August 2014 Accepted 10 November 2014 Published 16 December 2014 
Article tools Citation Reprints Rights & permissions Article metrics 
Abstract 
Although Bovine Spongiform Encephalopathy (BSE) is the cause of variant 
Creutzfeldt Jakob disease (vCJD) in humans, the zoonotic potential of scrapie 
prions remains unknown. Mice genetically engineered to overexpress the human 
prion protein (tgHu) have emerged as highly relevant models for gauging the 
capacity of prions to transmit to humans. These models can propagate human 
prions without any apparent transmission barrier and have been used used to 
confirm the zoonotic ability of BSE. Here we show that a panel of sheep scrapie 
prions transmit to several tgHu mice models with an efficiency comparable to 
that of cattle BSE. 
***The serial transmission of different scrapie isolates in these mice led 
to the propagation of prions that are phenotypically identical to those causing 
sporadic CJD (sCJD) in humans. 
***These results demonstrate that scrapie prions have a zoonotic potential 
and raise new questions about the possible link between animal and human prions. 
Subject terms: Biological sciences• Medical research At a glance 
see more here ; 
***The serial transmission of different scrapie isolates in these mice led 
to the propagation of prions that are phenotypically identical to those causing 
sporadic CJD (sCJD) in humans.*** 
***These results demonstrate that scrapie prions have a zoonotic potential 
and raise new questions about the possible link between animal and human 
prions.*** 
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 
snip...see full text ; 
Monday, May 02, 2016 
*** Zoonotic Potential of CWD Prions: An Update Prion 2016 Tokyo ***
Wednesday, May 25, 2016 
USDA APHIS National Scrapie TSE Prion Eradication Program April 2016 
Monthly Report Prion 2016 Tokyo Update
*** Infectious agent of sheep scrapie may persist in the environment for at 
least 16 years *** 
Gudmundur Georgsson1, Sigurdur Sigurdarson2 and Paul Brown3 
Using in vitro prion replication for high sensitive detection of prions and 
prionlike proteins and for understanding mechanisms of transmission.
Claudio Soto
Mitchell Center for Alzheimer's diseases and related Brain disorders, 
Department of Neurology, University of Texas Medical School at Houston.
Prion and prion-like proteins are misfolded protein aggregates with the 
ability to selfpropagate to spread disease between cells, organs and in some 
cases across individuals. I n T r a n s m i s s i b l e s p o n g i f o r m 
encephalopathies (TSEs), prions are mostly composed by a misfolded form of the 
prion protein (PrPSc), which propagates by transmitting its misfolding to the 
normal prion protein (PrPC). The availability of a procedure to replicate prions 
in the laboratory may be important to study the mechanism of prion and 
prion-like spreading and to develop high sensitive detection of small quantities 
of misfolded proteins in biological fluids, tissues and environmental samples. 
Protein Misfolding Cyclic Amplification (PMCA) is a simple, fast and efficient 
methodology to mimic prion replication in the test tube. PMCA is a platform 
technology that may enable amplification of any prion-like misfolded protein 
aggregating through a seeding/nucleation process. In TSEs, PMCA is able to 
detect the equivalent of one single molecule of infectious PrPSc and propagate 
prions that maintain high infectivity, strain properties and species 
specificity. Using PMCA we have been able to detect PrPSc in blood and urine of 
experimentally infected animals and humans affected by vCJD with high 
sensitivity and specificity. Recently, we have expanded the principles of PMCA 
to amplify amyloid-beta (Aβ) and alphasynuclein (α-syn) aggregates implicated in 
Alzheimer's and Parkinson's diseases, respectively. Experiments are ongoing to 
study the utility of this technology to detect Aβ and α-syn aggregates in 
samples of CSF and blood from patients affected by these diseases.
=========================
***Recently, we have been using PMCA to study the role of environmental 
prion contamination on the horizontal spreading of TSEs. These experiments have 
focused on the study of the interaction of prions with plants and 
environmentally relevant surfaces. Our results show that plants (both leaves and 
roots) bind tightly to prions present in brain extracts and excreta (urine and 
feces) and retain even small quantities of PrPSc for long periods of time. 
Strikingly, ingestion of prioncontaminated leaves and roots produced disease 
with a 100% attack rate and an incubation period not substantially longer than 
feeding animals directly with scrapie brain homogenate. Furthermore, plants can 
uptake prions from contaminated soil and transport them to different parts of 
the plant tissue (stem and leaves). Similarly, prions bind tightly to a variety 
of environmentally relevant surfaces, including stones, wood, metals, plastic, 
glass, cement, etc. Prion contaminated surfaces efficiently transmit prion 
disease when these materials were directly injected into the brain of animals 
and strikingly when the contaminated surfaces were just placed in the animal 
cage. These findings demonstrate that environmental materials can efficiently 
bind infectious prions and act as carriers of infectivity, suggesting that they 
may play an important role in the horizontal transmission of the disease.
========================
Since its invention 13 years ago, PMCA has helped to answer fundamental 
questions of prion propagation and has broad applications in research areas 
including the food industry, blood bank safety and human and veterinary disease 
diagnosis. 
see ;
with CWD TSE Prions, I am not sure there is any absolute yet, other than 
what we know with transmission studies, and we know tse prion kill, and tse 
prion are bad. science shows to date, that indeed soil, dirt, some better than 
others, can act as a carrier. same with objects, farm furniture. take it with 
how ever many grains of salt you wish, or not. if load factor plays a role in 
the end formula, then everything should be on the table, in my opinion. see 
;
***Recently, we have been using PMCA to study the role of environmental 
prion contamination on the horizontal spreading of TSEs. These experiments have 
focused on the study of the interaction of prions with plants and 
environmentally relevant surfaces. Our results show that plants (both leaves and 
roots) bind tightly to prions present in brain extracts and excreta (urine and 
feces) and retain even small quantities of PrPSc for long periods of time. 
Strikingly, ingestion of prioncontaminated leaves and roots produced disease 
with a 100% attack rate and an incubation period not substantially longer than 
feeding animals directly with scrapie brain homogenate. Furthermore, plants can 
uptake prions from contaminated soil and transport them to different parts of 
the plant tissue (stem and leaves). Similarly, prions bind tightly to a variety 
of environmentally relevant surfaces, including stones, wood, metals, plastic, 
glass, cement, etc. Prion contaminated surfaces efficiently transmit prion 
disease when these materials were directly injected into the brain of animals 
and strikingly when the contaminated surfaces were just placed in the animal 
cage. These findings demonstrate that environmental materials can efficiently 
bind infectious prions and act as carriers of infectivity, suggesting that they 
may play an important role in the horizontal transmission of the disease.
Since its invention 13 years ago, PMCA has helped to answer fundamental 
questions of prion propagation and has broad applications in research areas 
including the food industry, blood bank safety and human and veterinary disease 
diagnosis. 
see ;
Oral Transmissibility of Prion Disease Is Enhanced by Binding to Soil 
Particles
Author Summary
Transmissible spongiform encephalopathies (TSEs) are a group of incurable 
neurological diseases likely caused by a misfolded form of the prion protein. 
TSEs include scrapie in sheep, bovine spongiform encephalopathy (‘‘mad cow’’ 
disease) in cattle, chronic wasting disease in deer and elk, and 
Creutzfeldt-Jakob disease in humans. Scrapie and chronic wasting disease are 
unique among TSEs because they can be transmitted between animals, and the 
disease agents appear to persist in environments previously inhabited by 
infected animals. Soil has been hypothesized to act as a reservoir of 
infectivity and to bind the infectious agent. In the current study, we orally 
dosed experimental animals with a common clay mineral, montmorillonite, or whole 
soils laden with infectious prions, and compared the transmissibility to unbound 
agent. We found that prions bound to montmorillonite and whole soils remained 
orally infectious, and, in most cases, increased the oral transmission of 
disease compared to the unbound agent. The results presented in this study 
suggest that soil may contribute to environmental spread of TSEs by increasing 
the transmissibility of small amounts of infectious agent in the 
environment.
tse prion soil
Wednesday, December 16, 2015 
Objects in contact with classical scrapie sheep act as a reservoir for 
scrapie transmission 
The sources of dust borne prions are unknown but it seems reasonable to 
assume that faecal, urine, skin, parturient material and saliva-derived prions 
may contribute to this mobile environmental reservoir of infectivity. This work 
highlights a possible transmission route for scrapie within the farm 
environment, and this is likely to be paralleled in CWD which shows strong 
similarities with scrapie in terms of prion dissemination and disease 
transmission. The data indicate that the presence of scrapie prions in dust is 
likely to make the control of these diseases a considerable challenge.
>>>Particle-associated PrPTSE molecules may migrate from locations 
of deposition via transport processes affecting soil particles, including 
entrainment in and movement with air and overland flow. <<< 
Fate of Prions in Soil: A Review 
Christen B. Smith, Clarissa J. Booth, and Joel A. Pedersen*
Several reports have shown that prions can persist in soil for several 
years. Significant interest remains in developing methods that could be applied 
to degrade PrPTSE in naturally contaminated soils. Preliminary research suggests 
that serine proteases and the microbial consortia in stimulated soils and 
compost may partially degrade PrPTSE. Transition metal oxides in soil (viz. 
manganese oxide) may also mediate prion inactivation. Overall, the effect of 
prion attachment to soil particles on its persistence in the environment is not 
well understood, and additional study is needed to determine its implications on 
the environmental transmission of scrapie and CWD. 
P.161: Prion soil binding may explain efficient horizontal CWD transmission 
Conclusion. Silty clay loam exhibits highly efficient prion binding, 
inferring a durable environmental reservoir, and an efficient mechanism for 
indirect horizontal CWD transmission.
>>>Another alternative would be an absolute prohibition on the 
movement of deer within the state for any purpose. While this alternative would 
significantly reduce the potential spread of CWD, it would also have the 
simultaneous effect of preventing landowners and land managers from implementing 
popular management strategies involving the movement of deer, and would deprive 
deer breeders of the ability to engage in the business of buying and selling 
breeder deer. Therefore, this alternative was rejected because the department 
determined that it placed an avoidable burden on the regulated 
community.<<<
Wednesday, December 16, 2015 
Objects in contact with classical scrapie sheep act as a reservoir for 
scrapie transmission 
Objects in contact with classical scrapie sheep act as a reservoir for 
scrapie transmission 
Timm Konold1*, Stephen A. C. Hawkins2, Lisa C. Thurston3, Ben C. Maddison4, 
Kevin C. Gough5, Anthony Duarte1 and Hugh A. Simmons1 
1 Animal Sciences Unit, Animal and Plant Health Agency Weybridge, 
Addlestone, UK, 2 Pathology Department, Animal and Plant Health Agency 
Weybridge, Addlestone, UK, 3 Surveillance and Laboratory Services, Animal and 
Plant Health Agency Penrith, Penrith, UK, 4 ADAS UK, School of Veterinary 
Medicine and Science, University of Nottingham, Sutton Bonington, UK, 5 School 
of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, 
UK 
Classical scrapie is an environmentally transmissible prion disease of 
sheep and goats. Prions can persist and remain potentially infectious in the 
environment for many years and thus pose a risk of infecting animals after 
re-stocking. In vitro studies using serial protein misfolding cyclic 
amplification (sPMCA) have suggested that objects on a scrapie affected sheep 
farm could contribute to disease transmission. This in vivo study aimed to 
determine the role of field furniture (water troughs, feeding troughs, fencing, 
and other objects that sheep may rub against) used by a scrapie-infected sheep 
flock as a vector for disease transmission to scrapie-free lambs with the prion 
protein genotype VRQ/VRQ, which is associated with high susceptibility to 
classical scrapie. When the field furniture was placed in clean accommodation, 
sheep became infected when exposed to either a water trough (four out of five) 
or to objects used for rubbing (four out of seven). This field furniture had 
been used by the scrapie-infected flock 8 weeks earlier and had previously been 
shown to harbor scrapie prions by sPMCA. Sheep also became infected (20 out of 
23) through exposure to contaminated field furniture placed within pasture not 
used by scrapie-infected sheep for 40 months, even though swabs from this 
furniture tested negative by PMCA. This infection rate decreased (1 out of 12) 
on the same paddock after replacement with clean field furniture. Twelve grazing 
sheep exposed to field furniture not in contact with scrapie-infected sheep for 
18 months remained scrapie free. The findings of this study highlight the role 
of field furniture used by scrapie-infected sheep to act as a reservoir for 
disease re-introduction although infectivity declines considerably if the field 
furniture has not been in contact with scrapie-infected sheep for several 
months. PMCA may not be as sensitive as VRQ/VRQ sheep to test for environmental 
contamination. 
snip... 
Discussion 
Classical scrapie is an environmentally transmissible disease because it 
has been reported in naïve, supposedly previously unexposed sheep placed in 
pastures formerly occupied by scrapie-infected sheep (4, 19, 20). Although the 
vector for disease transmission is not known, soil is likely to be an important 
reservoir for prions (2) where – based on studies in rodents – prions can adhere 
to minerals as a biologically active form (21) and remain infectious for more 
than 2 years (22). Similarly, chronic wasting disease (CWD) has re-occurred in 
mule deer housed in paddocks used by infected deer 2 years earlier, which was 
assumed to be through foraging and soil consumption (23). 
Our study suggested that the risk of acquiring scrapie infection was 
greater through exposure to contaminated wooden, plastic, and metal surfaces via 
water or food troughs, fencing, and hurdles than through grazing. Drinking from 
a water trough used by the scrapie flock was sufficient to cause infection in 
sheep in a clean building. Exposure to fences and other objects used for rubbing 
also led to infection, which supported the hypothesis that skin may be a vector 
for disease transmission (9). The risk of these objects to cause infection was 
further demonstrated when 87% of 23 sheep presented with PrPSc in lymphoid 
tissue after grazing on one of the paddocks, which contained metal hurdles, a 
metal lamb creep and a water trough in contact with the scrapie flock up to 8 
weeks earlier, whereas no infection had been demonstrated previously in sheep 
grazing on this paddock, when equipped with new fencing and field furniture. 
When the contaminated furniture and fencing were removed, the infection rate 
dropped significantly to 8% of 12 sheep, with soil of the paddock as the most 
likely source of infection caused by shedding of prions from the 
scrapie-infected sheep in this paddock up to a week earlier. 
This study also indicated that the level of contamination of field 
furniture sufficient to cause infection was dependent on two factors: stage of 
incubation period and time of last use by scrapie-infected sheep. Drinking from 
a water trough that had been used by scrapie sheep in the predominantly 
pre-clinical phase did not appear to cause infection, whereas infection was 
shown in sheep drinking from the water trough used by scrapie sheep in the later 
stage of the disease. It is possible that contamination occurred through 
shedding of prions in saliva, which may have contaminated the surface of the 
water trough and subsequently the water when it was refilled. Contamination 
appeared to be sufficient to cause infection only if the trough was in contact 
with sheep that included clinical cases. Indeed, there is an increased risk of 
bodily fluid infectivity with disease progression in scrapie (24) and CWD (25) 
based on PrPSc detection by sPMCA. Although ultraviolet light and heat under 
natural conditions do not inactivate prions (26), furniture in contact with the 
scrapie flock, which was assumed to be sufficiently contaminated to cause 
infection, did not act as vector for disease if not used for 18 months, which 
suggest that the weathering process alone was sufficient to inactivate prions. 
PrPSc detection by sPMCA is increasingly used as a surrogate for 
infectivity measurements by bioassay in sheep or mice. In this reported study, 
however, the levels of PrPSc present in the environment were below the limit of 
detection of the sPMCA method, yet were still sufficient to cause infection of 
in-contact animals. In the present study, the outdoor objects were removed from 
the infected flock 8 weeks prior to sampling and were positive by sPMCA at very 
low levels (2 out of 37 reactions). As this sPMCA assay also yielded 2 positive 
reactions out of 139 in samples from the scrapie-free farm, the sPMCA assay 
could not detect PrPSc on any of the objects above the background of the assay. 
False positive reactions with sPMCA at a low frequency associated with de novo 
formation of infectious prions have been reported (27, 28). This is in contrast 
to our previous study where we demonstrated that outdoor objects that had been 
in contact with the scrapie-infected flock up to 20 days prior to sampling 
harbored PrPSc that was detectable by sPMCA analysis [4 out of 15 reactions 
(12)] and was significantly more positive by the assay compared to analogous 
samples from the scrapie-free farm. This discrepancy could be due to the use of 
a different sPMCA substrate between the studies that may alter the efficiency of 
amplification of the environmental PrPSc. In addition, the present study had a 
longer timeframe between the objects being in contact with the infected flock 
and sampling, which may affect the levels of extractable PrPSc. Alternatively, 
there may be potentially patchy contamination of this furniture with PrPSc, 
which may have been missed by swabbing. The failure of sPMCA to detect 
CWD-associated PrP in saliva from clinically affected deer despite confirmation 
of infectivity in saliva-inoculated transgenic mice was associated with as yet 
unidentified inhibitors in saliva (29), and it is possible that the sensitivity 
of sPMCA is affected by other substances in the tested material. In addition, 
sampling of amplifiable PrPSc and subsequent detection by sPMCA may be more 
difficult from furniture exposed to weather, which is supported by the 
observation that PrPSc was detected by sPMCA more frequently in indoor than 
outdoor furniture (12). A recent experimental study has demonstrated that 
repeated cycles of drying and wetting of prion-contaminated soil, equivalent to 
what is expected under natural weathering conditions, could reduce PMCA 
amplification efficiency and extend the incubation period in hamsters inoculated 
with soil samples (30). This seems to apply also to this study even though the 
reduction in infectivity was more dramatic in the sPMCA assays than in the sheep 
model. Sheep were not kept until clinical end-point, which would have enabled us 
to compare incubation periods, but the lack of infection in sheep exposed to 
furniture that had not been in contact with scrapie sheep for a longer time 
period supports the hypothesis that prion degradation and subsequent loss of 
infectivity occurs even under natural conditions. 
In conclusion, the results in the current study indicate that removal of 
furniture that had been in contact with scrapie-infected animals should be 
recommended, particularly since cleaning and decontamination may not effectively 
remove scrapie infectivity (31), even though infectivity declines considerably 
if the pasture and the field furniture have not been in contact with 
scrapie-infected sheep for several months. As sPMCA failed to detect PrPSc in 
furniture that was subjected to weathering, even though exposure led to 
infection in sheep, this method may not always be reliable in predicting the 
risk of scrapie infection through environmental contamination. These results 
suggest that the VRQ/VRQ sheep model may be more sensitive than sPMCA for the 
detection of environmentally associated scrapie, and suggest that extremely low 
levels of scrapie contamination are able to cause infection in susceptible sheep 
genotypes. 
Keywords: classical scrapie, prion, transmissible spongiform 
encephalopathy, sheep, field furniture, reservoir, serial protein misfolding 
cyclic amplification 
Wednesday, December 16, 2015 
*** Objects in contact with classical scrapie sheep act as a reservoir for 
scrapie transmission ***
*** Infectious agent of sheep scrapie may persist in the environment for at 
least 16 years *** 
Gudmundur Georgsson1, Sigurdur Sigurdarson2 and Paul Brown3 
>>>Another alternative would be an absolute prohibition on the 
movement of deer within the state for any purpose. While this alternative would 
significantly reduce the potential spread of CWD, it would also have the 
simultaneous effect of preventing landowners and land managers from implementing 
popular management strategies involving the movement of deer, and would deprive 
deer breeders of the ability to engage in the business of buying and selling 
breeder deer. Therefore, this alternative was rejected because the department 
determined that it placed an avoidable burden on the regulated 
community.<<<
Circulation of prions within dust on a scrapie affected farm
Kevin C Gough1, Claire A Baker2, Hugh A Simmons3, Steve A Hawkins3 and Ben 
C Maddison2*
Abstract
Prion diseases are fatal neurological disorders that affect humans and 
animals. Scrapie of sheep/goats and Chronic Wasting Disease (CWD) of deer/elk 
are contagious prion diseases where environmental reservoirs have a direct link 
to the transmission of disease. Using protein misfolding cyclic amplification we 
demonstrate that scrapie PrPSc can be detected within circulating dusts that are 
present on a farm that is naturally contaminated with sheep scrapie. The 
presence of infectious scrapie within airborne dusts may represent a possible 
route of infection and illustrates the difficulties that may be associated with 
the effective decontamination of such scrapie affected premises.
snip...
Discussion
We present biochemical data illustrating the airborne movement of scrapie 
containing material within a contaminated farm environment. We were able to 
detect scrapie PrPSc within extracts from dusts collected over a 70 day period, 
in the absence of any sheep activity. We were also able to detect scrapie PrPSc 
within dusts collected within pasture at 30 m but not at 60 m distance away from 
the scrapie contaminated buildings, suggesting that the chance of contamination 
of pasture by scrapie contaminated dusts decreases with distance from 
contaminated farm buildings. PrPSc amplification by sPMCA has been shown to 
correlate with infectivity and amplified products have been shown to be 
infectious [14,15]. These experiments illustrate the potential for low dose 
scrapie infectivity to be present within such samples. We estimate low ng levels 
of scrapie positive brain equivalent were deposited per m2 over 70 days, in a 
barn previously occupied by sheep affected with scrapie. This movement of dusts 
and the accumulation of low levels of scrapie infectivity within this 
environment may in part explain previous observations where despite stringent 
pen decontamination regimens healthy lambs still became scrapie infected after 
apparent exposure from their environment alone [16]. The presence of sPMCA 
seeding activity and by inference, infectious prions within dusts, and their 
potential for airborne dissemination is highly novel and may have implications 
for the spread of scrapie within infected premises. The low level circulation 
and accumulation of scrapie prion containing dust material within the farm 
environment will likely impede the efficient decontamination of such scrapie 
contaminated buildings unless all possible reservoirs of dust are removed. 
Scrapie containing dusts could possibly infect animals during feeding and 
drinking, and respiratory and conjunctival routes may also be involved. It has 
been demonstrated that scrapie can be efficiently transmitted via the nasal 
route in sheep [17], as is also the case for CWD in both murine models and in 
white tailed deer [18-20].
The sources of dust borne prions are unknown but it seems reasonable to 
assume that faecal, urine, skin, parturient material and saliva-derived prions 
may contribute to this mobile environmental reservoir of infectivity. This work 
highlights a possible transmission route for scrapie within the farm 
environment, and this is likely to be paralleled in CWD which shows strong 
similarities with scrapie in terms of prion dissemination and disease 
transmission. The data indicate that the presence of scrapie prions in dust is 
likely to make the control of these diseases a considerable challenge.
***Moreover, sporadic disease has never been observed in breeding colonies 
or primate research laboratories, most notably among hundreds of animals over 
several decades of study at the National Institutes of Health25, and in nearly 
twenty older animals continuously housed in our own facility.*** 
Evidence That Transmissible Mink Encephalopathy Results from Feeding 
Infected Cattle 
Over the next 8-10 weeks, approximately 40% of all the adult mink on the 
farm died from TME. 
snip... 
The rancher was a ''dead stock'' feeder using mostly (>95%) downer or 
dead dairy cattle... 
In Confidence - Perceptions of unconventional slow virus diseases of 
animals in the USA - APRIL-MAY 1989 - G A H Wells 
3. Prof. A. Robertson gave a brief account of BSE. The US approach was to 
accord it a very low profile indeed. Dr. A Thiermann showed the picture in the 
''Independent'' with cattle being incinerated and thought this was a fanatical 
incident to be avoided in the US at all costs. ... 
”The occurrence of CWD must be viewed against the contest of the locations 
in which it occurred. It was an incidental and unwelcome complication of the 
respective wildlife research programmes. Despite it’s subsequent recognition as 
a new disease of cervids, therefore justifying direct investigation, no specific 
research funding was forthcoming. The USDA veiwed it as a wildlife problem and 
consequently not their province!” ...page 26. 
Monday, May 09, 2016 
A comparison of classical and H-type bovine spongiform encephalopathy 
associated with E211K prion protein polymorphism in wild type and EK211 cattle 
following intracranial inoculation 
Monday, June 20, 2016 
Specified Risk Materials SRMs BSE TSE Prion Program 
Sent: Monday, January 08,2001 3:03 PM
TO: freas@CBS5055530.CBER.FDA.GOV
FDA CJD BSE TSE Prion Scientific Advisors and Consultants Staff January 
2001 Meeting Singeltary Submission
2001 FDA CJD TSE Prion Singeltary Submission 
15 November 1999 
British Medical Journal 
vCJD in the USA * BSE in U.S. 
2 January 2000 
British Medical Journal 
U.S. Scientist should be concerned with a CJD epidemic in the U.S., as well 
Diagnosis and Reporting of Creutzfeldt-Jakob Disease
Singeltary, Sr et al. JAMA.2001; 285: 733-734. Vol. 285 No. 6, February 14, 
2001 JAMA
Diagnosis and Reporting of Creutzfeldt-Jakob Disease
To the Editor: In their Research Letter, Dr Gibbons and colleagues1 
reported that the annual US death rate due to Creutzfeldt-Jakob disease (CJD) 
has been stable since 1985. These estimates, however, are based only on reported 
cases, and do not include misdiagnosed or preclinical cases. It seems to me that 
misdiagnosis alone would drastically change these figures. An unknown number of 
persons with a diagnosis of Alzheimer disease in fact may have CJD, although 
only a small number of these patients receive the postmortem examination 
necessary to make this diagnosis. Furthermore, only a few states have made CJD 
reportable. Human and animal transmissible spongiform encephalopathies should be 
reportable nationwide and internationally.
Terry S. Singeltary, Sr Bacliff, Tex
1. Gibbons RV, Holman RC, Belay ED, Schonberger LB. Creutzfeldt-Jakob 
disease in the United States: 1979-1998. JAMA. 2000;284:2322-2323.
26 March 2003 
Terry S. Singeltary, retired (medically) CJD WATCH 
I lost my mother to hvCJD (Heidenhain Variant CJD). I would like to comment 
on the CDC's attempts to monitor the occurrence of emerging forms of CJD. 
Asante, Collinge et al [1] have reported that BSE transmission to the 
129-methionine genotype can lead to an alternate phenotype that is 
indistinguishable from type 2 PrPSc, the commonest sporadic CJD. However, CJD 
and all human TSEs are not reportable nationally. CJD and all human TSEs must be 
made reportable in every state and internationally. I hope that the CDC does not 
continue to expect us to still believe that the 85%+ of all CJD cases which are 
sporadic are all spontaneous, without route/source. We have many TSEs in the USA 
in both animal and man. CWD in deer/elk is spreading rapidly and CWD does 
transmit to mink, ferret, cattle, and squirrel monkey by intracerebral 
inoculation. With the known incubation periods in other TSEs, oral transmission 
studies of CWD may take much longer. Every victim/family of CJD/TSEs should be 
asked about route and source of this agent. To prolong this will only spread the 
agent and needlessly expose others. In light of the findings of Asante and 
Collinge et al, there should be drastic measures to safeguard the medical and 
surgical arena from sporadic CJDs and all human TSEs. I only ponder how many 
sporadic CJDs in the USA are type 2 PrPSc? 
Sent: Monday, January 08,2001 3:03 PM
TO: freas@CBS5055530.CBER.FDA.GOV
FDA CJD BSE TSE Prion Scientific Advisors and Consultants Staff January 
2001 Meeting Singeltary Submission
2001 FDA CJD TSE Prion Singeltary Submission 
Thursday, April 14, 2016 
Arizona 22 year old diagnosed with Creutzfeldt Jakob Disease CJD
just made a promise to mom, never forget, and never let them forget, before 
we all do... 
Heidenhain Variant Creutzfeldt Jakob Disease autopsy case report 'MOM' 
 DIVISION OF NEUROPATHOLOGY University of Texas Medical Branch 114 
McCullough Bldg. Galveston, Texas 77555-0785 
 FAX COVER SHEET 
 DATE: 4-23-98 
 TO: Mr. Terry Singeltary @ ------- 
 FROM: Gerald Campbell 
 FAX: (409) 772-5315 PHONE: (409) 772-2881 
 Number of Pages (including cover sheet): 
 Message: 
 *CONFIDENTIALITY NOTICE* 
 This document accompanying this transmission contains confidential 
information belonging to the sender that is legally privileged. This information 
is intended only for the use of the individual or entry names above. If you are 
not the intended recipient, you are hereby notified that any disclosure, copying 
distribution, or the taking of any action in reliances on the contents of this 
telefaxed information is strictly prohibited. If you received this telefax in 
error, please notify us by telephone immediately to arrange for return of the 
original documents. 
 -------------------------- 
 Patient Account: 90000014-518 Med. Rec. No.: (0160)118511Q Patient Name: 
POULTER, BARBARA Age: 63 YRS DOB: 10/17/34 Sex: F Admitting Race: C 
 Attending Dr.: Date / Time Admitted : 12/14/97 1228 Copies to: 
 UTMB University of Texas Medical Branch Galveston, Texas 77555-0543 (409) 
772-1238 Fax (409) 772-5683 Pathology Report 
 FINAL AUTOPSY DIAGNOSIS Autopsy' Office (409)772-2858 
 Autopsy NO.: AU-97-00435 
 AUTOPSY INFORMATION: Occupation: Unknown Birthplace: Unknown Residence: 
Crystal Beach Date/Time of Death: 12/14/97 13:30 Date/Time of Autopsy: 12/15/97 
15:00 
 Pathologist/Resident: Pencil/Fernandez Service: Private Restriction: Brain 
only 
 FINAL AUTOPSY DIAGNOSIS 
 I. Brain: Creutzfeldt-Jakob disease, Heidenhain variant. 
 ***TYPE: Anatomic(A) or Clinical(C) Diagnosis. IMPORTANCE: 1-immediate 
cause of death (COD); 2.ureterlying COD; 3-contributory COD: 4.concomitant, 
significant; 5-incidental *** 
 Patient Name: POULTER, BARBARA Patient Location: AUTOPSY Room/Bed: Printed 
Date; Time: 01/30/98 - 0832 
 Page: 1 Continued .... 
 -------------- 
 UTMB University of Texas Medical Branch Galveston, Texas 77555-0543 (409) 
772-1238 Fax (409) 772-5683 
 Pathology Report 
 Autopsy NO,: AU-97-00435 
 MICROSCOPIC DESCRIPTION: The spongiform change is evident in all areas of 
neocortex, varying from mild to moderate in severity with only very mild 
neuronal loss and gliosis. In the bilateral occipital lobes, there is severe 
loss cortical neurons and gliosis, with a corresponding pallor of the underlying 
white matter. There is only minimal, focal spongiform change in corpus striatum, 
lentiform nuclei, thalamus, hippocampus, brainstem and cerebellum. There is no 
significant loss of neurons from the lateral geniculate nucleus, and the optic 
chiasm and tracts are well-myelinated. 
 SECTIONS TAKEN: N-l) Pituitary, N-2) Right frontal, N-3) Right inferior 
frontal, N-4) Right caudate putamen. N-5) Right lentiform nuclei, N-6) Right 
hippocampus, N-7) optic chiasm. N-8) Left inferior temporal lobe, N-9) Right 
inferior occipital, N-10} Cerabellum. N-l1) Midbrain, N-12) Pons, N-13) Medulla. 
 FINAL DIAGNOSES: BRAIN: 1. Clinical history of rapidly progressive 
dementia, clinically consistent with Creutzfeldt-Jakob Disease. 
 a. spongiform encephalopathy, most Severe in occipital lobes, consistent 
with Heidenhain variant of Creutzfeldt-Jakob disease. 
 b. Ventriculer enlargement, moderate, consistent with atrophy. 1. 
Communicating spherical enlargement of occipital horn of left lateral ventricle 
(possible incidental congenital anomaly). 
 DURA; Left subdural hemorrhage, recent, minimal. 
 PITUITARY: Severe capillary congestion. 
 COMMENTS; See also western blot report from Dr. Gambetti's lab Amyloid 
stains are not completed for this case as of this date. The results, which are 
not essential for the diagnosis, will be reported separately in an addendum. 
 (this was hand written notes) no amyloid evident in the special stains. no 
evidence of plaques.GAE 
 Gerald A. Campbell, M.D., Pathologist Division of Neuropathology 
 (Electronic Signature}. (Gross: 01/16/98 Final: 02/08/98 
 Patient Name: POULTER, BARBARA Patient Location: AUTOPSY Room/Bed: Printed 
Date: Time: 02/09/98 - 1120 
 Page 2 END OF REPORT ------- 
 UTMB University of Texas Medical Branch Galveston, Texas 77555-0543 (409) 
772-1238 fax (409) 772-5683 Pathology Report 
 Date/Time of Death: 12/14/97 Autopsy No.: AU-97-00435 
 NEUROPATHOLOGY CONSULTATION 
 CLINICAL HISTORY This patient was a 63-year-old white female with recent 
onset of progressive dementia. She was well until September of this year, when 
she noted a decrease in her visual activity and was found to have visual field 
defects as well. MRI revealed no lesions in the orbits or optic pathways. She 
was admitted to the hospital with the working diagnosis of bilateral optic 
neuropathy for a course of intravenous methylprednisolone, but her vision 
continued to deteriorate. She developed increasing memory and speech impairment, 
weakness and myoclonus. She died on 12/14/97, approximately three and one-half 
months after her symptoms started. 
 Date/Time of Death: 12/14/97 13:30 Date/Time Autopsy: 12/15/97 15:00 
Pathologist Resident: PENCIL/FERNANDEZ 
 GROSS DESCRIPTION: Submitted are the brain, convexity dura and pituitary 
gland. 
 The pituitary gland is very dark and almost hemorrhagic in appearance, but 
has no obvious hematoma. It is submitted totally for histology. 
 The right convexity dura has diffuse but minimal subdura hemorrhage, and 
the dura is otherwise unremarkable. 
 The brain is normally developed with normal size for an adult and is 
symmetric externally. It does not have apparent sulcal widening. There is mild 
congestion of the leptomeninges, which are transparent. There is no evidence of 
inflammatory exudete. There is no evidence of internal softenings or other 
lesions externally. The cerebral arteries have focal atherosclerosis, but are 
without significant compromise of the vessels lumens. There is no evidence of 
aneurysms or malformations. 
 The hemispheres are sliced coronally revealing, a ventricular system which 
is mildly enlarged. The cortical ribbon is normal in thickness throughout most 
of the brain, except for the inferior and medial occipital lobes bilaterally, 
where the cortex is firm, thin and has a brownish discoloration, more severely 
so on the left than the right. In addition there is a spherical enlargement of 
the left occipital horn of the lateral ventricle which communicates with the 
remainder of the lateral ventricle. The tissue of the white matter around this 
enlargement is somewhat softer then in other areas. Other areas of the brain are 
grossly unremarkable. The brainstem and cerebellum are sliced transversely, 
revealing normal development and no evidence of gross changes or lesions. 
 DICTATED BY: GERALD A. CAMPBELL, M.D., PATHOLOGIST 01/16/98 
 Page 1 Continued .... 
 --------------- 
 Patient Account: 90000014-518 Med. Rec. No,: (0160)118511Q 
 Patient Name: POULTER, BARBARA Age: 63 YRS DOB: 10/17/34 Sex:F Race:C 
Admitting Dr.: Attending Dr: Date/Time Admitted: 12/14/97 1228 
 UTMB University of Texas Medical Branch Galveston, Texas 77555-0543 (409) 
772-1238 Fax (409) 772-5683 Pathology Report 
 FINAL AUTOPSY REPORT Autopsy Office (409)772-2858 Autopsy No.: AU-97-00435 
 CLINICAL SUMMARY: 
 This is a 63-year-old white female with a recent onset of progressive 
dementia. Her past medical history is significant for hypothyroidism. She was 
well until September of this year, when she noted visual difficulty. By 
mid-October, she could not read the newspaper. She was found to have a decrease 
in visual acuity and visual field defects. One week after her initial 
evaluation, a panel of blood tests showed no significant abnormalities and a MRI 
revealed some periventricular white matter "plaque-like" areas but no lesions in 
the orbits or optic pathways. 
 The patient had continued deterioration and distortion of her vision. The 
visual field defects increased, and she was found to have paracentral scotomas 
which were thought to be consistent with bilateral optic neuropathy. Early in 
November, she was admitted to the hospital for a course of intravenous methyl 
prednisolone. 
 During her hospital stay, she was noted to have short term memory and 
speech impairment; her vision did not improve. She was discharged with the 
diagnosis of Creutzfeldt-Jakob disease. 
 Later, the patient developed progressive dementia with marked impairment 
of speech and memory. She had complete visual loss, increased weakness and 
myoclonus. She died on December 14, 1997. 
 MF /AV 12/16/97 
 Patient Name: POULTER, BARBARA Patient Location: AUTOPSY Room/Bed: Printed 
Date / Time: 01//30/98 - 0832 Page: 2 Continued .... -------------- 
 Patient Account: 90000014-518 Med. Rec. No.: (0160)118511Q Patient Name: 
POULTER, BARBARA Age: 63 YRS DOB: 10/17/34 Sex: F Race: C Admitting Dr.: 
Attending Dr.: Date / Time Admitted : 12/14/97 1228 
 UTMB University of Texas Medical Branch Galveston. Texas 77555-0543 (409) 
772-1238 Fax (409) 772-5683 Pathology Report 
 AU-97-00435 
 GROSS DESCRIPTION: 
 EXTERNAL EXAMINATION: The body is that of a 63-year-old well-nourished, 
well-developed white female. There is no rigor mortis present, and there is 
unfixed dependent lividity on the posterior surface. The head is normocephalic 
with a moderate amount of gray, medium length scalp hair. The irides are blue 
with equal pupils measuring 0.4 mm in diameter. The nares are patent with no 
exudate. Dentition is fair. Buccal membranes are normal. There is normal female 
hair distribution. The chest does not have increased anterior-posterior 
diameter. The abdomen is slightly protuberant. Lymph node enlargement is not 
present. The extremities are unremarkable. The genitalia are those of a normal 
female. Two well-healed remote scars are identified in the abdomen: one in the 
right upper quadrant and another in the superpubic area. 
 BRAIN: The brain weighs 1450 gm. The gyri and sulci display a normal 
pattern without edema or atrophy. The meninges show no abnormalities. The circle 
of Willis, basilar and vertebral arteries show no significant atherosclerosis. 
The brain is fixed in formalin for later examination by a neuropathologist (see 
neuropathology report). No indentation of the cingulate gyri, unci or molding of 
the cerebellar tonsils are noted. 
 SPINAL CORD: The spinal cord is not removed. 
 PITUITARY GLAND: The pituitary gland is removed and is fixed in formalin 
for subsequent examination by a neuropathologist. 
 MF /AV 12/16/97 
 Patient Name: POULTER, BARBARA Patient Location: AUTOPSY Room/Bed: Printed 
Date / Time: 01/30/98 - 0832 
 Page 3 Continued .... 
 -------------- 
 Patient Account : 90000014-518 Med. Rec. No.: (0160)118511Q patient Name: 
POULTER, BARBARA Age: 63 YRS DOB: 10/17/34 Sex: F Race: C Admitting Dr.: 
Attending Dr,: Date/Time Admitted: 12/14/97 1228 
 UTMB University of Texas Medical Branch Galveston, Texas 77555-0543 (409) 
772-1238 Fax (409) 772-5683 
 Pathology Report AU-97-00435 
 MICROSCOPIC DESCRIPTION: 
 BRAIN: Histologic examination of multiple sampled areas of the brain 
showed the characteristic features of Creutzfetdt-Jakob disease. These were 
present in most sections, but were particularly prominent in the occipital 
cortex. The spongiform degeneration was seen in the neuropil of the gray matter 
as multiple vacuoles amoung numerous reactive astrocytes and occasional neuronal 
cell bodies. These changes were most notable in the basal layer of the cortex. 
PAS and amyloid stains will be performed on selected sections to asses the 
presence of plaques. 
 MF /MF 01/28/98 
 Patient Name: POULTER, BARBARA Patient Location: AUTOPSY Room/Bed: Printed 
Date / Time: 01/30/98 - 0832 
 Page: 4 Continued .... -------------- 
 Patient Account: 90000014-518 Med. Rec. No.: (0160}118511Q Patient Name: 
POULTER, BARBARA Age: 63 YRS DOB: 10/17/34 Sex: F Race: C Admitting Dr.: 
Attending Dr.: Date / Time Admitted : 12/14/97 1228 
 UTMB University of Texas Medical Branch Galveston, Texas 775550-0543 (409) 
772-1238 Fax (409) 772-5683 Pathology Report 
 Autopsy office (409)772-2858 Autopsy No.: AU-97-00435 
 FINAL AUTOPSY REPORT 
 CLINICOPATHOLOGIC CORRELATION: 
 The clinical findings in this case strongly suggest the diagnosis of 
Creutzfeldt-Jakob disease: progressive dementia, typical EEG changes, visual 
disturbances and myoclonus. These characteristics indicate this is a "probable 
case of CJD", according the criteria set by the EC Surveillance Group of 
Creutzfeldt-Jakob Disease in Europe (1). 
 The definitive diagnosis of Creutzfeldt-Jakob disease, however, is 
established by neuropathologic findings. There are three changes that are 
classically described and considered diagnostic: spongiform change, neuronal 
loss and astrocytic gliosis. The presence of these can vary significantly in 
proportion and distribution and often correlate with clinical symptoms. This 
permits classification of the disease into several variants. 
 Three variants of Creutzfeldt-Jakob disease have been proposed by Roos and 
Gajdusek (2): frontopyramidal, with pyramidal or lower motor neuron involvement; 
occipitoparietal {Heidenhain), characterized by disorders in higher cortical 
function and vision; and diffuse, with cerebral, cortical, basal ganglia, 
thalamic, cerebellar, midbrain and spinal cord involvement. 
 Histological examination from multiple samples of the brain in this case 
revealed astrocytic gliosis, spongiform degeneration and neuronal loss. Although 
these changes were seen in most sections, they were most prominent in the 
occipital cortex. This correlates very well with the clinical history of visual 
disturbances. Based on this finding, the present case corresponds to the 
Heidenhain variant. It is not uncommon for Creutzfeldt-Jakob disease to present 
with visual symptoms as the initial manifestation of the disease. Vargas et al 
(3) has reported three cases with these characteristics. 
 There have been numerous and significant advances in our understanding of 
Creutzfeldt-Jakob disease and prion diseases in general. These have been 
reviewed in several papers written recently, including one by Horowich and 
Weissman (4). 
 In summary, this 63 year old female with a history of visual disturbances 
and dementia of rapid progression was found to have the neuropathologic changes 
characteristic of Creutzfeldt-Jakob disease, predominantly in the occipital 
cortex. The occipital tropism and consequent visual symptoms indicate this case 
corresponds to the Heidenhain variant. 
 REFERENCES: 
 Patient Name: POULTER, BARBARA Patient location: AUTOPSY Room/Bed: Printed 
Date / Time: 01/30/98 * 0832 
 Page: 5 Continued .... 
 -------------- 
 Patient Account: 90000014-518 Med. Rec. No.: (0160)118511Q Patient Name: 
POULTER, BARBARA Age: 63 YRS DOB: 10/17/34 Sex: F Race: C Admitting Dr.: 
Attending Dr.: Date / Time Admitted : 12/14/97 1228 
 UTMB University of Texas Medical Branch Galveston, Texas 77555-0543 (409) 
772-1238 Fax (409} 772-5683 Pathology Report 
 Autopsy No.: AU-97-00435 
 FINAL AUTOPSY REPORT 
 CLINICOPATHOLOGIC CORRELATION: 
 1. Budka H, et al: Tissue handling in suspected Creutzfeldt-Jakob disease 
(CJD) and other human spongiform encephalopathies (prion diseases), Brain 
Pathology. 5:319-322,1995. 
 2. Roos R, Gajdusek DC, Gibbs CJ Jr: The clinical characteristics of 
transmissible Creutzfeldt-Jakob disease. Brain 96: 1-20, 1973. 
 3. Vargas ME, et al: Homonymous field defect as the first Manifestation of 
Creutzfeldt-Jakob disease. American Journal of Ophthalmology. 119:497-504, 1995. 
 4. Horowich AL, Weissman JS: Deadly conformations - protein misfolding in 
prion disease. Cell Vol.89, 499-510, 1997. 
 MF /MF 01/28/98 
 SCOT D. PENCIL, M.D., PATHOLOGIST MARTIN FERNANDEZ, M.D. 01/29/98 
(Electronic Signature) 
 Patient Name: POULTER, BARBARA Patient Location: AUTOPSY Room/Bed: Printed 
Date / Time: 01/30/98 - 0832 
 Page: 6 END OF REPORT 
 -------------- 
 The University of Texas Medical Branch at Galveston 
 Gerald A, Campbell, Ph.D., M.D, Associate Professor and Director Division 
of Neuropathology Department of Pathology 
 February 26, 1998 
 Pierluigi Gambetti, M.D. Professor Institute of Pathology Case Western 
Reserve University 2085 Adelbert Road Cleveland Ohio 44106 
 Dear Dr, Gambetti: 
 Enclosed please find the microscopic slides and autopsy report from our 
patient, Barbara Poulter (Hosp.# 11851lQ, Autopsy # AU97-435). These slides are 
being sent for consultation at the request of Mr. Singletary, Ms. Poulter's son 
and next of kin. We will also send frozen tissue from the brain on dry ice next 
week, and someone will call you on the day the tissue is shipped. Please return 
the slides when you have finished with your examination. If you need any further 
information, please do not hesitate to call me. Thanks for your assistance with 
this case. 
 Sincerely, Gerald A. Campbell 
 ------------------ 
 CASE WESTERN RESERVE UNIVERSITY 
 February 26, 1988 
 Gerald Campbell, M.D,, PhD. Division of Neuropathology, G85 University TX 
Medical Branch Galveston, TX 77555-0785 
 Dear Dr. Campbell, 
 As per our telephone conversation concerning a recent case of CJD, I Will 
be willing to examine slides and the frozen tissue on western blotting, I will 
issue a report to you about our conclusions. Below is my address, Our Fed Ex 
number is XXXXXXXXXXXXXXX. 
 Thank your for your assistance in this matter, 
 Best personal regards, 
 Pierluigi Gambetti, M.D. 
 PG:In 
 Division of Neuropathology Pierluigi Gambetti, M.D. Director Institute Of 
Neuropathology 2085 Adelbert Road Cleveland, Ohio 44106 
 Phone 216-368-0587 Fax 216-368-2546 
 ------------------ 
 CASE WESTERN RESERVE UNIVERSITY 
 February 27, 1998 
 Dr. Gerald A. Campbell The University of Texas Medical Branch at Galveston 
Division of Neuropathology, G85 Galveston. TX 77555-0785 
 Dear Dr. Campbell, 
 We are in receipt of the slides you sent on Mrs. Barbara Poulter (your #: 
AU97-435;our#098-28). 
 Best personal regards, Pierluigi Gambetti, M.D. 
 PG:sb 
 Division of Neuropathology Pierluigi Gambetti, M.D., Director 
 ----------------------------------- 
 CASE WESTERN RESERVE UNIVERSITY 
 March 30, 1998 
 Dr. Gerald A, Campbell The University of Texas Medical Branch at Galveston 
Division of Neuropathology Department of Pathology Galveston, Texas 
 Dear Dr Campbell, 
 We performed Western immunoblot analysis on the frozen tissue from your 
case #AU97-435 (our #098-28). The Immunoblot reveals the presence of 
protease-resistant prion protein (PrPres) confirming the diagnosis of prion 
disease. The immunoblot pattern of PrPres is consistent with the diagnosis of 
Creutzfeldt-Jakob disease. 
 Thank you for referring to us this interesting case. 
 Sincerely, 
 Piero Parchi, M.D. 
 Pierluigi Gambetti, M.D. 
 PP:sb 
 Division of Neuropathology Pierluigi Gambetti, M.D., Director Case Western 
Reserve University 
 This Autopsy report is for the use of anyone, who is trying to understand 
this hideous disease CJD. I hope it can be beneficial for some in researching 
human TSE. Please remember, this was my Mom, and to use this with great respect. 
 thank you, kind regards, 
 Terry S. Singeltary Sr., Bacliff, Texas USA 
 ------------------------------- 
Sunday, January 17, 2016 
Of Grave Concern Heidenhain Variant Creutzfeldt Jakob Disease 
Singeltary Submission 2016
Alzheimer-type brain pathology may be transmitted by grafts of dura mater 
26/01/2016 
Terry S. Singeltary Sr. 
Bacliff, Texas USA 77518 
Head Peon, Galveston Bay, on the bottom.
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