vCJD transfusion-associated Fourth Case UK

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Name: Terry Singeltary
Location: BACLIFF, Texas, United States

My mother was murdered by what I call corporate and political homicide i.e. FOR PROFIT! she died from a rare phenotype of CJD i.e. the Heidenhain Variant of Creutzfeldt Jakob Disease i.e. sporadic, simply meaning from unknown route and source. I have simply been trying to validate her death DOD 12/14/97 with the truth. There is a route, and there is a source. There are many here in the USA. WE must make CJD and all human TSE, of all age groups 'reportable' Nationally and Internationally, with a written CJD questionnaire asking real questions pertaining to route and source of this agent. Friendly fire has the potential to play a huge role in the continued transmission of this agent via the medical, dental, and surgical arena. We must not flounder any longer. ...TSS

Friday, November 20, 2009

SaBTO Advisory Committee on the Safety of Blood, Tissues and Organs Summary of the Eighth Meeting, 27 October 2009

SaBTO Advisory Committee on the Safety of Blood, Tissues and Organs Summary of the Eighth Meeting, 27 October 2009


Summary of the Eighth Meeting, 27 October 2009

1. Consent for blood transfusion

Members were reminded that questionnaires regarding informed consent for blood transfusion had been finalised by a working group consisting of SaBTO members and other experts. Two questionnaires have been developed which are specifically for either Healthcare Professionals or Patient groups. The working group had agreed the management of the consultation process with the Department of Health. The consultation process will be UK wide. Participants will be given 12 weeks to respond, after which time the consultation will close and the responses will be analysed.

2. MSBTO Guidance update

Members noted the urgent need for this update, which was expected to be forthcoming shortly.

3. Prion Filtration

Members had discussed prion filtration at previous meetings, and had asked to be kept updated on progress of both efficacy and safety assessments. This was provided via a presentation from the vCJD working group, with new data from both the ongoing clinical trial to assess safety of prion filtered red blood cells (the PRISM trial) and independent efficacy assessments of the performance of the same product. Early results from the clinical trial are encouraging, but members noted that the trial is still some way from completion. Members were appraised of data from the Health Protection Agency’s independent evaluation of efficacy, in addition to information from the manufacturer and another independent study. The committee noted that independent data from animal based, endogenous studies of efficacy will not be available until 2014. Having considered the information and analysis provided, the committee:

• is satisfied that there is now sufficient evidence that this particular filter reduces infectivity;

• recommends that filtered red cells be provided to those born since 1 January 1996, subject to satisfactory completion of the PRISM clinical trial.

The committee also noted that, if implemented, the continuing requirement for prion filtration should be reviewed in the event that either further data on prevalence or efficacy of the filters becomes available.

1

The committee had previously recommended the introduction of double dose red cells (DDRC) as a vCJD risk-reduction measure for under 16s and patients with haemoglobinopathies. SaBTO recommended that DDRC be rescinded for those groups receiving prion filtered blood.

2

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@ab/documents/digitalasset/dh_108860.pdf



Tuesday, November 11, 2008

SaBTO Summary of 1st Public Meeting – variant CJD and blood Tuesday 21st October 2008, 2pm-4pm

http://vcjdblood.blogspot.com/2008/11/sabto-summary-of-1st-public-meeting.html



Tuesday, October 27, 2009 AMORFIX DETECTS vCJD PRIONS IN BLOOD FROM NON-HUMAN PRIMATES

NEWS RELEASE TSX: AMF

FOR IMMEDIATE RELEASE

http://vcjdtransfusion.blogspot.com/2009/10/amorfix-detects-vcjd-prions-in-blood.html



TSEAC MEETING FEBRUARY 12, 2004 THE BAXTER STUDY GSS

http://tseac.blogspot.com/2009/09/tseac-meeting-february-12-2004-baxter.html



Sunday, May 10, 2009

Meeting of the Transmissible Spongiform Encephalopathies Committee On June 12, 2009 (Singeltary submission)

http://tseac.blogspot.com/2009/05/meeting-of-transmissible-spongiform.html


SEE UPDATED DATA ON BLOOD AND CJD HERE ;

Tuesday, November 17, 2009

SEAC EFFECT OF AGE ON THE PATHOGENESIS OF TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES SEAC 103/2

http://downercattle.blogspot.com/2009/11/seac-effect-of-age-on-pathogenesis-of.html




Tuesday, November 17, 2009

SEAC NEW RESULTS ON IDIOPATHIC BRAINSTEM NEURONAL CHROMATOLYSIS (IBNC) FROM THE VETERINARY LABORATORIES AGENCY (VLA) SEAC 103/1

http://bse-atypical.blogspot.com/2009/11/seac-new-results-on-idiopathic.html






TSS

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Wednesday, November 04, 2009

Detection of PrPsc in Blood from Sheep Infected with the Scrapie and Bovine Spongiform Encephalopathy Agents

Detection of PrPsc in Blood from Sheep Infected with the Scrapie and Bovine Spongiform Encephalopathy Agents


L. A. Terry,1* L. Howells,1 J. Hawthorn,1 J. C. Edwards,1 S. J. Moore,2 S. J. Bellworthy,2 H. Simmons,3 S. Lizano,4 L. Estey,4 V. Leathers,4 and S. J. Everest1 Department of Molecular Pathogenesis and Genetics,1 Department of Neuropathology,2 Animal Service Unit, Veterinary Laboratories Agency, Woodham Lane, New Haw, Surrey KT15 3NB, United Kingdom,3 IDEXX Corporation, Westbrook Drive, Portland, Maine4

Received 12 February 2009/ Accepted 31 August 2009

The role of blood in the iatrogenic transmission of transmissible spongiform encephalopathy (TSE) or prion disease has become an increasing concern since the reports of variant Creutzfeldt-Jakob disease (vCJD) transmission through blood transfusion from humans with subclinical infection. The development of highly sensitive rapid assays to screen for prion infection in blood is of high priority in order to facilitate the prevention of transmission via blood and blood products. In the present study we show that PrPsc, a surrogate marker for TSE infection, can be detected in cells isolated from the blood from naturally and experimentally infected sheep by using a rapid ligand-based immunoassay. In sheep with clinical disease, PrPsc was detected in the blood of 55% of scrapie agent-infected animals (n = 80) and 71% of animals with bovine spongiform encephalopathy (n = 7). PrPsc was also detected several months before the onset of clinical signs in a subset of scrapie agent-infected sheep, followed from 3 months of age to clinical disease. This study confirms that PrPsc is associated with the cellular component of blood and can be detected in preclinical sheep by an immunoassay in the absence of in vitro or in vivo amplification.

-------------------------------------------------------------------------------- * Corresponding author. Mailing address: Department of Molecular Pathogenesis and Genetics, Veterinary Laboratories Agency, Woodham Lane, New Haw, Surrey KT15 3NB, United Kingdom. Phone: (44) 1932-357533. Fax: (44) 1932-359525. E-mail: l.terry@vla.defra.gsi.gov.uk

Published ahead of print on 9 September 2009.

-------------------------------------------------------------------------------- Journal of Virology, December 2009, p. 12552-12558, Vol. 83, No. 23 0022-538X/09/$08.00+0 doi:10.1128/JVI.00311-09 Copyright © 2009, American Society for Microbiology. All Rights Reserved.



http://jvi.asm.org/cgi/content/abstract/83/23/12552?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=prion&searchid=1&FIRSTINDEX=0&volume=83&issue=23&resourcetype=HWCIT





http://vcjdtransfusion.blogspot.com/





TSS

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Tuesday, October 27, 2009

AMORFIX DETECTS vCJD PRIONS IN BLOOD FROM NON-HUMAN PRIMATES

NEWS RELEASE TSX: AMF

FOR IMMEDIATE RELEASE

AMORFIX DETECTS vCJD PRIONS IN BLOOD FROM NON-HUMAN PRIMATES

TORONTO, ON, October 27, 2009 – Amorfix Life Sciences, a company focused on treatments and diagnostics for misfolded protein diseases, announced today it has detected prions in blood from non-human primates that were orally-infected with BSE and developed a primate version of vCJD.

“Amorfix was able to obtain only a limited number of these very rare primate samples. Considering the small number of samples tested, these results are promising,” said Dr. Neil Cashman, Chief Scientific Officer of Amorfix. “Given these results and the similarity of this primate model to humans, it is important to now test human vCJD blood samples.” Blood samples were obtained from a European-sponsored vCJD primate study. Amorfix previously reported detecting endogenous prions in blood from sheep with prion disease (scrapie), but biochemical detection of vCJD endogenous prions in cynomolgus primates has never before been reported. It is known that the blood from primates with vCJD is infectious as transfusion of the blood resulted in transmission of the disease. The Company made minor modifications to its EP-vCJDTM blood screening assay in order to test the primate samples. The results of the study demonstrated a trend in the measure of prion detection. The highest signals were detected in blood from two non-human primates, one of which was clinically symptomatic and one which was presymptomatic (Figure 1 below). Blood samples from two other pre-symptomatic animals were found to have intermediate results. Each sample was tested on two separate days in blinded panels that included control plasma samples. These rare primate samples were the only ones available at this time from the European study which is ongoing. The Company is seeking additional samples to determine the variability in clinical and preclinical levels in primates infected with BSE that come down with the primate equivalent of vCJD.

The Company is continuing in the UK National Institute for Biological Standards and Control process to access blood samples collected from vCJD patients and expects to test these samples in the next few months. The UK Government has calculated the required sensitivity to detect an infectious dose of prions in human blood is 1:100,000 of homogenized brain diluted in blood plasma. The Amorfix EP-vCJD™ test has been verified to detect prions at a 1:1,000,000 dilution of brain homogenates and hence is ten times more sensitive than required based on the

2

UK expectation for prions in blood. The concentration of endogenous prions in vCJD patient blood is unknown.

R949 20109 AC117 R944 0.75 1.00 1.25 1.50 BSEInoculated Asymptomatic BSEInoculated Clinical average non-inoculated Sample ID S/N

Figure 1: Testing primate plasma samples with the modified EP-vCJD™ Blood Screening Assay. The two dots shown for each sample are replicates tested in two independent experiments. Results for each sample were normalized to the average of the two non-inoculated control primate plasma samples tested in the experiment.

About Amorfix

Amorfix Life Sciences Ltd. (TSX:AMF) is a theranostics company developing therapeutic products and diagnostic devices targeting brain-wasting diseases including ALS, Alzheimer’s Disease, variant Creutzfeldt-Jakob Disease (vCJD) and Cancer. Amorfix’s proprietary Epitope Protection™ (EP) technology enables it to specifically identify very low levels of aggregated misfolded proteins (AMP) in a sample of normal protein. Aggregated misfolded proteins are a common element of many brain wasting diseases and the ability to identify AMPs and understand their structure and mechanism of folding are the first steps to developing new treatments for these devastating diseases. Amorfix utilizes its computational discovery platform, ProMIS™, to predict novel Disease Specific Epitopes (“DSE”) on the molecular surface of misfolded proteins. ProMIS™ is an “in silico” rational selection approach that can be applied to any protein where the normal folding structure is at least partially known. Amorfix’s lead therapeutic programs include antibodies and vaccines to DSEs in ALS, Alzheimer’s disease and Cancer. The Company’s diagnostic programs include a blood screening test for diagnosis of vCJD and an ultrasensitive method for the detection of aggregated ß-Amyloid in brain tissue of animal models of Alzheimer’s disease, months prior to plaque formation.

Forward-Looking Information

This press release may contain certain forward-looking information. Such information involves known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements to be materially different from those implied by statements herein, and therefore these statements should not be read as guarantees of future performance or results. All forward-looking statements are based on the Company's current beliefs as well as assumptions made by and information currently available to it as well as other factors. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release.

3

Due to risks and uncertainties, including the risks and uncertainties identified by the Company in its public securities filings, actual events may differ materially from current expectations. The Company disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

- 30 -

For more information, please contact: Dr. George Adams President & Chief Executive Officer Amorfix Life Sciences Ltd. Tel: (416) 847-6959 Fax: (416) 847-6899 george.adams@amorfix.com

Dr. Neil Cashman Chief Scientific Officer Amorfix Life Sciences Ltd. Tel: (778) 994-2626 Fax: (416) 847-6899 neil.cashman@amorfix.com

http://www.amorfix.com/press/2009/2009_10_27_primate_studies.pdf



Saturday, October 24, 2009

SaBTO Advisory Committee on the Safety of Blood, Tissues and Organs 2nd Public Meeting 27 October 2009

http://seac992007.blogspot.com/2009/10/sabto-advisory-committee-on-safety-of.html



ALSO, SEE POTENTIAL LIVE ANIMAL TEST ;

Test Development

* Potential Live Animal Tests:

-Proofs of Principle developed

1. Urine test for cattle

* Stefanie Czub

2. Circulating nucleic adids test

* Christoph Sensen/Stefanie Czub

•Both of these tests have been proven through proof-of-principle only to date, and additional work needs to be done on the specificity of both tests. •These tests are different than those that have come before them, as they are NOT antibody binding tests.

snip...

•Results of APRI’s consultations have revealed five areas of focus: •People are asking for information on atypical strains of BSE and Scrapie and answers on what these new strains mean to industry and the future of prion research. •There is concern over the spread of Chronic Wasting Disease in Canadian wild elk and deer •Its easy dispersion and transmission •The potential transmission to other species like caribou or moose •Prions survive in the environment—could it cross species back into cattle? •Humans? •Specified Risk Material, and the costs associated with its disposal, continues to concern the beef industry, feedlots and rendering plants. •Strong risk modeling and risk analysis with good data is essential for effective policy. APRI’s connection with PrioNet enables Alberta to access world-leading risk sciences. •E.g. What would be the risk of universal live testing in comparison to its costs? •With all of the strong recruitment and infrastructure that has taken place, there is a need to sustain and further develop what has been built so far.

http://www.prioninstitute.ca/forms/ALSI_Presentation.pdf



Proteome Sci. 2008; 6: 23. Published online 2008 September 5. doi: 10.1186/1477-5956-6-23. PMCID: PMC2546380

Copyright © 2008 Simon et al; licensee BioMed Central Ltd. The identification of disease-induced biomarkers in the urine of BSE infected cattle Sharon LR Simon,1 Lise Lamoureux,1 Margot Plews,1 Michael Stobart,1,2 Jillian LeMaistre,3 Ute Ziegler,4 Catherine Graham,5 Stefanie Czub,5 Martin Groschup,4 and J David Knox1,2 1Prion Diseases Program, Public Health Agency of Canada, Winnipeg, R3E 3P6, Canada 2Department of Medical Microbiology, University of Manitoba, Winnipeg, R3E 0W3, Canada 3Department of Pharmacology, University of Manitoba, Winnipeg, R2H 2A6, Canada 4Institute for Novel and Emerging Infectious Diseases at the Friedrich-Loeffler Institut, 17493 Greifswald-Insel Riems, Germany 5Animal Diseases Research Institute, Canadian Food Inspection Agency, Lethbridge, T1J 3Z4, Canada Corresponding author. Sharon LR Simon: sharon_simon@phac-aspc.gc.ca ; Lise Lamoureux: lise_lamoureux@phac-aspc.gc.ca ; Margot Plews: margot_plews@phac-aspc.gc.ca ; Michael Stobart: mike_stobart@phac-aspc.gc.ca ; Jillian LeMaistre: jlemaistre@sbrc.ca ; Ute Ziegler: ute.ziegler@fli.bund.de ; Catherine Graham: grahamc@inspection.gc.ca ; Stefanie Czub: czubs@inspection.gc.ca ; Martin Groschup: martin.groschup@fli.bund.de ; J David Knox: david_knox@phac-aspc.gc.ca Received May 9, 2008; Accepted September 5, 2008. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Other Sections? Abstract Background Methods Results Discussion Authors' contributions Supplementary Material References Abstract Background The bovine spongiform encephalopathy (BSE) epidemic and the emergence of a new human variant of Creutzfeldt-Jakob Disease (vCJD) have led to profound changes in the production and trade of agricultural goods. The rapid tests currently approved for BSE monitoring in slaughtered cattle are all based on the detection of the disease related isoform of the prion protein, PrPd, in brain tissue and consequently are only suitable for post-mortem diagnosis. Objectives: In instances such as assessing the health of breeding stock for export purposes where post-mortem testing is not an option, there is a demand for an ante-mortem test based on a matrix or body fluid that would permit easy access and repeated sampling. Urine and urine based analyses would meet these requirements. Results Two dimensional differential gel eletrophoresis (2D-DIGE) and mass spectrometry analyses were used to identify proteins exhibiting differential abundance in the urine of BSE infected cattle and age matched controls over the course of the disease. Multivariate analyses of protein expression data identified a single protein able to discriminate, with 100% accuracy, control from infected samples. In addition, a subset of proteins were able to predict with 85% ± 13.2 accuracy the time post infection that the samples were collected. Conclusion These results suggest that in principle it is possible to identify biomarkers in urine useful in the diagnosis, prognosis and monitoring of disease progression of transmissible spongiform encephalopathy diseases (TSEs).

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546380/



1996 NARANG URINE TEST

http://www.bseinquiry.gov.uk/files/yb/1996/02/09003001.pdf



http://www.bseinquiry.gov.uk/files/yb/1996/02/21004001.pdf



http://www.bseinquiry.gov.uk/files/yb/1996/02/21005001.pdf



http://www.bseinquiry.gov.uk/files/ws/s113.pdf



http://www.bseinquiry.gov.uk/report/volume11/chaptec3.htm



5.289 We have concluded, for the reasons given above, that Dr Narang's work received fair consideration by MAFF scientists. While we would pay tribute to Dr Narang's dedication to research into TSEs, we feel that he had a fair opportunity to demonstrate the validity of his work but did not succeed in doing so.

http://www.bseinquiry.gov.uk/report/volume11/chaptec4.htm



No way to treat a pioneer Apr 20 2003 By Phil Doherty

A leading charity has called for a public inquiry into the way a top mad cow disease expert has been treated by the establishment. Harash Narang was the first scientist to make the link between the illness and its human equivalent- variant Creutzfeldt-Jakob disease - in 1990. Dr Narang says he was made redundant from his job at Newcastle's Public Health Laboratory Services after making his findings known. He claims that he lost his post after the then Health Minister Stephen Dorrell ordered all the lab's work on the killer disease to cease. Since he became a whistle-blower, he says, he has not been able to get lab time in the UK to continue his work.

Dr Narang has since moved to the United States. He is now working at the CJD surveillance unit based at Case Western Reserve University in Cleveland, Ohio.

CJD Foundation head Noel Baldwin, who lost his son Patrick to the killer disease, said: "There is more and more information coming out that proves Dr Narang was right all along.

Medical

"He said years ago that CJD could be found in blood and passed on by transfusions and medical instruments. This has now been accepted.

"He argued that BSE could cause both sporadic as well as vCJD, and recent research has shown this to be correct. He also invented a urine test which shows if someone is harbouring the disease."

Mr Baldwin also rued the Government's decision to pull Medical Research Council funding from Dr Narang.

He said: "Now it looks as if the US will benefit financially from this ground-breaking research. "The UK establishment has ignored him for more than 10 years. We believe those responsible should be made accountable for this because if they had listened to Dr Narang maybe some of those poor people wouldn't have died from this terrible disease.

Scandal

"This is a national scandal that needs to be fully addressed by a public inquiry. "We are planning to launch this campaign in the next few months and will be involving sympathetic MPs to get this issue aired in the House of Commons."

http://icnewcastle.icnetwork.co.uk/0100news/0100local/page.cfm?objectid=12871105&method=full&siteid=50081&headline=No%20way%20to%20treat%20a%20pioneer



2005 NARANG URINE TEST USA CWRU

CJD doc jets off

Mar 9 2003

By Phil Doherty, Sunday Sun

The North scientist who first established a link between mad cow disease and its human form is quitting Britain.

Harash Narang has been head-hunted by a top US university to continue his research into variant Creutzfeldt-Jakob disease.

He was working for the Government's Public Health Laboratory Service in Newcastle when he revealed the link and later lost his job.

Dr Narang claimed he was made redundant because he went public with his findings, an allegation which has always been denied. He said: "I now have a job at the United States CJD Surveillance Centre based in Case Western Reserve University, Cleveland, Ohio.

"I'm very excited because it has excellent facilities and is one of the best CJD surveillance centres in the world.

The university is examining a urine test pioneered by Dr Narang which can show whether someone has CJD.

Currently only a post-mortem diagnosis can be made.

Dr Narang said: "Early indications show that my test has performed even better than anticipated. It is expected to be validated very shortly."

And he revealed: "I do not regret telling the truth all those years ago. If I had to do it again then I would."

Ken Bell, a financial backer of Dr Narang's work, claimed he had been forced to go abroad because he cannot get laboratory time in the UK.

He said: "Harash has been blackballed in the UK because he told the public the truth. "The establishment will try anything to stop him working here. It's a disgrace."

Noel Baldwin, of the CJD Foundation charity, said: "He has been proved right about so many things . . . that CJD can be transmitted through blood, that BSE can cause both variant and sporadic CJD and that you can test for the disease through urine samples."

Dr Narang starts work at Case University later this month. Shu Chen, one of his future colleagues, said: "He will be a great asset to our CJD research."

http://icnewcastle.icnetwork.co.uk/0100news/0100local/page.cfm?objectid=12716797&method=full&siteid=50081



Edmonton company boasts cheap BSE test Duncan Thorne , CanWest News Service; Edmonton Journal Published: Friday, July 21, 2006 EDMONTON -- An Edmonton company is confident it has a cheap, ground-breaking test for mad cow disease, but the test's British inventor who claims to have first made the link between BSE and the disease's human form insists he still holds the rights.

Despite their differences, inventor Harash Narang and BSE Prion Solutions Inc. agree the test holds amazing potential to quickly and inexpensively test live cattle for bovine spongiform encephalopathy better known as mad-cow disease. The only approved tests so far for mad cow and its human equivalent depend on removing brain samples after death. A test on live animals would open the way to guaranteeing disease-free herds.

"We have a test that not only works, but works each and every time," said Ron Arnold of BSE Prion Solutions Inc., adding formal validation may take up to two years and regulatory approval. Narang, a former British government scientist who went public about human risks from BSE in 1990, started developing tests for detecting the disease in the late 1980s while at a public health laboratory. He had been studying cases of a fatal but rare human brain illness, Creutzfeldt-Jakob disease (CJD), when he started noticing some cases were different. He has said he was well on the way to establishing a link between BSE and the unusual CJD cases when he was ordered to stop his research. He has also claimed officials rejected his calls for increased testing for BSE and the new form of CJD, now known as variant CJD.

Narang developed three diagnostic tests, including an early version of the urine test that BSE Prion intends to bring to market.

A wide-ranging 1998 inquiry into Britain's response to the mad cow crisis found problems with Narang's claims. It cited evidence that fellow scientists could not get his test to work. Even so, Narang continued development of the urine test. A British company, Biotec Global, sponsored much of his work. He is no longer part of the research, but work on it continues at the United States National Prion Disease Pathology Surveillance Center at Case Western Reserve University in Cleveland. Narang and Case Western researchers reported in 2005 that the urine test could reliably detect a harmless form of the prion protein that is blamed for BSE and variant CJD. It could also detect the bad form if the prion was first added directly to the urine.

They said their findings "may lay the foundation for a future technique," if in fact the bad prion can turn up naturally in urine.

"It needs a lot of work still," Ayuna Dagdanova, one of the test's researchers at the U.S. prion surveillance centre, said from Cleveland.

Without solid data it's not possible to say if they are close to detecting BSE in urine, she said. "No one actually knows, but preliminary experiments show the possibility."

Arnold, a partner in Biotec, said Narang gave Biotec the patent rights in 2003 and it in turn gave BSE Prion the licence for the Americas and Europe.

"We've talked with patent attorneys in London and also in Newcastle. Everyone agrees that the documents and the transfer of ownership of the patents was done judiciously and was extremely well put together by the solicitors," said Arnold.

Edmonton company boasts cheap BSE test Duncan Thorne , CanWest News Service; Edmonton Journal Published: Friday, July 21, 2006 Narang, speaking from Newcastle, acknowledged signing papers, but said it was not clear what he was signing. He said he continues to pay the patent renewal fees.

Biotec has sunk more than $2 million into the research, but BSE Prion has not had to pay a licence fee, Arnold said. That's because the project is humanitarian, with plans to hand over any earnings for research purposes, in the form of grants and scholarships.

Narang, who holds shares in Biotec despite the ownership dispute, also said he also wants any profits to go into further research. Meanwhile, he said he's owed back pay and expenses for work he did over the past five years a claim Arnold rejects.

dthorne@thejournal.canwest.com

Edmonton Journal © CanWest News Service 2006

http://www.canada.com/topics/news/national/story.html?id=e0300291-19dd-48a8-8e88-963a06087ce2&k=6995



http://www.canada.com/topics/news/national/story.html?id=e0300291-19dd-48a8-8e88-963a06087ce2&k=6995&p=2



Experimental Biology and Medicine 230:343-349 (2005) © 2005 Society for Experimental Biology and Medicine

----------------------------------------------------------

ORIGINAL RESEARCH ARTICLE

Sensitive Detection of Prion Protein in Human Urine

Harash K. Narang*,2, Ayuna Dagdanova, Zhiliang Xie, Qiwei Yang and Shu G. Chen,1 * BioTech Global, 22-40 Brentwood Avenue, Newcastle Upon Tyne, NE2 3DH, UK; and Institute of Pathology, Case Western Reserve University, 2085 Adelbert Road, Cleveland, Ohio 44106 1To whom requests for reprints should be addressed at Institute of Pathology, Case Western Reserve University, 2085 Adelbert Road, Cleveland, OH 44106. E-mail: shu.chen@case.edu

ABSTRACT

Transmissible spongiform encephalopathies are a group of infectious diseases typically associated with the accumulation of a protease-resistant and ß-sheet-rich prion protein, PrPSc, in affected brains. PrPSc is an altered isoform derived from the host-encoded glycoprotein, PrPC. The expression of PrPC is the highest in brain tissue, but it can also be detected at low levels in peripheral tissue. However, it is unclear whether a significant amount of PrPC is released into body fluid and excreted into urine. We have developed a simple, rapid method for the reliable detection of PrPC in urine from normal subjects by Western blotting. Our method can easily and reliably detect PrPC in apparently healthy individuals using less than 1 ml of urine in which the amount of urinary PrPC is estimated to be in the range of low micrograms/liter.

http://www.ebmonline.org/cgi/content/full/230/5/343



SIMPLE FACT, if you don't test, you don't find.

WHERE might we have been if Narang's research (and others that were not 'in the round'), would have been supported from the start ???

WHY were there just these 'chosen few' that recieved funding and got into the 'peer review round' ???

(please note, i have heard through the grapevine that Narang has recently past away, i have not confirmed this, (came from a good source though), and i never saw this in the news, but i hope that i am wrong. if true, this would be a great loss to the TSE science). ...TSS

http://bse-atypical.blogspot.com/2008/08/bovine-spongiform-encephalopathy-mad.html




http://madcowtesting.blogspot.com/2008_09_01_archive.html



Friday, August 29, 2008

CREEKSTONE VS USDA COURT OF APPEALS, BUSH SAYS, NO WAY, NO HOW

http://madcowtesting.blogspot.com/2008/08/creekstone-vs-usda-court-of-appeals.html



2009 UPDATE ON ALABAMA AND TEXAS MAD COWS 2005 and 2006

http://bse-atypical.blogspot.com/2006/08/bse-atypical-texas-and-alabama-update.html



DON'T LOOK, DON'T FIND, simple as that $$$

Friday, October 23, 2009

Creutzfeldt-Jakob Disease Surveillance Texas Data for Reporting Years 2000-2008

http://cjdtexas.blogspot.com/2009/10/creutzfeldt-jakob-disease-surveillance.html




TSS

Labels: , ,

Thursday, September 10, 2009

Detection of PrPsc in blood from sheep infected with scrapie and bovine spongiform encephalopathy

J. Virol. doi:10.1128/JVI.00311-09 Copyright (c) 2009, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

Detection of PrPsc in blood from sheep infected with scrapie and bovine spongiform encephalopathy

L. A. Terry*, L. Howells, J. Hawthorn, J. C. Edwards, S. J. Moore, S. J. Bellworthy, H. Simmons, S. Lizano, L. Estey, V. Leathers, and S. J. Everest Department of Molecular Pathogenesis and Genetics, Department of Neuropathology and Animal Service Unit, Veterinary Laboratories Agency, Woodham Lane, New Haw, Surrey, KT15 3NB and IDEXX Corporation, Westbrook Drive, Portland, Maine, USA

* To whom correspondence should be addressed. Email: l.terry@vla.defra.gsi.gov.uk.

Abstract The role of blood in the iatrogenic transmission of transmissible spongiform encephalopathy (TSE) or prion disease has become an increasing concern since the reports of variant Creutzfeldt-Jakob disease (vCJD) transmission through blood transfusion from humans with sub-clinical infection. The development of highly sensitive rapid assays to screen for prion infection in blood is of high priority in order to facilitate prevention of transmission via blood and blood products. In the present study we show that PrPsc, a surrogate marker for TSE infection, can be detected in cells isolated from the blood from naturally and experimentally infected sheep using a rapid ligand-based immunoassay. In sheep with clinical disease PrPsc was detected in the blood of 55% of scrapie infected animals (n=80) and 71% of BSE infected animals (n=7). PrPsc was also detected several months before the onset of clinical signs in a subset of scrapie infected sheep followed from 3 months of age to clinical disease. This study confirms that PrPsc is associated with the cellular component of blood and can be detected in pre-clinical sheep by an immunoassay in the absence of in vitro or in vivo amplification.

http://jvi.asm.org/cgi/content/abstract/JVI.00311-09v1?etoc



10,000,000 MILLION POUNDS OF BLOOD LACED MEAT AND BONE MEAL FED OUT TO USA CATTLE IN 2007

Date: March 21, 2007 at 2:27 pm PST

RECALLS AND FIELD CORRECTIONS: VETERINARY MEDICINES -- CLASS II

___________________________________

PRODUCT

Bulk cattle feed made with recalled Darling's 85% Blood Meal, Flash Dried, Recall # V-024-2007

CODE

Cattle feed delivered between 01/12/2007 and 01/26/2007

RECALLING FIRM/MANUFACTURER

Pfeiffer, Arno, Inc, Greenbush, WI. by conversation on February 5, 2007.

Firm initiated recall is ongoing.

REASON

Blood meal used to make cattle feed was recalled because it was cross- contaminated with prohibited bovine meat and bone meal that had been manufactured on common equipment and labeling did not bear cautionary BSE statement.

VOLUME OF PRODUCT IN COMMERCE

42,090 lbs.

DISTRIBUTION

WI

___________________________________

PRODUCT

Custom dairy premix products: MNM ALL PURPOSE Pellet, HILLSIDE/CDL Prot- Buffer Meal, LEE, M.-CLOSE UP PX Pellet, HIGH DESERT/ GHC LACT Meal, TATARKA, M CUST PROT Meal, SUNRIDGE/CDL PROTEIN Blend, LOURENZO, K PVM DAIRY Meal, DOUBLE B DAIRY/GHC LAC Mineral, WEST PIONT/GHC CLOSEUP Mineral, WEST POINT/GHC LACT Meal, JENKS, J/COMPASS PROTEIN Meal, COPPINI - 8# SPECIAL DAIRY Mix, GULICK, L-LACT Meal (Bulk), TRIPLE J - PROTEIN/LACTATION, ROCK CREEK/GHC MILK Mineral, BETTENCOURT/GHC S.SIDE MK-MN, BETTENCOURT #1/GHC MILK MINR, V&C DAIRY/GHC LACT Meal, VEENSTRA, F/GHC LACT Meal, SMUTNY, A- BYPASS ML W/SMARTA, Recall # V-025-2007

CODE

The firm does not utilize a code - only shipping documentation with commodity and weights identified.

RECALLING FIRM/MANUFACTURER

Rangen, Inc, Buhl, ID, by letters on February 13 and 14, 2007. Firm initiated recall is complete.

REASON

Products manufactured from bulk feed containing blood meal that was cross contaminated with prohibited meat and bone meal and the labeling did not bear cautionary BSE statement.

VOLUME OF PRODUCT IN COMMERCE

9,997,976 lbs.

DISTRIBUTION

ID and NV

END OF ENFORCEMENT REPORT FOR MARCH 21, 2007

http://www.fda.gov/bbs/topics/enforce/2007/ENF00996.html



NEW URL

http://www.fda.gov/Safety/Recalls/EnforcementReports/2007/ucm120446.htm



Thursday, March 19, 2009

MILLIONS AND MILLIONS OF POUNDS OF MAD COW FEED IN COMMERCE USA WITH ONGOING 12 YEARS OF DENIAL NOW, WHY IN THE WORLD DO WE TO TALK ABOUT THIS ANYMORE $$$


http://madcowfeed.blogspot.com/2009/03/millions-and-millions-of-pounds-of-mad.html



Friday, September 4, 2009

FOIA REQUEST ON FEED RECALL PRODUCT 429,128 lbs. feed for ruminant animals may have been contaminated with prohibited material Recall # V-258-2009


http://madcowfeed.blogspot.com/2009/09/foia-request-on-feed-recall-product.html




Saturday, August 29, 2009

FOIA REQUEST FEED RECALL 2009 Product may have contained prohibited materials Bulk Whole Barley, Recall # V-256-2009


http://madcowfeed.blogspot.com/2009/08/foia-request-feed-recall-2009-product.html



Sunday, May 10, 2009

Meeting of the Transmissible Spongiform Encephalopathies Committee On June 12, 2009 (Singeltary submission) TO : william.freas@fda.hhs.gov <william.freas@fda.hhs.gov>

May 8, 2009

Greetings again Dr. Freas, TSEAC et al,

I would kindly, once again, wish to comment at this meeting about the urgent actions that need to be taken asap, to the Meeting of the Transmissible Spongiform Encephalopathies Committee On June 12, 2009. Due to my disability from my neck injury, I will not be attending this meeting either, however I hope for my submission to be read and submitted. ...

IN reply to ;


http://tseac.blogspot.com/2009/05/meeting-of-transmissible-spongiform.html



Saturday, September 5, 2009

TSEAC MEETING FEBRUARY 12, 2004 THE BAXTER STUDY GSS


http://tseac.blogspot.com/2009/09/tseac-meeting-february-12-2004-baxter.html



Sunday, September 6, 2009

MAD COW USA 1997 VIDEO

SEE ANOTHER VIDEO THAT SHOWED IN CANADA, BUT NOT USA, ABOUT ANOTHER USA TSE COVER-UPMORE BRAINS NOT TESTED PROPERLY, key brain parts missing. ...


http://madcowusda.blogspot.com/2009/09/mad-cow-usa-1997-video.html



SEE THIS DAMNING VIDEO AT BOTTOM OF ;

Monday, July 27, 2009

U.S.A. HIDING MAD COW DISEASE VICTIMS AS SPORADIC CJD ?


http://creutzfeldt-jakob-disease.blogspot.com/2009/07/usa-hiding-mad-cow-disease-victims-as.html




TSS

Labels: , , , ,

Monday, July 20, 2009

Pre-surgical risk assessment for variant Creutzfeldt-Jakob disease (vCJD) risk in neurosurgery and eye surgery units

Pre-surgical risk assessment for variant Creutzfeldt-Jakob disease (vCJD) risk in neurosurgery and eye surgery units

Hospitals should already be using a questionnaire in Annex J of the ACDP TSE Working Group Infection Control guidance to find out whether any patients who are about to undergo any surgery or endoscopy may be at increased risk of being infected with CJD. If a patient is found to have an increased risk of CJD prior to their surgery or endoscopy then special infection control precautions may need to be taken.

Annex J of the TSE Infection Control guidance has recently been revised, and now advises that patients who are due to have high risk surgery [1] or neuro-endoscopy should be asked an additional question: whether they have received transfusions of blood or blood components from 80 or more donors since 1980. This is because these patients may have an increased risk of being infected with variant CJD (vCJD).

On 16 July 2009 the HPA wrote to the chief executives of NHS trusts asking them to ensure that the guidance is implemented. Detailed information and tools for implementing the guidance can be downloaded from the links below.

If you have any queries about the implementation of the guidance, please contact the HPA Centre for Infections CJD Section at cjd@hpa.org.uk or on 020 8327 6074/6411.

Background information on this new pre-surgical assessment is contained in this Letter to chief executives - July 2009 (PDF, 73 KB) written to all hospitals in England.

The new version of Annex J of the TSE Infection Control Guidance contains new question for patients undergoing high risk surgery and neuro-endoscopy. These questions should be used to assess patients' CJD risk factors.

Clinicians carrying out the new pre-surgical assessment should read Pre-surgical assessment Information for healthcare staff - July 2009 (PDF, 163 KB) This vCJD Algorithm for per-surgical roles - July 2009 (PDF, 28 KB) shows suggested roles and responsibilities for infection control teams, surgical teams and blood transfusion specialists.

Information on patients' transfusion histories should be collected using the Highly transfused vCJD risk assessment form - July 2009 (Word Document, 328 KB) This form is also available as a vCJD risk assessment spreadsheet - July 2009 (Excel Spreadsheet, 2.7 MB). This may help calculate the number of blood donors to a patient. The form may be posted or emailed to the HPA Centre for Infections CJD Section cjd@hpa.org.uk.

Blood transfusion laboratories may wish to use this draft Letter to other blood laboratories - July 2009 (Word Document, 31 KB) when collecting transfusion information from other hospitals.

Pre-surgical assessment teams and patients may wish to read this vCJD Information for presurgical patients - July 2009 (PDF, 29 KB) about this new pre-surgical assessment.

[1] High risk surgery is defined as surgery involving any of the following organs or tissues (high risk tissues): brain, spinal cord, cranial nerves (specifically the entire optic nerve and only the intercranial components of the other cranial nerves), cranial nerve ganglia, posterior eye (specifically the posterior hyaloid face, retina, retinal pigment epithelium, choroid, subretinal fluid, optic nerve) and pituitary gland.

Letter to chief executives - July 2009 (PDF, 73 KB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247469060207



Pre-surgical assessment Information for healthcare staff - July 2009 (PDF, 163 KB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247469061870



vCJD Algorithm for per-surgical roles - July 2009 (PDF, 28 KB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247469062057



Highly transfused vCJD risk assessment form - July 2009 (Word Document, 328 KB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247469062225



Letter to other blood laboratories - July 2009 (Word Document, 31 KB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247469062420



vCJD Information for presurgical patients - July 2009 (PDF, 29 KB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247469062586



vCJD risk assessment spreadsheet - July 2009 (Excel Spreadsheet, 2.7 MB) Added/updated: 16 July 2009



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247728926790



full text ;



http://www.hpa.org.uk/webw/HPAweb&Page&HPAwebAutoListName/Page/1247469069188



http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247728926790



see also ;

Friday, July 17, 2009

Revision to pre-surgical assessment of risk for vCJD in neurosurgery and eye surgery units Volume 3 No 28; 17 July 2009



http://creutzfeldt-jakob-disease.blogspot.com/2009/07/revision-to-pre-surgical-assessment-of.html





Saturday, May 23, 2009

Latest results of HPA study on vCJD-related abnormal prion proteins in extracted tonsil



http://creutzfeldt-jakob-disease.blogspot.com/2009/05/latest-results-of-hpa-study-on-vcjd.html



Wednesday, August 20, 2008

Tonometer disinfection practice in the United Kingdom: A national survey



http://creutzfeldt-jakob-disease.blogspot.com/2008/08/tonometer-disinfection-practice-in.html



Wednesday, January 02, 2008

Risk factors for sporadic Creutzfeldt-Jakob disease



http://creutzfeldt-jakob-disease.blogspot.com/2008/01/risk-factors-for-sporadic-creutzfeldt.html



Sunday, December 16, 2007

Risk factors for sporadic Creutzfeldt-Jakob disease



http://creutzfeldt-jakob-disease.blogspot.com/2007/12/risk-factors-for-sporadic-creutzfeldt.html



Monday, December 31, 2007

Risk Assessment of Transmission of Sporadic Creutzfeldt-Jakob Disease in Endodontic Practice in Absence of Adequate Prion Inactivation



http://creutzfeldt-jakob-disease.blogspot.com/2007/12/risk-assessment-of-transmission-of.html



Eye procedure raises CJD concerns

November 19, 2004 United Press International by STEVE MITCHELL

A New York man who died from a rare brain disorder similar to mad cow disease in May underwent an eye procedure prior to his death that raises concerns about the possibility of transmitting the fatal disease to others, United Press International has learned. The development comes on the heels of the announcement Thursday by U.S. Department of Agriculture officials of a possible second case of mad cow disease in U.S. herds.

Richard Da Silva, 58, of Orange County, N.Y., died from Creutzfeldt Jakob disease, an incurable brain-wasting illness that strikes about one person per million.

Richard's wife Ann Marie Da Silva told UPI he underwent a check for the eye disease glaucoma in 2003, approximately a year before his death. The procedure involves the use of a tonometer, which contacts the cornea -- an eye tissue that can contain prions, the infectious agent thought to cause CJD.

Ann Marie's concern is that others who had the tonometer used on them could have gotten infected.

A 2003 study by British researchers suggests her concerns may be justified. A team led by J.W. Ironside from the National Creutzfeldt-Jakob Disease Surveillance Unit at the University of Edinburgh examined tonometer heads and found they can retain cornea tissue that could infect other people -- even after cleaning and decontaminating the instrument.

"Retained corneal epithelial cells, following the standard decontamination routine of tonometer prisms, may represent potential prion infectivity," the researchers wrote in the British Journal of Ophthalmology last year. "Once the infectious agent is on the cornea, it could theoretically infect the brain."

Prions, misfolded proteins thought to be the cause of mad cow, CJD and similar diseases, are notoriously difficult to destroy and are capable of withstanding most sterilization procedures.

Laura Manuelidis, an expert on these diseases and section chief of surgery in the neuropathology department at Yale University, agreed with the British researchers that tonometers represent a potential risk of passing CJD to other people.

Manuelidis told UPI she has been voicing her concern about the risks of corneas since 1977 when her own study, published in the New England Journal of Medicine, showed the eye tissue, if infected, could transmit CJD.

At the time the procedure was done on Richard Da Silva, about a year before he died, she said it was "absolutely" possible he was infectious.

The CJD Incidents Panel, a body of experts set up by the U.K. Department of Health, noted in a 2001 report that procedures involving the cornea are considered medium risk for transmitting CJD. The first two patients who have a contaminated eye instrument used on them have the highest risk of contracting the disease, the panel said.

In 1999, the U.K. Department of Health banned opticians from reusing equipment that came in contact with patients' eyes out of concern it could result in the transmission of variant CJD, the form of the disease humans can contract from consuming infected beef products.

Richard Da Silva was associated with a cluster of five other cases of CJD in southern New York that raised concerns about vCJD.

None of the cases have been determined to stem from mad cow disease, but concerns about the cattle illness in the United States could increase in light of the USDA announcement Thursday that a cow tested positive on initial tests for the disease. If confirmed, this would be the second U.S. case of the illness; the first was detected in a Washington cow last December. The USDA said the suspect animal disclosed Thursday did not enter the food chain. The USDA did not release further details about the cow, but said results from further lab tests to confirm the initial tests were expected within seven days.

Ann Marie Da Silva said she informed the New York Health Department and later the eye doctor who performed the procedure about her husband's illness and her concerns about the risk of transmitting CJD via the tonometer.

The optometrist -- whom she declined to name because she did not want to jeopardize his career -- "didn't even know what this disease was," she said.

"He said the health department never called him and I called them (the health department) back and they didn't seem concerned about it," she added. "I just kept getting angrier and angrier when I felt I was being dismissed."

She said the state health department "seems to have an attitude of don't ask, don't tell" about CJD.

"There's a stigma attached to it," she said. "Is it because they're so afraid the public will panic? I don't know, but I don't think that the answer is to push things under the rug."

New York State Department of Health spokeswoman Claire Pospisil told UPI she would look into whether the agency was concerned about the possibility of transmitting CJD via tonometers, but she had not called back prior to story publication.

Disposable tonometers are readily available and could avoid the risk of transmitting the disease, Ironside and colleagues noted in their study. Ann Marie Da Silva said she asked the optometrist whether he used disposable tonometers and "he said 'No, it's a reusable one.'"

Ironside's team also noted other ophthalmic instruments come into contact with the cornea and could represent a source of infection as they are either difficult to decontaminate or cannot withstand the harsh procedures necessary to inactivate prions. These include corneal burrs, diagnostic and therapeutic contact lenses and other coated lenses.

Terry Singletary, whose mother died from a type of CJD called Heidenhain Variant, told UPI health officials were not doing enough to prevent people from being infected by contaminated medical equipment.

"They've got to start taking this disease seriously and they simply aren't doing it," said Singletary, who is a member of CJD Watch and CJD Voice -- advocacy groups for CJD patients and their families.

U.S. Centers for Disease Control and Prevention spokeswoman Christine Pearson did not return a phone call from UPI seeking comment. The agency's Web site states the eye is one of three tissues, along with the brain and spinal cord, that are considered to have "high infectivity."

The Web site said more than 250 people worldwide have contracted CJD through contaminated surgical instruments and tissue transplants. This includes as many as four who were infected by corneal grafts. The agency noted no such cases have been reported since 1976, when sterilization procedures were instituted in healthcare facilities.

Ironside and colleagues noted in their study, however, many disinfection procedures used on optical instruments, such as tonometers, fail. They wrote their finding of cornea tissue on tonometers indicates that "no current cleaning and disinfection strategy is fully effective."

Singletary said CDC's assertion that no CJD cases from infected equipment or tissues have been detected since 1976 is misleading.

"They have absolutely no idea" whether any cases have occurred in this manner, he said, because CJD cases often aren't investigated and the agency has not required physicians nationwide report all casesof CJD.

"There's no national surveillance unit for CJD in the United States; people are dying who aren't autopsied, the CDC has no way of knowing" whether people have been infected via infected equipment or tissues, he said.

Ann Marie Da Silva said she has contacted several members of her state's congressional delegation about her concerns, including Rep. Sue Kelly, R-N.Y., and Sen. Charles Schumer, D-N.Y.

"Basically, what I want is to be a positive force in this, but I also want more of a dialogue going on with the public and the health department," she said.



http://www.upi.com/NewsTrack/Science/2004/11/18/eye_procedure_raises_cjd_concerns/2974/




Cadaver corneal transplants -- without family permission
Houston, Texas channel 11 news 28 Nov 99
Reported by Terry S. Singeltary Sr.son of CJD victim



http://www.mad-cow.org/dec99_news.html#bbb




Wednesday, July 8, 2009

Transgenic mice expressing porcine prion protein resistant to classical scrapie but susceptible to sheep bovine spongiform encephalopathy and atypical scrapie. Emerg Infect Dis. 2009 Aug; [Epub ahead of print]



http://nor-98.blogspot.com/2009/07/transgenic-mice-expressing-porcine.html



Wednesday, July 1, 2009

Nor98 scrapie identified in the United States J Vet Diagn Invest 21:454-463 (2009)



http://nor-98.blogspot.com/2009/07/nor98-scrapie-identified-in-united.html



Monday, July 06, 2009

Prion infectivity in fat of deer with Chronic Wasting Disease



http://chronic-wasting-disease.blogspot.com/2009/07/prion-infectivity-in-fat-of-deer-with.html





Saturday, June 13, 2009

Monitoring the occurrence of emerging forms of Creutzfeldt-Jakob disease in the United States 2003 revisited 2009



http://cjdusa.blogspot.com/2009/06/monitoring-occurrence-of-emerging-forms.html



Meeting of the Transmissible Spongiform Encephalopathies Committee On June 12, 2009 (TRANSCRIPT)



http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/BloodVaccinesandOtherBiologics/TransmissibleSpongiformEncephalopathiesAdvisoryCommittee/UCM171810.pdf




Meeting of the Transmissible Spongiform Encephalopathies Committee On June 12, 2009 (Singeltary submission)



http://tseac.blogspot.com/2009/05/meeting-of-transmissible-spongiform.html




TSS

Labels: , , , , , , , , , , ,

Friday, June 12, 2009

vCJD-related abnormal prion protein in a person with haemophilia – an update

vCJD-related abnormal prion protein in a person with haemophilia – an update

Following the finding of evidence of the abnormal prion protein that causes variant Creutzfeldt-Jakob Disease (vCJD) in a haemophilia patient at post mortem, a risk assessment of the possible routes of exposure for this individual has been published by the Department of Health [1].

The vCJD-related abnormal prion protein was detected only in the individual's spleen but the finding was the first of the agent in a haemophilia patient [2].

To date, no haemophilia or bleeding disorder patients have been diagnosed with or died from clinical vCJD.

The investigations into the possible routes of infection considered, assuming that the abnormal prion protein did indicate vCJD infection, four possible infection routes: dietary exposure to BSE; surgical procedures; transfusions with several units of red cells; and treatment with large amounts of UK sourced Factor VIII. This included two batches of Factor VIII 8Y that were sourced from plasma pools which included plasma from a single donor who later developed clinical vCJD.

The calculations involved in this risk assessment depend on the likely prevalence of subclinical vCJD infections among the UK population, the infectivity of plasma products and blood components – both of which are subject to great uncertainties - and the number of donors contributing to the plasma pools. The risk assessment concludes that in scenarios based on current evidence, the most likely source of this patient's infection was treatment with UK sourced clotting factors.

This haemophilia patient had been treated in the 1990s with over 390,000 units of UK-sourced Factor VIII, including over 9,000 units from two implicated batches of Factor VIII 8Y (linked to a donor who later developed clinical vCJD).

The risk assessment concluded that, based on plausible assumptions, the patient was more likely to have been infected by a batch of Factor VIII that was not sourced from a pool containing plasma from the donor known to have vCJD (a non-implicated batch), than by one of the two implicated batches that were linked to this donor.

This is because far more units of non-implicated than implicated batches were administered to this patient. Each batch of plasma product is sourced from many thousands of donors (around 20,000), any one of whom could have had an asymptomatic abnormal prion protein infection. The relative risks from implicated and non-implicated batches will only be clarified further by long-term follow-up of patients.

The CJD Incidents Panel considered the risk assessment, together with other information, and concluded that this evidence confirms its existing advice to patients already notified as at increased risk of vCJD. There is therefore currently no reason to change that advice, nor to notify any new groups of patients. There is no change in the public health vCJD “at risk” status of any patients with bleeding disorders.

All patients with bleeding disorders [3] who have been treated with UK-sourced pooled factor concentrates or antithrombin [4] between 1980 and 2001 [5] are classified as “at risk of vCJD for public health purposes”. Special infection control precautions and other safety measures apply to these patients.

All haemophilia centre doctors were informed of the Panel's decision on Tuesday, 9 June, 2009 and were asked to send a letter to their patients who have been notified as at increased risk of vCJD. Further information is available at


http://www.hpa.org.uk/vcjdplasmaproducts.



Notes

1. vCJD risk assessment calculations for a patient with multiple routes of exposure. Department of Health, 9 June 2009. Available at:


http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_100357



2. HPA. Post mortem finding of asymptomatic variant Creutzfeldt-Jakob Disease abnormal prion protein in a person with haemophilia, Health Protection Report [serial online] 2009; 3 (10): news. Available at:


http://www.hpa.org.uk/hpr/archives/2009/news0709.htm#vcjd.



3. Defined here as congenital and acquired haemophilia (Haemophilia A and Haemophilia B), Von Willebrand Disease, other congenital bleeding disorders and congenital antithrombin III deficiency.

4. ie clotting factors and antithrombin made from pooled plasma. These include factor VIII, factor IX, factor VII, factor XI, factor XIII and prothrombin complex concentrates as well as antithrombin.

5. The start date of 1980 is when BSE is thought to have entered the human food chain. The end date of 2001 is the last possible expiry date of any product manufactured by the UK fractionators that was sourced from UK donors until 1998.




http://www.hpa.org.uk/hpr/archives/2009/news2309.htm#cjd





Variant CJD and plasma products Introduction

Earlier notification of patients who had received implicated plasma products

Asymptomatic vCJD abnormal prion protein in a haemophilia patient

Introduction Certain plasma products, manufactured using plasma from donors who later developed vCJD, may have exposed people who received them to infectivity and an increased risk of developing vCJD. The level of risk is unknown, and likely to be very low. The risk in such circumstances is in addition to a general risk for many people in the UK from past exposure to the BSE agent from eating beef and beef products.

The conclusions of a vCJD Blood Risk Assessment carried out by Det Norske Vertis Consulting have been accepted by the Spongiform Encephalopathy Advisory Committee (SEAC), the Committee on the Microbiological Safety of Blood and Tissue (now the Advisory Committee on the Safety of Blood Tissues and Organs - SaBTO), and by the Committee on Safety of Medicines.

As a consequence, all patients with bleeding disorders 1 who have been treated with UK-sourced pooled factor concentrates or antithrombin 2 between 1980 and 2001 3 are classified as at risk of vCJD for public health purposes. These patients should follow advice to reduce the risk of spreading vCJD to other patients.

Please also see Information leaflets for patients and healthcare professionals.

Earlier notification of patients who had received implicated plasma products In 2004 the HPA, the UK Haemophilia Centre Doctors' Organisation (UKHCDO) and colleagues notified patients who had received plasma products manufactured using plasma from donors who had subsequently developed vCJD. That notification dealt with plasma donations which had been used to manufacture factor VIII, factor IX, antithrombin, intravenous immunoglobulin G, albumin, intramuscular human normal immunoglobulin and anti-D.

Patients treated with these plasma products were managed according to an assessment of potential vCJD infectivity carried out by the Health Protection Agency with the CJD Incidents Panel.

The UKHCDO and patient representatives, the CJD Incidents Panel and UK Health Departments agreed that it was likely that many patients with bleeding disorders would have had sufficient exposure to these implicated plasma products to put them 'at risk of vCJD for public health purposes'. It was also thought likely that further batches of UK-sourced plasma products would be implicated in the future as more cases of vCJD arose.

In 2004 all patients with bleeding disorders were told whether they had received UK-sourced pooled factor concentrate or antithrombin between 1980 and 2001. Those who had were informed that special precautions needed to be taken to reduce the chance of any further spread of vCJD and were asked to follow public health advice.

Asymptomatic vCJD abnormal prion protein in a haemophilia patient A person with haemophilia was recently found to have evidence of the agent (abnormal prion protein) that causes vCJD only in his spleen at post mortem.

The post mortem was carried out as part of a study jointly co-ordinated by the UK Haemophilia Centre Doctors Organisation and the National CJD Surveillance Unit. This was the first time that vCJD abnormal prion protein had been found in a patient with haemophilia.

Up to the present, no haemophilia or bleeding disorder patient has been diagnosed with or died from clinical vCJD This haemophilia patient had been treated with several batches of UK-sourced clotting factor Factor VIII. This includes two batches of Factor VIII manufactured using plasma from a single donor who developed clinical vCJD 6 months after donating the plasma. These batches are called 'implicated' batches because they are linked to a donor who subsequently developed vCJD.

The haemophilia patient was in his 70s when he died of a condition unrelated to vCJD, 11 years and one month after receiving the second batch of implicated Factor VIII. He had no signs or symptoms of vCJD or other neurological disease when alive.

The patient had also received several transfusions of red cells, and had undergone surgical procedures in the past. A recent statistical assessment of the available information has concluded that the most likely source of vCJD infection was treatment with UK plasma-sourced clotting factors.

The risk assessment, together with other information, has been considered by the CJD Incidents Panel. The Panel has concluded that this evidence confirms its existing advice to patients already notified as at increased risk of vCJD. There is therefore currently no reason to change that advice, or to notify any new groups of patients.

There is no change in the pubic health vCJD 'at risk' status of any patients with bleeding disorders.

The CJD Incidents Panel keeps all new information about potentially infected products under close and regular review and advises doctors and their patients about the implications of all new evidence as it emerges.

Patients who are unsure about their vCJD at risk status, or who would like more information, should contact their haemophilia centre.

1. Defined here as congenital and acquired haemophilia (Haemophilia A and Haemophilia B), Von Willebrand Disease, other congenital bleeding disorders and congenital antithrombin III deficiency. 2. ie. clotting factors and antithrombin made from pooled plasma. These include factor VIII, factor IX, factor VII, factor XI, factor XIII and prothrombin complex concentrates as well as antithrombin. 3. The start date of 1980 is when BSE is thought to have entered the human food chain. The end date of 2001 is the last possible expiry date of any product manufactured by the UK fractionators that was sourced from UK donors until 1998.

Last reviewed: 10 June 2009




http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1195733818681





Sunday, May 10, 2009

Meeting of the Transmissible Spongiform Encephalopathies Committee On June 12, 2009 (Singeltary submission)




http://tseac.blogspot.com/2009/05/meeting-of-transmissible-spongiform.html





Sunday, June 07, 2009

L-TYPE-BSE, H-TYPE-BSE, C-TYPE-BSE, IBNC-TYPE-BSE, TME, CWD, SCRAPIE, CJD, NORTH AMERICA




http://bse-atypical.blogspot.com/2009/06/l-type-bse-h-type-bse-c-type-bse-ibnc.html




TSS

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Thursday, April 02, 2009

MORE Blood products collected from a donor considered to be at increased risk for vCJD, were distributed USA APRIL 1, 2009

PRODUCT a) Red Blood Cells, Recall # B-0659-09; b) Fresh Frozen Plasma, Recall # B-0660-09; c) Platelets, Recall # B-0661-09 CODE a) and b) Units: KX07877; KX05639; c) KX05639 RECALLING FIRM/MANUFACTURER Mid-South Regional Blood Center , Memphis , TN , by letter beginning July 10, 2008. Firm initiated recall is complete. REASON Blood products, collected from a donor considered to be at increased risk for variant Creutzfeldt-Jakob Disease (vCJD), were distributed. VOLUME OF PRODUCT IN COMMERCE 5 units DISTRIBUTION TN

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PRODUCT a) Red Blood Cells Leukocytes Reduced, Recall # B-0684-09; b) Recovered Plasma, Recall # B-0685-09 CODE a) and b) Units: 6165539, 6184317 RECALLING FIRM/MANUFACTURER South Texas Blood and Tissue Center , San Antonio , TX , by fax and e-mail on November 25, 2008 and as follow-up by fax on February 5, 2009. Firm initiated recall is complete. REASON Blood products, collected from a donor with risk factors for vCJD, were distributed. VOLUME OF PRODUCT IN COMMERCE 4 units DISTRIBUTION TX, Austria

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END OF ENFORCEMENT REPORT FOR APRIL 1, 2009



http://www.fda.gov/bbs/topics/ENFORCE/2009/ENF01101.html




sadly, that was no April fools joke.

COMPARING THE RELATIVE RISK OF vCJD TRANSMISSION VIA PLASMA

The Department of Health asked SEAC for advice on a methodology for assessing the risks of using single unit plasma as opposed to pooled plasma, either sourced from the UK or non-UK source countries.

SEAC noted that there are many large uncertainties around the potential risk of transmission of vCJD via the use of plasma products. However, as the relative risks (as opposed to absolute risks) posed by plasma products were being estimated, uncertainties around the timing, level and distribution of infectivity in blood of an infected person would not appreciably affect the estimations. The best way to manage other major uncertainties, such as those around the prevalence of vCJD in the UK and other countries, would be to develop a range of scenarios incorporating reasonable high and low value estimates for such parameters.

vCJD INFECTION IN A HAEMOPHILIAC AT POST MORTEM

SEAC considered data from investigations of a Haemophilia patient who had been shown on post mortem to have the abnormal prion protein associated with vCJD in his spleen (as reported recently by the Health Protection Agency2). In view of the fact that preliminary unpublished data were considered, this issue was discussed in a reserved business session in accordance with the SEAC Code of Practice.

SEAC agreed that, although the patient had not shown clinical signs of vCJD prior to death, this finding provides evidence of vCJD infection. It would appear more likely at this stage that the infection occurred from the administration of clotting factors prepared from the plasma of a donor who had later developed vCJD than from dietary exposure to BSE.



http://www.seac.gov.uk/summaries/seac102_summary.pdf



update ;

2009 31 March 2009 - A summary of the 102nd SEAC meeting (35 KB) held on 4th March 2009

snip...

SEAC noted that IBNC appeared to be a rare disease that occurred in older cattle, predominantly as single cases, although it is possible that surveillance may not detect all cases. Biochemical studies suggested that the prion protein may play a role in the disease. However, it is unclear whether the normal form of the protein or an abnormal form is involved. Studies are required to determine whether IBNC is transmissible or not. SEAC concluded, noting that specified risk material controls are in place to prevent cattle brain from entering the food supply, that current data on IBNC do not suggest it presents a risk to human health.



http://www.seac.gov.uk/summaries/seac102_summary.pdf



stupid is, as stupid does. (forest gump). ...TSS


>>> All of the 15 cattle tested showed that the brains had abnormally accumulated prion protein. <<<


Saturday, February 28, 2009

NEW RESULTS ON IDIOPATHIC BRAINSTEM NEURONAL CHROMATOLYSIS "All of the 15 cattle tested showed that the brains had abnormally accumulated PrP" 2009

SEAC 102/2



http://bse-atypical.blogspot.com/2009/02/new-results-on-idiopathic-brainstem.html



''THE LINE TO TAKE'' ON IBNC $$$ 1995 $$$

1995

page 9 of 14 ;

30. The Committee noted that the results were unusual. the questioned whether there could be coincidental BSE infection or contamination with scrapie. Dr. Tyrell noted that the feeling of the committee was that this did not represent a new agent but it was important to be prepared to say something publicly about these findings. A suggested line to take was that these were scientifically unpublishable results but in line with the policy of openness they would be made publicly available and further work done to test their validity. Since the BSE precautions were applied to IBNC cases, human health was protected. Further investigations should be carried out on isolations from brains of IBNC cases with removal of the brain and subsequent handling under strict conditions to avoid the risk of any contamination.

31. Mr. Bradley informed the Committee that the CVO had informed the CMO about the IBNC results and the transmission from retina and he, like the Committee was satisfied that the controls already in place or proposed were adequate. ...

snip... see full text



http://www.bseinquiry.gov.uk/files/yb/1995/06/21005001.pdf



Sunday, February 15, 2009

Scientists warn of first ever case of human mad cow disease from blood plasma



http://vcjdtransfusion.blogspot.com/2009/02/scientists-warn-of-first-ever-case-of.html



http://vcjdtransfusion.blogspot.com/2009/02/scientists-warn-of-first-ever-case-of.html



Thursday, March 19, 2009

MILLIONS AND MILLIONS OF POUNDS OF MAD COW FEED IN COMMERCE USA



http://madcowfeed.blogspot.com/2009/03/millions-and-millions-of-pounds-of-mad.html



Saturday, January 24, 2009

Bovine Spongiform Encephalopathy h-BSE ATYPICAL USA 2008 Annual Report Research Project: Study of Atypical Bse

Location: Virus and Prion Diseases of Livestock

2008 Annual Report



http://bse-atypical.blogspot.com/2009/01/bovine-spongiform-encephalopathy-h-bse.html



Thursday, December 04, 2008 2:37 PM

"we have found that H-BSE can infect humans."

personal communication with Professor Kong. ...TSS

see full text ;



http://bse-atypical.blogspot.com/2009/02/atypical-bse-north-america-update.html



Tuesday, August 12, 2008

Biosafety in Microbiological and Biomedical Laboratories Fifth Edition 2007 (occupational exposure to prion diseases)



http://creutzfeldt-jakob-disease.blogspot.com/2008/08/biosafety-in-microbiological-and.html



Sunday, August 10, 2008 A New Prionopathy OR more of the same old BSe and sporadic CJD



http://creutzfeldt-jakob-disease.blogspot.com/2008/08/new-prionopathy-or-more-of-same-old-bse.html



Sunday, March 16, 2008 MAD COW DISEASE terminology UK c-BSE (typical), atypical BSE H or L, and or Italian L-BASE



http://bse-atypical.blogspot.com/2008/03/mad-cow-disease-terminology-uk-c-bse.html



HUMAN and ANIMAL TSE Classifications i.e. mad cow disease and the UKBSEnvCJD only theory JUNE 2008

snip...

Tissue infectivity and strain typing of the many variants Manuscript of the human and animal TSEs are paramount in all variants of all TSE. There must be a proper classification that will differentiate between all these human TSE in order to do this. With the CDI and other more sensitive testing coming about, I only hope that my proposal will some day be taken seriously. ...

snip...



http://cjdmadcowbaseoct2007.blogspot.com/2008/06/human-and-animal-tse-classifications-ie.html



Elsevier Editorial System(tm) for The Lancet Infectious Diseases Manuscript Draft Manuscript Number: Title: HUMAN and ANIMAL TSE Classifications i.e. mad cow disease and the UKBSEnvCJD only theory Article Type: Personal View Corresponding Author: Mr. Terry S. Singeltary, Corresponding Author's Institution: na First Author: Terry S Singeltary, none Order of Authors: Terry S Singeltary, none; Terry S. Singeltary

Abstract:

TSEs have been rampant in the USA for decades in many species, and they all have been rendered and fed back to animals for human/animal consumption. I propose that the current diagnostic criteria for human TSEs only enhances and helps the spreading of human TSE from the continued belief of the UKBSEnvCJD only theory in 2007. snip...

see full text 31 pages ;



http://www.regulations.gov/fdmspublic/ContentViewer?objectId=090000648027c28e&disposition=attachment&contentType=pdf



snip... see full text 48 pages, 1st page starts on page 13. ...TSS



http://www.regulations.gov/fdmspublic/ContentViewer?objectId=09000064801f3413&disposition=attachment&contentType=msw8




TSS

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