Tuesday, December 31, 2013
Modeling seasonal behavior changes and disease transmission with 
application to chronic wasting disease
Tamer Orabya, Corresponding author contact information E-mail the 
corresponding author, Olga Vasilyevab, Daniel Krewskia, c, Frithjof Lutscherb a 
McLaughlin Centre for Population Health Risk Assessment, University of Ottawa, 
Ottawa, Ontario, Canada b Department of Mathematics and Statistics, University 
of Ottawa, Ottawa, Ontario, Canada c Department of Epidemiology and Community 
Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada 
Highlights
• A new model is built to study spread chronic wasting disease in 
free-ranging deer.
• The model employs two modes of transmission based on seasonal 
behavior.
• Birth and change in seasonal home range are impulsive.
• The basic reproduction number and stability of disease-free equilibrium 
are studied.
• Under certain conditions, culling can eradicate the disease. 
Behavior and habitat of wildlife animals change seasonally according to 
environmental conditions. Mathematical models need to represent this seasonality 
to be able to make realistic predictions about the future of a population and 
the effectiveness of human interventions. Managing and modeling disease in wild 
animal populations requires particular care in that disease transmission 
dynamics is a critical consideration in the etiology of both human and animal 
diseases, with different transmission paradigms requiring different disease risk 
management strategies. Since transmission of infectious diseases among wildlife 
depends strongly on social behavior, mechanisms of disease transmission could 
also change seasonally. A specific consideration in this regard confronted by 
modellers is whether the contact rate between individuals is density-dependent 
or frequency-dependent. We argue that seasonal behavior changes could lead to a 
seasonal shift between density and frequency dependence. This hypothesis is 
explored in the case of chronic wasting disease (CWD), a fatal disease that 
affects deer, elk and moose in many areas of North America. Specifically, we 
introduce a strategic CWD risk model based on direct disease transmission that 
accounts for the seasonal change in the transmission dynamics and habitats 
occupied, guided by information derived from cervid ecology. The model is 
composed of summer and winter susceptible-infected (SI) equations, with 
frequency-dependent and density-dependent transmission dynamics, respectively. 
The model includes impulsive birth events with density-dependent birth rate. We 
determine the basic reproduction number as a weighted average of two seasonal 
reproduction numbers. We parameterize the model from data derived from the 
scientific literature on CWD and deer ecology, and conduct global and local 
sensitivity analyses of the basic reproduction number. We explore the 
effectiveness of different culling strategies for the management of CWD: 
although summer culling seems to be an effective disease eradication strategy, 
the total culling rate is limited by the requirement to preserve the herd. 
snip... 
 4. Discussion
Most modeling studies of human and wildlife disease assume that the 
mechanism of individual contacts and therefore the functional dependence of the 
force of infection remains unchanged, even if parameters may vary seasonally. 
Instead, we argue that seasonal changes in behavior can lead to a more 
fundamental change in the disease transmission mechanism (see also Potapov et 
al., 2013), so that the functional dependence of the force of infection changes 
seasonally. In particular, roaming and aggregation behavior in wildlife 
populations could lead to a shift from DD to FD disease transmission. We 
developed and analyzed a simple, strategic model for such a shift, and applied 
it to CWD in deer. In principle, these same considerations could be applied to 
modeling of childhood diseases that show outbreak patterns highly correlated 
with school terms. Such an approach could give a more mechanistic underpinning 
of the contact rate, which is often formulated as a periodically forced 
function. An interesting future topic is to compare the predictions of a 
multi-season model to those of a temporally constant model where disease 
transmission is modeled by some suitably interpolated transmission term. 
The simplicity of our model allows for an elegant reduction to a pair of 
impulsive equations and an explicit expression for R0. While culling is a viable 
control strategy in pure DD models, it is not in pure FD models (Lloyd-Smith et 
al., 2005). We found that culling can be a useful control strategy in our 
two-season model, but culling rates need to be chosen carefully to ensure 
survival of the herd(see also Choisy and Rohani, 2006). According to our 
analysis, the contact rate during the summer season has greater influence on R0 
than the contact rate during the winter. Previous authors had argued otherwise 
(Habib et al., 2011). Accordingly, if culling were equally costly during the 
summer and winter, we argue that harvesting efforts should be concentrated in 
the summer.However, since herds tend to be spread out over larger areas during 
the summer, this might not be feasible. Our analysis also shows that increasing 
the length of the summer season, as predicted under some global change 
scenarios, would increase R0 and make disease eradication more difficult. 
 There is a long-standing discussion about whether DD or FD is a more 
appropriate modeling assumption in a given situation (Begon et al., 2002; 
Lloyd-Smith et al., 2005). For wildlife diseases, FD is sometimes favored 
(McCallum et al., 2001; Begon et al., 1999), but deciding between the two 
alternatives based on data fitting is often difficult, and, in the case of CWD, 
remains unclear (Wasserbergetal.,2009). We speculate that some of the confusion 
may arise by pooling data from different seasons when different transmission 
mechanisms may be operating. In practice, transmission may be neither ‘purely’ 
DD nor ‘purely’ FD. Some authors have addressed this problem by employing 
various interpolations between DD and FD (Almberg et al., 2011; Habib et al., 
2011). In practice, model selection criteria are then required to decide whether 
the improved fit to data warrants the inclusion of an additional parameter. Our 
modeling approach also works for such interpolated forms of disease 
transmission; however, an explicit solution necessary for model reduction is not 
available. The relative size of the habitat that the herd occupies in different 
seasons would then affect R0 and all other model characteristics. 
We are currently extending this work to include the rut season explicitly, 
where social behavior changes again, so that disease transmission might change, 
and where harvesting is not allowed. At that point, gender and potentially age 
structure should also be introduced into the population since males, females and 
fawns engage in social contact in very different ways; see Al-arydah et al. 
(2012) for an age and gender-structured model of CWD. Such a model is too 
complex to yield explicit solutions, so that the analysis has to proceed 
numerically. Our results here can inspire simulation studies of the properties 
of such a model, and our weighted average formula for R0 can provide guidance 
for R0 in a more complex model. 
So far,we considered only one of the three potential transmission pathways, 
namely direct transmission. The extension of our model to include vertical 
transmission is straight forward, and all the analytical results can be extended 
(see Appendix D). The basic reproduction number increases as the probability of 
vertical transmission increases. Since there are no reliable estimates of the 
vertical transmission probability, we did not include it in our sensitivity 
analysis. 
The inclusion of environmental transmission into our model is a lot more 
delicate and is beyond the scope of this work. A number of recent empirical and 
theoretical studies point to the importance of environmental transmission of CWD 
in addition to, or instead of, direct contact transmission (Almberg et al., 
2011; Miller et al., 2004; Wasserberg et al., 2009; Smith et al., 2011; Johnson 
et al., 2006). To justify the absence of an environmental compartment in many 
models, it is typically argued that since the rate of degradation of the 
environmentally available CWD agent is faster than the prevalence growth rate, 
this compartment will be proportional to the number of infected individuals and 
hence can be incorporated into direct transmission (Potapovetal., 2012). A more 
thorough investigation into the conditions under which indirect transmission can 
be modeled as direct transmission was recently given by Breban (2013). 
Environmental transmission is relatively easily explicitly incorporated 
into the disease model when the herd remains in the same location. One needs to 
add an ‘environmental’ compartment and define appropriate deposition and uptake 
functions for the CWD agent (prions) (Almberg et al., 2011; Vasilyeva et al., 
submitted for publication). Model formulation is more challenging when a herd 
migrates between seasons. Since environmental prions are not expected to decay 
within a single season, one needs to keep track of prions in the winter and 
summer areas separately, there by introducing an additional compartment to the 
model. If summer and winter areas overlap, the modeling process becomes even 
more difficult. It is also unclear to what degree environmental prions are 
available for uptake under snow cover. Based on our results without 
environmental transmission, we speculate that if the herd is much more 
aggregated during the winter, then the prion concentration is much higher in the 
winter season, and that R0 would be more sensitive to (some) winter parameters 
than summer parameters. 
We believe that by splitting the year into different seasons where 
different behavioral mechanisms such as aggregation and reproduction operate, 
our model can capture important aspects of disease etiology not embodied in 
current models, thereby facilitating investigation of questions related to 
optimal timing of disease control,as well as other issues that have a seasonal 
dimension.
Friday, November 29, 2013 
Identification of Misfolded Proteins in Body Fluids for the Diagnosis of 
Prion Diseases 
International Journal of Cell Biology
Friday, November 22, 2013 
*** Wasting disease is threat to the entire UK deer population CWD TSE 
PRION DISEASE Singeltary submission to Scottish Parliament
Sunday, December 29, 2013 
Impacts of wildlife baiting and supplemental feeding on infectious disease 
transmission risk: A synthesis of knowledge 
Sunday, November 3, 2013 
*** Environmental Impact Statements; Availability, etc.: Animal Carcass 
Management [Docket No. APHIS-2013-0044] 
Wednesday, September 04, 2013 
***cwd - cervid captive livestock escapes, loose and on the run in the 
wild... 
Saturday, February 04, 2012 
Wisconsin 16 MONTH age limit on testing dead deer Game Farm CWD Testing 
Protocol Needs To Be Revised 
PRION2013 CONGRESSIONAL ABSTRACTS CWD 
Thursday, August 08, 2013 
Characterization of the first case of naturally occurring chronic wasting 
disease in a captive red deer (Cervus elaphus) in North America 
Friday, August 09, 2013 
***CWD TSE prion, plants, vegetables, and the potential for environmental 
contamination
Sunday, September 01, 2013 
hunting over gut piles and CWD TSE prion disease 
Monday, October 07, 2013 
The importance of localized culling in stabilizing chronic wasting disease 
prevalence in white-tailed deer populations 
Friday, December 14, 2012 
DEFRA U.K. What is the risk of Chronic Wasting Disease CWD being introduced 
into Great Britain? A Qualitative Risk Assessment October 2012 
Saturday, March 10, 2012 
CWD, GAME FARMS, urine, feces, soil, lichens, and banned mad cow protein 
feed CUSTOM MADE for deer and elk 
PRION2013 CONGRESSIONAL ABSTRACTS CWD 
Sunday, August 25, 2013 
***Chronic Wasting Disease CWD risk factors, *humans*, domestic cats, 
blood, and mother to offspring transmission 
Sunday, July 21, 2013 
*** As Chronic Wasting Disease CWD rises in deer herd, what about risk for 
humans? 
Saturday, December 21, 2013
Parelaphostrongylus (Brainworm) Infection in Deer and Elk and the potential 
for CWD TSE prion consumption and spreading there from ?
Sunday, December 15, 2013 
*** FDA PART 589 -- SUBSTANCES PROHIBITED FROM USE IN ANIMAL FOOD OR FEED 
VIOLATIONS OFFICIAL ACTION INDICATED OIA UPDATE DECEMBER 2013 UPDATE ***
Saturday, December 21, 2013 
**** Complementary studies detecting classical bovine spongiform 
encephalopathy infectivity in jejunum, ileum and ileocaecal junction in 
incubating cattle **** 
TSS
    Sunday, December 29, 2013
Impacts of wildlife baiting and supplemental feeding on infectious disease transmission risk: A synthesis of knowledge
Preventive Veterinary Medicine Available online 26 November 2013
Impacts of wildlife baiting and supplemental feeding on infectious disease transmission risk: A synthesis of knowledge
Anja Sorensena, Floris M. van Beesta, b, Ryan K. Brooka, Corresponding author contact information, E-mail the corresponding author
b Department of Bioscience, Arctic Environment, Aarhus University, 
Frederiksborgvej 399, 4000 Roskilde, Denmark Abstract
Baiting and supplemental feeding of wildlife are widespread, yet highly 
controversial management practices, with important implications for ecosystems, 
livestock production, and potentially human health. An often underappreciated 
threat of such feeding practices is the potential to facilitate intra- and 
inter-specific disease transmission. We provide a comprehensive review of the 
scientific evidence of baiting and supplemental feeding on disease transmission 
risk in wildlife, with an emphasis on large herbivores in North America. While 
the objectives of supplemental feeding and baiting typically differ, the effects 
on disease transmission of these practices are largely the same. Both feeding 
and baiting provide wildlife with natural or non-natural food at specific 
locations in the environment, which can result in large congregations of 
individuals and species in a small area and increased local densities. Feeding 
can lead to increased potential for disease transmission either directly (via 
direct animal contact) or indirectly (via feed functioning as a fomite, 
spreading disease into the adjacent environment and to other animals). We 
identified numerous diseases that currently pose a significant concern to the 
health of individuals and species of large wild mammals across North America, 
the spread of which are either clearly facilitated or most likely facilitated by 
the application of supplemental feeding or baiting. Wildlife diseases also have 
important threats to human and livestock health. Although the risk of intra- and 
inter-species disease transmission likely increases when animals concentrate at 
feeding stations, only in a few cases was disease prevalence and transmission 
measured and compared between populations. Mostly these were experimental 
situations under controlled conditions, limiting direct scientific evidence that 
feeding practices exacerbates disease occurrence, exposure, transmission, and 
spread in the environment. 
Vaccination programs utilizing baits have received variable levels of 
success. Although important gaps in the scientific literature exist, current 
information is sufficient to conclude that providing food to wildlife through 
supplemental feeding or baiting has great potential to negatively impact species 
health and represents a non-natural arena for disease transmission and 
preservation. Ultimately, this undermines the initial purpose of feeding 
practices and represents a serious risk to the maintenance of biodiversity, 
ecosystem functioning, human health, and livestock production. Managers should 
consider disease transmission as a real and serious concern in their decision to 
implement or eliminate feeding programs. Disease surveillance should be a 
crucial element within the long-term monitoring of any feeding program in 
combination with other available preventive measures to limit disease 
transmission and spread.
Keywords Artificial feeding; Baiting; Bovine tuberculosis; Chronic wasting 
disease; Elk; Vaccination; White-tailed deer
http://www.sciencedirect.com/science/article/pii/S0167587713003607
Friday, October 26, 2012
CWD, GAME FARMS, BAITING, AND POLITICS
http://chronic-wasting-disease.blogspot.com/2009/01/cwd-game-farms-baiting-and-politics.html
MAD COW FEED BAN FOR CERVIDS, even though science has shown that the oral route of the TSE prion to cervids is very sufficient ??? NOT !!!
>>>FDA’s guidance documents, including this guidance, do not establish legally enforceable responsibilities. Instead, guidances describe the Agency’s current thinking on a topic and should be viewed only as recommendations, unless specific regulatory or statutory requirements are cited. The use of the word “should” in Agency guidances means that something is suggested or recommended, but not required. <<<
Draft Guidance on Use of Material From Deer and Elk in Animal Feed; CVM Updates on Deer and Elk Withdrawn FDA Veterinarian Newsletter July/August 2003 Volume XVIII, No 4
FDA has announced the availability of a draft guidance for industry 
entitled “Use of Material from Deer and Elk in Animal Feed.” This draft guidance 
document (GFI #158), when finalized, will describe FDA’s current thinking 
regarding the use in animal feed of material from deer and elk that are positive 
for Chronic Wasting Disease (CWD) or that are at high risk for CWD. CWD is a 
neurological (brain) disease of farmed and wild deer and elk that belong in the 
cervidae animal family (cervids). Only deer and elk are known to be susceptible 
to CWD by natural transmission. The disease has been found in farmed and wild 
mule deer, white-tailed deer, North American elk, and farmed black-tailed deer. 
CWD belongs to a family of animal and human diseases called transmissible 
spongiform encephalopathies (TSEs). TSEs are very rare, but are always fatal. 
This draft Level 1 guidance, when finalized, will represent the Agency’s current 
thinking on the topic. It does not create or confer any rights for or on any 
person and does not operate to bind FDA or the public. An alternate method may 
be used as long as it satisfies the requirements of applicable statutes and 
regulations. Draft guidance #158 is posted on the FDA/Center for Veterinary 
Medicine Home Page. Single copies of the draft guidance may be obtained from the 
FDA Veterinarian. - - Page Last Updated: 04/16/2013 
CONTAINS NON-BINDING RECOMMENDATIONS 158 Guidance for Industry Use of Material from Deer and Elk in Animal Feed
Comments and suggestions regarding the document should be submitted to 
Division of Dockets Management (HFA-305), Food and Drug Administration, 5630 
Fishers Lane, Rm. 1061, Rockville, MD 20852. Submit electronic comments to http://www.regulations.gov. All comments 
should be identified with the Docket No. 03D-0186. For questions regarding this 
guidance, contact Burt Pritchett, Center for Veterinary Medicine (HFV- 222), 
Food and Drug Administration, 7519 Standish Place, Rockville, MD 20855, 
240-453-6860, E-mail: burt.pritchett@fda.hhs.gov. Additional copies of this 
guidance document may be requested from the Communications Staff (HFV-12), 
Center for Veterinary Medicine, Food and Drug Administration, 7519 Standish 
Place, Rockville, MD 20855, and may be viewed on the Internet at 
http://www.fda.gov/AnimalVeterinary/GuidanceComplianceEnforcement/GuidanceforIndustry/default.htm.
http://www.fda.gov/AnimalVeterinary/GuidanceComplianceEnforcement/GuidanceforIndustry/default.htm.
U.S. Department of Health and Human Services Food and Drug Administration 
Center for Veterinary Medicine September 15, 2003 CONTAINS NON-BINDING 
RECOMMENDATIONS 158 Guidance for Industry1 Use of Material from Deer and Elk in 
Animal Feed 
This guidance represents the Food and Drug Administration’s current 
thinking on the use of material from deer and elk in animal feed. It does not 
create or confer any rights for or on any person and does not operate to bind 
FDA or the public. You can use an alternative approach if the approach satisfies 
the requirements of applicable statutes or regulations. If you want to discuss 
an alternative approach, contact the FDA staff responsible for implementing this 
guidance. If you cannot identify the appropriate FDA staff, call the appropriate 
number listed on the title page of this guidance. 
I. Introduction FDA’s guidance documents, including this guidance, do not 
establish legally enforceable responsibilities. Instead, guidances describe the 
Agency’s current thinking on a topic and should be viewed only as 
recommendations, unless specific regulatory or statutory requirements are cited. 
The use of the word “should” in Agency guidances means that something is 
suggested or recommended, but not required. 
Under FDA’s BSE feed regulation (21 CFR 589.2000) most material from deer 
and elk is prohibited for use in feed for ruminant animals. 
This guidance document describes FDA’s recommendations regarding the use in 
all animal feed of all material from deer and elk that are positive for Chronic 
Wasting Disease (CWD) or are considered at high risk for CWD. The potential 
risks from CWD to humans or non-cervid animals such as poultry and swine are not 
well understood. However, because of recent recognition that CWD is spreading 
rapidly in white-tailed deer, and because CWD’s route of transmission is poorly 
understood, FDA is making recommendations regarding the use in animal feed of 
rendered materials from deer and elk that are CWD-positive or that are at high 
risk for CWD. 
II. Background CWD is a neurological (brain) disease of farmed and wild 
deer and elk that belong in the animal family cervidae (cervids). Only deer and 
elk are known to be susceptible to CWD by natural transmission. The disease has 
been found in farmed and wild mule deer, 1 This guidance has been prepared by 
the Division of Animal Feeds in the Center for Veterinary Medicine (CVM) at the 
Food and Drug Administration. 
1 CONTAINS NON-BINDING RECOMMENDATIONS 
2 white-tailed deer, North American elk, and in farmed black-tailed deer. 
CWD belongs to a family of animal and human diseases called transmissible 
spongiform encephalopathies (TSEs). These include bovine spongiform 
encephalopathy (BSE or “mad cow” disease) in cattle; scrapie in sheep and goats; 
and classical and variant Creutzfeldt-Jakob diseases (CJD and vCJD) in humans. 
There is no known treatment for these diseases, and there is no vaccine to 
prevent them. In addition, although validated postmortem diagnostic tests are 
available, there are no validated diagnostic tests for CWD that can be used to 
test for the disease in live animals. 
III. Use in animal feed of material from CWD-positive deer and elk Material 
from CWD-positive animals may not be used in any animal feed or feed 
ingredients. Pursuant to Sec. 402(a)(5) of the Federal Food, Drug, and Cosmetic 
Act, animal feed and feed ingredients containing material from a CWD-positive 
animal would be considered adulterated. FDA recommends that any such adulterated 
feed or feed ingredients be recalled or otherwise removed from the marketplace. 
IV. Use in animal feed of material from deer and elk considered at high 
risk for CWD Deer and elk considered at high risk for CWD include: 
(1) animals from areas declared by State officials 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 immediately 
before the time of slaughter were in a captive herd that contained a 
CWD-positive animal. 
FDA recommends that materials from deer and elk considered at high risk for 
CWD no longer be entered into the animal feed system. Under present 
circumstances, FDA is not recommending that feed made from deer and elk from a 
non-endemic area be recalled if a State later declares the area endemic for CWD 
or a CWD eradication zone. In addition, at this time, FDA is not recommending 
that feed made from deer and elk believed to be from a captive herd that 
contained no CWD-positive animals be recalled if that herd is subsequently found 
to contain a CWD-positive animal. 
V. Use in animal feed of material from deer and elk NOT considered at high 
risk for CWD FDA continues to consider materials from deer and elk NOT 
considered at high risk for CWD to be acceptable for use in NON-RUMINANT animal 
feeds in accordance with current agency regulations, 21 CFR 589.2000. Deer and 
elk not considered at high risk include: 
(1) deer and elk from areas not declared by State officials to be endemic 
for CWD and/or to be CWD eradication zones; and 
(2) deer and elk that were not at some time during the 60-month period 
immediately before the time of slaughter in a captive herd that contained a 
CWD-positive animal. 
-------- Original Message --------
Subject: 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 
From: "Terry S. Singeltary Sr." mailto:flounder@wt.net 
Greetings FDA, i would kindly like to comment on; Docket 03D-0186FDA Issues 
Draft Guidance on Use of Material From Deer and Elk in Animal Feed; Availability 
Several factors on this apparent voluntary proposal disturbs me greatly, please 
allow me to point them out; 
snip... 
Oral transmission and early lymphoid tropism of chronic wasting 
diseasePrPres in mule deer fawns (Odocoileus hemionus ) These results indicate 
that CWD PrP res can be detected in lymphoid tissues draining the alimentary 
tract within a few weeks after oral exposure to infectious prions and may 
reflect the initial pathway of CWD infection in deer. The rapid infection of 
deer fawns following exposure by the most plausible natural route is consistent 
with the efficient horizontal transmission of CWD in nature and enables 
accelerated studies of transmission and pathogenesis in the native species. 
snip... 
now, just what is in that mad deer feed? 
_ANIMAL PROTEIN_ 
Subject: MAD DEER/ELK DISEASE AND POTENTIAL SOURCES 
Date: Sat, 25 May 2002 18:41:46 –0700 
From: "Terry S. Singeltary Sr." 
Reply-To: BSE-L
To: BSE-L 
8420-20.5% Antler DeveloperFor Deer and Game in the wildGuaranteed Analysis 
Ingredients / Products Feeding Directions snip... _animal protein_ 
snip... 
DEPARTMENT OF HEALTH & HUMAN SERVICES
PUBLIC HEALTH SERVICEFOOD AND DRUG ADMINISTRATION
April 9, 2001 
WARNING LETTER
01-PHI-12CERTIFIED MAILRETURN RECEIPT REQUESTED 
Brian J. Raymond, Owner Sandy Lake Mills 26 Mill Street P.O. Box 117 Sandy 
Lake, PA 16145 PHILADELPHIA DISTRICT Tel: 215-597-4390 
Dear Mr. Raymond:
Food and Drug Administration Investigator Gregory E. Beichner conducted an 
inspection of your animal feed manufacturing operation, located in Sandy Lake, 
Pennsylvania, on March 23,2001, and determined that your firm manufactures 
animal feeds including feeds containing prohibited materials. 
The inspection found significant deviations from the requirements set forth 
in Title 21, code of Federal Regulations, part 589.2000 - Animal Proteins 
Prohibited in Ruminant Feed. The regulation is intended to prevent the 
establishment and amplification of Bovine Spongiform Encephalopathy (BSE) . Such 
deviations cause products being manufactured at this facility to be misbranded 
within the meaning of Section 403(f), of the Federal Food, Drug, and Cosmetic 
Act (the Act).
Our investigation found failure to label your swine feed with the required 
cautionary statement "Do Not Feed to cattle or other Ruminants" The FDA suggests 
that the statement be distinguished by different type-size or color or other 
means of highlighting the statement so that it is easily noticed by a purchaser. 
In addition, we note that you are using approximately 140 pounds of cracked 
corn to flush your mixer used in the manufacture of animal feeds containing 
prohibited material. This flushed material is fed to wild game including deer, a 
ruminant animal.
Feed material which may potentially contain prohibited material should not 
be fed to ruminant animals which may become part of the food chain.
The above is not intended to be an all-inclusive list of deviations from 
the regulations. As a manufacturer of materials intended for animal feed use, 
you are responsible for assuring that your overall operation and the products 
you manufacture and distribute are in compliance with the law. 
We have enclosed a copy of FDA's Small Entity Compliance Guideto assist you 
with complying with the regulation... 
snip...end...full text ;
2003D-0186 Guidance for Industry: Use of Material From Deer and Elk In 
Animal Feed EMC 1 Terry S. Singeltary Sr. Vol #: 1 
see my full text submission here ; 
Sunday, December 15, 2013 
*** FDA PART 589 -- SUBSTANCES PROHIBITED FROM USE IN ANIMAL FOOD OR FEED 
VIOLATIONS OFFICIAL ACTION INDICATED OIA UPDATE DECEMBER 2013 UPDATE ***
Wednesday, December 04, 2013
Chronic Wasting Disease CWD and Land Value concerns ? 
Friday, November 22, 2013
*** Wasting disease is threat to the entire UK deer population CWD TSE 
PRION DISEASE
TSS
Sunday, December 29, 2013 
Impacts of wildlife baiting and supplemental feeding on infectious disease 
transmission risk: A synthesis of knowledge 
Saturday, December 21, 2013
Parelaphostrongylus (Brainworm) Infection in Deer and Elk and the potential for CWD TSE prion consumption and spreading there from ?
Parelaphostrongylus (Brainworm) Infection in Deer and Elk and the potential 
for CWD TSE prion consumption and spreading there from ?
Greetings everyone et al, and Merry Christmas, 
I am hoping, and praying, that 2014 will bring forth much needed funding 
for the TSE prion scientist around the globe. 
I brought up a concern for a worm long ago, that gets in the brains of 
cervids, and then the worm gets excreted via feces, and then deer forage and eat 
that worm. if the host cervid of this worm has CWD, could this later transmit 
CWD?
I was concerned about this long ago, still am. I was curious what any else 
might think about this potential mode of transmission with cwd ?
there is much cwd risk factor now with soil, and now the potential exists 
via plants, so I was just pondering out loud here, is it possible that some cwd 
is being spread, by the Parelaphostrongylus (Brainworm), after sucking up on a 
CWD infected cervids brain, and then being discarding via feces by that same CWD 
infected cervid, soaking up the prions via the feces, laying in wait, for a CWD 
free cervid to come scoop up and eat that Parelaphostrongylus (Brainworm), that 
has been extremely exposed to the TSE prion ?
kind regards, terry 
Parelaphostrongylus (Brainworm) Infection in Deer and Elk 
Murray Woodbury DVM, MSc. 
Specialized Livestock Research and Development Program
Department of Large Animal Clinical Sciences
Western College of Veterinary Medicine
University of Saskatchewn
Saskatoon,Saskatchewan S7N 5B4 
 Introduction 
 The parasite Parelaphostrongylus tenuis (P. tenuis) is also known as brain 
worm, meningeal worm, Pneumostrongylus tenuis, Odocoileostrongylus tenuis, 
Elaphostrongylus tenuis, or Neurofilaria cornellensis. Infection frequently 
results in clinical disease called moose sickness, moose disease, moose 
neurological disease, cerebrospinal parelaphostrongylosis, or cerebrospinal 
nematodiasis. The existence of this parasite in eastern, but not western, North 
America and the implications of it's movement west has severely affected live 
animal trade in the farmed cervid industry of Canada. Etiology 
 Parelaphostrongylosis is caused by the roundworm, Parelaphostrongylus 
tenuis. The major host for this parasite is the white-tailed deer where it is 
carried without causing clinical signs of disease. 
Geographic distribution 
P. tenuis is present in eastern and central Canada including Nova Scotia, 
New Brunswick, southern Quebec, Ontario, Manitoba, and eastern Saskatchewan (5). 
It is also present in twenty eight of the eastern and central United States (1). 
It is generally absent from coastal plains of the southeastern United States and 
St. Croix of the Virgin Islands (14). 
The parasite continues to spread extensively as white-tailed deer expand 
their range in response to environmental changes such as deforestation, 
agriculture and burning (5). Currently, the meningeal worm is not present in 
western North America, however it is present in deer of the aspen parkland, and 
there is no apparent barrier to its continued spread west toward the foothills 
of the Rockies through such a corridor (5). Biologically, the meningeal worm 
requires several criteria to be met for survival including the presence of 
adequate numbers and overlapping populations of definitive (white-tail deer) and 
intermediate hosts (terrestrial snails and slugs) in sufficient densities to 
allow for establishment. It also needs a suitable climate for survival of 
free-living stages of the parasites and suitable numbers of the hosts involved 
(1). Ecologically, the prairie habitat and its dry conditions may affect the 
survival of the first stage larvae and this may have some impact on controlling 
the range of the nematode (9). In addition, the parasite is believed to be 
associated with certain major soil types in combination with other environmental 
attributes. However, what constitutes the barrier to generalized distribution is 
unknown (4). 
Prevalence 
 Prevalence of the meningeal worm ranges from less than 1% to greater than 
85% throughout North America (1). Within Canada, the prevalence for adult worms 
in the cranial cavities of deer are as follows: Manitoba 10%, Ontario 41- 61%, 
Quebec 30%, New Brunswick 60%, and Nova Scotia 51% (1). The prevalence of 
meningeal worms in aberrant hosts is generally unknown, however surveys have 
been undertaken to determine the prevalence in such hosts (1). 
Transmission 
 The life cycle of the meningeal worm is indirect with a typical prepatent 
period of 82 to 91 days. However, the length may be inversely related to the 
number of larvae ingested, and may be considerably longer in individual deer 
(10). P. tenuis is a true lungworm in that it requires both a definitive host, 
the white-tailed deer, and an intermediate host, a snail or slug. Deer become 
infected by accidentally ingesting gastropods (snails) containing infective 
third-stage larvae (L3) which are found on vegetation (4). Larvae are freed from 
the gastropod tissue by digestion, and during the following ten days they 
penetrate the abomasal wall, and migrate across the peritoneal cavity to gain 
access to the central nervous system, likely through lumbar nerves (4). Once 
they invade neural tissue, larval development occurs primarily in the dorsal 
horns of the spinal cord. Fourth stage larvae (L4) emerge about 25 days after 
initial ingestion (4). The L4 larvae leave the neural tissue and migrate to the 
subdural space by day 40, after which they molt to the immature adult stage (4). 
Once mature, some nematodes migrate to the venous sinuses of the cranium (4). 
Some worms may deposit eggs on the meninges, but most deposit eggs directly into 
the venous circulation where they are transported to the heart and lungs as 
emboli (4). Eggs lodge in the lungs where they are incorporated into fibrous 
nodules. These eggs embryonate into first-stage larvae (L1), move into the 
alveoli, and up the bronchial escalator where they are coughed up and swallowed 
to be excreted out in the mucous coat on the feces (4). The excreted L1 
penetrate the foot of a terrestrial gastropod, where they grow and molt twice to 
become the infective L3. 
The time required for these two molts to occur is variable and highly 
dependent on environmental conditions but it may be as short as three to four 
weeks at summer temperatures. Larvae cease to develop when snails are 
hibernating but development continues normally once snails become active (10). 
Laboratory and field studies have shown that larvae are capable of overwintering 
in the intermediate host (4). 
Experimentally, a wide range of terrestrial gastropods may be infected, 
however only a few species are generally involved in natural transmission. This 
is likely related to preference of certain gastropods for favorable 
microenvironments of forested areas with specific moisture content, evaporation, 
and temperature (13). Commonly, gastropod availability in open meadows is less 
than forested areas, reducing the likelihood of exposure to particular 
gastropods for animals that utilize these areas to graze (13). Typically, 
white-tailed deer spend most of their time in forested areas where gastropods 
are found whereas elk spend most of their time in meadows and open fields (4). 
Other equally important factors may include seasonal movement patterns in deer, 
wapiti or gastropods, food preferences and selectivity for gastropods by the 
host animal (13). 
The early phase of the meningeal worm life cycle in aberrant hosts 
parallels that in white-tailed deer, however the development of the larvae in 
the central nervous system tends to produce neurologic signs and even death (4). 
Meningeal worm larvae tend to be unusually active and damaging in neural tissue 
of aberrant hosts. Some larvae fail to leave the neural parenchyma which results 
in damage as the larvae matures and migrates, while other larvae invade the 
ependymal canal or reinvade the spinal cord or brain after maturation (10). The 
pathogenesis of the meningeal worm in fallow deer is different from other 
cervids in that infective larvae penetrate the small intestine rather than the 
abomasum (4). 
Other species affected 
 A wide variety of species are susceptible to infection with P. tenuis, 
namely, moose, elk, caribou, reindeer, mule deer, black-tailed deer, mule 
deer/white-tailed deer hybrids, fallow deer, red deer, red deer/elk hybrids, 
domestic sheep and goats, llamas, guinea pigs, and several bovid and cervid 
species in zoos (1). It appears that reindeer, caribou, llamas, and domestic 
goats are very susceptible to meningeal worm infection (1). It is speculated 
that caribou and reindeer may be more likely to acquire infected gastropods 
because of their feeding habits (4). 
Clinical signs 
 The natural host for this infection is the white-tailed deer, and although 
the parasite normally migrates to the meninges in this species, the deer 
typically displays few clinical signs. Lack of apparent disease even with 
neurological invasion has been attributed to the manner in which the larvae 
reside in the neuropil of white-tail deer (4). In naturally and experimentally 
infected white-tail deer, temporary lameness of the forelimb, circling, and 
rapid oscillation of the eyeballs have been observed (1). Most white-tailed deer 
survive infection without exhibiting clinical signs, however large larval 
burdens could precipitate serious signs or even death. 
In various cervids, camelids and other wild and domesticated ruminants, 
very few P. tenuis larvae are required to produce a severe debilitating 
neurological disease. The disease is expressed by locomotor incoordination, 
lameness, stiffness, listlessness, progressive hindquarter weakness, circling, 
abnormal position of the head and neck, blindness, and paralysis (1). Caribou 
and reindeer also consistently exhibit exophthalmos or a "bug eyed" appearance 
(4). Naturally infected elk become less wary, leave the herd and remain near 
roads, fields or woodland clearings (14). Llamas infected with P. tenuis display 
a sudden onset of weakness or ataxia and at least one of paraparesis 
(generalized weakness), ataxia, exaggerated patellar reflexes, conscious 
proprioceptive deficits (can't place feet correctly) or increased extensor tone 
(rigid muscles) in the rear limbs (6). Cerebrospinal fluid aspirates in infected 
llamas typically reveal increased protein and eosinophils (6). Fallow deer fawns 
given high doses of infective larvae die sooner with signs associated with 
severe peritonitis resulting from perforation of the intestinal wall, compared 
to fawns given low doses of infective larvae which die later with signs 
associated with paralysis and inability to rise (8). There is also a continuum 
of responses to meningeal worm infection in elk: those exposed to large numbers 
of infective larvae die; those exposed to low numbers survive, often without 
infection; and those exposed to intermediate numbers often develop patent 
non-fatal infections (9). Apparently, severity of clinical signs, resolution of 
clinical signs and death are dose dependent. 
Pathology 
 In white-tail deer, lesions associated with developing larvae are 
relatively minor. Uncoiled larvae are generally located in cell-free tunnels in 
the dorsal horns of the spinal cord surrounded by compressed neural tissue (4). 
In white matter, scattered myelin sheath degeneration may be present, with 
foreign body reactions around pieces of cuticle and hemorrhages associated with 
larval migration, however, neural parenchyma quickly assumes a normal appearance 
once larvae have left (4). Lesions associated with the adult meningeal worms in 
the cranium are unremarkable (4). Lesions in the lungs consist of tiny 
discolored spots uniformly distributed throughout the parenchyma and under the 
pleura (10). Nodules may be found within the lungs due to a foreign-body 
reaction that occurs around the remains of hatched eggshells (4). Congestion, 
hemorrhages, and eosinophilic and lymphocytic infiltration is common in areas 
where eggs or larvae have been in the lungs (4). Alveoli may collapse and 
disappear resulting in subsequent fibrosis of the region which may show as 
respiratory signs in naturally infected white-tailed deer (4). 
Gross pathologic changes in infected aberrant host animals include 
extensive central nervous system lesions including focal hemorrhages, neuronal 
degeneration, tracking lesions in the brain and spinal cord, and yellowish 
accumulations streaked with blood adjacent to the worms (1). Meningeal worms can 
be found free in the cranial cavity or on the spinal cord or may be embedded in 
nervous tissue (1). 
As identified previously, larval penetration of the small intestine occurs 
in fallow deer. It is believed that fallow deer are apparently unable to limit 
the phase of nematode migration through the small intestine, even though they 
are capable of mounting a substantial immune response against the meningeal worm 
once it is within the central nervous system (4). This results in colitis and 
fatal peritonitis, which is different than the pathology seen in all other 
cervids (4). In fallow deer, the mucosa of the greater curvature of the abomasum 
is hyperemic with scattered focal hemorrhages, the small intestine is filled 
with black-red fluid, and the intestinal wall is slightly thickened with rugose 
congested mucosae (8). Fibrinous adhesions are present throughout the peritoneal 
cavity. 
Microscopic lesions in aberrant hosts include small hemorrhages, masses of 
parasite eggs, infiltrations of eosinophilic leukocytes, and congestion of very 
small blood vessels (1). Additional microscopic lesions identified in llamas 
include multifocal random areas of cavitation, axonal swelling, linear cavities 
containing a variable number of lipid-laden macrophages and necrosis (6). 
Diagnosis 
 Presently, the only definitive method for diagnosing P. tenuis infections 
is recovery and identification of adult worms from the central nervous system at 
necropsy (1). 
The current diagnostic technique used in live animals is recovery of 
first-staged larvae in feces or lung tissue using modified Baermann techniques. 
Unfortunately, other protostrongylid nematodes shed similar cork-screw shaped 
dorsal spiny-tailed larvae which may make it difficult to definitively identify 
Parelaphostrongylus tenuis (1). Additionally, the first-stage larvae of P. 
tenuis are resistant to dessication and freezing (4) and may be readily washed 
off feces by water or rain (10) making it difficult to recover larvae using this 
method. Detection of low-levels of infection by this method is complicated by 
the parasite's long reproductive period which necessitates repeated testing of 
feces from suspected animals for several months. It is known that the number of 
larvae shed fluctuates by season with more larvae shed in winter-spring than in 
summer-autumn and the normal host, the white-tailed deer, tends to shed more 
larvae than the aberrant hosts such as elk (1). Also, animals infected with only 
one worm, or worms of the same gender, will not shed larvae (12). It is also 
possible that immunological factors and age of the host may play a role in the 
levels of larval shedding (1). 
Attempts to diagnose P. tenuis by measuring total protein concentration and 
enzyme activity within the cerebrospinal fluid of domestic goats and 
white-tailed deer showed inconclusive results (7). It is clear that 
parelaphostrongylosis is accompanied by seroconversion, and that both species 
develop a significant antibody response in cerebrospinal fluid, however the 
inability to detect antibodies during the prepatent period hinders the 
application of this technique as a diagnostic aid (7). 
A primary objective of a study undertaken in 1996 was to develop simple and 
reliable blood tests to detect meningeal worm infection in game-farmed animals 
(3). The blood tests were based on the reaction between unique somatic antigens 
to P. tenuis located in or on the worm to antibodies from the blood of infected 
animals (3). A unique 37 kDa antigen of the third-stage larva, which is also 
present in adult P. tenuis, serves as a serodiagnostic antigen to develop an 
enzyme-linked immunosorbent assay as a reliable diagnostic test for P. tenuis 
infection in white-tailed deer (12). However, the use of native 37kDa antigens 
from either L3 or adults for developing serological tests is impractical because 
the antigen is in low concentration in the parasite and would be difficult to 
obtain. (12) Currently the antigen is being cloned and expressed using 
recombinant DNA technology (12). Serological diagnosis of P. tenuis should offer 
many advantages over the currently used method of fecal analysis (12), 
especially with respect to differentiation of P. tenuis from other 
protostrongylids. 
Differential diagnoses 
P. tenuis can be confused with other neurological disorders such as trauma, 
brain abscesses, tumors, tick paralysis, listeriosis, degenerative myelopathy, 
rabies and other parasites that cause cerebrospinal nematodiasis. Copper 
deficiency may cause progressive ataxia, and chronic capture myopathy may have 
external manifestations similar to some stages of P. tenuis infection (11). 
Treatment 
 There are no drugs known to be effective against meningeal worms once they 
invade the central nervous system (1). 
Kocan treated deer with 0.1 mg/kg of ivermectin subcutaneously at 1, 10 and 
30 days after exposure to meningeal worm larvae and only prevented infection in 
deer treated 1 day after exposure (2). Once the larvae emerge from the 
gastrointestinal tract and enter the central nervous system by six days 
post-exposure, ivermectin has no effect because it does not readily cross the 
blood brain barrier except at very high dosages (2). Larvae still penetrating 
the abomasum, however, are readily killed (2). Treatment of deer with mature 
worms reduces the number of larvae shed in feces, indicating that ivermectin is 
effective against first-stage larvae in the lungs and perhaps on egg production 
or viability, however live adult worms still persist in the central nervous 
system (2). 
According to masters thesis work by Sikarskie at Michigan State University, 
limited clinical trials of the use of oral albendazole feed at 25 mg/kg in the 
feed for two weeks, killed adult worms in the meninges of white-tailed deer 
(11). 
Llamas infected with P. tenuis have been treated with anthelmintics 
including ivermectin and fenbendazole to kill the larval stages of the parasite 
and anti-inflammatory drugs such as flunixin, phenylbutazone or dexamethasone to 
decrease the inflammation in the neural tissue associated with migrating or dead 
larvae (6). In all instances, the animals deteriorated and required euthanasia 
in spite of treatment. 
Control 
 Prevention of pasture contamination by white-tailed deer, and mollusk 
management are the recommended procedures for controlling P. tenuis in wild 
populations of white-tailed deer (4, 11). Control of the gastropod intermediates 
is not feasible nor practical because gastropods are present in a wide variety 
of environmental locations not readily reached by non-specific molluscicides and 
would not be desirable because gastropods are very important to the ecosystem 
(10). Controlling the nematode in the definitive host is also not a viable 
option because there are no known drugs effective against P. tenuis, and 
anthelmintic treatment of wild populations is generally not feasible (10). 
Double fencing and establishment of a sanitary central region, cordon sanitaire, 
has been used in quarantine stations to prevent access of either white-tailed 
deer or gastropods (11). The ground of the cordon sanitaire must be regularly 
harrowed or ploughed to keep it free of vegetation, with periodic application of 
molluscicides to prevent gastropod migration (11). 
Significance 
 The geographical distribution of P. tenuis is very important to wildlife 
officials and game farm producers because it can cause significant mortality 
among cervids. It has been suggested that parelaphostrongylosis may be 
responsible for the decline of moose in some areas of the United States and 
Canada and is a major factor preventing the establishment of moose, elk, and 
caribou in areas populated by white-tailed deer (14). Presently, P. tenuis, is 
considered the greatest threat to game farm animals and provincial wildlife 
populations if it is accidentally introduced into Saskatchewan populations (1). 
Concern centers on the potential for translocating and establishing the parasite 
in nonendemic areas as a result of natural range expansion or translocation of 
infected hosts (4). Research has illustrated that the meningeal worm can 
successfully complete its life cycle in elk and that the larvae from such 
infections are viable and can serve as a source for subsequent infections in 
white-tailed deer and other elk (9). Current recommendations are that until 
reliable diagnostic procedures are available, importation of game species from 
areas where the parasite occurs should not occur (1). One must recognize that 
should the meningeal worm be introduced into an area free from the disease, it 
will be extremely difficult, if not impossible, to eradicate (1). 
In order to establish quarantine protocols, research would need to be 
conducted to determine when and how frequently fecal sampling (1) or serological 
testing would need to be done. Contaminated enclosures used for holding 
ungulates would need to be kept free of white-tailed deer for a least one to two 
years and perimeter fences would need to be free of vegetation that could harbor 
gastropods which could travel into the pens to infect the enclosed animals (10). 
Even if the worm did not cause devastation to common native species it 
would likely have a tremendous economic impact because of mortality, morbidity, 
responses to public inquiry, lost natural resources and potential threats to the 
domestic animal industry (1). Domestic goats appear to be exquisitely sensitive, 
often dying within a few days of infection, while sheep are considerably less 
susceptible (10). It is believed that cattle are one of the most resistant of 
the domestic species, although meningeal worms have been recovered from the 
central nervous system of healthy individuals and adult worms may reach the CNS 
before the cattle die (10). Although the role of aberrant hosts in sustaining P. 
tenuis populations or their role in translocating the parasite is not currently 
known, introduction of this parasite to domestic farms could have a substantial 
economic impact. 
There is no indication that this parasite poses a risk to humans because it 
is not infective to humans and meat of infected animals is safe for human 
consumption (14). 
Future research According to W.M. Samuel at the University of Alberta, a 
variety of questions need to be answered in relation to this parasite (1). These 
include: Do free-ranging elk in eastern North America shed larvae in their 
feces? What are the specific boundaries of the meningeal worm distribution and 
what mechanisms delineate this geographic distribution? How susceptible are 
various native wild and domestic hosts to the meningeal worm? Hopefully, the 
answers to these questions will soon become clear and with the development of 
effective diagnostic tests Parelaphostrongylus tenuis infections will be readily 
prevented, treated or controlled. 
References 
1.The review of wildlife disease status in game animals in North America, 
Saskatchewan Game Farmers Association and The Saskatchewan Game Farming 
Technical Advisory Committee, 1992. 2.Kocan AA. The use of ivermectin in the 
treatment and prevention of infection with Parelaphostrongylus tenuis 
(Dougherty) (Nematoda: Metastrongyloides) in white-tailed deer (Odocoileus 
virginianus Zimmerman). Journal of Wildlife Diseases 1985; 21(4): 454-455. 
3.Development of blood tests for Elaphostrongylus cervi and Parelaphostrongylus 
tenuis in game-farmed animals. Agriculture Development Fund. 1996. Agriculture 
and Agri-Food Canada. 4. Fowler ME, Miller RE. Zoo & Wild Animal Medicine 
Current Therapy 4. Philadelphia: W. B. Saunders, 1999. 5. Bindernagel JA, 
Anderson RC. Distribution of the meningeal worm in white-tailed deer in Canada. 
Journal of Wildlife Management 1972; 36(4): 1349 - 1353. 6.Scarratt WK, 
Karzenski SS, Wallace MA, et al. Suspected Parelaphostrongylosis in five llamas. 
Progress in Veterinary Neurology 1996; 7(4): 124 - 129. 7.Dew TL, Bowman, DD, 
Grieve RB. Parasite-specific immunoglobulin in the serum and cerebrospinal fluid 
of white-tailed deer (Odocoileus virginianus) and goats (Capra hircus) with 
experimentally induce parelaphostrongylosis. Journal of Zoo and Wildlife 
Medicine 1992; 23:281 - 287. 8.Pybus MJ, Samuel WM, Welch DA, et al. Mortality 
of fallow deer (Dama dama) experimentally infected with meningeal worm, 
Parelaphostrongylus tenuis. Journal of Wildlife Diseases 1992; 28(1): 95 - 101. 
9.Samuel WM, Pybus MJ, Welch DA, Wilke CJ. Elk as a potential host for meningeal 
worm:implications for translocation. Journal of Wildlife Management 1992; 56(4): 
629 - 639. 10.Davidson WR, Hayes FA, Nettles VF, et al. Lungworms (Anderson RC, 
Prestwood AK) In Diseases and Parasites of White-tailed Deer. Tallahassee: Tall 
Timbers Research Station,1981. 11.Haigh JC, Hudson RJ. Farming Wapiti and Red 
Deer. St. Louis: Mosby, 1993. 12.Ogunremi O, Lankester M, Kendall J, Gajadhar A. 
Serological diagnosis of Parelaphostrongylus tenuis infection in white-tailed 
deer and identificiation of a potentially unique parasite antigen. Journal of 
Parasitology; 85(1): 122 - 127. 13.Raskevitz RF, Kocan AA, Shaw JH. Gastropod 
availability and habitat utilization by wapiti and white-tailed deer sympatric 
on range enzootic for meningeal worm. Journal of Wildlife Diseases 1991; 27(1): 
92 - 101. 14.http://www.dnr.state.mi.us/Wildlife/Divi...Publications/Disease_Manual/BRAINWM.html 
Subject: Transmission of TSEs through ectoparasites i.e. P. tenuis and 
CWD
Date: May 3, 2007 at 9:05 am PST
CONFIDENTIAL
SEAC 97/2
Annex 2
UNITED KINGDOM ACCREDITATION SERVICE (UKAS)
ASSESSMENT REPORT
Other organisms
Transmission of TSEs through ectoparasites has been postulated by Lupi5. 
Post et al6 fed larvae of meat eating and myiasis causing flies with brain 
material from scrapie infected hamsters. Two days after eating infected 
material, the larvae showed high amounts of PrPSc by Western blot. In further 
studies, the inner organs of larvae, which had been fed with scrapie brain, were 
extracted and fed to hamsters. Six out of eight hamsters developed scrapie. Two 
out of four hamsters fed on scrapie infected pupae subsequently developed 
scrapie.
I AGAIN raise the possibility of that damn brain eating worm in elk and CWD 
transmission via elk, deer, and other critters eating that worm. ...tss
Immunodiagnosis of experimental Parelaphostrongylus tenuis infection in 
elk
Oladele Ogunremi, Murray Lankester, and Alvin Gajadhar Centre for Animal 
Parasitology, Canadian Food Inspection Agency, 116 Veterinary Road, Saskatoon, 
Saskatchewan S7N 2R3 (Ogunremi, Gajadhar); Department of Biology, Lakehead 
University, 955 Oliver Road, Thunder Bay, Ontario P7B 5E1 (Lankester).
Elk infected with the meningeal worm, Parelaphostrongylus tenuis 
(Protostrongylidae), do not consistently excrete larvae in feces, making the 
current method of diagnosing live animals using the Baermann fecal technique 
unreliable. Serological diagnosis could prove more useful in diagnosing 
field-infected animals but depends on the identification and availability of 
good quality antigen. To mimic field infections, 2 elk were inoculated with 6 
infective L3 larvae of P. tenuis, and another 2 with 20 L3 larvae. Fecal samples 
were examined for nematode larvae using the Baermann technique and serum samples 
taken were tested for anti-P. tenuis antibody with ELISAs by using the 
excretory-secretory (ES) products of L3, and sonicated adult worms as antigens. 
One animal passed first-stage larvae in its feces 202 days post inoculation, but 
passed none thereafter. The remaining 3 inoculated animals did not pass larvae. 
In contrast to parasite detection, antibodies against larval ES products were 
detected in all animals starting from 14 to 28 days post inoculation and 
persisted until the termination of the experiment on day 243 in 2 animals that 
harbored adult worms. Antibodies against somatic antigens of the adult worm were 
not detected until day 56 but also persisted until the end of the experiment in 
the animals with adult worms. In 2 elk that had no adult worms at necropsy, 
anti-ES antibodies were detected transiently in both, while anti-adult worm 
antibodies were present transiently in one. These findings confirm the 
superiority of P. tenuis larval ES products over somatic adult worm antigens as 
serodiagnostic antigens, as previously observed in studies of infected 
white-tailed deer, and extend the application of the newly developed ELISA test 
in diagnosing and monitoring cervids experimentally infected with P. 
tenuis.
Subject: TSE & insects as a vector of potential transmission
Date: October 26, 2006 at 12:50 pm PST
i try to keep an open mind about any other routes and sources that we may 
be overlooking. i mean, there is enough TSE protein in circulation now VIA the 
FDA, just in 2006 alone, and the oral route has been proven with BSE, and the 
non-forced oral consumption of scrapie to primate, as to not worry about a 
natural route of a few worms that have maybe been feasting on a deer that's 
brain is infected with CWD, then excreted out, and then passed on to another 
worm hungry deer looking for that feast. i suppose maybe just another potential 
route and source for a TSE, and possibly even a 'double dose' so to speak from 
not only the worm in the feces (maybe triple with feces), but the soil as well 
(see soil and prion study as well below) following that are some other studies 
that may be of interest ; Myiasis as a risk factor for prion diseases in 
humans
Journal of the European Academy of Dermatology and Venereology Volume 20 
Page 1037 - October 2006 doi:10.1111/j.1468-3083.2006.01595.x Volume 20 Issue 
9
REVIEW ARTICLE
Myiasis as a risk factor for prion diseases in humans
O Lupi *
Abstract
Prion diseases are transmissible spongiform encephalopathies of humans and 
animals. The oral route is clearly associated with some prion diseases, 
according to the dissemination of bovine spongiform encephalopathy (BSE or mad 
cow disease) in cattle and kuru in humans. However, other prion diseases such as 
scrapie (in sheep) and chronic wasting disease (CWD) (in cervids) cannot be 
explained in this way and are probably more associated with a pattern of 
horizontal transmission in both domestic and wild animals. The skin and mucous 
membranes are a potential target for prion infections because keratinocytes and 
lymphocytes are susceptible to the abnormal infective isoform of the prion 
protein. Iatrogenic transmission of Creutzfeldt–Jakob disease (CJD) was also 
recognized after corneal transplants in humans and scrapie was successfully 
transmitted to mice after ocular instillation of infected brain tissue, 
confirming that these new routes could also be important in prion infections. 
Some ectoparasites have been proven to harbour prion rods in laboratory 
experiments. Prion rods were identified in both fly larvae and pupae; adult 
flies are also able to express prion proteins. The most common causes of myiasis 
in cattle and sheep, closely related animals with previous prion infections, are 
Hypoderma bovis and Oestrus ovis, respectively. Both species of flies present a 
life cycle very different from human myiasis, as they have a long contact with 
neurological structures, such as spinal canal and epidural fat, which are 
potentially rich in prion rods. Ophthalmomyiases in humans is commonly caused by 
both species of fly larvae worldwide, providing almost direct contact with the 
central nervous system (CNS). The high expression of the prion protein on the 
skin and mucosa and the severity of the inflammatory response to the larvae 
could readily increase the efficiency of transmission of prions in both animals 
and humans.
International Journal of Dermatology Volume 42 Page 425 - June 2003 
doi:10.1046/j.1365-4362.2003.00345.x Volume 42 Issue 6
Review
Could ectoparasites act as vectors for prion diseases?
Omar Lupi, MD, PhD
Abstract
Prion diseases are rare neurodegenerative diseases of humans and animals 
with a lethal evolution. Several cell types found on the human skin, including 
keratinocytes, fibroblasts and lymphocytes, are susceptible to the abnormal 
infective isoform of the prion protein, which transforms the skin to produce a 
potential target for prion infection. Iatrogenic transmission of 
Creutzfeldt-Jakob disease was also recognized after corneal transplants in 
humans, and scrapie was successfully transmitted to mice after ocular 
instillation of infected brain tissue, confirming that these new routes, as well 
as cerebral inoculation and oral ingestion, could be important in prion 
infections. Animal prion infections, such as scrapie (sheep) and "mad cow 
disease" (cattle), have shown a pattern of horizontal transmission in farm 
conditions and several ectoparasites have been shown to harbor prion rods in 
laboratory experiments. Fly larvae and mites were exposed to brain-infected 
material and were readily able to transmit scrapie to hamsters. New lines of 
evidence have confirmed that adult flies are also able to express prion 
proteins. Because ocular and cerebral myiases and mite infestation are not rare 
worldwide, and most cases are caused by fly larvae or hay mites that usually 
affect sheep and cattle, it is important to discuss the possibility that these 
ectoparasites could eventually act as reservoirs and/or vectors for prion 
diseases.
P. tenuis – The White-tailed Deer Parasite
“Brain worms” (meningeal worms) can affect sheep, goats, llamas, alpacas, 
moose and other exotic small ruminants
M. Kopcha, D.V.M., M.S., J. S. Rook, D.V.M. & D. Hostetler, D.V.M MSU 
Extension & Ag. Experiment Station Michigan State University College of 
Veterinary Medicine
Many livestock producers are familiar with internal parasites that invade 
the digestive system (the abomasum, small or large intestines), liver, and 
lungs. An internal parasite which may not be so well-recognized is one that 
invades the central nervous system (brain and spinal cord). Commonly called the 
“brain worm” or meningeal worm (the meninges are a thin membrane that covers the 
brain and spinal column), the scientific name for this parasite is 
Parelaphostroneylus tenuis (P. tenuis), and its natural host is the White-tailed 
deer. Usually, P. tenuis completes its life cycle in the deer (Figure 1) without 
causing noticeable problems. However, when P. tenuis is ingested by unnatural, 
or aberrant hosts such as, llamas, sheep, goats, moose, elk, caribou, and other 
susceptible ruminants, the parasite moves into the brain and/or spinal cord, 
damaging delicate nervous tissue. Neurologic problems result.
White-tailed deer may he parasitized by P. tenuis year-round. However, the 
neurologic disease seen in aberrant hosts has a seasonal occurrence that starts 
in the late summer and continues until a hard freeze occurs. A cool, moist 
summer and/or a mild winter may extend the period during which the disease 
occurs. How does it occur?
To understand this disease and how to prevent or minimize its occurrence, 
it is important to understand the life cycle of P. tenuis in the White-tailed 
deer and what happens when the parasite is ingested by susceptible ruminants. 
The life cycle is as follows (Figure 1): adult meningeal worms live in the 
deer's central nervous system (brain and spinal cord) and produce eggs which 
hatch into larvae. The larvae migrate from the deer's central nervous system to 
the lungs, where they are coughed into the mouth, swallowed and passed from the 
intestinal tract with the manure. This portion of the life cycle takes 
approximately three months (Figure 1 - numbers 1 and 2). After excreted in the 
manure, larvae must continue their development in an intermediate host (certain 
land-dwelling snails and slugs) for another three to four weeks until they reach 
their infective stage (Figure 1 - numbers 3 and 4). White-tailed deer become 
infested with P. tenuis by eating these snails or slugs that contain the 
infective stage of the larvae (Figure 1 - number 5). Once ingested, the larvae 
migrate through the deer’s gut and eventually move into their central nervous 
system where they mature into adults, produce eggs,
Figure 2 The Angora goat in the center of the picture had a mild lameness 
in its left forelimb (arrow). The presumptive diagnosis was meningeal worm 
infestation. Mild cases such as this one may recover spontaneously.
Figure 3 This Angora goat was probably affected with meningeal worms and 
was able to use its hindlimbs, but was unable to rise onto its forelimbs.
Figure 4 This alpaca had been paralyzed by meningeal worms. Notice that 
despite the paralysis, the animal appears alert. This is typical for a brain 
worm infestation that affects the spinal cord and not the brain. Figure 6: This 
Suffolk sheep was one of several sheep from a flock that were affected with 
Parelaphostrongylus tenuis. The posture that this animal is displaying is 
referred to as a “dogsitting” position.
Figure 5: This alpaca displayed weakness in both hindlimbs and was unable 
to stand without assistance. The presumptive diagnosis was brain worm 
infestation. This animal eventually recovered. and the cycle begins again.
When P. tenuis-infected snails and slugs are ingested by aberrant hosts, 
the larvae migrate into the brain and/or spinal cord, but do not mature into 
adults. Instead, these immature larvae wander through the central nervous system 
causing inflammation and swelling which damages sensitive nervous tissue 
producing a variety of neurologic signs. Because these larvae do not mature into 
adults in aberrant hosts, they cannot produce eggs that would mature into larvae 
which would then pass outside the animal with the feces. This is why sheep, 
goats, llamas and other unnatural hosts are considered dead-end hosts for P. 
tenuis. Dead end hosts infected with P. tenuis larva cannot spread the disease 
to other aberrant hosts or back to deer - i.e. infected sheep or goats can not 
bring the disease to your flock or herd. The neurologic signs observed in 
infected llamas, sheep, goats and others depend upon the number of larvae 
present in the nervous tissue and the specific portion of the brain or spinal 
cord that has been affected. For example - a mild infestation in a very local 
area may produce a slight limp (Figure 2)) or weakness in one or more legs 
(Figure 3,4,5, & 6). A more severe infestation may cause an animal to become 
partially or completely paralyzed. If the parasites are located only in the 
spinal cord, an affected animal will appear bright and alert, and have a normal 
appetite, despite the altered gait or paralysis. When larvae migrate through the 
brain, they may cause blindness, a head tilt, circling, disinterest in or 
inability to eat, or other signs that can mimic brain diseases caused by 
bacteria, viruses, nutritional deficiencies, trauma, or toxins. Table I lists 
some of the diseases that P. tenuis can mimic when the parasites migrate through 
nervous tissue.
Table 1_Included in this table are various diseases that can look similar 
to “brain worm” infestation. Also listed are the target species that are 
susceptible to each of the diseases.
Species Disease Llamas and Alpacas Sheep Goats Listeriosis X X X Caprine 
Arthritis- Encephalitis X Scrapie X Rare* Rabies X X X Trauma X X X Copper 
Deficiency X X X Vitamin E/Selenium Deficiency X X X Spinal Cord or Brain 
Abscess X X X Polioencephalomalacia X X X
Could it happen on my farm?
Animals pastured in lowland areas frequented by infected White-tailed deer 
are prime candidates for exposure to snails containing P. tenuis larvae. When 
such animals develop neurological problems during the late summer through early 
winter in the Upper Midwest (the season for exposure may be longer in other 
parts of the country), “brain worms” are a likely possibility.
Presently there is no definitive test that can be performed on a live 
animal to confirm P. tenuis infestation. Since the larvae do not mature to 
adulthood in aberrant hosts, and therefore, cannot produce eggs or pass larvae 
in the feces, a fecal examination is not useful. Also, these parasites cannot be 
detected by blood testing. A test that can help support suspicions of brain worm 
infestation is evaluation of cerebrospinal fluid (CSF), which is the fluid that 
bathes the brain and spinal cord. Disease that occurs in these areas may cause 
changes in the CSF detectable by various tests. Normal CSF contains very few 
cells and little protein. An animal that has parasites migrating in the brain or 
spinal cord, often will have a larger number of cells, especially a certain type 
of cell called an eosinophil. Also, the protein concentration may be increased. 
Therefore, finding eosinophils in a CSF tap taken from an animal with neurologic 
abnormalities is very supportive evidence for “brain worm” infestation. If 
eosinophils are not found, this does not rule out the possibility of a “brain 
worm” problem. Currently, the only way to confirm this diagnosis is by finding 
the parasite in the nervous system, which requires a necropsy examination.
Obtaining CSF from sheep, goats, and llamas is somewhat more involved than 
obtaining a blood sample. Two areas used most often for CSF collection are just 
behind the poll or over the hips, in the area called the lumbosacral junction. 
We prefer the lumbosacral site because the test can be performed using local 
anesthetic only (rarely would a tranquilizer be required), and the animal can be 
standing or lying down, whichever is most comfortable. The head site usually 
requires that the animal be heavily tranquilized or anesthetized.
The procedure can be performed in a hospital setting or on the farm, and 
must be done in a sterile manner. This includes removal of the hair or wool from 
a small area where the puncture will be made, scrubbing the site with surgical 
disinfectant and rinsing with alcohol. Sterile gloves and equipment are 
used.
After the site has been scrubbed, an injection of a local anesthetic is 
placed under the skin and into the deeper tissues where the spinal needle will 
be placed. The needle is inserted through the anesthetized area. The animal may 
notice slight discomfort when the needle enters the spinal canal. However, 
having a quiet person at the animal's head (in some cases the best person is the 
owner or handler) will provide a calming effect. The needle does not penetrate 
the spinal cord. In many animals, the cord ends just ahead of where the needle 
is placed. Once fluid has been obtained, the needle is withdrawn. The amount of 
fluid collected depends on the animal's size. Usually, 5 to 8 cc's are withdrawn 
and submitted to a clinical laboratory for analysis. This is a very safe 
procedure if performed properly.
What about treatment?
Many different drugs including thiabendazole, levamisole, fenbendazole, 
albendazole, and ivermectin have been used in an attempt to treat “brain worm” 
infestation. However, to date, no controlled studies have confirmed or refuted 
the efficacy of various treatment recommendations. Some anthelmintics can kill 
P. tenuis larvae while they migrate from the stomach to the brain or spinal 
cord, but are unable to enter the central nervous system because of a structure 
called the blood-brain barrier. Therefore, they do not have an effect on 
parasitic larvae once the parasite has migrated across the blood-brain barrier 
and is in the central nervous system. Other anthelmintics may be able to kill 
the larvae regardless of their location in the body. An important point to 
remember is that once the parasite begins to migrate within the nervous tissue, 
damage occurs that is usually irreversible. Although some drugs may kill the 
worms, thus pre venting further damage, treatment does not repair nervous 
tissue. Some animals with mild clinical signs may recover without treatment. At 
this time, the best recommendation for treatment is "do no harm." Perhaps some 
medications are helpful, however, remember that drugs used at higher-than-usual 
levels or more frequently than usual may cause toxicity problems.
The best approach to “brain worm” infestation is prevention. This s 
achieved by keeping the life cycle in mind. Animals kept in pastures that have 
wetlands and White-tailed deer should be removed from these pastures in the late 
summer and until the first hard freeze. If this is not possible, strategic 
deworming is the second best approach. This would involve either continuously 
providing an anthelmintic in feed or mineral mix throughout the “brain worm” 
season, or deworming with an oral or injectable product every 10 to 14 days - 
starting in late summer and continuing through early to mid-winter, depending on 
the severity of the freezing temperatures.
The 10- to 14-day schedule recommendation is based on experimental evidence 
that demonstrated the parasites' ability to reach the brain and/or spinal cord 
in this amount of time after an animal eats the snails containing P. tenuis 
larvae. Thus, this is a "window of opportunity" to kill the worms before they 
enter the central nervous system where they may be "safe" or protected from the 
killing effect of drugs that cannot cross the blood-brain barrier. While 
clinical cases of meningeal worm infestation are rare, “brain worms” could 
affect your animals if they have access to wetlands harboring P. tenuis-infected 
White-tailed deer. Wetlands contain a population of snails and slugs needed to 
complete the parasite's life cycle if it is the season when P. tenuis 
infestation occurs. Remember: the success of treatment is variable - prevention 
is the best means of control.
DECEMBER 2014 UPDATE
P.121: Efficient transmission of prion disease through environmental 
contamination
Sandra Pritzkow, Rodrigo Morales, and Claudio Soto Mitchell Center for 
Alzheimer’s disease and related Brain disorders; University of Texas Medical 
School at Houston; Hourston, TX USA
Chronic wasting disease (CWD) is a prion disorder effecting captive and 
free-ranging deer and elk. The efficient propagation suggests that horizontal 
transmission through contaminated environment may play an important role. It has 
been shown that infectious prions enter the environment through saliva, feces, 
urine, blood or placenta tissue from infected animals, as well as by carcasses 
from diseased animals and can stay infectious inside soil over several 
years.
We hypothesize that environmental components getting in contact with 
infectious prions can also play a role for the horizontal transmission of prion 
diseases. To study this issue, surfaces composed of various environmentally 
relevant materials were exposed to infectious prions and the attachment and 
retention of infectious material was studied in vitro and in vivo. We analyzed 
polypropylene, glass, stainless steel, wood, stone, aluminum, concrete and brass 
surfaces exposed to 263K-infected brain homogenate. For in vitro analyses, the 
material was incubated in serial dilutions of 263K-brain homogenate, washed 
thoroughly and analyzed for the presence of PrPSc by PMCA. The results show that 
even highly diluted PrPSc can bind efficiently to polypropylene, stainless 
steel, glass, wood and stone and propagate the conversion of normal prion 
protein. For in vivo experiments, hamsters were ic injected with implants 
incubated in 1% 263K-infected brain homogenate. Hamsters, inoculated with 
263K-contaminated implants of all groups, developed typical signs of prion 
disease, whereas control animals inoculated with non-contaminated materials did 
not.
In addition, in order to study the transmission in a more natural setting, 
we exposed a group of hamster to habit in the presence of spheres composed of 
various materials that were pretreated with 263K prions. Many of the hamsters 
exposed to these contaminated materials developed typical signs of the disease 
that were confirmed by immunohistological and biochemical analyses.
These findings suggest that various surfaces can efficiently bind 
infectious prions and act as carriers of infectivity, suggesting that diverse 
elements in the environment may play an important role in horizontal prion 
transmission. 
P.146: Kinetics and cell association of chronic wasting disease prions shed 
in saliva and urine of white-tailed deer
Nicholas J Haley,1,2 Scott Carver,3 Clare E Hoover,1 Kristen A Davenport,1 
Candace K Mathiason,1 Glenn C Telling,1 and Edward A Hoover1
1Department of Microbiology, Immunology, and Pathology, College of 
Veterinary Medicine and Biomedical Sciences; Colorado State University; Fort 
Collins, CO USA; 2Department of Diagnostic Medicine and Pathobiology, College of 
Veterinary Medicine; Kansas State University; Manhattan, KS USA; 3School of 
Zoology; University of Tasmania; Hobart, Tasmania, Australia
Chronic wasting disease, a transmissible spongiform encephalopathy (TSE) of 
deer, elk, and moose, is unique among prion diseases in its relatively efficient 
horizontal transmissibility. Recent studies have shown that excreta—saliva, 
urine, and feces—from CWD-positive cervids may play an important role in 
horizontal transmission of CWD, and although the precise onset of shedding in 
these excreta is unknown, it is thought to occur long before the onset of 
clinical symptoms. High levels of prion seeding activity have been demonstrated 
in excretory tissues of deer, including tongue, salivary glands, kidney, and 
urinary bladder, though the origin(s) and cellular nature of infectious prions 
in excreta is unknown. We hypothesized that excretory shedding of CWD prions in 
saliva and urine would coincide with the appearance of PrPd appearance in 
peripheral lymphatic tissues, and that infectivity would associate with cellular 
preparations of these excreta. Following intracerebral inoculation of 
susceptible Tg[CerPrP] mice, we observed efficient transmission in saliva 
collected as early as 12 months post-exposure, coinciding with peripheral PrPd 
appearance in tonsil biopsies; while urine collected at terminal disease was 
only minimally infectious in transgenic mice. We also found that acellular 
preparations of saliva, and cellular preparations of urine, were capable of 
transmitting CWD infection to transgenic Tg[CerPrP] mice with incubation periods 
similar to that of whole saliva or urine; saliva and urine from CWD-negative 
deer failed to induce prion disease in these mice. Infectious titers were 
determined for obex and bodily fluids, and were similar to those previously 
described. These findings extend our understanding of CWD shedding in 
white-tailed deer, and offer insight into the source and cellular associations 
of infectious CWD prions in excreta. 
P.178: Longitudinal quantitative analysis of CWD prions shed in saliva of 
deer
Davin M Henderson, Nina Garbino, Nathaniel D Denkers, Amy V Nalls, Candace 
K Mathiason, and Edward A Hoover Prion Research Center, College of Veterinary 
Medicine and Biomedical Sciences, Colorado State University; Fort Collins, CO 
USA
Background/Introduction. Chronic Wasting Disease (CWD) is an emergent 
rapidly spreading fatal prion disease of cervids (deer, elk and moose). CWD has 
now been identified in 22 States (including two new states within the last 
year), 2 Canadian provinces, and South Korea. Shedding of infectious prions in 
excreta (saliva, urine, feces) may be an important factor in CWD transmission. 
Here we apply an adapted version of a rapid in vitro assay [real-time 
quaking-induced conversion (RT-QuIC)] to determine the time of onset, length, 
pattern, and magnitude of prion shedding in saliva of infected deer.
Materials and Methods. The RT-QuIC assay was performed as previously 
described in Henderson et al. PLoS-One (2013). Saliva samples were quantitated 
by comparison to a RT-QuIC reaction rate standard curve of a bioassayed obex 
sample from a terminally ill cervid.
Results. To better understand the onset and length of CWD prion shedding we 
analyzed >150 longitudinally collected, blinded, then randomized saliva 
samples from 17 CWD-infected and 3 uninfected white-tailed deer. We observed 
prion shedding, as detected by the RT-QuIC assay, as early as 3 months from 
inoculation and sustained shedding throughout the disease course in both aerosol 
and orally exposed deer. We estimated the infectious lethal dose of prions shed 
in saliva from infected deer by comparing real-time reaction rates of saliva 
samples to a bioassayed serially diluted brain control. Our results indicate 
that as little as 1 ml of saliva from pre-symptomatic infected deer constitutes 
a lethal CWD prion dose.
Conclusions. During the pre-symptomatic stage of CWD infection and 
throughout the course of disease deer may be shedding multiple LD50 doses per 
day in their saliva. CWD prion shedding through saliva and excreta may account 
for the unprecedented spread of this prion disease in nature. Acknowledgments. 
Supported by NIH grant RO1-NS-061902 and grant D12ZO-045 from the Morris Animal 
Foundation.
*** We conclude that TSE infectivity is likely to survive burial for long 
time periods with minimal loss of infectivity and limited movement from the 
original burial site. However PMCA results have shown that there is the 
potential for rainwater to elute TSE related material from soil which could lead 
to the contamination of a wider area. These experiments reinforce the importance 
of risk assessment when disposing of TSE risk materials. 
*** The results show that even highly diluted PrPSc can bind efficiently to 
polypropylene, stainless steel, glass, wood and stone and propagate the 
conversion of normal prion protein. For in vivo experiments, hamsters were ic 
injected with implants incubated in 1% 263K-infected brain homogenate. Hamsters, 
inoculated with 263K-contaminated implants of all groups, developed typical 
signs of prion disease, whereas control animals inoculated with non-contaminated 
materials did not.
PRION 2014 CONFERENCE
CHRONIC WASTING DISEASE CWD 
A FEW FINDINGS ; 
Conclusions. To our knowledge, this is the first established experimental 
model of CWD in TgSB3985. We found evidence for co-existence or divergence of 
two CWD strains adapted to Tga20 mice and their replication in TgSB3985 mice. 
Finally, we observed phenotypic differences between cervid-derived CWD and 
CWD/Tg20 strains upon propagation in TgSB3985 mice. Further studies are underway 
to characterize these strains. 
We conclude that TSE infectivity is likely to survive burial for long time 
periods with minimal loss of infectivity and limited movement from the original 
burial site. However PMCA results have shown that there is the potential for 
rainwater to elute TSE related material from soil which could lead to the 
contamination of a wider area. These experiments reinforce the importance of 
risk assessment when disposing of TSE risk materials. 
The results show that even highly diluted PrPSc can bind efficiently to 
polypropylene, stainless steel, glass, wood and stone and propagate the 
conversion of normal prion protein. For in vivo experiments, hamsters were ic 
injected with implants incubated in 1% 263K-infected brain homogenate. Hamsters, 
inoculated with 263K-contaminated implants of all groups, developed typical 
signs of prion disease, whereas control animals inoculated with non-contaminated 
materials did not.
Our data establish that meadow voles are permissive to CWD via peripheral 
exposure route, suggesting they could serve as an environmental reservoir for 
CWD. Additionally, our data are consistent with the hypothesis that at least two 
strains of CWD circulate in naturally-infected cervid populations and provide 
evidence that meadow voles are a useful tool for CWD strain typing. 
Conclusion. CWD prions are shed in saliva and urine of infected deer as 
early as 3 months post infection and throughout the subsequent >1.5 year 
course of infection. In current work we are examining the relationship of 
prionemia to excretion and the impact of excreted prion binding to surfaces and 
particulates in the environment.
Conclusion. CWD prions (as inferred by prion seeding activity by RT-QuIC) 
are shed in urine of infected deer as early as 6 months post inoculation and 
throughout the subsequent disease course. Further studies are in progress 
refining the real-time urinary prion assay sensitivity and we are examining more 
closely the excretion time frame, magnitude, and sample variables in 
relationship to inoculation route and prionemia in naturally and experimentally 
CWD-infected cervids.
Conclusions. Our results suggested that the odds of infection for CWD is 
likely controlled by areas that congregate deer thus increasing direct 
transmission (deer-to-deer interactions) or indirect transmission 
(deer-to-environment) by sharing or depositing infectious prion proteins in 
these preferred habitats. Epidemiology of CWD in the eastern U.S. is likely 
controlled by separate factors than found in the Midwestern and endemic areas 
for CWD and can assist in performing more efficient surveillance efforts for the 
region.
Conclusions. During the pre-symptomatic stage of CWD infection and 
throughout the course of disease deer may be shedding multiple LD50 doses per 
day in their saliva. CWD prion shedding through saliva and excreta may account 
for the unprecedented spread of this prion disease in nature. 
see full text and more ; 
Monday, June 23, 2014 
*** PRION 2014 CONFERENCE CHRONIC WASTING DISEASE CWD 
NEW URL
*** Infectious agent of sheep scrapie may persist in the environment for at 
least 16 years***
Gudmundur Georgsson1, Sigurdur Sigurdarson2 and Paul Brown3 
New studies on the heat resistance of hamster-adapted scrapie agent: 
Threshold survival after ashing at 600°C suggests an inorganic template of 
replication 
Prion Infected Meat-and-Bone Meal Is Still Infectious after Biodiesel 
Production 
Detection of protease-resistant cervid prion protein in water from a 
CWD-endemic area 
NEW URL
A Quantitative Assessment of the Amount of Prion Diverted to Category 1 
Materials and Wastewater During Processing 
Rapid assessment of bovine spongiform encephalopathy prion inactivation by 
heat treatment in yellow grease produced in the industrial manufacturing process 
of meat and bone meals 
http://transmissiblespongiformencephalopathy.blogspot.com/2013/07/rapid-assessment-of-bovine-spongiform.html 
Survival and Limited Spread of TSE Infectivity after Burial 
Karen Fernie, Allister Smith and Robert A. Somerville The Roslin Institute 
and R(D)SVS; University of Edinburgh; Roslin, Scotland UK 
Scrapie and chronic wasting disease probably spread via environmental 
routes, and there are also concerns about BSE infection remaining in the 
environment after carcass burial or waste 3disposal. In two demonstration 
experiments we are determining survival and migration of TSE infectivity when 
buried for up to five years, as an uncontained point source or within bovine 
heads. Firstly boluses of TSE infected mouse brain were buried in lysimeters 
containing either sandy or clay soil. Migration from the boluses is being 
assessed from soil cores taken over time. With the exception of a very small 
amount of infectivity found 25 cm from the bolus in sandy soil after 12 months, 
no other infectivity has been detected up to three years. Secondly, ten bovine 
heads were spiked with TSE infected mouse brain and buried in the two soil 
types. Pairs of heads have been exhumed annually and assessed for infectivity 
within and around them. After one year and after two years, infectivity was 
detected in most intracranial samples and in some of the soil samples taken from 
immediately surrounding the heads. The infectivity assays for the samples in and 
around the heads exhumed at years three and four are underway. These data show 
that TSE infectivity can survive burial for long periods but migrates slowly. 
Risk assessments should take into account the likely long survival rate when 
infected material has been buried.
The authors gratefully acknowledge funding from DEFRA. 
Sunday, November 3, 2013 
*** Environmental Impact Statements; Availability, etc.: Animal Carcass 
Management [Docket No. APHIS-2013-0044] ***
Singeltary submission ;
Program Standards: Chronic Wasting Disease Herd Certification Program and 
Interstate Movement of Farmed or Captive Deer, Elk, and Moose 
DOCUMENT ID: APHIS-2006-0118-0411 
***Singeltary submission
Docket No. 00-108-10 Chronic Wasting Disease Herd Certification Program and 
Interstate Movement of Farmed or Captive Deer, Elk, and Moose; Program 
Standards
>>>The CWD herd certification program is a voluntary, cooperative 
program that establishes minimum requirements for the interstate movement of 
farmed or captive cervids, provisions for participating States to administer 
Approved State CWD Herd Certification Programs, and provisions for participating 
herds to become certified as having a low risk of being infected with 
CWD<<<
Greetings USDA/APHIS et al, 
I kindly would like to comment on Docket No. 00-108-10 Chronic Wasting 
Disease Herd Certification Program and Interstate Movement of Farmed or Captive 
Deer, Elk, and Moose; Program Standards.
I believe, and in my opinion, and this has been proven by scientific facts, 
that without a validated and certified test for chronic wasting disease cwd, 
that is 100% sensitive, and in use, any voluntary effort will be futile. the 
voluntary ban on mad cow feed and SRMs have failed terribly, the bse mad cow 
surveillance program has failed terribly, as well as the testing for bse tse 
prion in cattle, this too has failed terrible. all this has been proven time and 
time again via OIG reports and GOA reports.
I believe that until this happens, 100% cwd testing with validated test, 
ALL MOVEMENT OF CERVIDS BETWEEN STATES MUST BE BANNED, AND THE BORDERS CLOSED TO 
INTERSTATE MOVEMENT OF CERVIDS. there is simply to much at risk. 
In my opinion, and the opinions of many scientists and DNR officials, that 
these so called game farms are the cause of the spreading of chronic wasting 
disease cwd through much negligence. the game farms in my opinion are not the 
only cause, but a big factor. I kindly wish to submit the following to show what 
these factors are, and why interstate movement of cervids must be banned. 
...
snip...see full text and PDF ATTACHMENT HERE ; 
Tuesday, December 16, 2014 
Evidence for zoonotic potential of ovine scrapie prions Scrapie from sheep 
could infect humans with 'mad cow disease', study finds 
http://transmissiblespongiformencephalopathy.blogspot.com/2014/12/evidence-for-zoonotic-potential-of.html 
http://scrapie-usa.blogspot.com/2014/12/scrapie-from-sheep-could-infect-humans.html
Tuesday, December 16, 2014 
Texas 84th Legislature 2015 H.R. No. 2597 Kuempel Deer Breeding Industry 
TAHC TPWD CWD TSE PRION 
Friday, February 08, 2013 
*** Behavior of Prions in the Environment: Implications for Prion Biology 
Uptake of Prions into Plants 
Friday, August 09, 2013 
***CWD TSE prion, plants, vegetables, and the potential for environmental 
contamination 
Friday, December 06, 2013 2:39 PM
Procedures for identifying infectious prions after passage through the 
digestive system of an avian species
Saturday, March 10, 2012 
CWD, GAME FARMS, urine, feces, soil, lichens, and banned mad cow protein 
feed CUSTOM MADE for deer and elk 
PRION2013 CONGRESSIONAL ABSTRACTS CWD 
Sunday, August 25, 2013 
***Chronic Wasting Disease CWD risk factors, humans, domestic cats, blood, 
and mother to offspring transmission 
Sunday, July 21, 2013 
*** As Chronic Wasting Disease CWD rises in deer herd, what about risk for 
humans? 
Detection of PrPCWD in Rocky Mountain Elk Feces Using Protein Misfolding 
Cyclic Amplification
Bruce E Pulford,1 Terry Spraker,1 Jenny Powers,2 Margaret Wild2 and Mark D. 
Zabel1 1Department of Microbiology; Immunology and Pathology; College of 
Veterinary Medicine and Biomedical Sciences; Colorado State University; 
2Biological Resource Management Division; United States National Park Service; 
CO, USA 
Key words: CWD, feces, PMCA, elk
Chronic wasting disease (CWD) is a transmissible spongiform encephalopathy 
affecting cervids, including mule and white-tailed deer (Odocoileus hemionus and 
virginianus), elk (Cervus elaphus nelsoni) and moose (Alces alces shirasi). The 
method of CWD transmission between hosts is unclear, though there is evidence 
that feces excreted by infected animals may play a role. Recently, CWD prions 
was detected in feces using bioassays in cervidized mice, which took many months 
to produce results. In this study, we use a more rapid procedure, protein 
misfolding cyclic amplification (PMCA), to test elk feces for the presence of 
PK-resistant cervid PrP (PrPCWD). Feces were collected from symptomatic and 
asymptomatic elk in several northern Colorado locations, homogenized, mixed with 
normal brain homogenate from Tg5037 mice (expressing cervid PrP) and subjected 
to up to 9 rounds of PMCA (1 round = 40 secs sonication/30 mins at 70% maximum 
power, 24 hours). Western blots were used to detect PrPCWD using BAR-224 
anti-PrP antibody. Rectal and CNS tissue from the elk were IHC-labeled and 
examined for the presence of PrPCWD. Fecal samples from symptomatic and 
asymptomatic elk that tested positive by IHC showed characteristic PrPCWD bands 
on western blots following PMCA. In addition, PMCA detected PrPCWD in 25% of 
fecal samples from IHC-negative animals. These data suggest that PMCA may (1) 
prove useful as a non-invasive method to supplement or even replace IHC testing 
of cervids for CWD, and (2) identify additional asymptomatic carriers of CWD, 
the prevalence of which may be underestimated using IHC. 
Detection of subclinical infection in deer orally exposed to urine and 
feces (1) suggests that a prolonged subclinical state can exist, necessitating 
observation periods in excess of two years to detect CWD infection, and (2) 
illustrates the sensitive and specific application of sPMCA in the diagnosis of 
low-level prion infection. Based on these results, it is possible that low doses 
of prions, e.g. following oral exposure to urine and saliva of CWD-infected 
deer, bypass significant amplification in the LRS, perhaps utilizing a neural 
conduit between the alimentary tract and CNS, as has been demonstrated in some 
other prion diseases. 
In summary, we provide evidence for the presence of infectious prions in 
the brains of conventional prion-assay-negative deer orally exposed 19 months 
earlier to urine and feces from CWD-infected donor deer. This apparent low level 
of prion infection was amplified by sPMCA, confirmed by Tg[CerPrP] mouse 
bioassay, and detected only in the obex region of the brain. These results 
demonstrate the potential for CWD prion transmission via urine and/or feces, and 
highlight the application of more sensitive assays such as sPMCA in 
identification of CWD infection, pathogenesis, and prevalence. 
In contrast, CWD prions have been reported in saliva, urine and feces, 
which are thought to be responsible for horizontal transmission. While the 
titers of CWD prions have been measured in feces, levels in saliva or urine are 
unknown. Because sheep produce ~17 L/day of saliva and scrapie prions are 
present in tongue and salivary glands of infected sheep, we asked if scrapie 
prions are shed in saliva. We inoculated transgenic (Tg) mice expressing ovine 
prion protein, Tg(OvPrP) mice, with saliva from seven Cheviot sheep with 
scrapie. Six of seven samples transmitted prions to Tg(OvPrP) mice with titers 
of -0.5 to 1.7 log ID50 U/ml. Similarly, inoculation of saliva samples from two 
mule deer with CWD transmitted prions to Tg(ElkPrP) mice with titers of -1.1 to 
-0.4 log ID50 U/ml. Assuming similar shedding kinetics for salivary prions as 
those for fecal prions of deer, we estimated the secreted salivary prion dose 
over a 10-mo period to be as high as 8.4 log ID50 units for sheep and 7.0 log 
ID50 units for deer. These estimates are similar to 7.9 log ID50 units of fecal 
CWD prions for deer. Because saliva is mostly swallowed, salivary prions may 
reinfect tissues of the gastrointestinal tract and contribute to fecal prion 
shedding. Salivary prions shed into the environment provide an additional 
mechanism for horizontal prion transmission. 
Conclusions. This study documents the first aerosol transmission of CWD in 
deer. These results further infer that aerosolized prions facilitate CWD 
transmission with greater efficiency than does oral exposure to a larger prion 
dose. Thus exposure via the respiratory mucosa may be significant in the facile 
spread of CWD in deer and perhaps in prion transmission overall. 
Conclusion. Transepithelial transport of prions across nasal cavity mucosa 
begins within minutes of inhalation and can continue for up to 3 h. While M 
cells appear to transport prions across the follicular associated epithelium, 
larger amounts of prions are transported between the cells of the respiratory 
and olfactory epithelia, where they immediately enter the lymphatic vessels in 
the lamina propria. Thus, inhaled prions can be spread via lymph draining the 
nasal cavity and have access to somatic and autonomic nerves in the lamina 
propria of the nasal cavity. The increased efficiency of the nasal cavity route 
of infection compared with the oral route may be due to the rapid and prolonged 
transport of prions between cells of the respiratory and olfactory epithelia. 
Now that these experiments are completed we conclude that TSE infectivity 
is likely to survive burial for long periods of time with minimal loss of 
infectivity and restricted movement from the site of burial. These experiments 
emphasize that the environment is a viable reservoir for retaining large 
quantities of TSE infectivity, and reinforce the importance of risk assessment 
when disposing of this type of infectious material. 
Friday, December 06, 2013 2:39 PM 
Procedures for identifying infectious prions after passage through the 
digestive system of an avian species
A CONTRIBUTION TO THE NEUROPATHOLOGY OF THE RED-NECKED OSTRICH (STRUTHIO 
CAMELUS) - SPONGIFORM ENCEPHALOPATHY
4.21 Three cases of SE’s with an unknown infectious agent have been 
reported in ostriches (Struthio Camellus) in two zoos in north west Germany 
(Schoon @ Brunckhorst, 1999, Verh ber Erkeg Zootiere 33:309-314). These birds 
showed protracted central nervous symptoms with ataxia, disturbances of balance 
and uncoordinated feeding behaviour. The diet of these birds had included 
poultry meat meal, some of which came from cattle emergency slaughter cases. 
SE1806 
TRANSMISSION STUDIES OF BSE TO DOMESTIC FOWL BY ORAL EXPOSURE TO BRAIN 
HOMOGENATE
1 challenged cock bird was necropsied (41 months p.i.) following a period 
of ataxia, tremor, limb abduction and other neurological signs. 
Histopathological examination failed to reveal any significant lesions of the 
central or peripheral nervous systems...
1 other challenged cock bird is also showing ataxia (43 months p.i.).
snip...
94/01.19/7.1 
A notification of Spongiform Encephalopathy was introduced in October 1996 
in respect of ungulates, poultry and any other animal. 
4.23 MAFF have carried out their own transmission experiments with hens. In 
these experiments, some of the chickens exposed to the BSE agent showed 
neurological symptoms. However MAFF have not so far published details of the 
symptoms seen in chickens. Examination of brains from these chickens did not 
show the typical pathology seen in other SE’s. 4.24 A farmer in Kent in November 
1996 noticed that one of his 20 free range hens, the oldest, aged about 30 
months was having difficulty entering its den and appeared frightened and tended 
to lose its balance when excited. Having previously experienced BSE cattle on 
his farm, he took particular notice of the bird and continued to observe it over 
the following weeks. It lost weight, its balance deteriorated and characteristic 
tremors developed which were closely associated with the muscles required for 
standing. In its attempts to maintain its balance it would claw the ground more 
than usual and the ataxia progressively developed in the wings and legs, later 
taking a typical form of paralysis with a clumsy involuntary jerky motion. 
Violent tremors of the entire body, particularly the legs, became common, 
sparked off by the slightest provocation. This is similar to that seen in many 
BSE cases where any excitement may result in posterior ataxia, often with 
dropping of the pelvis, kicking and a general nervousness. Three other farmers 
and a bird breeder from the UK are known to have reported having hens with 
similar symptoms. The bird breeder who has been exhibiting his birds for show 
purposes for 20 years noticed birds having difficulty getting on to their perch 
and holding there for any length of time without falling. Even though the bird 
was eating normally, he noticed a weight loss of more than a pound in a bird the 
original weight of which was 5 pounds. 4.25 Histological examination of the 
brain revealed degenerative pathological changes in hens with a minimal 
vacuolation. The presence of PrP immunostaining of the brain sections revealed 
PrP-sc positive plaques and this must be regarded as very strong evidence to 
demonstrate that the hens had been incubating Spongiform Encephalopathy. 
OPINION on : NECROPHAGOUS BIRDS AS POSSIBLE TRANSMITTERS OF TSE/BSE ADOPTED 
BY THE SCIENTIFIC STEERING COMMITTEE AT ITS MEETING OF 7-8 NOVEMBER 2002 
OPINION 
1. Necrophagous birds as possible transmitters of BSE. The SSC considers 
that the evaluation of necrophagous birds as possible transmitters of BSE, 
should theoretically be approached from a broader perspective of mammals and 
birds which prey on, or are carrion eaters (scavengers) of mammalian species. 
Thus, carnivorous and omnivorous mammals, birds of prey (vultures, falcons, 
eagles, hawks etc.), carrion eating birds (crows, magpies etc.) in general could 
be considered possible vectors of transmission and/or spread of TSE infectivity 
in the environment. In view also of the occurrence of Chronic Wasting Disease 
(CWD) in various deer species it should not be accepted that domestic cattle and 
sheep are necessarily the only source of TSE agent exposure for carnivorous 
species. While some information is available on the susceptibility of 
wild/exotic/zoo animals to natural or experimental infection with certain TSE 
agents, nothing is known of the possibility of occurrence of TSE in wild animal 
populations, other than among the species of deer affected by CWD in the 
USA.
1 The carrion birds are animals whose diet regularly or occasionally 
includes the consumption of carcasses, including possibly TSE infected ruminant 
carcasses. 
C:\WINNT\Profiles\bredagi.000\Desktop\Necrophagous_OPINION_0209_FINAL.doc 
snip...
skroll down to the bottom ; 
Date: Mon, 11 Jun 2001 16:24:51 –0700
Reply-To: Bovine Spongiform Encephalopathy
Sender: Bovine Spongiform Encephalopathy
From: "Terry S. Singeltary Sr." Subject: The Red-Neck Ostrich & TSEs 
'THE AUTOPSY' 
see full text and more ;
Friday, February 25, 2011 Soil clay content underlies prion infection odds 
UPDATED DATA ON 2ND CWD STRAIN 
Wednesday, September 08, 2010 
CWD PRION CONGRESS SEPTEMBER 8-11 2010 
Spiroplasma spp. from transmissible spongiform encephalopathy brains or 
ticks induce spongiform encephalopathy in ruminants 
Frank O. Bastian1, Dearl E. Sanders2, Will A. Forbes2, Sue D. Hagius1, Joel 
V. Walker1, William G. Henk3, Fred M. Enright1 and Philip H. Elzer1 
also, see page 104 here ; 
Identifying the role of different organs and organisms in scrapie 
transmission
Prions can survive for years in soil but how can scrapie be transmitted? A 
group of teams from France, Iceland and Spain is setting out to study the role 
of nematode parasites, nasal fly, ticks and mites in the transmission process 
and to determine to what extent wild rodents could serve as reservoir of prion. 
It is also examining possible vertical transmission through embryo organs. This 
work will permit a better understanding of the wide spread of scrapie in 
naturally infected flocks, taking into account the genetic susceptibility of the 
hosts.
Manech Blond-face sheep in the French Pyrenees and Latcha Blond-face in 
Spain are breeds particularly susceptible to scrapie, but the disease occurs 
only in some French flocks. A comparative survey between infected and 
non-infected flocks with scrapie will be conducted to compare the infection with 
parasites such as nematode worms, nasal fly and ticks. Wild rodent populations 
will be compared as will be mites from fresh grass and hay. These mites will be 
also studied in infected and non-infected farms in Iceland. Experiments on sheep 
and mice will provide a better understanding of the role of nematodes. The PrPsc 
protein will be investigated in these organisms, and mice inoculations are 
projected to demonstrate the possibility of prion transmission. 
also, see ;
Sunday, December 15, 2013 
*** FDA PART 589 -- SUBSTANCES PROHIBITED FROM USE IN ANIMAL FOOD OR FEED 
VIOLATIONS OFFICIAL ACTION INDICATED OAI UPDATE DECEMBER 2013 UPDATE
TSS
    

