To the URGENT attention of:
Rt. Hon. Prime Minister Trudeau
Hon. Marie-Claude Bibeau
Hon. Ralph Goodale
Hon. Ginette Petitpas Taylor
Hon. Catherine McKenna
Hon. Carolyn Bennett
Hon. Seamus O’Reagan
Hon. Jim Carr
Hon. Bill Morneau
Government of Canada
House of Commons
Ottawa, Ontario
K1A 0A6
Dear Rt. Hon. Prime Minister Trudeau, and Honourable Ministers,
Protecting the health and wellbeing of current and future Canadians is entrusted as the highest priority of our governments. It requires comprehensive analysis of dynamic ecosystems, communities, and economies that scale from local to global. Carefully crafted, well-enforced laws, with monitoring and adaptation can prevent or contain crises, protect our wellbeing, and ensure a favourable and opportune future.
There has been no greater threat to health and wellbeing than infectious diseases—and risks are amplified by the intensity and speed of globalized economies. In 2003, even without infection of people, finding a single cow infected with bovine spongiform encephalopathy (BSE) or ‘mad cow’ in Alberta triggered devastating trade restrictions with multi-billion dollar consequences across Canada. Our governments learned from the UK’s official BSE Inquiry (2000), and enacted aggressive measures to contain the epidemic, protect consumers, and safeguard our economy. Today, we need a comparable response to a vastly larger epidemic of a sister prion disease called CWD, or “chronic wasting disease.” Like BSE, the epidemic of CWD is relatively new and largely manmade. Both are invariably fatal, with no adequate live animal tests, no preventive vaccines, and no treatments; but CWD is far more virulent because it is highly contagious between living animals.
CWD is currently afflicting members of the deer family, where it has repeatedly jumped species barriers and many strains have evolved. It was declared a “State of Emergency” by the U.S. Secretary of Agriculture in 2001. Transmission is facilitated via infective (misfolded) prions that are amplified, shed, and present in saliva, feces, urine, blood, lymphoid, and muscle tissue. CWD prions are extremely resilient, can persist in the environment indefinitely, and can spread animal to animal, or via soil, plants, agricultural products, and from contaminated surfaces or equipment. As such, CWD presents profound threats to wildlife and the environment, to agriculture and international trade, to Indigenous rights, traditions, treaties, food security, and, potentially, to human health. Evidence documenting the severity of the CWD crisis and the necessity of vital responses is clear, compelling, and uncontested. Consensus extends across disciplines, sectors, jurisdictions, departments, agencies, and among virtually all experts, vital interests, and stakeholders—as was reaffirmed at the 2018 One Health Congress, at an Assembly of First Nations meeting last December, at a February 2019 conference of agri-food representatives, and at a comprehensive conference on CWD convened by the Ontario Federation of Anglers and Hunters in March.
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The primary driver of all known prion disease epidemics has been intensive agriculture: as scrapie in domestic sheep, TME on mink farms, BSE from “ruminant feed” (feeding cows to cows), and CWD spread widely through schemes to privatize and exploit ‘captive wildlife’ (on game farms). As scientists had warned, CWD was imported to Canada in captive cervids from the U.S. and repeatedly spilled through fences to infect wildlife. Failure to contain the CWD epidemic has allowed continued growth and spread—now confirmed in 26 states and 3 Canadian provinces. Studies in wild deer populations confirm severe impacts and possible extinctions that present catastrophic threats to Canada’s biodiversity, our economy, cultural identity, and food security.
While no human cases of CWD have been confirmed, scientists note that while low, the risk is not zero—and it is evolving. Evidence suggests that CWD conversion is more adaptive than BSE, and following efficient transfer to a second species of non-human primates, Health Canada advised that “CWD has the potential to infect humans.” Thousands of CWD-infected animals are being consumed by hunters and their families across North America every year. Even a single transfer to a person—proving that humans are susceptible—would bring catastrophic consequences with limited options. The potential threat to our blood supply cannot be ignored, as demonstrated when BSE cost the UK access to their domestic plasma supply. All of this underscores the need for precautionary measures and preparation of an emergency plan.
It is vital to note, however, that threats to agricultural economies do not require human transfer. The capacity to spread CWD to susceptible species of deer all over the world via agricultural crops has already resulted in trade actions. On October 24th, 2018 Norway banned imports of hay or straw from any state or province with CWD. This could easily expand to other products and spread to other economic regions seeking, not just to avoid the threats, but to leverage tens of billions of dollars per year in competitive advantage. Economists describe the prospects for such outcomes as “probable” and the consequences as “severe and probably recessionary, with cascading effects and few immediate remedies.” As recent events have shown, these threats extend to investment markets. Despite the lessons of BSE and the dire threat posed by CWD, official policy still allows translocation of live animals, products, and equipment from cervid farms, movement of hunter carcasses, and continued human exposure—in violation of basic principles of science, public trust, and professional ethics.
We urge the federal government, in collaboration with provinces and territories to immediately mandate, fund, and undertake emergency directives to:
1. Contain the geographic spread of CWD. Enact and enforce an immediate ban on the movement of all live cervids, all potentially CWD-infected carcasses, animal parts, products, exposed equipment, or other sources of infectious materials. Enact measures to ensure proper disposal of infected carcasses. Eliminate cervid farms with a plan for compensation and/or transition of operations to acceptable alternatives. Contain, mitigate, and where possible, eradicate CWD in wild populations by developing and implementing rapid response plans.
2. Prevent human exposure. Prevent transfer and/or amplification of CWD via food and feed chains by mandating and implementing convenient, cost-free, rapid testing of all animals harvested from CWD-affected areas. Provide hunters and communities with guidance and means for risk reduction. Mandate that all food banks only accept venison following negative test results.
3. Maintain and strengthen the current federal program of human prion disease surveillance and develop a preparedness plan for the possible emergence of human CWD in Canada, including possible impacts to our blood supply.
4. Initiate and fund an independent, interdisciplinary approach dedicated to comprehensive, collaborative, international, nation to nation, science and evidence-based initiatives to:
• Prevent transfer and/or amplification of CWD via food and feed chains;
• Contain, mitigate, and where possible, eradicate CWD in wild populations;
• Ensure Canadians’ future wellness by protecting wildlife, ecosystems, communities, safe, nutritious, sustainable food, and economies; and
• Invest in research and innovation to support Canadian efforts to better understand and advance scientific, economic, and biomedical insights and opportunities, while reducing threats.
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We have assembled a multi-sector coalition of experts and vital stakeholders to support these measures, to inform prudent public policy, and engage in collaborative efforts going forward.
The following signatories implore you to recognize the dire nature of this epidemic, of your acknowledgement of the public trust, and the responsibilities of your office. We stand in support of your announcement of the government of Canada’s urgent undertaking of all necessary actions to meet these challenges and protect Canadian interests. Yours truly,
Dr. Neil Cashman, Professor, Department of Medicine, University of British Columbia (former) Scientific Director, PrioNet Canada
Dr. Hermann Schaetzl, M.D., Dr.med./PhD, Professor, Prion Biology and Immunology, University of Calgary
Dr. Sabine Gilch, Associate Professor, Canada Research Chair in Prion Diseases, University of Calgary
Dr. David Swann, FRCP, MLA (Retired)
Dr. Arthur W. Clark, Physician Professor Emeritus, Pathology & Laboratory Medicine and Clinical Neurosciences, University of Calgary
Alastair R. Lucas, QC, Professor of Law, Senior Research Associate, Canadian Institute of Resources Law
Dr. Paul Sockett, Director, Foodborne, Waterborne and Zoonotic Infections Division, Public Health Agency of Canada (1996 - 2008) Science Advisor, First Nations and Inuit Health Branch, Health Canada (2008 - 2012). (Retired)
Dr. Michael T. Osterholm, PhD, MPH, Regents Professor, McKnight Endowed Presidential Chair in Public Health Director, Center for Infectious Disease Research and Policy, Distinguished University Teaching Professor, Environmental Health Sciences, School of Public Health, Professor, Technological Leadership Institute, College of Science and Engineering Adjunct Professor, Medical School Kat Lanteigne, Executive Director, BloodWatch.org
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(Support confirmed via email)
Michèle Brill-Edwards MD, FRCPC Board Member, Canadian Health Coalition
Michael D. Samuel, Professor Emeritus,Forest and Wildlife Ecology University of Wisconsin-Madison
Dave Clausen, DVM, (former) Chair, Wisconsin Natural Resources Board
Jerry Potts, North Piikani Nation Elder, Thunder Medicine Pipe Keeper Chief Stanley Grier, Piikani Nation
Councillor Brian Jackson, Piikani Nation (Support confirmed via email)
Dr. Lana R. Potts BScN MD CCFP Indigenous Family Medicine
Norman Yakeleya, Dene National Chief AFN Regional Chief
Christine Laing, Acting Executive Director Public Interest Law Clinic, University of Calgary (Support confirmed via email)
Dr. Greg Douglas, (former) Chief Veterinary Officer Saskatchewan, (former) Chief Veterinarian, Ontario
Dr. Richard Gray, Professor and Grain Policy Chair, Agriculture & Resources Economics, University of Saskatchewan
Dr. Vince Crichton, (former) Co-Chair, Canada’s National Wildlife Disease Strategy
Dr. Val Geist, Professor (Emeritus), Environmental Science, University of Calgary Darrel Rowledge, Executive Director, Alliance for Public Wildlife
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Bill Bosch, President, BC Wildlife Federation
Brian Dingreville, President, Alberta Fish and Game Association
Clark Schultz, President, Saskatchewan Wildlife Federation
David Pezderic, Saskatchewan Wildlife Federation
Dr. Brian Kotak, Manitoba Wildlife Federation
Charles Shewen, President, Yukon Fish and Game Association
Kelli Miller Kickhom, President, PEI Wildlife Federation
Andrew Bouzan, President Newfoundland and Labrador Wildlife
Serge Lariviere, Director, Quebec Federation of Anglers and Hunters
Angelo Lombardo, Executive Director Ontario Federation of Anglers and Hunterds
Rick Bates, Canadian Wildlife Federation
The Threat of Chronic Wasting Disease (CWD) – At a glance
• CWD is a new type of threat
o CWD is a newly emerged, highly contagious, invariably fatal disease currently afflicting members of the deer family (white-tailed deer, mule deer, elk, and moose; caribou are susceptible and at risk).
o CWD is a sister disease of bovine spongiform encephalopathy (BSE), or ‘mad cow’ disease, but more virulent because it is highly contagious between living animals.
o Rating virulence of transmissible spongiform encephalopathies (TSEs), a leading expert with the Canadian Food Inspection Agency put BSE as the mildest, least virulent, and easiest to contain. At the opposite end she placed CWD as the most severe.
o First detected in Colorado in 1967, CWD has been spread widely across North America through commercial game farming initiatives. It is now confirmed in 26 states and 3 Canadian provinces, most recently Quebec.
o CWD has no adequate live animal tests, no preventative vaccine, and no cure for infected animals.
o CWD transmission occurs via prions (misfolded prions) that are amplified, shed, and present in saliva, feces, urine, blood, lymphoid, and muscle tissue.
o Prions are not living organisms and are extremely resilient, can persist in the environment indefinitely, and spread via soil, plants, agricultural products, and from contaminated surfaces or equipment.
• CWD threatens Canada’s wildlife and environment, and the Canadians who depend on them
o CWD is fatal to deer, moose, elk, and caribou and studies have shown it has led to severe population impacts including potential extinction models.
o CWD threatens biodiversity, species at risk such as caribou, and the income, cultural identity, and food security of many Canadians.
o Wildlife-based economies (hunting, tourism, photography, and viewing), depend on healthy deer species, and contribute greatly to the economic, social, and cultural well-being of many Canadians.
o Where CWD is detected, drastic measures, like the depopulation of wild herds, are needed to even attempt to eradicate it. In response to a 2016 detection in wild reindeer—consistent with recommendation from leading North American scientists—the Norwegian government culled an entire herd of over 2,000 animals.
o Containment is vital, as response measures are not always sufficient, yet significantly drain the already limited resources and budgets of fish and wildlife agencies. New York State spent over $1,000,000 in their successful 2005 CWD response to seven positive cases (and only 3.5 weeks of work). Chronic Wasting Disease (CWD)
The largest, most contagious, most persistent biomass of infectious prions in global history
Experts urge immediate action to contain the epidemic, fund independent, interdisciplinary task force to reduce impacts, prevent threats, and protect Canadian interests
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• CWD threatens Canada’s fiduciary obligation to Indigenous peoples
o The food security and cultural sustainability of Indigenous peoples is directly tied to deer, elk, moose, and caribou. In some cases, economic prosperity related to guiding and tourism is also at stake.
• CWD threatens Canada’s agricultural and agri-food economies:
o In 2003, even without infection of people, a single cow infected with BSE in Alberta triggered devastating trade restrictions with multi-billion dollar consequences in Canada.
o In 2018, Norway banned imports of hay or straw from any state or province with CWD. Economists fear this has the potential to expand to other agricultural products, and spread to other economic regions, seeking, not just to protect wildlife, ecosystems, economies, and public health, but to secure tens of billions of dollars in market share gains annually.
• CWD threatens Canada’s public health:
o No human cases of CWD have been confirmed, primate studies including macaques—the closest nonhuman primates allowed in research—confirm efficient transfer through the consumption of CWDpositive meat. This led Health Canada to advise that: “CWD has the potential to infect humans.”
o Global health officials and agencies—including Canada’s—recommend against consumption of any TSE material, including meat or other products from CWD-positive animals.
o There is no current field test, and existing hunter harvest testing programs take months (far too long) to receive results.
o Despite regulatory measures, products from CWD-positive game farm animals have repeatedly entered the human food and feed chains (including velvet antler, venison, and pet food). Urine-based scents are a substantial risk and should be banned.
o The Canadian blood system would be severely challenged if CWD presented in humans, as prions cannot be completely fractionated out or rendered benign; BSE cost the UK access to their domestic plasma supply.
• We know what to do. We just need to do it. These actions include:
o Containing the geographic spread
§ Phasing out so-called ‘captive wildlife’ industry
§ Stopping the movement of live animals, potentially infected tissues, and carcasses
§ Being ready for a fast and aggressive response wherever CWD is detected
o Preventing human exposure
§ Taking steps to keep CWD-tainted meat out of the human food chain
§ Strengthen human prion disease surveillance, and preparedness for human CWD
• Inaction is not an option
o Successive governments have failed to take simple actions to protect Canadians from the threat of CWD.
o Evidence documenting the severity of CWD and necessity of vital responses is clear, compelling, and uncontested.
o Consensus extends across disciplines, sectors, jurisdictions, agencies, and virtually all vital stakeholders.
o Our most effective and least costly option is to halt the spread of CWD and keep it out of areas that don’t have it.
o If it turns out that humans can be infected, then inaction by successive government will be responsible.
For more information on Chronic Wasting Disease, please visit: www.ofah.org/cwd
2019 CHRONIC WASTING DISEASE CWD TSE PRION, THE KILLER AMONG US, REVISITED
PRION 2019 ABSTRACTS
1. Interspecies transmission of the chronic wasting disease agent
Justin Greenlee
Virus and Prion Research Unit, National Animal Disease Center, USDA Agriculture Research Service
ABSTRACT
The presentation will summarize the results of various studies conducted at our research center that assess the transmissibility of the chronic wasting disease (CWD) agent to cattle, pigs, raccoons, goats, and sheep. This will include specifics of the relative attack rates, clinical signs, and microscopic lesions with emphasis on how to differentiate cross-species transmission of the CWD agent from the prion diseases that naturally occur in hosts such as cattle or sheep. Briefly, the relative difficulty of transmitting the CWD agent to sheep and goats will be contrasted with the relative ease of transmitting the scrapie agent to white-tailed deer.
53. Evaluation of the inter-species transmission potential of different CWD isolates
Rodrigo Moralesa, Carlos Kramma,b, Paulina Sotoa, Adam Lyona, Sandra Pritzkowa, Claudio Sotoa
aMitchell Center for Alzheimer’s disease and Related Brain Disorders, Dept. of Neurology, McGovern School of Medicine University of Texas Health Science Center at Houston, TX, USA; bFacultad de Medicina, Universidad de los Andes, Santiago, Chile
ABSTRACT
Chronic Wasting Disease (CWD) has reached epidemic proportions in North America and has been identified in South Korea and Northern Europe. CWD-susceptible cervid species are known to share habitats with humans and other animals entering the human food chain. At present, the potential of CWD to infect humans and other animal species is not completely clear. The exploration of this issue acquires further complexity considering the differences in the prion protein sequence due to species-specific variations and polymorphic changes within species. While several species of cervids are naturally affected by CWD, white-tailed deer (WTD) is perhaps the most relevant due to its extensive use in hunting and as a source of food. Evaluation of inter-species prion infections using animals or mouse models is costly and time consuming. We and others have shown that the Protein Misfolding Cyclic Amplification (PMCA) technology reproduces, in an accelerated and inexpensive manner, the inter-species transmission of prions while preserving the strain features of the input PrPSc. In this work, we tested the potential of different WTD-derived CWD isolates to transmit to humans and other animal species relevant for human consumption using PMCA. For these experiments, CWD isolates homozygous for the most common WTD-PrP polymorphic changes (G96S) were used (96SS variant obtained from a pre-symptomatic prion infected WTD). Briefly, 96GG and 96SS CWD prions were adapted in homologous or heterologous substrate by PMCA through several (15) rounds. End products, as well as intermediates across the process, were tested for their inter-species transmission potentials. A similar process was followed to assess seed-templated misfolding of ovine, porcine, and bovine PrPC. Our results show differences on the inter-species transmission potentials of the four adapted materials generated (PrPC/PrPSc polymorphic combinations), being the homologous combinations of seed/substrate the ones with the greater apparent zoonotic potential. Surprisingly, 96SS prions adapted in homologous substrate were the ones showing the easiest potential to template PrPC misfolding from other animal species. In summary, our results show that a plethora of different CWD isolates, each comprising different potentials for inter-species transmission, may exist in the environment. These experiments may help to clarify an uncertain and potentially worrisome public health issue. Additional research in this area may be useful to advise on the design of regulations intended to stop the spread of CWD and predict unwanted zoonotic events.
56. Understanding chronic wasting disease spread potential for at-risk species
Catherine I. Cullingham, Anh Dao, Debbie McKenzie and David W. Coltman
Department of Biological Sciences, University of Alberta, Edmonton AB, Canada
ABSTRACT
Genetic variation can be linked to susceptibility or resistance to a disease, and this information can help to better understand spread-risk in a population. Wildlife disease incidence is increasing, and this is resulting in negative impacts on the economy, biodiversity, and in some instances, human health. If we can find genetic variation that helps to inform which individuals are susceptible, then we can use this information on at-risk populations to better manage negative consequences. Chronic wasting disease, a fatal, transmissible spongiform encephalopathy of cervids (both wild and captive), continues to spread geographically, which has resulted in an increasing host-range. The disease agent (PrPCWD) is a misfolded conformer of native cellular protein (PrPC). In Canada, the disease is endemic in Alberta and Saskatchewan, infecting primarily mule deer and white-tail deer, with a smaller impact on elk and moose populations. As the extent of the endemic area continues to expand, additional species will be exposed to this disease, including bison, bighorn sheep, mountain goat, and pronghorn antelope. To better understand the potential spread-risk among these species, we reviewed the current literature on species that have been orally exposed to CWD to identify susceptible and resistant species. We then compared the amino acid polymorphisms of PrPC among these species to determine whether any sites were linked to susceptibility or resistance to CWD infection. We sequenced the entire PrP coding region in 578 individuals across at-risk populations to evaluate their potential susceptibility. Three amino acid sites (97, 170, and 174; human numbering) were significantly associated with susceptibility, but these were not fully discriminating. All but one species among the resistant group shared the same haplotype, and the same for the susceptible species. For the at-risk species, bison had the resistant haplotype, while bighorn sheep and mountain goats were closely associated with the resistant type. Pronghorn antelope and a newly identified haplotype in moose differed from the susceptible haplotype, but were still closely associated with it. These data suggest pronghorn antelope will be susceptible to CWD while bison are likely to be resistant. Based on this data, recommendations can be made regarding species to be monitored for possible CWD infection.
KEYWORDS: Chronic wasting disease; Prnp; wildlife disease; population genetics; ungulates
75. Mortality surveillance of individuals potentially exposed to chronic wasting disease
Ryan A. Maddoxa, Rachel F. Klosb, Suzanne N. Gibbons-Burgenerb, Bobbi L. Bryanta, Joseph Y. Abramsa, Brian S. Applebyc, Lawrence B. Schonbergera and Ermias D. Belaya
aNational Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA; bWisconsin Department of Health Services, Division of Public Health, Madison, WI, USA; cNational Prion Disease Pathology Surveillance Center (NPDPSC), Case Western Reserve University, Cleveland, OH, USA
ABSTRACT
Introduction: Chronic wasting disease (CWD) is a prion disease of cervids. It is unknown whether CWD prions can infect people; if so, transmission would most likely occur through consumption of meat from infected animals. Since 2003, Wisconsin Department of Health Services, Division of Public Health (WDHS) personnel have maintained a database consisting of information collected from hunters who reported eating, or an intention to eat, venison from cervids positive for CWD. This data source makes it possible to evaluate causes of mortality in individuals potentially exposed to CWD.
Methods: The WDHS database contains the name, date of birth, when available, year of CWD-positive deer harvest, and city and state of residence for each potentially exposed individual. The database also includes information on how the deer was processed (self-processed or by a commercial operator) and when applicable, names of others with whom the venison was shared. Duplicate entries (i.e. those who consumed venison from CWD-positive deer in multiple hunt years) are determined by first name, last name, and date of birth. All names in the database are cross-checked with the National Prion Disease Pathology Surveillance Center (NPDPSC) neuropathology database. Vital status of individuals with date of birth available will be tracked through the identification of possible matches in the National Death Index (NDI) and the evaluation of corresponding cause of death codes.
Results: The database consists of 1561 records for hunt years 2003–2017. Of these, 613 records had accompanying date of birth; 14 entries were removed as duplicates, 1 of whom had consumed venison from a CWD-positive deer during three different hunt years, leaving 599 unique individuals for pending submission to NDI. Of these individuals, 265 of 399 (66%) who ate venison from a CWD-positive deer and provided processing information reported self-processing. No matches were found among persons in the database cross-checked with NPDPSC data.
Conclusion: Because of the robust data link between person and CWD-positive animal, reviewing the cause of mortality in potentially exposed persons is possible; those individuals who self-processed and consumed the meat are likely the best source of information about the potential for zoonotic transmission. The expected long incubation period, should transmission to humans occur, necessitates many years of vital status tracking.
77. Assessing chronic wasting disease strain differences in free-ranging cervids across the United States
Kaitlyn M. Wagnera, Caitlin Ott-Connb, Kelly Strakab, Bob Dittmarc, Jasmine Battend, Robyn Piercea, Mercedes Hennessya, Elizabeth Gordona, Brett Israela, Jenn Ballarde and Mark D Zabela
aPrion Research Center at Colorado State University; bMichigan Department of Natural Resources; cTexas Parks and Wildlife Department; dMissouri Department of Conservation, 5. Arkansas Game and Fish Commission
ABSTRACT
Background/Introduction: Chronic wasting disease (CWD) is an invariably fatal prion disease affecting captive and free-ranging cervids, including white-tailed deer, mule deer, moose, elk, and reindeer. Since the initial description of the disease in the 1960’s, CWD has spread to 23 states, 3 Canadian Provinces, South Korea, Norway and, most recently, Finland. While some outbreaks of CWD were caused by transport of infected animals from endemic regions, the origin of CWD in other epizootics is unclear and has not been characterized. Previous studies have shown that there are two distinct strains of CWD. However, the continuous spread and the unclear origin of several outbreaks warrant continued surveillance and further characterization of strain diversity.
Materials and Methods: To address these knowledge gaps, we used biochemical tests to assess strain differences between CWD outbreaks in Michigan, Texas, Missouri, and Colorado, USA. Brain or lymph node samples were homogenized and digested in 50 µg/mL proteinase K (PK). These samples were then run on a Western blot to assess glycoform ratio and electrophoretic mobility. Texas samples were digested in 100 µg/mL PK. To assess conformational stability, brain or lymph node homogenates were incubated in increasing concentrations of guanidine hydrochloride from 0 M to 4 M in 0.5 M increments. Samples were then precipitated in methanol overnight, washed and PK digested in 50 µg/mL PK before slot blotting.
Results: Our results have found significant differences in glycoform ratio between CWD from Michigan and Colorado, but no differences were observed in conformational stability assays. Interestingly, when testing our CWD isolates from Texas to analyse electrophoretic mobility and glycoform ratio, we found that these samples did not exhibit the characteristic band shift when treated with PK, but PK resistant material remained. Additionally, results from our conformational stability assay demonstrate a unique profile of these Texas isolates. Testing of samples from Missouri is currently underway.
Conclusions: Thus far, our data indicate that there are strain differences between CWD circulating in Michigan and CWD in Colorado and provide important insight into CWD strain differences between two non-contiguous outbreaks. We have also identified a unique strain of CWD in Texas with biochemical strain properties not seen in any of our other CWD isolates. These results highlight the importance of continued surveillance to better understand this devastating disease. These results have important implications for CWD emergence, evolution and our understanding of prion strain heterogeneity on the landscape.
Thursday, May 23, 2019
Prion 2019 Emerging Concepts CWD, BSE, SCRAPIE, CJD, SCIENTIFIC PROGRAM Schedule and Abstracts
see full Prion 2019 Conference Abstracts
Chronic Wasting Disease CWD TSE Prion aka mad deer disease zoonosis
We hypothesize that:
(1) The classic CWD prion strain can infect humans at low levels in the brain and peripheral lymphoid tissues;
(2) The cervid-to-human transmission barrier is dependent on the cervid prion strain and influenced by the host (human) prion protein (PrP) primary sequence;
(3) Reliable essays can be established to detect CWD infection in humans; and
(4) CWD transmission to humans has already occurred. We will test these hypotheses in 4 Aims using transgenic (Tg) mouse models and complementary in vitro approaches.
ZOONOTIC CHRONIC WASTING DISEASE CWD TSE PRION UPDATEhere is the latest;PRION 2018 CONFERENCE Oral transmission of CWD into Cynomolgus macaques: signs of atypical disease, prion conversion and infectivity in macaques and bio-assayed transgenic mice Hermann M. Schatzl, Samia Hannaoui, Yo-Ching Cheng, Sabine Gilch (Calgary Prion Research Unit, University of Calgary, Calgary, Canada) Michael Beekes (RKI Berlin), Walter Schulz-Schaeffer (University of Homburg/Saar, Germany), Christiane Stahl-Hennig (German Primate Center) & Stefanie Czub (CFIA Lethbridge). To date, BSE is the only example of interspecies transmission of an animal prion disease into humans. The potential zoonotic transmission of CWD is an alarming issue and was addressed by many groups using a variety of in vitro and in vivo experimental systems. Evidence from these studies indicated a substantial, if not absolute, species barrier, aligning with the absence of epidemiological evidence suggesting transmission into humans. Studies in non-human primates were not conclusive so far, with oral transmission into new-world monkeys and no transmission into old-world monkeys. Our consortium has challenged 18 Cynomolgus macaques with characterized CWD material, focusing on oral transmission with muscle tissue. Some macaques have orally received a total of 5 kg of muscle material over a period of 2 years. After 5-7 years of incubation time some animals showed clinical symptoms indicative of prion disease, and prion neuropathology and PrPSc deposition were detected in spinal cord and brain of some euthanized animals. PrPSc in immunoblot was weakly detected in some spinal cord materials and various tissues tested positive in RT-QuIC, including lymph node and spleen homogenates. To prove prion infectivity in the macaque tissues, we have intracerebrally inoculated 2 lines of transgenic mice, expressing either elk or human PrP. At least 3 TgElk mice, receiving tissues from 2 different macaques, showed clinical signs of a progressive prion disease and brains were positive in immunoblot and RT-QuIC. Tissues (brain, spinal cord and spleen) from these and pre-clinical mice are currently tested using various read-outs and by second passage in mice. Transgenic mice expressing human PrP were so far negative for clear clinical prion disease (some mice >300 days p.i.). In parallel, the same macaque materials are inoculated into bank voles. Taken together, there is strong evidence of transmissibility of CWD orally into macaques and from macaque tissues into transgenic mouse models, although with an incomplete attack rate. The clinical and pathological presentation in macaques was mostly atypical, with a strong emphasis on spinal cord pathology. Our ongoing studies will show whether the transmission of CWD into macaques and passage in transgenic mice represents a form of non-adaptive prion amplification, and whether macaque-adapted prions have the potential to infect mice expressing human PrP. The notion that CWD can be transmitted orally into both new-world and old-world non-human primates asks for a careful reevaluation of the zoonotic risk of CWD.. ***> The notion that CWD can be transmitted orally into both new-world and old-world non-human primates asks for a careful reevaluation of the zoonotic risk of CWD. <*** https://prion2018.org/READING OVER THE PRION 2018 ABSTRACT BOOK, LOOKS LIKE THEY FOUND THAT from this study ; P190 Human prion disease mortality rates by occurrence of chronic wasting disease in freeranging cervids, United States Abrams JY (1), Maddox RA (1), Schonberger LB (1), Person MK (1), Appleby BS (2), Belay ED (1) (1) Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases, Atlanta, GA, USA (2) Case Western Reserve University, National Prion Disease Pathology Surveillance Center (NPDPSC), Cleveland, OH, USA.. SEEMS THAT THEY FOUND Highly endemic states had a higher rate of prion disease mortality compared to non-CWD states. AND ANOTHER STUDY; P172 Peripheral Neuropathy in Patients with Prion Disease Wang H(1), Cohen M(1), Appleby BS(1,2) (1) University Hospitals Cleveland Medical Center, Cleveland, Ohio (2) National Prion Disease Pathology Surveillance Center, Cleveland, Ohio.. IN THIS STUDY, THERE WERE autopsy-proven prion cases from the National Prion Disease Pathology Surveillance Center that were diagnosed between September 2016 to March 2017, AND included 104 patients. SEEMS THEY FOUND THAT The most common sCJD subtype was MV1-2 (30%), followed by MM1-2 (20%), AND THAT The Majority of cases were male (60%), AND half of them had exposure to wild game. snip...see more on Prion 2017 Macaque study from Prion 2017 Conference and other updated science on cwd tse prion zoonosis below...terry https://prion2018.org/wp-content/uploads/2018/05/program.pdf https://prion2018.org/
Thursday, May 23, 2019
Prion 2019 Emerging Concepts CWD, BSE, SCRAPIE, CJD, SCIENTIFIC PROGRAM Schedule and Abstracts
see full Prion 2019 Conference Abstracts
FRIDAY, MAY 24, 2019
Assessing chronic wasting disease strain differences in free-ranging cervids across the United States
SATURDAY, JUNE 01, 2019
***> Primary structural differences at residue 226 of deer and elk PrP dictate selection of distinct CWD prion strains in gene-targeted mice
> However, to date, no CWD infections have been reported in people.
key word here is ‘reported’. science has shown that CWD in humans will look like sporadic CJD. SO, how can one assume that CWD has not already transmitted to humans? they can’t, and it’s as simple as that. from all recorded science to date, CWD has already transmitted to humans, and it’s being misdiagnosed as sporadic CJD. …terry
*** LOOKING FOR CWD IN HUMANS AS nvCJD or as an ATYPICAL CJD, LOOKING IN ALL THE WRONG PLACES $$$ ***
*** These results would seem to suggest that CWD does indeed have zoonotic potential, at least as judged by the compatibility of CWD prions and their human PrPC target. Furthermore, extrapolation from this simple in vitro assay suggests that if zoonotic CWD occurred, it would most likely effect those of the PRNP codon 129-MM genotype and that the PrPres type would be similar to that found in the most common subtype of sCJD (MM1).***
the British disease...NOT, the UKBSEnvCJD only theory was/is bogus $$$
*** USA sporadic CJD MAD COW DISEASE HAS HUGE PROBLEM Video
*** sporadic CJD linked to mad cow disease
*** you can see video here and interview with Jeff's Mom, and scientist telling you to test everything and potential risk factors for humans ***
MAD DOGS AND ENGLISHMEN BSE, SCRAPIE, CWD, CJD, TSE PRION A REVIEW 2019
BSE INQUIRY EVIDENCE
Why did the appearance of new TSEs in animals matter so much? It has always been known that TSEs will transfer across species boundaries. The reason for this was never known until the genetic nature of the prion gene was fully investigated and found to be involved. The gene is found to have well preserved sites and as such there is a similar gene throughout the animal kingdom...and indeed a similar gene is found in insects! It is NOT clear that the precise close nature of the PrP gene structure is essention for low species barriers. Indeed it is probably easier to infect cats with BSE than it is to infect sheep. As such it is not clear that simply because it is possible to infect BSE from cattle into certain monkeys then other apes will necessarily be infectable with the disease. One factor has stood out, however, and that is that BSE, when inoculated into mice would retain its apparent nature of disease strain, and hence when it was inoculated back into cattle, then the same disease was produced. Similarly if the TSE from kudu was inoculated into mice then a similar distribution of disease in the brain of the mouse is seen as if BSE had been inoculated into the mouse. This phenomenon was not true with scrapie, in which the transmission across a species barrier was known to lose many of the scrapie strain phenomena in terms of incubation period or disease histopathology. This also suggested that BSE was not derived from scrapie originally but we probably will never know.
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TSE in wild UK deer? The first case of BSE (as we now realise) was in a nyala in London zoo and the further zoo cases in ungulates were simply thought of as being interesting transmissions of scrapie initially. The big problem started to appear with animals in 1993-5 when it became clear that there was an increase in the CJD cases in people that had eaten deer although the statistics involved must have been questionable. The reason for this was that the CJD Surveillance was well funded to look into the diet of people dying of CJD. This effect is not clear with vCJD...if only because the numbers involved are much smaller and hence it is difficult to gain enough statistics. They found that many other foods did not appear to have much association at all but that deer certainly did and as years went by the association actually became clearer. The appearance of vCJD in 1996 made all this much more difficult in that it was suddenly clearer that the cases of sporadic CJD that they had been checking up until then probably had nothing to do with beef...and the study decreased. During the period there was an increasing worry that deer were involved with CJD..
see references:
DEER BRAIN SURVEY
i have not updated my blogspot url with all this data archived, but i will work on it...but until then, i have updated this on the above links with live urls to the actual BSE Inquiry documents...
Subject: Re: DEER SPONGIFORM ENCEPHALOPATHY SURVEY & HOUND STUDY
Date: Fri, 18 Oct 2002 23:12:22 +0100
From: Steve Dealler
Reply-To: Bovine Spongiform Encephalopathy Organization: Netscape Online member
To: BSE-L@ References: <3daf5023 .4080804="" a="" href="http://wt.net/" nbsp="" rel="noopener noreferrer" style="color: blue; cursor: pointer;" target="_blank">wt.net3daf5023>
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