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91ST MEETING OF THE SEAC meeting in London on 24th February

flounder

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© SEAC 2006

NINETY FIRST MEETING OF THE SPONGIFORM

ENCEPHALOPATHY ADVISORY COMMITTEE

The Spongiform Encephalopathy Advisory Committee held its 91st

meeting in London on 24th February 2006.

CURRENT ISSUES

SEAC was informed about the following issues:

• The Chair had received a positive response from the Chief

Medical Officer on the recommendations made in the SEAC

Epidemiology Subgroup statement on the vCJD epidemic1

and subsequent SEAC statement2. SEAC recommended

that better data on the prevalence, age and genotype

distribution, based on population studies, are required with

some urgency. This data could be obtained through testing

tissues collected from autopsies. The Department of Health

will convene an expert group to consider ethical, practical

and legal issues to take the recommendations forward.

• SEAC responded to a consultation from the European

Commission. This requested comments on the opinion of

the Scientific Committee on Emerging and Newly Identified

Health Risks on the safety of human-derived products with

regard to vCJD.

• A third case of vCJD transmission associated with blood

transfusion was announced by the Health Protection Agency

(HPA) on 9th February 2006. The recipient developed

symptoms of vCJD about 8 years after receiving a blood

transfusion from a donor, who developed symptoms of vCJD

1 http://www.seac.gov.uk/statements/state260106subgroup.htm

2 http://www.seac.gov.uk/statements/state260106.htm

2

© SEAC 2006

about 20 months later. SEAC was informed about the HPA

notification exercise, follow up arrangements, and further

actions relating to the remainder of the exposed group of 26

individuals. Members agreed that the case indicates that

there is significant risk of transmission of vCJD by blood

transfusion. A paper on the case is being prepared by the

Transfusion Medicine Epidemiology Review.

• Interviews had taken place for two new members for SEAC,

submissions to Ministers are in preparation.

BSE UPDATE

SEAC was presented with figures showing the annual number of

BSE cases in cattle in Great Britain (GB) since the 1980s and the

reductions in the number of cases after the introduction of control

measures. Members noted data on BSE cases reported in other

countries. In GB, the BSE epidemic peaked in 1992, with over 36

000 cases confirmed, and thereafter the number of cases declined

considerably. There have only been 124 cases confirmed in

animals born after the introduction of the reinforced ban in 1996.

Overall the GB epidemic is in steep decline with only 203 cases

confirmed in 2005.

MEDICAL IMPLANTS CONTAINING BOVINE MATERIAL

SEAC considered the risk to human health from medical implants

that include bovine material sourced from the USA. This material

was used for a wide range of medical devices, some of which are

life saving and for which there are no alternative products.

SEAC considered that the source of the animal was crucial to

manage the risk. The committee suggested that other

precautionary steps be taken where practicable, such as using

material from young animals, sourcing material from countries with

good surveillance procedures and a low prevalence of disease.

SEAC noted the lack of clarity in the regulations, which did not give

an indication of what level of risk is acceptable, and the British

Standards Institution committee scheme, which serves to assist

judgments of acceptability by determining whether the BSE risk

from a medical device utilising bovine material has been

minimised. The committee considered that a single risk

3

© SEAC 2006

assessment model would not be appropriate due to the variety of

devices and risk control options that are involved and the varying

degrees of risk. A risk assessment should be developed for each

specific medical device.

METHODS TO EVALUATE THE EFFICACY OF PRION

REDUCTION FILTERS

SEAC welcomed the opportunity to comment on experimental

models to evaluate prion reduction methodologies that were

developed to reduce the potential for vCJD transmission via blood

transfusion.

SEAC considered that it was important to replicate the

experiments that the companies had done to test the efficacy and

reproducibility of the filters. The committee suggested that the use

of an additional rodent strain and three different forms of inoculum

of TSE agent as the spiking material was important. This may

indicate differences in the efficacy of filters against different strains

or TSE agent. It is critical to include the BSE agent in these

studies.

SEAC considered that experiments that tested the removal of

endogenous infectivity were important and that it was crucial to try

and get a model that was as close as possible to the human

situation. The committee noted that knowledge of the prevalence

of vCJD in the population was important to the risk management

issue of implementation of prion reduction filters.

SEAC SHEEP SUBGROUP REPORT

Since the introduction of an ELISA rapid test for active surveillance

in 2002, around 100 cases of what is called atypical scrapie have

been detected in the UK. The SEAC Sheep Subgroup met on 24th

January 2006 to consider emerging scientific developments on

atypical scrapie and possible implications for the National Scrapie

Plan (NSP) and human and animal health. In its position

statement, the Sheep Subgroup concluded that the new scientific

data and identification of atypical scrapie, while of concern, do not

justify immediate changes to the NSP. Nevertheless, the

Subgroup strongly recommended that the NSP should be kept

under continuous review as new findings emerge. SEAC

concurred with this view.

4

© SEAC 2006

The Subgroup concluded that there is currently insufficient data to

make any conclusions about the risk to human health from the

finding of atypical scrapie in UK and European small ruminant

flocks. However, as transmission to humans is theoretically

possible, the Subgroup stressed the importance of research on

transmission of atypical scrapie in transgenic mice expressing the

human prion protein gene to inform on this issue.

SEAC agreed with the Sheep Subgroup's conclusions and

recommendations and endorsed its position statement. The

statement can be accessed at:

http://www.seac.gov.uk/pdf/positionstatement-sheep-subgroup.pdf

USE OF LIVESTOCK AND CROPS FROM DRAYTON FARM

Defra and FSA asked SEAC to review the arrangements for

disposal of manure, crops and livestock from an experimental

farm. BSE research projects in cattle have been ongoing here

since 1998 and are nearing completion. The TSE projects in

sheep have been ongoing since 2002. SEAC previously advised

that waste from orally-challenged animals should be incinerated for

the first 28 days, thereafter the excreta should be composted for a

year and then could be used to fertilise arable land. The crops

grown subsequently could in principle be used for both human

food and animal feed.

All excreta from the orally and intracerebrally inoculated cattle

were incinerated for the first 28 days after inoculation. A 12 month

composting period was introduced for manure from the BSE

challenged animals. However, only short rotation willow coppices

were planted on the land onto which the composted manure from

the BSE challenged animals was applied.

SEAC considered that, as there is no evidence that BSE is

transmitted through environmental sources, healthy animals could

be housed in the disinfected buildings which previously housed

cattle experimentally infected with BSE. These animals could be

used for commercial slaughter or for other purposes. The current

animal tracing system will monitor the movements of these animals

in the future. There is currently no evidence that the crops

subsequently grown on the land which received composted

5

© SEAC 2006

excreta from BSE challenged animals pose a significant infectivity

risk to humans or animals.

DENTISTRY AND vCJD

SEAC considered the findings and implications of a preliminary

risk assessment of potential vCJD transmission via endodontic

procedures. The committee was updated with preliminary data to

assess the oral cavity as a potential route of transmission of vCJD

infectivity. This item was discussed in the reserved business

session as there was consideration of unpublished research.

SEAC considered that further data was required on the infectivity

of oral tissues and the prevalence of vCJD in the population.

However, in the absence of this information, and as there is a

theoretical risk of transmission of vCJD via endodontic procedures,

the committee suggested that the use of single use instruments for

such procedures should be seriously considered.



http://www.seac.gov.uk/summaries/seac91_summary.pdf







6 March 2006 - The final minutes (94 KB) of the 90th SEAC

meeting held on 24th November 2005 have now been published.





http://www.seac.gov.uk/minutes/final90.pdf





TSS
 
However, with the KNOWN transmission studies to date >from TSEs, and the fact that all the world's cattle that came down with BSE were ingesting a nutritional supplement to super-ovulate cattle. (Not to forget about the potential for some BSE cases to come from vaccinations containing pituitary-derived SRMs.)

TWA LITTLE minute


http://www.bseinquiry.gov.uk/files/yb/1988/06/10001001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/06/13010001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/06/14006001.pdf


COMMERCIAL IN CONFIDENCE


http://www.bseinquiry.gov.uk/files/yb/1988/09/06005001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/10/06005001.pdf


NOT FOR PUBLICATION


http://www.bseinquiry.gov.uk/files/yb/1988/11/01012001.pdf


http://www.bseinquiry.gov.uk/yb/1988/11/04003001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/04/00007001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/07/00007001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/09/00004001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/10/00003001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/01/04001001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/01/26007001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/01/30001001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/09/06011001.pdf



NON-LICENSED HUMAN TISSUE DEVICES WERE NOT COMMERCIALLY AVAILABLE


snip...

I was quite prepared to believe in unofficial pituitary hormones, also in the 1970's, whether as described by Dr. Little, or in other circumstances, for animal use.

snip...

The fact that there were jars of pituitaries (or extract) around on shelves is attested by the still potent 1943 pituitaries, described in Stockell Hartree et al. (J/RF/17/291) which had come from the lab. at Mill Hill. Having taken the trouble to collect them, they were not lightly thrown out...


http://www.bseinquiry.gov.uk/files/ws/s467bx.pdf


more on the 1968 medicine act, they forgot to follow


http://www.bseinquiry.gov.uk/files/yb/1989/01/30008001.pdf


Draft cover letter to product licence holders (considered by Human and Vet Medicines including deer)


http://www.bseinquiry.gov.uk/files/yb/1989/02/22008001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/02/22011001.pdf


(It was noted with concern that hormone extracts could be manufactured by a veterinary surgeon for administration to animals under his care without any Medicines Act Control.)


http://www.bseinquiry.gov.uk/files/yb/1988/06/08011001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/06/08011001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/06/07010001.pdf


TWA LITTLE STATEMENT 331


http://www.bseinquiry.gov.uk/files/ws/s331.pdf




Docket Management Docket: 96N-0417 - Current Good Manufacturing Practice
in Manufacturing, Packing, or Holding Dietary Ingredients a
Comment Number: EC -2
Accepted - Volume 7



http://www.fda.gov/ohrms/dockets/dailys/03/Mar03/031403/96N-0417-EC-2.htm






Subject: BSE--U.S. 50 STATE CONFERENCE CALL Jan. 9, 2001
Date: Tue, 9 Jan 2001 16:49:00 -0800
From: "Terry S. Singeltary Sr." <[email protected]>
Reply-To: Bovine Spongiform Encephalopathy <[email protected]>
To: [email protected]

######### Bovine Spongiform Encephalopathy <[email protected]>
#########

Greetings List Members,

I was lucky enough to sit in on this BSE conference
call today and even managed to ask a question.
that is when the trouble started.

I submitted a version of my notes to
Sandra Blakeslee of the New York Times,
whom seemed very upset, and rightly
so.

"They tell me it is a closed meeting and
they will release whatever information
they deem fit. Rather infuriating."

and i would have been doing just fine,
until i asked my question. i was surprised
my time to ask a question so quick.

(understand, these are taken from my notes for now.
the spelling of names and such could be off.)

[host Richard Barns]
and now a question from Terry S. Singeltary of
CJD Watch.

[TSS]
yes, thank you,
U.S. cattle, what kind of guarantee can you
give for serum or tissue donor herds?

[no answer, you could hear in the back ground,
mumbling and 'we can't. have him ask the question
again.]

[host Richard]
could you repeat the question?

[TSS]
U.S. cattle, what kind of guarantee can you
give for serum or tissue donor herds?

[not sure whom ask this]
what group are you with?

[TSS]
CJD Watch, my Mom died from hvCJD and we are
tracking CJD world-wide.

[not sure who is speaking]
could you please disconnect Mr. Singeltary

[TSS]
you are not going to answer my question?

[not sure whom speaking]
NO

from this point, i was still connected, got to listen
and tape the whole conference. at one point someone
came on, a woman, and ask again;

[unknown woman]
what group are you with?

[TSS]
CJD Watch and my Mom died from hvCJD
we are trying to tract down CJD and other
human TSE's world wide. i was invited to
sit in on this from someone inside the USDA/APHIS
and that is why i am here. do you intend on banning
me from this conference now?

at this point the conference was turned back up,
and i got to finish listening. They never answered
or even addressed my one question, or even addressed
the issue. BUT, i will try and give you a run-down
for now, of the conference.

IF i were another Country, I would take heed to my
notes, BUT PLEASE do not depend on them. ask for
transcript from;

[email protected]
301-827-6906

he would be glad to give you one ;-)

Rockville Maryland,
Richard Barns Host

BSE issues in the U.S.,
How they were labelling ruminant feed?
Revising issues.

The conference opened up with the explaining of
the U.K. BSE epidemic winding down with about 30
cases a week.

although new cases in other countries were now
appearing.

Look at Germany whom said NO BSE and now have BSE.

BSE increasing across Europe.

Because of Temporary Ban on certain rendered product,
heightened interest in U.S.

A recent statement in Washington Post, said the
New Administration (old GW) has a list of issues.
BSE is one of the issues.

BSE Risk is still low, minimal in U.S. with a greater
interest in MBM not to enter U.S.

HOWEVER, if BSE were to enter the U.S.
it would be economically disastrous
to the render, feed, cattle, industries,
and for human health.

(human health-they just threw that in cause i was listening. I will now
jot down some figures in
which they told you, 'no need to write them down'.
just hope i have them correct. hmmm, maybe i hope
i don't ???)

80% inspection of rendering

*Problem-Complete coverage of rendering HAS NOT
occurred.

sizeable number of 1st time FAILED INITIAL INSPECTION,
have not been reinspected (70% to 80%).

Compliance critical, Compliance poor in U.K.
and other European Firms.

Gloria Dunason
Major Assignment 1998 goal TOTAL compliance.
This _did not_ occur. Mixed level of compliance,
depending on firm.

Rendering FDA license and NON FDA license

system in place for home rendering & feed
76% in compliance
79% cross contamination
21% DID NOT have system
92% record keeping
less than 60% total compliance

279 inspectors
185 handling prohibited materials

Renderer at top of pyramid, significant
part of compliance.
84% compliance

failed to have caution statement render
72% compliance & cross contamination
caution statement on feed, 'DO NOT FEED TO CATTLE'

56 FIRMS NEVER INSPECTED

1240 FDA license feed mills
846 inspected

"close to 400 feed mills have not been inspected"

80% compliance for feed.

10% don't have system.

NON-FDA licensed mills
There is NO inventory on non licensed mills.
approximately 6000 to 8000 Firms ???
4,344 ever inspected.
"FDA does not have a lot of experience with"

40% do NOT have caution statement 'DO NOT FEED'.

74% Commingling compliance

"This industry needs a lot of work and only half
gotten to"

"700 Firms that were falitive, and need to be
re-inspected, in addition to the 8,000 Firms."

Quote to do BSE inspection in 19 states by end
of January or 30 days, and other states 60 days.
to change feed status??? Contract check and ask
questions and pass info.

At this time, we will take questions.

[I was about the third or fourth to ask question.
then all B.S.eee broke loose, and i lost my train
of thought for a few minutes. picked back up here]

someone asking about nutritional supplements and
sourcing, did not get name. something about inspectors
not knowing of BSE risk??? the conference person assuring that Steve
Follum? and the TSE advisory Committee were
handling that.

Some other Dr. Vet, whom were asking questions
that did not know what to do???

[Dennis Wilson]
California Food Agr.
Imports, are they looking at imports?

[Conference person]
they are looking at imports,
FDA issued imports Bulletin.

[Linda Singeltary ??? this was a another phone in
question, not related i don't think]
Why do we have non-licensed facilities?

(conference person)
other feed mills do not handle as potent drugs???

Dennis Blank, Ken Jackson
licensed 400
non FDA 4400 inspected of a total of 6000 to 8000,

(they really don't know how many non licensed Firms
in U.S. they guess 6000 to 8000??? TSS)

Linda Detwiler
asking everyone (me) not to use emergency BSE number,
unless last resort.
(i thought of calling them today, and reporting the
whole damn U.S. cattle herd ;-) 'not'

Warren-Maryland Dept. Agr.
Prudent to re-inspect after 3 years.
concerned of Firms that have changed
owners.

THE END

TSS

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
############


FROM New York TIMES

Subject: Re: BSE 50 STATE CONFERENCE CALL thread from BSE List and FDA
Posting of cut version...
Date: Thu, 11 Jan 2001 22:02:47 -0700
From: "Sandy Blakeslee" <[email protected]>
To: "Terry S. Singeltary Sr." <[email protected]>
References: 1

Hi terry -- thanks for all your help. I know it made a difference with
the FDA getting out that release.

----- Original Message -----
From: "Terry S. Singeltary Sr." <[email protected]>
To: <[email protected]>
Sent: Thursday, January 11, 2001 2:06 PM
Subject: BSE 50 STATE CONFERENCE CALL thread from BSE List and FDA
Posting of cut version...

> http://www.vegsource.com/talk/lyman/messages/8219.html
> http://www.vegsource.com/talk/lyman/messages/8220.html
> http://www.vegsource.com/talk/lyman/messages/8221.html
> http://www.vegsource.com/talk/lyman/messages/8222.html
> http://www.vegsource.com/talk/lyman/messages/8230.html
>
> hi sandy,

>From the New York Times NYTimes.com, January 11, 2001

Many Makers of Feed Fail to Heed Rules on Mad Cow Disease
By SANDRA BLAKESLEE

Large numbers of companies involved in manufacturing animal feed are not
complying with regulations meant to prevent the
emergence and spread of mad cow disease in the United States, the Food
and Drug Administration said yesterday.

The widespread failure of companies to follow the regulations, adopted
in August 1997, does not mean that the American food supply is unsafe,
Dr. Stephen Sundlof, director of the Center for Veterinary Medicine at
the F.D.A., said in an interview.

But much more needs to be done to ensure that mad cow disease does not
arise in this country, Dr. Sundlof said.

The regulations state that feed manufacturers and companies that render
slaughtered animals into useful products generally may not feed mammals
to cud-chewing animals, or ruminants, which can carry mad cow disease.

All products that contain rendered cattle or sheep must have a label
that says, "Do not feed to ruminants," Dr. Sundlof said. Manufacturers
must also have a system to prevent ruminant products from being
commingled with other rendered material like that from chicken, fish or
pork. Finally, all companies must keep records of where their products
originated and where they were sold.

Under the regulations, F.D.A. district offices and state veterinary
offices were required to inspect all rendering plants and feed mills to
make sure companies complied. But results issued yesterday demonstrate
that more than three years later, different segments of the feed
industry show varying levels of compliance.

Among 180 large companies that render cattle and another ruminant,
sheep, nearly a quarter were not properly labeling their products and
did not have a system to prevent commingling, the F.D.A. said. And among
347 F.D.A.-licensed feed mills that handle ruminant materials - these
tend to be large operators that mix drugs into their products - 20
percent were not using labels with the required caution statement, and
25 percent did not have a system to prevent commingling.

Then there are some 6,000 to 8,000 feed mills so small they do not
require F.D.A. licenses. They are nonetheless subject
to the regulations, and of 1,593 small feed producers that handle
ruminant material and have been inspected, 40 percent
were not using approved labels and 25 percent had no system in place to
prevent commingling.

On the other hand, fewer than 10 percent of companies, big and small,
were failing to comply with the record-keeping
regulations.

The American Feed Industry Association in Arlington, Va., did not return
phone calls seeking comment.

http://www.nytimes.com/2001/01/11/science/11COW.html

Subject:
USDA/APHIS response to BSE-L--U.S. 50 STATE CONFERENCE CALL
Jan. 9, 2001
Date:
Wed, 10 Jan 2001 14:04:21 -0500
From:
"Gomez, Thomas M." <[email protected]>
Reply-To:
Bovine Spongiform Encephalopathy <[email protected]>
To:
[email protected]




######### Bovine Spongiform Encephalopathy <[email protected]>
#########

USDA/APHIS would like to provide clarification on the following point
from
Mr. Singeltary's 9 Jan posting regarding the 50 state conference call.

[Linda Detwiler asking everyone (me) not to use emergency BSE number,
unless
last resort. (i thought of calling them today, and reporting the whole
damn
U.S. cattle herd ;-) 'not']

Dr. Detwiler was responding to an announcement made during the call to
use
the FDA emergency number if anyone wanted to report a cow with signs
suspect
for BSE. Mr. Singeltary is correct that Dr. Detwiler asked participants
to
use the FDA emergency number as a last resort to report cattle suspect
for
BSE. What Mr. Singeltary failed to do was provide the List with Dr.
Detwiler's entire statement. Surveillance for BSE in the United States
is a
cooperative effort between states, producers, private veterinarians,
veterinary hospitals and the USDA. The system has been in place for
over 10
years. Each state has a system in place wherein cases are reported to
either the State Veterinarian, the federal Veterinarian in Charge or
through
the veterinary diagnostic laboratory system. The states also have
provisions with emergency numbers. Dr. Detwiler asked participants to
use
the systems currently in place to avoid the possibility of a BSE-suspect
report falling through the cracks. Use of the FDA emergency number has
not
been established as a means to report diseased cattle of any nature.

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
############

Subject:
Re: USDA/APHIS response to BSE-L--U.S. 50 STATE CONFERENCE
CALL Jan.9, 2001
Date:
Wed, 10 Jan 2001 13:44:49 -0800
From:
"Terry S. Singeltary Sr." <[email protected]>
Reply-To:
Bovine Spongiform Encephalopathy <[email protected]>
To:
[email protected]
References:
1




######### Bovine Spongiform Encephalopathy <[email protected]>
#########

Hello Mr. Thomas,

> What Mr. Singeltary failed to do was provide
> the List with Dr. Detwiler's entire statement.

would you and the USDA/APHIS be so kind as to supply
this list with a full text version of the conference
call and or post on your web-site?
if so when, and thank you.
if not, why not?

> The system has been in place for over 10 years.

that seems to be a very long time for a system to be in
place, and only test 10,700 cattle from some 1.5 BILLION head (including
calf crop). Especially since French
are testing some 20,000 weekly and the E.U. as a whole,
are testing many many more than the U.S., with less
cattle, same risk of BSE/TSEs.

Why does the U.S. insist on not doing massive testing
with the tests which the E.U. are using?
Why is this, please explain?

Please tell me why my question was not answered?

> U.S. cattle, what kind of guarantee can you
> give for serum or tissue donor herds?

It was a very simple question, a very important
question, one that pertained to the topic of
BSE/feed, and asked in a very diplomatic way.
why was it not answered?

If all these years, we have been hearing that
pharmaceutical grade bovines were raised for
pharmaceuticals vaccines etc. But yet the
USA cannot comply with feed regulations of
the ruminant feed ban, PLUS cannot even
comply with the proper labelling of the feed,
cross contamination etc.
Then how in the world can you Guarantee the feed
fed to pharmaceutical grade bovine, were actually
non ruminant feed?

Before i was ask to be 'disconnected',
i did hear someone in the background
say 'we can't'-- have him ask the question again.

could you please be so kind, as to answer these
questions?

thank you,
Terry S. Singeltary Sr. Bacliff, Texas USA

P.S. if you will also notice, i did not post that
emergency phone number and do not intend on passing
it on to anyone. I was joking when i said i should
call and report the whole damn U.S. Herd. So please
pass that on to Dr. Detwiler, so she can rest easily.

BUT, they should be reported, some are infected with TSE.
The U.S. is just acting as stupid as Germany and other
Countries that insist they are free of BSE.

TSS

Subject: Report on the assessment of the Georgraphical BSE-risk of the
USA July 2000 (not good)
Date: Wed, 17 Jan 2001 21:23:51 -0800
From: "Terry S. Singeltary Sr." <[email protected]>
Reply-To: Bovine Spongiform Encephalopathy <[email protected]>
To: [email protected]

######### Bovine Spongiform Encephalopathy <[email protected]>
#########

Greetings List Members and ALL EU Countries,

Because of this report, and the recent findings
of the 50-state BSE Conference call, I respectfully
seriously suggest that these Countries and the SSC
re-evaluate the U.S.A. G.B.R. to a risk factor of #3.



snip...



Terry S. Singeltary Sr.,
P.O. Box 42, Bacliff, Texas USA 77518
 
and the fact that all the world's cattle that came down with BSE were ingesting a nutritional supplement to super-ovulate cattle.

I have to question this statement. :???:

Are you saying that by feeding minerals we are "Super Ovulating" our cattle?

The only method I know of to "Super Ovulate" cattle is by injection and only a small percentage of US cattle are injected. A VERY small percentage.
 
reader (the Second) said:
Go back and look at the GB numbers and the rapid and sharp decline in BSE after the feed ban. To me they shout out the obvious that the feed was 99.9% responsible for spread of BSE so I'm not sure why you followed the SEAC minutes with something about other routes of BSE ??? :???:

Reader, the obvious safety problem with our meat industries today has to do with the huge batch and continuous flow production of processing. Wouldn't it be smart to look into all of the routes of transmission, not just feed? We should be able to process food and or medical supplies with all transmission routes of pathenogenic or spreadable disease first and efficiency concerns second.

To me it is a disasterous policy, and I agree with the sustainable ag. people on this one, to have HUGE processing facilities (you could say this about market concentration in an economic sense also) where a little terrorism or even "innocent" contamination could go a long way. To me this concentration model of our industries puts us at greater risk with our food supply. The bse feed transmission had these same problems. It allowed the spread of an agent much faster than if there were many, many different unconnected production points.
 
Mike wrote;


Quote:
and the fact that all the world's cattle that came down with BSE were ingesting a nutritional supplement to super-ovulate cattle.


I have to question this statement. Say what?

Are you saying that by feeding minerals we are "Super Ovulating" our cattle?

The only method I know of to "Super Ovulate" cattle is by injection and only a small percentage of US cattle are injected. A VERY small percentage.

==================================

mike, the confusion, that was my fault there. at the time of writing this in 2001, i was submitting to the fda risk factors from nutritional supplements for humans and comparing them to the nutritional supplements for cattle, they are in essense, the same damn thing, containing the same about of SRMs, and at the same time, i jumped to Injectables oxys and to the infamous Louping Ill vaccince incident in the 1930s. YOU are correct here when you say ;


''The only method I know of to "Super Ovulate" cattle is by injection and only a small percentage of US cattle are injected.''



my statement;


However, with the KNOWN transmission studies to date >from TSEs, and the fact that all the world's cattle that came down with BSE were ingesting a nutritional supplement to super-ovulate cattle. (Not to forget about the potential for some BSE cases to come from vaccinations containing pituitary-derived SRMs.)


should have read;


However, with the KNOWN transmission studies to date from TSEs, and the fact that all the world's cattle that came down with BSE were ingesting a nutritional supplement and not to forget about the potential for some BSE cases to come from vaccinations containing pituitary-derived SRMs.



sorry about that confusion.


i have a question now though, and maybe you can help. i had a list of all those oxy.... drugs that containted these srms for super ovulate and at one time long ago before i was on the rancher boards nobody new the answer to how much of this was used in the USA. do you know???
the inoculation route is the most effective, so this would be a likely route, but probably not enough keep an ongoing epidemic. but i would be curious to know how much were these drugs used? i will try and find that list from way back.........................again sorry for that bit of confusion.


terry
 
The FSH (Follicle Stimulating Hormones) drugs for cattle (Super Ovulants) that I use are made from PPFE - Porcine Pituitary Folltropin Extract.

Not many are used very widely. It is used for flushing multiple embryos from cattle and implanting them in surrogate cattle.

Do a web search for; Vetrepharm............ Folltropin-V

And from what I understand "Lutalyse" is a Pork product also. It is more widely used, but not exactly as a "Super Ovulant".
 
greetings,

this is another lengthy post, but some might just be interested in the data ;



SUPPLEMENTAL STATEMENT BY DR ANNE MADDOCKS

Oxytocin (pituitary posterior lobe extract):

Another potential route of BSE infection in the livestock herd



http://www.bseinquiry.gov.uk/files/ws/s467c.pdf





ANNEX A to witness statement 467C of Dr Anne Maddocks

ANNEX A

Oxytocin (pituitary posterior lobe extract):

Another potential route of BSE infection in the livestock herd



http://www.bseinquiry.gov.uk/files/ws/s467cx.pdf



Let us not forget about PITUITARY EXTRACT. This was used to help COWS

super ovulate. This tissue was considered to be of greatest risk of

containing BSE and consequently transmitting the disease.

ANNEX 6

MEETING HELD ON 8 JUNE 1988 TO DISCUSS THE IMPLICATIONS OF BSE TO

BIOLOGICAL PRODUCTS CONTAINING BOVINE - EXTRACTED MATERIAL

How much of this was used in the U.S.?

Please do not keep making the same mistakes;

'Absence of evidence is not evidence of absence'.

What are the U.S. rules for importing and manufacturing vaccines,

medicines and medical devices?

Does the U.S.A. allow sourcing of raw material of ruminants from

the U.S.A.?

U.S. cattle, what kind of guarantee can you give for serum or

tissue donor herds.?

. .

The U.S. rendering system would easily amplify T.S.E.'s:

Have we increased the stability of the system (improved heat treatments)

since the EU SSC report on the U.S.A. was published

in july 2000?

What is done to avoid cross-contaminations in the U.S.A.?

How can the U.S. control absence of cross-contaminations of animal

TSE's when pig and horse MBM and even deer and elk are allowed in

ruminant feed, as well as bovine blood? I sadly think of the rendering

and feeding policy before the Aug. 4, 1997 'partial'

feed ban, where anything went, from the city police horse, to the circus

elephant, i will not mention all the scrapie infected sheep.

I am surprised that we have not included man 'aka soyent green'.

It is a disgusting industry and nothing more than greed fuels it.

When will the U.S.. start real surveillance of the U.S. bovine

population (not passive, this will not work)?

When will U.S. start removing SRMs?

Have they stopped the use of pneumatic stunners in the U.S.?

If so, will we stop it in all U.S. abattoirs or only in those

abattoirs exporting to Europe?

If not, WHY NOT?

same questions for removal of SRM in the U.S.A.,

or just for export?

If not, WHY NOT?

How do we now sterilize surgical/dental instruments in the U.S.A.?

Where have we been sourcing surgical catgut?

(i have copies of imports to U.S., and it would floor you)

hen will re-usable surgical instruments be banned?



see full text;



http://www.fda.gov/ohrms/dockets/ac/01/slides/3681s2_09.pdf



Pituitary Injection (Willington) Pituitary (posterior lobe) Injection B
VET C OXYTOCIN LEO* PITOCIN* Pituitary Injection (Dales) 137 *
(Willington Medicals Ltd) Pituitary Extract (VDC) 557 Pituitary
Injection (Dales) 161 Pituitary (Posterior Lobe) Injection (Univet) 534
Pituitary (Posterior) Injection (Pharmavet) 464 Pituitary (Posterior
Lobe) Injection B vet C Posterior Pituitary Injection BVETC Pituitary
(Posterior Lobe) Injection BVetC 1965 Pituitary Extract Injection 10 i.u./ml



http://www.bseinquiry.gov.uk/files/ws/s467cx.pdf



http://www.bse.org.uk/files/ws/s467cx.pdf





1043 Posterior pituitary extracts obtained from oxen or other mammals were used as a source

1044 of oxytocin for veterinary purposes through the period 1950-I 989. Use of anterior pituitary

1045 extracts as a source of follicle stimulating hormone or bovine growth hormone occurred but was

1046 not widespread (Horn 2001). Early epidemiologic investigations of the BSE outbreak dismissed

1047 hormone extracts as a cause of the disease's spread (Wilesmith 1988). Recall that growth

Investigators have proposed that BSE could be an autoimmune disease caused by

exposure of cattle to bacteria containing proteins that induce immunologic cross-reactivity with

central nervous system tissue (Ebringer 1997; Tiwana 1999). According to this theory, the BSE

epidemic resulted from the production of feed rich in the specific bacteria with proteins that

mimic brain tissue. Because of exposure to these bacteria, bovine anti-bacterial antibodies may

have reacted with myelin proteins in the brain that were sufficiently similar to bacterial antigens.

The damage caused by such an auto-immune disease would be chronic and would be consistent

with some of the characteristics of BSE (European Union Scientific Steering Committee 2000b).

Autoimmune brain (disease can be experimentally transmitted to animals but only by injecting

large amounts of brain protein and adjuvants. In contrast, TSE can be transmitted by injecting

only a few nanograms of brain without adjuvant (Horn 2001). In addition, the neuropathology of

autoimmune brain disease differs from that observed in TSE.

SSC has concluded that this theory is not consistent with the BSE epidemic for several

reasons. First, the morphology and distribution of vacuolar or spongifomn-like changes due to

BSE are not the same as those caused by an auto-immune reaction. Second, lymphocytic

infiltrates that are typical of and are a pathogenetically important component of auto-immune

disease are atypical of TSE. Third, high infectious titers cannot be explained by the autoimmune

hypothesis (European Union Scientific Steering Committee 2000b). Fourth, as pointed out by the

BSE Inquiry (Lord Phillips 2000), mouse-adapted BSE can be transmitted i.c. to mice lacking a

functional immune system. Fifth, common bacteria do not have the resistance to chemical and

physical inactivation. shown by the agents of transmissible spongiform encephalopathies,

including bovine spongiform encephalopathy. Finally, this theory fails to explain why many

thousands of animals suddenly became affected and why the BSE epidemic occurred

predominantly in the UK (Horn 2001).

2.2.3.5 Use of Pituitary Hormones

- 19-

104X hormone, prepared from cadaver pituitary glands, has caused transmission of CJD in humans, and

1049 this theory suggests that a similar phenomenon may have occurred in cattle (Airtime 2001). This

1050 hypothesis suggests that pituitary hormones contaminated by BSE caused the epidemic in the UK

1051 but not in other countries. The source of the original infectivity (in humans it was one or more

1052 pituitaries from CJD cases) is not explained by this theory.



http://www.fda.gov/ohrms/dockets/DOCKETS/04n0081/04n-0081-bkg0001-Tab-29-01-vol3.pdf


In addition to the LRS and CNS infectivity has been detected in the
PITUITARY and adrenal glands, bone marrow, pancreas, thymus,
liver and peripheral nerves (Hadlow et al)

before looking further into this, please don't forget the
Looping-ill vaccine issue. not only has this transmission
to humans occured, but also to sheep, hundreds and hundreds
of them. so, we know this mode of transmission can occur in
humans and sheep, so why not cattle?



Subject: Louping-ill vaccine documents from November 23rd, 1946
Date: Sat, 9 Sep 2000 17:44:57 -0700
From: "Terry S. Singeltary Sr."
Reply-To: Bovine Spongiform Encephalopathy
To: [email protected]

######### Bovine Spongiform Encephalopathy #########

THE VETERINARY RECORD
516 No 47. Vol. 58
November 23rd, 1946

NATIONAL VETERINARY MEDICAL ASSOCIATION OF GREAT BRITAIN AND IRELAND

ANNUAL CONGRESS, 1946

The annual Congress, 1946, was held at the Royal Veterinary College,
Royal College Street, London, N.W.I. from September 22nd to September
27th.

Opening Meeting

[skip to scrapie vaccine issue...tss]

Papers Presented to Congress

The papers presented to this year's Congress had as their general theme
the progressive work of the profession during the war years. Their
appeal was clearly demonstrated by the large and remarkably uniform
attendance in the Grand Hall of the Royal Veterinary College throughout
the series; between 200 and 250 members were present and they showed a
keen interest in every paper, which was reflected in the expression of
some disappointment that the time available for discussion did not
permit of the participation of more than a small proportion of
would-be contributors.

In this issue we publish (below) the first to be read and discussed,
that by Dr. W. S. Gordon, M.R.C.V.S., F.R.S.E., "Advances in Veterinary
Research." Next week's issue will contain the paper on "Some Recent
Advances in Veterinary Medicine and Surgery in Large-Animal Practice"
by Mr. T. Norman Gold, M.R.C.V.S. In succeeding numbers of the Record
will be reproduced, also with reports of discussions, that by Mr. W. L.
Weipers, M.R.C.V.S., D.V.S.M., on the same subject as relating to
small-animal practice, and the papers by Mr. J. N. Ritchie, B.SC.,
M.R.C.V.S., D.V.S.M., and Mr. H.W. Steele-Bodger, M.R.C.V.S., on
"War-time Achievements of the British Home Veterinary Services."

The first scientific paper of Congress was read by Dr. W. S.
Gordon, M.R.C.V.S., F.R.S.E. on Monday, September 23rd, 1946,
when Professor J. Basil Buxton, M.A., F.R.C.V.S, D.V.H., Prinicipal
of the Royal Veterinary College, presided.

Advances in Veterinary Research

by

W.S. GORDON, PH.D., M.R.C.V.S., F.R.S.E.

Agriculteral Research Council, Field Station, Compton, Berks.

Louping-ill, Tick-borne Fever and Scrapie

In 1930 Pool, Browniee & Wilson recorded that louping-ill was
a transmissible disease. Greig et al, (1931) showed that the infective
agent was a filter-passing virus with neurotropic characters and
Browniee & Wilson (1932) that the essential pathology was that of an
encephalomyelitis. Gordon, Browniee, Wilson & MacLeod (1932) and
MacLeod & Gordon (1932) confirmed and extended this work. It was
shown that on louping-ill farms the virus was present in the blood
of many sheep which did not show clinical symptoms indicating
involvement of the central nervous system and that for the perpetuation
and spread of the disease these subclinical cases were probably of
greater importance that the frank clinical cases because, in Nature,
the disease was spread by the tick, lxodes ricinus L. More recently
Wilson (1945, 1946) has described the cultivation of the virus in a
chick embryo medium, the pathogenic properties of this culture
virus and the preparation of louping-ill antiserum.

Between 1931 and 1934 I carried out experiments which resulted
in the development of an effective vaccine for the prevention
of louping-ill.* This vaccine has been in general use since 1935
and in his annual report to the Animal Diseases Research Association
this year, Dr. Greig stated that about 227,000 doses of vaccine
had been issued from Moredun alone.

Dr. Gordon illustrated this portion of his paper by means of graphs
and diagrams projected by the epidiascope.

This investigation, however, did not begin and end with the
study of louping-ill; it had, by good fortune, a more romantic
turn and less fortunately a final dramtic twist which led almost
to catastrope. After it had been established that a solid immunity
to louping-ill could be induced in sheep, a group of
immunized and a group of susceptible animals were placed together
on the tick-infected pasture of a louping-ill farm. Each day all
the animals were gathered and their temperatures were recorded.
It was anticipated that febrile reactions with some fatalities would
develop in the controls while the louping-ill immunes would remain
normal. Contrary to expectation, however, every sheep, both immune
and control, developed a febrile reaction. This unexpected
result made neccessary further investigation which showed that the
febrile reaction in the louping-ill immunes was due to a hitherto
undescribed infective agent, a Rickettsia-like organism which could
be observed in the cytoplasm of the grannular leucocytes, especially
the neutrophil polymorphs (MacLeod (1932), Gordon, Browniee,
Wilson & MacLeod. MacLeod & Gordon (1933). MacLeod (1936).
MacLeod collected ticks over many widely separated parts of
Scotland and all were found to harbour the infective agent of
tick-borne fever, and it is probable that all sheep on tick-infested
farms develop this disease, at least on the first occasion that they
become infested with ticks. When the infection is passed in series
through susceptible adult sheep it causes a sever, febrile reaction,
dullness and loss of bodily condition but it rarely, if ever, proves
fatal. It is clear, however, that it aggravates the harmful effects
of a louping-ill infection and it is a serious additional complication
to such infections as pyaemia and the anacrobic infections which
beset lambs on the hill farms of Northern Britain.

Studying the epidemiology of louping-ill on hill farms it became
obvious that the pyaemic condition of lambs described by
M'Fadyean (1894) was very prevalent on tick infested farms
Pyaemia is a crippling condition of lambs associated with tick-bite
and is often confused with louping-ill. It is caused by infection
with Staphylococcus aureus and affected animals may show abscess
formation on the skin, in the joints, viscera, meninges and elsewhere
in the body. It was thought that tick-borne fever might
have ben a predisposing factor in this disease and unsuccessful
attempts were made by Taylor, Holman & Gordon (1941) to reproduce
the condition by infecting lambs subcutaneously with the
staphylococcus and concurrently produceing infections with tickborne
fever and louping-ill in the same lambs. Work on pyaemia
was then continued by McDiarmid (1946a, 1946b, 1946c), who
succeeded in reproducing a pyaemic disease in mice, guinea-pigs
and lambs similar to the naturally occuring condition by intravenous
inoculation of Staphylococcus aureus. He also found a
bacteraemic form of the disease in which no gross pyaemic lesions
were observed. The prevention or treatment of this condition
presents a formidable problem. It is unlikely that staphylococcal
???oid will provide an effective immunity and even if penicillin
proved to be a successful treatment, the difficulty of applying it
in adequate and sustained dosage to young lambs on hill farms
would be almost insurmountable.

>From 1931 to 1934 field trials to test the immunizing value
and harmlessness of the loup-ill vaccine were carried out on a
gradually increasing scale. Many thousands of sheep were vaccinated
and similar numbers, living under identical conditions
were left as controls. The end result showed that an average
mortability of about 9 percent in the controls was reduced to less
than 1 percent in the vaccinated animals. While the efficiency
of the vaccine was obvious after the second year of work, previous
bitter experience had shown the wisdom of withholding a biological
product from widespread use until it had been successfully produced
in bulk, as opposed to small-scale experimental production
and until it had been thoroughly tested for immunizing efficiency
and freedom from harmful effects. It was thought that after
four years testing this stage had been reached in 1935, and in
the spring of that year the vaccine was issued for general use. It
comprised a 10 percent saline suspension of brain, spinal cord
and spleen tissues taken from sheep five days after infection with
louping-ill virus by intracerebral inoculation. To this suspension
0-35 percent of formalin was added to inactivate the virus and
its safety for use as a vaccine was checked by intracerbral inoculation
of mice and sheep and by the inoculation of culture medium.
Its protective power was proved by vaccination sheep and later
subjecting them, along with controls, to a test dose of living virus.

Vaccine for issue had to be free from detectable, living virus
and capable of protecting sheep against a test dose of virus applied
subcutaneously. The 1935 vaccine conformed to these standards
and was issued for inoculation in March as three separate batches
labelled 1, 2, and 3. The tissues of 140 sheep were employed
to make batch 1 of which 22,270 doses were used; 114 to make
batch 2 of which 18,000 doses were used and 44 to make batch 3
of which 4,360 doses were used. All the sheep tissues incorporated
in the vaccine were obtained from yearling sheep. During 1935
and 1936 the vaccine proved highly efficient in the prevention
of loup-ill and no user observed an ill-effect in the inoculated
animals. In September, 1937, two and a half years after vaccinating
the sheep, two owners complained that scrapie, a disease which
had not before been observed in the Blackface breed, was appearing
in their stock of Blackface sheep and further that it was confined
to animals vaccinated with louping-ill vaccine in 1935. At that
stage it was difficult to conceive that the occurrence could be
associated with the injection of the vaccine but in view of the
implications, I visited most of the farms on which sheep had been
vaccinated in 1935. It was at this point that the investigation
reached its dramatic phase; I shall not forget the profound effect
on my emotions when I visited these farms and was warmly welcomed
because of the great benefits resulting from the application
of louping-ill vaccine, wheras the chief purpose of my visit was
to determine if scrapie was appearing in the inoculated sheep.
The enquiry made the position clear. Scrapie was developing in
the sheep vaccinated in 1935 and it was only in a few instances
that the owner was associating the occurrence with louping-ill
vaccination. The disease was affecting all breeds and it was
confined to the animals vaccinated with batch 2. This was clearly
demonstrated on a number of farms on which batch 1 had been
used to inoculate the hoggs in 1935 and batch 2 to inoculate
the ewes. None of the hoggs, which at this time were three-
year-old ewes. At this time it was difficult to forecast whether all
of the 18,000 sheep which had received batch 2 vaccine would
develop scrapie. It was fortunate, however, that the majority of
the sheep vaccinated with batch 2 were ewes and therfore all
that were four years old and upwards at the time of vaccination
had already been disposed of and there only remained the ewes
which had been two to three years old at the time of vaccination,
consequently no accurate assessment of the incidence of scrapie
could be made. On a few farms, however, where vaccination was
confined to hoggs, the incidence ranged from 1 percent, to 35 percent,
with an average of about 5 percent. Since batch 2 vaccine
had been incriminated as a probable source of scrapie infection,
an attempt was made to trace the origin of the 112 sheep whose
tissues had been included in the vaccine. It was found that they
had been supplied by three owners and that all were of the
Blackface or Greyface breed with the exception of eight which
were Cheviot lambs born in 1935 from ewes which had been in
contact with scrapie infection. Some of these contact ewes
developed scrapie in 1936-37 and three surviving fellow lambs to
the eight included in the batch 2 vaccine of 1935 developed
scrapie, one in September, 1936, one in February, 1937, and one
in November, 1937. There was, therefore, strong presumptive
evidence that the eight Cheviot lambs included in the vaccine
althought apparently healthy were, in fact, in the incubative stage
of a scrapie infection and that in their tissues there was an
infective agent which had contaminated the batch 2 vaccine,
rendering it liable to set up scrapie. If that assumption was
correct then the evidence indicated that:-

(1) the infective agent of scrapie was present in the brain, spinal
cord and or spleen of infected sheep:
(2) it could withstand a concentration of formalin of 0-35 percent,
which inactivated the virus of louping-ill:
(3) it could be transmitted by subcutaneous inoculation;
(4) it had an incubative period of two years and longer.

Two Frenchmen, Cuille & Chelle (1939) as the result of experiments
commenced in 1932, reported the successful infection of
sheep by inoculation of emulsions of spinal cord or brain material
by the intracerebral, epidural, intraocular and subcutaneous routes
The incubation period varied according to the route employed,
being one year intracerebrally, 15 months intraocularly and 20
months subcutaneously. They failed to infect rabbits but succeeded
in infecting goats. Another important part of their work
showed that the infective agent could pass throught a chamberland
1.3 filter, thus demonstrating that the infective agent was a
filtrable virus. It was a curious coincidence that while they
were doing their transmission experiments their work was being
confirmed by the unforeseeable infectivity of a formalinized tissue
vaccine.

As a result of this experience a large-scale transmision experiment
involving the ue of 788 sheep was commenced in 1938 on a
farm specially taken for the purpose by the Animal Diseases
Research Association with funds provided by the Agricultural
Research Council. The experiment was designed to determine the
nature of the infective agent and the pathogenesis of the disease.
It is only possible here to give a summary of the result which
showed that (1) saline suspensions of brain and spinal cord tissue
of sheep affected with scrapie were infective to normal sheep
when inoculatted intracerebrally or subcutaneously; (2) the incubation
period after intracerebral inoculation was seven months and
upwards and only 60 percent of the inoculated sheep developed
scrapie during a period of four and a half years; (3) the incubation
period after subcutaneous inoculation was 15 months and upwards
and only about 30 percent of the inoculated sheep developed
the disease during the four and a half years: (4) the infective
agent was of small size and probably a filtrable virus.

The prolonged incubative period of the disease and the remarkable
resistance of the causal agent to formalin are features of
distinct interest. It still remains to determine if a biological test
can be devised to detect infected animals so that they can be
killed for food before they develop clinical symptoms and to
explore the possibilities of producing an immunity to the disease.
==================================================================

Greetings List Members,

pretty disturbing document. now, what would stop this from happening
with the vaccineCJD in children???

kind regards,
Terry S. Singeltary Sr., Bacliff, Texas USA




-------- Original Message --------
Subject: [Docket No. 04-116-1] USE of veterinary biological products on the topic of Transmissible Spongiform Encephalopathies (TSS SUBMISSION)
Date: Fri, 05 Nov 2004 11:49:49 -0600
From: "Terry S. Singeltary Sr."
To: [email protected]
CC: [email protected]., [email protected]., BSE-L


> Meeting topics and proposed presentation titles should be submitted
> to Steven A. Karli, director, CVB, APHIS, Veterinary Services, 510
> South 17 St., Suite 104, Ames, IA 50010-8197; phone (515) 232-5785,
> fax (515) 232-7120 or e-mail [email protected]. For registration
> information contact Nicole Ruffcorn at the same address and fax number
> or via phone dial (515) 232-5785 extension 127 or e-mail
> [email protected]..


http://a257.g.akamaitech.net/7/257/2422/06jun20041800/edocket.access.gpo.gov/2004/E4-3008.htm




I wish to kindly submit the following to Mr. Steven A. Karli for the
13th public
meeting to discuss regulatory and policy issues related to the manufacture,
distribution, and use of veterinary biological products on the topic of
Transmissible Spongiform Encephalopathies (all of them).

[Docket No. 04-116-1]


Greetings APHIS/USDA et al,

INOCULATION of the TSE agent is the most effected mode
of transmission, or so it seems.

MOST people have forgotten the medicines act of 1968 where
they state not to use scrapie associated fibers SAF for any
pharmaceuticals for animals in vet products;

June 1983
MEDICINES ACT 1968

''Unless there is a risk from a heat-resistant pathogen such as the
scrapie agent,
no restrictions are placed on substances sterilized by autoclaving
provided that the
complete mass is held at a minimum of 115°C for at least 15 minutes''...



http://www.bseinquiry.gov.uk/files/yb/1983/06/00001001.pdf



PLEASE do not forget the infamous 'Louping-ill vaccine' incident;

III.3.1 VACCINES
Reference has already been made to the occurrence of at least several
hundred cases of scrapie in British sheep as a direct result of the use
of a vaccine against the tick transmitted, viral disease, louping-ill
(Gordon, Brownlee and Wilson, 1939, Gordon, 1946 and Greig, 1950). This
occurrence resulted from the accidental use of scrapie-infected source
material and processing methods that did not inactivate the scrapie
agent that was unknowingly present. A more recent possible occurrence of
possible iatrogenic scrapie has recently been reported in Etna Silver
crossbred goats in Italy by Cappucchio et al., (1998). The goats were
kept at grass and concentrate rations were not fed, thus eliminating a
source of infection from feed via mammalian proteins. Animals over two
months old were annually vaccinated against contagious agalactia caused
by Mycoplasma agalactiae. The vaccine included central nervous system
from pathogen-free sheep. The mortality rate in the goats reached
28% in 1 herd, 60% in the second and 5.5% in a third herd. About half
the 56 goats were between 2.5 - 3 years old. Only 1.15% of sheep that
were kept with the goats developed scrapie. Scrapie was confirmed by
microscopic examination of the brain and by detection of PrPSc including
by immunocytochemistry. PrPSc was widespread in the brain and beyond
sites of vacuolar change. The high mortality, severe loss of weight and
simultaneous appearance in the three herds were distinctly unusual
features in this outbreak. The source of infection remains uncertain and
unproven but iatrogenic transmission must be considered.
A larger epidemic involving 20 outbreaks of scrapie in sheep and goats,
also in Italy, has been even more recently reported by Agrimi et al.,
(1999). The annual incidence ranged from 1% to 90% with a mean incidence
for goats of 26% and for sheep of 10%. The total number of cases in
sheep and goats together was 1040. The clinical disease was confirmed by
microscopic examination of the brain and PrP immunocytochemistry or
Western blotting. The high incidence in goats, the high
within-flock/herd incidence, the temporal clustering, absence of
commercial concentrate feeding in eight flocks and association with the
use of a sub-cutaneously administered M. agalactiae vaccine, prepared
locally using brain and mammary tissue from clinically healthy sheep,
strongly suggests an iatrogenic origin. Scrapie appeared between 23 and
35 months after the vaccine was administered. A third outbreak in
southern Italy attributed also to the same vaccine has been described by
Caramelli et al, (2001) in a mixed flock of Comisana sheep and half-bred
goats in an upland area of southern Italy. High crude mortality and
scrapie incidence occurred in both species and a large proportion of
aged animals were affected. The neuropathology was similar to that in
other sheep in Italy with iatrogenic disease but different from
conventional natural scrapie. Affected sheep were all of the most
susceptible genotype (Codon 171 QQ). It is stressed that the vaccines
incriminated in the transmission of scrapie in all these incidents are
not commercially produced. They have been prepared and distributed
locally within the country. Dr Subash Arya has repeatedly drawn
attention to the possible risk of transmitting CJD to humans vaccinated
with sheep-brain derived vaccines in India, e.g. Arya, (1994). However,
neither Dr Arya nor any of his colleagues has yet found any such case.
The episodes of scrapie resulting from the use of vaccines prepared from
infected sheep tissues emphasises the need for caution and mandatory
selection of safe sources for starting materials used in the manufacture
of vaccines. Such vaccines could theoretically at least, be used in
cattle thus creating a potential risk, though it is most unlikely that
they would be licensed for this purpose in Europe. Vaccines have not
been incriminated in the transmission of BSE (Wilesmith et al., 1988,
J.W.Wilesmith, personal communication). Furthermore, large numbers of
doses of commercially produced vaccines that have used bovine starting
materials, have been inoculated by parenteral and oral routes into
cattle throughout the world and a substantial proportion have been
produced in Europe, but no incident of BSE has been attributed to their
use. This is important because, since there is no species barrier, any
chink in the armour protecting vaccines from contamination would have
been revealed, but none has.

III.3.2.OTHER MEDICINAL PRODUCTS DERIVED FROM TSE-SUSCEPTIBLE SPECIES

Animal sources of material used in medicinal products vary, but mostly
are derived from cattle. There is thus at least a possibility that
unless strict precautions are taken, disease could be transmitted in
this way. It cannot be ruled out that no case ever arose by this means,
but it is clear that the majority did not, even at the very beginning of
the BSE epidemic before publication of information on BSE, and before
any legislation was in place (Wilesmith et al., 1988). The highest risk
tissue is bovine brain from a clinically affected animal or one in the
immediate pre-clinical phase. Posterior pituitary extract (now prepared
biosynthetically), was available and used in veterinary practice mainly
in adult female cattle at the time of parturition, to assist treatment
of retained placenta or to assist in milk let down. However, no
association was found between its use and the occurrence of BSE
(Wilesmith et al., 1988).

http://europa.eu.int/comm/food/fs/sc/ssc/out236_en.pdf

1: Indian J Pediatr. 1991 Sep-Oct;58(5):563-5.


Acquisition of spongiform encephalopathies in India through sheep-brain
rabies vaccination.

Arya SC.

Centre for Logistical Research and Innovation, Greater Kailash, New Delhi.



http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1813404&dopt=Abstract



THERE have been concerns about using drugs to super-ovulate cattle
abroad and
in the USA. How much (if any) of this product is still used in the USA,
I do not know,
but if any is used and or has been used in the past, should be stopped
ASAP for
risk of TSE;

Super-ovulate cattle. (Not to forget about the potential for some BSE
cases to come from vaccinations containing pituitary-derived SRMs.)
TWA LITTLE minute

2. We have identified one problem over where we are unable to act and
this is
the use of gonadotrophins in embryo transfer work. Some veterinary surgeons
are quite legally using this exemption from the Medicines Act contained in
Section 9(2) to prepare gonadotrophins from pituitary glands from various
species, including cattle. These hormones are used to stimulate
superovulation in
donor cows.

3. The extraction is from a pool of pituitary glands collected from
abbatoirs and the
process used is unlikely to have any effect on the BSE agent. Hormones
extracted
from human pituitary glands have been responsible for a small number of
cases of
Creutzfeldt Jacob disease in man.

http://www.bseinquiry.gov.uk/files/yb/1988/06/10001001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/06/13010001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/06/14006001.pdf


COMMERCIAL IN CONFIDENCE

Medicines Act - Veterinary Products Committee

Minutes of the Biologicals Committee meeting held on Tuesday 6 September
1988,
at 10:00 am in the Old Library, Central Veterinary laboratory, Weybridge.

It was reported that some replies had been received from Companies using
pituitary glands in their products...(rest are 4 blank pages...TSS)

http://www.bseinquiry.gov.uk/files/yb/1988/09/06005001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/10/06005001.pdf


NOT FOR PUBLICATION


http://www.bseinquiry.gov.uk/files/yb/1988/11/01012001.pdf


http://www.bseinquiry.gov.uk/yb/1988/11/04003001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/04/00007001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/07/00007001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/09/00004001.pdf


http://www.bseinquiry.gov.uk/files/yb/1988/10/00003001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/01/04001001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/01/26007001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/01/30001001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/09/06011001.pdf


NON-LICENSED HUMAN TISSUE DEVICES WERE NOT COMMERCIALLY AVAILABLE


snip...


I was quite prepared to believe in unofficial pituitary hormones, also
in the 1970's, whether as described by Dr. Little, or in other
circumstances, for animal use.
snip...
The fact that there were jars of pituitaries (or extract) around on
shelves is attested by the still potent 1943 pituitaries, described in
Stockell Hartree et al. (J/RF/17/291) which had come from the lab. at
Mill Hill. Having taken the trouble to collect them, they were not
lightly thrown out...


http://www.bseinquiry.gov.uk/files/ws/s467bx.pdf


more on the 1968 medicine act, they forgot to follow


http://www.bseinquiry.gov.uk/files/yb/1989/01/30008001.pdf


Draft cover letter to product licence holders (considered by Human and
Vet Medicines including deer)


http://www.bseinquiry.gov.uk/files/yb/1989/02/22008001.pdf


http://www.bseinquiry.gov.uk/files/yb/1989/02/22011001.pdf

(It was noted with concern that hormone extracts could be manufactured
by a veterinary surgeon for administration to animals under his care
without any Medicines Act Control.)


http://www.bseinquiry.gov.uk/files/yb/1988/06/08011001.pdf


PITUITARY EXTRACT

This was used to help cows super ovulate. This tissue was considered to
be of
greatest risk of containing BSE and consequently transmitting the disease...

http://www.bseinquiry.gov.uk/files/yb/1988/06/08011001.pdf


(pages blank...TSS)

http://www.bseinquiry.gov.uk/files/yb/1988/06/07010001.pdf


TWA LITTLE STATEMENT 331

The BSE Inquiry / Statement No 331
Dr TWA Little
(not scheduled to give oral evidence)
THE BSE INQUIRY
STATEMENT OF DR T W A LITTLE
1. This statement is given by Dr Thomas William Anthony Little (TWAL). I am
currently Chief Executive of the Veterinary Laboratories Agency (VLA) and my
professional address is New Haw, Addlestone, Surrey KT15 3NB.
2. In 1966 I joined the Central Veterinary Laboratory (CVL).3. In the
period 1973 -
1996 I held the following posts:
· 1973 - 1982 Senior Research Officer
· 1982 - 1985 Deputy Regional Veterinary Officer (Tolworth)
· 1985 - 1986 Veterinary Head of Section (Tolworth)
· 1986 - 1990 Deputy Director of the CVLThis included responsibility for the
Veterinary Medicines Unit and the Biological Products and Standards
Department
most of which became part of the Veterinary Medicines Directorate in
April 1989.
· 1990 - 1996 Director and Chief Executive of the CVL which become the
Veterinary Laboratories Agency on merger with the Veterinary Investigation
Service in 1995.
4. When I returned to the CVL in 1986 as one of two Deputy Directors I
took over
specific responsibility for veterinary medicines. This involved fairly
frequent contact
with the Veterinary Medicines Division and the Animal Health Groups in
Tolworth. The
Veterinary Medicines Division dealt with the policy and administration
side of veterinary
medicines. I also briefed the Chairman of the Veterinary Products
Committee (VPC)
before meetings and attended meetings of the VPC. I chaired the meetings
of the
Scientific Secretariat of the VPC and the Biologicals Committee of the
VPC. I also
attended meetings of the Medicines Commission and various other
committees which
dealt with human medicines when necessary. This included the Committee
on Safety of
Medicines (CSM) Sub Committee on Biological Products. I also attended
occasionally
meetings of the Committee of Veterinary Medicinal Products (CVMP) in
Brussels.
5. Within CVL I had responsibility for:-
· The Medicines Unit - headed by Alastair Kidd
· The Biologicals Products and Standards Department - headed by Dr Denise
Thornton

Progressively during 1987 staff at CVL become aware of and
discuss
informally the potential of BSE to contaminate immunological
products. Such
concerns were discussed with administrators in the Veterinary
Medicines
Division. Following Wells et al publication TWAL discussed with
Prof J
Armour, Chairman VPC.
November 1987 As a result of informal discussions, Peter
Luff was asked to produce a paper on BSE - implications for
biologicals products.
6 January 1988 Biologicals Committee of VPC. Peter Luffs paper
tabled (Annex 2 )(YB 88/01.06/1.1-1.5) detailed discussion at next
meeting.
3 February 1988 Biologicals Committee of VPC (chaired by A Kidd)
(Veterinary Medicines Division represented by Mr Muriel and Mrs
Buckler)
Detailed discussion of Mr Luffs paper. (YB 87/12.00/1.1-1.3)
Report to senior officers in MAFF (CVL, VMD and AH Division)
further consideration of whether certification of cattle for freedom
from BSE was possible. (Annex 3) (YB 88/02.03/1.1-1.2)
During the next few months, discussions were held with staff of the
National Institute for
Biological Standards and Controls (NIBSC) leading to arrangements for a
meeting at
NIBSC by Dr P Minor.
16 May 1988 Meeting at NIBSC attended by Mr J Wilesmith CVL,
Drs R Ridley and H Baker MRC, Dr Schild, Minor and Ferguson
NIBSC and Drs Beale and Garland Wellcome
Laboratories.Recommendation of this meeting (Annex 4)(YB
88/08.00/2.1 ; YB 88/07.11/13.1 ; YB 88/05.16/2.1-2.12) sent to
Julymeeting of Biological Sub committee of CSM.
7 June 1988 Biologicals Committee of VPC
Agreed to a set of guidelines for pharmaceutical industry produced
by Geoff Wood.
Further internal meeting to be arranged between CVL staff to
progress the guidelines and any urgent matters relating to products.
(Annex 5) (YB 88/06.07/10.1-10.6)
8 June 1988 Internal CVL meeting to discuss the implications of
BSE to Biologicals Products containing bovine extracted material
(Annex 6). (YB 88/06.08/11.1-11.2) Following a detailed review
of situation the following recommendations were made:1.
Specific concern over use of pituitary gland
products by veterinary surgeons and companies. Paper to
be produced for Tolworth (Veterinary Medicines Division).
2. Urgent review of all products both immunological
and pharmaceutical for possible inclusion of ingredients of
bovine origin.
3. Draft guidelines to be presented in full to the
National Office of Animal Health (NOAH), the trade body
representing the Veterinary Medicines part of the
pharmaceutical industry, at next meeting on 11 July 1988
5 July 1988 Biologicals Committee Meeting
Detailed discussion of Geoff Wood's draft guidelines (SP3875.2)
(Annex 7) (YB 88/07.05/6.1-6.4)Major concern over pituitary
gland products and a letter being sent to all licence holders.
Amended paper to be presented to NOAH on 11 July and sent to
NIBSC and DHSS.
11 July 1988 Meeting with NOAH. (Annex 8) (YB
88/07.11/12.1-12.4)Dr Little briefed the meeting on the emergence
of BSE and showed the MAFF Video.Mr Wood presented the
proposed guidelines which were discussed. Mr Cook on behalf of
NOAH agreed to comment as soon as possible and agreed to
obtain information on pharmaceutical products which contained
bovine material of UK origin.
6 September 1988 Biologicals Committee of VPCSome replies
from companies using pituitary glands in their products received.
Copies of draft guidelines have been sent to NIBSC and DHSS.
(Annex 9) (YB 88/09.06/5.1-5.4)
8 November 1988 Meeting with NOAH. (Annex 10)(YB
88/11.25/5.1 ; YB 88/11.08/5.1-5.6)
Dr Little briefed the meeting on the current BSE situation. Some
problems with implementing the guidelines were discussed but
NOAH were keen to see them published quickly.
20 December 1988 Letter from Sir Richard Southwood asking what
detailed consideration had been given to this issue and asking for
views on whether some form of guidance to industry might be
useful. (Annex 11) (YB 88/12.20/2.1)
3 January 1989 Meeting between Medicines Division of
DHSS (Dr Adams, Dr Jeffreys and Dr Purves) and MAFF (CVL)
(Dr Little, Mr Kidd and Mr Bradley) Detailed review of the
situation and the need to 'keep in step'. A further meeting to be
held after MAFF guidelines have been reviewed by the VPC at its
January meeting. (Annex 12) (YB 89/01.03/2.1-2.2)
19 January 1989 Veterinary Products Committee
The draft guidelines to assist manufacturers of biological products
containing materials of bovine origin was provided for members'
comments. Mr Ray Bradley provided members with an extensive
briefing on the BSE problem. Written comments on the guidelines
were requested before the February meeting. (Annex 13) (YB
89/01.19/6.1 ; YB 89/01.00/2.1-2.3)
26 January 1989 Reply sent to Sir Richard Southwood
(Annex 14) (YB 89/01.26/2.1-2.4)
1 February 1989 Meeting between MAFF officials (Dr Little,
Mr Kidd, Mr Bradley) and D of H (Drs Jeffrey and Adams) from
Medicines Division) plus representation from NIBSC and
Biologicals Committee of CSM.The meeting agreed the text of
what were now joint MAFF/DH guidance for manufacturers plus a
timetable for clearance by various advisory committees to enable
publication in MAIL before Easter.
15/16 February 1989 Veterinary Products Committee Meeting (Annex 15)
(YB 89/02.15/6.1 ; YB 88/02.15/7.1)VPC (89) 38 containing the
revised CSM/VPC guidelines for industry were presented for
comment together with the correspondence with Sir Richard
Southwood.Subject to some minor changes the Guidelines were
agreed.
22 February 1989 Human and Veterinary Medicines Briefing
Group on BSEThe meeting was called to consider the DH/MAFF
draft guidelines to advise CSM. The meeting consisted of members
of the Biologicals Sub Committee of CSM, invited experts,
representatives of the Department of Health Medicines Division,
the Department of Health and MAFF prior to the publication of the
Southwood Report (Annex 16) (YB 89/2.22/11.1-11.8)
7 March 1989 Biologicals Committee of VPCA joint set of
guidelines had been agreed with D of H. A separate (MAFF)
questionnaire had been prepared asking for details of all products
had been sent out to all licence holders for reply by May 1989.
(Annex 17)(YB 89/03.07/2.1-2.5)
21 March 1989 Meeting with NOAH (Annex 18) (YB
89/03.21/13.1-13.4)Dr Little outlined the current situation and
explained why members had received the guidelines from both D
of H and MAFF. He explained that the guidelines set a very high
standard but indicated that manufacturers may present equivalent
methods to obtain the required standard.
1 April 1989 VMD establishedColleagues from Veterinary
Medicines Division, the Medicines Unit and part of BP&S join up
to become the VMD as recommended by the Cunliffe Review. Dr
Rutter was appointed as Chief Executive designate. I moved on to
take over the Agency Project Team for CVL.
Contact with the Department of Health
9. I have been asked specifically about my attendance at the Biological Sub
Committee of the CSM. (Annex 19) (YB 87/09.09/1.1-12)
10. On 9 September 1987 I attended a meeting of the Biological
Sub-Committee of
the CSM. This Sub-Committee is made up of independent experts. The
function of the
Sub-Committee is to advise the Committee on Safety of Medicines, which
is also made
up of independent experts. A number of officials, mainly from the
Department of Health,
attend both committees. Both committees advise on the safety of human
medicines,
including vaccines, but do not normally address matters relating to
animal health.
11. The 9 September 1987 was (I believe) the only time I attended a
meeting of the
Biological Sub-Committee. On this occasion, I attended in place of the
usual MAFF
representative, Dr Brinley-Morgan who retired in 1986.
12. A copy of the minutes of the meeting is Annexed to this statement. (YB
87/09.09/1.1-1.12) The meeting was chaired by Professor Collee, who had
lectured to me
in Edinburgh when I was an undergraduate. Dr Paul Adams was also at the
meeting. I
knew him as we both attended as officials the Veterinary Products
Committee meetings
and were both members of that Committee's Scientific Secretariat. I do
not believe I
knew any of the other attendees at the meeting personally.
13. One of the products discussed during the meeting was composed of
human dura
mater. This was under review at the meeting because of a case of CJD
associated with its
use. The official from the Department of Health presenting the case was
Dr Adams.
14. Although the minutes of the meeting make no reference to it, I made
a mention at
the meeting of the occurrence of BSE in cattle. I believe (although I
cannot now be sure)
that I mentioned BSE during the course of the formal meeting. I can
remember that a
discussion of scrapie resulted from my mention of BSE. Professor Collee
impressed me
with his knowledge of scrapie. It may be that my mention of BSE and
Professor Collee's
comments on scrapie arose during discussion on Dr Adams's paper on the
dura mater
products.
15. Although I am uncertain about the precise context in which I raised
BSE, I am
certain that Professor Collee and Dr Adams were present when I mentioned
BSE.
16. I also believe that Dr Adams introduced me to a number of his
colleagues from
the Department of Health after the meeting, although I cannot remember
who they were.
We most probably informally discussed BSE in relation to the use of
bovine material in
medicinal products, both human and veterinary.
17. I am not aware of any action taken by the Department of Health or
the Biologicals
Sub-Committee as a result of my mention of BSE at this meeting. I have
seen a minute
from Dr Watson to Mr Rees of 10 September 1987 (YB 87/9.10/1.1)
18. I believe the minute accurately reflects what I told Dr Watson. It
was my
understanding that someone from the Department of Health would be writing or
otherwise getting in touch with MAFF.
19. There was frequent contact between myself and other senior CYL staff
with the D
of H Medical Assessors who attended the VPC meetings and the Scientific
Secretariat.
Normally either Dr Paul Adams, Dr Geoffrey Diggle or Dr Kevin Woodward
attended.
20. There was a good working relationship. As can be seen from the
chronology there
was also contacts with NIBSC which performed a role for D of H which was
similar to
that which CVL carried out for MAFF.
21. At this stage it is difficult to determine when BSE was first
discussed in these
informal discussions. Formal meetings are listed in the chronology.
Southwood Committee Recommendation - 24 February 1989
22. One of the Southwood recommendations (8.2) was "the attention of the
Licensing
Authority, the CSM and the VPC be drawn to the emergence of BSE so that
they can take
appropriate action".
23. From the chronology it can be seen that the Biologicals Committee of
the VPC
were alert to this problem from November 1987 and had commissioned
papers and the
draft guidelines which were made available to the Southwood Committee.
24. The full VPC considered the guidelines in January 1989.
Contacts with the Pharmaceutical Industry
25. As can be seen from the chronology, the draft guidelines were first
given to
NOAH in July 1988 for their comments and contact was being made with
product licence
holders in June 1988 regarding some specific products.
26. The industry started searching for alternatives to UK bovine
products at an early
stage and were anxious to protect the safety aspect of their products.
27. Meetings with NOAH also took place in November 1988 and March1989.
28. The Consultative Committee chaired by Dr Tyrrell recommended in its
Interim
Report (June 1989) that there should be more detailed investigations
into the fate of
bovine and ovine tissues which might lead to the spreading of infection.
29. Urgent activity on the veterinary aspects of inclusion of bovine
material in
vaccines and other drugs (mainly hormones) commenced in June 1988 and a
detailed
questionnaire was circulated in May 1989.
30. There was similar activity by the medical assessors of the CSM.
31. Dr Tyrell was a member of the Biologicals Sub Committee of the CSM
at this
time.
Diagnosis of Scrapie and BSE by the Veterinary Investigation Service
32. I have been asked to comment on this matter. Between 1982 and 1985 I
was a
Deputy Regional Veterinary Officer based at Tolworth in the Veterinary
Investigation
Section which managed the VI Service. I was a frequent visitor to VI
Centres and was
particularly concerned with project work. In 1995, the VI Service merged
with the CVL
to form the VLA of which I am currently Chief Executive and Director.
33. At the time of the first cases of BSE (in the mid 1980s) there were many
veterinarians in the VIS with experience in general histopathology. This
experience was
promoted and encouraged through regional, informal meetings of the
Histopathology
Study Groups, at which participants from Veterinary Investigation
Centres ("VIC"), the
CVL and Veterinary School Pathology Departments would discuss cases.
34. Although not every Veterinary Investigation Officer ("VIO") was
trained in
histopathological diagnosis, and not every VIC had the capacity to
process tissue samples
for histopathology as a routine, all VIOs considering a clinical
differential diagnosis of
neurological disease would have collected material for histopathological
examination and
referred it to a colleague with the necessary expertise. The colleague
could have been
within the VICs or the in the Pathology Department at CVL or at the Lasswade
Laboratory. Some of these VIOs with an interest and experience in
histopathology would
also have had formal training in pathology, but very few would, at that
time, have
claimed complete confidence in making histopathological examinations of
brain or other
nervous system tissues.
35. If the indication, particularly from the case history, was that an
unusual
neurological problem was occurring, the VIO usually referred the whole
fixed brain,
intact, direct to the Consultant Pathology Unit ("CPU") at CVL. The
exception to this
would have been the examination, by VIOs in some instances, of brains of
sheep for
diagnosis of scrapie and ruminants generally, for diagnosis for
listeriosis. However, brain
material from some scrapie cases was passed to the CPU, CVL sometimes
for primary
diagnosis or for second opinions.
36. Very few cases of neurological disease in adult cattle were
presented to VIOs for
post mortem examination and thus the examination of cow brains by any
pathologist at
that time was a relatively rare event.
37. The original cases to be diagnosed, of the disease which later
became known as
BSE, were referred to by Mr Carl Johnson a VIO at Wye VIC, Kent, to Mr
Gerald Wells
at CVL but, as Dr Matthews statement indicates, another case was
diagnosed at a VIC.
The transcript of Dr Matthews statement states: "Roger Hancock, who I
think first picked
[it] up down in the south west."
38. Roger Hancock was a VIO working at the Truro VIC who had experience
of the
histopathological diagnosis of scrapie. He was thus able to recognise
similarities between
spongiform changes in scrapie and those found in a brain of a cow
submitted to him. In
view of this highly unusual finding, tissues from the case were
submitted to Mr Wells at
CVL for a second opinion.T W A Little
Issued on behalf of the witness by:
The BSE Inquiry Press Office
6th Floor Hercules House
Hercules Road
London SE1 7DU
Fax: 0171 803 0893
Website: http://www.bse.org.uk
Email: [email protected]
OTHER DOCUMENTS ANNEXED TO DR LITTLES STATEMENT CAN
BE FOUND AT THE FOLLOWING YEAR BOOK REFERENCES
YB 89/1.9/3.1-3.3
YB 90/11.00/5.1-5.2 attaching YB 89/03.15/4.1-4.4
YB 88/11.02/5.1
YB 88/12.07/1.1
YB 88/11.14/2.1



http://www.bseinquiry.gov.uk/files/ws/s331.pdf




Minutes of the Biologicals Committee Meeting Held on Wednesday 6 January
1988, at 10.00am in the Old Library, Central Veterinary Laboratory,
Webridge.



http://www.bseinquiry.gov.uk/files/yb/1988/01/06001001.pdf



Minutes of the meeting held on 6 January 1988 in the 19th floor
Conference room , Market Towers at 10.30am



http://www.bseinquiry.gov.uk/files/yb/1988/01/06002001.pdf



BOVINE SPONGIFORM ENCEPHALOPATHY - IMPLICATIONS FOR
BIOLOGICAL PRODUCTS

snip...

There are two special cases to consider - hormones and similar extracts, and
cell cultures.

HORMONES etc,: Although the extraction of processes involve the use of
various
organic solvents, which tend to have a deliterioius effect on scrapie
infectivity,
extracts must be considered to be potentially contaminated - indeed
Creutzfeldt-
Jakob disease has been transmitted by the use of human growth hormone
extracted
from cadaver pituitaries. It is therfore not possible to regard bovine
gland extracts
as deserving special consideration: they must be autoclaved as above.
Such products
are not likely to be effective after such treatment. The use of
pituitary extracts for super-ovulation is not apparently controlled
under the Medicines Act. This is an
anomaly which requires urgent consideration...



http://www.bseinquiry.gov.uk/files/yb/1987/12/00001001.pdf



Greetings again USDA/APHIS et al,

I VOICED my concerns of the potential risk from this mode of transmission on
more than one occasion on the BSE-L which is full of Government and Industry
officials for years (see below), but my concern today has grown due to
the new
TSE in cattle called (BASE) ;

THE new findings of BASE in cattle in Italy of Identification of a
second bovine amyloidotic spongiform encephalopathy: Molecular
similarities with sporadic Creutzfeldt-Jakob disease



http://www.pnas.org/cgi/content/abstract/0305777101v1



PLUS, we have new atypical TSEs in sheep and goats, with the new findings
of BSE in a GOAT;

THE recent discoveries of previously unidentified strains of
Scrapie such as 221C44 and the Nor9845;

FULL TEXT APPRX. 91 PAGES

UK Strategy for Research and
Development on Human and Animal
Health Aspects of Transmissible
Spongiform Encephalopathies

2004-2007



http://www.mrc.ac.uk/pdf-uk_strategy_v5.2.pdf



Commission submits French Research Findings on TSE in a goat to
Expert Panel
------------------------------------------------------------------------
Reference: IP/04/1324 Date: 28/10/2004
HTML: EN

IP/04/1324

Brussels, 28 October 2004


Commission submits French Research Findings on TSE in a goat to Expert
Panel

Following the findings by a research group in France that they suspect
the presence of a TSE infection in a goats brain which tests cannot
distinguish from BSE, the European Commission has submitted data
received from the French authorities to the Community Reference
Laboratory (CRL) for TSEs based in Weybridge, England, for an evaluation
by an expert panel. TSEs are transmissible spongiform encephalopathies,
namely BSE affecting cattle, and scrapie affecting goats and sheep. The
expert panel will evaluate, over the next two weeks or so, the
scientific evidence to see if it indicates the presence of BSE in the
goat. This isolated incident does not present a risk to public health as
the goat and its herd did not enter the food and feed chain...

snip...



http://europa.eu.int/rapid/pressReleasesAction.do?reference=IP/04/1324&format=HTML&aged=0&language=EN&guiLanguage=en




Approved-By: "Terry S. Singeltary Sr."
Message-ID: <[email protected]>
Date: Fri, 4 Feb 2000 16:23:50 -0600
Reply-To: Bovine Spongiform Encephalopathy
Sender: Bovine Spongiform Encephalopathy
From: "Terry S. Singeltary Sr."
Subject: Bovine Pituitary Injections * USA

######### Bovine Spongiform Encephalopathy
#########

Greetings list members,

I was curious if any U.S. or other Vets. would know of the use in the
U.S., if any, of Pituitary hormones in cows in the U.S. I will throw a
few names at you, maybe some may recognize, maybe not.....

Pituitary Injection (Willington) Pituitary (posterior lobe) Injection B
VET C OXYTOCIN LEO* PITOCIN* Pituitary Injection (Dales) 137 *
(Willington Medicals Ltd) Pituitary Extract (VDC) 557 Pituitary
Injection (Dales) 161 Pituitary (Posterior Lobe) Injection (Univet) 534
Pituitary (Posterior) Injection (Pharmavet) 464 Pituitary (Posterior
Lobe) Injection B vet C Posterior Pituitary Injection BVETC Pituitary
(Posterior Lobe) Injection BVetC 1965 Pituitary Extract Injection 10
i.u./ml

Or any other type, you get the picture, there are way too many to list,
but do any of the Veterinarians on the list in the U.S. know of any of
these or other type of pituitary hormones that were used in cows in the
U.S.?

Thank you, Terry S. Singeltary Sr., Bacliff, Texas USA

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
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Approved-By: "Terry S. Singeltary Sr."
Message-ID: <[email protected]>
Date: Fri, 11 Feb 2000 14:55:19 -0600
Reply-To: Bovine Spongiform Encephalopathy
Sender: Bovine Spongiform Encephalopathy
From: "Terry S. Singeltary Sr."
Subject: The Possible relationshipt between BSE and use of pituitary
hormones in cows...

######### Bovine Spongiform Encephalopathy
#########

Greetings list members,

I find this article most interesting. Might be old news to some, but
thought some might find it as interesing as I did........

Kind Regards, Terry S. Singeltary Sr., Bacliff, Texas USA
___________________________________________________________________ Dr
Anne Maddocks 16/06/99

THE BSE INQUIRY

Statement of Dr Anne C Maddocks M.A, B.M, B.Ch, F.R.C.Path

The possible relationship between BSE and use of pituitary hormones in cows

1. Introduction

1.1 It is suggested in this statement that the promiscuous use of
pituitary hormones in cows may have resulted in BSE in the same way that
treatment with pituitary growth hormone (hGH) or follicular stimulating
hormone (FSH) has been shown to cause iatrogenic CJD in humans.

1.2 The important difference between the medical and veterinary use of
these hormones being that slaughtered cattle subsequently entered the
animal food chain as meat and bone meal (MBM) creating the likelihood of
a widespread dispersal of any infectivity able to survive the rendering
process.

1.3 The use of hormones in cows has a very complex background which is
little known among ordinary farmers. Although 'published' the material
from which the findings in this paper have been drawn was only available
via several visits to the library at Wye College (University of London
Department of Agriculture), The Scientific Periodicals Library at
Cambridge, The Royal Society Library, The Royal Society of Medicine's
Library, The British Library at St. Pancras, British Library Science
Collections at Holborn and extensive use of the Aldwych branch of the
British Library Science Collections and their stock from Boston Spa.
(This search was part of wide BSE studies which do not relate to the
Inquiry).

1.4 This extensive trawl was necessary to locate both the original
experimental work and reports of cattle breeders' conferences reflecting
the later practical application of that work because there is little
direct publication of findings and outcomes by the commercial cattle
breeding sector in the UK. (The journal "Theriogenology" has
contributions from US commercial Embryo Transfer (ET) workers). Whilst
the underlying science is abstruse and reported only haphazardly it
should be noted however the 'ordinary farmers' do use the M.O.E.T.
system (see Appendix Five to this statement) to breed from their best
cows. This may involve an ET centre or may be done on the farm.

1.5 The background to this area lies in the science of Endocrinology
which is applied in both Medicine as therapy, and Agriculture as
manipulatory techniques to increase milk yield and enhance production.
This is the reason for the wide spectrum of ultra specialist journals
which has to be consulted and whose normal readership will consist
_________________________________________________________________

only of the most scientific of obstetricians, agribusiness or breeding
specialists, none of whom would be likely to read right across the
spectrums' medical and veterinary aspects.

1.6 I should like to point out that professionally, while I do not
belong to those groups, I am a very experienced control of infection
specialist, as well as a clinical microbiologist. It is professional
suicide for infection control doctors to accept as 'mere' coincidences
similar events which are close in space or time. It must be assumed that
in depth investigation may reveal links or common factors, and it is
necessary to 'hack in' to specialist areas through research. This is my
position in this instance.

1.7 Please note for clarity this account is written without the
historical background and most of the scientific detail - important
though these are to the argument. It has been thought better to put this
detail into Appendices at the end of the document where they can be
separately considered, rather than have one very detailed and lengthy
account.

2. The argument for the transmission of a TSE which became the BSE
outbreak through use of cadaveric hormones

2.1 Transmissible Spongiform Encephalopathies (TSEs) are rare diseases.
Since Kuru was described in 1957 only familial variants have been found
but suddenly in 1985 two previously unknown TSEs emerged at once, a
striking coincidence that merits attention.

2.2 The possible significance of BSE and hormone related CJD occurring
at about the same time has been obscured because:

(a) neither disease was publicised for some time and then when they were
publicised it was through articles which appeared in different
sub-speciality journals.

(b) hormone therapy related CJD (so far as it was discussed at all) was
seen as obviously an iatrogenic disease with a known origin. BSE on the
other hand was portrayed as a "mystery disease" which baffled scientists.

2.3 An in depth look at historical events gives a different perspective
on these two diseases and a possible reason why they appeared at the
same time.

2.4 The most important point to have in mind when reflecting on this
coincidence is that advances made in endocrinology are applied in both
medicine and veterinary science. Endocrinology is a "free-standing"
science rooted in physiology, with its own specialist departments and
techniques drawing on animal experiments, endocrine biochemistry and
electron microscopical ultra structure studies. As advances are made in
endocrinology they are fed across into both medicine and agriculture at
about the same time like a rising tide advancing on all fronts.

2.5 Given that the human disease is undoubtedly related to pituitary
hormone therapy, is there any possibility of a similar pituitary hormone
relationship with BSE?
________________________________________________________________

2.6 We know that use of pituitary hormones in the 1970s and 1980s
resulted in deaths from CJD throughout the world but most notably in the
UK, France, USA and Australia. Thinking about BSE has focussed
(understandably) upon the way in which the original isolated cases of
the diseases were magnified into an epidemic, less attention has been
paid to the reasons for its original emergence in different places but
at the same time. If it could be shown that cows had been given
pituitary hormones, then it would seem reasonable to look to see if:

(a) these might
 
2.6 We know that use of pituitary hormones in the 1970s and 1980s
resulted in deaths from CJD throughout the world but most notably in the
UK, France, USA and Australia. Thinking about BSE has focussed
(understandably) upon the way in which the original isolated cases of
the diseases were magnified into an epidemic, less attention has been
paid to the reasons for its original emergence in different places but
at the same time. If it could be shown that cows had been given
pituitary hormones, then it would seem reasonable to look to see if:

(a) these might have been contaminated and

(b) whether this could have been responsible for the transmission of a
previously unknown TSE amongst cows.

3. Hormones

A. Human pituitary growth hormone (hGH) and Human pituitary fertility
hormones

3.1 Human pituitary growth hormone (hGH) and Human pituitary fertility
hormones had been used in treating humans, as replacement therapy and
both types definitely gave rise to CJD cases (see hGH/CJD legal case
reports - Morland Papers (M2 Tab 1) -and Allars Report) (M1 Tab 1).

B. Cows

3.2 Improvement in "production" was a constant ambition for
agriculturists in all possible ways. Embryo transfer however was in a
class of its own; it was a sort of "Grail Quest" with its origins in the
1890s (Heape at Cambridge) and with a long history of hard struggle 1949
to 1970s with a considerable emotional investment and commitment at the
Unit for Animal Reproduction (UAR) at Cambridge University.

3.3 Bovine pituitary growth hormone (bGH) was given to boost milk yield
and pituitary fertility hormones fi'om various species were given to
cows as one of the methods of stimulating Multi-Ovulation for Embryo
Transfer (the M.O.E.T. System - see Appendix Five) in order to
manipulate normal reproductive functions.

3.4 As it happened the hormone used at the UAR was non-pituitary so no
problems could emerge. It was only with the promiscuous use of various
pituitary gonadotrophins in the 1970s that the door would have been open
for prion type agents to be transmitted. Whilst growth hormones are
species specific, Follicular Stimulating Hormone (FSH) from cows,
horses, pigs and sheep were capable of being used with success in the
M.O.E.T. process; as this method moved out of the research environment
at Cambridge (having been publicised at various cattle breeders
meetings) and became a mechanism of agricultural production, whatever
hormones were available were used. It is in this promiscuity of use that
the possibility of TSE transmission arises.

C. Luteinising Hormone (LH)

3.5 Since writing the above I have been told that pituitary luteinising
hormone (LH) also was used more frequently than I had realised to
prepare recipient cows, ie on a larger number of cows than were donors.
As this was also a pituitary hormone it represents yet another possible
path. _____________________________________________________________

MIRROR IMAGES [NA...TSS] sporadic CJD cases ?sporadic BSE
____________________________________________________________

3.6 This demonstrates potential routes of spread for bovine infections
which run in parallel with human iatrogenic disease.

3.7 Because we know that pituitary derived hormones are a potentially
highly successful means of infection the use of pituitary derived
gonadotrophin to stimulate multi ovulation in M.O.E.T techniques appears
to be a likely candidate route for spread of the disease (this applies
particularly if "cottage industry" bovine hormones are used).

3.8 As to timing, human hGH and hFSH treatments were finally fully
developed in the - 6 -1970s. Indeed, the majority of the iatrogenic CJD
victims received their treatment then. M.O.E.T for cows also burgeoned
in the late 1970s.

3.9 That two new diseases both appeared in one year (1985) really is
fortuitous because of the different incubation periods and amplification
by MBM in feed but even two similar new diseases appearing within a year
or two would be significant.

3.10 My thesis is that:-

(i) Although only a relatively small number of animals might be infected
at first by pituitary hormones, acting as a "starter" event, this would
of course be hugely amplified by "cow cannibalism" - Meat and Bone meal
in feed (see Mirror Images diagram).

(ii) A suspect batch of hormone might be used in several different
geographical areas giving rise ultimately to more or less simultaneous,
dispersed outbreaks, which would all of course be of a similar type.

(iii) These outbreaks could act as a "platform" for the take-off of the
epidemic.

(iv) Choice of pituitary Hormones. (see Appendix Four: Gonadotrophins)

3.11 It must be remembered that the problem arises not from the hormonal
action as such, but because the pituitary is effectively part of the
brain and can contain TSE agents. As might be expected problems only
occurred (in growth hormone and fertility treatment) where the chosen
hormone was extracted from the pituitary.

3.12 Human fertility treatment with menopausal urine gonadotrophin was
used in Europe without problems, only the Australians using pituitary
FSH had CJD cases. In the same way Cambridge M.O.E.T research in the
1950s and 1960's used PMSG (pregnant mare serum gonadotrophin) without
problems. A TSE could only appear when pituitary FSH was used instead,
most likely when the technique was applied in the field in the 1970's.
The change back to pituitary hormone was probably due to its greater
commercial availability in the USA and possibly its action in crude
extracts. (PMSG activity was not easy to control and also repeat cycles
lead to antibody production).

3.13 It has to be pointed out that there is a missing factor in this
hypothesis which is a sporadic form of BSE in cows comparable to
sporadic CJD in humans. Such a condition is innately likely to exist
however (on the basis of the similarity of
________________________________________________________________

mammalian prion proteins) and is accepted as the basis of the "one old
cow" theory of BSE origin - of which the hormone-use theory is a variant.

4. A new event- why should BSE happen in 1985

4.1 The injection of pituitary hormones is the "new thing" that happened
not feeding meat and bone meal which had occurred for many years
(although of course feeding meat and bone meal was "cannibalism" and was
recognised (too late) as a potential route tbr recycling infections).
Once the infection was established, the MBM recycling effect would have
been a powerful route of infection.

4.2 Although any pituitary hormone could carry a TSE it seems most
likely that Embryo Transfer in the 1970's, particularly the rush to
commercial non-surgical transfer in the late 1970's was the potential
advent. A wide variety of hormones (probably including bovine FSH) was
used, but semi-commercial E.T. was not documented or controlled so we
will never know what was used in all instances (see Appendix Five on
M.O.E.T).

5. Conclusion

5.1 It seems at least possible that in the same way that
well-intentioned growth hormone replacement therapy and fertility
treatment with FSH led to CJD cases, the BSE outbreak was a tragic
outcome of an heroic effort (1890-1970s) to bring about bovine embryo
transfer.

5.2 This would not have happened had everyone continued to use the
non-pituitary gonadotrophin (PMSG) used in the original research at
Cambridge, but the potential transmission risks of pituitary extracts
were only begun to be understood in the mid 1970s as instances of
iatrogenic transmission were reported and validated. (bGH for extra milk
yield remains another possible origin, but the timing displayed favours
the FSH hypothesis).

5.3 This hypothesis is not provable but the timing appears compelling.

5.4 In the following appendices, I develop more specific aspects of this
argument and detail my sources for this submission.
_______________________________________________________________

References

"The History of Clinical Endocrinology" by V C Medvai (1993) "Controlled
Reproduction in Cattle and Bufib. lo" by Ian Gordon (1996)

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
############

Approved-By: "Terry S. Singeltary Sr."
Message-ID: <[email protected]>
Date: Thu, 18 May 2000 10:33:33 -0700
Reply-To: Bovine Spongiform Encephalopathy
Sender: Bovine Spongiform Encephalopathy
From: "Terry S. Singeltary Sr."
Subject: human/animal medicinal products (vaccines) * Industry * T.S.E.'s
(PART 2)

######### Bovine Spongiform Encephalopathy
#########

MAFF The Central Veterinary Laboratory New Haw, Weybridge, Surrey
TELEPHONE.* BYFLEET4 I I I I j EXT,

Professor Sir Richard Southwood F.R.S. Department'of Zoology University
of Oxford Sou~h Park Road Oxford OX1 3PS

26 January 1989

Dear Sir Richard

BSE AND VETERINARY MEDICINES

Thank you for your letter of 20 December.

The Veterinary Products Committee had a very full discussion on BSE at
their last meeting On 19 January when they consided a set of draft
guidelines which had been prepared by the Biologicals Committee in
consultation with various experts at the Central Veterinary Laboratory
and elsewhere. The VPC have requested further information including a
full list of products involved, including all the old medicines, to
assess the likely effect of various control measures and their
practicality.

The Biological Committee has discussed BSE on a number of occasions over
the past year and we have met with the National office of Animal Health
(who represent the Veterinary pharmaceutical industry) in July, November
and January and have warned them of the need to introduce control
measures to avoid possible problems with material which could to be
contaminated with BSE, and we have also met many of the individual
product licence holders.

Given the difficulty of detecting the BSE agent our philosphy in
drafting guidelines for consideration by the VPC has been to concentrate
on the source and nature of the materials used in the manufacture of
veterinary products.

The experience with scrapie has led vaccine manufacturers to avoid sheep
material. One way forward with the current situation would be to
substitute tissues from other species where either cattle or sheep
material is used but this would cause widespread disruption of supplies.

89/01.26/2.1

CVO/BSE/1/2

Another way forward would be to use cattle material from a presumed BSE
free source. Manufacturers are already turning to overseas sources and
particularly Ireland but the discovery recently of BSE in Ireland
indicates the problem which may arise from this method of control.
Moreover, the presence of exotic diseases rules out tissues and sera
from many other countries. It might be possible to certify some herds in
the United Kingdom as free from BSE in the future but it will be a long
time before the full range of products used in the manufacture of
biologicals from foetal calf serum to milk casein, could be derived from
such sources.

Another way forward is to look at the constituents of each product and
assess the risk. In some cases substitution may be possible - i.e. the
use of synthetic media for Clostridial vaccines rather than cooked meat
broths or pig bile instead of ox bile. In other cases such as ox brain
for pituitary hormones we have already stopped the use, as synthetic
hormones are widely available.

Foetal calf serum poses a problem in that it will be difficult to find
an adequate substitute. Although the risk is likely to be very low, some
manufactures are looking overseas for supplies.

We are atso working very closely with colleagues in the Department of
Health to ensure we issue consistent advice to manufacturers.

I will send you a copy of our guidelines when the VPC approves them.

This certainly is a very serious problem and we look forward to seeing
your report and any other advice you may care to offer.

Yours sincerely

T W A LITTLE

Undisclosed cc: CVO Mr Cruickshank Dr Watson Mr Kidd Mr A Taylor Dr
Thornton Mr A Laurence Mr Wilesmith Dr P Adams, DOH

89/01.26/2.2

MF903/1 0532

IN CONFIDENCE

HUMAN AND VETERINARY MEDICINES WORKING GROUP ON BSE

PROPOSED JOINT CSM/VPC GUIDELINES FOR INDUSTRY

The following guidelines are addressed to product licence holders and
applicants.

It is intended that all products licensed under the Medicines Act 1968
for human or veterinary use should conform to these guidelines if they
contain material from a bovine source, or if bovine material has been
used as an intermediate in manufacture.

The guidelines apply to products that are administered parenterally or
to open wounds.

Guidelines

1. All bovine material should come from cattle, taken from a closed herd
in the female line since 1980, in which no animal bas been clinically
suspected of having BSE and which has not been fed rations containing
ruminant derived protein during that period. 2. No brain, lymphoid
tissues, placenta tissue or primary cell of bovine origin should be used
in the manufacture of medicinal products.

3. No tissue is to be used in medicinal products when collected
postmortem from a bovine animal after brain penetrative stunning.

4. All tissue collected from the bovine animal should be taken
aseptically using virgin or sterilised needles, syringes, scalpel blades
etc.

5. It is recommended that whenever possible, source animals should be
calves up to 6 months old and that the following procedures are observed.

i. For serum: all cellular components must be removed.

ii. For foetal calf serum: great care should be taken to avoid
contamination by placenta and foetal fluids. All cellular components
must be removed.

iii. For faeces: these should be collected from the rectum.

iv. For bile: this should be collected aseptically.

v. For milk or products derived from milk: Collection should be aseptic
from animals under 3 years old.

6. Sterilization procedures should be demonstrated to be capable of
inactivating scrapie-like agents - at present thought to be autoclave,
at 134°C-138°C for 18 minutes at 30 psi.

89/01.26/2.3

MF903/1 0533

DRAFT MAIL ARTICLE

CONCERN ABOUT BSE IN HUMAN AND VETERINARY MEDICINES

Bovine Spongiform Encephalopathy (BSE) is a bovine disease characterised
by rapid degenerative neurological changes culminating in death.

This disease has recently been diagnosed in the UK and although there is
no evidence to suggest that it may be transmitted to man, the Licensing
Authority considers it prudent, having taken expert advice, including
that of CSM and VPC, to advise that all manufacturers whose products
contain bovine material should conform to the guidelines set out below.

In order that the Licensing Authority may obtain accurate up-to-date
information about all such products, manufacturers are asked to supply
details of products which contain bovine material as an active or
excipient, or in which bovine material has been used as an intermediate
in manufacture.

This information and any enquiries should be addressed, for human
medicines, to.......... at Market Towers; and for veterinary medicines
to........... at CVL by 1 July 1989. The format and information required
are as follows:
_____________________________________________________________________
PL/CTC/CTX PL/CTC/CTX Bovine State: Does this product Number Name
Ingredient Active at present conform Excipient conform to the
intermediate guidelines (Y/N)
_____________________________________________________________________
........... ........... .......... ............ ................
........... ........... .......... ............ ................
_____________________________________________________________________

The guidelines, which should be observed on all human and veterinary
medicines containing bovine material are as follows:

1. All bovine material should come from cattle, taken from a closed herd
in the female line since 1980, in which no animal has been clinically
suspected of having BSE and which has not been fed rations containing
ruminant derived protein during that period.

2. No brain, lymphoid tissue, placenta tissue or primary cell cultures
of bovine origin should be used in the manufacture of medicinal products.

3. No tissue is to be used in medicinal products when collected
postmortem from a bovine animal after brain penetrative stunning.

4. All tissue collected from the bovine animal should be taken
aseptically using virgin or sterilised needles, syringes, scalpel blades
etc.

89/01.26/2.4

MF903/1 0534

5. It is recommended that whenever possible, source animals should be
calves up to 6 months old and that the following procedures are observed.

i. For serum: all cellular components must be removed.

ii. For foetal calf serum: great care should be taken to avoid
contamination by placenta and foetal fluids. All cellular components
must be removed.

iii. For faeces: these should be collected from the rectum.

iv. For bile: this should be collected aseptically.

V. For milk or products derived from milk: Collection should be aseptic
from animals under 3 years old.

6. Sterilization procedures should be demonstrated to be capable of
inactivating scrapie-like agents - at present thought to be autoclave at
134°C-138°C for 18 minutes at 30 psi.

89/01.26/2.5

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
############

Approved-By: "Terry S. Singeltary Sr."
Message-ID: <[email protected]>
Date: Tue, 22 Aug 2000 12:09:01 -0700
Reply-To: Bovine Spongiform Encephalopathy
Sender: Bovine Spongiform Encephalopathy
From: "Terry S. Singeltary Sr."
Subject: TSE's and Vaccines [continued]

######### Bovine Spongiform Encephalopathy
#########

BOVINE SPONGIFORM ENCEPHALOPATHY (BSE)

A meeting was held in Room 111 at Richmond House between the CMO and Mr
Andrews (PUS, MAFF). Mr. Heppell and Dr Walford were present. The matter
discussed was the setting-up of the Expert Working Party to give advice
on the veterinary and potential health aspects of the outbreak cf BSE.
It was pointed out by the CMO that the "worst case" on the veterinary
side would be if it become clear as the months passed that BSE is
transmissable within herds of cattle vertically from mother to calf and
laterally within herds eg by eating infected placentae. If this is so it
will not be possible to control the outbreak at this stage. However, it
is possible that the virus does not pass beyond the animal which has
been infected through feeding stuff. On the human health side tne "worst
case" situation would be that the virus could pass to man either through
milk or through meat brain etc. It was agreed that it would be necessary
for the setting-up of the Expert Advisory Group and its recommendations
to become public knowledge. MAFF, however, was reluctant to make a
formal announcement about the setting-up of the group. It considered it
extremely likely that it would need to respond publicly to press reports
of an 0utbreak of BSE in Guernsey and would refer to the setting-up of
the Southwood Expert Group's existence would be announced in relation to
such a press conference. Speed in setting-up the group is therefore
imperative.

88/4.11/2.1 ===========

ANNEX 5 COMMERCIAL IN CONFIDENCE MEDICINES ACT - VETERINARY PRODUCTS
COMMITTEE

Minutes of the Biologicals Committee meeting held on Tuesday 7 June 1988
at 10.00am in the Old Library, Central Veterinary Laboratory, Weybridge.

Dr. Little - Chairman

Mr Bousfield Miss Lucas Mr Boughton Mr Luff Dr Bracewell Dr MacOwan Mr
Gray Mr Murial Mr Harris Dr Thornton Dr Hussaini Mr Travas - Brown Dr
Lee Dr Wilkins Miss Lowe

Mrs Evans - Technical Secretary

The Chairman welcomed Mis Lowe, who had recently joined Animal Medicines
Division at Tolworth, to the Committee.

1. Apologies for absence 1.1 Apologies were received from Mr Cameron, Mr
Hartley, Mr Kidd, Dr Lamont, Mr Watson and Mr Wood.

B L A N K

88/06.07/10.1

B L A N K

88/06.07/10.2

B L A N K

88/06.07/10.3

B L A N K

88/06.07/10.4

B L A N K

88/06.07/10.5

7. Any Other Business

7.1 Bovine Spongiform Encephalopathy

It was noted that the disease would become a notifiable disease from 1
July 1988.

It was agreed that the BP&S document (SP 3663.2), first discussed at the
January 1988 Biologicals meeting, should be re-examined and a set of
guidelines drawn up for industry.

A meeting between Medicines Unit, BP&S and CVL experts on the disease
would be arranged as soon as possible to discuss guidelines. The draft
guideline would be an item on the agenda at the next Biologicals meeting.

8. Date of the next meeting

8.1 The next meeting will be on Tuesday, 5 July 1988 in the Old Library.

JUNE 1988 MEDICINES UNIT CVL, WEYBRIDGE

88/06.07/10.6 ============= ANNEX 6

MEETING HELD ON 8 JUNE 1988 TO DISCUSS THE IMPLICATIONS OF BSE TO
BIOLOGICAL PRODUCTS CONTAINING BOVINE - EXTRACTED MATERIAL

Chairman - Dr Little Mr Bradley Mr Dawson Mrs Evans Mr Gray Mr Kidd Mr
Luff Dr Thornton Mr Wilesmith

BACKGROUND

The first cases of BSE were identified in November/December 1986, but
with reviewing previous data the first confirmed clinical case was found
to be in April 1985.

The incidence of BSE was highest in the South of England but incidents
had occurred from the Shetlands down to Guernsey.

The youngest recorded age at which BSE was confirmed in a cow was 2
years 9 months, while the peak incidence appeared to be in 4 year old
cattle.

It was considered that exposure to the disease had occurred from 1982
onwards and that the incubation period ranged from 3-6+ years.

Calves appeared to be at 30x greater risk than adult cattle and
incidents were significantly more prevalent in dairy rather than beef
suckler herds.

The major source of infection was considered to be infected meat and
bonemeal feedstuffs. It was noted that meat and bonemeal feedstuffs were
exported to Europe and the third world.

BSE AGENT

Characterisation of the protein fibrils of the agent showed it to be a
spongiform encephalopathy agent and as yet no differences between BSE
and scrapie, other than host, have been found.

So far there has been no evidence on BSE transmissibility to other
species, but experiments are underway.

Discussion continued with scrapie being used as the model for BSE
distribution in lymphoid tissues and subsequent treatment.

The tissues most at risk of containing, and consequently transmitting,
scrapie were the brain, spinal cord and lymphoid tissues. Scrapie had
been found in many other tissues including the placenta, pancreas and
lung. However all routes of transmission were considered possible so use
of amy bovine derived tissues were considered to be of some degree of risk.

88/06.08/11.1

BOVINE BIOLOGICAL PRODUCTS

The bovine tissues used in biological products were outlined as:

SERUM

This was the main concern as it was included in the majority of
biological products.

Serum was considered likely to be of low risk for transmission of the
agent. However, utilization of a closed farm with no known clinical
cases would be preferable for serum production. If non-UK serum were to
be included in products it would need to be irradiated to remove any
other viruses or bacteria.

PEPTONE/MEAT DIGEST

For growth media and also used as a freeze-drying stabiliser. Autoclave
treated.

PITUITARY EXTRACT

This was used to help cows super ovulate. This tissue was considered to
be of greatest risk of containing BSE and consequently transmitting the
disease.

BEEF BRAIN AND BRAIN INFUSION BROTHS

Considered to be of great risk.

TISSUE CULTURES DERIVED PROM PRIMARY BOVINE TISSUES

Milk proteins - scrapie had not been found in milk as yet.

OX BILE

FAECES

Scrapie was suspected of being excreted in the faeces, but had not been
isolated yet.

RECOMMENDATION

The greatest concern was the use of pituitary gland products. It was
agreed that the Medicines Unit should prepare a paper to advise Animal
Medicines Division, Tolworth on the course of action to be taken.

It was agreed that B P & S should draw up a full list of all the tissues
involved in biological products. Medicines Unit would produce a list for
pharmaceutical products. A chart of risk assessment should be made for
each of the tissues in relation to the products, together with
appropriate treatments for each tissue.

It was agreed that some form of guidance should be given to companies at
the next NOAH meeting on 11 July.

MEDIClNES UNIT JUNE 1988

88/06.08/11.2 =============

ANNEX 7 COMMERCIAL IN CONFIDENCE 88/07.05/6.1--6.4

[[this seems to have some interesting data they must have forgot to
blank out (foetal calf serum, pituitary based products and other
hormones. However, the quality of the text print is so poor, i have
asked for another copy. should only be a few days before receiving. will
post this document later, will move forward for now...TSS]]

kind regards, Terry S. Singeltary Sr., Bacliff, Texas USA

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
############

Approved-By: "Terry S. Singeltary Sr."
Message-ID: <[email protected]>
Date: Sun, 27 Aug 2000 12:36:43 -0700
Reply-To: Bovine Spongiform Encephalopathy
Sender: Bovine Spongiform Encephalopathy
From: "Terry S. Singeltary Sr."
Subject: BSE AND VETERINARY MEDICINES

######### Bovine Spongiform Encephalopathy
#########

Professor Sir Richard Southwood F.R.S. Department of Zoology University
of Oxford South Park Road Oxford OX1 3PS

26 January 1989

Dear Sir Richard

BSE AND VETERINARY MEDICINES

Thank you for your letter of 20 December.

The Veterinary Products Committee had a very full discussion on BSE at
their last meeting on 19 January when they considered a set of draft
guidelines which had been prepared by the Biologicals Committee in
consultation with various experts at the Central Veterinary Ladoratory
and elsewhere. The VPC have requested further information including a
full list of products involved, including all the old medicines, to
assess the likely effect of various control measures and their
practicality.

The Biologidal Committee has discussed BSE on a number of occasions over
the past year and we have met with the National Office of Animal Health
(who represent the Veterinary Pharmaceutical indusyry) in July, November
and January and have warned them of the need to introduce control
measures to avoid possible problems with material which could to be
contaminated with BSE, and we have also met many of the individual
product licence holders.

Given the difficulty of detecting the BSE agent our philosphy in
drafting guidelines for consideration by the VPC has been to concentrate
on the source and nature of the materials used in the manufacture of
veterinary products.

The experience with scrapie has led vaccine manufacturers to avoid sheep
material. One way forward with the current situation would be to
substitute tissues from other species where either cattle or sheep
material is used but this would cause widespread disruption of supplies.

89/01.26/2.1 ==============

Another way forward would be to use cattle material from a presumed BSE
free source. Manufacturers are already turning to overseas sources and
particularly Ireland but the discovery recently of BSE in Ireland
indicates the problem which may arise from this method of control.
Moreover, the presence of exotic diseases rules out tissues and sera
from many other countries. It might be possible to certify some herds in
the United Kingdom as free from BSE in the future but it will be a long
time before the full range of products used in the manufacture of
biologicals from foetal calf serum to milk casein, could be derived from
such sources.

Another way forward is to look at the constituents of each product and
assess the risk. In some cases substitution may be possible - i.e. the
use of synthetic media for Clostridial vaccines rather than cooked meat
broths or pig bile instead of ox bile. In other cases such as ox brain
for pituitary hormones we have already stopped the use, as synthetic
hormones are widely available.

Foetal calf serum poses a problem in that it will be difficult to find
an adequate substitute. Although the risk is likely to be very low, some
manufactures are looking overseas for supplies.

We are also working very closely with colleagues in the Department of
Health to ensure we issue consistent advice to manufacturers.

I will send you a copy of our guidelines when the VPC approves them.

This certainly is a very serious problem and we look forward to seeing
your report and any other advice you may care to offer.

Yours sincerely

T W A LITTLE

Undisclosed cc: CVO Mr Cruickshank Dr Watson Mr Kidd Mr A Taylor Dr
Thornton Mr A Laurence Mr Wilesmith Dr p Adams, DOH

89/01.26/2.2 ===============

MF903/1 0532

IN CONFIDENCE

HUMAN AND VETERINARY MEDICINES WORKING GROUP ON BSE

PROPOSED JOINT CSM/VPC GUIDELINES FOR INDUSTRY

The following guidelines are addressed to product licence holders and
applicants.

It is intended that all products licensed under the Medicines Act 1968
for human or veterinary use should conform to these guidelines if they
contain material from a bovine source, or if bovine material has been
used as an intermediate in manufacture.

The guidelines apply to products that are administered parenterally or
to open wounds.

Guidelines

1. All bovine material should come from cattle, taken from a closed herd
in the female line since 1980, in which no animal has been clinically
suspected of having BSE and which has not been fed rations containing
ruminant derived protein during that period.

2. No brain, lymphoid tissue, Placenta tissue or cell cultures of bovine
origin should be used in the manufacture of medicinal products.

3. No tissue is to be used in medicinal products when collected
postmortem from a bovine animal after brain penetrative stunning.

4. All tissue collected from the bovine animal should be taken
aseptically using virgin or sterilised needles, syringes, scalpel blades
etc.

5. It is recommended that wheneverpossible, source animals should be
calves up to 6 months old and that the following procedures are observed.

i. For serum: all cellular components must be removed.

ii. For foetal calf serum: great care should be taken to avoid
contamination by placenta and foetal fluids. All cellular components
must be removed. iii. For faeces: these should be collected from the
rectum.

iv. For bile: this should be collected aseptically.

v. For milk or products derived from milk: Collection should be aseptic
from animals under 3 years old.

6. Sterilization procedures should be demonstrated to be capable of
inactivating scrapie-like agents - at present thought to be autoclave,
at 134°C-138°C for 18 minutes at 30 psi.

89/01.26/2.3 =============

MF903/1 0533

DRAFT MAlL ARTICLE

CONCERN ABOUT BSE IN HUMAN AND VETERINARY MEDICINES

Bovine Spongiform Encephalopathy (BSE) is a bovine disease characterised
by rapid degenerative neurological changes culminating in death.

This disease has recently been diagnosed in the UK and although there is
no evidence to suggest that it maybe transmitted to man, the Licensing
Authority considers it prudent, having taken expert advice, including
that of CSM and VPC, to advise that all manufacturers whose products
contain bovine material should conform to the guidelines set out below.

In order that the Licensing Authority may obtain accurate up-to-date
information about all such products, manufacturers are asked to supply
details of products which contain bovine material as an active or
excipient, or in which bovine material has been used as an intermediate
in manufacture.

This information and any enquiries should be addressed, for human
medicines, to.................. at Market Towers; and for veterinary
medicines to................. at CVL by 1 July 1989. The format and
information required are as follows: PL/CTC/CTX PL/CTC/CTX Bovine State:
Does this product Number Name Ingredient Active at present conform
Excipient conform to the Intermediate guidelines (Y/N)

........ .......... ......... .......... .......... ..........

........ .......... ......... .......... .......... .......... The
guidelines, which should be observed on all human and veterinary
medicines containing bovine material are as follows:

1. All bovine material should come from cattle, taken from a closed herd
in the female line since 1980, in which no animal has been clinically
suspected of having BSE and which has not been fed rations containing
ruminant derived protein during that period.

2. No brain, lymphoid tissue, placenta tissue or primary cell cultures
of bovine origin should be used in the manufacture of medicinal products.

3. No tissue is to be used in medicinal products whcn collected
postmortem from a bovine animal after brain penetrative stunning.

4. All tissue collected from the bovine animal should be taken
aseptically using virgin or sterilised needles, syringes, scalpel blades
etc.

89/01.26/2.4 =============

MF903/1 0534 0534

5. It is recommended that whenever possible, source animals should be
calves up to 6 montbs old and that the following procedures are observed.

i. For serum: all cellular components must be removed.

ii. For foetal calf serum: great care should be taken to avoid
contamination by placenta and foetal fluids. All cellular components
must be removed.

iii. For faeces: these should be collected from the rectum.

iv. For bile: this should be collected aseptically.

v. For milk or products derived from milk: Collection should be aseptic
from animals under 3 years old.

6. Sterilization procedures should be demonstrated to be capable of
inactivating scrapie-like agents - at present thought to be autoclave at
134°c-138°C for 18 minutes at 30 psi.

89/01.26/2.5 ===============

TIP740203/1 0424

CONFIDENTIAL

Mr Cunningham CMP3 From: D O Hagger MB1 Dr Salisbury MED/IMCD3 Mr Burton
PD/STB/PGIB Date: 15.02.1989 Mr Dudley PD/AD4

BOVINE SPONGIFORM ENCEPHALOPATHY 1. The purpose of this minute is to
alert you to recent developments on BSE as they affect medicines and to
invite representatives to a meeting in Market Towers on 22 February 1989.

2. The report of the Working Party on Bovine Spongiform Encephalopathy
(BSE) was submitted by the CMO to the Secretary of State for Health and
Minister for Agriculturer on 9 February.

3. The stunmary at the end of the report records, inter alia: 'we have
drawn the attention of the Licensing Authority to the potential of
transfer of BSE agent in human and veterinary medicinal products. In
paragraph 7 of his submission (Annex A), the CMO notes:

"I am also putting work urgently in hand to satisfy myself that
everything possible has been done to ensure .... that transfer of the
BSE agent in human and veterinary medicinal products does not occur."

4. The Veterinary Products Committee meets on 16 February and The
committee on Safety of Medicines on 23 February when each will be
considering a draft of some joint guidelines for manufacturers of
medicinal products which use bovine material as an ingredient or an
intermediate in the manufacturing process (Annex B}.

5. A small DH/MAFF working group met earlier this month and was involved
in the drafting of the proposed guidelines. A further meeting has now
been arranged to consider the position on medicines in the light of the
Southwood report. It will take place on Wednesday 22 February, the day
before the CSM meeting, and will be held in the 19th floor conference
room, Market Towers, starting at 10 am. It will be chaired by Professor
Gerry Collie, who is a member of the CSM and Chairman of its Biological
Sub-Committee. Other independent experts being invited for the first
time are Dr Tyrrell, Dr Kimberlin and Dr Martin. Professor Asscher,
Chairman of CSM proposes to attend as observer. Dr Shild and Dr Minor
from NIBSC will also be present as will officials from Medicines
Division and MAFF. Dr Collie will report the outcome of the meeting to
the CSM when they consider the subject the following day.

6. Although a wide range of medicines may be implicated - and the
present proposal is to write to companies for more information - an
"instant" telephone survey of manufacturer of vaccines used for children
has already been undertaken in response to a request from Dr Harris. The
results are in Dr Adams' minute of 14 February (Annex C) - the proviso
in his second paragraph, last sentence should be noted.

7. I also attach a copy of some draft briefing on veterinary medicines
by MAFF for their Minister in respect of the southwood report,
Paragraphs 1 and 4(1) in particular should be noted.

89/02.15/11.1 =============

TIP740203/1 0425

8. I think it would be helpful if those directly concerned with the
Department's vaccination programme were represented at the meeting on 22
February. I should therefore be glad if addressees would let Mr
Whitbread (MT ext 3234) know who will be attending. A sandwich lunch
will be available if necessary. Finally I should be glad if you would
observe the confidential marking while Ministers are considering the
report.

D O Hagger Rm 1533 Ext 3201 MT

CC:(minute only) Dr Harris Mr Wilson Dr Jones Dr Adams Dr Jefferys Dr
Wood Dr Pickles Dr Rotblat Dr Purves Mr Sloggem Mr Bewley Mr Love Mrs
Alderman Mr Whitbread [[penciled in, cannot read...tss]]

89/02.15/11.2 ================

BOVINE SPONGIFORM ENCEPHALOPATY MEETING HELD ON 21 AUGUST 1989 AT 2:15
IN ROOM 720

Present:

Miss M Duncan (Chairman) Mr W Burton Dr E Hoxey Mrs J Dhell Ms K Turner
Dr S Whittle Mr N Weatherhead 1. Apologies were received from Dr
Richardson who was represented by Dr Whittle. An invitation given to Med
ISD was not taken up.

2. A Status Report Following the Chasing of Non-Responders

Despite letters and telephone calls to the companies who have not
replied the final response was still only about 66%. The committee was
concerned about the number of UK companies who have not yet responded.
Concern was also shown about BSE products being transported around Europe.

The Committee decided that a definitive list was needed of the companies
in the UK and Europe, who have not responded. Those companies would be
sent a 2nd reminder.

ACTION: N Weatherhead

3. Of the 10 companies who were sent a further letter by Mr Burton
requesting why the company gave an affirmative answer to question number
8, only five replied, of these two changed their responses while the
other company answers were accepted. The companies who did not respond
will be chased.

ACTION: N Weatherhead

4. Results of the Additional Enquiries Made

The committee discussed the need for more information on categorisation
of Bovine Products but a decision had to he delayed until the MCA
Working Group met in September.

5. The MCA had sent 2700 questionnaires out, 1,124 had made valid
returns; of these 122 use animal material of some kind and there are 582
pcoducts involved.

6. The MCA/BSE working group will meet on 6th September. Their aim is to
review responses from professional officers in MCA who have suggested
seven categories of importance (with 1 being the most important) for
medical products:-

ID 2267/NRE/1

89/08.21/10.1 ==============

1. Products with Bovine brain/lymph tissue administered by injection.

2. Products with bovine tissue other than brain/lymph administered by
injection.

3. Tissue implants/open wound dressing/surgical materials/dental and
ophthlamic products with bovine ingredients.

4. Products with bovine ingredients administered topically.

5. Products with bovine ingredients administered orally.

6. Products with other animal/fish/insect/bird ingredients administered
by injection /topically/oral routes.

7. Products with ingredients derived from animal material by chemical
processing (eg stearic acid, gelatine lanolin ext.

The BSE working group will decide which of these are important, and
should be examined more closely, and which categories can be eliminated.

The responses by the companies were presented by Ms Turner and were
categorised by MCA standards, the products that were discussed were all
low volume usage products eg sutures, heart valves

8. As the responses included some materials of human origin it was
decided that more information should be sought about CJD. There had been
2 recent deaths reported associated with human growth hormone. These
were being investigated.

9. Re-editing of the Paper on "Incubation of Scrapie-like Agents"

It was suggested that the document could be sent out to companies with
the non-standard sterilization Document. The document could have severe
implications on the companies whose products have a high risk factor as
decided by the MCA working group. It was decided that the committee also
needed consultation on abattoir systems working within the UK. Advice
could be gained from David Taylor of the Agricultural Research Council
in Edinburgh who could give information on how Europe and the rest of
the world maintain satisfactory standards. The results of this
information may have implications for the document.

The 'introduction' in the document will be changed to include further
CJD information the document will then be given to the BGRP who will be
asked to recommend who should receive it.

10. Is MAFF Input Necessary

It was decided that MAFF will only be approached when consultation on
the Guidelines are necessary.

ID 2267/NRE/2

89/08.21/10.2 ==============

11. The Need for a List of High Priority Implantables

The commitee decided that no list is necessary as all implantables,
including ones from a human source are of high priority. Concern was
shown over Killingbeck who use human material but had not yet responded.
The company will be chased for a response.

Concern was shown over the fact that there may be other scrapie-like
organisms in other animals and further enquiries should be made.

Action N Weatherhead W Burton

12. Possible Policy Options

1. MCA should be pressed for a decision over action on the high risk
category products.

2. What action about should be taken about the limited effect of current
sterilization methods on BSE.

3. What action should be taken against companies that claim to meet the
guidelines.

N D WEATHERHEAD

ID 2267/NRE/3

89/08.21/10.3 ================

kind regards, Terry S. Singeltary Sr, Bacliff, Texas USA

############ http://mailhost.rz.uni-karlsruhe.de/warc/bse-l.html
############

WITH all this data, plus new studies showing TSE and BSE in the non cns
tissue;

According to Nov. 2 Yomiuri Newspaper, researchers of the Prion
Disease Research Center, the National Institute of Animal Health
of Japan reported in the International Symposium of Prion Diseases
held in Sendai from October 31 to November 2., 2004, that they
detected prion in the adrenal gland and peripheral (sciatic and
peroneal) nerves of the 11th BSE case of Japan (a 94-months old
cow found dead on the farm on March 4 this year).

http://www.maff.go.jp/www/press/cont2/20041101press_7.htm
(only in Japanese)

EMBO reports AOP Published online: 11 April 2003

Widespread PrPSc accumulation in muscles of hamsters orally infected with
scrapie

Achim Thomzig, Christine Kratzel, Gudrun Lenz, Dominique Krüger &
Michael Beekes Robert Koch-Institut, P26, Nordufer 20, D-13353 Berlin,
Germany

Received 13 February 2003; Accepted 13 March 2003; Published online 11
April 2003.

Abstract :

Scrapie, bovine spongiform encephalopathy and chronic wasting disease
are orally communicable, transmissible spongiform encephalopathies
(TSEs). As zoonotic transmissions of TSE agents may pose a risk to human
health, the identification of reservoirs for infectivity in animal
tissues and their exclusion from human consumption has become a matter
of great importance for consumer protection. In this study, a variety of
muscles from hamsters that were orally challenged with scrapie was
screened for the presence of a molecular marker for TSE infection, PrPSc
(the pathological isoform of the prion protein PrP). Sensitive western
blotting revealed consistent PrPSc accumulation in skeletal muscles from
forelimb and hindlimb, head, back and shoulder, and in tongue.
Previously, our animal model has provided substantial baseline
information about the peripheral routing of infection in naturally
occurring and orally acquired ruminant TSEs. Therefore, the findings
described here highlight further the necessity to investigate thoroughly
whether muscles of TSE-infected sheep, cattle, elk and deer contain
infectious agents.

http://www.emboreports.org/

Prions in skeletal muscle

Patrick J. Bosque*,dagger ,Dagger , Chongsuk Ryou*, Glenn Telling*,§,
David Peretz*,dagger , Giuseppe Legname*,dagger , Stephen J.
DeArmond*,dagger ,¶, and Stanley B. Prusiner*,dagger ,||,**

* Institute for Neurodegenerative Diseases and Departments of dagger
Neurology, ¶ Pathology, and || Biochemistry and Biophysics, University
of California, San Francisco, CA 94143

Contributed by Stanley B. Prusiner, December 28, 2001

Considerable evidence argues that consumption of beef products from
cattle infected with bovine spongiform encephalopathy (BSE) prions
causes new variant Creutzfeldt-Jakob disease. In an effort to prevent
new variant Creutzfeldt-Jakob disease, certain "specified offals,"
including neural and lymphatic tissues, thought to contain high titers
of prions have been excluded from foods destined for human consumption
[Phillips, N. A., Bridgeman, J. & Ferguson-Smith, M. (2000) in The BSE
Inquiry (Stationery Office, London), Vol. 6, pp. 413-451]. Here we
report that mouse skeletal muscle can propagate prions and accumulate
substantial titers of these pathogens. We found both high prion titers
and the disease-causing isoform of the prion protein (PrPSc) in the
skeletal muscle of wild-type mice inoculated with either the Me7 or
Rocky Mountain Laboratory strain of murine prions. Particular muscles
accumulated distinct levels of PrPSc, with the highest levels observed
in muscle from the hind limb. To determine whether prions are produced
or merely accumulate intramuscularly, we established transgenic mice
expressing either mouse or Syrian hamster PrP exclusively in muscle.
Inoculating these mice intramuscularly with prions resulted in the
formation of high titers of nascent prions in muscle. In contrast,
inoculating mice in which PrP expression was targeted to hepatocytes
resulted in low prion titers. Our data demonstrate that factors in
addition to the amount of PrP expressed determine the tropism of prions
for certain tissues. That some muscles are intrinsically capable of
accumulating substantial titers of prions is of particular concern.
Because significant dietary exposure to prions might occur through the
consumption of meat, even if it is largely free of neural and lymphatic
tissue, a comprehensive effort to map the distribution of prions in the
muscle of infected livestock is needed. Furthermore, muscle may provide
a readily biopsied tissue from which to diagnose prion disease in
asymptomatic animals and even humans. Dagger Present address: Department
of Medicine, Denver Health Medical Center, Denver, CO 80204.

§ Present address: Department of Microbiology and Immunology, University
of Kentucky, Lexington, KY 40536-0230.

** To whom reprint requests should be addressed. E-mail: [email protected].

www.pnas.org/cgi/doi/10.1073/pnas.052707499

http://www.pnas.org/cgi/content/abstract/99/6/3812?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=prusiner&author2=prusiner&titleabstract=prions+meat+tissue+mice&fulltext=prions+meat+tissue+mice&searchid=1024346978866_6016&stored_search=&FIRSTINDEX=0&fdate=1/1/2002

Extraneural Pathologic Prion Protein in Sporadic Creutzfeldtâ¬Jakob
Disease


Markus Glatzel, M.D., Eugenio Abela, Manuela Maissen, M.S., and Adriano
Aguzzi, M.D., Ph.D.


snip...


Conclusions Using sensitive techniques, we identified extraneural
deposition
of PrPSc in spleen and muscle samples from approximately one third of
patients
who died with sporadic Creutzfeldtâ¬Jakob disease. Extraneural PrPSc
appears
to correlate with a long duration of disease.

http://content.nejm.org/cgi/content/short/349/19/1812?query=TOC

WITH all this data mounting, there is only one logical thing to do at
this point
in time. WE must remove all animal tissue from these products...

thank you,

with kindest regards,
I am sincerely,

Terry S. Singeltary Sr.
P.O. Box 42
Bacliff, TEXAS USA 77518






-------- Original Message --------
Subject: Bovine-derived Products Used in the Manufacture and Formulation of Vaccines: Current Policies and Issues for the Future
Date: Fri, 5 Nov 2004 15:06:53 -0600
From: "Terry S. Singeltary Sr."
Reply-To: Bovine Spongiform Encephalopathy
To: [email protected]


##################### Bovine Spongiform Encephalopathy #####################

2004 PDA/FDA Joint Regulatory Conference - 9/20-22/2004

Bovine-derived Products Used in the
Manufacture and Formulation of
Vaccines: Current Policies and
Issues for the Future
William M. Egan, Ph.D.
Acting Director
Office of Vaccines Research and Review
September, 2004
FDA/PDA Meeting
Examples of Bovine-derived Products
Used in Vaccine Manufacture
" Fetal calf serum
" Beef muscle/organ extracts
" Gelatin/processed gelatin
" Small molecules (amino acids, peptides,
lactose, Tween, glycerol)
CBERs Policy Regarding the Sourcing
of Bovine-derived Materials
[T]hat manufacturers & assure that materials
derived from all species of ruminant animals
born, raised, or slaughtered in countries where
BSE is known to exist, or countries where the
USDA has been unable to assure FDA that BSE
does not exist, are not used in the manufacture
of FDA-regulated products intended for
administration to humans.
[April, 2000, CBER Letter to Manufacturers of Biological
Products]
CBERs Policy Regarding the Sourcing
of Bovine-derived Materials
" May, 1991, CBER Letter to Manufacturers
" December, 1993, FDA Letter to Manufacturers
" May, 1996, FDA Letter to Manufacturers
" September, 1997, FDA Guidance for Industry on the
Sourcing and Processing of Gelatin
" April, 2000, CBER Letter to Manufacturers of
Biological Products
" May, 1993, Points to Consider in the Characterization
of Cell Lines used to produce Biologics. (This
guidance document is being updated)
Vaccines not Following
CBER/FDA Recommendations
" In early 2000, through a product review, CBER
learned that its recommendations were not
universally followed for all vaccines.
" Risk estimates for various situations were carried
out and CBER developed recommendations for
the affected manufacturers.
" Discussed in a joint session of the TSE Advisory
Committee and Vaccines and Related Products
Advisory Committee (7/2000).
Recommendations of the July, 2000
Joint Advisory Committees
" Bovine-derived materials used in the routine
production of vaccines that are sourced from
countries on the USDA list should be replaced
with bovine-derived materials from countries not
on the USDA list
" Working bacterial and viral seed banks and
WCBs that were established with bovine-derived
material from countries on the USDA list should
be re-derived with bovine-derived materials from
countries not on the USDA list
Recommendations of the Joint
Advisory Committees (contd)
" Master viral and bacterial seed banks that were
established with bovine-derived material from
countries on the USDA list need not be rederived
with bovine-derived materials from
countries not on the USDA list.
" These issues are of public interest and the public
should be informed about the safety of vaccines
that used materials from countries on the USDA
list and the assessment of the nature of any risk
for vCJD from such vaccines.
Update from 2000 Meeting
" Web site created containing transcript of AC
meeting, risk assessments, and listing of
affected vaccines with periodic updates;
www.fda.gov/cber/bse/bse.htm.
" New sources of bovine materials found and
used in manufacturing.
" Working cell and seed banks re-derived,
qualified, and placed into production.
" Nearly all of the affected vaccines are now
out of date
The Policy is Clear, But &
Source country control can be problematic when
new countries are added to the list:
Licensed products remain on the market
Manufacturing time-lines are long (> 1 year)
The status of master cell and seed banks, as
well as working cell and seed banks, become
unclear; re-derivation and re-qualification take
time and may not always be possible
The status of products in development (pre-
IND through BLA) becomes unclear
Risk benefit decisions continue to be needed
EMEA Guidance on Minimizing the Risk of
Transmitting Animal TSE Agents via
Medicinal Products
" Revision of 1/28/04; date of application of the
note is July 1, 2004
" Undertaken to introduce, inter alia, risk
assessment into the regulatory compliance
process, clarify terms and classifications, and
take into account advances in scientific
knowledge
" Use of the revised WHO infectivity classification
scheme
" Guidance applied prospectively
Vaccines and North American
Sourced Bovine Materials
" BSE-infected cows found in Canada and the U.S.,
the latter being born in Canada
" Bovine-derived materials from cattle that are
born, raised, or slaughtered in the U.S. and
Canada are used in U.S.-licensed vaccines and
vaccines under development.
" OVRR has not requested that vaccine
manufacturers replace existing Canadian or U.S.
sources of bovine-derived material.
USDA Proposed Rule re: Canada
" USDA proposed rule [October 31, 2003;
http://www.aphis.usda.gov] to allow for, inter
alia, import of:
Bovine animals less than 30 months of age for
immediate slaughter
Fresh meat from carcasses of bovines less than 30
months of age; specified organs/tissues
" USDA will review comments as it makes any final
decision on the importation of certain live
ruminants and ruminant products from Canada
and other minimal risk regions for BSE.
FDA Interim Final Rule (IFR): Use of Materials
Derived from Cattle in Human Food (including
dietary supplements) and Cosmetics
" July 14, 2004 [Federal Register Volume 69,
Number 134; pages 42255 - 42274
" Interim final rule in response to finding of an
adult cow, in the State of Washington, imported
from Canada, that tested positive for BSE
" Prohibited materials are defined
" Consistent with recent USDA IFR
" FDA is currently considering changes to the
ruminant feed ban regulation
US FDA Interim Final Rule: Use of Materials
Derived from Cattle in Human Food (including
dietary supplements) and Cosmetics
" Prohibited cattle material mean specified risk
materials (SRMs), small intestine of all cattle,
material from nonambulatory disabled cattle,
material from cattle not inspected and passed, or
MS (beef).
" SRMs mean brain, skull, eyes, trigeminal ganglia,
spinal cord, vertebral column (with certain
exclusions), and dorsal root ganglia of cattle 30
months of age and older and the tonsils and distal
ileum of the small intestine of all cattle.
Medicinal Products
A rule for medicinal products (human
drugs, biologics, and medical devices,
as well as veterinary drugs) is
currently being developed by FDA.
Areas for Consideration
" Replacement of animal-derived materials with
non-animal-derived or synthetic materials
" Use of serum-free cell culture systems
" Use of closed herds as a source of bovine
materials, especially for higher risk materials,
when such materials are needed.
" Replacement of human serum albumin with
recombinant albumin
Areas for Potential Research
" Ability of cells (CHO cells, Vero cells,
MRC-5 or WI-38 cell, etc.) to propagate
the BSE agent, if present [see, e.g.,
I. Vorberg, A. Raines, B. Story, and S.
A. Priola, Susceptibility of common
fibroblast cell lines to TSE agents, J.
Infect. Dis., 189, 431-9 (2004)]
" Ability of various manufacturing steps
to clear the BSE agent, if present



http://www.fda.gov/cber/summaries/pda092004we.pdf



2004 PDA/FDA Joint Regulatory Conference - 9/20-22/2004

* Bovine-derived Products Used in the Manufacture and Formulation of
Vaccines: Current Policies and Issues for the Future
William M. Egan, Ph.D. - (PDF)




http://www.fda.gov/cber/summaries/pda092004we.pdf



TSS

################# [email protected] #################
 
Terry this is all too lengthy, you need to cut to the chase with shorter bits. We have cattle to feed and care for.

I was one to suggest to you, years ago now, that the BSE epidemic was likely promoted due to the iatrogenic tranmission (injection) of growth hormones in cattle. This is a location where heavy metals will accumulate, as well - by the way.

Are you agreeing with me now, that iatrogenic tranmission may have played a major role in BSE transmission in the UK?

It is no coincidence that natural growth hormones were banned, and that the UK banned them several years before the EU mandate would have forced them. The UK banned growth hormones for cattle in 1986, but didn't have to until 1989.

The EU still maintains a ban on growth hormone usage, but there is a terrible black market problem - so the news articles say.

Will you use your influence and time, which you appear to have alot of (time to do this) to ask for the "characterization of prions"?

When I was discussing this issue with a newly made acquaintence the other day, he said he "thought it was very possible that if radio-active isotopes were involved with the prion, that this could create the transmissible aspect of a metal poisoning."

This gentleman was very well-learned in chemistry and biology; but, I still have to ask him about his credentials/education. He was a very intelligent man, and I really must applaude people who take such time and effort to learn about specific issues that are affecting their lives, and communities (PhD or not).

By the way, "who are you and who do you work for?" was the first responses I received from Dr. Matthews, and those in power in the UK, as well.
 
kathy wrote;



Posted: Fri Mar 10, 2006 1:54 pm Post subject:

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

Terry this is all too lengthy, you need to cut to the chase with shorter bits. We have cattle to feed and care for.


THEN TEND TO YOUR COWS, others that are serious about this disease want the info., they have told me so. ...TSS



I was one to suggest to you, years ago now, that the BSE epidemic was likely promoted due to the iatrogenic tranmission (injection) of growth hormones in cattle. This is a location where heavy metals will accumulate, as well - by the way.



KATHY, YOU DID NOT SUGGEST ANYTHING TO ME THAT I RECALL. I HAVE BEE BEATING THIS POTENTIAL ROUTE FOR ALMOST 7 YEARS, AND PLEASE MAKE UP YOUR MIND, EITHER METALS OR THE OTHER KNOWN AND DOCUMENTED ROUTES. ...tss



Are you agreeing with me now, that iatrogenic tranmission may have played a major role in BSE transmission in the UK?


KATHY, I HAVE NEVER AGREED WITH YOU MUCH THAT I RECALL. IF YOU GO BACK AND LOOK AT THE DATES, I WAS BEATING THIS POTENTIAL ROUTES WAY BEFORE I KNEW YOU. WHY DO YOU SAY THINGS THAT ARE NOT TRUE???


It is no coincidence that natural growth hormones were banned, and that the UK banned them several years before the EU mandate would have forced them. The UK banned growth hormones for cattle in 1986, but didn't have to until 1989.

The EU still maintains a ban on growth hormone usage, but there is a terrible black market problem - so the news articles say.

Will you use your influence and time, which you appear to have alot of (time to do this) to ask for the "characterization of prions"?


NO, DONT HAVE TIME TO WASTE WITH YOU...tss



When I was discussing this issue with a newly made acquaintence the other day, he said he "thought it was very possible that if radio-active isotopes were involved with the prion, that this could create the transmissible aspect of a metal poisoning."

This gentleman was very well-learned in chemistry and biology; but, I still have to ask him about his credentials/education. He was a very intelligent man, and I really must applaude people who take such time and effort to learn about specific issues that are affecting their lives, and communities (PhD or not).

By the way, "who are you and who do you work for?" was the first responses I received from Dr. Matthews, and those in power in the UK, as well.




CANT' BLAME HIM.................tss
 
You truly are a waste of time trying to talk to Terry.

When I posted information about iatrogenic transmission at the veggie site, you were not supportive of my comments.

Since the PrSc prion is a metallo-protein, meaning it has metals attached to it, there is obviously a connection to metal contamination.

Since you and reader both wish to discredit my postings all of the time, I can only shake my head with wonder.

But, since I am not posting these things for you two to read, since you declare that it is prattle and of no value, I suggest you also, do not read my postings of facts and findings.

Yes, people might like to read your long postings, but it would be nice if you highlighted the points for some of us that don't have all day to sit at the computer. I do read what I can of your postings. I'm not saying don't post it, just make it a little easier for some of us to identify your main points.

I am very serious about this issue; Alberta has a cluster of BSE cases, and sky-rocketing cancer rates, especially for thyroid cancers, Hodgkin's diseases (lymphomas) and bone-connective tissue cancers.
 
Kathy, you might not agree with the whole study below. But it does tie prions with metals:


New study shows how mad cow prions hitch a ride into intestine
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Main Category: CJD/vCJD/Mad Cow Disease News
Article Date: 15 Dec 2004 - 0:00am (UK)

They piggyback on iron-storing proteins after surviving digestive juices - A new study from the Department of Pathology at Case Western Reserve University School of Medicine shows that the infectious version of prion proteins, the main culprits behind the human form of mad cow disease or variant Creutzfeldt-Jakob Disease (vCJD), are not destroyed by digestive enzymes found in the stomach. Furthermore, the study finds that the infectious prion proteins, also known as prions, cross the normally stringent intestinal barrier by riding piggyback on ferritin, a protein normally absorbed by the intestine and abundantly present in a typical meat dish. The study appears in the Dec. 15 issue of the Journal of Neuroscience.

Prions are a modified form of normal proteins, the prion proteins, which become infectious and accumulate in the nervous system causing fatal neurodegenerative disease. Variant CJD results from eating contaminated beef products from cattle infected with mad cow disease. To date, 155 cases of confirmed and probable vCJD in the world have been reported, and it is unclear how many others are carrying the infection.

According to the study's senior author Neena Singh, M.D., Ph.D., associate professor of pathology, little is known about the mechanism by which prions cross the human intestinal barrier, which can be a particularly difficult obstacle to cross.

"The mad cow epidemic is far from over, and the continuous spread of a similar prion disease in the deer and elk population in the U.S. raises serious public health concerns," said Singh. "It is therefore essential to understand how this disease is transmitted from one species to another, especially in the case of humans where the infectious prions survive through stages of cooking and digestion."

Using brain tissues infected with the spontaneously occurring version of CJD which is also caused by prions, the researchers simulated the human digestive process by subjecting the tissue to sequential treatment with digestive fluids as found in the human intestinal tract. They then studied how the surviving prions are absorbed by the intestine using a cell model. The prions were linked with ferritin, a cellular protein that normally binds excess cellular iron to store it in a soluble, non-toxic form within the cell.

"Since ferritin shares considerable similarity between species, it may facilitate the uptake of prions from distant species by the human intestine,"said Singh."This important finding provides insight into the cellular mechanisms by which infectious prions ingested with contaminated food cross the species barrier, and provides the possibility of devising practical methods for blocking its uptake," she said. "If we can develop a method of blocking the binding of prions to ferritin, we may be able to prevent animals from getting this disease through feed, and stop the transmission to humans."

Currently, Singh's group is checking whether prions from distant species such as deer and elk can cross the human intestinal barrier.

The study was supported by National Institutes of Health grants.
 
Yes, Mike I have seen this study. Thanks for posting it.

The processed prions may indeed pass through the intestine. The following study by Dr. Francois Paquet of France, et al. showed that uranium was absorbed via the small intestine, also. The question for consideration is what agent causes the disease process? Is a protein contaminated with radio-active ions 'infectious' or 'toxic'? If the PrPSc proteins are never analyzed ("characterized") for their make up, ie: those metals, phosphour, sulfides, etc. (the elements which make up the prion), then this question can never be answered. I repeat that even after ashing prions to temperatures above 600 degrees celcius, some transmission experiments have still succeeded.

Int. J. Radiat. Biol. 2005 Jun;81(6):473-82
Absorption of uranium through the entire gastrointestinal tract of the rat.

Dublineau I, Grison S, Baudelin C, Dudoignon N, Souidi M, Marquette C, Paquet F, Aigueperse J, Gourmelon P.

Institut de Radioprotection et de Surete Nucleaire, Direction de la RadioProtection de l'Homme, Service de Radiobiologie et d'Epidemiologie, Laboratoire de Radiotoxicologie experimentale, Fontenay-aux-Roses Cedex, France. [email protected].

The aim was to determine the gastrointestinal segments preferentially implicated in the absorption of uranium. The apparent permeability to uranium (233U) was measured ex vivo in Ussing chambers to assess uranium passage in the various parts of the small and large intestines. The transepithelial electrical parameters (potential difference, short-circuit current, transepithelial resistance and tissue conductance) were also recorded for each segment. Determination of in vivo uranium absorption after in-situ deposition of 233U in digestive segments (buccal cavity, ileum and proximal colon) and measurements of uranium in peripheral blood were then made to validate the ex vivo results. In addition, autoradiography was performed to localize the presence of uranium in the digestive segments. The in vivo experiments indicated that uranium absorption from the digestive tract was restricted to the small intestine (with no absorption from the buccal cavity, stomach or large intestine). The apparent permeability to uranium measured with ex vivo techniques was similar in the various parts of small intestine. In addition, the experiments demonstrated the existence of a transcellular pathway for uranium in the small intestine. The study indicates that uranium absorption from the gastrointestinal tract takes place exclusively in the small intestine, probably via a transcellular pathway.

PMID: 16249162
 

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