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10, 2000

British scientists predict sharply fewer deaths from mad-cow Disease


Agence France-Presse

PARIS - British scientists have cut by more than two-thirds the projected number of deaths from a brain disorder linked to eating tainted beef.

Computer estimates by Oxford University's Wellcome Trust Center put the maximum number of cases in Britain from variant Creutzfeldt-Jakob disease (vCJD) at 136,000 over the next 40 years.

The final toll could be in the hundreds or even as low as 75, depending on the disease's incubation period, it said.

These figures compare with the center's estimate at the end of last year that up to half a million people could die. Estimates by other researchers have suggested a theoretical toll in the millions.

The Wellcome Trust team, publishing its findings in Thursday's issue of the British scientific weekly Nature, said the big fall was because they believed it may be much harder for humans to catch the vCJD agent from animals than previously thought.

"The current data suggest that, on average, no more than two cases of vCJD could arise from the consumption of one maximally infectious bovine," it said, noting that a year ago, the projected figure was more than 100 cases per infected cow.

"This suggests a substantial species barrier (to the infectious agent), given that thousands of people might eat material from a single animal."

It added that the maximum toll of 136,000 would only occur if the vCJD agent proved to have a long incubation period of more than 60 years -- in other words, that vast numbers of people had ate infected beef decades ago but were yet to exhibit any symptoms.

If, on the other hand, vCJD had an incubation period of less than 20 years, the outbreak would soon peak.

In that case, the total number of cases over the next four decades would be comparatively tiny, of between 75 and 630.

Researcher Azra Ghani stressed that vCJD remained a new and still mysterious disease, which explained the enormous variations in estimates.

"We just don't know which of these many scenarios we are going to end up with," she told AFP.

"It could either be that there is a strong species barrier and not many people will be infected, or it could be a (steady) trickle, an epidemic that is heading upwards and could be much larger."

These scenarios, with their outcomes dependent on the incubation period, are based on there being a tally of at least 15 more cases of vCJD reported this year.

Britain's Department of Health on Tuesday said the total number of cases, from Jan. 1 to Aug. 4, was 13, bringing the total to 79.

In addition, the Wellcome Trust model is also based on the assumption that the only people at risk will be those carrying a genetic sequence known to make them vulnerable to vCJD, which is about 40 percent of the British public.

That supposition is contested by some scientists, who say it may be possible for people without this genetic sequence to catch the infectious agent and harbor it for years before they display any symptoms.

The disease is believed to be caused by eating beef infected with bovine spongiform encephalopathy (BSE), an ailment spread by British farmers who fed their cattle ground-up bodies of sheep which turned out to be infected with a rogue protein.

The problem came to light in the late seventies, leading to measures culminating in 1996 that aimed to stop infected animals from entering the food chain.

As its name suggests, vCJD is a form of Creutzfeldt-Jakob disease, which causes microscopic holes to develop in the brain, turning it spongy. The victim suffers jerky movements, forgetfulness, dementia and finally death.

There is no cure or vaccine for vCJD at present.

 

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