Flashcards
Spongiform Encephalopathies - CW
Cards in this deck (47)
- 1What are Spongiform Encephalopathies?A group of diseases characterised by progressive vacuolisation of brain cells
- 2What are the general resulting symptoms of Spongiform Encephalopathies?- Chronic progressive nervous symptoms
- Progressive debilitation
- Death - 3List the many Spongiform Encephalopathies that are known.- BSE (cattle)
- Scrapie (sheep)
- Kuru (man)
- Creutzfeld Jacob Syndrome (man)
- variant Creutzfeld Jacob Syndrome (man)
- Gertsmann-Straussler-Scheinker syndrome (man, hereditary)
- Fatal Familial Insomnia (man)
- Transmissible mink encephalopathy (mink)
- Feline spongiform encephalopathy (cat)
- Chronic wasting disease (deer) - 4What is a prion protein?- Normal membrane associated protein, function unknown (PrPc)
- Abnormal prion protein (PrPsc) - 5What are features of the PrPsc?- Protein misfolding; higher proportion of β-sheet structure instead of α-helix (increased amyloid protein)
- Causes other normal prion proteins to change into abnormal proteins as well
- Is extremely stable, therefore accumulates in the brain cell
- When ingested, acts as an infectious agent (always) - 6What is the issue with PrPsc?Will build up over many years
- 7What are general characteristics of PrPc?- Non-infectious
- Detergent soluble
- Protease-sensitive - 8What are general characteristics of PrPsc?- Infectious
- Insoluble
- Protease-resistant
- Difficult to eradicate
- Rendering doesn't inactivate - 9Give 2 other theories for prions.- Viral hypothesis
- Multi-component hypothesis - 10When was Bovine Spongiform Encephalopathy (BSE) found?First seen in 1986
Peaked in 1992 – 36680 cases - 11What was BSE linked to?Feeding of ruminant animal/animal derived protein to cattle
- 12What was the result of BSE?- Ban of feeding ruminant animal protein and animal derived protein to cattle in 1988
- Notifiable since 1988 - 13Who is BSE most likely to infect?- Both sexes
- Mostly over 5 years f age (due to accumulation)
- Lasts several weeks and invariably progressive and fatal - 14What was the only way that cattle could have become infected?- Use of commercially produced compound feed containing meat and bone meal (ruminant derived)
- 15How could there have become infection of BSE in meat and bone meal?- From Scrapie infected sheep and used for animal derived protein
- Possibly:
i. Exposure to rare sporadic BSE
ii. New strain of scrapie infectious to cattle
iii. Imported bone meal from infected country - 16What are the clinical signs of BSE?- Exaggerated fear response
- Reluctance on corners, doors, milking
- Occasional aggression
- Kicking when milked
- Head held low
- High stepping gait (particularly hind legs)
- Skin tremors
- Loss of condition
- Recumbency - 17What does the incidence of BSE allow us to see?That it was a point of source contamination
- Culled any with clinical sign and led to decrease - 18What is the general trend with incidence of BSE in the UK?- 61% of all dairy farms affected (81% of BSE cases are dairy origin)
- - Dairy receive more supplementary feed
- 16% of all beef suckler herds affected
- Within her incidence <2.7%
- LOW incidence - 19What is the relevance of BSE?Human variant CJD
- BSE in cattle cause of varient Creutzfield Jacob Syndrome in people
- Mainly younger people
- Onset of signs to death is about 6 months - 20When was the peak of vCJD in people?2001- lots of time after the 1992 peak of BSE (some not culled and then eaten)
- 21Is vCJD high or low incidence?Low
- 22What are the food safety aspects?- Contracting vCJD from BSE infected food there is insufficient evidence
- No clustered until recently
- One cluster from local butcher - enabled contamination of meat by CNS material
- Further research into BSE-vCJD link - genetic susceptibility - 23What is the likely spread of BSE?- Not horizontal
- Vertical:
i. not semen
ii. BSE in calves that are offspring to clinical cases are higher. Highest if born after clinical onset in dam
iii. No maternal effect in calves born 2 years before onset of clinical disease in dam - 24How can you diagnose BSE?- Ante mortem: clinical signs
- Post-mortem:
- histopathology
- Antibody-based tests for PrPsc protein (Western blot with brain, immunocytochemistry with brain, tonsil, third eyelid, ELISA with spinal cord/brainstem) - 25What is the Cattle Tracing System (CTS)?1. The Cattle Identification Regulations 1998
2. Cattle passports:
- Each animal entering the food chain has passport
- Records to be kept
- Began 1996
3. Numeric ear tagging from 17 January 2000
4. CTS: computerised database operated by BCMS:
- Full history about birth, movement and death of all cattle since 28 September 1998 (and 1996-98 retrospectively)
- Cheque-book style passports
- Now paper sheets - 26How are older animals regulated?The Cattle (Identification of Older Animals) Regulations 2000:
- Animals born before the onset of the cheque-book style passports
- Registered on national database,
- Movements recorded since 2000 - 27What are the feed controls?- Ruminant protein ban 1988
- Mammalian protein to ruminants ban 1994
- BSE Order 1996:
- Prohibition of all mammalian protein (except milk, gelatin, amino acids, dried blood products) to ruminants (and fishmeal to animals other than ruminants)
- Prohibition of mammalian meat and bone meal (MMBM) to any farmstock
- Ban of MMBM at feed-handling premises - 28What is the control over 30 months scheme (OTMS)?1. Government paid (£0.50/kg) for OTM cattle to be slaughtered:
- Slaughter at dedicated abattoirs
- Meat banned for human consumption
- Carcasses incinerated or rendered and destroyed
2. Withdrawn 2006: OTM cattle into food chain with restrictions (removal of VC)
3. 4.25 million cattle slaughtered under OTMS - 29What is the Offspring Cull Scheme?1. Feed ban since 1st August 1996
- Maternal transmission only remaining route
- Animals born after ban, at risk from infection by dam, slaughtered
- All offspring of female BSE cases born within 2 years of diagnosis culled
2. Scheme come to natural end - 30What testing was/is done?- Before 2009 cattle over 30 months for human consumption tested
- Later 48 months and 72 months
-NOW Fallen stock over 48 months
- Sheep/Goat surveillance
- Cohorts of BSE cases
- Results of testing: 0 positives - 31What are other control measures?- Specified Risk Material Regulations 1997
- Amendments thereafter
- Commission Decision 2000/418/EC
- Specified Risk Material Order 1997 - 32What is Scrapie?Fatal brain disease in sheep and goats
- Experimentally given to other animals
- Many countries and UK - 33What is the additional concern with sheep and BSE?- Can be infected with BSE experimentally
- Clinical signs in sheep very similar; possible that BSE in sheep occurred but masked by scrapie
- No evidence for natural infection of sheep with BSE - 34What are the clinical signs of Scrapie?- Change in temperament or behaviour before specific signs
- Most between 2 and 5 years
- Single cases in flocks
- Any time of year but stress causes clinical signs to appear
- Gradual development over weeks or months
- Some cases rapid deterioration of condition
- Occasionally dead with no signs
- Repeated rubbing of flanks and hindquarters against objects
- Scratching of flanks, nibbling or grinding teeth when rubbing or when rubbed firmly
- Continued scratching of shoulder or ear with hind foot
- Unusual or agitated nibbling of feet, legs, other body parts
- Excessive wool loss or skin damage - 35What are the signs of Scrapie in goats?Scratch legs against objects but often scratch vigorously with horns or feet
(lesions on back from horns) - 36What are the changes of behaviour associated with Scrapie?- Excitable
- Drooping ears
- Increased nervousness or fear response
- Lagging behind
- Aggression
- Depression or vacant stare - 37What are the changes in posture and movement associated with Scrapie?- Trembling
- Unusual high stepping trot
- Severe incoordination
- Stumbling
- Standing awkwardly
- Weak hind legs
- Unable to stand
- Weight loss and death - 38What is the issue with Scrapie?Lots of differentials
- In most cases there are a number of signs but none are definite indication for scrapie
- Should be considered in any sheep or goat that is showing nervous signs or behaviour changes - 39How do you diagnose Scrapie?- No obvious alternative diagnosis:
- Report case to AH for further investigation
- Nearly 500 suspect cases a year reported
- Only certain way to diagnose:
Laboratory tests on tissues after death
- No test available yet to identify infected live animals, might become available within next years.
- Penalties for not reporting severe; heavy fines or imprisonment, or both. Scrapie compensation payments will not be made - 40What will happen if you notify AH?A Veterinary Officer will visit farm:
- If suspected, animal humanely euthanised by lethal injection
- Samples of brain and other tissues submitted for definitive diagnosis, carcass incinerated
- If clinical examination inconclusive, the animal placed under movement restriction on farm for 28 days. - 41What happens if it is confirmed at Scrapie?- From 2004, European legislation:
i. Compulsory Scrapie Flocks Scheme:
- sheep on the holding genotyped.
- Restrictions applied on sheep:
a. Used for breeding on the holding,
b. Sold off for breeding or slaughter
c. Have to be destroyed
ii. Based on their relative resistance or susceptibility
Exceptional circumstances: sheep to be culled
Goats always culled - 42How can Scrapie be prevented?- Transmission pathway not fully understood; infected birth fluids, membranes and cleansings (placenta or afterbirth) probably spread during lambing; Sheep should not eat placenta.
- Agent can persist for some years in environment; relatively resistant to most disinfectants - 43Why are sheep genotyped?- Degree of resistance/ susceptibility
- Amino acids - 136, 154, 171 of PrP gene - 44What are the different categories for genotypes?1. Most resistant: ARR / ARR (WARNING ATYPICAL)
2. Genetically resistant but need careful selection: ARR / AHQ, ARR / ARH, ARR / ARQ
3. Genetically little resistance: AHQ / AHQ, AHQ / ARH, AHQ / ARQ, ARH / ARQ, ARQ / ARQ, ARH / ARH
4. Genetically susceptible: ARR / VRQ
5. Highly susceptible: AHQ / VRQ, ARH / VRQ, ARQ / VRQ, VRQ / VRQ - 45What is the National Scrapie Plan (NSP)?- Longterm plan consisting of genotyping schemes aimed at increasing genetic resistance in national sheep flock
- Breed specific sale and breeding restrictions apply for low resistant sheep - 46What are the EU regulations?- Test prescribed number over 18 months (abattoir survey)
- Throughout EU:
More scrapie revealed than notified!
Atypical scrapie identified – similar clinical signs; not really contagious and affects animals >5y - 47What are features of Atypical scrapie?- Similar clinical signs; not really contagious and affects animals >5y
- Atypical cases in sheep with more resistant alleles including ARR/AHQ (NOT VRQ!). Phenylalanine at position 141 increases susceptibility.
- Results not consistent with experimental BSE
- Cases detected because of more sensitive diagnostic methods
- Work continues!
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- Animal Disease 2 (Notifiable diseases and zoonoses) Flashcards on Spongiform Encephalopathies - CW, created by Rachael Jones on 23/11/2017.
- Created by
- Rachael Jones · Nov 2017
- Updated
- Feb 15, 2018
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