Bradley R
Pathology Department, Central Veterinary Laboratory, New Haw, Weybridge, Surrey.
Eur J Epidemiol. 1991 Sep;7(5):532-44. doi: 10.1007/BF00143136.
Bovine spongiform encephalopathy (BSE), discovered in Great Britain in 1986, was to pose one of the most serious threats to the well-being of the British cattle industry this century. The disease is now established as a member of the group of diseases known as the sub-acute spongiform encephalopathies caused by unconventional, transmissible agents and which includes scrapie of sheep. It is from scrapie of sheep that it appears BSE has resulted though it is possible BSE may have existed in a sub-clinical form in cattle. The vehicle of transmission is meat and bone meal prepared from infected ruminant carcases and included in the protein concentrate rations of cattle, especially dairy cattle in which the disease predominates. Most animals become exposed as calves and the incubation period is typically 4-5 years with most cases occurring at this age. The increase in exposure of cattle to infection that resulted in disease in 1985/1986 was 1981/1982. The factors that contributed to this increase were an increasing sheep population, possibly an increase in the prevalence of scrapie and changes in the industrial processing of animal waste to prepare meat and bone meal. The clinical signs of BSE include abnormal behaviour, posture, gait and an increased sensitivity to visual and aural stimuli. There is loss of condition and milk yield. In only one of 28,197 cases of BSE confirmed by 10 May 1991 can feed be almost certainly ruled out as a source of infection. This therefore may be a singleton case of maternal transmission though we cannot be certain. Every other case so far has been exposed to meat and bone meal in the diet and thus resulted in an extended common source epidemic. A large research programme is underway to investigate the epidemiology, clinicopathology, transmission and molecular biological/genetic aspects of the disease. Much is collaborative between Institutes and Member States of the European Community, in which the disease, as in Britain, is notifiable. In Britain the lynch pin of control for animal health has been the ban established in July 1988 on feeling of ruminant protein to ruminant animals. Though there is no evidence that either BSE or scrapie is a hazard to humans, as a precautionary measure, suspect animals are compulsorily slaughtered and destroyed (except all brains are taken for diagnosis) with compensation being paid at 100% of value. Milk from such animals is also destroyed.(ABSTRACT TRUNCATED AT 400 WORDS)
牛海绵状脑病(BSE)于1986年在英国被发现,它对本世纪英国养牛业的健康构成了最严重的威胁之一。这种疾病现已被确认为由非常规的、可传播的病原体引起的亚急性海绵状脑病组中的一员,该组疾病还包括羊瘙痒症。尽管有可能BSE在牛中曾以亚临床形式存在,但BSE似乎源于羊瘙痒症。传播媒介是用受感染反刍动物尸体制成的肉骨粉,这些肉骨粉被包含在牛的蛋白质浓缩饲料中,尤其是在以奶牛为主的牛群中。大多数动物在幼崽时期就接触到了这种病原体,潜伏期通常为4至5年,大多数病例发生在这个年龄段。导致1985/1986年发病的牛感染暴露增加发生在1981/1982年。导致这种增加的因素包括羊数量的增加、羊瘙痒症患病率可能的上升以及动物废弃物工业加工以制备肉骨粉过程中的变化。BSE的临床症状包括异常行为、姿势、步态以及对视觉和听觉刺激的敏感性增加。体重和产奶量会下降。在1991年5月10日确诊的28197例BSE病例中,只有1例几乎可以肯定地排除饲料是感染源。因此,这可能是一例母婴传播的单一病例,尽管我们不能确定。到目前为止的其他每一个病例都是通过饮食接触了肉骨粉,从而导致了一场持续的共同来源的流行病。一项大型研究计划正在进行,以调查该疾病的流行病学、临床病理学、传播以及分子生物学/遗传学方面。许多研究是欧洲共同体各研究所和成员国之间的合作项目,在欧洲共同体,这种疾病和在英国一样是应报告的疾病。在英国,动物健康控制的关键措施是1988年7月实施的禁止向反刍动物饲喂反刍动物蛋白的禁令。尽管没有证据表明BSE或羊瘙痒症对人类有危害,但作为预防措施,疑似动物被强制屠宰并销毁(除了所有大脑被取出用于诊断),并按价值的100%给予补偿。来自此类动物的牛奶也被销毁。(摘要截取自400字)