Koutsoumanis Konstantinos, Allende Ana, Bolton Declan, Bover-Cid Sara, Chemaly Marianne, De Cesare Alessandra, Herman Lieve, Hilbert Friederike, Lindqvist Roland, Nauta Maarten, Nonno Romolo, Peixe Luisa, Ru Giuseppe, Simmons Marion, Skandamis Panagiotis, Suffredini Elisabetta, Adkin Amie, Andreoletti Olivier, Griffin John, Lanfranchi Barbara, Ortiz-Pelaez Angel, Ordonez Avelino Alvarez
EFSA J. 2024 Jul 16;22(7):e8883. doi: 10.2903/j.efsa.2024.8883. eCollection 2024 Jul.
The European Commission requested an estimation of the BSE risk (C-, L- and H-BSE) from gelatine and collagen derived from ovine, caprine or bovine bones, and produced in accordance with Regulation (EC) No 853/2004, or Regulation (EC) No 1069/2009 and its implementing Regulation (EU) No 142/2011. A quantitative risk assessment was developed to estimate the BSE infectivity, measured in cattle oral infectious dose 50 (CoID), in a small size batch of gelatine including one BSE-infected bovine or ovine animal at the clinical stage. The model was built on a scenario where all ruminant bones could be used for the production of gelatine and high-infectivity tissues remained attached to the skull (brain) and vertebral column (spinal cord). The risk and exposure pathways defined for humans and animals, respectively, were identified. Exposure routes other than oral via food and feed were considered and discussed but not assessed quantitatively. Other aspects were also considered as integrating evidence, like the epidemiological situation of the disease, the species barrier, the susceptibility of species to BSE and the assumption of an exponential dose-response relationship to determine the probability of BSE infection in ruminants. Exposure to infectivity in humans cannot be directly translated to risk of disease because the transmission barrier has not yet been quantified, although it is considered to be substantial, i.e. much greater amounts of infectivity would be needed to successfully infect a human and greater in the oral than in the parenteral route of exposure. The probability that no new case of BSE in the cattle or small ruminant population would be generated through oral exposure to gelatine made of ruminant bones is 99%-100% (almost certain) This conclusion is based on the current state of knowledge, the epidemiological situation of the disease and the current practices, and is also valid for collagen.
欧盟委员会要求对源自绵羊、山羊或牛骨骼且按照(欧盟)第853/2004号条例、第1069/2009号条例及其实施条例(欧盟)第142/2011号生产的明胶和胶原蛋白的疯牛病风险(C型、L型和H型疯牛病)进行评估。开展了一项定量风险评估,以估计一小批含有一头处于临床阶段的疯牛病感染牛或羊的明胶中的疯牛病感染性,以牛口服感染剂量50(CoID)衡量。该模型基于一种假设情景构建,即所有反刍动物骨骼都可用于生产明胶,且高感染性组织仍附着在头骨(脑)和脊柱(脊髓)上。分别确定了针对人类和动物的风险及暴露途径。考虑并讨论了除通过食品和饲料经口暴露之外的其他暴露途径,但未进行定量评估。还考虑了其他方面,如疾病的流行病学情况、物种屏障、物种对疯牛病的易感性以及采用指数剂量反应关系来确定反刍动物感染疯牛病的概率等综合证据。尽管认为传播屏障很大,即成功感染人类需要更多的感染性,且经口暴露的传播屏障比经肠外暴露更大,但由于尚未对其进行量化,因此人类接触感染性不能直接转化为疾病风险。通过经口接触反刍动物骨骼制成的明胶,在牛或小反刍动物群体中不会产生新的疯牛病病例的概率为99% - 100%(几乎确定)。这一结论基于当前的知识水平、疾病的流行病学情况和现行做法,对胶原蛋白也同样适用。