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Published in: BMC Infectious Diseases 1/2003

Open Access 01-12-2003 | Research article

vCJD risk in the Republic of Ireland

Authors: Michael S Harney, Azra C Ghani, CA Donnelly, Rory McConn Walsh, Michael Walsh, Rachel Howley, Francesca Brett, Michael Farrell

Published in: BMC Infectious Diseases | Issue 1/2003

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Abstract

Background

The Republic of Ireland has the second highest incidence of BSE worldwide. Only a single case of vCJD has been identified to date.

Methods

We estimate the total future number of clinical cases of vCJD using an established mathematical model, and based on infectivity of bovine tissue calculated from UK data and on the relative exposure to BSE contaminated meat.

Results

We estimate 1 future clinical case (95% CI 0 – 15) of vCJD in the Republic of Ireland. Irish exposure is from BSE infected indigenous beef products and from imported UK beef products. Additionally, 2.5% of the Irish population was exposed to UK beef through residing in the UK during the 'at-risk' period. The relative proportion of risk attributable to each of these three exposures individually is 2:2:1 respectively.

Conclusions

The low numbers of future vCJD cases estimated in this study is reassuring for the Irish population and for other countries with a similar level of BSE exposure.
Appendix
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Literature
1.
go back to reference Will RG, Ironside JW, Zeidler M, Cousens SN, Esteiboro K, Smith PG: A new variant of Creutzfeldt-Jakob disease in the UK. Lancet. 1996, 347: 921-25. 10.1016/S0140-6736(96)91412-9.CrossRefPubMed Will RG, Ironside JW, Zeidler M, Cousens SN, Esteiboro K, Smith PG: A new variant of Creutzfeldt-Jakob disease in the UK. Lancet. 1996, 347: 921-25. 10.1016/S0140-6736(96)91412-9.CrossRefPubMed
2.
go back to reference Bruce ME, Will RG, Ironside JW, McConnell I, Drummond D, Bostock CJ: Transmissions to mice indicate that 'new-variant' CJD is caused by the BSE agent. Nature. 1997, 389: 498-501. 10.1038/39057.CrossRefPubMed Bruce ME, Will RG, Ironside JW, McConnell I, Drummond D, Bostock CJ: Transmissions to mice indicate that 'new-variant' CJD is caused by the BSE agent. Nature. 1997, 389: 498-501. 10.1038/39057.CrossRefPubMed
3.
go back to reference Collinge J, Sidle K, Meads J, Ironside J, Hill AF: Molecular analysis of prion strain variation and the aetiology of 'new-variant' CJD. Nature. 1996, 383: 685-90. 10.1038/383685a0.CrossRefPubMed Collinge J, Sidle K, Meads J, Ironside J, Hill AF: Molecular analysis of prion strain variation and the aetiology of 'new-variant' CJD. Nature. 1996, 383: 685-90. 10.1038/383685a0.CrossRefPubMed
4.
go back to reference Hill AF, Desbruslais M, Joiner S, Sidle K, Gowland I, Lantos P: The same prion strain causes vCJD and BSE. Nature. 1997, 389: 448-50. 10.1038/38925.CrossRefPubMed Hill AF, Desbruslais M, Joiner S, Sidle K, Gowland I, Lantos P: The same prion strain causes vCJD and BSE. Nature. 1997, 389: 448-50. 10.1038/38925.CrossRefPubMed
5.
go back to reference Anderson RM, Donnelly CA, Ferguson NM, Woolhouse ME, Watt CJ, Wells GA: Transmission dynamics and epidemiology of BSE in British cattle. Nature. 1996, 382: 779-788. 10.1038/382779a0.CrossRefPubMed Anderson RM, Donnelly CA, Ferguson NM, Woolhouse ME, Watt CJ, Wells GA: Transmission dynamics and epidemiology of BSE in British cattle. Nature. 1996, 382: 779-788. 10.1038/382779a0.CrossRefPubMed
6.
go back to reference Ferguson NM, Donnelly CA, Woolhouse M, Anderson RM: The epidemiology of BSE in cattle herds in Great Britain. II Model construction and analysis of transmission dynamics. Phil Trans R Soc Lond B. 1997, 352: 803-838. 10.1098/rstb.1997.0063.CrossRef Ferguson NM, Donnelly CA, Woolhouse M, Anderson RM: The epidemiology of BSE in cattle herds in Great Britain. II Model construction and analysis of transmission dynamics. Phil Trans R Soc Lond B. 1997, 352: 803-838. 10.1098/rstb.1997.0063.CrossRef
7.
go back to reference Ghani AC, Ferguson NM, Donnelly CA, Hagenaars TJ, Anderson RM: Epidemiological determinants of the pattern and magnitude of the vCJD epidemic in Great Britain. Proc R Soc Lond B. 1998, 265: 2443-2452. 10.1098/rspb.1998.0596.CrossRef Ghani AC, Ferguson NM, Donnelly CA, Hagenaars TJ, Anderson RM: Epidemiological determinants of the pattern and magnitude of the vCJD epidemic in Great Britain. Proc R Soc Lond B. 1998, 265: 2443-2452. 10.1098/rspb.1998.0596.CrossRef
8.
go back to reference Ghani AC, Ferguson NM, Donnelly CA, Anderson RM: Predicted vCJD mortality in Great Britain. Nature. 2000, 406: 583-4. 10.1038/35020688.CrossRefPubMed Ghani AC, Ferguson NM, Donnelly CA, Anderson RM: Predicted vCJD mortality in Great Britain. Nature. 2000, 406: 583-4. 10.1038/35020688.CrossRefPubMed
9.
go back to reference Ghani AC, Ferguson NM, Donnelly CA, Anderson RM: Factors determining the pattern of the vCJD epidemic in Great Britain. Proc R Soc Lond B. 2003, 270: 689-698. 10.1098/rspb.2002.2313.CrossRef Ghani AC, Ferguson NM, Donnelly CA, Anderson RM: Factors determining the pattern of the vCJD epidemic in Great Britain. Proc R Soc Lond B. 2003, 270: 689-698. 10.1098/rspb.2002.2313.CrossRef
10.
go back to reference Ghani AC, Donnelly CA, Ferguson NM, Anderson RM: Updated projections of future vCJD deaths in the UK. BMC Infect Dis. 2003, 3: 4-10.1186/1471-2334-3-4.CrossRefPubMedPubMedCentral Ghani AC, Donnelly CA, Ferguson NM, Anderson RM: Updated projections of future vCJD deaths in the UK. BMC Infect Dis. 2003, 3: 4-10.1186/1471-2334-3-4.CrossRefPubMedPubMedCentral
12.
go back to reference Molloy S, O'Laoide R, Brett F, Farrell M: The "Pulvinar" sign in variant Creutzfeldt-Jakob disease.AJR. Am J Roentgenol. 2000, 175: 555-6.CrossRef Molloy S, O'Laoide R, Brett F, Farrell M: The "Pulvinar" sign in variant Creutzfeldt-Jakob disease.AJR. Am J Roentgenol. 2000, 175: 555-6.CrossRef
15.
go back to reference Ferguson NM, Ghani AC, Donnelly CA, Denny GO, Anderson RM: BSE in Northern Ireland: epidemiological patterns past, present and future. Proc R Soc Lond B. 1998, 265: 545-554. 10.1098/rspb.1998.0329.CrossRef Ferguson NM, Ghani AC, Donnelly CA, Denny GO, Anderson RM: BSE in Northern Ireland: epidemiological patterns past, present and future. Proc R Soc Lond B. 1998, 265: 545-554. 10.1098/rspb.1998.0329.CrossRef
16.
go back to reference Donnelly CA, Ferguson NM, Ghani AC, Anderson RM: Implications of BSE infection screening data for the scale of the British BSE epidemic and current European infection levels. Proc R Soc Lond B. 2002, 269: 2179-90. 10.1098/rspb.2002.2156.CrossRef Donnelly CA, Ferguson NM, Ghani AC, Anderson RM: Implications of BSE infection screening data for the scale of the British BSE epidemic and current European infection levels. Proc R Soc Lond B. 2002, 269: 2179-90. 10.1098/rspb.2002.2156.CrossRef
17.
go back to reference Beef imports on the Irish market: An Bord Bia Report. Dublin. 2001 Beef imports on the Irish market: An Bord Bia Report. Dublin. 2001
18.
go back to reference Donor & General Public Surveys for Irish Blood Transfusion Service: Drury Research. Dublin. 2001 Donor & General Public Surveys for Irish Blood Transfusion Service: Drury Research. Dublin. 2001
19.
go back to reference The National CJD Surveillance Unit: Creutzfeldt-Jakob disease surveillance in the UK. Western General Hospital, Edinburgh. 2002 The National CJD Surveillance Unit: Creutzfeldt-Jakob disease surveillance in the UK. Western General Hospital, Edinburgh. 2002
20.
go back to reference J Collinge, MS Palmer, AJ Dryden: Genetic predisposition to iatrogenic Creutzfeldt-Jakob disease. Lancet. 1991, 337: 1441-1442. 10.1016/0140-6736(91)93128-V.CrossRef J Collinge, MS Palmer, AJ Dryden: Genetic predisposition to iatrogenic Creutzfeldt-Jakob disease. Lancet. 1991, 337: 1441-1442. 10.1016/0140-6736(91)93128-V.CrossRef
21.
go back to reference F Owen, M Poulter, J Collinge, TJ Crow: Codon 129 changes in the prion protein gene in Caucasians. American Journal of Human Genetics. 1990, 46: 1215-1216. F Owen, M Poulter, J Collinge, TJ Crow: Codon 129 changes in the prion protein gene in Caucasians. American Journal of Human Genetics. 1990, 46: 1215-1216.
22.
go back to reference Hilton DA, Ghani AC, Conyers L, Edwards P, McArlde L, Ironside JW: Accumulation of prion protein in tonsil and appendix: review of tissue samples. BMJ. 2002, 325: 633-34. 10.1136/bmj.325.7365.633.CrossRefPubMedPubMedCentral Hilton DA, Ghani AC, Conyers L, Edwards P, McArlde L, Ironside JW: Accumulation of prion protein in tonsil and appendix: review of tissue samples. BMJ. 2002, 325: 633-34. 10.1136/bmj.325.7365.633.CrossRefPubMedPubMedCentral
23.
go back to reference WH Press, SA Teukolsky, WT Vetterling, BP Flannery: Numerical Recipes in C - The Art of Scientific Computing. 1992, Cambridge: CUP, 2 WH Press, SA Teukolsky, WT Vetterling, BP Flannery: Numerical Recipes in C - The Art of Scientific Computing. 1992, Cambridge: CUP, 2
24.
go back to reference Cervenakova L, Goldfarb LG, Garruto R, Lee HS, Gajdusek DC, Brown P: Phenotype-genotype studies in kuru: implications for new variant Creutzfeldt-Jakob disease. Proc Natl Acad Sci USA. 1998, 95 (22): 13239-41. 10.1073/pnas.95.22.13239.CrossRefPubMedPubMedCentral Cervenakova L, Goldfarb LG, Garruto R, Lee HS, Gajdusek DC, Brown P: Phenotype-genotype studies in kuru: implications for new variant Creutzfeldt-Jakob disease. Proc Natl Acad Sci USA. 1998, 95 (22): 13239-41. 10.1073/pnas.95.22.13239.CrossRefPubMedPubMedCentral
25.
go back to reference Hunter N, Foster J, Chong A, McCutcheon S, Parnham D, Houston F: Transmission of prion diseases by blood transfusion. J Gen Virol. 2002, 83: 2897-905.CrossRefPubMed Hunter N, Foster J, Chong A, McCutcheon S, Parnham D, Houston F: Transmission of prion diseases by blood transfusion. J Gen Virol. 2002, 83: 2897-905.CrossRefPubMed
26.
go back to reference Glatzel M, Rogivue C, Ghani AC, Streffer JR, Amsler L, Aguzzi A: Incidence of Creutzfeldt-Jakob disease in Switzerland. Lancet. 2002, 360: 139-41. 10.1016/S0140-6736(02)09384-4.CrossRefPubMed Glatzel M, Rogivue C, Ghani AC, Streffer JR, Amsler L, Aguzzi A: Incidence of Creutzfeldt-Jakob disease in Switzerland. Lancet. 2002, 360: 139-41. 10.1016/S0140-6736(02)09384-4.CrossRefPubMed
27.
go back to reference Asante AE, Linehan JM, Desbruslais M, Joiner S, Gowland I, Collinge J: BSE prions propogate as either vCJD-like or sCJD-like prion strains in transgenic mice expressing human prion protein. EMBO. 2002, 21: 6358-6366. 10.1093/emboj/cdf653.CrossRef Asante AE, Linehan JM, Desbruslais M, Joiner S, Gowland I, Collinge J: BSE prions propogate as either vCJD-like or sCJD-like prion strains in transgenic mice expressing human prion protein. EMBO. 2002, 21: 6358-6366. 10.1093/emboj/cdf653.CrossRef
Metadata
Title
vCJD risk in the Republic of Ireland
Authors
Michael S Harney
Azra C Ghani
CA Donnelly
Rory McConn Walsh
Michael Walsh
Rachel Howley
Francesca Brett
Michael Farrell
Publication date
01-12-2003
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2003
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/1471-2334-3-28

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