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Idaho probes sudden deaths from rare brain disease
Reuters ^ | 8/15/2005 | Reuters Staff

Posted on 08/15/2005 11:56:38 PM PDT by Pro-Bush

Idaho probes sudden deaths from rare brain disease Mon Aug 15, 2005 06:23 PM ET

By Adam Tanner

TWIN FALLS, Idaho (Reuters) - In late May Marjorie Skinner played golf well enough to place fourth in a Memorial Day weekend golf tournament. Yet within weeks, the previously vibrant retiree suddenly started losing her ability to speak.

By the time her family buried her on Friday, she was the fifth suspected victim in the same sparsely populated area of Idaho of Creutzfeldt-Jakob Disease (CJD), a rare brain-wasting disease that typically afflicts only one in a million people.

As word of this latest death spread on Monday, local and federal health experts sifted through clues about an illness different from variant Creutzfeldt-Jakob Disease, the human form of mad cow disease.

"Five (cases) in one valley is pretty serious," Sue Skinner, Marjorie's daughter in law, said in an interview. "It's a grave concern in our family."

The mystery has deepened in recent weeks. Only at the end of May did local health officials see a second elderly woman die of the incurable disease involving a malformed protein, or prion, that kills brain cells. After that, they learned of three other suspected cases, including a CJD death in February that was reported only last month.

"Is what is happening in Idaho an anomaly, a statistical fluke? That is possible," said Ermias Belay, a top CJD expert with the Centers for Disease Control and Prevention in Atlanta who is helping advise officials in Idaho. "But once it exceeds 1.5 or 2 per million, you start asking questions."

"If they are all confirmed, it could be odd."

In a year, the United States typically sees fewer than 300 CJD cases, which mete out rapid death to the elderly, according to the Centers for Disease Control.

ANY UNUSUAL HOBBIES?

In Twin Falls, Cheryle Becker, epidemiology manager for Idaho's South Central District Health, is going to families with detailed questionnaires aimed at finding the roots of a disease that could date back 30 years.

She asks about past travels, unusual hobbies and dietary habits, including of organ meats, brain and venison.

"We're asking them if they've consumed elk," Becker said, adding that many hunt venison in this region of the country. "We're not having many people say that they have."

Experts say they do not expect to find a link to eating meat, although locals are asking if there is any connection to the human variant of mad cow disease. "It's very frightening to the community." said Cheryl Juntunen, director of the South Central District Health.

Two confirmed U.S. cases of mad cow disease, one in a Washington state dairy animal in 2003 and the other in a Texas beef cow this year have further heightened concern.

To date, health experts have found few parallels between the women, all of European heritage. Four were Idaho natives, all had children, none had experienced neurological disease.

One had spent time in Britain prior to the outbreak of mad cow disease there, officials said. Several husbands were involved in farming, as is commonplace in a rural farmland region where locals still talk about stuntman Evel Knievel's 1974 attempted jump over the Snake River.

"There are things that lead you to believe this is not variant CJD," Becker said, pointing to the advanced age of the victims and faster death than in mad cow-related cases.

The Centers for Disease Control estimate that spontaneous flaws in cell proteins result in 85 percent of CJD cases. Another 5-15 percent comes from genetic inheritance, leaving just a small percentage of other unexplained cases.

Yet experts say studies of a few past clusters of CJD cases are inconclusive; some say better records and ability to recognize the illness could account for the Idaho mystery.

"I think in the end this may be a statistical fluke," said Christine Hahn, chief epidemiologist for the state of Idaho. "But there is so little known and there have been very few published reports on these clusters."

Families for three out of the five Idaho victims have agreed to autopsies, officials say, and results from those tests may provide essential clues in the coming weeks.


TOPICS: Extended News; News/Current Events; US: Idaho
KEYWORDS: brain; cjd; disease; madcow; outbreak
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I am still eating my steak medium rare!!
1 posted on 08/15/2005 11:56:39 PM PDT by Pro-Bush
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To: Pro-Bush

Curious indeed. Please let us know how this story develops if you can. Thanks.


2 posted on 08/16/2005 12:03:12 AM PDT by thegreatbeast (Quid lucrum istic mihi est?)
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To: Prime Choice

MOOOOOOOOOOOoooooooooooooaaaaaaaaaaaaaaabwwwwwaahhahahhahahahaaaaaa!


3 posted on 08/16/2005 12:04:09 AM PDT by drlevy88
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To: everyone

Seems to be rampant in the Democratic party. Look at Dr. Dean, for instance.


4 posted on 08/16/2005 12:08:39 AM PDT by California Patriot
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To: Pro-Bush
Just FYI, some of the infected meat from the first "mad cow" went to Idaho.

They didn't get it all with the recall.

5 posted on 08/16/2005 12:10:40 AM PDT by garandgal
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To: Pro-Bush
The scientific reality is complicated.

First, many cases of prion disease in humans are likely spontaneous generation i.e. not acquired.

Second, there are prion-based biochemistries in the brain that serve some critical function but which are poorly understood.

Third, a significant fraction of humans have some immunity to prion diseases of the type that is found in beef.

All of which makes it a very complicated and nasty type of disease with little hope of a solution.

6 posted on 08/16/2005 12:11:33 AM PDT by tortoise (All these moments lost in time, like tears in the rain.)
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To: Pro-Bush
I am still eating my steak medium rare!!

I like mine to stand up and Moo at me.

7 posted on 08/16/2005 12:12:24 AM PDT by FOG724 (RINOS - they are not better than the leftists, they ARE the leftists.)
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To: Pro-Bush

As far as mad cow goes, I don't think it matters if you cook your meat until it's crunchy.

It is still there and just as deadly if it is infected.


8 posted on 08/16/2005 12:19:20 AM PDT by DB (©)
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Comment #9 Removed by Moderator

To: DB
What about irradiation? Does that kill the stuff? I was against irradiation at first, but I'm starting to come around. My daughter has Crohn's and they think now it might come from infected milk. Pasteurization doesn't kill it.(paratuberculosis)
10 posted on 08/16/2005 12:32:12 AM PDT by chuckles
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To: Pro-Bush
Did all 5 have a medical procedure done by the same doctor using the same surgical instruments?

A gynecologist, for example?

The prions cannot be destroyed by autoclaving, and can be passed on to the next patient.

11 posted on 08/16/2005 12:34:43 AM PDT by Smokin' Joe (God save us from the fury of the do-gooders!)
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To: chuckles

I don't think so.

It isn't alive. It isn't a bacteria or virus.


12 posted on 08/16/2005 12:39:33 AM PDT by DB (©)
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To: chuckles

It's an abnormal protein, not a living organism that can be killed. It causes a cascade of abnormal proteins to form from normal tissue.


13 posted on 08/16/2005 12:39:42 AM PDT by kenth
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To: garandgal
Just FYI, some of the infected meat from the first "mad cow" went to Idaho.

Thanks for the info. Wasn't it from Canada?
14 posted on 08/16/2005 12:39:53 AM PDT by Pro-Bush (We're not vigilantes! We're undocumented Border Patrol agents!)
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To: tortoise
...And the incubation period is?
15 posted on 08/16/2005 12:41:13 AM PDT by Pro-Bush (We're not vigilantes! We're undocumented Border Patrol agents!)
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To: All

I still can't figure out what they're so damn mad about.

16 posted on 08/16/2005 12:41:30 AM PDT by Old Seadog
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To: Smokin' Joe
Did all 5 have a medical procedure done by the same doctor using the same surgical instruments? A gynecologist, for example?

Well, I hope the medical facility sterilizes their utensils, and don't double-dip!
17 posted on 08/16/2005 12:45:18 AM PDT by Pro-Bush (Liberty is the only thing you cannot have unless you are willing to give it to others.)
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To: Pro-Bush

Standard sterilization will not deatroy prions.

You cannot cook them out of beef and have anything left but charcoal.

IIRC, there was a case in Denver where CJT was passed on to subsequent patients using surgical instruments (endoscopy).


18 posted on 08/16/2005 12:49:18 AM PDT by Smokin' Joe (God save us from the fury of the do-gooders!)
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To: Smokin' Joe

Cool, I don't like my beef well-done! What is CJT? - I know about CJD


19 posted on 08/16/2005 12:52:41 AM PDT by Pro-Bush (Liberty is the only thing you cannot have unless you are willing to give it to others.)
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To: garandgal; Battle Axe; Pro-Bush

Yes, they did get it all. I have a close relative who was very involved in the isolation and destruction of that cow (as well as other animal tissue that might have come in contact with it). The material from that cow never entered either human or animal food.


20 posted on 08/16/2005 12:54:08 AM PDT by Jedidah
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