Public summary of meeting on
27th June 2001
The Spongiform Encephalopathy Advisory Committee (SEAC) met in
London on 27 June 2001.
Report of the working group on disposal of carcasses of cattle
culled for foot and mouth disease (FMD) control
The Committee discussed the conclusions of the SEAC working group
meeting on 24 May which met to consider the following FMD disposal
issues:
- the risks from carcasses of cattle aged over 5 years buried
prior to advice from SEAC, and revised advice from the Environment
Agency (EA), given on 26 March.
- disposal routes for ash from cattle burned in pyres.
- BSE risks from transportation of cattle carcasses (culled for
FMD control) in containers which might subsequently be used for
transportation of food.
A separate public summary setting out
the detailed conclusions of this group was published in May.
The Environment Agency updated the Committee on progress made to
date on the recommendations made at the meeting on 24 May. They
were progressing as quickly as possible with risk assessments of
individual sites and, on the basis of SEAC's advice, were comparing
the risks of exhuming material against the risks of leaving it in
situ. Where cattle over 5 years old had been buried, further risk
assessments would need to be undertaken when farms were restocked
to assess any BSE risks to animal health. Analysis of ash from cattle
burned in pyres indicated that the assumption of 90% destruction
of infectivity, made in the DNV risk assessment, was reasonable.
Currently, all cattle aged over 5 years culled as a result of the
FMD outbreak were being disposed of by rendering.
The Committee endorsed the conclusion of the working group and
agreed that a detailed note of the group's
discussions should also be published.
BSE case born in 1997
The Committee considered a recently confirmed case of BSE in an
animal born in May 1997, 10 months after 01 August 1996, the date
when further measures to improve feed security were considered to
be fully effective. This was the third such case in the UK. It had
been predicted that a small number of BSE cases would be born after
the implementation of further measures arising through the risk
of maternal transmission of BSE (to calves born close to the onset
of BSE in the dam (mother)). The case was of particular interest
and concern because the animal believed to be the case's dam was
still alive with no signs of BSE. The animal with BSE did not pose
a risk to public health because it was aged 48 months and so was
not eligible to enter the human food chain because of the over thirty
month rule.
The Committee noted that, as for any BSE cases born after 01 August
1996, an investigation was currently underway to examine possible
routes by which the animal may have been exposed to the BSE agent.
The report from this investigation would be available in time for
SEAC's next meeting in September and members agreed to revisit the
issue then.
Members noted that it was during the tail-end of the epidemic,
when the major route of BSE contamination from feed had been removed,
that unspecified, rare alternative routes of transmission might
be seen. Members acknowledged that it would be difficult to come
to definitive conclusions in regard to possible alternative routes
of exposure aside from feed contamination or maternal transmission.
This would be particularly true of environmental sources because
of the difficulty of detecting the agent, if present. However, the
Committee agreed that alternative routes of transmission should
be examined where practicable.
The Committee considered options to investigate the surviving relatives
of this BSE case, including a single offspring of the animal currently
alive on farm. Under current offspring cull legislation, all offspring
should be destroyed. However, Members agreed that this animal should
be preserved for further investigation on a suitable experimental
farm. Members also agreed that the dam and siblings of the BSE infected
animal should be closely monitored and a strategy devised to maximise
the information gained from these animals.
Members agreed that, if possible, brain material from this case
should be strain typed to determine if the BSE showed any unusual
characteristics. More generally, Members expressed concern that
the samples currently being taken from suspected cases of BSE in
animals born after August 1996 may not be collected in a way that
would enable strain typing to be done and urged that suitable material
should be collected from these animals. The Committee also considered
that a wider range of tissues from such animals, when born after
August 1996, should be collected for examination in future. This
would allow widespread pathology and the distribution of the prion
protein that causes BSE to be examined and unusual strain variants
to be detected. It was noted that this may have substantial resource
implications as large numbers of suspect cases are identified, the
vast majority of which are subsequently diagnosed as negative, hence
there would be a need for suitable facilities to store large quantities
of tissues from these suspect animals until diagnosis was complete.
However the issue would be investigated further for the next meeting.
In summary, SEAC was broadly content with the plan to investigate
the case.
- The Committee strongly recommended that every effort should
be made to ensure that the calf of the BSE case was not slaughtered
as part of the offspring cull as it represented a potentially
valuable scientific opportunity to study the disease.
- The Committee also recommended that a protocol on what should
happen to the dam should be produced, by a group with expertise
in tissue sampling, collection and diagnostic testing methodology.
- Finally, the Committee recommended that changes should be made
with respect to the collection of samples such that if BSE was
identified in animals born after August 1996 a greater number
of tissues would be retained. These should be collected and stored
in a form that would allow a wider range of scientific investigations
to be carried out.

BSE epidemiology in Northern Ireland.
Casualty animals
At their meeting in February 2001, Members requested further information
on results from a survey of casualty animals (animals injured but
alive when entered into the survey) over thirty months of age in
Northern Ireland which indicated evidence of BSE infection in 54
cattle of the 2546 sampled using the Enfer diagnostic test (2.12%).
The Committee confirmed that the results appeared to be at some
variance with the low incidence of reported clinical BSE in Northern
Ireland. However it was noted that the samples were taken from older
cattle that were registered as casualty animals, and so were from
a group of animals where BSE incidence was likely to be comparatively
high. All animals were over thirty months of age so would not have
entered the food chain.
DEFRA reported that various active surveillance exercises in the
UK continued to be delayed as a result of the FMD epidemic. A small
number of samples had been analysed as part of the GB fallen stock
(animals found dead on farm) survey and approximately 2% had shown
evidence of BSE infection. Although this was similar to the level
of BSE seen in the Northern Ireland survey, the GB survey was not
at a stage where results could be assessed. More generally, comparing
results from different surveys was difficult as it was unlikely
that the sample populations were uniform. For example the UK survey
examined fallen stock rather than casualty animals.
The Committee then moved on to a general discussion on the validity
of the diagnostic tests being used for surveillance in surveys in
the EU. It was known that the tests were limited in their ability
to detect the presence of prion protein that is taken as marker
for infection. They could only detect a positive case a few months
before clinical disease became apparent, meaning that pre-clinical
cases were probably being missed, but the exact timing of when the
test could detect prion protein prior to clinical onset was not
known. This meant that the tests were likely to be underestimating
the prevalence of infection. However, the size of the underestimate
was not known and the Committee considered there was a need to calibrate
the tests against tissues from known stages of the disease to overcome
this problem. Members emphasised the importance of work to establish
when in the pre-clinical phase diagnostic tests were able to detect
prion protein and thereby, infection. The Committee stated that
their preference was to validate current tests using bovine material
collected throughout the incubation period. However, it was recognised
that there was a paucity of suitable material currently available
to test in this way. A specific research project was underway to
harvest tissue collected throughout the incubation period of cattle
infected with BSE. However this was not complete and hence current
stocks of such tissue were very scarce and the tissues very valuable.
They were needed for a wide range of experiments and demand exceeded
supply. Members requested that an audit of the tissue and its proposed
use should be undertaken for consideration at a future meeting.
Case of a cow born after August 1996 in Northern Ireland
Members were updated on investigations into the case of an animal
born after 01 August 1996 in Northern Ireland (detected in the survey
of casualty animals). Although the date of birth was recorded as
10 September 1996, there was some doubt about the reliability of
this information. The investigations did not identify the likely
route of exposure.
Royal Society and the Academy of Medical Sciences Paper on TSEs
The recently issued Royal Society and the Academy of Medical Sciences
statement on TSEs recommended that urgent consideration be given
to the possibility of cross infection in abattoirs which handle
both slaughter for food and culling under the Over Thirty Months
Scheme (OTMS). In the light of this recommendation, the FSA sought
the Committee's advice on the risk of contamination of meat in such
abattoirs and whether the existing guidance on decontamination of
these premises after OTMS processing was adequate. The Committee
concluded that use of abattoirs for both food animals and the OTMS
was likely to give rise to an additional risk. The magnitude of
that risk was unknown but was probably low if the recommended cleaning
and decontamination procedures were followed. The Committee advised
nevertheless that, on a precautionary basis, it would be preferred
that abattoirs, while contracted to carry out OTMS work, did not
handle any slaughter for human consumption.
Review of spreading of slaughterhouse material on fields
Following a request from their meeting on 25 April 2001, SEAC considered
a paper reviewing what animal materials, including slaughterhouse
and rendering plant materials, were currently spread on agricultural
land. The paper indicated that milk, blood, gut content, slurry,
non-mammalian rendered MBM, and treated rendering condensate can
currently legally be spread on agricultural land. The Committee
were asked whether they wished to look at any of these areas in
greater detail at a future meeting. SEAC considered rendering condensate
in detail at their November 2000 meeting and asked to consider in
more detail at a future meeting issues related to faeces and sewage
sludge disposal, from both cattle and humans, with respect to the
potential presence of both BSE and vCJD infectivity.

Intra-species Recycling: review of what practices exist/remain
within the livestock industry
At the meeting in April 2001, Members requested a review of what
practices remain in terms of intra-species recycling within the
livestock industry. The Committee were asked to identify those that
they wished to look at in greater detail at a future meeting. They
agreed that they would wish to look again at tallow, gelatin, hydrolysed
protein, fishmeal, and eggs and egg protein.
FSA review of BSE controls: taking forward the recommendation
on the OTM rule
Following the recommendation in the Review that the OTM rule should
be further reviewed, starting summer 2001, the FSA invited the Committee
to note its initial plans to implement that recommendation and invited
comments on the factors it intended to take into account. The Committee
agreed that information from the BSE surveillance programmes to
be carried out by the UK agriculture departments including the testing
for BSE of animals born between August 1996 and July 1997 would
be crucial to the review
Lenses and ophthalmic devices touching the surface of the eye
The Committee revisited the advice it issued following the meetings
in July and September 1999 on the re-use of contact lenses and ophthalmic
devices that touched the eye. They noted results of as yet unpublished
research findings(1) (subsequently published-
see reference 1) where abnormal prion protein had not been detected
in the front of an eye from a vCJD patient. When taken together
with results from further as yet unpublished research(1)
,this suggested that any abnormal prion protein present in these
segments of the eye would be at a lower level than previously assumed,
and probably below that present in lymphoreticular tissue in vCJD
patients. At the same time the committee considered that the likely
levels present could not be precisely quantified because of insensitivities
in the assay used. They also noted results of research (see references
2-6) demonstrating that a solution containing 20,000 parts per million
(ppm) of available chlorine of sodium hypochlorite is very effective
in reducing TSE infectivity. Some members had doubts about whether
such reductions would be as effective in practice with respect to
infectious material that might be adhering to the surfaces of lenses
and ophthalmic devices. This was an aspect on which further research
was needed.
The Committee considered that wherever practicable a single use
approach should be followed for lenses and devices coming into contact
with the front of the eye. Evidence was presented to the meeting
by the optical profession that single use was impracticable for
some devices, including rigid complex diagnostic lenses, tonometers,
and other highly specialised equipment. The committee considered
that in such circumstances it would be important to apply best decontamination
procedures, including, as appropriate, the use of a solution containing
20,000 ppm of available chlorine of sodium hypochlorite.
Scientific references relating to this item
-
Wadsworth
et al. (2001) Tissue distribution of protease resistant prion
protein in vCJD using a highly sensitive immuno-blot assay.
Lancet 358, 171-180.
-
Taylor DM. Inactivation of Transmissible
Degenerative Encephalopathy Agents: A Review. The Veterinary
Journal 2000;159:10-17 (NB p14)
-
Taylor DM. Inactivation of prions
by physical and chemical means. Journal of Hospital Infection
1999; 43 (suppl): S69-S76.
-
Taylor DM et al. (1994) Decontamination
studies with the agents of bovine spongiform encephalopathy
and scrapie. Archives of Virology 139, 313-26.
-
Brown et al. (1986) Newer data
on the inactivation of scrapie virus or CJD virus in brain tissue
J of Infect Dis. 153 6 1145-1148.
-
Kimberlin et al. (1983) Disinfection
studies with two strains of mouse-passaged scrapie agent. J
of Neurological Sciences 59 : 355-369

Research updates and other standing items
Variant Creutzfeldt Jakob Disease Update
The Committee was informed that the total number of definite or
probable variant Creutzfeldt Jakob Disease (vCJD) cases had now
risen to 102, of whom 8 were still alive.
Department of Health Research Update
The Committee received its regular update on research commissioned
by the Department of Health. In particular, it noted that, following
the Transmissible Spongiform Encephalopathy (TSE) Joint Funders
Research Group's (which includes DEFRA, DH, FSA, MRC & BBSRC)
call for proposals in March 2001 to encourage research on diagnostic
tests, 55 responses had been received to date. The Committee was
informed that a number of the proposals appeared promising, and
a formal assessment of those which merited funding would take place
in the near future.
DEFRA Research Update
The Committee conducted its regular review of research findings
and epidemiological information on BSE. The Committee noted ongoing
research to examine a selection of scrapie brains from UK farms;
these are being tested to see if there is BSE in sheep, which could
otherwise be masked by scrapie. These are long term experiments
using mice and take up to two years to complete. Currently, 183
individual scrapie brains are being tested. Of these, 156 brains
have reached a point when the mice would be expected to display
signs characteristic of BSE, if present. No such characteristic
signs have been seen.
SEAC noted that in ongoing experiments to examine the pathogenesis
of experimental BSE in sheep, infectivity had been detected in the
liver of genetically susceptible sheep at 16 and 22 months after
challenge using mouse bioassay. The Committee also noted that the
experiment to define the effect of oral doses in cattle had been
terminated. Cattle had been dosed orally with BSE brain homogenate.
Doses were 1g, 10g, 100g, and 3 X 100g. Other than five remaining
animals in the two lower dose groups, all other animals had succumbed
to clinical disease. However, the remaining five animals had been
culled with no evidence of clinical signs, and no evidence of BSE
pathology was seen when brains were examined at post mortem. The
Committee noted therefore that a limiting dose for BSE via the oral
route had not been reached, and the experiment is currently being
extended using a lower dose range.
FSA Research Update
The FSA presented a paper on its TSE R&D programme summarising
progress on each project during the period 01 April 2000 to 31 March
2001. The Committee noted the report.
Imports of beef and beef products
The FSA reported the latest position on imports of beef with remnants
of spinal cord attached. The number of affected consignments had
risen to sixteen. The FSA would be writing to the European Commission
to press for a thorough investigation of the latest instance, which
had been the second involving a particular German abattoir. The
FSA also reported on the latest results of BSE testing in the EU
and the first BSE case reported by the Czech Republic.
Committee matters
Code of Practice for Scientific Advisory Committees - Second Round
of Consultation: Update
Following a request for comments from members on the Office of
Science and Technology's (OST) consultation on a new Code of Practice
for Scientific Advisory Committees at SEAC's April meeting, a response
on behalf of the Committee had been compiled and submitted to OST.
Open meeting
Members noted that arrangements for SEAC's next meeting, part of
which would be in open session, were now in place. The meeting would
take place on the 18 September at the Inter-Continental Hotel, London.
As previously agreed, Members would meet for an open session in
the morning, followed by a closed session in the afternoon. The
agenda would be set nearer the date of the meeting when there was
a clearer indication of what the current issues were.
Matters arising
Vaccination of experimental animals against FMD
At their meeting in April, the Committee had recommended that urgent
consideration be given to vaccinating experimental animals being
used in TSE studies at research centres to protect them from the
risks of being culled under FMD control measures. Following SEAC's
recommendations, the possibility of introducing a vaccination program
had been investigated and a risk assessment had been carried out
at the Veterinary Laboratories Agency (VLA) to examine the risk
to experimental animals in light of the existing containment measures.
Generally the risks to experimental animals had been assessed to
be low. However the Committee was informed that currently there
was little scope for vaccinating these animals without compromising
the long-term disease status of the country.
SEAC
26 July 2001
Note of SEAC Working Group
on disposal of carcasses of cattle culled for Foot and Mouth Disease
(FMD) control