Classical BSE in Great Britain: Review of its epidemic, risk factors, policy and impact
Alarcon. P.?; Wall, B.'; Barnes, K.2; Arnold, M.2; Rajanayagam, B3; Guitian, J.1 1 Royal Veterinary College (RVC), London, UK, 2 Department of Environment, Food and Rural Affairs (DEFRA), London, UK and Animal and Plant Health Agency (APHA), Weybridge, Surrey, UK
Aims: To provide a current and historical perspective of the epidemiological pattern of classical BSE (cBSE) in Great Britain (GB), the policies implemented, its impact and the risk factor associated to BARB (born after the reinforced ban) cases.
Material and Methods: The study used cBSE data collected from 1986 to 2021 in GB for the epidemiological analysis, to compare recent and historical cases and to assess spatio-temporal clustering of classical BARB cases. Risk factors for BARB cases were reviewed using scientific literature via PubMed and epidemiological reports. The range of policies and impact of BSE were reviewed through consultation of national and international policy documents and grey literature.
Results: To date, a total of 181,122 cBSE cases have been found in GB, of which 178 are BARB cases (0.1%). The number of BARB cases steadily declined post-2003 and only two cases were detected between 2016 to 2021 (0.29 cases per 100,000 cattle). Feed-borne route was found as the most likely source of infection. Although a small spatial cluster was found, overall findings reinforce the hypothesis that cases are not generated spontaneously, but major gaps remain on their aetiology.
BSE transformed the industry and our approach to animal health. The disease caused large economic impact through disposal of animals and products, reduction of the national herd, trade losses, market prices disruptions, costly cleaning and control procedures and implementation of expensive government strategies. Yet, the disease generated many positive developments, from new technologies to more robust traceability systems.
Conclusion: The review provides an insight into the shock that a novel disease such as BSE could have on the society. Numerous lessons learnt have improved country's preparedness to future diseases. As we work towards the eradication, the story of BSE is a clear example of how to control a disease under major uncertainties.
Alarcon P et al: Food Control Vol 146, April 2023:
Funded by: This review was funded by DEFRA.
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