New Brunswick monitoring more than 40 cases of unknown neurological disease
cbc.ca
cbc.ca
The earliest articles about HIV/AIDS[1] and COVID-19[2] both had similar tones to them ("unknown", "similar to", "possibly a new disease", etc.)
[1] https://www.nytimes.com/1981/07/03/us/rare-cancer-seen-in-41...
[2] https://www.nytimes.com/2020/01/06/world/asia/china-SARS-pne...
I bet that doctor would call that an understatement when asked now, or even 2 months later.
Only 800, yet it felt like such a big deal back then...
Unfortunately not. SARS-1 reproduced slowly (long onset), wasn't all that contagious, and was quite deadly.
These are independent variables. Smallpox had a high R0 and was quite deadly.
> And the fact that SARS was only contagious several days after the beginning of the symptoms is the reason why we have been able to control it […] and had contagiousness begun far earlier after the beginning of the symptoms or even before them like for the flu, the outbreak would have exploded and we wouldn't have been able to halt it. [1]
[1]: quick translation from French from https://www.college-de-france.fr/site/arnaud-fontanet/course... (24'05)
Covid's death rate was low enough that a good fraction of people thought we should just take it on the chin.
By contrast, Smallpox was eradicated because it was so deadly, meaning we pushed its Re below 1.
Alas, your actual theory doesn't really hold up either. It's tough to remember the mood thirteen months ago, but China was under a real lockdown, we were seeing videos of people passing out in the street (funny, that doesn't seem to have kept happening?) and apartment building being welded shut, there were reports circulating of nitrogen-rich plumes of smoke in Wuhan which might be mass incineration of bodies: people were really scared. America even closed the border to China, against the explicit policy of WHO, but didn't shut down travel from Europe fast enough; also, the current consensus is that SARS-2 was circulating in the US by mid-December 2019 at the latest, so it's unclear how much benefit a total travel ban would have provided.
But, no: SARS-1 doesn't become highly infectious until after symptoms set in, that was what saved us last time. It does seem to be true that countries which experienced the SARS epidemic first-hand developed what we might call institutional antibodies, and were quick to impose various controls (especially contact tracing) which were more effective at controlling COVID-19.
But COVID-19 has a long period of presymptomatic infectivity, it sheds for almost a week during which the patient feels fine. If SARS presented with that etiology, there is a good chance that it would have swept the planet, killing, potentially, hundreds of millions of people.
Just dumb luck.
Ironically in some ways it had the opposite effect in Canada. We remembered how hard-hit Toronto's tourism industry was as a result of travel advisories from SARS-1 and so were initially supportive of China+WHO's argument against banning travel. But like you said, it's really hard to see this not being a pandemic either way, it might've just bought a bit of valuable time.
So not 40 cases all at once in case anyone was worried.
The big question is how they were all infected. Is it in the food supply (meat, milk)? Was it tainted blood donations?
42 people is a lot of people... The vCJD outbreak in the 90s (mad cow) ended up with less than 250 cases total.
I'd rather not imagine how that would look like in comparison to covid
The difference in infection levels is that mad cow disease is transmitted through ingestion, so the usual avenue for human-to-human transmission is cannibalism (see e.g. the outbreak of Kuru that resulted from ritual funerary cannibalism), which is rare. Animal-to-animal cannibalism in animal feed is more common.
I was also the kid that stayed awake at night worrying about Ebola when there was an outbreak in Zaire in 1995 I think it was.
I will get the shot. Most of my family has already(medical profession). If my parents get Covid-19 they are as good as dead so I will be getting it for their sake also.
The carbon footprint of beef is a disaster anyway. There are plenty of other reasons to stay away.
Mad cow disease was (is?) a prion disease. Since they're just proteins and not living creatures, even heating them doesn't kill them. They can't infect you like a virus or bacteria can, they basically all do the same thing, cause brain deterioration. They can't mutate to become more virulent, and they are spread through food consumption and usually caused by cannibalism. Whether a prion can damage cells in an animals brain depends on its DNA sequence and the enzymes their cells create to break apart certain proteins. We currently don't know if chronic wasting disease can hurt humans, and there are tons of prions all over the place all the time and you ingest them and most of them don't do anything bad to you. So there's no telling with CWD yet.
They've had some suspicions that the prion has infected humans, although I haven't read any updates to that in a couple of years.
Many locals still don't get their kills checked, even though it's free. They just eat them. A lot of the logic is that it's been here a long time and they've probably already eaten it.
Anyway, prions are the scariest thing I've heard of in a long time, because they don't even have an agenda.
And since we have no treatment, assigning liability is impossible, and it would destroy the beef industry, there's not much enthusiasm for learning more. The premier of Alberta was very clear: shoot, shovel, and shut up.
Whilst that can’t fully rule out unknown prion diseases out there, generally we would expect such a condition to manifest in a much broader section of the population than just ‘the elderly’ and when young people develop significant neurological symptoms there’s a huge amount of diagnostic effort that is put in to determining what is going on, because, you know, it might be a prion disease and generally it shouldn’t happen unless there is a genetic determinant or another cause, such as smoking adulterated drugs which was found to cause Parkinson’s in the 80’s [0], or in fact vCJD
Yep, not connected to the mRNA vaccines. :)
Apparently prions are pretty hard to kill off, the sterilization procedures are pretty long. https://www.cdc.gov/prions/cjd/infection-control.html
Aren’t proteins generally easy to denature? Isn’t that what most cooking does? And what alcohol does?
Prions are generally much more stable and can revert back to dangerous form once denaturing conditions change back. It takes a lot more to denature them irreversibly than it does most proteins. This stability is part of what makes them so dangerous and difficult to remove.
Indeed I'd imagine that almost definitionally prions must be difficult to denature. Since they are non-living and therefore have no way of "seeking out food," durability is the only way they can compete for reproduction. That is they can only become infectious if their resistance to denaturing was sufficiently high to resist environmental damage until their next target comes around.
https://www.scientificamerican.com/article/surgical-exposure...
However there is a difference between a denaturing process and a lysing (breaking) process, meaning that the actual covalent, chemical bonds between the component amino acids that make up a protein are broken. This bond is called the peptide bond, and they are extremely stable, and to break them without enzymes requires some crazy conditions like strong acids or bases and high heat and long periods of time. There is a class of enzymes called proteases that catalyze and speed up this breaking-down process, which is what cells use to digest and break down proteins.
So, yes, it is protein denaturation. But it's a very specific denaturation endpoint that not all proteins are capable of, and it's such a favored endpoint that even heating won't quantitatively destroy it (and heating could make it worse by fragmenting it into a bunch of smaller sheets).
[0] Incidentally, this denaturation is probably also used by cells in a productive fashion, it's pretty likely IMO that your melanin cells use these sheets to template melanin formation and sequester away the melanin molecule (the melanin precursor is highly toxic). I would link to the paper, but I think all of the data have been essentially cherry picked from shittily-done experiments, even though I think their conclusion is correct -- I have personally repeated the experiments "correctly" and reached the same endpoints in one shot without cherry picking (unpublished for my experiment, also n == 1) -- so I don't want to draw more unhealthy attention to the paper until someone else does the experiment "correctly".
[1] how does this happen? It can happen either due to a mutation that destabilizes the parent, well-folded protein, or, just by bad luck / time. Mutation examples: Fatal Familial Insomnia, non-variant CJD. Bad luck/Time example, insulin in a bottle in a fridge will turn into white flecks (these are sheets). The time at which this happens is highly variable (luck). You can accelerate this by agitating the bottle, and creating an air-water surface that catalyzes the denaturation of insulin. Also note, that insulin is not the protein in sheets in diabetes :biology trollface: (the insulin situation is strictly in vitro, and pH-dependent, as far as we can tell)
1. Theoretically speaking, yes. And there's probably a biological protease that does it in the the body. Last I checked, it's still unidentified; my money is on Insulin-Degrading Enzyme.
2. It's more complicated than that. If you just buy an off the shelf protease, it probably won't work, because those are used to cutting up floppy bits of peptide sticking out of a protein, so to get there you would need to pull the sheet apart ribbon by ribbon first to be effective.
3. Given enough time, though, the ribbons ARE in equilibrium between being on/off of the ends of the sheet, so a protease could randomly catch the ribbon at the right time. But the equilibrium is so low, that your protease would probably self-digest faster than it takes apart the flat protein sheet.
Is there a way to somehow pack chemical or electrical energy into these highly favorable stable endpoint configurations, and release it?
If you don't mind: what's the most likely source of this new disease? What's the worst case scenario, and how likely is it to play out?
Aside from that I think it's irresponsible for me to comment much on it since there is so little information in OP.
"In 2015, researchers at The University of Texas Health Science Center at Houston found that plants can be a vector for prions. When researchers fed hamsters grass that grew on ground where a deer that died with chronic wasting disease (CWD) was buried, the hamsters became ill with CWD, suggesting that prions can bind to plants, which then take them up into the leaf and stem structure, where they can be eaten by herbivores, thus completing the cycle. It is thus possible that there is a progressively accumulating number of prions in the environment."
Dark dreams of a planet's biosphere irreversibly becoming utterly hostile to organisms that use neurons to function, through accumulation of immortal zombie nanoparticles that convert more and more proteins to their side.
OMG.
I recall watching a PBS show on prions back in the 90s where they tried to destroy them in various ways : burning, burying, etc, and they were extremely difficult to destroy.
The moose population there has increased nearly 10x since 1960. In the 2020 hunting season, 3900 moose were taken. That is more than the entire population in 1960. So it seems like the people of NB having been eating increasing amounts of moose over the years.
It will be interesting to see if these unlucky folks are moose eaters.
Edit: Link - https://www.cbc.ca/news/canada/new-brunswick/2020-new-brunsw...
The area is largely agricultural, and the cancer rate for that region is high compared to the rest of the state (Maine). Hmm.
That's not quite right, though they are both prion diseases. See https://www.cdc.gov/prions/
(I worked in a protein plaque lab and did a small, inconclusive experiment about cross species CJD transfer)
"Classic CJD is not related to “mad cow” disease. Classic CJD also is distinct from “variant CJD“, another prion disease that is related to BSE."
It's related. They both involve the same protein. If you get a bone marrow transplant from someone with CJD, you will get "vCJD". Presumably also if you eat the brains of someone with CJD. The differential between the two is age of onset.
Can't hurt.
That is probably related to Irving (largest landowner in Maine) forestry practices: https://news.ycombinator.com/item?id=26507652
While Irving does have a chokehold on everything in NB, there's also a lot of agriculture in NB with very little resources to properly regulate. During my time there, small farmers would spray crops with unregulated herbicides/pesticides/fungicides, and even if we reported them, nothing would get done.
The area was also a huge test site for Agent Orange: https://www.canada.ca/en/department-national-defence/corpora...
People aren't very rich and don't take good care of themselves. The education level is low and most people smoke and the rate of obesity is incredibly high: https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/en/P...
Take spray deodorants for example. I absolutely fail to believe that adequate studies were conducted to determine if inhaling small amounts of whatever is in there didn’t cause cancer after 50 years.
New Brunswick is basically a lumber colony for the Irving companies (also, so is Northern Maine, see sprainedankels' comment elsewhere in this thread: https://news.ycombinator.com/item?id=26506784). On average 1% of the forest cover of New Brunswick (at least 85% of the province is forest cover) is clear-cut every year, and then the clear cut is drenched in herbicides from the air. The current herbicide is glyphosate, which has been linked to neurological disorders, but aerial spraying of herbicides in other forms dates back to the 1950s.
Here is a linkdump for more information:
http://isourforestreallyours.com/Isourforestreallyours/Start...
https://web.archive.org/web/20160322213243/http://dearbriang...
https://www.cbc.ca/news/canada/new-brunswick/forests-and-flo...
https://www.cbc.ca/news/canada/new-brunswick/louis-lapierre-...
https://www.cbc.ca/news/canada/new-brunswick/forestry-deal-r...
This even comes up in the comments section on satire websites:
"Back around 1973 or 1974, I knew of a photographer who had a summer contract with Irving, documenting the effect of spraying. He photographed deformities, poisoned animals, etc. The company was very secretive and made sure that every single roll of film was handed back to them." https://themanatee.net/firing-of-dr-cleary-proves-once-for-a...
https://themanatee.net/new-brunswicks-10-most-beautiful-clea...
Chevron (Texaco) killed and poisoned hundreds and when they finally lost in court they went after the laywer which is currently still under illegal house arrest in NY. [1]
And possibly exposure to chronic wasting disease from deer being driven from forests (Irving re-plants clear-cuts with spruce monoculture that provides no food for deer) into proximity to humans:
https://www.cbc.ca/news/canada/new-brunswick/deer-st-andrews...
https://www.cbc.ca/news/canada/new-brunswick/deer-mobs-bathu...
https://www.ctvnews.ca/canada/n-b-town-overrun-by-deer-consi...
I used to work for the Ministry of agriculture there and we shared most of our data and procedures with Quebec's.
Québec land area: 1,365,128 km²
Québec total annual timber harvest: 4.8 million m³
New Brunswick land area: 71,450 km²
New Brunswick timber harvest from Crown lands: 5.4 million m³
New Brunswick timber harvest from private lands: 3 million m³
Québec protected areas alone are more than twice the size of the whole of New Brunswick.
What other populated region in North America is as intensely logged as New Brunswick? Maybe rural Oregon or Washington?
As a biochemist (no conflict of interest), I honestly don't think there's any reason to think this has anything to do with glyphosate or herbicides.
Environmental exposure in general is unlikely to have a subacute presentation such as in CJD, so that probably rules out exposure to reasonable levels of any herbicide.
I wonder if these tests for prion diseases included chronic wasting disease that occurs in deer populations. Is there a lot of deer hunting in New Brunswick? If this is a prion disease and it is caused by the same prion as chronic wasting disease, a lot of people are going to die in north america.
I thought CJD and BSE were the same thing.
- How many diseases do we learn to distinguish (i.e. from other diseases) every year as our biological laboratory technology improves. You can imagine that once upon a time, there were multiple strains of coronaviruses in humans, but we had no way to tell them apart (the strains look the same to whatever scale of study is available), which we can now tell apart.
- How many diseases do we discover as we apply modern medical technology to an ever-wider portion of the global human population (again, that are already in humans but which are "discovered" in that year)?
- How many new diseases develop for humans every year? For example, we have no evidence that any of the current strains of Covid-19 were present in humans prior to late 2019.
They just call them "downers" and terminate them and some most likely end up in the food supply.
The head of a research group on the subject, neurologist Alier Marrero of Moncton's Dr. Georges-L.-Dumont University Hospital Centre, said in an interview: These are patients who have clinical features that correspond to prion diseases, of which Creutzfeldt-Jakob disease is one, but show no evidence of having Creutzfeldt-Jakob disease or any other form of prion disease.