(This piece was commissioned by the Western Morning News)
Today, if they are unable to get a Court
injunction, the people of Holsworthy face the awful prospect of a
Foot & Mouth Disease pyre starting up one mile from their
beautiful town.
The main fuel for the pyres is coal, railway and
sleepers (containing oil and bitumen). Combustion temperatures are
low, especially in rainy weather, and this favours the formation of
dioxins. The Government has admitted that the dioxins released from
the pyres so far are equivalent to 3-6% of Britain's annual output
of these chemicals. They will be concentrated in a much smaller area
than usual. Dioxins are cancer causing agents. In addition, they
depress the immune system, and have a hormone disrupting effect
which interfere with sex hormones in the body. These "gender
benders" are associated with lowered sperm count, testicular cancer,
prostatic cancer, undescended testicles and conditions like
hypospadias, where the penis of the young male embryo does not
develop correctly.
Acidic gases such as sulphur dioxide and oxides of
nitrogen will be formed. These are associated with bronchitis and
other respiratory diseases.
Particulates in the smoke will cause asthmatics to
get bouts of wheezing. Particulates are also associated with an
increased incidence of heart problems.
There is a fear that some of the railway sleepers
will have been imported from eastern Europe where apparently arsenic
is used as a preservative, so the smoke may be laced with this
poison also.
Using Government data, we can calculate that the
burning of 100 beef cattle will produce between 6 and 30 lethal
doses of BSE agent - the cause of "mad cow disease" and
Creutzfeld-jacob disease in humans. The dose from dairy cattle would
be between 24 and 120 per 100 dairy cattle burned, as the incidence
is higher in dairy cattle. This is one of the reasons that the
Government, with agonising slowness, is inching its way towards
vaccinating dairy cattle.
Most of these will land on pasture land,
effectively rendering the land unusable for grazing for an
indefinite period of time. Doses landing on vegetables are liable to
be eaten by people, and of course some may be unfortunate enough to
take in BSE agent in with the smoke. Workers tending the pyres and
anyone actually in the smoke will be at risk. Rain will increase the
concentration of pollutants in the area near the fire.
MAFF allege that the risk of getting BSE is very
low, but their official study made the elementary mistake of
comparing distribution of smoke from a pyre with that from an
incinerator chimney.
In 15 to 20 years time, a few unfortunate people
will develop vCJD, the human form of mad cow disease. It is a
horrible, slow way to die, and as it is incurable, we should clearly
take every precaution to prevent people from catching it.
It is possible for Foot and Mouth virus to be
caught up in the air surrounding the smoke without being heated
sufficiently to kill it. So far as we have been able to establish,
there has been no scientific testing of FMD pyre smoke to find
whether viable FMD virus is present. On the other hand, there were
three outbreaks in Derbyshire in 1967 which may have been caused by
this route. The smoke is therefore a route of re-infection, leading
to the danger of more outbreaks, more slaughter, more burning and
more pollution and ill health.
There are other health risks to the smoke.
Bacteria such as salmonella and E. coli 0157 may be sucked up in the
smoke, causing diarrhoea and vomiting. Overload with bacteria and
half burnt animal products can cause general ill health in exposed
populations.
This catalogue of poisons and health challenges
should also be as a cumulative threat. The various agents will
multiply the effects they have on each other. For instance, one
authority on vCJD believes that the agent is more infectious to
people with sore throats. Smoke will cause people to get sore
throats. The immune suppressant effects of dioxins may make people
more likely to succumb to salmonella and E Coli 0157.
All of these physical health challenges come at a
time when communities are in emotional turmoil, and this stress
itself will make people more likely to suffer illness. The fear of
illness itself may mimic real illness, making the job of the GP all
the more difficult.
The whole country has been affected by the news.
Several people have told me that they have broken down and wept at
the spectacle of death and destruction. Rural communities will
suffer economically and socially from this crisis. At the very time
when they need social support from their friends and neighbours,
farmers are isolated in their farms, afraid to meet in groups for
fear of spreading the virus.
What can we do? First, we must hope that a
court injunction can be obtained to stop the pyre. If the court
injunction fails, and the fire is started, there are laws governing
air pollution. The local council can monitor the air quality, and
serve abatement notices against MAFF if the levels measured exceed
the set values. Finally, in Common Law, citizens are allowed to take
reasonable action to defend themselves against an act that they
believe will result in serious injury to themselves. That action,
once carried out, would have to be tested in a court of law.
We should not be brainwashed into believing that
mass slaughter is a necessary evil. Vaccination without mass
slaughter is a viable, practical economic alternative.
Dr Richard Lawson Green Party F&MD Campaign
Co-ordinator
RISK DUE TO BSE INFECTIVITY FROM BURNING
CATTLE
Dr Richard Lawson, Green
Party FMD Co-ordinator
12.4.01
The document "Assessment of Risk due to BSE
Infectivity from Burning Cattle" was prepared for the Ministry of
Agriculture, Fisheries and Food by "DNV Consulting" on 28th February
2001. It can be obtained from MAFF Animal Health (BSE and Scrapie)
Page St, London SW1P 4PQ tel 02079046256
METHODOLOGY
The DNV paper starts with an estimate of
infectivity in cattle, that is, the amount of BSE infective tissue
in a given number of the present herd. It finds that 7.2 per
thousand of dairy cattle and 1.7 per thousand of beef cattle would
be expected to carry the BSE infective agent. It estimates that 0.1
gram of brain tissue from an infected cow could cause vCJD infection
in a human. The conclusion is that the brain and spinal cord of an
infective carcass would give 700 ID50 infectious unit doses. ID50 is
the dose necessary to cause BSE in 50% of cows who ingested that
dose. The brain and spinal cord of one contaminated cow, spread
uniformly through the human population could cause 350 new cases of
vCJD in humans.
The paper then looks at the event tree for burning
cattle. The main routes are direct inhalation of smoke particles,
consumption of unprocessed crops, and consumption of water supply
from ground and surface water. They then assume that a proportion of
the infectivity is destroyed in the fire. They accept that the fire
will not be hot enough to destroy the BSE infective agent (which is
very heat stable) and that the fire will draw up light ash particles
into the plume for later deposition as fall-out.
They assert, "with a hot fire the particles will
tend to be lifted away from the immediate area and people close to
the fire should not be exposed." This is quite clearly not the case.
Smoke from the fires drags along the ground and those exposed to the
smoke will get a high dose. This is the key point: they base their
assumptions on incinerators, which give wide dispersal. There can be
no justification for extrapolating from incinerators to pyres in
terms of fallout plumes.
The conclusion of DNV is that from a fire in which
100 cattle are burned, the infective ID50 dose from 100 cattle
released and returned to the population is 0.00017 to 0.00071, that
is, that a dose thousands of times too small to cause a single case
of vCJD in an exposed human.
Using the DNV assumptions,
- 1 bovine burned gives a 0.000000535 chance of
creating one 100% probability of creating a human case (=half of
the 0.0000017 ID50).
- 1,869,159 beef cattle burned would therefore
produce the probability of creating a single case of human vCJD if
ingested (0.000000535 x 1869159 = 1.0).
The number of dairy cattle needed to cause this
single case will be about 467,000 due to the higher infective load
in this type of cattle. A new upsurge in Foot & Mouth numbers is
predicted at the beginning of May, when dairy cattle will be turned
out onto infected grass.
The DNV paper concludes that "the individual risk
of exposure would be low"
An alternative analysis is, unfortunately, not so
reassuring.
CRITIQUE
The DNV paper frankly acknowledges the extent to
which assumptions have been used throughout.
In the annexe containing the input data, the
fraction of infectivity entrained in the smoke, a factor of 0.1 and
the fraction of ash spilled before burial at a value of 0.01 is,
with refreshing candour for a government document, sourced as a
"Guess".
More seriously, the estimates for fractions of
particulates falling on a populated area, unprocessed crops etc.,
eight parameters in all, are sourced as from an incinerator.
Incinerators operate at very high temperatures, and are not at all
comparable to pyres. The smoke plume from an incinerator is
completely different as it is expelled at high temperature from a
tall chimney. The use of incinerator data in this case invalidates
the assumptions and conclusions of the MAFF paper.
It is claimed by Maff that only animals under 5
years old are committed to the pyres. In the chaotic circumstances
that prevail in the field it is difficult to believe that these
guidelines are strictly adhered to, but even if they are
scrupulously observed, BSE is still present. The older the cattle,
the greater the statistical risk that they will release BSE agent
when burnt..
The DNV assumptions are spread out for the
population as a whole and there is no analysis for targeted, at risk
groups. It is normal in epidemiology to consider a group with high
exposure such as people living close to pyres and the workers and
managers who are tending the fire itself.
ALTERNATIVE ANALYSIS
Using the data supplied in the DNV document,
1 Take a pyre of size 100 cattle. 2 There is a
0.17 chance that one of them will be infected. 3 Each infected
animal holds 350 lethal doses of BSE/vCJD 4 Therefore 59.5
lethal doses go into the fire. (350x0.17) 5 CNV assume that one
tenth of this infective load will escape destruction in the fire
6 Therefore 5.95 lethal doses are released into the smoke from
100 cattle. 7 If the fire reduction is only 50%, nearly 30
lethal doses are released from the fire.
The animals have a hole in their heads made by the
bolt gun or bullet that killed them
As they heat up, the brain fluids will boil,
sending a jet of potentially infective tissue into the rising plume
of smoke. This material will certainly not be destroyed by heat, so
the 50% assumption above may be an underestimate.
As at 5.4.01, 1,152,000 animals have been killed
under MAFF’s stamp out policy.
1 Of these 233,678 are cattle – nearly all beef
cattle. 2 Using the low figure of 5.95 per 100, the total
release is 13,904 (233,678 / 100 x 5.95) 3 Using the high figure
of 30 doses per 100, the total release to date is 70,103 (233,678
/100 x30) 4 The total number of lethal doses released if the
cull-only policy will continue to rise in proportion to the number
of cattle slaughtered. The majority of these doses will be
concentrated on a relatively small population around the pyres.
Using standard environmental modelling, it would be possible to
calculate the real risk to the target population. 5 Clearly not
all of these doses will be directly ingested by humans. Most will
fall out onto pastureland, (where they may re-infect the next cattle
that graze there), and also onto vegetables, roads, and roofs. The
doses will be distributed in concentrations that diminish with
distance from the fires. Concentrations will be greater in calm
weather conditions, and less in windy conditions.
Some of the doses will be ingested by humans
breathing the smoke from the pyres. The Maff document assumes a
widespread distribution, similar to that resulting from an
incinerator with a tall chimney. This assumption is completely
invalid. Smoke from the pyres drags along the ground, giving a high
deposition and air concentration of particles.
DNV consulting neglected to examine the exposure
to high risk, target populations, of whom the most obvious are
workers tending the fires, and residents whose homes lie on the
vicinity of the pyres, and who may be exposed to the smoke day and
night.
It is therefore possible that anyone living
downwind of a pyre, or a worker tending the pyre may have a
significant risk of contracting new variant CJD.
It is imperative that field trials be carried out
to find empirical evidence of BSE/vCJD infectivity by sampling the
smoke, and by sampling fallout areas around the fires. An indicative
test would cost a few pounds, and take a few days. The definitive
test would come take 300+ days to give an answer.
RECOMMENDATIONS
1. It is recommended that cows be burned in a head
down position so that the jet of boiling brain tissue is directed
into the fire, and not upwards or sideways.
2. It is recommended that slaughterers should wear
protective face masks to avoid being splashed with brain material at
the moment that they fire their bolt guns.
3. It is recommended that people exposed to the
smoke should be issued with respirators capable of trapping
particles onto which the BSE infective agent might be bound and that
people living downwind of fires whose homes are enveloped in smoke
should be either evacuated or be advised to stay indoors with the
doors and windows closed.
4. It is recommended that there should be
immediate sampling of the smoke from the fires by scientists
independent of MAFF and the Government. The smoke samples should be
tested the presence of viable BSE particles. Vegetation and soil
samples should be checked also.
5. At the same time, an analysis should be made
for the presence of viable Foot & Mouth disease picorna virus in
the smoke.
6. Pyres should not be used at all because of
their risks of spreading FMD and the risk from the carcinogens and
infective agents. The alternative, burial, is also environmentally
disastrous since it will contaminate the ground and surface waters
with high BOD and disinfectant, but it is the lesser of the two
evils.
7. In the light of the Purdey hypothesis,
especially stringent precautions should be applied in those areas
where there is high manganese level in the soil.
8. Due to the environmental effects of the
disposal problem, it is recommended that the slaughter policy should
be abandoned, and vaccination firebreaks should be used instead.
Dr Richard Lawson
Green Party FMD Co-ordinator
Commentary by Dr Richard Lawson, Green Party Foot
& Mouth Disease Campaign Co-ordinator, prefixed by RL-
SEAC: Public Summary of meeting on 30 March
2001
The Spongiform Encephalopathy Advisory Committee
(SEAC) met in London on 30 March to consider the BSE aspects of
various disposal options for cattle carcasses in the present
emergency arising from Foot and Mouth disease (Thin).
In particular, SEAC's advice was sought on
(a) the assumptions underlying the DNV's risk
assessment on burning in pyres, and the Environment Agency's (EA)
comments on that risk assessment and on burial; RL- There is no
reassessment of the criticisms re extrapolation from incinerators,
and application to special at-risk target populations made in my
paper "RISK DUE TO BSE INFECTIVITY FROM BURNING CATTLE" obtainable
from Dr Lawson (rlawson@gn.apc.org)
(b) how the level of' risk would be affected by
the age of the cattle, and whether they were beef or
dairy animals.
DNV Risk Assessment
SEAC considered an independent genetic risk
assessment on BSE infectivity by DNV Consulting which concluded
that a pyre of 100 dairy cattle aged ever 5 years old could result
in a total of 7 x 10 ~ infectious units being subsequently ingested
by those people exposed. (An infectious unit is equivalent to the
amount of BSE infected brain material, in grams, that would be
required to induce disease in 50% of' those each exposed to that
amount when ingested by the oral route). DNV noted, that the
amount of infectivity would be spread over a fairly wide population,
and so the risk to an individual from this exposure would be lower.
For example, if the infectious units were spread over 1000 people,
the individual exposure would be 7 x 10-7 infectious units per
person . RL-It is important to understand that the infectious
unit is indivisible: it is the risk of encountering the unit that is
expressed in this figure. The figure is based on invalid assumption
that pyre smoke is distributed in the same way as smoke from an
incinerator chimney. I believe (the methodology was not made
explicit in the DNV paper) that the method of analysis used by DNV
indicates the risk returned to the individual, and therefore on
their (flawed) analysis, there is a 50% chance that one of
10,000,000 persons exposed to the smoke will develop vCJD. In the
EA's view this was at the borderline of the widely accepted upper
threshold of acceptable excess individual risk of 1 x 10 -6 per
annum. RL-Therefore the higher risk from consideration of pyre
smoke/target group exposure will be above the acceptable excess
individual excess.
SEAC discussed the main BSE - related assumptions
made in the model: these related to the assumed level of BSE
infectivity in the cattle population and the infectious dose for
cattle and humans. Although SEAC did not consider the assumed
parameters to be unreasonable, indeed they were largely ones that it
had endorsed in previous meetings, the Committee considered that it
would be preferable to base the calculation on, a range of plausible
values to reflect the uncertainties underlying many of the
assumptions, rather than to use point estimates.
SEAC accepted that DNV's assumption that 10% of
infectivity remained after pyre burning was a reasonable, if
unsupported, value to assume. This meant that the exposure risk
from leakage from a burial site into water sources, compared with
burying the ash after burning, would be roughly 10 times higher.
In the light of this advice, and taking account of
advice from the Environment Agency on hydrogeological aspects, DNV
has since produced the following revised estimate of the total
infectious units that might be ingested following the disposal of
100 cattle over 5 years old:
Results Summary Median 2.5% 97.5% 1 Burning
9xl0-5 5x10-7 2x10-2 Dairy Cattle
2.Burning 2x10-5 lxl0-7 4xl0-3 Beef Cattle
3.Burial 6x104 3x106 lxl0-1 Dairy Cattle
4.Burial lxl0-4 6x10-7 3xl0-2 Beef Cattle
RL-The wide variation indicates great uncertainty,
and the 95% levels indicate very real risk. Note that burial is
considered more risky, although they have grossly underestimated the
risk from pyres
Variability of level of risk
SEAC had before it an estimate that, assuming 10%
maternal transmission of BSE in cattle in the last 6 months of the
incubation period and an effective feed ban in August 1996, only 90
of the roughly 7 million animals currently alive that have been born
since mid-l996 are BSE infected. The Committee thought that, based
on the number of BSE cases seen so far in animals born after 1
August 1996, (just one, compared to 8 expected in 1999 and 2000 in
modelling, assuming 10% maternal transmission) the true incidence of
maternal transmission is likely to be lower than 10%. Nevertheless
they considered it to be a reasonable working assumption. On this
basis, the risk from burning or burying cattle born before August
1996 would be at least 400 times higher than the risk from burning
or burying a similar number of cattle born after this date (i.e.
under 5 years old). RL- It is vital that cattle over 5 years are
rendered, and the proceeds of rendering be incinerated. This is
normal practice, but in the pressured and chaotic circumstances in
the field it is likely that guidelines will not be adhered to. David
Hill, NFU chairman in Devon, said on Farming Today radio programme
that animals that should have been taken too rendering had been
burned. The regualtions must be enforced. It is recommended that
EHOs take on this role.
-
Based on relative BSE incidence in the year 2000
SEAC also accepted that the risk from burning or burying dairy
cattle would be approximately 41/2 times more than disposing of same
number of beef cattle. At the end of April, dairy cattle must be
turned out to pasture. If sheep have been on this pasture, it is
probable that the pasture will be infected with FMD virus. It must
be expected that dairy cattle will become infected at this point. It
is vital therefore that dairy cattle in FMD exclusion zones should
be vaccinated now.
Other Issues
In disscussion SEAC drew attention to the
following points. (Additional more detailed points are included in
the annexe). \ The health and safety issues arising from
dispersal of brain tissue during slaughter must be considered and
appropriate protective measures taken The risk arising from an
uncovered face (and especially eyes) in close proximity to the
slaughter point was of particular concern. The danger here is of
splash back of CNS tissue from the impact of the bolt gun. Are
slaughterers wearing face protection? If not, why has this urgent
message not been passed through?
It unlikely that sufficient lime could be added to
buried cattle or ash to have any impact on potential
infectivity.
It is important that the potential for animal
re-infection by TSEs (i.e. BSE agents) through contaminated drinking
water or pasture land is considered, particularly in the immediate
vicinity of a burning or burial site. This applies both to BSE in
cattle and to scrapie in sheep.
We need an estimate of the length of time that
these contaminated lands will be unable to support cattle.
SEAC April 2001
Annex
1. The testing of OTMS cattle identifies animals
within about 3 months of clinical symptoms only. The true rate of
cattle over 5 years infected with BSE could therefore be higher than
the 0.49% assumed although this factor was not quantified.
2. 0.lg is a reasonable, probably conservative,
estimate of the infectious dose for cattle. However, a range
downwards from 1g, and including values less than 0.lg, should be
used.. This implies a tenfold upward revision of the risk
estimates.
3. An assumption that 10% of infectivity remains
after pyre burning was agreed to be a reasonable if unsupported,
value to use. It was noted that the burn achieved in a pyre was
likely to be variable and likely to be less effective than
controlled incineration. More information about the extent of
combustion should be collected. Field work is needed to sample
the pyre smoke and test for BSE agent. Dr Harash Nareng can produce
an indicative test in one day at a cost of a few pounds. Definitive
studies using mice will take 300+ days to produce an answer. The
delay is not a valid reason to avoid this work. Sampling may produce
false negative results. 4. Discussion about the methods of
slaughter led to a conclusion that skulls are not left intact.
However, no firm view was possible on the extent of brain
combustion, an important element when considering the proportion of
infectivity which burning would destroy. Each carcass has been
killed by a bolt gun or a bullet to the head. When the fire reaches
the head, the brain fluids will boil, and potentially infective
tissue will be voided with force. Unless the head is oriented so
that the jet of tissue is directed into the fire, this tissue will
escape unburnt into the smoke column. Until this practice is in
place, the 10% figure that escapes destruction is too low.
5. Environment Agency advice that, on average, the
extent of leaching from ash in pits is more than from dilute and
disperse landfills in rock, was noted.
6. In considering the dose that might be ingested
from contaminated groundwater, it is important to take account of
the time over which the dose is transmitted. For some situations
(such as Karst geology) this will be a matter of hours. For others,
it may extend over tens or even hundreds of years. The (immediate )
human exposure risk would be much reduced in the latter. We are
leaving a vCJD/BSE legacy for succeeding generations as a result of
the policy of mass slaughter.
7. The risk assessment model when applied on a
site-specific basis must be looked at in a local context, including
with respect to hydrogeology and the size of the population exposed
to a water source. SEAC was not able to comment on specific local
factors
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