title: The Canadian Management of Bovine Spongiform Encephalopathy in Historical and Scientific Perspective, 1990-2014.
abstract: On February 11, 2015, the Canadian Food Inspection Agency announced that a cow born and raised in Alberta had tested positive for bovine spongiform encephalopathy (BSE), commonly known as mad cow disease. BSE is a prion disease of cattle that, when transmitted to humans, produces a fatal neurodegenerative disease known as variant Creutzfeldt-Jakob disease. We believe that this latest case of BSE in Canadian cattle suggests the timeliness of a review of the management of BSE in Canada from a historically and scientifically informed perspective. In this article, we ask: how did the Canadian management of BSE between 1990 and 2014 engage with the contemporary understanding of BSE's human health implications? We propose that Canadian policies largely ignored the implicit medical nature of BSE, treating it as a purely agricultural and veterinary issue. In this way, policies to protect Canadians were often delayed and incomplete, in a manner disturbingly reminiscent of Britain's failed management of BSE. Despite assurances to the contrary, it is premature to conclude that BSE (and with it the risk of variant Creutzfeldt-Jakob disease) is a thing of Canada's past: BSE remains very much an issue in Canada's present.
authors.affiliation: 1Faculty of Medicine,University of Ottawa,Ottawa,Ontario,Canada.
authors.forename: Alexandra E
authors.initials: AE
authors.lastname: Quimby
authors.affiliation: 2Department of Medicine (Neurology),University of Ottawa,Ottawa,Ontario,Canada.
authors.forename: Michel C F
authors.initials: MC
authors.lastname: Shamy
mesh_terms: D000383:Agriculture / Q000191:economics* / Q000331:legislation & jurisprudence; D000416:Alberta; D000818:Animals; D002170:Canada; D002417:Cattle; D007562:Creutzfeldt-Jakob Syndrome / Q000175:diagnosis / Q000453:epidemiology; D016643:Encephalopathy, Bovine Spongiform / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D012106:Research / Q000639:trends*; D012306:Risk; D006113:United Kingdom
keywords: Creutzfeldt-Jakob Disease; Healther Services Research; History; Neurosciences; Prion