The Queniborough Cluster: Proof of a Human Connection to Mad Cow?

AUBURN, Jan 16, 2004 --- The suffering associated with a quaint English village of 2,300 is embodied in the tragedy of Sarah Roberts.  Roberts was a happy, fit, fun-loving young woman in her late twenties, her father recalled, when she was struck by a debilitating brain disease in the late 1990’s. 

From the standpoint of medical investigators desperately trying to account for the spike in outbreaks of Creutzfeldt-Jakob disease that have occurred in Britain within the last decade, her circumstances are as significant as they are tragic.  Roberts lived in Queniborough, which has the dubious distinction of having an unusually large number of deaths associated with what appears to be a new form of Cruetzfeldt-Jakob disease.  This condition is often associated with bovine spongiform encephalopathy, so-called mad cow disease. 

Equally significant, from the standpoint of medical investigators, is that her death not only occurred in Queniborough but it occurred in close proximity to another young victim of the rare disease.   Matthew Parker, a 19-year-old man, not only lived on the same street, just a couple of hundred yards away, but attended the same school as Roberts and played with her as a child. These circumstances, along with the fact that the other three victims of the region who died of the disease were also young and lived in or near the village, have led doctors to search for some common tie.

“Medical investigators consider this a very significant factor, lending support to the prevailing view that what is perceived as a new form of CJD associated with these young people stemmed from some kind of environmental factor, most likely from eating tainted beef from BSE-infected cattle,” said Dr. Jean Weese, an Alabama Cooperative Extension System food scientist and Auburn University associate professor of nutrition and food science.

The young ages of these victims, coupled with the fact that their deaths occurred at the same time BSE was being detected in large numbers of British cattle, lent further support to the investigators’ notion that they were dealing with something entirely new.

While the evidence continues to intrigue investigators, it still does not answer the question researchers have been asking for the last decade: Can eating tainted beef from mad cow-infected cattle put humans at risk of developing a similar brain disease?

“All sorts of theories have been formulated about the root cause of this perceived new form of CJD,”  Weese said.  “For a time, they suspected school lunches of minced meat and sausage that were produced from the old-fashioned slaughtering methods rather than the more advanced meat recovery methods currently prescribed as a safeguard against infection.  They also suspected a polio vaccine.” 

Finally, in March 2001, investigators with the Leicestershire Health Authority concluded that the most likely sources of infection were local butcher shops using older methods of meat extraction that may have increased the likelihood that meat cuts were tainted with spine and brain tissue. 

Still, the evidence remains inconclusive.  The health authority report states that only four out of five CJD victims within the Queniborough area may have been exposed to the possibly tainted meat, leaving one unaccounted for.

Further complicating matters is the fact that the inquiry uncovered no evidence of butchers using meat extraction methods considered illegal under British law.  Also, the data used by the researchers to reach their conclusion was partly based on anecdotal accounts of family members, drawn from memories stretching back as far as 20 years.

The investigators even conceded that “on a national basis” the unusual cluster around Queniborough “is unlikely to explain how all of the people who developed this disease were exposed to the BSE agent.”

One other factor continues to baffle investigators.  With almost 200,000 cows testing positive for mad cow, why hasn’t a similar spike in variant CJD occurred in humans?

“What we have here is evidence that is compelling but still inconclusive,”  Weese said.  “We have plenty of reasons to suspect a link between mad cow disease and CJD in humans but no smoking gun --- not yet, at least.”

(Source: Dr. Jean Weese, Alabama Cooperative Extension System Food Scientist and Auburn University Associate Professor of Nutrition and Food Science, 334-844-3269; Writer: Jim Langcuster, Extension News and Public Affairs Specialist, 334-844-5686.)

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Further Reading

For most of the past decade, medical Investigators have been trying to account for a spike in Creutzfeldt-Jakob disease cases occurring in or near the tiny English village of Queniborough.  Medical investigators consider this outbreak, the so-called Queniborough cluster, significant because it may reveal a link between mad cow disease and CJD. So far, though, the evidence that has been uncovered has been intriguing but inconclusive.

A Queniborough Cluster Chronology:

Summary of the Final Report of the Investigation into the North Leicestershire Cluster of Variant Creutzfeldt-Jakob Disease --  From the Leicestershire Health Authority, March 21, 2003.

Leicestershire Health Authority Press Release

Queniborough VCJD Cluster Report – (United Kingdom) Department of Public Health

“The Queniborough CJD Cluster”

“School Food May Have Spread CJD”

“Butchering (In Queniborough) Likely to Blame”

“Scientists Find Cause of CJD Cluster”

“Warning Over Rising CJD Cases”

“‘Misadventure’ Ruling After vCJD Case”

“Street’s Second CJD Victim Rarely Ate Beef, Father Says

“‘Missing’ In Village CJD Cluster”

“CJD turned 'perfect girl into a wreck'”