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Worries of 'Mad cow' contamination lead panel to urge barring some blood
donors

Copyright � 1999 Nando Media
Copyright � 1999 Associated Press

By LAURAN NEERGAARD

GAITHERSBURG, Md. (June 2, 1999 10:06 p.m. EDT
http://www.nandotimes.com) - Some Americans who visited Britain
frequently during the mad cow disease scare should be forbidden to
donate blood back home, a federal panel recommended Wednesday.

The advisers to the Food and Drug Administration expressed concern
about a theoretical risk that a similar human brain disease might be able to
spread through blood.

Panel members stressed that their vote did not mean that frequent travelers
to Britain are at risk of getting a fatal illness linked to mad cow disease - or
of spreading it through their blood.

The problem is that scientists just don't know if the illness can be spread
that way. There's never been a human case where that happened. But at
issue is a new fatal disease that doctors don't yet understand - and some
scientists have successfully transmitted similar illnesses to animals through
blood.

"The day you find out there is (human) transmission, you're years too late"
to protect the blood supply, warned Dr. Linda Detwiler of the U.S.
Agriculture Department as the panel voted 12-9 that FDA should forbid
some blood donations.

The FDA is not bound by its advisers' recommendations, but typically
follows them.

If it does so in this case, it must decide how long someone had to stay in
Britain to be deemed enough of a risk to refuse their blood.

That's crucial because an American Red Cross study found almost 23
percent of recent blood donors had traveled to Britain at least once
between 1980 and 1996. If the FDA barred them all, the United States
would face a critical blood shortage.

The advisory panel said the concern is not a typical week-long tourist trip.
Instead, a majority said Americans must have spent a total of over six
months in Britain between 1980 and 1996 before being blocked from
donating blood. Some advisers wanted the time extended to over a year,
excluding fewer people.

Blood donations are dropping every year even as demand for blood
increases, and every summer and during holidays parts of the country
experience serious shortages.

If the FDA blocks travelers who spent a total of six months in Britain, there
will be a 2.2 percent drop in the U.S. blood supply, the Red Cross study
said.

A majority of FDA's advisers said even though the risk is only theoretical, it
makes sense to be conservative in protecting the public. Some noted that
critics say the AIDS epidemic might have been mitigated had doctors
taken a more aggressive stand to protect the blood supply in the early
1980s.

At issue this time is an infection that kills by literally eating holes in brain
tissue. In cows, this condition is called mad cow disease - and from the late
1980s through 1996, British cows suffered an epidemic. Mad cow disease
also has been found in cattle in certain other countries, but Britain was
hardest hit.

About one in 1 million people around the world gets a similar brain disease
called Creutzfeldt-Jakob disease, or CJD. Although CJD sometimes is
hereditary, usually its cause is not known.

The worry about blood stems from Britain's discovery in the mid-1990s that
some people caught a new variety of CJD apparently by eating beef
infected with mad cow disease. Named "new variant CJD," it has claimed
39 British victims.

There is no known mad cow disease in U.S. cattle, the United States has
not allowed importation of British beef for over a decade and no American
has caught new variant CJD.

But because these brain diseases can incubate for years without causing
symptoms, some scientists say the possibility exists that years from now
they will discover a link between blood transfusions and infection. Indeed,
doctors are closely watching Britain to see if that happens.

The British government now imports drugs made from blood plasma from
other countries, although British researchers told the FDA panel
Wednesday that they simply cannot predict the risk, if any.

Canadian health officials last month decided they, too, would determine
how to block blood donations from certain Canadians who traveled to
Britain.

------------------------------------------------------------------------
Steve Wingate

California Director
SKYWATCH INTERNATIONAL

Anomalous Images and UFO Files
http://www.anomalous-images.com

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