-Caveat Lector-

Kentucky coroner confirms 2 cases of Creutzfeldt-Jakob disease

Copyright Scripps Howard News Service

By CINCY STARR and CRAIG GARRETSON, Kentucky Post

COVINGTON, Ky. (September 17, 2001 1:32 p.m. EDT) - The incidence of
Creutzfeldt-Jakob disease is one in a million. But if the coroner in Campbell
County, Ky., is correct, the Northern Kentucky area may be defying the odds.

Since March, Northern Kentucky has had two confirmed cases of CJD, a
fatal brain disease associated with a tiny protein called prions. Tests are
being performed on a third local person who died in August to determine if
she succumbed also to the disease.

The two confirmed victims are Kenneth Johnstone, 62, a former Boone
County superintendent and principal who died July 31, and Helen Davis, 76,
a nursing-home resident who died in March.

The disease was confirmed in Johnstone's case by a brain biopsy, said his
widow, Jo Ann Johnstone. Campbell County Coroner Mark Schweitzer said
Davis, who died of pneumonia, also had CJD.

Schweitzer, a chiropractor, also believes Sandy Reaves-Haas of Dayton may
have died of CJD, although the woman's primary-care physician disagrees.

Robert Tracy, an internal-medicine physician from Cold Spring, oversaw
Reaves-Haas' treatment through a mysterious illness that struck suddenly
and left her incapacitated and uncommunicative for several months. Tracy
said samples of the woman's blood and spinal fluid tested negative for CJD
during her illness.

A definitive diagnosis of CJD can be achieved only with a brain biopsy,
which Schweitzer requested. But Tracy said Reaves-Haas' symptoms were
not those of a patient with CJD.

In animals, prion disease can take the form of mad cow disease. Mad cow
disease has not been detected in the United States, despite active
surveillance efforts since May 1990.

Jo Ann Johnstone said it's a mystery as to how her husband acquired the
rare illness. They had never been to England, she said. During a trip to
Spain, Italy and Morocco 11 years ago, they ate very little beef. They also
rarely ate beef at home.

She said doctors at University Hospital had ruled out the hereditary form of
the disease.

The source of Johnson's disease, as with most cases of CJD, may never be
known. The disease can lie dormant for many years, further complicating
efforts to pin down its cause.

Schweitzer said the cases appear to be unrelated.


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