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From: TSS (216-119-144-34.ipset24.wt.net)
Subject: Working Group Report on the Assessment of the Geographical BSE-Risk (GBR III) of USA 2004 ''extremely/very unstable BSE/cattle system''
Date: August 20, 2004 at 11:28 am PST
Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 1 - European Food Safety Authority Scientific Expert Working Group on GBR Working Group Report on the Assessment of the Geographical BSE-Risk (GBR) of UNITED STATES OF AMERICA 2004 NOTE TO THE READER Independent experts of the EFSA Scientific Expert Working Group on GBR have produced this report, applying an innovative methodology by a complex process to data that were supplied by the responsible country authorities. Both, the methodology and the process are described in detail in the final opinion of the Scientific Steering Committee (SSC) on "the Geographical Risk of Bovine Spongiform Encephalopathy (GBR)" of 6 July 2000 and its update of 11 January 2002. These opinions are available at the following Internet address:
Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 2 - 1. DATA • The available information was sufficient to carry out the qualitative assessment of the GBR. • Reasonable worst case assumptions have been used in cases where the available information was not fully adequate. Sources of data • Country dossier (CD) consisting of information provided from the country’s authorities in 1997-2004, including the study entitled “Harvard Risk Assessment” (hereafter abbreviated as HRS). Other sources: • EUROSTAT data on export of "live bovine animals" and on "flour, meal and pellets of meat or offal, unfit for human consumption; greaves" (customs code 230110), covering the period 1980 to 2003. • UK-export data (UK) on "live bovine animals", and on "Mammalian Flours, Meals and Pellets" MBM1, 1980-1996. • Available export data from other BSE-risk countries. 2. EXTERNAL CHALLENGES 2.1 Import of cattle from BSE-Risk2 countries An overview of the data on live cattle imports is presented in table 1 and is based on data as provided in the country dossier (CD) and corresponding data on relevant exports as available from BSE risk countries that exported to the USA. Only data from risk periods are indicated, i.e. those periods when exports from a BSE risk country already represented an external challenge, according to the SSC opinion on the GBR (SSC July 2000 and updated January 2002). • According to the country dossier, 323 cattle were imported directly from the UK, all between 1980 and 1989, and 10 via Canada in 90, 91 and 92. According to Eurostat, 327 cattle were imported from UK. Of these cattle 96% were beef breeding cattle, 4% were dairy cattle. After 1989 an import stop for UK cattle was in effect. 1 For the purpose of the GBR assessment the abbreviation “MBM” refers to rendering products, in particular the commodities Meat and Bone Meal as such; Meat Meal; Bone Meal; and Greaves. With regard to imports it refers to the customs code 230110 “flours, meals and pellets, made from meat or offal, not fit for human consumption; greaves”. 2 BSE-Risk countries are all countries already assessed as GBR III or IV or with at least one confirmed domestic BSE case. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 3 - • Cattle imported from the UK were traced-back in 1995. This trace back exercise provided the details on which the assessment of the HRS of the import risk assessment is based. The animals still alive in 1995 (117 cattle) have been purchased, diagnostic samples were taken, and the carcasses were incinerated. These animals were not taken into account for the external challenge. All these animals tested negative for BSE (histopathology and IHC). Of these 117 cattle 52 came from UK-herds in which one or more cases of BSE later on developed. • For 173 cattle imported from the UK in the 80s, information on their final use is, according to the HRS, lacking and it is indicated that it is possible that some of these animals could have been rendered. In the HRS it is also noted that these animals were imported before the peak of the epidemic and none came from a birth cohort in which a BSE case is known to be developed. However, based on realistic worst case assumptions it has to be assumed that they created a risk if rendered for feed. • EU export data show that from the EU (excluding UK), 1,663 cattle were exported to the USA since 1980; according to the CD only 460 cattle have been imported from the EU. • According to the CD, 162 cattle were imported from Ireland between 1980 and 1988 (according to Eurostat 233). The trace back of these animals showed that 22 were found as being excluded from rendering in the US system and 4 were born in US quarantine and were therefore not taken into account for the external challenge. • According to the CD, 6 cattle from Belgium (Eurostat also 6), 46 from Germany (Eurostat 430), 3 from Austria (Eurostat 0) and 8 from Italy (Eurostat 21) have been imported. The 40 breeding-cattle imported from these countries in 1996 and 1997 were all traced back and none of them entered the US system. • According to Eurostat, 12 cattle from Denmark and 558 cattle from the Netherlands were imported to the USA. These imports were not indicated in the CD. • Additionally according to the CD, 235 cattle have been imported from France (403 according to Eurostat) and 103 cattle from Switzerland (48 according to other sources). • The discrepancy in the EU export data and the import data in the CD (See table 1) can in some cases, be explained by the use of the fiscal year data (from October to September) in the CD. • Between 235.000 and 1.7 Million (CD and Other sources) cattle per year are imported to the USA from Canada. According to the CD, feeder/slaughter cattle represent typically more around 80% of the imported cattle from Canada; therefore, only 20% of the imported cattle have been taken into account. • From Japan, 242 animals from a special beef breed were imported. These animals were traced, and were mostly excluded from the US rendering system. At most 39 of these animals have been rendered. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 4 - Live cattle imports, raw data Country: Data 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 0 1 2 3 Total (R1+R2) Austria CD 3 3 other 0 Belgium CD 6 6 other 6 6 Canada CD 584732 873791 904688 1273226 1201787 1010299 1132691 1510285 1378825 1316213 989885 968435 1308670 1688814 513344 13019248 other 234732 165853 363884 511118 603576 820997 1104555 1190675 998374 832705 1480514 1267385 1369353 737887 944798 1296135 1572146 11689972 Denmark CD 0 other 7 5 12 France CD 5 166 64 235 other 2 50 176 90 1 82 2 403 Germany CD 14 4 23 5 46 other 31 6 360 24 9 430 Ireland CD 70 21 62 0 0 9 0 0 0 0 0 0 162 other 67 2 76 59 14 6 1 8 233 Italy CD 5 3 8 other 2 5 11 3 2 21 Japan CD 0 0 0 0 0 0 0 0 36 48 0 81 63 9 5 0 0 242 other 0 0 Netherlands CD 0 other 49 382 9 77 8 41 41 558 Switzerland CD 45 41 17 103 other 35 13 48 UK CD 1 23 21 87 48 28 58 25 22 6 3 1 0 0 other 8 35 20 23 37 59 30 62 19 25 8 1 ALL TOTALS non UK CD 70 0 0 71 283 90 0 0 9 584732 873791 904688 1273226 1201787 1010335 1132739 1510314 1378917 1316276 989894 968440 1308670 1688814 513344 16656490 other 69 2 101 287 198 21 235121 165853 363890 511118 603587 821006 1104635 1190767 998780 832746 1480544 1267395 1369355 737887 944806 1296135 1572146 0 15496449 UK CD 1 0 23 21 87 48 28 58 25 22 6 3 1 0 0 0 0 0 0 0 0 0 0 0 323 other 8 35 20 23 37 59 30 62 19 25 0 0 8 0 1 0 0 0 0 0 0 0 0 0 327 Table 1: Live cattle imports into the USA (CD) and corresponding exports from BSE risk countries. Source for export data: Eurostat and UK export statistics and, where available, export statistics from other BSE risk countries. Note: Only imports in risk periods (shaded) are taken into account for assessing the external challenge. Risk periods are defined according to the SSC opinion of January 2002. The numbers shown in the table are the raw import figures and are not reflecting the adjusted imports for the assessment of the external challenge Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 5 - 2.2 Import of MBM or MBM-containing feedstuffs from BSE-Risk countries An overview of the data on MBM imports is presented in table 2 and is based on data provided in the country dossier (CD) and corresponding data on relevant exports as available from BSE risk countries that exported to the USA. Only data from risk periods are indicated, i.e. those periods when exports from a BSE risk country already represented an external challenge, according to the SSC opinion on the GBR (SSC, July 2000 and updated January 2002). • The CD reports import of 5 tons of MBM from the UK. According to Eurostat, 63 tons have been exported from the UK to the USA between 1980 and 1996; however, according the updated MBM statistics from the UK (August 2001) 24 tons of MBM were exported from the UK to the USA between 1980 and 1996; 39 tons exported in 1989 were not confirmed by the updated UK export statistic and therefore not taken into account. A further 38 tons were exported in 1997-1998 and 39 tons in 1999. As it was illegal to export mammalian meat meal, bone meal and MBM from UK since 27/03/1996, exports indicated after that date should only have included non-mammalian MBM. Therefore, these imports were not taken into account. • According to the CD, MBM was imported from Denmark, France, Italy and the Netherlands. It was claimed but not substantiated that these imports were not from ruminant origin, and therefore did not contribute to the BSE risk of the USA. • The Eurostat export statistics indicated additional exports from Belgium, Greece, Ireland and Spain. • Very large amounts of MBM (CD and other sources) between 18.000 and 44.000 tons annually were imported from Canada. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 6 - MBM imports, raw data Country: Data 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 0 1 2 3 Total (R1+R2) Belgium CD 0 other 10 10 Canada CD 21350 0 20816 33755 23299 18472 23263 31340 30840 20595 33740 29524 36709 43670 38490 329942 other 30948 20595 33740 29524 36709 43189 32867 227572 Denmark CD 0 0 0 0 0 0 18 78 63 127 39 139 0 0 0 464 other 72 19 37 83 62 19 90 382 France CD 0 0 0 0 0 0 6 0 0 0 1 19 37 39 63 165 other 0 Greece CD 0 other 55 55 Ireland CD 0 other 20 2 3 14 141 180 Italy CD 0 0 0 0 21 0 0 0 0 0 0 15 0 0 0 36 other 100 65 123 7 15 315 126 514 111 1376 Netherlands CD 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 19 other 46 23 3 5 3 38 118 Spain CD 0 other 8 8 UK CD 5 0 0 0 0 0 0 0 0 0 0 0 other 12 10 2 39 37 1 39 ALL TOTALS non UK CD 0 0 0 0 0 0 0 0 0 21350 0 20816 33755 23320 18472 23287 31418 30903 20722 33780 29716 36746 43709 38553 406547 other 0 0 0 0 0 20 0 0 0 146 90 123 3 65 106 488 163 31545 20665 33759 29763 36709 43189 32867 229701 UK CD 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 5 other 0 12 0 0 10 2 0 0 0 39 0 0 0 0 0 0 0 37 1 0 0 0 0 0 101 Table 2: MBM imports into the USA (CD) and corresponding exports from BSE risk countries. Source for export data: Eurostat and UK export statistics and, where available, export statistics from other BSE risk countries. Note: Only imports in risk periods (shaded) are taken into account for assessing the external risk. Risk periods are defined according to the SSC opinion of January 2002.The numbers shown in the table are the raw import figures and are not reflecting the adjusted imports for the assessment of the external challenge Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 7 - 2.3 Overall assessment of the external challenge The level of the external challenge that has to be met by the BSE/cattle system is estimated according to the guidance given by the SSC in its final opinion on the GBR of July 2000 (as updated in January 2002). Live cattle imports: In total the country imported 2038 (other sources) or 1128 (CD) live cattle from BSE risk countries other than Canada, of which 327 (other sources) or 323 (CD) came from the UK. From Canada the imports were >500,000 animals per year. The numbers shown in table 1 are the raw import figures and are not reflecting the adjusted imports for the assessment of the external challenge. Broken down to 5 year periods the resulting external challenge is as given in table 3. This assessment takes into account the different aspects discussed above that allow to assume that certain imported cattle did not enter the domestic BSE-cattle system, i.e. were not rendered into feed. In the case of the USA, all the animals for which tracing information showed that they were not rendered were excluded from the external challenge. MBM imports: In total the country imported 689 tons MBM (CD) or 2,230 tons MBM (other sources) from BSE risk countries other than Canada, of which 5 tons (CD) or 101 tons (other sources) were exported from the UK (UK export data). From Canada, the imports were about 30 000 tons per year. The numbers shown in table 2 are the raw import figures and are not reflecting the adjusted imports for the assessment of the external challenge. Broken down to 5 year periods the resulting external challenge is as given in table 3. This assessment takes into account the different aspects discussed above that allow to assume that certain imported MBM did not enter the domestic BSE/cattle system or did not represent an external challenge for other reasons. As it was illegal to export mammalian MBM from UK since 27/03/1996, exports indicated after that date should only have included non-mammalian MBM. In the case of the USA imported MBM from UK in 1989 and between 1997 and 1999 was not taken into account. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 8 - External Challenge experienced by the USA External challenge Reason for this external challenge Period Overall Level Cattle imports MBM imports Comment 1980 to 1985 Moderate Negligible 1986 to 1990 Moderate Negligible Low 1991 to 1995 Very high High High 1996 to 2000 Very high 2001 to 2003 Extremely high Very high Extremely high When Canadian import data are excluded from the assessment, the overall level varies from low to high. Table 3: External challenge resulting from live cattle and/or MBM imports from the UK and other BSE risk countries. The challenge level is determined according to the SSC-opinion on the GBR of July 2000 (as updated in January 2002). On the basis of the available information, the overall assessment of the external challenge is as given in table 3. 3. STABILITY 3.1 Overall appreciation of the ability to avoid recycling of BSE infectivity, should it enter processing Feeding Use of MBM in cattle feed • Until 1997 ruminant MBM (RMBM) could legally be included in cattle feed and was indeed commonly fed to cattle of different age and type. Prior to the feed ban the US authorities estimated that 10% of all MBM would deliberately have been fed to cattle. Feed bans • A ban to feed (several types of) MMBM to ruminants was put in place in August 1997. Derogation from the ban was granted for pure porcine and equine protein (MBM) coming from designated (single species) rendering plants. This MMBM might still be fed to cattle. Therefore this feed ban is a ruminant to ruminant ban. • It is planned to prohibit the use of all mammalian and poultry protein in ruminant feed and prohibiting materials from non-ambulatory disabled cattle and dead stock from use in all animal feed. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 9 - Potential for cross-contamination and measures taken against • The animal production chain in the USA is large-scale industry, which allows for a high level of specialisation and many farm and factories for slaughter, rendering and feed production are dedicated to one species only. This reduces the risk of cross-contamination to a large extend, but this does not apply to regions with a lot of mixed farming. • Cross-contamination of non-ruminant MBM with RMBM is theoretically possible whenever transport of this material from rendering to feed plants is done in bulk and with the same means of transport. It is unknown if this can be excluded. • Cross-contamination in feed mills is possible as many feed mills produce compound feeds for different species on the same production line. No data on the structure of the feed industry in the USA were provided by the US authorities that would allow estimating the amount of cattle feed annually produced in mixed feed mills throughout the period 1980-2001. Information on inspection of feed mills shows that this problem is still found, by 2003, in a very small fraction of the industry. • Since 1997, FDA regulations provide for either the use of separate lines in the production of ruminant feed or specify detailed clean-out procedures to be used between production batches. However, experience in Europe shows that flushing batches etc are not capable to eliminate cross-contamination, even though they reduce it. The efficiency of the required measures cannot be assessed as detailed control data are lacking and samples are not taken for this purpose. • Feed containing RMBM has labels not to be fed to ruminants, but “on-farm” cross-contamination is regarded to be possible. • Hence, as reasonable worst case scenario, it is assumed that cattle, in particular dairy cattle, can still be exposed to RMBM and hence to BSE-infectivity, should it enter the feed chain. • Rendering plants and feed mills are, according to the CD, regularly inspected for compliance with the regulations, throughout the country. • It is planned to require dedicated equipment or facilities for handling and storing feed and ingredients during manufacturing and transportation, to prevent cross contamination. Control of Feed bans and cross-contamination • Since 1997, feed mills that are allowed to use RMBM, and also produce cattle feed (without RMBM), are inspected annually, other may also be inspected. Two types of violations were registered. One type not involving RMBM, the others involving this, this mainly concerns cross-contamination problems. These firms were re-inspected soon. In several cases, products were recalled, sales were closed and/or products were destroyed. Cattle feed is not sampled to test for presence of illegal MBM. • According to information provided in 1999/2000 by the feed producers, the compliance is assumed by the US authorities to be in the order of magnitude of 70% to ≤90% since 1998, and 30% to ≤70% before. Official control data concerning rendering and feed mill industries were provided and show that action at shortcomings in the production processes (a few percent of the firms) have Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 10 - become severe by the beginning of 2003. However, samples from ruminant feed are not regularly tested for the inclusion of MMBM. Reports from the feed industry in 2000 and 2001 indicate significant shortcomings in the implementation of the ban in that period. This does confirm the known difficulty of implementing and enforcing such a feed ban. • No examinations are performed to assess cross-contamination with RMBM of the protein (e.g. through non ruminant MBM) that enters cattle feed. Rendering • The domestic MBM production averages 3 million metric tons per year. • Almost 60% of the MBM produced originate from ruminants (cattle 59%, sheep 0.6%), 20% from pigs and 20% from poultry. Raw material used for rendering • Ruminant material is rendered together with material from other species (approx. 50% of all plants). This is particular significant as SRM will be included. "Free renderers" are known to also process fallen stock. • Slaughter by-products from different species, including SRM, is the raw material for most rendering plants that are associated with slaughterhouses. • Some plants process material from one species, e.g. pigs or horses or poultry only. • The CD does not provide the numbers of plants falling under each category nor of their respective annual production. Rendering processes • Four major rendering systems are used in the approximately 280 rendering plants in the USA. All systems operate under atmospheric pressure with temperatures ranging between 100 and 150 °C and different heating times: - Batch cooker plants (46): 115-125 C°, 30-240 min. - Continuous tube and disc cooker systems (220): 131-150 °C, 45-90 min. - Continuous multi-stage evaporator systems (10): 115-125 °C, 20-40 min. - Continuous preheat/press/evaporator systems (4): 87-120 °C, 240-270 min. Due to the fact that they operate under atmospheric pressure only, none of the described rendering processes are assumed to reduce BSE-infectivity significantly, should it enter the processing. SRM and fallen stock • An SRM-ban for human food has been introduced in 2004. There was however never an SRM ban for the feed chain. • SRM are rendered together with other slaughter by-products and, in case of independent renderers, together with fallen stock. • It is planned to remove SRM from all animal feed, including pet-food. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 11 - Conclusion on the ability to avoid recycling • Before 1997, US system would not have been able to avoid recycling of the BSEagent to any measurable extent. If the BSE-agent was introduced into the feed chain, it could have reached cattle. • After the introduction of the 1997 ban in August 1997, the ability to avoid recycling of BSE-infectivity was somewhat improved. However, the rendering of ruminant material (including SRM and fallen stock) is inadequate (non pressurized), and cross-contamination potentials of cattle feed with other feeds remain. • Therefore, the system is still unable to avoid recycling of BSE-infectivity if already present in the system or incoming. 3.2 Overall appreciation of the ability to identify BSE-cases and to eliminate animals at risk of being infected before they are processed Cattle population structure • The total cattle population of the USA was approximately 111 Million cattle in 1980, 99 Million in 1990, 102.8 Million cattle in 1995 and 99.5 Million cattle in 1998. Of these, approximately 17.6 % (17.5 Million) were dairy cattle and 82.4% beef cattle (based on data 1995-1998). However, the HRS recognised that the official slaughter figures were only compatible with a stable total cattle population of about 140 million. • Between 17% and 19% of all cattle slaughtered were >2 years of age. The average age at slaughter for dairy cattle is between 4 and 5 years. Husbandry systems • According to the country experts it was assumed that mixed farming did exist in the USA, but at a low (and decreasing) level. No figures were provided. • The two main cattle husbandry systems are beef (82.4%) and dairy (17.6%). Within both systems all levels of intensity are existing, however, both segments are now characterised by large, intensive operations. For dairy cattle a clear trend towards larger, more efficient holdings can be seen. Maps were presented by the country experts in 1999 that indicate an overlap of intensive cattle, swine and poultry industry in certain geographic regions of the USA. Cattle identification and monitoring system • The existing animal identification system is jointly operated by State and Federal representatives and is maintained individually for each State. No centralised USwide animal identification system is in place. • It was estimated by the country experts that this system ensures that approx. 95% of all cattle are officially tagged and registered in State databases. • A trace-back of individual animals is possible whenever the animal has not moved several times (through several herds) within a particular State. Intra-State Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 12 - movements are not recorded in any type of database, and any follow-up would rely on the documentation (records) or the memory of the respective owners. BSE surveillance • All foreign animal diseases (exotic diseases) have been and are notifiable by Federal legislation. BSE, as an exotic disease, was notifiable since it first was described as a disease (1986). • A surveillance targeting animals with clinical signs that could be consistent with BSE is in place since 1989/1990 and operating with larger sample sizes (900-1600 per year) since 1997. This program officially started in 1990 but some samples examined under this system go back to 1986. The samples come from: - Cattle exhibiting signs of neurological disease; - Cattle condemned at ante-mortem examination in slaughterhouses for neurological signs; - Rabies-negative cattle submitted to public-health laboratories (the country experts confirmed that samples were appropriately taken and should have allowed finding BSE if present); - Neurological cases submitted to veterinary diagnostic laboratories and veterinary schools/teaching hospitals; - Between 25% and 33% of the animals in the sample were supposed to be aged dairy cattle which are non-ambulatory (“downer cows”) at slaughter. Detailed information on the age distribution of those animals was not available. • In addition to histopathology, immunhistochemistry is applied since 1994, initially on those animals for which a differential diagnosis could not be established. Since 1997 it is fully incorporated in the surveillance scheme and approx. 900-1.600 samples are examined annually by both tests. In 2000, a total of 2 870 submissions were examined. • In 2001, the number of submissions doubled, and in 2002 and 2003, submissions totalled 19.777 and 20.277 respectively. The total number of samples examined through April 2004 is more than 72.500. • A BSE case has been detected in December 2003. Intensive research showed that it was born and raised in Canada, and therefore, it is not a domestic case. • In addition, since 1 June 2004, an extensive testing of the risk population is initiated. It is planned to test as many cattle from the risk population (the target is 268.000 cattle) in a 12–to–18–month period. The following categories will be tested: non-ambulatory cattle, cattle exhibiting signs of a central nervous system disorder, cattle exhibiting other signs that may be associated with BSE and dead cattle. The surveillance program will also include a limited number of random samples from apparently normal, aged animals. 3.3 Overall assessment of the stability For the overall assessment of the stability, the impact of the three main stability factors, (i.e. feeding, rendering and SRM-removal) and of the additional stability factor surveillance has to be estimated. Again, the guidance provided by the SSC in its opinion on the GBR of July 2000 (as updated in 2002) is applied. Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 13 - Feeding Until August 1997, RMBM was legally fed to cattle. Feeding was therefore "not OK". In August 1997 an RMBM-ban was introduced but feeding of non-ruminant MBM to cattle remained legal as well as feeding of RMBM to non-ruminant animals (farm animals and pets). An RMBM ban is difficult to maintain, as only labels can distinguish the various MMBMs. This makes control of the feed ban very difficult because analytical differentiation between ruminant and non-ruminant MBM is difficult if not impossible. Due to the highly specialised production system in the USA, various mammalian MBM streams can be separated. Such a feed ban would therefore be assessed as "reasonably OK", for all regions where this highly specialised system exists. However, several areas in the USA do have mixed farming and mixed feed mills, and in such regions an RMBM ban would not suffice. Additionally, official controls for cattle feeds to control for compliance with the ban started in 2002. Thus, for the whole country, the assessment of the feeding after 1997 remains "not OK", but improving. Rendering The rendering industry is operating with processes that are not known to reduce infectivity. It is therefore concluded that rendering was and is "not OK". SRM-removal SRM were and are still rendered for feed, as are (parts of) the fallen stock. SRMremoval is therefore regarded as "not OK". BSE-surveillance Before 1989, the ability of the system to identify (and eliminate) BSE-cases was limited. Since 1990 this ability is improved, thanks to a specific (passive) BSE surveillance. The initiated introduction of active surveillance in risk populations should improve the system significantly. Stability of the BSE/cattle system in the USA over time Stability Reasons Period Level Feeding Rendering SRM removal BSE surveillance 1980 to 2003 Extremely unstable Not OK Not OK Not OK Passive but improving with some testing of risk groups Table 4: Stability resulting from the interaction of the three main stability factors and the BSE surveillance. The stability level is determined according to the SSC-opinion on the GBR of July 2000 (as updated in 2002). Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 14 - On the basis of the available information, it has to be concluded that the country's BSE/cattle system was extremely unstable until today, i.e., it would have recycled and amplified BSE-infectivity very fast, should it have entered the system. The stability of the BSE/cattle system in the USA overtime is as given in table 4. The present assessment modifies the stability assessment of the previous GBR report in 2000 mainly due to a different perception of the impact of BSE surveillance on stability and of the efficiency of the RMBM feed ban. 4. CONCLUSION ON THE RESULTING RISKS 4.1 Interaction of stability and challenges In conclusion, the stability of the USA BSE/cattle system in the past and the external challenge the system has coped with, are summarised in table 5 below. From the interaction of the two parameters “stability” and “external challenge” a conclusion is drawn on the level of “internal challenge” that emerged and had to be met by the system, in addition to external challenges that occurred. Interaction of stability and external challenge in the USA Period Stability External Challenge Internal challenge 1980 to 1985 1986 to 1990 Moderate Possibly present 1991 to 1995 Very high 1996 to 2000 2001 to 2003 Extremely unstable Extremely high Likely to be present and growing Table 5: Internal challenge resulting from the interaction of the external challenge and stability. The internal challenge level is determined according to guidance given in the SSC-opinion on the GBR of July 2000 (as updated in 2002). An external challenge resulting from cattle import could only lead to an internal challenge once imported infected cattle were rendered for feed and this contaminated feed reached domestic cattle. Cattle imported for slaughter would normally be slaughtered at an age too young to harbour plenty of BSE infectivity or to show signs, even if infected prior to import. Breeding cattle, however, would normally live much longer and only animals having problems would be slaughtered younger. If being 4-6 years old when slaughtered, they could suffer from early signs of BSE, being approaching the end of the BSE-incubation period. In that case, they would harbour, while being pre-clinical, as much infectivity as a clinical BSE case. Hence cattle imports could have led to an internal challenge about 3 years after the import of Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 15 - breeding cattle (that are normally imported at 20-24 months of age) that could have been infected prior to import. In the case of the USA a few potentially infected cattle were imported from the UK and more from other BSE-risk countries. Furthermore, large numbers of imported animals came from Canada. This implies that cattle imported in the mid eighties could have been rendered in the late eighties and therefore led to an internal challenge in the early 90s. On the other hand imports of contaminated MBM would lead to an internal challenge in the year of import, if fed to cattle. The feeding system is of utmost importance in this context. If it could be excluded that imported, potentially contaminated feed stuffs reached cattle, such imports might not lead to an internal challenge at all. In case of the USA this implies that it was possible that imported MBM reached domestic cattle and lead to an internal challenge in the early 90s. If Canadian imports would be excluded from this assessment, we find that the USA receives a moderate challenge for all 5-year intervals since 1980, a high challenge between 1985 and 2000 and a low challenge thereafter. If combining these moderate to high challenges due to imports with the extremely unstable system, the conclusion would still be that the occurrence of an internal challenge is possible during the early 80s and likely in the late 80s. 4.2 Risk that BSE infectivity entered processing A processing risk developed in the late 80s/early 90s when cattle imports from BSE risk countries were slaughtered or died and were processed (partly) into feed, together with some imports of MBM. This risk continued to exist, and grew significantly in the mid 90s when domestic cattle, infected by imported MBM, reached processing. Given the low stability of the system, the risk increased over the years with continued imports of cattle and MBM from BSE risk countries. 4.3 Risk that BSE infectivity was recycled and propagated A risk that BSE-infectivity was recycled and propagated exists since a processing risk first appeared, i.e. in the early 90s. Until today this risk persists and increases fast because of the extremely/very unstable BSE/cattle system in the USA. 5. CONCLUSION ON THE GEOGRAPHICAL BSE-RISK 5.1 The current GBR as function of the past stability and challenge • The current geographical BSE risk (GBR) level is III, i.e. it is likely but not confirmed that domestic cattle are (clinically or pre-clinically) infected with the BSE-agent. Note1: It is also worth noting that the current GBR conclusions are not dependent on the large exchange of imports between USA and Canada. External challenge due to exports to the USA from European countries varied from moderate to high. These Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 16 - challenges indicate that it was likely that BSE infectivity was introduced into the North American continent. Note2: This assessment deviates from the previous assessment (SSC opinion, 2000) because at that time several exporting countries were not considered a potential risk. 5.2 The expected development of the GBR as a function of the past and present stability and challenge • As long as there are no significant changes in rendering or feeding, the stability remains extremely/very unstable. Thus, the probability of cattle to be (preclinically or clinically) infected with the BSE-agent persistently increases. • Since recent improvements in the safety of MBM production in many countries or significant recent reductions in the incidence of BSE are not taken into account for the assessment of the external challenge, the external challenge assessed after 2001 could be overestimated and is the worst case assumption. However all current GBR conclusions are not dependent on these assumptions in any of the countries assessed. For future assessments and when the impact of the production, surveillance and true incidence changes have been fully quantified, these developments should be taken into account. 5.3 Recommendations for influencing the future GBR • Measures that improve the stability of the system, will, over time, reduce the probability that cattle could get infected with the BSE-agent. Possible actions include - removal of SRM and/or fallen stock from rendering of animal by-products into feed, - high pressure standards in rendering processes, - significant improvement of ban on use of ruminant MBM in cattle feed, supported by regular sampling of feed for the occurrence of such MBM. • Improved passive and active surveillance, i.e. sampling of animals not showing signs compatible with BSE from “at-risk” cattle populations, such as adult cattle in fallen stock and emergency slaughter, by means of rapid screening, would allow monitoring the efficiency of stability enhancing measures. Documentation provided to EFSA • Letter with the ref D (2003) KVD/ip/420722 from the European Commission requesting a geographical risk assessment for the appearance of BSE in a country. • Country Dossier as prepared by the country in response to the EC and EFSA data collection request. • Other sources of data information i.e. exports from third countries and Eurostat data. • SSC, July 2000. Final opinion on the Geographical Risk of Bovine Spongiform Encephalopathy (GBR). Annex to the EFSA Scientific Report (2004) 3, 1-17 on the Assessment of the Geographical BSE Risk of USA - 17 - • SSC, January 2002. Updated opinion on the Geographical Risk of Bovine Spongiform Encephalopathy (GBR). Acknowledgment Members of the EFSA Scientific Expert Working Group on GBR are acknowledged for their valuable contribution to this mandate. The members are: Didier Calavas, Aline De Koeijer, Michael Gravenor, John Griffin, Dagmar Heim, Matthias Kramer, Riitta Maijala, Mo Salman, Vittorio Silano, Emmanuel Vanopdenbosch, and Stig Widell.http://www.efsa.eu.int/science/efsa_scientific_reports/gbr_assessments/scr_annexes/574/sr03_biohaz02_usa_report_annex_en1.pdf TSS
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