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Scrapie usually affects sheep around three to five years of age.<ref>{{Cite web |last=Animal and Plant Health Inspection Service |date=June 2, 2020 |title=Scrapie Disease Information |url=https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/sa_animal_disease_information/sheep-goat/disease-info/index |website=U.S. DEPARTMENT OF AGRICULTURE}}</ref> The potential for transmission at birth and from contact with placental tissues is apparent.<ref>{{citationCite web |last=Animal and Plant Health Inspection Service needed|date=MayJune 2, 2020 |title=Scrapie |url=https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/nvap/NVAP-Reference-Guide/Control-and-Eradication/Scrapie/ |website=U.S. DEPARTMENT OF 2022AGRICULTURE}}</ref>
 
==Regulation==
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The disease has been notifiable in the EU since 1993, but unlike [[Bovine spongiform encephalopathy|BSE]], there was no evidence as of 1999 to suggest that scrapie is a risk to human health.<ref name="Brown et al., 1987">Brown P, Cathala F, Raubertas RF, Gajdusek DC, Castaigne P (1987) "The epidemiology of Creutzfeldt–Jakob disease: conclusion of a 15-year investigation in France and review of the world literature". ''Neurology'', 37(6):895–904.</ref><ref name="Harries et al.,1988">Harries JR, Knight R, Will RG, Cousens SN, Smith PG, Mathews WB (1988) "Creutzfeldt–Jakob disease in England and Wales, 1980–1984: a case-control study of potential risk factors". ''Journal of Neurology Neurosurgery and Psychiatry'', 51(9):1113–1119.</ref><ref name="Kondo and Kuriowa, 1982">Kondo K, Kuriowa Y (1982). "A case control study of Creutzfeldt-Jakob disease: association with physical injuries". ''Annals of Neurology'', 11(4):377–381.</ref><ref name="WHO, 1999">World Health Organization, 1999. WHO consultation on public health and animal transmissible spongiform encephalopathies: epidemiology, risk and research requirements, with the participation of the Office International des Epizooties. [http://www.who.int/csr/resources/publications/bse/WHO_CDS_CSR_APH_2000]{{dead link|date=December 2021|bot=medic}}{{cbignore|bot=medic}} Accessed 7 March 2005. http://www.who.int/csr/resources/publications/bse/en/whocdscsraph20002.pdf.</ref> In July 2003, a [[Canadian Food Inspection Agency]] officer said that while scrapie shows up every year on Canadian farms, "We've had a lot of experience with scrapie and there's never been a link between scrapie and human illness."<ref name=npnsp/> As of 2004, the [[USDA]] made no mention of scrapie in its ''Sheep and Goats Death Loss'' circular.<ref name="nass">{{cite web| date= 2005-05-06 |title=Sheep and Goats Death Loss | publisher=[[National Agricultural Statistics Service]] |url=https://downloads.usda.library.cornell.edu/usda-esmis/files/hh63sv88v/xk81jp327/9g54xm03j/sgdl-05-06-2005.pdf |access-date=2019-01-22}}</ref>
 
Historically, scrapie had been considered to be an animal health issue. However, between 1996 and 1999, the UK Spongiform Encephalopathy Advisory Committee had been considering the control and eradication of scrapie in the UK also with public health in mind because of concern over five issues:<ref name="defra">{{cite web|url=http://www.defra.gov.uk/animalh/bse/othertses/scrapie/nsp/pdf/benefitsrealisation021206.pdf|archive-url=http://webarchive.nationalarchives.gov.uk/20081109071125/http://www.defra.gov.uk/animalh/bse/othertses/scrapie/nsp/pdf/benefitsrealisation021206.pdf|url-status=dead|archive-date=2008-11-09|title=National Scrapie Plan / Ram Genotyping Scheme Review / Benefits Review|publisher=[[Department for the Environment, Food and Rural Affairs]]|date=December 2006|access-date=2019-01-22}} [[File:UKOpenGovernmentLicence.svg|30px]] This article contains quotations from this source, which is available under the [http://webarchive.nationalarchives.gov.uk/20130402161723/http://www.nationalarchives.gov.uk/doc/open-government-licence/ Open Government Licence v1.0]. © Crown copyright.</ref>
* [[Meat and bone meal]] (MBM), which was suspected to be the source of the BSE in cattle outbreak in the late 1990s, had also been fed to sheep and goats.
* BSE had been transmitted to sheep following experimental oral exposure.
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==Clinical signs and diagnosis==
Changes are mild at first; slight behavioral changes and an increase in chewing movements may occur. Ataxia and neurological signs then develop, and affected sheep struggle to keep up with the flock.<ref name="WikiVet">[http{{Cite web |title=Scrapie - WikiVet English |url=https://en.wikivet.net/Scrapie Scrapie]|access-date=2023-06-06 reviewed and published by [[WikiVet]], accessed 12 October 2011|website=en.wikivet.net}}</ref>
 
The signs and effects of scrapie typically appear 2-5 years after infection but may appear afterwards. Once the onset of clinical signs has occurred, sheep typically live for 1-6 months. In some cases, they may live longer, but death is an inevitable consequence of the condition. Signs of scrapie vary between infected individual animals and develop slowly. Due to the nerve cell damage caused by the condition, affected animals may exhibit behavioral changes, tremor, [[pruritus]], and locomotor incoordination.<ref>{{cite web |title=Scrapie |url=https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/nvap/NVAP-Reference-Guide/Control-and-Eradication/Scrapie |website=Animal and Plant Health Inspection Service |access-date=27 February 2023}}</ref>
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In the [[UK]], the [[Second Blair ministry|Blair ministry]] implemented in 2001 a ''National Scrapie Plan'', which encouraged breeding from sheep that are genetically more resistant to scrapie. This is intended to eventually reduce the incidence of the disease in the UK sheep population.<ref>{{cite journal|pmid=11688751|year=2001|last1=Atkinson|first1=M.|title=National scrapie plan|journal=The Veterinary Record|volume=149|issue=15|pages=462}}</ref><ref>{{cite web |url=http://ec.europa.eu/competition/state_aid/cases/138139/138139_1153266_4_2.pdf|title=Letter from Franz FISCHLER, European Commission Directorate-General for Agriculture to The Right Hon Jack Straw MP Secretary of State for Foreign and Commonwealth Affairs regarding State aid N 544/2002 National Scrapie Plan for Great Britain: Phase 1 – Genotyping schemes to encourage breeding for genetic resistance}}</ref> Scrapie occurs in [[Europe]] and [[North America]], but to date, [[Australia]] and [[New Zealand]] (both major sheep-producing countries) are scrapie-free.<ref>{{citationCitation |last=Belay |first=E. D. |title=Transmissible Spongiform Encephalopathies needed|date=January2008-01-01 |url=https://www.sciencedirect.com/science/article/pii/B9780123744104005574 |work=Encyclopedia of Virology (Third Edition) |pages=186–193 |editor-last=Mahy |editor-first=Brian W. J. |access-date=2023-06-06 |place=Oxford |publisher=Academic Press |language=en |doi=10.1016/b978-012374410-4.00557-4 |isbn=978-0-12-374410-4 |last2=Schonberger |first2=L. B. |editor2-last=Van Regenmortel |editor2-first=Marc H. 2019V.}}</ref> In 2003, there was pressure from previously-sinistered Canadian husbandry practitioners on the [[37th Canadian Parliament|Chretien government]] and their CFIA to implement their own national scrapie plan.<ref name=npnsp>{{cite news |title=National scrapie plan urged|url=https://www.producer.com/2003/07/national-scrapie-plan-urged/|date=July 10, 2003}}</ref>
 
Breeds such as [[Cheviot sheep|Cheviot]] and [[suffolk (sheep)|Suffolk]] are more susceptible to scrapie than other breeds.<ref name=Straiton>Eddie Straiton, "Sheep Ailments - recognition and treatment", 7th edition (2001) {{ISBN|1-86126-397-X}}</ref> Specifically, this is determined by the genes coding for the naturally occurring prion proteins. The most resistant sheep have a double set of ''ARR'' [[allele]]s, while sheep with the ''VRQ'' allele are the most susceptible.<ref name=Helse>Synnøve Vatn, Lisbeth Hektoen, Ola Nafstad "Helse og Velferd hos sau" 1. utgave, Tun Forlag (2008) {{ISBN|978-82-529-3180-8}}</ref> A simple blood test reveals the allele of the sheep, and many countries are actively breeding away the ''VRQ'' allele.
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===Exposure through contaminated vaccines===
* '''Contaminated Louping-ill vaccine. Also''', known as the ''1935 [[Moredun]] [[Louping ill|Louping-ill]] Vaccine Disaster.'''.<ref>{{Cite book|url=https://books.google.com/books?id=G1h_AgAAQBAJ&q=1935+Moredun+Louping-ill+Vaccine+Disaster.&pg=PA21|title=The Social Construction of Disease: From Scrapie to Prion|last=Kim|first=Kiheung|date=2006-11-22|publisher=Routledge|isbn=9781134237135|language=en}}</ref> More than 1,500 sheep developed scrapie following vaccination. "AnThe investigationvaccine intowas themade etiology of scrapie followed the vaccination of sheep for louping-ill virus withusing formalin-treated extractssheep of ovine lymphoidbrain tissue unknowingly contaminated with scrapie prions (Gordon 1946)agent. Two years later, more than 1500 sheep developed scrapie from this vaccine." "This vaccine was manufactured using formalised sheep brains contaminated with scrapie agent" <ref>{{Cite web|url=https://www.oie.int/doc/ged/D8643.PDF|title=Scrapie (USDA publication)|last=DETWILER|first=L.A.|access-date=2018-04-13|archive-date=2017-03-29|archive-url=https://web.archive.org/web/20170329044513/http://www.oie.int/doc/ged/D8643.PDF|url-status=dead}}</ref> "AtSubsequent theinvestigations 1946showed Nationalthat Veterinaryintracerebral Medical Associationinoculation of Great Britainbrain and Ireland Annual Congress, W. S. Gordon, PhD, presented evidence of scrapie transmission by way of a vaccine for louping-ill." "Dr. Gordon developed an effective vaccine to prevent louping-ill during 1931-32. After four years of field trials, his vaccine was produced in three batches for widespread use in 1935. The vaccine was made from brain, spinal cord, and spleen tissues takentissue from sheep five days after they had received an intracerebral inoculation of loupingscrapie-ill virus. Formalin was added to the 10% saline suspension to inactivate the virus. During 1935 and 1936, no ill effects were noted in inoculated animals. Then two owners reported scrapie in their Blackfaceinfected sheep who had been inoculated with louping-ill vaccine (batch 2) two and a half years earlier. Scrapie had not been seen in the Blackface breed before this. Upon investigation Dr. Gordon discovered that 8 lambs used to make batch 2 had been born to ewes who had been exposedled to scrapie; some of the ewes developed scrapiedevelopment in 1936-7. Dr. Gordon hypothesized that an "infective agent of scrapie" was present in the lambs' tissues used to make batch 2 and that this agent "could withstand a concentration of formalin...which inactivated the virus of louping ill; it could be transmitted by subcutaneous inoculation; it had an incubative period of two years or longer." A four-and-a-half-year experiment involving 788 sheep was initiated by the Animal Disease Research Association in 1938. The researchers found that 60% of normal sheep inoculated intracerebrally with saline suspensions of brain and spinal cord tissue taken from sheep, withsuggesting scrapiethe developed scrapie within those four-and-a-half-years. The incubation period was seven months and up. Only 30%presence of the sheep receiving a subcutaneousfiltrable inoculationvirus ofas the suspension developed scrapie in that time, and the incubation period in this group was 15 months and up. The researchers concluded that theprobable infective agent was probably a filtrable virus."<ref>{{Cite web|url=http://the-medical-dictionary.com/scrapie_article_5.htm|title=Scrapie: Scrapie transmission via vaccine - Shorts at The Medical Dictionary|website=the-medical-dictionary.com|access-date=2018-04-13}}</ref>
* '''Contaminated Mycoplasma agalactiae vaccine'''. In 1997 and 1998 there was an outbreak of scrapie in sheep and goats in Italy, and the cause was attributed to the vaccine. "An accidental infection from a vaccine was suggested as the explanation for the sudden increase inSudden outbreaks of scrapie in Italy in 1997 and 1998. This paper describes a recent outbreak of scrapie in sheep and goats which were exposedattributed to the sameadministration vaccine.of Noa ewes or goats had been imported into the herd since 1992, but acontaminated vaccine against Mycoplasma agalactiae had been administered twice, inas 1995 and 1997. High rates of crude mortality and scrapie incidence were experienced by both species, all birth cohorts were involved and a large proportion of aged animals was affected. A pattern ofthe brain lesions wasand observed,polymorphism with slight differences betweenin the sheepaffected andanimals goats, which was verywere similar to the pattern observed in animals previouslythose exposed to the same vaccine but clearly different from that observedthose in the brains ofunvaccinated sheep with scrapie in a flock not exposed to the vaccine. Regardless of their exposure status, genotype analysis of the sheep showed the presence of polymorphism only at codon 171. The patterns of both incidence and brain lesions provide evidence that the epidemic of scrapie was due to the use of the vaccine."<ref>{{Cite journal|last1=Caramelli|first1=M.|last2=Ru|first2=G.|last3=Casalone|first3=C.|last4=Bozzetta|first4=E.|last5=Acutis|first5=P. L.|last6=Calella|first6=A.|last7=Forloni|first7=G.|date=2001-04-28|title=Evidence for the transmission of scrapie to sheep and goats from a vaccine against ''Mycoplasma agalactiae''|journal=The Veterinary Record|volume=148|issue=17|pages=531–536|pmid=11354646|doi=10.1136/vr.148.17.531|s2cid=41220613}}</ref> "AnMolecular accidentaltyping intra-revealed andthe interspecies transmissionpresence of scrapietwo occurredprion in Italystrains in 1997 and 1998 following exposure to a vaccine against Mycoplasma agalactiae. PrP<sup>SC</sup> in affected sheep and goats, collected from a single flock exposed to vaccination 2 years earlier, was molecularly typed. In fivevaccinated animals with iatrogenic scrapie, asuggesting PrP<sup>SC</sup>accidental type with a 20 kDa core fragment was found in all areas of the brain investigated. In three sheep and one goat, this isoform cointra-occurred with a fully glycosylated isoform that had a protease-resistant backbone of 17 kDa, whereas in two sheep and fourinterspecies goats,transmission thedue two PrP<sup>SC</sup> types were detected in different regions ofto the brain. In sheep with natural field scrapie, a PrP<sup>SC</sup> type with physico-chemical properties indistinguishable from the 20 kDa isoform was found. The present results suggest the co-presence of two prion strains in mammary gland and brain homogenates used for vaccinationvaccine."<ref>{{Cite journal|last1=Zanusso|first1=Gianluigi|last2=Casalone|first2=Cristina|last3=Acutis|first3=Pierluigi|last4=Bozzetta|first4=Elena|last5=Farinazzo|first5=Alessia|last6=Gelati|first6=Matteo|last7=Fiorini|first7=Michele|last8=Forloni|first8=Gianluigi|last9=Sy|first9=Man Sun|date=April 2003|title=Molecular analysis of iatrogenic scrapie in Italy|journal=The Journal of General Virology|volume=84|issue=Pt 4|pages=1047–1052|doi=10.1099/vir.0.18774-0|issn=0022-1317|pmid=12655108|s2cid=25077051|doi-access=free}}</ref><ref>{{Cite journal|last1=Agrimi|first1=U.|last2=Ru|first2=G.|last3=Cardone|first3=F.|last4=Pocchiari|first4=M.|last5=Caramelli|first5=M.|date=1999-02-13|title=Epidemic of transmissible spongiform encephalopathy in sheep and goats in Italy|journal=Lancet|volume=353|issue=9152|pages=560–561|doi=10.1016/S0140-6736(98)04545-0|issn=0140-6736|pmid=10028993|s2cid=8624669}}</ref>
 
===Exposure through contaminated soil===
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===Transmission summary===
Prions (PrP<sup>Sc</sup>) are shed from sheep and goats in birth fluids, feces and other excrement. The concentration of the prions is uncertain, but is not directly proportional to infectivity. Sheep ingest a considerable amount of soil, so soil represents a plausible environmental reservoir of scrapie prions, which can persist in the environment for years. Longevity of the prions and the attachment of soil particles likely influences the persistence and infectivity of prions in the environment.<ref>{{citationCite journal |last=Johnson |first=Christopher J. |last2=Phillips |first2=Kristen E. |last3=Schramm |first3=Peter T. |last4=McKenzie |first4=Debbie |last5=Aiken |first5=Judd M. |last6=Pedersen |first6=Joel A. needed|date=January2006-04-14 2019|title=Prions Adhere to Soil Minerals and Remain Infectious |url=https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.0020032 |journal=PLOS Pathogens |language=en |volume=2 |issue=4 |pages=e32 |doi=10.1371/journal.ppat.0020032 |issn=1553-7374 |pmc=PMC1435987 |pmid=16617377}}</ref>
 
Effective methods of inactivating prions in the soil are currently lacking, and the effects of natural degradation mechanisms on prion infectivity are largely unknown. An improved understanding of the processes affecting the mobility, persistence and [[bioavailability]] of prions in soil is needed for the management of prion-contaminated environments. A system for estimating the prion-binding capacity of soil on farms using simple soil analysis may allow an estimate of the prion risk in the environment, and whether altering prion binding by the use of soil amendments may help to mitigate the infectious prions. [[Lichen]]s, specifically, ''[[Parmelia sulcata]]'', ''[[Cladonia rangiferina]]'' and ''[[Lobaria pulmonaria]]'', may have potential for reducing the number of prions because some lichen species contain [[protease]]s that show promise in breaking down the prion. Further work to clone and characterize the proteases, assess their effects on prion infectivity, and determine which component organism or organisms present in lichens produce or influence the protease activity is warranted and is currently under investigation.<ref>{{cite journal|last=Johnson|first=CJ|title=Degradation of the disease-associated prion protein by a serine protease from lichens|journal=PLOS ONE|year=2011|doi=10.1371/journal.pone.0019836|volume=6|issue=5|pages=e19836|display-authors=etal|pmid=21589935|pmc=3092769|bibcode=2011PLoSO...619836J|doi-access=free}}</ref>
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* [[Transmissible mink encephalopathy]]
* [[Virino]]
* [[Rams (2015 film)|''Rams'' (film)]], a 20162015 Icelandic drama
 
== References ==