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Volume 350:539-542 February 5, 2004 Number 6
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Bovine Spongiform Encephalopathy in the United States — An Epidemiologist's View
Christl A. Donnelly, Sc.D.

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On December 9, 2003, a nonambulatory ("downer") dairy cow was slaughtered in Washington State, and because the animal's condition was attributed to complications from calving, the animal was judged to be fit for human consumption (designated as "inspected and passed" by the U.S. Department of Agriculture [USDA]). Samples taken from this animal tested positive for bovine spongiform encephalopathy (BSE, also known as mad cow disease) on December 22; the USDA diagnosis was subsequently confirmed by the British world reference laboratory. The international response to the announcement of this result on December 23 was strong and swift, with bans being imposed . . . [Full Text of this Article]


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From the Department of Infectious Disease Epidemiology, Imperial College, London.


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