[HN Gopher] Doctors investigate mystery brain disease in Canada
       ___________________________________________________________________
        
       Doctors investigate mystery brain disease in Canada
        
       Author : aluket
       Score  : 300 points
       Date   : 2021-05-05 07:29 UTC (15 hours ago)
        
 (HTM) web link (www.bbc.com)
 (TXT) w3m dump (www.bbc.com)
        
       | anthony_romeo wrote:
       | In other Prion news, there's a prion disease, Chronic Wasting
       | Disease (CWD), affecting populations of wild Deer, Elk, etc. in
       | North America and other chunks of the world. It's not yet known
       | to infect people, but please be careful when eating wild game.
       | [1]
       | 
       | My mind first went to this issue when I read the headline, though
       | upon reading the article it's probably something else, as CWD
       | isn't really a thing in that region [it's more of a Mountain
       | state kind of thing thing]. And, of course, I'm not a prion
       | expert, so I only vaguely know what I'm writing about.
       | 
       | [1] https://www.canada.ca/en/health-canada/services/food-
       | nutriti...
        
         | eganp wrote:
         | The species barrier in prion transmission appear very strong
         | [0]. Transmitting a prion from a hamster into a mouse often
         | takes multiple passages of direct in brain inoculation. In
         | these closely related species, perhaps it's less strong. It's
         | doubtful that CWD can transmit to humans at typical exposure
         | levels. In vitro, conversion of human PrP is possible, but
         | exceedingly difficult.
         | 
         | [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736662/ [1]
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667731/
        
         | loonster wrote:
         | CWD is in 25 states now. Some of them have cattle.
         | 
         | https://www.cdc.gov/prions/cwd/occurrence.html
        
       | forgotmypw17 wrote:
       | As mentioned in previous submissions, because it is happening in
       | a certain area, industrial pollution can be considered as a
       | possible cause as well.
        
         | wobblyasp wrote:
         | That was the going assumption as far as I understood (I'm from
         | the area). They're hasn't been direct health advise on areas to
         | avoid either, so it's slightly disconcerting.
        
         | throwaway316943 wrote:
         | Bathurst and Moncton are far enough apart that I'd rule that
         | out.
        
           | giantg2 wrote:
           | I would generally agree, except in wonder what the
           | aquifers/groundwater looks like in that region and also the
           | sea water along that coast (likely more of a biological
           | source than an industrial one in that case, I think).
        
             | throwaway316943 wrote:
             | My bet is on either bacterial or agricultural source
             | contaminating well water.
        
               | forgotmypw17 wrote:
               | Why do you think that, and what do you mean by
               | "agricultural source"?
        
               | throwaway316943 wrote:
               | Well water contamination is common and people are
               | increasingly neglecting to test on a regular schedule.
               | One of the symptoms listed is gastrointestinal upset
               | which makes me think it could be something that was
               | ingested. They mention that Roger's condition has
               | stabilized now that he's in a care home, tenuous but it
               | seems location change resulted in change in progression
               | of symptoms. By agricultural I mean waste from livestock.
        
               | forgotmypw17 wrote:
               | Which of these is isolated to agriculture pollution, but
               | not industrial pollution?
        
       | admash wrote:
       | Compounding USDA's lax practices has been its refusal to allow
       | beef processors to independently test cattle for mad cow disease.
       | In 2004, Creekstone Farms, a Kansas processor of black Angus beef
       | with a large Japanese clientele, asked for permission to test its
       | 300,000 cattle for BSE using a $500,000 testing site it had built
       | to USDA specifications.
       | 
       | But the agency ruled that the BSE test was licensed only for
       | "surveillance" of animal health, and rejected Creekstone's
       | request because it implied "a consumer safety aspect" that was
       | "not scientifically warranted."
       | 
       | https://www.eurekalert.org/pub_releases/2006-05/uoia-ftf0515...
        
         | caymanjim wrote:
         | > But the agency ruled that the BSE test was licensed only for
         | "surveillance" of animal health, and rejected Creekstone's
         | request because it implied "a consumer safety aspect" that was
         | "not scientifically warranted."
         | 
         | I read this as "you can test your animals if you want to, but
         | you can't then use the results to make any claim or statement
         | about them". I suspect they're free to test their animals, but
         | not free to stamp "100% tested BSE-free beef!" on their steaks.
         | I suspect this is what's meant by "surveillance". If that's the
         | case, I agree with the gov't; private testing shouldn't be used
         | to make claims. But it could be used for internal product
         | safety, and if anything comes back positive, the USDA could be
         | brought in to verify and take action.
         | 
         | It's not entirely clear to me from the article.
        
         | admash wrote:
         | The "fun" question is whether prions are present in milk and
         | other dairy products. One might argue that they are not, by
         | virtue of them being largely localized to neural tissue.
         | 
         | Of course, this raises the question of how CWD is being
         | transmitted in elk, since elk don't eat elk.
         | 
         | "Scientists believe CWD proteins (prions) likely spread between
         | animals through body fluids like feces, saliva, blood, or
         | urine, either through direct contact or indirectly through
         | environmental contamination of soil, food or water."
         | 
         | https://www.cdc.gov/prions/cwd/transmission.html
         | 
         | Milk is clearly a body fluid, though is curiously absent from
         | the above statement.
         | 
         | And as other comments about the difficulty of sterilizing
         | prions make clear, pasteurization will have no effect.
        
           | jtdev wrote:
           | Prions persist in soil for years; elk eat where other elk
           | have deposited prions.
        
             | spoonjim wrote:
             | Years? Oh jeez. The soil is covered with brain eating
             | murder proteins?
        
               | robbiep wrote:
               | CWD was innoculated in a deer by insuflating prion bound
               | with clay
        
               | TheGallopedHigh wrote:
               | Insuflation: the act of blowing on or breathing on
        
               | titanomachy wrote:
               | In this case likely means inhalation through the nose
        
               | Turing_Machine wrote:
               | Yeah, the sense of smell is a basal one. The nasal cavity
               | has bazillions of nerve endings that are almost directly
               | wired to the brain.
               | 
               | That's why so many drugs are snorted. It works faster
               | than just about anything else other than direct
               | intravenous injection.
        
               | robbiep wrote:
               | That's not at all why drugs work quickly through the nose
               | - it has absolutely nothing to do with nerve endings, it
               | has everything to do with a large surface area of mucus
               | membranes allowing quick uptake into the venous system.
        
           | dnautics wrote:
           | They arent just localized to neural tissue; they are in high
           | concentration in the tongue, which is probably why grazing
           | animals are so susceptible
        
         | R0b0t1 wrote:
         | This is pretty messed up. As long as you meet legal
         | requirements any additional testing should be permissible,
         | caveat emptor.
        
         | eganp wrote:
         | The risk of cow->human BSE transmission is infinitesimal.
         | Species barriers in prions are surprisingly strong and, for
         | practical purposes, nearly impermeable [0]. In fact, the Prion
         | Protein (PrP) in humans causes multiple distinct diseases
         | including CJD, Kuru, and FFI. Infectious prion confirmations
         | are probably highly influenced by glycosylation [1,2]. Even if
         | this testing wasn't god awfully slow, it's unclear one learns
         | anything from it.
         | 
         | [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736662/ [1]
         | https://www.cureffi.org/2013/05/05/prion-protein-n-linked-gl...
         | [2] https://www.biorxiv.org/content/10.1101/2021.02.14.431014v2
        
           | s1artibartfast wrote:
           | >The risk of cow->human BSE transmission is infinitesimal.
           | 
           | I don't think your sources support this conclusion. bovine
           | spongiform encephalopathy (BSE) rarely passes the species
           | barrier, but it is difficult, if not impossible to estimate
           | what the rate is in the absence of mitigations.
        
           | bigcorp-slave wrote:
           | What you are saying is dangerous. We had a serious set of
           | exactly these transmission events in Britain only a few
           | decades ago. Clearly the risk is not infinitesimal.
        
         | mannerheim wrote:
         | This is an incomplete description of the USDA's rationale.
         | Although I agree that there shouldn't be a ban on private
         | testing, the USDA's position is that BSE testing is ineffective
         | at the time most cows are slaughtered, and would therefore
         | provide an unwarranted impression of safety.
         | 
         | > NOT A FOOD SAFETY TEST
         | 
         | > BSE tests are not conducted on cuts of meat, but involve
         | taking samples from the brain of a dead animal to see if the
         | infectious agent is present. We know that the earliest point at
         | which current tests can accurately detect BSE is 2-to-3 months
         | before the animal begins to show symptoms. The time between
         | initial infection and the appearance of symptoms is about 5
         | years. Since most cattle that go to slaughter in the United
         | States are both young and clinically normal, testing all
         | slaughter cattle for BSE might offer misleading assurances of
         | safety to the public.
         | 
         | > ...
         | 
         | > Why doesn't USDA test every animal at slaughter?
         | 
         | > There is currently no test to detect the disease in a live
         | animal. BSE is confirmed by taking samples from the brain of an
         | animal and testing to see if the infectious agent - the
         | abnormal form of the prion protein - is present. The earliest
         | point at which current tests can accurately detect BSE is 2 to
         | 3 months before the animal begins to show symptoms, and the
         | time between initial infection and the appearance of symptoms
         | is about 5 years. Therefore, there is a long period of time
         | during which current tests would not be able to detect the
         | disease in an infected animal.
         | 
         | > Since most cattle are slaughtered in the United States at a
         | young age, they are in that period where tests would not be
         | able to detect the disease if present. Testing all slaughter
         | cattle for BSE could produce an exceedingly high rate of false
         | negative test results and offer misleading assurances of the
         | presence or absence of disease.
         | 
         | > Simply put, the most effective way to detect BSE is not to
         | test all animals, which could lead to false security, but to
         | test those animals most likely to have the disease, which is
         | the basis of USDA's current program.
         | 
         | https://www.usda.gov/topics/animals/bse-surveillance-informa...
        
           | s1artibartfast wrote:
           | Thank you for the context!
        
           | rvba wrote:
           | Sounds like a way to not test anything at all.
           | 
           | I really try to stay away from politics, but sounds as
           | something made by some bribed political appointment.
        
             | jfengel wrote:
             | I'm curious why you'd say that. It sounds to me like a
             | bureaucrat pointing out a scientific fact about the
             | testing.
             | 
             | I'm not an expert on testing for prions, but it doesn't
             | surprise me that the test isn't good enough to pronounce an
             | animal disease-free. And if that's correct, it's very much
             | their purview to make it clear that advertising it as
             | disease-free would be false.
             | 
             | Most of the work at US agencies is done by career employees
             | who are largely insulated from changes at the top. Politics
             | certainly happens, but rarely at the level of individual
             | decisions like this.
             | 
             | Such agencies certainly aren't immune to regulatory
             | capture, and it's conceivable that it's the case here. The
             | scientists and bureaucrats who wrote that have likely
             | worked with the cattle industry their whole careers, and
             | have many personal contacts. Same for their bosses.
             | 
             | But this memo turns on a specific technical point. If the
             | tests aren't good enough, then they're not good enough. It
             | wouldn't take regulatory capture for them to reach that
             | conclusion, and this memo is exactly how they'd say it.
             | It's also what it could sound like if they were being
             | influenced by industry, but I'd say that the burden of
             | proof is on somebody making that claim.
        
           | throwaway_isms wrote:
           | The rational middle ground would be to allow the private
           | testing, but regulate any advertising or marketing of the
           | testing and/or results on the basis it would likely confuse
           | the consumers. If the interest in private testing magically
           | disappears, then the intent is clear and might be a valuable
           | factor for the consumers who might reasonably conclude the
           | private company only had interest in performing testing they
           | knew or should have known was immaterial for the purposes of
           | marketing the testing to consumers as though it were
           | material.
        
           | gojomo wrote:
           | This is the same error the CDC & FDA made in the early stages
           | of COVID, insisting on fussy rationed tests based on hand-
           | wavy ideas about public misinterpretation. That error likely
           | contributed to hundreds of thousands of preventable deaths by
           | hiding initial community spread for a month or more.
           | 
           | Mass testing, even testing that's mostly at a stage unlikely
           | to detect anything, and only occasionally on less-typical
           | older animals, will provide new useful info. Waiting to test
           | until an a old symptomatic cow "most likely to have the
           | disease" shows up is closing the barn door after the mad cows
           | have already escaped.
           | 
           | The USDA's logic is dangerous like the bureaucratic rationing
           | of COVID tests, early on. At crucial times in early 2020, no
           | matter how suspicious a case/death, and how well it fit COVID
           | symptoms, if the patient hadn't returned from Wuhan in the
           | last few weeks, a test was prohibited. That's a "we don't
           | want to know" policy.
        
         | reaperducer wrote:
         | Considering the history of the meat industry, I'm OK with not
         | allowing the farms to police themselves.
        
           | macksd wrote:
           | I think there's a pretty fundamental difference between
           | "allowing farms to police themselves" and actually
           | prohibiting them from doing voluntary testing for diseases. I
           | would compare it to the difference between eliminating a need
           | for prescriptions and prohibiting people from getting
           | screened for skin cancer on the regular.
           | 
           | Is there a better reason to prohibit voluntary testing than
           | what is included in the article?
        
             | rapind wrote:
             | Are they being prohibited from testing though, or just
             | prohibited from making safety claims based on those tests?
        
           | shkkmo wrote:
           | That isn't what is happening. The USDA is prohibiting
           | suplemental testing. The allegation is that this is because
           | that might reveal cases of infection that would show the USDA
           | testing policies are not sufficient.
           | 
           | Thus the USDA is placing their reputation over the health of
           | US citizens.
        
             | vkou wrote:
             | Another poster makes the argument that the USDA does not
             | prohibit supplemental testing, it just prohibits making
             | safety claims on the basis of supplemental testing.
             | 
             | I find their argument far more persuasive than yours. Is
             | there more to yours?
        
           | jtdev wrote:
           | Considering the history of the USDA, I'm not okay with the
           | USDA having final say in determining what I or my family put
           | on the dinner table.
        
             | NationalPark wrote:
             | https://en.wikipedia.org/wiki/United_States_Department_of_A
             | g...
             | 
             | This?
        
               | jtdev wrote:
               | No, I'm referring to the regulatory capture and revolving
               | door culture at USDA that has allowed Monsanto et. al.,
               | to douse your kids cereal with glyphosate, refuse hemp
               | production in the U.S., water down the Organic Governance
               | Board with corporate shills, etc., etc.
        
         | creamytaco wrote:
         | I stopped eating US beef many years ago for this very reason.
         | The Japanese are not stupid and it's quite obvious that
         | something fishy is going on.
         | 
         | Knowing what we know about the practices of most US beef farms
         | and the countless USDA failures in both detection and
         | enforcement of rules/regulations meant to protect the consumer,
         | I think it's the wise path to take for everyone living here.
        
       | fareesh wrote:
       | I lived in Fredericton for about 7 years and have been around the
       | province a bit. The air in Moncton is definitely unusual. I
       | wouldn't be surprised if it has something to do with it.
        
         | kgin wrote:
         | Interesting. In what way is the air unusual?
        
         | w0de0 wrote:
         | Ah, it must be malaria!
        
       | dnautics wrote:
       | > CJD test came back negative
       | 
       | So a CJD test is usually staining a biopsy with congo red and
       | observing apple-green birefringence in the image. This
       | _generally_ works to detect amyloid plaques, which is common to
       | all prions. So unless there was a lab mistake, the prion is
       | localized elsewhere from where the biopsies are being done (FFI,
       | for example, localizes to a different part of the brain) or they
       | were using some other procedure, it 's seems pretty unlikely this
       | is a prion disease.
        
         | omgwtfbbq wrote:
         | Are there other tests to determine prion disease related brain
         | degeneration? Seems hard to believe they can't identify at all
         | what the cause is.
        
       | andy_ppp wrote:
       | I do wonder if it's possible that vaccines that are designed to
       | make the body produce certain parts of the spike protein could
       | lead to prion diseases accidentally. Are we sure of the proteins
       | coded for and also that this coding can't produce misfolded
       | proteins? It's pretty unlikely but also we don't have long term
       | testing of these proteins in the body.
       | 
       | * please note I've had the first dose of Astra Zeneca and intend
       | to get the second.
        
         | wobblyasp wrote:
         | I'm unsure of how vaccines are related here. First case was in
         | 2015, and cases are relatively contained to an area
        
         | devit wrote:
         | Seems like prions only "infect" the same kind of protein, so a
         | misfolded spike protein that the vaccine might produce would
         | only cause other spike proteins to misfold, and they almost
         | surely don't occur naturally in human tissue so there should be
         | no risk at all.
        
           | andy_ppp wrote:
           | Excellent explanation I guess the short term effects of
           | producing these proteins is pretty small, that's good to
           | know.
        
             | anonymouse008 wrote:
             | As I commented below, I have only drawn loose correlations
             | with no direct evidence as well... so to hear the mechanics
             | of prion misfiling other same proteins is much appreciated.
        
         | anonymouse008 wrote:
         | I'm wondering if the original Covid infection runs the risk for
         | latent prion issues too --
         | 
         | There's just no reason for the mass hysteria from governments
         | from what I've seen spread amongst my friends - and I run
         | dangerously close to leaving the "anecdotal data gravity well"
         | with how many observations I've tracked, deaths included.
         | 
         | It felt like they were withholding some long term effects to
         | keep everyone calm.
        
           | tsimionescu wrote:
           | More people dead of Covid than TBC is not enough in your mind
           | to make it a serious risk? How can you jump to prions (which
           | no other viral disease has ever been known to cause) before
           | simply looking at the massive death toll, despite the
           | unprecedented restrictions?
        
             | anonymouse008 wrote:
             | Perhaps I'm a bit too relative in thinking our threshold
             | for responding to pandemics should be in proportion to the
             | response than previously seen pandemics and events... so
             | here's what I mean:
             | 
             | "Any mortality comparisons between these two pandemics in
             | the United States, 2020 and 1918, must differentiate
             | between totals and rates. The current US population, a
             | little more than 330 million, is more than three times
             | larger than the population in 1918, estimated at 105
             | million. The 675,000 deaths attributed to the influenza
             | epidemic made up 0.64 percent of the total population, a
             | little more than six in every thousand people. By contrast,
             | the more than 500,000 deaths attributed to COVID-19 make up
             | about 0.15 percent of the total population, or between one
             | and two in every thousand people. If COVID-19 caused deaths
             | at the same rate as the 1918 epidemic, the total would
             | approach two million. Even the disturbing projections of
             | more than to 600,000 deaths by July 1, 2021, would still
             | remain below the rates recorded in the earlier epidemic."
             | 
             | https://www.healthaffairs.org/doi/10.1377/hblog20210329.512
             | 9...
             | 
             | So, by one token, you could say we did better through the
             | response of drastic measures...
             | 
             | Or we could note that the world didn't perform wide scale
             | testing in the 1918-1919 pandemic to determine how many
             | other seemingly unrelated deaths also contained Spanish
             | Flu, or how many pandemic cases they really had back then.
             | 
             | So without knowing how many contracted both sets of
             | viruses, it's tough to make a call on the R0, but could a
             | rough approximation of a pandemic's severity could be the
             | proportion of populations, strata by types (age, whatever
             | you'd like), that experienced fatalities?
             | 
             | If so, does that mean the flu then was worse? What was the
             | world response at that time? I'll bore you less and say
             | that the measures taken then were no where near as strict
             | as those now.
             | 
             | So comparing that response to this new worlds response...
             | why does there appear to be a disproportionate response
             | that appears more strict in this age than the last?
             | 
             | Many possible answers can fit the set of facts above... one
             | extremely unlikely answer I've entertained is that the
             | Covid-19 infection is latent in nature and could cause
             | issues down the line.
             | 
             | Prions share in that characteristic in some research... as
             | in they have a latent emergence that some have been thought
             | to be misdiagnosed as dementia or the like, when in fact it
             | is probably mad cow disease.
             | 
             | So those super, super loose correlations I look at and say,
             | "hmm if someone tells me Covid causes a latent prion
             | disease with solid facts, I wouldn't be surprised" -- I'm
             | mot advocating that is what's happening, I'm just saying
             | ruling it out as completely invalid without evidence is a
             | little short sighted.
        
               | tsimionescu wrote:
               | Why would you compare the death rates from a pandemic
               | that happened immediately following a devastating world
               | war, with famine and poverty all across the globe, at the
               | very beginning of real medicine, in a world of borders;
               | with one happening in 2020 in a globalized world where we
               | have access to much more advanced medical knowledge, and
               | where an outbreak in Wuhan can become an epidemic in New
               | York?
               | 
               | Not to mention, the initial death tolls in the unprepared
               | places, like Lombardia in Italy or Iran, should be
               | motivation enough for a quick and decisive response.
               | Unfortunately, neither the US nor Europe nor Russia were
               | smart enough to take such an approach, and instead of a
               | quick and thorough lockdown + contact tracing that would
               | have hurt daily life for maybe 2 months before back to
               | normal, with almost no casualties (see Vietnam to note
               | that this was entirely possible), we are getting 2 years
               | of lukewarm responses that leave the same order of
               | magnitude of deaths as the 1918 pandemic.
        
               | anonymouse008 wrote:
               | That's a thoughtful discussion, and I hear your points,
               | I'm just keeping a bit of "open weights" to the
               | possibilities.
               | 
               | To your point, we are more medically advanced and can
               | track cell phones across the globe, which in some ideas
               | could mean we need to respond less in an aggressive
               | amputation of economies and more focused proper risk
               | assessments - which also means I would have advocated
               | from the beginning to ground all travel (air esp) and any
               | economic activity to assess the situation for a month or
               | two.
               | 
               | So when evaluating Italy or Iran, we should be doing
               | genetic testing and massive analysis on who gets severe
               | vs mild cases, and is is a heritable trait that could
               | explain anomalies in various communities.
               | 
               | Again, beautiful discussion... not saying you're wrong,
               | just leaving options open.
        
               | Fauntleroy wrote:
               | India is currently at 3.5k deaths _per day_. Anyone who's
               | been paying attention knows that the issue at hand isn't
               | that COVID is some kind of super-disease, but that it
               | causes a strain on emergency medical resources that can
               | quickly cause chaos. Ventilator resources used up, oxygen
               | unavailable, etc.
               | 
               | There's no need to come up with a new conspiracy theory
               | about COVID every day. The facts are way more boring, but
               | it all does ultimately check out.
        
               | anonymouse008 wrote:
               | Right on - I would just say fairly early on in this
               | process we knew what Covid did when to who and how, but
               | we didn't adjust the strategy in the US to match the new
               | information. Which left a big gaping 'Why'? (and yes,
               | easily filled in with p < 0.05 possibilities)
        
       | peteretep wrote:
       | > Several patients have presented with transient "Capgras
       | delusion", a psychiatric disorder in which a person believes
       | someone close to them has been replaced by an impostor.
       | 
       | > "It's quite disturbing because, for instance, a patient would
       | tell his wife: 'Sorry ma'am you cannot get in bed, I'm a married
       | man' and even if the wife gives her name, he'd say: 'You're not
       | the real one,'" Dr Marrero says.
       | 
       | You could spice up a lot of marriages if you could harmlessly
       | cause Capgras delusion for a few hours
        
         | medstrom wrote:
         | As long as you induce it consensually, right? It sure would be
         | uncomplicated, no real third party needed.
        
           | regularfry wrote:
           | That... wouldn't work. Consent must be continually given, and
           | for Capgras to work you can't be aware it's a delusion at the
           | time you're experiencing it.
        
             | thatguy0900 wrote:
             | I think the idea is that if you wanted to spice up a
             | marriage with an affair, you could use this to "cheat" on
             | your spouse with your spouse. Both parties would be
             | consenting the whole time. One would just think they are
             | cheating.
        
               | regularfry wrote:
               | Oh, I understand the concept. It's broken. If I am
               | "consenting", but not to the action that's _actually_
               | happening, I am not, in fact, consenting. If I believe
               | that I am consenting to sex with someone that 's not my
               | husband, in that moment I am _not_ consenting to sex with
               | my husband. If they then have sex with me, _knowing that
               | that is my state of mind_ , that is non-consensual.
        
       | sirsinsalot wrote:
       | Prion diseases terrify me. Especially having been in the UK
       | eating beef at the time of the BSE outbreaks in the 1990s.
       | 
       | I wonder if there have been studies on the scale of potential
       | latent vCJD/Prion disease in the population?
        
         | jeswin wrote:
         | I lost someone very close to me to sporadic CJD. This was some
         | time back, but the episode is one of the most troubling moments
         | in my life because of the suffering it inflicts on the patient
         | - the hallucinations with no way to communicate or to stop it.
        
           | jeffkeen wrote:
           | I lost my mom this way in 2016 and nothing has made me wish
           | for legal euthanasia more than witnessing that suffering and
           | decline.
        
         | hyko wrote:
         | There is ongoing surveillance from the National CJD Research &
         | Surveillance Unit:
         | https://www.cjd.ed.ac.uk/sites/default/files/figs.pdf
        
         | [deleted]
        
         | arisAlexis wrote:
         | What happens if for example nestle has a contaminated factory
         | product that millions eat and we will know it in 10 years from
         | now?
        
         | codingbeer wrote:
         | Whenever a topic about something that could potentially destroy
         | humanity comes up (say, climate issues), there is always some
         | comment that makes a reasonable argument of why things are not
         | as bad as they seem.
         | 
         | This never happens when prions are the topic.
        
           | dcolkitt wrote:
           | The simplest counterpoint to prion cataclysm fear is that it
           | hasn't happened yet. That implies a low chance that it'll
           | happen anytime in the near future.
           | 
           | There's no evidence that any significant human population has
           | ever been wiped out by prions at any point in the history of
           | the species. Heck, we haven't even observed widespread (>10%
           | infected) prion disease in _any_ species.
           | 
           | At least with something like climate change, there's the fact
           | that post-industrial activity is doing something different
           | than pre-industrial history. But this reasoning doesn't hold
           | for prion cataclysm. It's more like asteroid apocalypse. Yes
           | it could happen, but statistically it's not something we have
           | to worry about on a civilizational timeframe.
           | 
           | I don't see any justification for why humanity in 2021 is
           | courting prion disaster to a greater degree than it was in
           | 2000 BC. Animal husbandry has existed for fifteen thousand
           | years. Maybe globalization would spread a prion outbreak
           | faster. But the point is we've never even observed localized
           | prion collapse. If prions were that dangerous, there should
           | already be regional areas that have transformed into total
           | no-go zones.
        
             | cwkoss wrote:
             | If a significant human population was wiped out in history
             | - how would we know it was prions?
        
             | XorNot wrote:
             | Conversely industrialized meat production is relatively
             | recent, and so the volume of prion's being introduced into
             | the environment is potentially much higher then the rate at
             | which they are degrading naturally, not to mention the
             | degree of regional cross-mixing of sources.
             | 
             | Prion contamination can now be shipped around the world in
             | about 24 hours, where it can enter new populations much
             | more easily.
        
               | csharptwdec19 wrote:
               | > regional cross-mixing of sources.
               | 
               | This is the part that worries me. If something happened
               | like this even 300-400 years ago, it would probably just
               | wipe out that village.
        
             | [deleted]
        
             | NoImmatureAdHom wrote:
             | This is the right way to think about it. That said, a 1%
             | infection rate that isn't at all a threat to the species
             | given normal biological processes* will cause us to
             | completely flip our shit. While we wouldn't be wiped out,
             | everybody would be real upset for a long while. Look at
             | COVID.
             | 
             | *Technology has given us things like nukes, so...could be
             | harder to predict these days.
        
             | dennis_jeeves wrote:
             | >I don't see any justification for why humanity in 2021 is
             | courting prion disaster to a greater degree than it was in
             | 2000 BC.
             | 
             | Because the 'scientific' community need to keep their jobs.
             | You know they too have mortgages to pay...
             | 
             | So... point being there is endless stream of fear mongering
             | (some of which ends up being true) to justify their
             | existence.
        
             | Amezarak wrote:
             | Proteins do eventually break down in the environment. If
             | you hugely multiply the number of humans and population
             | density, you are creating a situation where prion diseases
             | can become endemic where they couldn't have been before.
             | 
             | This is probably exactly what happened with CWD - deer
             | overpopulation plus the random protein misfold created the
             | conditions for a contagious disease where it didn't exist
             | before.
        
             | littlestymaar wrote:
             | Do we know how long prions have been there?
             | 
             | I'm not afraid of being hit by some asteroid hanging there,
             | but if one day we spotted an asteroid whose trajectory was
             | straight to earth, then being terrified would be quite
             | legitimate.
        
             | Teever wrote:
             | > I don't see any justification for why humanity in 2021 is
             | courting prion disaster to a greater degree than it was in
             | 2000 BC.
             | 
             | While the kinds of people who would fly planes into
             | buildings, release nerve toxins in subway stations or club
             | entire villages of outsiders to death have always existed
             | the ability to research and manufacture prions did not
             | exist in 2000BC.
             | 
             | That combination of desire to destroy the world and the
             | legitimate ability to do it with rapidly more accessible
             | biotechnology is a disconcerting reality that we need to
             | account for when discussing theses things.
             | 
             | Imagine a religious extremists organization mass producing
             | prions and placing them in key parts of food supply chain.
             | We probably wouldn't have a clue until it was too late.
        
               | littlestymaar wrote:
               | Biotech as a whole and its misuse by fanatics (or public
               | servants in states with dubious moral ...) is a massive
               | concern for the 21th century, but I don't really think
               | prions deserve a special place in this list. There's way
               | too much scary things in here (gene drive, artificial
               | viruses, intentional smallpox spreading, etc.)
        
               | Teever wrote:
               | That may be the case but it's a different issue than "Why
               | are prions more of a threat to humanity than they were 4k
               | years ago?"
               | 
               | With that said I sort of disagree with you. Prions are
               | particularly attractive to a hypothetical bioterrorist
               | due to the difficulty in detecting them, their durability
               | and also the delay on effects. As I said above, once you
               | know you have a problem it will be too late.
               | 
               | Keep in mind these are just the prions that nature has
               | produced. It is quite possible that humans are able to
               | modify existing threatening prions or develop whole new
               | classes of threatening prions that haven't developed in
               | nature.
               | 
               | Overall I think the most effective strike from a
               | bioterrorist won't come from a single attack vector but a
               | well timed combination of vectors. We've seen how
               | something as minor as COVID has taken all of our
               | attention and resources, now imagine if a terrorist timed
               | something like COVID with a follow up strike like prions.
        
             | wombatpm wrote:
             | Or could it be that we have it and don't know it. Alzheimer
             | cases are growing as we remove other causes of death.
             | Dementia is just accepted as a consequence of growing old.
             | It not like we section every brain of an old person who
             | dies.
             | 
             | We only noticed it on our farm animals because we brought
             | the cycle time down as we fed downer cows to other cows as
             | a source of protein
        
               | TomSwirly wrote:
               | What's this "we"? Some of us aren't going to get CJD
               | because we aren't implicated in this whole cow-eating
               | activity.
        
           | giantg2 wrote:
           | Actually, there is some good news. Many types of prions
           | diseases do not spread from animals to humans (so far). There
           | have been some studies around this with CWD, but also Scapie
           | has been around for hundreds or even thousands of years and
           | never made the jump. Even in areas with CWD, we see that herd
           | numbers do typically rebound. It's believed that there is
           | some genetic factor that prevents the onset of the symptoms,
           | like the body's proteins are less likely to fold in that way,
           | so you only accumulate what you eat, or that the body can
           | clean up the misfolded proteins. So it's not like it would
           | wipe out everyone. I think I remember reading that some
           | people are also researching prion treatments with some
           | limited sucess. I would imagine they would come up with
           | something even more quickly if there was a epidemic type of
           | situation, similar to how medical researchers around the
           | world focused on covid.
        
             | throwaway316943 wrote:
             | Not to be a doomer but there are scenarios where neither
             | genetic variation nor research would solve the problem. The
             | correct mix of virality, incubation and lethality would do
             | it. Pneumonic plague is terrifyingly close. I wish there
             | was a bigger interest and investment in biology, I think
             | it's the only viable path forward for humanity.
        
               | giantg2 wrote:
               | I was just discussing prions. Other pathogens do seem to
               | present a bigger risk. I don't think anything would have
               | 100% kill rate. Even weaponized microbes have like 99.8%
               | or something. That still leaves about 16 million people.
               | Plus there's all those preppers with their bunkers, some
               | uncontacted tribes, people who live in isolated areas.
               | Then it becomes more of a matter of how to organize, do
               | they have the knowledge to survive in those types of
               | conditions, etc. The species will survive, but it will be
               | a very different world.
        
           | medstrom wrote:
           | You jinxed it, so I'll be the "some comment": prions won't
           | spread everywhere all at once, so humanity will probably
           | self-isolate in at least a few prion-free clusters.
        
           | marcosdumay wrote:
           | Well, prion diseases are very rare in humans (or at least
           | their transmission is rare), and there is no evolutive
           | pressure to create a super-prion that can infect more people,
           | like happens with other pathogens. Thus, the most likely
           | situation is that it will continue to be very rare until we
           | are able to change it into virtually non-existent by
           | technology.
           | 
           | They are a really scary thing, but it's a meteor strike style
           | of scary, nobody really expects it to happen before we can
           | deal with it.
        
           | piker wrote:
           | Actually there is a positive anecdote often cited. The Fore
           | people of New Guinea engaged in ritual cannibalism which lead
           | to the propagation of prions across generations. When they
           | stopped, the generations of disease also stopped.
           | 
           | https://en.wikipedia.org/wiki/Kuru_(disease)
        
             | joshuaissac wrote:
             | The Fora people even developed a prion that confers
             | resistance to kuru:
             | 
             | > researchers [...] discovered a naturally occurring
             | variant of a prion protein in a population from Papua New
             | Guinea that confers strong resistance to kuru
             | 
             | > This community [...] has developed their own biologically
             | unique response [...] this genetic evolution has happened
             | in a matter of decades
        
         | stormdennis wrote:
         | Many countries would not allow people who lived in the UK
         | during the 80s and 90s to give blood. I ate so many burgers
         | back then too. Our kids after they were born weren't allowed
         | beef for years.
        
           | stuff4ben wrote:
           | Yep I'm one of them. Lived in the UK in the early 80's as a
           | child. Gave blood for the first time when I was in college in
           | the 90's to the Red Cross here in the US, and they mailed me
           | back saying to never give blood again but didn't specify a
           | reason. It wasn't until a few years later that I found out
           | why. And the fact I might have a prion disease lurking in my
           | blood sometimes terrifies me.
        
             | stormdennis wrote:
             | I don't think it's a concern any more. The trajectory of
             | cases that should have occurred if CJD was widespread in
             | the community, never happened. One consequence of this is
             | the blood donation ban has been lifted in most countries, I
             | think.
        
             | ed25519FUUU wrote:
             | Is there a blood test for that?
        
               | stuff4ben wrote:
               | I don't think so. I believe it was a screening question.
               | Which was odd since they allowed me to give blood at that
               | time.
        
               | wombatpm wrote:
               | Well they got your sample for testing going forward.
        
         | StavrosK wrote:
         | Did prions survive cooking? I'd have thought cooking the beef
         | would have killed them.
        
           | colechristensen wrote:
           | If you took affected neural tissue and burned it to ash on a
           | wood fire, there remains (although low) infective potential
           | but probably only if you were trying in a lab. It takes 1000
           | C incineration to defeat infectivity and even then they're
           | still detectable.
           | 
           | Composting so the proteins are broken down biologically is
           | also an alternative.
           | 
           | No amount of cooking prions that leave anything you want to
           | eat makes infected material safe.
        
             | robbiep wrote:
             | I'm not so sure about the composting - the breakdown of
             | organic material (well, protein in this case) in soils is
             | largely brought about by proteases and proteases are
             | largely ineffective
        
             | giantg2 wrote:
             | Agree that cooking is not an option.
             | 
             | You can actually get that 1000C down to 600C if you also
             | soak the tissue in acid prior to burning.
        
               | FredPret wrote:
               | That pretty much describes how I cook my steaks, a nice
               | H2SO4 marinade followed by ten minutes in a bonfire
        
               | shoemakersteve wrote:
               | As long as you don't put ketchup on it.
        
           | Hypergraphe wrote:
           | Yes they do. From wikipedia : Prion aggregates are stable,
           | and this structural stability means that prions are resistant
           | to denaturation by chemical and physical agents: they cannot
           | be destroyed by ordinary disinfection or cooking. This makes
           | disposal and containment of these particles difficult.
        
           | rndude wrote:
           | Prions are incredible hard to destroy.
           | 
           | To quote from Wikipedia:
           | 
           | `Prion aggregates are stable, and this structural stability
           | means that prions are resistant to denaturation by chemical
           | and physical agents: they cannot be destroyed by ordinary
           | disinfection or cooking.`
        
             | iagovar wrote:
             | That's not good.
        
             | homero wrote:
             | Are prions contagious through contact or only eating?
        
             | giantg2 wrote:
             | That's not entirely true. They know that bleach can be used
             | against CWD for surface decontamination. I would call a
             | 50/50 bleach water solution quite common for disinfectant.
             | 
             | https://www.nih.gov/news-events/news-releases/household-
             | blea...
        
             | StavrosK wrote:
             | Oooof...
        
             | Red_Leaves_Flyy wrote:
             | Iirc hospitals that treat patients with prion diseases
             | incinerate all materials that contact the patients. I don't
             | know how they sanitize the rooms but it can't be cheap or
             | eco friendly.
        
               | XorNot wrote:
               | Chemical agents which cause protein-crosslinking would be
               | the preferred method - you can broadly make every side-
               | group reactive and cause them all to stitch together with
               | anything else organic, which tends to inactivate them
               | (makes them a big blob which can't do much).
               | 
               | But it's nasty stuff to work with, since it also happily
               | does tons of damage to the proteins making up the humans
               | applying it.
        
               | Red_Leaves_Flyy wrote:
               | Do you have an example of such a chemical being used to
               | effectively remediate prion contaminated environments?
        
               | XorNot wrote:
               | Apparently not: I was thinking glutaraldehyde which is
               | used for cleaning in hospitals but reading up the advice
               | for prions is explicitly opposed to cross-linking agents.
               | 
               | Which makes sense I guess but it's also scary.
        
               | Red_Leaves_Flyy wrote:
               | You raised my hopes and dashed them exquisitely.
               | 
               | Until we have better, cheaper, and less error prone
               | methods of remediating prion diseases they're the #1 fear
               | on my biological apocalypse list.
        
               | turing_complete wrote:
               | Destroying prions is eco friendly.
        
               | Red_Leaves_Flyy wrote:
               | Humans need a non toxic environment. Plants, and life in
               | general, will find a way. With, and without, us.
        
             | Anon4Now wrote:
             | Sterrad sterilization machines, which use a hydrogen
             | peroxide gas plasma, have been shown to be very effective
             | against CJD (mad cow) and other prion diseases. However
             | they are very expensive, and almost 20 years after their
             | launch there are only 20k systems installed world wide.
        
               | ashildr wrote:
               | A plasma of H2O2 sounds like the definition of a reactive
               | environment...
        
           | neartheplain wrote:
           | Yes, prions can survive cooking. Emphasis mine:
           | 
           | > 134 degC (273 degF) for 18 minutes in a pressurized steam
           | autoclave has been found to be _somewhat_ effective in
           | deactivating the agent of disease
           | 
           | https://en.wikipedia.org/wiki/Prion#Sterilization
        
           | basicplus2 wrote:
           | Yes and they can pass on to other patients from surgical
           | tools
           | 
           | https://www.scientificamerican.com/article/surgical-
           | exposure...
        
           | LorenPechtel wrote:
           | The only way to destroy prions is to destroy all protein in
           | the material. What's left wouldn't be worth eating.
        
           | petre wrote:
           | Yes they do, unfortunately. And there are recently discovered
           | cases of chronic wasting disease (CWD) in elk, deer and moose
           | worldwide. I hope it doesn't pass to humans. For the time
           | being I'll refrain from eating game.
        
             | giantg2 wrote:
             | I would be more worried about beef. There has been no
             | evidence of CWD jumping to humans, but there has been for
             | BSE.
             | 
             | Also, do you have a link for the distribution? My
             | understanding is that it is spread over a large geographic
             | area, but that it's found in smaller clumps.
        
         | Hypergraphe wrote:
         | Yep, been there in the 90s, scary shit.
        
         | one2three4 wrote:
         | I skimmed through it but my understanding is that this is not a
         | prion outbreak. At least the relevant tests come back negative.
         | Did I get it wrong?
        
           | NoGravitas wrote:
           | It's not a _known_ prion, like CJD. It could still possibly
           | be an unknown prion. Or any number of other things.
        
         | gadders wrote:
         | I lived through it. I mean, it was scary, but the risks were
         | low.
         | 
         | I remember my landlord and his girlfriend at the time saying
         | they were going to give up beef due to the risks. They said
         | this whilst smoking cigarettes.
        
           | eloff wrote:
           | People are so good at ignoring large daily risks and freaking
           | out about tiny unknown risks.
           | 
           | Just look how many people are scared of the covid19 vaccines,
           | but take bigger risks in their morning commute. Actually if
           | you just stick to the AstraZenica vaccine with the risk of
           | blood clots - you take a bigger risk just getting out of bed
           | in the morning, even if you never leave the house.
        
             | dnautics wrote:
             | Yes and no. The vaccines are by definition new and
             | untested. That the blood clots appeared suggests that the
             | unknown surface area of the vaccine is higher than we
             | expected; whereas the almost all of the risk on your
             | commute are known _and_ preventable.
             | 
             | For example let's say the vaccine causes a side effect that
             | appears only two years from now; then you wouldn't
             | necessarily be correct in asserting that the morning
             | commute is more dangerous. By contrast, the morning commute
             | causing an unknown side effect in two years is highly
             | unlikely.
             | 
             | (For the record I'm vaccinated)
        
         | thehappypm wrote:
         | Prions cannot evolve, which is why they represent such a tiny
         | space in diseases. They're really more a quirk of chemistry
         | than biology.
        
           | orblivion wrote:
           | I'm not sure why this is the case. They replicate. There
           | might be an error in replication, no? Or is that just really
           | hard? Is it that their existence is in a sweet spot, and
           | nothing even marginally different would work the same way?
        
           | throwaway316943 wrote:
           | They can't evolve independently but biological systems that
           | produce proteins can evolve new proteins and new ways of
           | manipulating proteins. A nightmare scenario would be a
           | bacterial or viral mutation that produced a deadly prion.
        
             | robbiep wrote:
             | A nightmare scenario for me is the creation of mRNA coding
             | for a misfolded PRNP being weaponised.
        
               | thehappypm wrote:
               | I don't think you need to worry too much about that,
               | honestly. as far as bioweapons go mRNA is pretty
               | involved.. if you need to inject your victim, that's
               | already way too complicated. bioweapons are much more
               | oriented towards tainting water supplies or air.
        
               | robbiep wrote:
               | I know a huge amount about the level of technical skill
               | required to do something with mRNA. It's involved today.
               | 
               | But in many ways it's less technically involved than
               | (re)creating the horse pox vaccine from scratch.
               | 
               | And in 20 years it could be as simple as something
               | aerosolised (there are already research projects for
               | nasal mRNA vaccines) we don't know quite yet where this
               | will all lead to - PRNP is small enough at 200-odd amino
               | acids long that it can be easily encoded on mRNA and as a
               | fucked up disease vector that's surely worse than
               | anything viral - a timebomb sitting in everyone's
               | bloodstreams waiting 5-50 years to go off
        
             | thehappypm wrote:
             | This feels like being worried about sharks evolving machine
             | guns.
        
         | tauntz wrote:
         | Prions terrify me as well because it seems like there's no
         | stopping them..
         | 
         | > In 2015, researchers at The University of Texas Health
         | Science Center at Houston found that plants can be a vector for
         | prions. When researchers fed hamsters grass that grew on ground
         | where a deer that died with chronic wasting disease (CWD) was
         | buried, the hamsters became ill with CWD, suggesting that
         | prions can bind to plants, which then take them up into the
         | leaf and stem structure, where they can be eaten by herbivores,
         | thus completing the cycle. It is thus possible that there is a
         | progressively accumulating number of prions in the environment
        
           | senthil_rajasek wrote:
           | There is also a study from 2014 that suggests that prions
           | were not detected in stems even though the roots of wheat
           | plants were exposed to them. I don't know if there is
           | conclusive evidence yet on getting sick by eating a plant
           | based diet.
           | 
           | "This suggests wheat was unable to transport sufficient
           | PrP(TSE) from the roots to the stem to be detectable by the
           | methods employed."
           | 
           | Source: https://pubmed.ncbi.nlm.nih.gov/24509640/
        
           | medstrom wrote:
           | >It is thus possible that there is a progressively
           | accumulating number of prions in the environment
           | 
           | I really need to grow my own food.
        
             | xeromal wrote:
             | Make sure to keep the deer out!
        
           | Xcelerate wrote:
           | I had read this before. It's horrifying. How do you stop the
           | chain reaction of proteins folding into lower energy states?
           | It's not like a bacteria or virus; it's more like ice-nine,
           | except instead of water it's your brain.
        
             | giantg2 wrote:
             | Bleach works as surface decontamination agent. They know it
             | works for CWD, and I expect it works for others too.
        
               | fao_ wrote:
               | > Bleach works as surface decontamination agent. They
               | know it works for CWD, and I expect it works for others
               | too.
               | 
               | I remember reading that nothing but incineration would
               | work in the context of Food-and-Mouth disease, but it
               | seems modern techniques in brain surgery do use bleach.
               | Interesting.
               | 
               | Essentially, the only thing that works is disintegrating
               | the prions. You can't wash them off, since you're simply
               | washing them into the water cycle. You can't deal with
               | them in a way that preserves other biological matter,
               | since they are proteins, disintegrating them means
               | disintegrating any other proteins in that area.
        
               | ben_w wrote:
               | Foot-and-Mouth disease has a vaccine. I believe burning
               | was for economic reasons: vaccination is expensive; the
               | reproductive cycle (and by extension the population) is
               | essentially human-controlled and the livestock population
               | can recover quickly; and "we don't need to vaccinate"
               | increases livestock sales.
        
               | markdown wrote:
               | Foot
        
               | iamthepieman wrote:
               | I'm missing the reference to foot and mouth disease. FMD
               | is a viral infection and is not caused by prions.
        
               | fao_ wrote:
               | IIRC at the time the BSE outbreak in the UK[1] was
               | referred to as "foot and mouth disease" and I've heard
               | people refer to it as that since then. I wasn't even
               | aware they were separate things.
               | 
               | [1]:
               | https://en.wikipedia.org/wiki/United_Kingdom_BSE_outbreak
        
               | shkkmo wrote:
               | There may have been some innacurate reporting, but FMD
               | and BSE present very differently in humans so I doubt
               | there was deep confusion.
        
               | sokoloff wrote:
               | For brain surgery, it seems like washing them off the
               | implements and into the water cycle is still an enormous
               | win in terms of risk.
        
               | fao_ wrote:
               | I'm not sure you understand how irresponsible that is.
        
               | sokoloff wrote:
               | That might be. I'm not an expert.
               | 
               | Is it _more irresponsible_ than not removing them prior
               | to operating on someone 's brain?
        
             | AbrahamParangi wrote:
             | Prions aren't new, they're probably as old as proteins- and
             | they haven't ice-nined the world yet.
        
               | HDMI_Cable wrote:
               | To be fair, neither did ice-nine until somebody decided
               | to eat it.
        
             | adamhp wrote:
             | This really puts it into perspective...
        
             | Metacelsus wrote:
             | Gene-drive to edit wild animals so that they don't express
             | PRNP (or express a stabilized version)
        
               | titanomachy wrote:
               | Stabilized maybe, it's probably necessary for something
               | even if we don't know what yet.
        
             | anotha1 wrote:
             | To save someone else the time, the "ice-nine" referred to
             | in this comment is _fictional_.
        
               | fao_ wrote:
               | To be fair, "Cat's Cradle" is a famous work of science-
               | fiction
        
               | Xcelerate wrote:
               | The funny thing is when I posted that, I hadn't heard of
               | Cat's Cradle; I was just familiar with what the fictional
               | ice-nine referred to.
        
               | Izkata wrote:
               | However, "ice IX" _is_ real and distinct from  "Ice-
               | nine", so clarity is worthwhile.
               | 
               | https://en.m.wikipedia.org/wiki/Ice_IX
               | 
               | Also I only know of Ice-nine because of fun facts like
               | this, didn't even know the name of the story let alone
               | have read it.
        
               | anotha1 wrote:
               | For which generation?
        
               | fao_ wrote:
               | Are there many noteworthy modern science fiction authors
               | that hold up to the Asimov / Clarke / Lem generation? I
               | would think someone reasonably versed in science fiction
               | would have at least _heard_ of it -- I 'm a "zoomer" and
               | I have.
        
               | FpUser wrote:
               | I read a lot including Sci-Fi and did not find any who
               | are close. Does not mean they do not exist. Most likely
               | not as famous and not exposed to wide public.
        
               | intergalplan wrote:
               | The actual _writing_ from a lot of the golden age and New
               | Wave sci-fi authors is... OK at best, with a few
               | exceptions (Bradbury 's distinctively poetic and
               | dreamlike prose, for example). Tons of modern sci-fi
               | authors write stories with more literary merit, better
               | clarity, better-conveyed action, more believable
               | characters and dialog, and so on. The improvements there
               | are really obvious when reading, say, an early 70s _The
               | Hugo Winners_ or collections of 1950s stories, and then a
               | 90s _The New Hugo Winners_.
               | 
               | Whether their ideas and worlds stand up to Asimov and
               | company, or happen to be appealing to a particular
               | reader, is another matter, but the _command of writing
               | itself_ is overall better, I 'd say. I don't think a
               | modern author would have much luck getting novels or
               | stories in major magazines published with Asimov-tier
               | dialog & characterization, for example.
               | 
               | Plus those eras were full of tons of garbage, in addition
               | to what we remember. New Wave (60s and 70s) in particular
               | tended to some very _special_ interests that I don 't
               | think have held up too well, with some exceptions. A lot
               | of that era's stories are very in love with sex & drugs
               | and not in a way that really translates into a good tale.
               | Most of those aren't exactly well-beloved these days.
               | 
               | On the flip side, there are definitely some modern sci-fi
               | authors that are among the most famous but have some
               | _serious_ problems putting together an entirely good
               | novel. I 'll refrain from naming names but among them is
               | maybe the only author whose book has ever made me _mad at
               | them_ for wasting such a good idea, setting, and opening,
               | by just having no damn follow-through and getting super
               | lazy in the last 1 /3 or so. They're probably a top-5 sci
               | fi name, among active authors today. But I stand by the
               | overall quality level being notably higher on at least
               | _some_ dimensions, and it 's even true for that guy.
        
               | TomSwirly wrote:
               | > Asimov / Clarke / Lem
               | 
               | Asimov's SF is, sadly, hard to read these days. Clarke
               | has held up better but still a bit dated. Lem reads as
               | fresh as ever, but he's not so well known.
               | 
               | (What happened to Bradbury and Heinlein?)
               | 
               | Gene Wolfe is only one generation younger than these
               | guys, and he just died, but I consider him a better
               | writer than all the others I mentioned except Lem.
        
               | shkkmo wrote:
               | We have a number of very good modern science fiction
               | authors that easily rival them. While none of them may be
               | as iconic, I think that has more to do with competition
               | in the genre and breadth of the market.
        
               | omgwtfbbq wrote:
               | Name some? My experience with authors like Cixin Liu and
               | some contemporaries is that they are unreadable, this
               | could just be bad translations in Liu's case but I'm not
               | at all convinced modern writers rival the classical
               | greats in SciFi.
        
               | nitrogen wrote:
               | For a new generation of 10000 every day.
               | 
               | https://xkcd.com/1053/
        
               | [deleted]
        
               | intrasight wrote:
               | Seminal work of sci-fi, I highly recommend if for no
               | other reason than to get the ice-nine references you'll
               | inevitably come across.
        
           | TearsInTheRain wrote:
           | Maybe this is a naive question, but your immune system works
           | by identifying foreign proteins and killing those cells. Is
           | there no way for your immune system to target cells
           | contaminated with prions?
        
             | LorenPechtel wrote:
             | The fundamental issue with prions is that they are *not*
             | foreign. Prions are legitimate proteins made by your own
             | body but folded wrong. A misfolded protein acts like a
             | catalyst to cause more misfolding. Prions are *not* alive,
             | they have no ability to reproduce other than through
             | misfolding existing proteins. It's basically a form of
             | crystallization.
        
               | littlestymaar wrote:
               | Antibodies are shape-sensitive though, so there could be
               | antibodies targeting the mis-folded protein. In fact,
               | maybe many people exposed to them where able to develop
               | an immune response and we just don't know about it
               | because these people never had any symptoms (think about
               | the survivor bias, but in reverse, or from the point of
               | view of the prion).
        
       | withinboredom wrote:
       | Since prions can be inhaled via aerosoles[1], I often wonder how
       | long it will be until vaping causes prion diseases to rapidly
       | spread. Or new prions to be introduced.
       | 
       | [1]:
       | https://journals.plos.org/plospathogens/article?id=10.1371/j...
        
         | sirsinsalot wrote:
         | What on earth does vaping specifically have to do with the
         | aerosol transmission of prions? Unless there are misfolded
         | proteins in the liquid, but that's just as likely as them being
         | in your beef, the air around you, someone chopping meat or
         | anything else.
         | 
         | Your vaping reference seems odd.
        
           | withinboredom wrote:
           | If (and it's a big if) they were in the liquid, someone
           | walking down the street and hitting their vape could "infect"
           | quite a lot of people. The delay between that point and the
           | onset of symptoms would make it very hard to pinpoint the
           | vape as the cause.
           | 
           | It's just interesting to think about.
        
             | shoemakersteve wrote:
             | > It's just interesting to think about.
             | 
             | Is it? Your line of thinking is really confusing to me. The
             | likelihood of this happening by accident is effectively 0%.
             | Even if it was intentional, this makes even less sense.
             | Because then the person would not only have to find some
             | prions to put in their vape, they would also have to inhale
             | it themselves to then blow it into other people's faces?
             | 
             | I just really don't understand where you're coming from or
             | why you would say any of this.
        
         | Cthulhu_ wrote:
         | Eh? Loads of bad stuff can be inhaled via aerosols so idk why
         | you're mentioning prion diseases specifically. I mean not that
         | long ago there was a lot of 'off the market' e-liquids that
         | would cause popcorn lung.
        
           | Sunspark wrote:
           | Lots of aerosol "air fresheners" out there in operation too,
           | that use petroleum gas as carriers. It's just accepted that
           | it's fine to inhale petroleum gas.
        
       | ilamont wrote:
       | One of the questions used to screen blood donors in the U.S. is
       | whether they lived in the U.K. in the early 1990s. If you answer
       | "yes," you can't donate.
       | 
       | The reason is the outbreak there of bovine spongiform
       | encephalopathy (BSE, aka "mad cow disease") and the human variant
       | mentioned in the article, Creutzfeldt-Jakob disease (vCJD) which
       | may lie dormant for decades IIRC.
        
       | williesleg wrote:
       | father's health rapidly declined.
       | 
       | "He had delusions, hallucinations, weight loss, aggression,
       | repetitive speech," he says
       | 
       | Canada...sounds like liberalism disease to me.
        
       | phendrenad2 wrote:
       | Related to Havana Syndrome?
        
         | r721 wrote:
         | From the article:
         | 
         | "Despite patients showing no trace of any known prion diseases,
         | it hasn't been completely ruled out as a cause, he says.
         | 
         | Another theory is chronic exposure to what's called an
         | "excitotoxin" like domoic acid, which was linked to a 1987 food
         | poisoning incident from mussels contaminated with the toxin
         | from the nearby province of Prince Edward Island.
         | 
         | ...
         | 
         | Dr Cashman says they are also looking at another toxin - beta-
         | methylamino-L-alanine (BMAA) - which has been implicated as an
         | environmental risk in the development of diseases like
         | Alzheimer's and Parkinson's.
         | 
         | BMAA is produced by cyanobacteria, commonly known as blue-green
         | algae."
        
           | dmix wrote:
           | You get plenty of excitotoxins from eating MSG which may be
           | causing diseases too.
           | 
           | The amount of msg in commercial food has doubled the last
           | decade apparently.
           | 
           | So much we don't know about the body and what we put in it.
        
             | kossTKR wrote:
             | Please source the MSG claim. Asians eat huge amounts of MSG
             | and as far as i know there isn't any pandemic like mystery
             | diseases floating around over there.
             | 
             | Highly advanced surveillance systems in South Korea, Japan
             | etc. would be more than able to pick up such things.
        
               | dmix wrote:
               | https://www.honeycolony.com/article/excitotoxins-fda-
               | approve...
               | 
               | For some reason my edit immediately after making the post
               | didn't make it but I meant to include this with a
               | statement "I have no idea about the veracity of this
               | claim or website".
               | 
               | I'm not looking to defending this with one hard but it
               | could be right.
        
               | minitech wrote:
               | If you have no idea about the veracity of this claim,
               | it's irresponsible to flat-out write "you get plenty of
               | excitotoxins from eating MSG".
        
             | GordonS wrote:
             | I hadn't heard this claim about MSG before. I did a quick
             | search on Google, but didn't find anything that looked
             | remotely reputable. I did a quick search on Google Scholar,
             | and everything seemed to be refuting the claim. Do you have
             | any sources you can share?
        
               | arpa wrote:
               | Yeah, the grandparent is talking out of their rear-end.
               | MSG is well researched and relatively safe. There have
               | been numerous studies refuting the existence of "Chinese
               | restaurant syndrome" and/or attributing the symptoms to
               | allergy to MSG. "Syndrome" was originally a self-reported
               | case study and none subsequent studies with n>10 have
               | been able to replicate the case.
        
               | M2Ys4U wrote:
               | The original MSG/CRS "paper" was a hoax.
               | 
               | Hell, it wasn't even a paper. It was more along the lines
               | of a letter to the editor, IIRC. But a mixture of
               | sinophobia and alt-med woo spread it far and wide.
        
             | shawnz wrote:
             | Do you mean to say MSG itself is an excitotoxin? It doesn't
             | make sense to say there are excitotoxins in it. It's just a
             | single compound.
        
       | GioM wrote:
       | The forests of New Brunswick are routinely sprayed with large
       | amounts of glyphosphate herbicide.
       | 
       | Is it possible that this is the cause, instead of prions?
       | 
       | [1] https://www.conservationcouncil.ca/where-our-forest-is-
       | being...
       | 
       | [2] https://www.cbc.ca/news/canada/new-brunswick/liberals-
       | greens...
       | 
       | [3] https://nben.ca/en/component/tags/tag/glyphosate-ban
       | 
       | [4] http://www.stopsprayingnb.ca/?page_id=118
        
         | bluGill wrote:
         | No, glyphosphate is used in a lot of different places and is
         | well studied. There are the usual conspiracy theories but the
         | science is pretty strong.
        
           | rubicon33 wrote:
           | What science are you referring to? The most I've heard about
           | it is the Bayer lawsuit.
           | 
           | "A San Francisco jury initially awarded Johnson $289.2
           | million after finding the chemical glyphosate in Roundup
           | caused his non-Hodgkin's lymphoma" [1]
           | 
           | [1] https://www.reuters.com/article/bayer-glyphosate-
           | lawsuit/bay...
        
         | decasteve wrote:
         | A direct causal relationship is unlikely, however, the link
         | between increased cyanobacteria in our waters and glyphosate
         | spraying is possible and being studied elsewhere.
         | 
         | New Brunswick also carried on with heavy spraying of DDT into
         | the 1980s stopping much later than most places.
         | 
         | There have been more diseased moose sightings in recent years
         | too.
         | 
         | What about the possibility of contaminated seafood?
         | 
         | So many possibilities. Quite scary with no concrete answers.
        
       | anonuser2 wrote:
       | Thoughts on this guys? A potential greater risk of prions from
       | the covid vaccine (Therapeutic)
       | 
       | https://www.scivisionpub.com/pdfs/covid19-rna-based-vaccines...
        
         | medstrom wrote:
         | You really want to give anti-vaxxers more ammo over a
         | "potential risk"?
         | 
         | But welcome to HN.
        
           | anonuser2 wrote:
           | Yeah, well unfortunately there are anti-vaxxers but people
           | who have genuine concerns over the long term safety of a
           | completely experimental vaccine will be labeled as antivaxx
           | to.
        
             | medstrom wrote:
             | Yes, it's a terrible idea to label them that way, so let's
             | not. Still, we all bear some responsibility in keeping
             | society sane, which might mean just declining to talk about
             | evidence like this until it's solid.
        
         | m1aw wrote:
         | New account, publication is made by someone @vaccines.net which
         | claims the following "We are concerned that the current
         | outbreak of COVID-19 is actually a bioweapon attack and may be
         | linked to the US anthrax attack of 2001, which originated from
         | the US army base Fort Detrick."
         | 
         | The publication has not been peer reviewed, and quotes several
         | times articles published by the original author with similar
         | claims.
         | 
         | Are we spread miss information in HN now too?
        
           | anonuser2 wrote:
           | How is it misinfo? I am just saying it is a potential risk as
           | you litterly fold proteins.
           | 
           | What's wrong with questioning something completely
           | experimental?
           | 
           | Sure, it needs to be looked into more not a definite it is
           | causing prions but could be a risk in the future.
        
       | callamdelaney wrote:
       | There was some research which suggested that a not insignificant
       | number of dementia cases were actually misdiagnosed mad cow
       | disease. Because CJD can stick around for a while without taking
       | affect, I wouldn't be surprised.
        
         | psyc wrote:
         | This is a running gag for William Shatner's character in Boston
         | Legal.
        
         | HDMI_Cable wrote:
         | I'm not a neurologist but maybe some of the prions from Mad Cow
         | Disease can further the progression of dementia?
        
         | throwaway316943 wrote:
         | The age range starts at 18 for this outbreak.
        
       | tibbydudeza wrote:
       | prions - scary shit.
        
         | cpncrunch wrote:
         | No evidence of prions so far.
        
       | londons_explore wrote:
       | I wonder how common diseases like this are that impact just one
       | or just a handful of people?
        
         | andai wrote:
         | The long tail...
        
           | londons_explore wrote:
           | Indeed. You frequently hear "Everyone is different",
           | "Symptoms can vary" and "Everyone acts differently to XYZ
           | treatment".
           | 
           | But perhaps these are all symptoms of diseases and
           | combinations of diseases varying, rather than the people?
        
           | Brakenshire wrote:
           | " Although rare diseases may be individually rare, they are
           | collectively common, with 1 in 17 people being affected by a
           | rare disease at some point in their lives. "
           | 
           | https://www.gov.uk/government/publications/uk-rare-
           | diseases-...
        
       | jokoon wrote:
       | I was scared for a bit.
       | 
       | This reminds me that I first read about early cases of covid
       | around october or november 2019.
        
         | drran wrote:
         | How and where you were able to read this?
        
           | jokoon wrote:
           | It made some news, it was suspicious cases of pneumonia in
           | china. First time I read the article, I was like "uh oh". It
           | did not make the headlines though, but it was still
           | noticeable. I think I spotted it on reddit or hackernews.
           | Maybe the article was on BBC? BBC has quite a good world
           | coverage.
           | 
           | I guess you can google news by year. I'm very certain those
           | articles exist. Next time I heard about it, it was getting
           | much worse.
        
             | oblio wrote:
             | I heard about Covid in January. It was still kind of
             | localized, at the time, we didn't know much about it.
             | 
             | Around mid-February I saw in the news that there was a
             | somewhat big cluster in Italy and realized that everyone
             | was screwed :-(
        
               | ekianjo wrote:
               | The first news about COVID were at the very end of
               | december 2019 at least on mainstream media.
        
               | oblio wrote:
               | True, but between actually seeing the first news and
               | figuring out: "Oh my God, this is going to be a global
               | pandemic!", it took me a while. I think most people were
               | in the same boat.
        
               | cmrdporcupine wrote:
               | My wife had taken a couple infectious diseases courses as
               | part of her anthropology degree so she was tuned into
               | this whole thing and the first article she read about it
               | end of December I remember her freaking out. "Oh, great,
               | another SARS-type virus has been found, we're screwed"
               | and me being like "honey, you're being paranoid. relax."
               | 
               | I hate it when she's right.
        
             | Leherenn wrote:
             | Some months back, I had the same recollection: an article
             | about suspicious pneumonia cases in China published by the
             | BBC sometimes in December. I did some searching, and
             | nothing, I think the first article is from the 31st of
             | December. Funny how the mind can trick you, maybe it is
             | linked to "Deja vu" [1].
             | 
             | [1] https://en.wikipedia.org/wiki/D%C3%A9j%C3%A0_vu
        
             | Spare_account wrote:
             | https://www.google.com/search?q=suspicious+cases+of+pneumon
             | i...
             | 
             | This URL searches Google for your phrase "suspicious cases
             | of pneumonia in china" filtered for results between Oct 1
             | and Nov 30 2019
        
             | samirelanduk wrote:
             | I don't think there were any reports online until December
             | 31st.
        
               | satysin wrote:
               | I journal daily and like to capture the news among my
               | daily record. The first time I found COVID/Coronavirus
               | mentioned by BBC News was January 3rd 2020
               | https://www.bbc.com/news/world-asia-china-50984025.
               | 
               | It is of course possible I missed a story but before
               | January 3rd there was little to no mainstream news
               | coverage. It is quite frustrating to find accurate
               | articles now as many sites are falsely returned in date
               | range Google searches. All "mystery flu-like pneumonia"
               | stories I've found reported in December 2019 are medical
               | news so it is extremely unlikely someone would come
               | across such an article as part of normal news reading.
        
               | M2Ys4U wrote:
               | The BBC were definitely covering it in late December 2019
               | - I distinctly remember the TV coverage on New Years Eve.
        
               | satysin wrote:
               | If you have any links to articles or news reports I would
               | be very grateful.
        
               | s1artibartfast wrote:
               | Here is a western news report from mid November:
               | https://foreignpolicy.com/2019/11/16/china-bubonic-
               | plague-ou...
        
               | dqv wrote:
               | If you can get access to an archive of South China
               | Morning Post that _hasn 't_ been scrubbed, the term you
               | want to search for is "mystery pneumonia" or "sars like".
        
               | satysin wrote:
               | Thanks, I have several Chinese/Asia news sources from
               | December however I was asking for a BBC reference as
               | M2Ys4U mentioned it was reported by the BBC on New Years
               | Eve and the earliest I have is January 3rd.
        
               | dboreham wrote:
               | btw this is where the "19" comes from.
        
               | phyalow wrote:
               | On January the 4th their were posters (printed A4) up on
               | Public Transport in Hong Kong. I remember thinking it was
               | very strange - I had heard a story on the BBC world
               | service the night before. The posters warned of a "Novel
               | Pneumonia from Southern China". How the world changed...
        
               | satysin wrote:
               | How it changed indeed! Reading my journal for the first
               | four months of 2020 is fascinating. I must have read over
               | those first few months ten times since. So much has
               | happened with advice and guidance changing as we learn
               | more about the virus and the disease. So much mis- and
               | disinformation. Crazy behaviours all over. I am so glad I
               | keep a journal as it will be quite something to read back
               | in a decade or two.
               | 
               | Especially for my 8 year old son. He is old enough to
               | understand things are not normal but young enough to not
               | fully understand the gravity of the situation or have
               | memories of much outside of his little bubble.
        
               | herbst wrote:
               | I found one (english) Timeline that Starts before 31.
               | 
               | https://bfpg.co.uk/2020/04/covid-19-timeline/
               | 
               | I too remember talking about it on Christmas.
        
               | hattmall wrote:
               | I remember hearing about it prior to that as well. I
               | remember because I was building a shed and had someone
               | helping me who was talking about it and it was prior to
               | the new year, early December at the latest. He heard
               | about it on a Doomsday type podcast.
        
               | carlmr wrote:
               | According to Giuseppe Remuzzi there were strange
               | pneumonia cases in northern Italy in November 2019, but
               | as far as I can see they were not reported until March
               | 2020.
               | 
               | Apart from that I remember the first reports from China
               | in December 2019.
        
               | asenna wrote:
               | I remember reading about it end of December 2019. I
               | believe it was a Reddit thread with some worrying reports
               | on the ground.
        
               | awd wrote:
               | Funnily enough, there were some memes about it before
               | December 17th 2019. Comparing some disease from 1920 with
               | 2020.
        
         | TorKlingberg wrote:
         | Unless you have a link to the article from that time I'm going
         | to guess that is a false memory or something unrelated.
        
           | callamdelaney wrote:
           | I'm pretty sure I read a very accurate post on
           | /r/wallstreetbets about covid-19 in late 2019/early 2020.
        
             | paunstefan wrote:
             | I remember someone made a joke about how there were
             | pandemics in 1920, 1820 and 1720, and another user
             | commented that there is a weird flu in some Chinese city.
             | This was either in the last week of 2019 or very early
             | 2020.
        
               | dqv wrote:
               | Yes I remember a friend who lives in Hong Kong posting a
               | news article (from a Chinese news source) describing a
               | "mystery pneumonia" the first or second week of December
               | 2019. He hypothesized that it was because of bushmeat. I
               | think the news article got scrubbed. I wish I had saved
               | it.
        
           | Spare_account wrote:
           | Not the same guy, but perhaps you can help me understand if
           | this event is related?
           | 
           | https://www.nytimes.com/2019/11/13/world/asia/plague-
           | china-p...
           | 
           | Date: November 13 2019
           | 
           | > _Li Jifeng, a doctor at Beijing Chaoyang Hospital where the
           | two people sought treatment, wrote on WeChat, a social media
           | platform, that the patients sought treatment on Nov. 3_
           | 
           | > _"After so many years of specialist training, I'm familiar
           | with the diagnosis and treatment of most respiratory
           | diseases," wrote Dr. Li. "But this time, I looked and looked
           | at it. I couldn't guess what pathogen caused this pneumonia.
           | I only knew it was rare."_
        
             | tremon wrote:
             | At most it might have been a precursor to SARS-Cov-2, but
             | it's unlikely to be the same agent. We've seen how wildly
             | virulent that variant is; there's no way I can see that
             | that virus could have been found in the wild in a city like
             | Beijing and not cause the same problems we saw in Wuhan two
             | months later.
        
               | saiya-jin wrote:
               | There are back-confirmed cases of covid in Italy in
               | September 2019, so the Wuhan incident is definitely not a
               | patient-0 situation (even if it could be a ground-0
               | location from previous patient-0 situation, but its just
               | a guess and we'll never know).
               | 
               | Given that, having a case in Beijing in November 2019 is
               | entirely plausible
        
               | tremon wrote:
               | Following that train of thought, what changed between
               | Italy/Beijing and Wuhan? Was it sheer luck that made the
               | first major outbreak happen in Wuhan, and not in Milan or
               | Beijing? Or Los Angeles for that matter, I think I heard
               | reports of suspect pneumonia cases from the US as well?
               | 
               | What I was alluding to with "precursor" was that it may
               | have been the same virus, but that some mutation in Wuhan
               | might have made it so much easier to spread. My mind just
               | has trouble imagining a model where a virus can lie
               | pretty much dormant for half a year in different
               | populations, and then surge in one place only and spread
               | from there. That may well be a limitation of my mind, I
               | simply don't see how that would work.
        
               | dannyw wrote:
               | If you have a deck with 2 hearts and 10 spades, your
               | first flip could very well be a heart, even if with
               | enough flips, 10/12 are spades.
               | 
               | What I mean by this is that viruses may have arbitrary
               | behaviour when the infected population is small. Let's
               | say as of September 2019, five people in the world were
               | infected with COVID. It's actually not improbable or
               | crazy that the epidemic outbreak only started in Dec/Jan.
        
               | dboreham wrote:
               | This makes sense if the disease propagates linearly like
               | bacteria on a petri dish. But it probably doesn't. It may
               | spread more like a wildfire -- there can be burning
               | branches blown miles from the main fire that only smolder
               | or set a small patch of grass burning which flames out
               | due to lack of fuel. Meanwhile the main fire is only
               | stopped by water or other major geographic feature.
        
               | giantg2 wrote:
               | I could see it as possible. The spread is asymmetric. You
               | could have one infected person who is not a super
               | spreader only infect a few other people who just happen
               | to be asymptomatic and not spread it to others. When your
               | overall infected population is very small, like in the
               | beginning of a jump from animals to humans, then you have
               | a chance to get lucky in this way. Once you get to a
               | larger infected population (like dozens of people) then
               | you're more likely to have a super spreader and less
               | likely to get lucky with only contacting asymptomatic
               | people.
        
       | [deleted]
        
       | hobbescotch wrote:
       | The province of New Brunswick has set up a website tracking this
       | here:
       | https://www2.gnb.ca/content/gnb/en/departments/ocmoh/cdc/neu...
        
         | cpncrunch wrote:
         | Interesting. The symptoms they list are entirely typical of
         | FND, which accounts more than 1 in 7 referrals to a neurology
         | department and is at least as common as MS [1]. They list 48
         | active cases, but there would presumably be a lot more FND
         | cases than that in NB. Also, it seems they only uncovered this
         | new syndrome when they actively started looking for them via
         | the Creutzfeldt-Jakob Disease Surveillance System. Could it
         | just be that many doctors and neurologists are unaware of FND,
         | even though it is by far the most common neurological disorder
         | they see?
         | 
         | [1] http://www.rcpe.ac.uk/journal/issue/journal_41_1/stone.pdf
        
       | rvz wrote:
       | Not this again. I really hope that the incubation period is not
       | around the corner with another wave of vCJD 'variant Creutzfeldt-
       | Jakob disease' aka (Mad cow disease).
        
       | tcbawo wrote:
       | I know someone in their early 40s experiencing dementia-type
       | symptoms (consistent with frontotemporal dementia). It is early
       | but is quickly getting worse. It's heartbreaking to see how this
       | is affecting his spouse and children. So far, they don't have a
       | diagnosis. They are still running tests. It has to be quite
       | frustrating not to be able to point to a root cause. So little
       | can be known without direct access to the brain.
        
         | nick_ wrote:
         | I have read a couple of times that an HSV infection (super
         | common) can get into the brain and cause dementia. Just trying
         | to help here, but maybe they could try an HSV antiviral?
        
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