KURU CAN APPEAR DECADES AFTER INFECTION

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INCUBATION AND THE LAST CASES ⏳
Kuru Was A Fatal Prion Disease Of The Fore In Papua New Guinea
It Was Passed On At Funeral Feasts That Ended In The 1950s
Its Incidence Fell Steadily After That
Yet Kuru Kept Appearing For Decades After The Feasts Stopped
In 1996 Researchers Stepped Up Kuru Surveillance With A Larger Team
They Found 11 Kuru Patients From July 1996 To June 2004
All 11 Lived In The South Fore
Every One Was Born Before The Practice Ceased In The Late 1950s
One Of The Team's Aims Was To Investigate Possible Incubation Periods
Researchers Took Detailed Histories Of Exposure To Mortuary Feasts
Patients Also Had Repeated Neurological Examinations Where Possible
Minimum Estimated Incubation Periods Ranged From 34 To 41 Years
For Male Patients The Count Ran From Age 7 To The Onset Of Symptoms
Their Likely Periods Ranged From 39 To 56 Years
Those Could Have Been Up To 7 Years Longer
They Concluded Human Prion Infection Can Take Over 50 Years To Show
A Second Paper On The Same Patients Estimated Some Exceeded 50 Years
The Last Three Cases Were Recorded In 2003 And 2005 And 2009
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THE GENES OF KURU SURVIVORS 🧬
Some People Exposed To Kuru Survived The Epidemic
One Position In The Prion Protein Gene Is Called Codon 129
Having Two Different Versions There Gives Relative Resistance
That Applies To Both Sporadic And Acquired Prion Diseases
In Kuru It Is Linked To Older Patients And Longer Incubation
Most Patients Found From 1996 To 2004 Had Two Different Versions
Elderly Survivors Had Attended More Than One Mortuary Feast
Most Of Those Survivors Had Two Different Versions Too
A Larger Study Assessed More Than 3000 People
It Made Genetic And Family Assessments Across Eastern Highland Groups
709 Of Those People Had Taken Part In Mortuary Feasts
152 Of The Feast Participants Later Died Of Kuru
The Study Reported A New Variant In The Gene Called G127V
It Was Found Exclusively In People From Where Kuru Was Prevalent
Some Women Carried Two Copies Of The Methionine Version At Codon 129
That Pairing Left Them Otherwise Susceptible To Kuru
Half Of Those Women From The Most Exposed Region Carried G127V
The Variant Was Not Found In Patients With Kuru
Families Carrying It Had Significantly Less Kuru Than Matched Families
The Authors Call It A Resistance Factor Selected During The Epidemic
They Say It Was Not A Mutation That Could Have Triggered Kuru
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WHAT KURU TAUGHT ABOUT MAD COW 🐮
In The UK Many People Were Exposed To Mad Cow Prions Through Diet
How Many Of Them Were Infected Remained Unknown
Variant CJD Is The Human Form Of Mad Cow Disease
Its Appearance Brought Renewed Interest In Kuru
One Worry Was That Incubation In Humans Might Be Extremely Long
Researchers Say Much Can Be Learned From Kuru About Variant CJD
They Called Kuru Their Only Experience Of A Major Human Prion Epidemic
The Two Epidemics Spread In Different Ways
Kuru Probably Began With One Person Who Had Sporadic CJD
This Kind Of CJD Appears To Arise Rarely And Spontaneously Everywhere
That Person's Kinship Group Would Have Consumed The Body
Others Who Caught The Disease Then Died And Were Consumed In Turn
That Would Have Recycled Kuru Prions Within One Community
Mad Cow Prions Instead Had To Cross From Cattle Into People
That Species Barrier Is Expected To Lengthen Incubation Further
The Authors Said Kuru Data Should Inform Models Of Variant CJD
Kuru Itself Stayed Within The Fore And Nine Nearby Language Groups
Women And Children Were The Main Participants In The Feasts
Australian Authorities Banned The Feasts In The 1950s
Fieldwork On Kuru Began In 1957 And Ran For 55 Years
Surveillance Stopped In 2012 As The Epidemic Had Essentially Ended





