scholarly journals A clinical study of kuru patients with long incubation periods at the end of the epidemic in Papua New Guinea

2008 ◽  
Vol 363 (1510) ◽  
pp. 3725-3739 ◽  
Author(s):  
John Collinge ◽  
Jerome Whitfield ◽  
Edward McKintosh ◽  
Adam Frosh ◽  
Simon Mead ◽  
...  

Kuru is so far the principal human epidemic prion disease. While its incidence has steadily declined since the cessation of its route of transmission, endocannibalism, in Papua New Guinea in the 1950s, the arrival of variant Creutzfeldt–Jakob disease (vCJD), also thought to be transmitted by dietary prion exposure, has given kuru a new global relevance. We investigated all suspected cases of kuru from July 1996 to June 2004 and identified 11 kuru patients. There were four females and seven males, with an age range of 46–63 years at the onset of disease, in marked contrast to the age and sex distribution when kuru was first investigated 50 years ago. We obtained detailed histories of residence and exposure to mortuary feasts and performed serial neurological examination and genetic studies where possible. All patients were born a significant period before the mortuary practice of transumption ceased and their estimated incubation periods in some cases exceeded 50 years. The principal clinical features of kuru in the studied patients showed the same progressive cerebellar syndrome that had been previously described. Two patients showed marked cognitive impairment well before preterminal stages, in contrast to earlier clinical descriptions. In these patients, the mean clinical duration of 17 months was longer than the overall average in kuru but similar to that previously reported for the same age group, and this may relate to the effects of both patient age and PRNP codon 129 genotype. Importantly, no evidence for lymphoreticular colonization with prions, seen uniformly in vCJD, was observed in a patient with kuru at tonsil biopsy.

1977 ◽  
Vol 17 (87) ◽  
pp. 550 ◽  
Author(s):  
JH Schottler ◽  
A Boromana ◽  
WT Williams

Fifty female Brahman-cross cattle and 50 water buffalo were run on the infertile native pastures of the Sepik lowland plains, Papua New Guinea; half the buffalo, and all the cattle, received mineral supplementation (phosphate, Ca, Cu and Co). After the beginning of the experiment all animals were able to maintain, but not improve, their weights. The liveweights attained were everywhere less than those attained on more fertile pastures elsewhere in Papua New Guinea, the discrepancy being greater for cattle than for buffalo. Supplementation improved both the mean liveweight of buffalo and the growth rate of the calves. Calf mortality was 18 per cent in both species. Despite the longer gestation period, the buffalo produced nearly 50 per cent more calves than the cattle; buffalo more often than not conceived while still lactating, whereas cattle did so only rarely. There was some evidence of a long-term improvement in fertility as a result of supplementation. It is concluded that under these difficult conditions buffalo are a better proposition than cattle.


1984 ◽  
Vol 16 (4) ◽  
pp. 451-461 ◽  
Author(s):  
William K. A. Agyei

SummaryData collected in Papua New Guinea between November 1979 and March 1980 show that the main reason for prolonged breast-feeding and sexual abstinence is to ensure the welfare of the mother and child (which is indirectly a means of child spacing). The mean period of breast-feeding for the rural mothers is 21·8 months and for the urban mothers is 20·7 months. The mean duration of sexual abstinence for the rural male respondents is 21·4 months and for the female is 20·2 months. The figures for their urban counterparts are 19·5 months and 16·6 months respectively.


Behaviour ◽  
1999 ◽  
Vol 136 (2) ◽  
pp. 147-159 ◽  
Author(s):  
Matthew Jebb ◽  
Mark Elgar

AbstractThe mud dauber wasp Sceliphron laetum (F. Smith) lays a single egg in a mud chamber that is provisioned almost exclusively with orb-weaving spiders. In Madang, Papua New Guinea, the wasps provision their chambers with between three and nine spiders that weigh between 0.01 and 0.28 g and are from at least twelve species. The number of spiders placed in each chamber is negatively correlated with the mean mass of each spider. A field experiment revealed that females cease provisioning after capturing a certain mass of spiders, rather than simply filling each chamber to its volumetric capacity. Furthermore, the wasps select different spider species according to the provisioning sequence. In general, wasps avoid provisioning the early larval instar with species of Gasteracantha, perhaps because the newly emerged wasp larvae cannot penetrate the hard integuments of these spiders.


Stratigraphies and pollen analyses are reported from three sites within 25 km east and west from Wabag in the highlands of Papua New Guinea, namely: Sirunki, 2500 m above sea level, 32000 to 1500 yr Inferred Ages; Inim, 2500 m above sea level, 10000 to 0 yr Inferred Ages; Birip, 1900 m above sea level, 2300 to 0 yr Inferred Ages. Events evidenced by these data are described against a time scale of Inferred Ages (I.A.) based on radiocarbon dates and stratigraphic considerations. The pollen analytical data from Sirunki are presented in terms of pollen recovery (deposition) rates as grains per square centimetre per year (grains cm -2 a -1 ) and their interpretation controlled by information about total pollen deposition rates and differential pollen production and transport at the present day. Around Sirunki, the composition of the vegetation before 27500 I.A. is enigmatic, although almost certainly it was treeless. From then until 9000 I.A. subalpine and alpine conditions dominated except during two short periods when forest taxa grew in the catchment. Final afforestation began about 9000 I.A. but the composition of the forest did not stabilize until about 3000 years later. This relative stability was shortlived; soon after 5000 I.A. fluctuations in forest composition began. These fluctuations were associated with periodic changes in the proportion of forested to unforested land. The Inim data lead to conclusions generally compatible with those drawn from Sirunki. However, data from the two areas differ in detail, particularly in the later onset of change in the local forests about 2000 I.A. and its intensification, coeval with a diminution in forest area, after 500 I.A. The short record from Birip is dominated by serai changes on the crater wall itself but the main indicators of forest disturbance and unforested areas were already there at its beginning (2300 I.A.). It seems likely that general forest destruction began, or gained greater impetus, around Birip about 450 I.A. In the most general terms, the forest taxa, recorded by pollen analysis, have behaved consistently with their present distributions and ecological relationships throughout the last 30000 years. More detailed resolution, however, exposes many deviations from this generalization. The majority of taxa are usually associated in groups which vary in their composition repeatedly during a few thousand years, yet some of the taxa occasionally behave entirely individualistically. The establishment of forest broadly comparable with that growing around Sirunki today began about 9000 I.A., when the main components entered the catchment, but took about 2500 years to achieve balance and a repeated regeneration process. About 4500 I.A., the relationship between forest canopy trees and forest ephemerals changed from one explicable in terms of the latter’s role in natural forest regeneration to one suggestive of the ephemerals’ wide spread through the forest which could only have been achieved by degradation of the canopy. It is suggested that a rise in the Sirunki basin’s water level and the destruction of the surrounding forest about 13500 I.A. may have been due to seismic activity. The failure of the forest to re-establish there until 9000 i.a. was perhaps due to continued earth movement and partially to climatic conditions. The vegetation record from Sirunki suggests that the mean annual temperature there was similar to that of today between 27000 I.A. and 25500 I.A. but fell irregularly thereafter until between 18500 I.A. and 16000 I.A. it was probably about 10 °C below present. The mean annual temperature rose rapidly after 16000 i.a. and was within 1 °C of its present level by 13500 I.A. The cold episode between 18 500 I.A. and 16000 i.a. corresponds with the last glacial maximum at higher altitudes in New Guinea. Pollen analytical evidence of the altitude of the forest limit and Climap Project Members (1976) estimates of sea surface temperature at that time suggest a temperature lapse rate of about 8.5 °C per 1000 m altitude (compared with 5.8 °C at present), with a firn line kept high, as the geomorphological evidence demands, by low precipitation at high altitudes. In this coldest period the altitudinal forest limit was about 1500 m below its present level of 3800 m. There is some evidence to suggest that the highest altitude forests of that time may have been quite different from those of today, perhaps containing components of the lower mountain forest canopy as well as the plants of the present upper mountain forest. This implies that the upper mountain forest becomes a separate entity only during comparatively short excursions up the mountains during periods of relatively warm climate. The low altitude of the forest limit during the last major cold period and its subsequent rise through 1500 m must have had substantial repercussions on the composition of the forests at lower altitudes. Although there is no archaeological evidence, the pollen analytical data suggest human interference with the forests around Sirunki from about 4300 I.A., which for 1300 years involved clearing of the forest and the enhanced growth of ephemerals of forest and open-land. Subsequently, the forest remained generally degenerate and a new wave of clearing began about 2000 I.A. near both Sirunki and Inim which continued and intensified about 500 I.A. At the lower altitude of Birip, forests were already disturbed by the beginning of the pollen analytical record at about 2300 I.A.


2008 ◽  
Vol 363 (1510) ◽  
pp. 3697-3700 ◽  
Author(s):  
D. Carleton Gajdusek

The solution of kuru led us to the solution of Creutzfeldt–Jakob disease and to the elucidation, in humans and other species, of previously unknown mechanisms of infection. These require very close three-dimensional matching, which determines infectious nucleant or prion activity. Evidence for nucleation processes is found widely in the organic and inorganic worlds and in the interactions between them: in the formation of amyloid fibrils; in the biochemistry of silicon; in cave formations deep in the Earth; and in outer space. Kuru in its location in Papua New Guinea has also led to an understanding of the cultural achievements of the Palaeo-Melanesians, with deep roots in human history.


1972 ◽  
Vol 20 (3) ◽  
pp. 273 ◽  
Author(s):  
RL Specht

As the first step in an attempt to paint a broad picture of the growth of perennial evergreen plant communities in Australia and Papua New Guinea, a model of water use by these ecosystems has been deveioped with use of monthly climatic data. The leaf area index of such communities in Australia appears to remain relatively constant throughout the year. Monthly water balance observations on seven perennial evergreen plant com- munities - in regions ranging from arid to humid in southern Australia - reveal a linear relationship between the ratio of community evapotranspiration to pan evapora- tion (Ea/Eo) and the water store (W) for that month (monthly precipitation plus extractable soil water at the beginning of the month (P + Sext)): Ea/Eo = k(P + Sext) . As the community matures towards the climax condition, the coefficient k in this relationship is shown to approach a maximal value in which extractable soil water (Sext) approaches zero but rarely, if ever, equals zero during the driest time of the year. The coefficient k provides an index of the maximal complexity of structure and physiology possible in plant communities growing in the particular region. The linear relationship appears to hold until the water store (W) approaches saturation, when Ea/Eo tends to equal or slightly exceed 1.0. These water use equations have been applied to the climatic data of 347 climatic stations in Australia and 10 in Papua New Guinea, on the assumptions that: (1) all precipitation enters the soil; (2) the topography is level; (3) the plant community is evergreen and perennial with a relatively constant leaf area index. Maps have been prepared showing the maximal values of k ; the mean annual value of Ea/Eo (when drainage results as soon as Sext exceeds 5.0 or 30.0 cm, arbitrarily chosen low and high values respectively), and the optimal amount of extractable soil moisture which may be held in the soil of the region. The influence of various environmental and biotic factors on the water balance operating in the ecosystem is explored. The effects of topography and insolation, run-off/run-on, microdistribution of precipitation, rainfall interception and stem flow, variation in distribution and amount of extractable soil water, waterlogging, root distribution, and seasonal changes in foliage projective cover have been investigated from ecological studies reported in the literature. The foliage projective cover of climax evergreen plant communities is shown to increase linearly as the maximal value of k increases from region to region. Provided internal drainage does not occur, the maximal value of the coefficient k for any climatic station is not affected by the addition or subtraction of water by run-on or run-off; the mean annual value of Ea/Eo increases linearly from zero as the water entering the soil increases. In contrast, the effect of topography on insolation induces an inverse response in both the maximal value of k and the mean annual value of Ea/Eo as radiation (and pan evaporation) increases. The feasibility of using the monthly values of Ea/Eo to estimate growth of perennial evergreen plant communities is discussed.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ignazio Cali ◽  
Juan Carlos Espinosa ◽  
Satish K. Nemani ◽  
Alba Marin-Moreno ◽  
Manuel V. Camacho ◽  
...  

AbstractCurrent classifications of sporadic Creutzfeldt–Jakob disease (sCJD) identify five subtypes associated with different disease phenotypes. Most of these histopathological phenotypes (histotypes) co-distribute with distinct pairings of methionine (M)/valine (V) genotypes at codon 129 of the prion protein (PrP) gene and the type (1 or 2) of the disease-associated PrP (PrPD). Types 1 and 2 are defined by the molecular mass (~ 21 kDa and ~ 19 kDa, respectively) of the unglycosylated isoform of the proteinase K-resistant PrPD (resPrPD). We recently reported that the sCJDVV1 subtype (129VV homozygosity paired with PrPD type 1, T1) shows an electrophoretic profile where the resPrPD unglycosylated isoform is characterized by either one of two single bands of ~ 20 kDa (T120) and ~ 21 kDa (T121), or a doublet of ~ 21–20 kDa (T121−20). We also showed that T120 and T121 in sCJDVV have different conformational features but are associated with indistinguishable histotypes. The presence of three distinct molecular profiles of T1 is unique and raises the issue as to whether T120 and T121 represent distinct prion strains. To answer this question, brain homogenates from sCJDVV cases harboring each of the three resPrPD profiles, were inoculated to transgenic (Tg) mice expressing the human PrP-129M or PrP-129V genotypes. We found that T120 and T121 were faithfully replicated in Tg129V mice. Electrophoretic profile and incubation period of mice challenged with T121−20 resembled those of mice inoculated with T121 and T120, respectively. As in sCJDVV1, Tg129V mice challenged with T121 and T120 generated virtually undistinguishable histotypes. In Tg129M mice, T121 was not replicated while T120 and T121−20 generated a ~ 21–20  kDa doublet after lengthier incubation periods. On second passage, Tg129M mice incubation periods and regional PrP accumulation significantly differed in T120 and T121−20 challenged mice. Combined, these data indicate that T121 and T120 resPrPD represent distinct human prion strains associated with partially overlapping histotypes.


1997 ◽  
Vol 42 (1) ◽  
pp. 10-12 ◽  
Author(s):  
H. Wilkins ◽  
P.D. Welsby

Awareness of malaria and its presentation could be improved. Awareness of symptoms, incubation periods and route of transmission was poor, as was compliance with prophylaxis. The mean difference between the time to admission and the time to presentation was 2.9 days which reflects medical rather than patient associated delay.


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