WCOM NEWS
1-10-04
Miramar family's daughter stricken by mad cow disease
MIRAMAR--
Charlene was bright, outgoing and caring. She was looking for her dream job after graduating from the University of Miami when her parents first noticed the changes: irritability, forgetfulness and uncharacteristic outbursts of anger.At 24, she has a degree in business management, but is as helpless as a
newborn, requiring round-the-clock care at her parents' home in Miramar.
"There is nothing worse," her father, Patrick, said of the diagnosis.
"It was a gut-wrenching feeling, devastation." He asked that the
family's last name not be published to protect their privacy.
At a news conference Friday, he said he was "horrified" that the
disease was discovered in a single cow in the United States last month, raising
fears about the safety of the food supply.
His daughter contracted variant Creutzfeldt-Jakob disease while living in Great
Britain. The brain-wasting illness is the human form of bovine spongiform
encephalopathy -- the official name of mad cow disease. It was first discovered
in Britain in 1986, and jumped from cows to humans who ate the infected beef.
He expressed anger at the British government for maintaining a public stance
that the beef supply was safe to eat, knowing that there was a problem, he said.
"The U.K. government assured us the meat was safe to eat and we fed the
kids meat," he said. "If we had known any different, my daughter would
not be in this position today."
He worries about Charlene's older brother and younger sister. "They all ate
the same thing," he said.
"I hope this case in the United States will bring about an awareness of
what must be done to keep the food supply safe," he said.
Another form of Creutzfeld-Jakob, which strikes about one person in a million
each year, has been known for years and usually affects people in their 60s or
older. But the human variant that struck Charlene is so new and so rare -- fewer
than 150 cases worldwide -- that scientists have not figured out why it affects
some people and not others. They also don't know how the infective agent, called
a prion, establishes itself in the brain, or why the incubation period seems to
range from five to 15 or 20 years.
And they don't know how to stop it once it gets into the body.
Dr. Richard Neubauer, an internist who heads Ocean Hyperbaric Center in
Lauderdale-by-the-Sea, is attempting to treat Charlene by exposing her to
pressurized oxygen three times a week.
He said he learned about her case through news reports and contacted the family,
telling them that he treats rare neurological diseases. He invited them for a
consultation. Since then, she has been transported regularly to the center and
placed in a pressurized chamber for an hour of oxygen therapy -- almost 200
treatments over the past 15 months.
Dr. Walter Bradley, chairman of the neurology department at the University of
Miami School of Medicine, said scientists are working on treatments for the
disease, but they are in only the early stages of research.
"Unfortunately, at the moment, there is no known treatment, and there is no
scientific evidence that [hyperbaric oxygen] is of any benefit in these
neurological diseases," Bradley said.
Neubauer and Charlene's father met with reporters Friday to discuss her case.
Both said she has improved and has outlived experts' predictions.
According to the World Health Organization, the median duration of the illness
from onset to death is 14 months, but some patients live three or four years.
Neubauer characterized her care as an attempt to treat a disease for which there
is no treatment.
"Did we stop the prions? We really don't know. We don't want this to [be
publicized] as a cure. It's no panacea," Neubauer said. "We thought if
it did no more than stop the deterioration, that would be something. What we've
done, what we've accomplished, we don't know."
Neither Neubauer nor the family would discuss the costs of the treatment.
Charlene, dressed in a running suit and running shoes, sat in a wheelchair at
her father's side, unresponsive.
"She has improved since she started the treatments," said her father,
a native of Jamaica, who lived with his wife and three children in Great Britain
until 11 years ago, when they moved to South Florida "to seek a better life
for my children."
He said she has gained at least 10 pounds, and is more responsive to touch and
to voices.
"I have no doubt she will recover," he said.
(source) Sun Sentinel (Nancy McVicar) 1-10-04