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Fifth Confirmed CJD Case
In New Jersey Cluster

From Patricia Doyle, PhD
dr_p_doyle@hotmail.com
10-15-4
 
Hello Jeff - This is all so very odd, especially the fact that the news report names the
CJD victim and reports the place of burial. I do note that it appears people who die from CJD can no longer be embalmed or cremated. I also note in the article that it was initially suggested that she see a psychiatrist. ("Mind over body, you know.")
 
Exerpt:
 
"At one point, they suggested she see a psychiatrist because, you know, mind over body, and they couldn't find a physical reason."
 
As per NBC news report, The cluster is now confirmed at 5 cases...
 
Also odd is the following:
 
"We can all be pleased and relieved to learn that ONLY 11 of 17 cases surrounding the Garden State Race Track in N.J. can be confirmed as CJD."
 
Again, remember, the CDC continues to call CJD and EXTREMELY rare illness.
 
Exerpt:
 
"An 11-month investigation into a suspected cluster of CJD cases centering around the Garden State Race Track in Cherry Hill, N.J., wrapped up in May with a determination that there was no link between 17 possible CJD deaths among track employees and patrons.
 
The study found that only 11 of the 17 suspected cases could be confirmed as CJD and that the rate of CJD cased among track patrons was not out of the normal range."
 
Patricia Doyle
 
http://www.zwire.com/site/news.cfm?newsid=13146
061&BRD=1769&PAG=461&dept_id=74969&rfi=6
 
Brain Disease Baffled Family, Doctors
 
By Jesse J. Smith,
Freeman Staff
10-16-4
 
KINGSTON - The family of a Lake Katrine woman who died from the rare brain disorder Creutzfeldt-Jakob disease describes a confounding series of trips to hospitals as area doctors struggled to diagnose the illness in the previously healthy mother of two.
 
Colleen Staccio, 46, who died in Benedictine Hospital's hospice on Aug. 28, was one of four people to succumb to Creutzfeldt-Jakob disease, or CJD, in Ulster County in the past three months. The unusual spate of deaths from CJD, which typically strikes only one in every 1 million people per year worldwide, has touched off an investigation by the state Health Department to determine whether they are due to a statistical anomaly or some common cause. No conclusion had been announced as of Thursday.
 
STACCIO'S father, Don Genther, said on Thursday that his daughter's problems began five to six months ago with severe bouts of depression and difficulties with balance. Doctors at Kingston and Benedictine hospitals were unable to determine what caused the symptoms, he said.
 
"They ran blood tests, they ran EKGs (electrocardiograms), all kinds of scans, but they could never find anything wrong," Genther said. "At one point, they suggested she see a psychiatrist because, you know, mind over body, and they couldn't find a physical reason. She took offense at that."
 
Staccio's condition worsened and, in July, she was hospitalized several times at Benedictine with symptoms that suggested a stroke or seizures. In each case, however, doctors could not pin down the source of the symptoms. Then, in the last week of July, Staccio was hospitalized for the last time.
 
"She was rapidly losing everything," Genther said. "She couldn't move her limbs, then she couldn't talk. She lost her vision over a period of one week at the end of July."
 
ON AUG. 2, after nine days at Benedictine, Staccio was transferred to Albany Medical Center, where more comprehensive neurological services were available. After two weeks of additional tests, during which Staccio's condition continued to deteriorate, the neurologist in charge of her diagnoses called the woman's family together for a meeting.
 
"The first thing he said to us was 'Have you ever heard of Mad Cow Disease?'" Genther said, referring to a common term for a variant of CJD that is acquired by eating contaminated beef. The Mad Cow variant has not been found in Staccio or any of the Ulster County CJD victims, and there never has been a confirmed case of Mad Cow originating in the United States.
 
STACCIO died in Benedictine Hospital's hospice facility on Aug. 28, a few days after she was brought back from Albany. Genther said doctors told him that, because she died from CJD, his daughter could not be cremated or embalmed. She was buried at St. Mary's Cemetery in Kingston on Aug. 30.
 
Staccio's death certificate lists CJD as the cause of death, but her family still is awaiting autopsy results to confirm the diagnosis and determine which of several variant forms of CJD killed her.
 
"This just came out of nowhere," said Staccio's aunt, Karen Catone of Kingston. "She went into the hospital for a migraine. I just didn't expect her to not come out."
 
CJD IS a chronic and invariably fatal disease. The most common form, known as sporadic CJD, accounts for about 85 percent of all cases and has no known cause. In a few cases, the disease has been spread through contaminated instruments used in brain surgery, as well as tissue implants and the administration of human growth hormone taken from contaminated organs.
 
The average incubation period between infection and the onset of CJD symptoms is about 10 years.
 
The disease is believed to be caused by a malformation in certain proteins called prions which infect and destroy parts of the brain.
 
ON TUESDAY, Dr. Joel Mandelbaum, who has a medical practice in Kingston, said he was directly involved in the treatment of three local CJD patients, all of whom died last month. A fourth case, that of Kingston resident Richard Tobey, was confirmed through a brain biopsy conducted at Mount Sinai Medical Center in Manhattan last week, a few days before Tobey died at the Benedictine hospice.
 
State health officials confirmed on Tuesday that they were investigating the cluster but said they had found no cause for concern.
 
Unconfirmed reports of a local CJD cluster began circulating in August. Since then, state health officials repeatedly have declined to discuss the number of CJD cases in Ulster County, citing patient confidentiality laws.
 
ON THURSDAY, state Health Department spokeswoman Claire Pospisil reiterated that the matter was under investigation, but she declined to provide details, including how long the department had been looking into the cluster.
 
Relatives of Staccio and Tobey said they have not been contacted by the Health Department or any other government body regarding the deaths of their loved ones.
 
AN 11-MONTH investigation into a suspected cluster of CJD cases centering around the Garden State Race Track in Cherry Hill, N.J., wrapped up in May with a determination that there was no link between 17 possible CJD deaths among track employees and patrons.
 
The study found that only 11 of the 17 suspected cases could be confirmed as CJD and that the rate of CJD cased among track patrons was not out of the normal range.
 
 
Patricia A. Doyle, PhD
Please visit my "Emerging Diseases" message board at: http://www.clickitnews.com/ubbthreads/postlist.php?
Cat=&Board=emergingdiseases
Zhan le Devlesa tai sastimasa
Go with God and in Good Health
 

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