§
Mr. Sackville
Surveillance of human spongiform encephalopathies (SEs) in the United Kingdom is primarily concerned with the identification of cases of Creutzfeldt-Jakob disease (CJD). However, since 1990 when the UK CJD surveillance unit was established, there have been improvements in the methods of identification of Gerstmann-Strausser-Scheinker syndrome, an extremely rare familial form of human SE. There have also been considerable advances in the methods of identification of human SEs generally since the 1960s.
The tables show recorded cases of CJD and GSS from 1964–1993. During this period there have been five separate studies using differing methodologies. The figures are therefore not directly comparable.
Table 1: CJD by year of onset |
(Retrospective study: England and Wales) |
Year |
Number of cases |
1964 |
4 |
1965 |
1 |
1966 |
4 |
1967 |
1 |
1968 |
7 |
1969 |
4 |
Total |
21 |
Table 2: Deaths from definite and probable cases of CJD |
(Retrospective study: England and Wales) |
Year |
Number of cases |
1970 |
10 |
1971 |
13 |
1972 |
9 |
1973 |
16 |
1974 |
17 |
1975 |
8 |
1976 |
16 |
1977 |
19 |
1978 |
25 |
1979 |
16 |
Total |
149 |
Table 3: Deaths from definite and probable cases of CJD and incidence of GSS |
(Prospective study: England and Wales) |
Year |
Number of cases |
|
CJD |
GSS |
1980 |
23 |
1 |
1981 |
22 |
— |
1982 |
24 |
— |
1983 |
21 |
— |
1984 |
32 |
— |
Total |
122 |
1 |
462W
Table 4: Deaths from definite and probable and incidence of GSS (United Kingdom retrospective study by CJD surveillance unit) |
Year |
Number of cases |
|
CJD |
GSS |
1985 |
28 |
— |
1986 |
26 |
— |
1987 |
22 |
1 |
1988 |
23 |
— |
1989 |
31 |
— |
Total |
130 |
1 |
Table 5: Deaths from definite and probable cases of CJD and incidence of GSS (ongoing United Kingdom prospective study by CJD surveillance unit from 1 May 1990) |
Year |
Number of cases |
|
CJD |
GSS |
1990 |
130 |
— |
1991 |
36 |
— |
1992 |
49 |
2 |
1993 |
229 |
32 |
Total |
144 |
4 |
112 from 1 January to 30 April. 18 from 1 May to 31 December. |
2Provisional total |
3One of these patients is still alive |
The final figure for 1993 may show some increase over the provisional total as diagnoses of people dying in 1993 is confirmed restrospectively. It is most unlikely, however, to reach the 1992 figure.