Volume 1: Findings and Conclusions Table of Contents
Executive Summary of the Report of the Inquiry Introduction 1. Key conclusions 2. The identification of the emergence of BSE 3. The cause of BSE 4. Assessment of risk posed by BSE to humans 5. Communication of the risk posed by BSE to humans 6. Measures to eradicate the disease in cattle 7. Measures to address the risks posed by BSE to humans 8. Medicines 9. Cosmetics 10. Occupational risk 11. Other pathways of infection 12. Pollution and waste control 13. The identification of vCJD 14. Victims and their families 15. Research 16. Some general lessons
1 Introduction Our task The structure of the Report Transmissible Spongiform Encephalopathies Transmission to humans The story in a nutshell
2 Setting the context The cattle industry Slaughterhouses Renderers The animal feed industry The meat industry The pharmaceutical industry Other uses of bovine products Government and BSE Handling risk
3 The early years, 1986-88 Identification of a new disease in cattle Restraints on information What was the cause of BSE? The ruminant feed ban Human health implications
4 The Southwood Working Party and other scientific advisory committees The Southwood Working Party Other scientific advisory committees
5 The animal health story Ruminant feed ban Introduction of the animal SBO ban The operation of the statutory animal SBO ban Responsibility Monitoring Did the provisions of the animal SBO ban matter? Why did it take so long? Two fundamental issues Conclusions Cattle-tracking Breeding
6 Protecting human health Introduction CJD surveillance Slaughter and compensation Introduction of the ban on Specified Bovine Offal (SBO) in human food BSE and human health in 1990 The false peace - 1 January 1991 to 31 March 1995 Chinks in the armour - April-December 1995 The final months
7 Medicines and cosmetics Medicines The medicines licensing system Medical devices Phase 1: the initial response on veterinary medicines Phase 1: the initial response on human medicines Phase 2: preparing joint guidelines, January-March 1989 Phase 3: implementing the guidelines after March 1989 Overview of the way the guidelines were implemented Research into pharmaceuticals Cosmetics and toiletries
8 Occupational risk Those at risk ACDP advice to laboratories, medical workers and undertakers The issue of guidance to schools about dissecting bovine eyeballs Overview of occupational health
9 Potential pathways of infection Consideration of an audit of the uses of cattle tissues
10 Pollution and waste control
11 Wales, Scotland and Northern Ireland Wales Scotland Northern Ireland Collective government and working relationships
12 Science and research Scientific conclusions about BSE Alternative theories Research
13 What went right and what went wrong? A recipe for disaster The identification of the disease and its cause The Government's response Shortcomings and possible reasons for them Individual criticisms: redressing the balance
14 Lessons to be learned Episodes in the BSE story
Annex 1: : Procedures adopted by the BSE Inquiry Thoroughness and openness Fairness
Annex 2: : Individual criticisms The early years The Southwood Working Party Protection of animal health, 1989-96 Protection of human health, 1989-96 Medicines and cosmetics Potential pathways of infection
Glossary
Who's who
Index
