Most of the world didn't know anyone lived in the highlands of Papua New Guinea until the 1930s, when Australian gold prospectors surveying the area realized there were about a million people there.
When researchers made their way to those villages in the 1950s, they found something disturbing. Among a tribe of about 11,000 people called the Fore, up to 200 people a year had been dying of an inexplicable illness. They called the disease kuru, which means "shivering" or "trembling."
Once symptoms set in, it was a swift demise. First, they'd have trouble walking, a sign that they were about to lose control over their limbs. They'd also lose control over their emotions, which is why people
called it
Many locals were convinced it was the result of sorcery. The disease primarily hit adult women and children younger than 8 years old. In some villages, there were almost no young women left.
"They were obsessed with trying to save themselves because they knew demographically that they were on the brink of extinction," says
Shirley Lindenbaum
But what was causing it? That answer eluded researchers for years. After
ruling out
But Lindenbaum, who continues to
write about
Lindenbaum had a hunch about what was going on, and she turned out to be right. It had to do with funerals. Specifically, it had to do with eating dead bodies at funerals.
In many villages, when a person died, they would be cooked and consumed. It was an act of love and grief.
As one medical researcher
described
Women removed the brain,
mixed
"So, the women took on the role of consuming the dead body and giving it a safe place inside their own body — taming it, for a period of time, during this dangerous period of mortuary ceremonies," says Lindenbaum.
But women would occasionally pass pieces of the feast to children. "Snacks," says Lindenbaum. "They ate what their mothers gave them," she says, until the boys hit a certain age and went off to live with the men. "Then, they were told not to touch that stuff."
Finally, after urging from researchers like Lindenbaum, biologists came around to the idea that the strange disease stemmed from eating dead people. The case was closed after a group at the U.S. National Institutes of Health injected infected human brain into chimpanzees, and watched symptoms of kuru develop in the animals months later. The group, which
won a
But it wasn't a virus — or a bacterium, fungus, or parasite. It was an entirely new infectious agent, one that had no genetic material, could survive being boiled, and wasn't even alive.
As
another group
The process was so odd that
some compared
The epidemic likely started when one person in a Fore village developed sporadic
Creutzfeldt-Jakob Disease
Though the Fore stopped the practice of mortuary feasts more than 50 years ago, cases of kuru continued to surface over the years, because the prions could take decades to show their effects.
According to
Michael Alpers
But while they remain rare, transmissible prion diseases did not die out with the last kuru case, as people have found repeatedly in recent decades. After eating infected beef, people have developed variant CJD, which results from eating the meat of cattle infected with
mad cow disease
But, he says, there are still a lot of open questions about how and why humans get prion diseases.
For one, it's still a mystery why animals, including humans, have those proteins in the first place — the Jekylls that can be so easily turned into Hydes. One leading hypothesis,
described
But here's the bigger question, says Belay: "How many of these diseases actually jump species and affect humans?"
Kuru showed that people could get a prion disease from eating infected people. Mad cow disease showed that people can get a prion disease from eating infected cow. But what about other prion diseases in other animals? Could, say, hunters get sick from eating infected deer? That's what researchers in North America, including Belay, are trying to find out right now.
"
Chronic wasting disease
Belay says the disease is "a little bit concerning" because, unlike mad cow disease and kuru, where infectious prions were concentrated in the brain and nervous system tissue, in an animal with chronic wasting disease, the misfolded prions show up all over the body. They can even be found in saliva, feces and urine, which could explain how the disease is spreading so quickly among wild deer and elk.
The CDC is working with public health authorities in Wyoming and Colorado to monitor hunters for signs of prion disease.
"Unfortunately, because these diseases have long incubation periods, it's not easy to monitor transmission," says Belay. He says he and his colleagues have yet to find any evidence that hunters have picked up chronic wasting disease from the meat of infected wild animals.
"And that, in itself, is good news for us," he says.
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