There is currently no epidemiological evidence to identify the route(s
) of transmission of BSE from cattle to humans, although consumption o
f infected bovine offals, prior to their use being banned in human foo
d in late 1989, is the most likely source. Quantitative risk assessmen
t methods have been applied to estimate the risks through various pote
ntial routes of exposure to BSE, including those from environmental di
sposal of BSE-infected residues. The risks predicted for the consumpti
on of beef-on-the-bone and for the drinking of water from an aquifer p
otentially contaminated with effluent from a cattle rendering plant ar
e similar at 10(-9) and 10(-8) person(-1) year(-1), respectively. It i
s suggested here that while the risks predicted for beef-on-the-bone a
re realistic, the risks through drinking water could be over-estimated
by a factor of about 10(20). First, the risk assessment methodology d
oes not take into account the very different natures of the exposure.
Thus, through beef-on-the-bane an unfortunate consumer map ingest a hi
gh dose (approaching an ID50) in a single exposure, while because of d
ilution in water, drinking water consumers would never be exposed to h
igh doses, even cumulatively over the period of a human lifetime. Seco
nd, the risk assessment for drinking water does not allow for the poss
ibility of a threshold effect such that a minimum number of BSE prions
is needed to initiate infection. It is concluded that direct comparis
ons of predicted risks from BSE should be avoided unless the natures o
f the exposure are similar. Information on whether there is a threshol
d effect is more critical for quantitative BSE risk assessment through
environmental routes of exposure than the exact magnitude of the cow-
to-man species barrier.