Canadian Creutzfeldt-Jakob Disease Surveillance System (factsheet)

Organization: Public Health Agency of Canada

Date published: 2023-11-10

What are prion diseases?

Prion diseases are rare, neurodegenerative and fatal brain disorders. They occur worldwide in both humans and animals. The prion protein in the brain does not cause disease in its normal form. However, for unknown reasons and very rarely, the prion protein can become abnormal. This causes brain damage and loss of function over time.

Human prion diseases

The most common human prion disease is Creutzfeldt-Jakob disease (CJD).

Animal prion diseases

Prion diseases that affect animals include:

• scrapie in sheep and goats
• chronic wasting disease in:
• deer
• moose
• elk
• reindeer
• bovine spongiform encephalopathy in cattle

Creutzfeldt-Jakob disease subtypes

Sporadic (around 93%): cause unknown.

Inherited (6%): passed down through genetics from previous generations.

Acquired (extremely rare, less than 1%):

• Iatrogenic: accidental infectious transmission during medical procedures involving human tissues.
• Variant: human exposure to a prion disease of cattle.

Common signs and symptoms

• Unstable movement
• Change in behaviour
• Rapidly progressive dementia

Treatment

Medical care for people with Creutzfeldt-Jakob disease is limited to supportive therapy. There is no cure to slow down human prion disease progression.

The Public Health Agency of Canada operates the Creutzfeldt-Jakob Disease Surveillance System with a focus to:

• improve rapid and accurate diagnosis
• better understand all types of human prion diseases in Canada
• protect the health of people in Canada by reducing risks of human prion disease transmission

In 2022, 90 people in Canada were diagnosed with Creutzfeldt-Jakob disease.

• Around 90% of people diagnosed with Creutzfeldt-Jakob disease are aged 45 to 85.
• Most people with Creutzfeldt-Jakob disease pass away within 1 year of showing symptoms.
• Every year, Creutzfeldt-Jakob disease is found in around 1 to 2 people per million among the general population in Canada and worldwide.

Creutzfeldt-Jakob Disease Surveillance System offers:

• laboratory testing
• coordination of case investigation
• public health research
• education

Testing

The Creutzfeldt-Jakob Disease Surveillance System provides specialized laboratory tests though the National Microbiology Laboratory and pathology services to investigate the possibility of Creutzfeldt-Jakob disease.

Notifications of suspect cases of Creutzfeldt-Jakob disease

If you are a health care professional in Canada, you must inform your local public health authority. We strongly encourage you to notify the Creutzfeldt-Jakob Disease Surveillance System as well.

Telephone: 1-888-489-2999

Email: cjdsurveillance@phac-aspc.gc.ca

Related links

• Creutzfeldt-Jakob Disease Surveillance System