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The causal link between the bovine spongiform encephalopathy
prion and new variant Creutzfeldt-Jakob disease is open to question argues a Debate article. Using epidemiological criteria for causality (biological plausibility, strength of association, consistency, temporality of association, specificity, dose-response relation, quality of evidence, and reversibility), Venters (p 858) shows the
weakness of the evidence for a link. Furthermore, the rate of
growth in the number of cases is much less than would be expected from
a foodborne source but is consistent with the improved ascertainment of
what until recent years had been a misdiagnosed but extremely rare
disease in the United Kingdom.