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Volume 6: Human Health, 1989-96 10.149 We asked ourselves two preliminary questions as a context for assessing the adequacy of the action taken in relation to BSE risks in waste material First, how apt were the existing regulatory arrangements on waste for coping with an agent like BSE? Second, what markers were put up by the various expert committees about the need to give careful attention to waste as a pathway of transmission?
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10.164 Although, looked at from this perspective, the numbers dealt with by burial were not large, they created considerable public disquiet. While disposal in the ground was less obviously offensive to the public than burning, there were concerns about leaching from buried carcasses into water supplies, whether from farms or from local authority waste tips.
10.165 Ministers queried the wisdom of burial, as did DOE officials. As we have seen, the view of officials in MAFF was that no risk was involved. We note that this was not seen as a matter that needed to be referred to SEAC and that a study on it was not carried out until 1997. This was as part of a comprehensive 'overview of the risks associated with BSE via environmental pathways' commissioned by the EA from outside consultants, in the light of the volume of carcasses to be disposed of under the OTMS scheme.
10.166 DOE officials also queried the apparent inconsistency of banning burial on local authority sites of raw SBO - derived from what were only potential carriers of the disease - while permitting whole carcasses of animals actually suffering from the disease to be buried on farm or in tips. MAFF had logical answers. The heads of such animals had been removed and burnt at VICs. Burial was under veterinary supervision, or on 'controlled waste' licensed tips. None the less the concerns remained, and as we have seen, burning in closed incinerators, with burial only as a last resort, was throughout the MAFF goal.
10.167 Could they have achieved this goal earlier? The weakness in the MAFF approach was their consistent underestimates of the likely course of the epidemic. Thus they successively planned on the following basis:
10.168 If the true numbers of cattle already infected had been appreciated, this might have affected some of the policy decisions taken. In the case of carcass disposal, the optimistic view of the likely future incidence of BSE meant that the extra incinerator provision they secured was repeatedly outstripped by demand. More realistic estimates might have provided a powerful trigger for a concerted plan to increase incinerator capacity more comprehensively or to establish how this might be done.
10.169 Those responsible for carcass disposal arrangements can not be blamed for proceeding on the estimates at the time which reflected the ignorance of the extent to which recycling of the disease had already taken place. In dealing with what became a Sisyphean task, the MAFF team showed commendable energy and persistence in seeking solutions.
10.170 We noted that, in the process of doing so, MAFF officials resisted DOE proposals - subsequently dropped - for a register of animal burial sites. On the face of it, this was a worthwhile proposal for protecting public health from dangerous waste. However, the purpose of the interdepartmental consultation had been to enable them to express any legitimate objections they had before a decision was taken by DOE. MAFF had real practical reasons for concern and raised these with DOE. It was entirely reasonable that they should have done so.
10.171 As regards open pyre burning, the volume was never high because of public objections, and much of it was on MOD land, well away from dwelling houses. The preferred strategy was to encourage private sector provision of closed burning. This too encountered problems. There was vigorous resistance to the grant of planning permission for incinerators, never a popular form of development among local residents. Some local authorities feared they might be left with a worrisome legacy of premises no longer needed to handle BSE carcasses. At the same time the proposed introduction of new, tighter regulations over incinerator standards threatened to reduce existing capacity for handling BSE cases and was resisted by MAFF, successfully, so far as smaller incinerators were concerned.
10.172 MAFF officials are not to be criticised for the energetic efforts they made to overcome reluctance to grant the necessary permissions for carcass disposals and new incinerators, nor for their lack of enthusiasm for new regulations and requirements that would make their task more difficult. In all these matters it seems to us that MAFF officials acted properly in laying their considerations and information in front of those responsible for decision.
10.173 These were reasonable responses in the light of the difficult and unpopular task they were having to carry out and the threat to public health if the disposal system were to break down.
10.174 So far as unfit meat was concerned, it seems that this generally went off for rendering. Local Authorities were accustomed to operating a system of movement permits before unfit meat could leave the slaughterhouse or knacker's yard, and the limited exceptions under which unfit meat could, if in a container mainly of green offal (and in the case of carcass meat or specified offal, if stained) go to the renderers without a movement permit. They are not likely to have had experience of unfit meat going to waste tips.
10.175 The 1989 SBO regulations provided that unsterilised SBO could only be removed from a slaughterhouse under a movement permit. It would not need to be stained if it were going to excepted premises, ie:
10.176 It seems that in practice, however, confusion arose among the many local authorities operating waste tips, with some permitting raw SBO to be dumped, while others refused permission.
10.177 We considered what had led to this confusion. There appeared to be several factors. First, there were the variety of LA practices under the Control of Pollution Act. Second, the new Inspectorate of Pollution had not yet got into its stride and appeared reluctant to offer advice. Third, as noted earlier in this volume, the local authority associations had been unable to give the draft SBO Regulations much consideration in 1989 because of the heavy involvement of their limited staff with the Environmental Protection and Food Safety Bills.
10.178 We consider that once the confusion was brought to their attention, MAFF were prompt in offering definitive advice through Mr Crawford's letter in June 1990. His advice was:
It is the clear intention of the Regulations that no raw, untreated offal to which these regulations apply should be taken to a landfill site for disposal except in an emergency. There are no such restrictions on sterilised offal.
10.179 Up to 1991, as noted, SBO transformed into MBM and tallow could be disposed of either through the market, or on licensed tips like any other controlled waste, once rendered. In 1991 new secondary legislation was introduced. The final disposal of MBM from SBOs for the first time became controlled under a tighter regime than other unclassified controlled wastes. It could be sent only to premises approved under a MAFF licence. In practice, that meant an incinerator or licensed waste tip though some permits were granted for temporary storage in warehouses.
10.180 This was the aspect of waste disposal that received the least scrutiny in relation to the new problems posed by BSE. Only in 1996 did it begin to receive detailed consideration. 2
10.181 At the time that it was decided that SBO should not be permitted in human food, it was to be expected that in slaughterhouses, knacker's yards and other premises where cattle were killed, waste contaminated with SBO would be passing down drains as effluent, ending up in sewers or rivers. Slaughterhouse or rendering plant waste, or sewage sludge from works handling their effluents, might all lawfully be spread as fertiliser on land where animals subsequently grazed or crops were grown. This was seen as having a positive recycling and ecological value.
10.182 Following the voluntary ban on SBO in animal feed, the number of plants willing to render SBO into MBM and tallow steadily decreased. It could be expected that the raw material handled by these plants would include a significant amount of tissue which had come from cattle incubating BSE. Concerns surfaced in 1996 in terms of occupational risk from inhaled dust at the four plants dedicated to SBO rendering. The Advisory Committee on Dangerous Pathogens stated in April 1996 that they considered that TSEs 'including BSE, are not transmissable by aerosols or fine dust particles'. 3 This was a point of significance to those who later were concerned about dust emanating from vehicles transporting waste MBM and the buildings where it was stored.
What could have been done differently?
10.183 Although much of the evidence of the concerns raised over the BSE risk from effluent from Thruxted Mill relates to a time outside the period of this Inquiry, we thought these concerns and the action taken in response to them illustrated some of the difficulties that arise in dealing with secondary wastes. Appropriate tests and studies of BSE in effluent would have had application to all rendering plants and any desirable precautions could have been taken. Similar issues apply to slaughterhouses, head-boning plants and knacker's yards. Concerns over BSE risk from effluent could usefully have been considered, and perhaps resolved, much earlier for the benefit of all.
Who could have taken the lead?
10.184 We asked ourselves who might have taken this initiative. Prior to the establishment of the Environment Agency, the DOE was an obvious candidate. However, as noted above, MAFF did not inform them of the features of the BSE agent that might require a fresh look at the capability of the existing regulatory system to handle it.
10.185 We do not underestimate how difficult a task it would have been, involving so many agencies and with so many unknowns. The 1997 work shows what careful scrutiny is involved and the wide variety of interested parties. It was outside our remit to review how that was followed up. An examination of this sort, conducted earlier, could have considered whether, as a matter of practicality, because of the special characteristics of BSE, waste risk material should be dealt with at source as far as possible. This would probably have required new procedures. The fate of solid waste and effluent from certain processes such as head-splitting and brain-removal would have needed particularly careful consideration.
10.186 Dilution and degradation of harmful agents were both key features of minimising risks to public health and the environment. In the case of BSE questions arose as to the extent of dilution and degradation. Waste disposal authorities had a particular need to be well informed about ways of inactivating the agent and whether repeated exposure to small amounts might have a cumulative effect. They had a shared interest in research on these matters, both of which remain unresolved today.
10.187 At the beginning of this discussion we noted that no overview of risk from waste disposal practices appears to have been asked for or attempted by the Southwood Working Party, the Tyrrell Committee and SEAC. All of them, however, advocated a systematic review of the destination of all bovine materials. Had this been carried out, it might have been expected to identify many of the matters covered in this chapter and where more research or development of new techniques were needed. It would also have revealed the need for MAFF to carry out its risk management on a much wider canvas than its veterinary interests.
10.188 As it was, we saw little or no consideration of the issues BSE posed for the existing regime over waste disposal.
Spreading of blood and slaughterhouse waste
10.189 The only such area that received some sustained consideration by MAFF and led them to consult SEAC was the practice of spreading blood and other slaughterhouse waste on fields. Partly driven by media interest, this was the cause of some concern within MAFF and led them to question the existing guidance to farmers. However, as noted in vol. 11: Scientists after Southwood, SEAC did not consider that blood carried an infective risk when they reviewed it in 1991.
10.190 During the period to 20 March 1996 SEAC were not asked to consider the agricultural use of waste from rendering plants. This practice, which involved 'beneficial use' of the material in agriculture meant that it was not treated as controlled waste and was in effect subject to no control or regulation. This was a matter we did not have time to explore in our inquiry. However, prima facie, with an agent such as BSE, it would appear desirable to establish whether such material contains the BSE agent, whether its spreading poses any risk to animals or humans thereafter and to impose consistent controls.
Lessons from these aspects of BSE
10.191 These aspects of the BSE story demonstrate some lessons: