Crisis

  Crisis

  Ken Mcclure

  Ken McClure

  Crisis

  The Island of Barasay,

  The Western Isles of Scotland.

  19 January, 1992.

  Lawrence Gill’s lungs demanded more and more oxygen until, unable to comply, he was forced to his knees on the wet shingle. He knelt there, weakly supporting himself, until the deficit had been reduced. As soon as his laboured breathing subsided he struggled painfully to his feet and continued trying to run on a surface that seemed hell-bent on denying him grip. The wind howled in from the Atlantic and whipped up the rain until it felt like icy rivets being driven into his face. It seemed that nature was attempting to render him as featureless as the barren beach that so begrudged him every inch of progress.

  Gill’s hands were bleeding by the time he had clawed his way to the top of the cliff and started out for the old stone cottage where he planned to seek refuge. It had lain abandoned for more than two years, ever since Shona’s father had given up the unequal struggle against the elements and returned to the mainland. Gill was hoping that there would be enough there to sustain him in the way of shelter until the hunt had tapered off. The rucksack on his back held enough tinned food and supplies to see him through two weeks if necessary.

  Through the rain Gill could see the outline of the cottage on the corner of the headland. It still had a roof and that was something of a bonus considering its location. He had once asked Shona what had possessed her father to build a cottage on such an exposed site. Shona had said that he had felt closer to God there than anywhere else.

  It was true that, when the sea was calm and the sky dear, you could see for thirty miles from the top of the cliff and watch the sun sink into the western horizon like a huge ball of orange file; but the sea was almost never calm, and the sky was seldom dear. More often than not westerly gales whipped up the Atlantic into a frenzy and sent huge breakers crashing against the rocks below sending fingers of spray high into the air to clutch at the cottage as if to tear it from its perch.

  Gill moved into the lee of the back wall and rested for a moment with his shoulder against the rough stone. The rain had sought out the vulnerable points in his clothing and he could feel the water trickle down his back as he once more gasped for breath. There was a back door to the cottage. He moved along to try it rather than expose himself to the wind again by going round the front. The handle was rusty and stiff but it did turn and Gill put his shoulder against the door to overcome the reluctance of the hinges.

  The room he was in had been the kitchen but broken windows had allowed access to the elements and the sea birds and it was in a mess. With a heavy heart Gill wondered if the other rooms had fared any better. He opened the door leading to what had been the living-room and stopped suddenly in the doorway. Two men were standing there. They were clad in oilskins and they looked at Gill as if they had been expecting him. Neither said anything; the guns in their hands were supposed to say all that needed to be said.

  Gill felt a strange, sad sense of resignation come over him. It seemed ironic but it was almost a feeling of relief. He had been on the run for four days and that’s all it had taken to ruin his life completely upside down and make him the running victim in a living nightmare. Four days to undo everything he had worked for, career, marriage, prospects, the imagined solid foundations for success and future happiness, had been swept away with an ease that now seemed obscene. It all seemed so unfair.

  One of the men ransacked his belongings while the other held a gun on him. When the man kneeling on the floor looked up and shook his head the man pointing the gun said, ‘Where are they?’

  ‘You’re too late,’ said Gill. ‘They’re already in the post.’

  The two men looked at each other without saying anything. The man with the gun motioned that Gill should back out the door.

  Gill was no longer mindful of the wind and the rain; his head was full of images of the things he would never see again. God! he wasn’t ready to die! He was suddenly overwhelmed by panic. He veered off to the right and ran into the wind, hoping that his captors would have difficulty aiming with the driving rain in their faces.

  In his mind’s eye, Gill imagined a path leading down from the far end of the cliff to the shore where he would run along the sand with the wind behind him and get into the boat to make good his escape. But when he got to the edge he saw that there was nothing but a sheer drop. He sank to the ground and lay full length looking over the edge at the rocks far below. He felt all hope drain from him; he was left with a desperately empty void inside. He relaxed his grip on the tufts of grass and turned slowly over on to his back to wait for his pursuers.

  One of the men signalled that he should get to his feet and he did, leaning back against the wind to keep his balance. The two men put away their guns and each took an arm. For a moment Gill wondered why when there was no place for him to run to, then he understood. Almost before he could cry out the men lifted him bodily off his feet and swung him back over the edge of the cliff. For a moment his arms flailed against the dark sky then he plunged headlong to his death on the jagged rocks below, his last scream of protest carried off by the wind.

  The Medical Research Council,

  Park Crescent,

  London

  ‘I apologise for the inconvenience caused by the calling of this meeting at such short notice gentlemen, but I have been asked by the Prime Minister to brief him and the cabinet on our findings with regard to our survey on brain disease in this country.’ The secretary of the MRC, Sir John Rowers, paused and looked over his glasses at the men sitting round the table.

  The studies are nowhere near complete, you know that,’ said a middle-aged man with the trace of a Scots accent.

  Flowers shook his head and said, ‘Won’t do Hector. We as scientists know we have to evaluate properly all the data but the government see it as sitting on the fence. They would like assurance that there are no major problems brewing in this area.’

  ‘What they really want us to tell them is that human beings can’t get brain disease from sick animals!’ said another man whose ample girth was barely restrained by a waistcoat of maroon silk material which almost matched the colour of his nose.

  Flowers gave a slight nod.

  ‘Why the sudden rush?’ asked Hector Munro, Director of the MRC Neurobiology Unit in Edinburgh.

  ‘Ever since Mad cow disease hit the headlines a year or so ago, the opposition have been waiting for the right moment to cause embarrassment to the government. The sale of British meat and meat products to the continent has still not recovered from the bad publicity generated at the time. In fact, they fell again sharply last month and the agricultural lobby is up in arms. They are going to demand to know what the government is doing about the problem. They want positive assurances that British meat products are safe. We for our part have been monitoring the incidence of brain disease in the country and following the experimental work of the Agricultural Research Council,’ exclaimed Flowers.

  ‘There has been a rise in figures,’ said a thin man with the pointed features of a bird and the appropriate name of John Lark.

  ‘Has the link been established for sure?’ asked Lark.

  Flowers nodded. The ARC labs have shown that cows got BSE from eating sheep meat infected with Scrapie.’

  ‘So why didn’t they get it before?’ asked Lark. ‘Scrapie has been round for long enough in sheep.’

  The renderers changed their method of treating sheep carcasses. The old way killed the infective agent off. The new way didn’t. As simple as that.’

  ‘So there wasn’t a species barrier at all?’

  ‘No.’

  ‘Ye gods,’ said Lark. ‘But surely Scrapie couldn’t cross to humans?’

/>   Flowers held up a sheaf of papers in his hand and said, This case suggests otherwise.’

  1 have always maintained that Scrapie in sheep should have been made notifiable all along, just like BSE,’ said Munro.

  ‘Well, if s too late to bolt that particular stable door,’ said Flowers. ‘Our problem is that not only can we not allay the government’s fears about an increasing incidence of brain disease but we have to inform them of the existence of a potential disaster in the making.’

  ‘I take it lambs can be affected with the disease too?’ asked Lark.

  ‘Yes,’ said Munro, ‘and to answer your next question, roasting would not kill the agent. It’s one of the toughest viruses on earth. It can withstand the temperature achieved in a hospital steam sterilizer.’

  ‘Then I hope to God that the report is mistaken,’ said Lark.

  ‘Who is reporting for the Scottish region?’ asked Munro.

  ‘George Stoddart.’

  ‘Edinburgh University?’

  Flowers nodded.

  ‘Have you spoken to him?’ asked Lark.

  ‘Yes,’ said Flowers.

  ‘And?’

  ‘Stoddart says that his man is adamant that the men died of Scrapie but there will be the usual difficulty in assigning the cause.’

  ‘I’m not sure I understand,’ said Lark. ‘What difficulty?’

  Flowers looked to Munro and said, ‘You’re the expert in this field. Perhaps you would explain.’

  ‘Of course,’ said Munro, clearing his throat. ‘We know very little about the infecting agent which causes Scrapie in sheep or BSE in cattle for that matter. The only reliable way of demonstrating the infection is by injection of infected material from one animal into another. In this way we can show that the agent is transmissible and has a similar pathology.’

  ‘What sort of infected material?’ asked Lark.

  ‘The standard test is for macerated brain obtained at autopsy to be injected into mice to see if they develop degenerative brain disease.’

  ‘Has such a disease ever been seen in man?’ asked Lark.

  ‘Yes,’ replied Munro. ‘In man it’s called Creutzfeld Jakob Disease. It’s a brain disease of the old. It’s a relatively rare condition and thankfully it has a very long incubation period.’

  ‘What was the incubation period in this case?’ asked Munro.

  All eyes turned towards Flowers. ‘Stoddart says that his man reports that the patients developed the disease almost overnight and were dead within three weeks. The brain pathology was identical to Scrapie or Creutzfeld Jakob Disease. They’re practically indistinguishable in terms of histopathology.’

  ‘Damnation,’ said Lark. ‘Three is not a big number. I still feel we may be jumping to conclusions.’

  ‘I’d like to agree,’ said Flowers, ‘but three men working on a farm with infected sheep die of a brain disease indistinguishable from Scrapie? We have to take this seriously.’

  This comment was digested for a moment in silence then Lark said, ‘It’s still very hard to believe that a sheep disease that’s been around for years without causing the slightest trouble in man has suddenly managed to jump the species barrier and start killing people.

  ‘Surely there would have to have been some additional factor involved; a change to the infecting agent; a mutation of some sort; an alteration, either spontaneous or induced.’

  ‘Let’s hope, if that’s the case, that the mutation was induced by some local factor and that this is an isolated incident,’ said Flowers.

  Then it’s of the utmost importance to establish just what caused the mutation,’ said Munro.

  ‘Agreed.’

  ‘Are there any clues?’ asked Lark.

  There is one prime suspect,’ said Flowers.

  ‘What’s that?’ asked Munro.

  The area around the farm in question includes the Invermaddoch nuclear power station.’

  ‘Radiation,’ said Lark.

  ‘What better inducer of mutation?’

  ‘1 need hardly tell you what a delicate position this business puts us in,’ said Munro. ‘If we suddenly announce that a highland region is reporting that people living in the vicinity of a nuclear power station are developing an infectious brain disease which resembles sheep Scrapie in every way, we can expect a storm of panic and protest. Apart from public outcry, we will face the combined pressure of the agricultural lobby insisting that there is no link between infected animals and human brain disease, and the nuclear lobby maintaining that atomic energy is safe and clean.’

  ‘So what do we do?’ asked Munro. ‘And what do we tell Her Majesty’s Government?’

  ‘I think we have to treat the Scottish thing as a separate, isolated problem for the moment,’ said Lark. ‘In broad, general terms there is still no evidence that animal brain disease can be transmitted to man. I think we should admit that there has been an increase in reported cases of brain disease in the population but it is too early to assign a cause or say whether it is significant or not. Let the government’s statisticians present the figures in whatever way they want.’

  ‘But the government must be made aware of the potential problem in Scotland just in case it leaks out in the press,’ said Munro.

  The area doesn’t get much attention from the press so we should be able to investigate quietly on our own for a while,’ said Flowers.

  ‘No disrespect to Stoddart and his people but I think we should see the pathology evidence taken from the three men who died,’ said Lark.

  ‘I’ve asked for it,’ said Flowers.

  ‘Did Stoddart say who the investigator on the ground was?’ asked Munro.

  ‘Yes he did,’ replied Flowers, referring to his notes. ‘A pathologist named Dr Lawrence Gill.’

  ONE

  Dr Ian Bannerman sorted his notes before him on the lectern and waited for the hubbub to die down. He thought his audience of medical students looked depressingly familiar but quickly reminded himself that this was a cynical thought. Sometimes the borders between cynicism and realism were a bit fuzzy.

  Despite a solid middle-class background with its attendant adherence to Christian ethics and values he had always failed to be convinced that human beings were ‘individuals in their own right’. People, as he saw it, fell into certain discreet ‘types’. There was a type of person who became a vicar, a soldier, a policeman and so on. From lecturing to medical students for the last five years at St Luke’s Hospital he had come to recognise that there was a definite type of person who became a medical student.

  Medicine was seen by society as a profession for winners and because of this medical schools could demand the very highest academic entry standards. This meant that the cleverest pupils on paper were encouraged to ‘try for medicine’ as if entering a competition to prove their worth. Egged on by parents and teachers alike, such people would often find themselves railroaded into something they had not given much thought to.

  Equipped with a brand new stethoscope from proud parents and a dissecting set from Aunt Mabel they would turn up at St Luke’s, ready to start passing more exams because that was what they were good at. ‘Doesn’t anyone ask the buggers if they care about sick people?’ Bannerman had asked at the last faculty meeting. The remark had been met with good humoured tolerance. This did not please Bannerman; it only confirmed his thesis on people ‘types’. He reluctantly acknowledged that he was seen as the rough-diamond type; the kind of man who spoke his mind but was accepted because he was good at his job, and when it came to pathology there was none better.

  Bannerman looked at the sea of faces, trying to spot a few who might become ‘real’ doctors. It was practically impossible but he always tried. It was easier to spot the ones who wouldn’t, the loud-mouths who would bluster their way through the course, the quiet note-takers who would copy everything down and rely on hours of study and a retentive memory to see them through exam time. There would be some who would fail, of course, and not necessarily because th
ey were bad students. Although the course was tough and academically demanding the entry standards ensured that not many idiots reached the starting line. The ‘failures’ were often students who discovered that they were square pegs in round holes; they were simply doing the wrong subject.

  Bannerman always took time to reassure such students that it was better to have found out at an early stage than to have been faced with the truth when someone’s life was resting in their hands. He always had much bigger problems with the students who passed the exams yet clearly were not cut out to be physicians. The frustrating thing was that there was little he could do about it. He would do his best to instil a genuine concern and regard for the sick in them but he suspected that many would go through their entire careers without ever seeing patients as anything more than ‘cases’, temporary intellectual puzzles to be solved along the path of their careers.

  Despite not being able to spot the ‘real’ doctors in his audience Bannerman knew that they would be there and saw it as his duty to deliver the best possible lectures he could for their sake.

  ‘Today we shall continue with our study of diseases of the central nervous system,’ he announced. ‘A subject I know will be close to your hearts because your essays on the subject of my last lecture suggest that many of you are suffering from one or other of them …’

  There was general laughter because although Bannerman had an acid tongue he was popular with the student body. He was a good lecturer, always on top of his subject and had never been known to prevaricate when asked a question to which he did not know the answer. Instead, he would say so immediately and tell the student to look it up and let him know. This saved a lot of time and the students appreciated it. Too much course time could be wasted by lecturers waffling to cover up deficiencies in their knowledge. The words, ‘I don’t know’ were too seldom uttered in the realms of academia.

  ‘Creutzfeld Jakob Disease and Kuru are the two conditions we will consider today. Both result in nervous degeneration, loss of coordination of the limbs and mental deterioration. Both are invariably fatal.’ Bannerman switched on the slide projector and clicked in the first slide with a hand held controller. ‘On the left is a brain section from a patient who died of CJ disease. The section on the right is from a normal brain. Note the spongioform appearance of the diseased brain and the typical SAP fibrils.’