BSE, also known as mad cow disease, is a fatal prion disease affecting cattle that can be transmitted to humans. It was first identified in the UK in 1986 and over 180,000 cases were reported there between 1987-2007. The infectious agent is a misfolded prion protein that is not destroyed by cooking and can spread between individuals through contaminated food or animal feed. While there is no treatment or vaccine, prevention methods include banning cattle feed containing meat and bone meal and surveillance testing.