[BoxOfRain]

Wouldn't an entire city being sprayed with prions be a fairly apocalyptic event in and of itself? Those prions aren't going to go away, they'll get blown about and distributed by the millions of cars, buses, and trains going in and out of the city. What can you realistically do about that, go full Imperial Inquisition and raze the entire section of the country to the ground?

[dnautics]

honestly, I doubt it. Prions do go away, exposure to oxidizing acids (nitrous, sulfuric), oxidizers like car exhaust ozone, sunlight probably damages them, random environmental proteases that are extremely hardy (because they are designed to work outside)... Also we don't really know of a way to make large volumes of prions; IIRC nobody has made a de novo infective prion, you could seed a folded prion protein to become infective prion using a biological source, but that level of biotech requires a significant lab with large-scale fermentation, or I suppose you could just grow flocks of sheep or cattle and harvest their brains, that would probably get noticed too.

We also don't really know what the population penetrance of prion is. It's possible, for something like british mad cow disease, basically everyone got exposed, but only some people got sick due to a random high infectious load, or a weakened capability of the body to clear the prion...

There are proteases in the body that are capable of clearing amyloid forms (insulin-degrading enzyme, e.g.) and it would be hard to believe that for a sufficiently small dose it wouldn't get cleared before it got to the brain.

strange, I just looked it up, but no one has investigated if increasing IDE expression in mice has a protective effect against prpSc infection (when the infection is not administered directly to the brain)... If there are any prion researchers here... Might be an interesting experiment.