VS 4-59 Monthly Report of Swine Brucellosis Eradication Activiti

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0047. The time required to complete this information collection is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB Approved 0579-0047 Exp. 00/00/0000

QUARTERLY REPORT OF SWINE BRUCELLOSIS ERADICATION ACTIVITIES (VS Memorandum 551.7)

1. STATE

2. PROGRAM STAGE

3. MONTH/YEAR

SECTION A – MARKET SWINE TESTING (MST) SUMMARY

SAMPLES COLLECTED AT

FARM OF ORIGIN IDENTIFIED SAMPLES COLLECTED IN THIS STATE FROM THIS STATE’S SOWS AND BOARS

FARM OF ORIGIN IDENTIFIED SAMPLES COLLECTED IN OTHER STATES FROM THIS STATE’S SOWS AND BOARS

4. MARKETS

A. NO. TESTED

B. NO. REACTORS

C. NO. SUSPECTS

D. NO. TESTED

E. NO. REACTORS

F. NO. SUSPECTS

5. SLAUGHTER ESTABLISHMENTS

Total

No. Collected by FSIS

6. TOTALS

SECTION B – TRACEBACK OF MST REACTORS AND SUSPECTS

A. TRACED TO KNOWN INFECTED HERD

B. TRACED AND CHT REQUIRED

C. TRACED AND CHT NOT REQUIRED

D. TRACED TO DEALER ONLY

E. TRACED TO ANOTHER STATE (Explain)

F. UNABLE TO TRACE (Explain)

G. TEST RESULTS PENDING

7. MST REACTORS

8. MST SUSPECTS

SECTION C – SUMMARY OF ON FARM TESTING RESULTS

REASON FOR TEST

NO. INFECTION FOUND

INFECTION FOUND

TOTALS

A. HERD TESTED

B. SWINE TESTED

C. HERD TESTED

D. SWINE TESTED

E. SWINE POSITIVE

F. HERD TESTED

G. SWINE TESTED

9. MST REACTOR TRACEBACK

10. MST SUSPECT TRACEBACK

11. PRV PROGRAM ASSOCIATED

12. DIAGNOSTIC

13. CHANGE OF OWNERSHIP

14. VALIDATED HERD TESTING

15. EPIDEMIOLOGY

16. Down-The-Road Surveillance

17. OTHER

SECTION D – SOURCE OF NEW HERD INFECTIONS

PURCHASED SWINE

EXPOSURE TO FERAL SWINE

COMMUNITY SPREAD

OTHER (Explain)

UNKNOWN

18. NUMBER OF HERDS

A.

B.

C.

D.

E.

SECTION E – GENERAL

19. NUMBER OF VALIDATED SB FREE HERDS

20. SB INFECTED HERDS IN STATE

# OF INFECTED HERDS UNDER QUARANTINE AT BEGINNING OF QTR.

# OF NEW INFECTED HERDS ADDED OR RECOGNIZED DURING QTR.

# OF HERDS RELEASED FROM QUARANTINE DURING QTR.

# OF INFECTED HERDS UNDER QUARANTINE AT END OF QTR.

CUMULATIVE # OF INFECTED HERDS THIS FISCAL YEAR

A.

B.

C.

D.

E.

21. NUMBER OF HERDS DEPOPULATED

22. NUMBER OF SWINE DEPOPULATED

23. TOTAL INDEMNITY PAID

VS 4-59 MAR 2009 (OVER)

24. EXPLANATIONS/COMMENTS
SECTION F – SWINE BRUCELLOSIS INFECTED HERDS (S) (To be completed for each infected herd)
25. NAME AND ADDRESS OF HERD OWNER		26. DESCRIBE HOW THIS INFECTED HERD WAS DISCLOSED
		27. DATE HERD DETERMINED TO BE INFECTED				28. ORIGIN OF INFECTION
29. RESULTS OF ALL TESTING IN HERD SINCE LAST REPORT
TYPE OF TEST	TEST DATE	NUMBER SOWS NEGATIVE			NUMBER SOWS POSITIVE	NUMBER BOARS NEGATIVE	NUMBER BOARS POSITIVE
30. NUMBER OF SWINE CULTURES				31. CULTURE RESULTS
32. SWINE INVENTORY			NUMBER	33. DESCRIBE PLANS FOR ELIMINATION OF SWINE BRUCELLOSIS FROM THE HERD:
Sows
BOARS
GILTS
PIGS ON FEED
SUCKLINGS
34. SIGNATURE OF AREA VETERINARIAN IN CHARGE					35. SIGNATURE OF STATE ANIMAL HEALTH OFFICIAL

VS4-59 (Reverse)