NAHMS-57 National Animal Health Reporting System (NAHRS) Monthly

National Animal Health Reporting System (NAHRS)

NAHMS-57

National Animal Health Reporting System (NAHRS)

OMB: 0579-0299

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National Animal Health Reporting System (NAHRS) Monthly Report Form

(2009)


 

OMB Number 0579-0299

Exp. Date:

USDA:APHIS:VS:CEAH

Fort Collins, CO 80526-8117


Instructions


These instructions refer to completion of the National Animal Health Reporting System (NAHRS) form by the State Veterinarian’s office or representative.

For each month, please report disease presence or absence for the entire month. Monthly reports are due by the 20th of the following month. If you receive reports on out-of-state submissions, REPORT ONLY CASES THAT OCCURRED IN YOUR OWN STATE. Be sure to indicate the State and month for which you are reporting. If there are questions on reporting, consult the NAHRS disease reporting criteria. The NAHRS Operational Manual and Uniform Methods and Rules can be located on the NAHRS Homepage, http://www.aphis.usda.gov/vs/ceah/ncahs/nahrs.


If you received a report of a case which fits the NAHRS criteria, check ‘YES’ under PRESENT. If you received a report of a case which does not fit the NAHRS criteria, but you have additional evidence to support the presence of confirmed disease, check ‘YES’ under PRESENT. If you received no reports in the investigation of a suspected confirmed disease which fit the NAHRS criteria and you have no further supporting evidence of the presence of confirmed disease, check ‘NO’ under PRESENT (e.g., all investigations for a given disease were negative.) A ‘NO’ report, in relation to an endemic disease, indicates that from information available there were no reports of confirmed disease occurrence, and does not infer the endemic disease does not occur in the State.


Most endemic diseases include both a presumptive and definitive level of confirmation. If a case meets the NAHRS definitive criteria for presence of disease, record it as present. If a case does not meet the NAHRS definitive criteria, but meets presumptive criteria—report the case if it is considered a probable case and ‘presumptive’ can be indicated in the comment section. The disease reporting criteria are minimum standards and additional information can be utilized to report i.e. epidemiological link, or other non-listed laboratory tests.


Add any additional information which you feel may be of value or pertinent in the COMMENTS column e.g. level of lab diagnosis; presumptive vs. definitive; environment disease occurrence located in – backyard, feral, etc; and any other clarifying information needed.


If a report of a case is received after the report has been sent or edits to the report are required, notify the NAHRS administrator to update the information.


NOTE: Diseases below that are indicated as FAD (foreign animal disease) are those diseases that are considered foreign to the United States or are managed as FADs. To report the presence of an FAD or occurrence, mark ‘yes’ for the disease after State-Federal coordination.

NAHRS Report for:

STATE:

MONTH:

YEAR:


Person Completing the Report:

NAME:

TELEPHONE:

ADDRESS:

E-MAIL ADDRESS:

CITY, STATE, ZIP:


Disease Occurrence Information:

OIE NUMBER - DISEASE NAME

PRESENT

COMMENTS


BOVINE

YES

NO


A010-A018 Foot and mouth disease (all FMD, Viruses O, A, C, SAT 1, SAT 2, SAT 3, Asia 1)


FAD


A020-A023 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or not typed)


FAD


A040 Rinderpest


FAD


A060 Contagious bovine pleuropneumonia (Mycoplasma mycoides mycoides)


FAD


A070 Lumpy skin disease


FAD


A080 Rift valley fever


FAD


N001 Crimean Congo hemorrhagic fever


FAD


A090 Bluetongue




B051 Anthrax (Bacillus anthracis)




B052 Aujeskys disease (Pseudorabies)




B053 Echinococcosis / Hydatidosis




B055 Heartwater (Cowdria ruminantium)


FAD


B056 Leptospirosis




B057 Q fever (Coxiella burnetti)




B058 Rabies




B059 Paratuberculosis (Johnes Disease, Mycobacterium avium paratuberculosis)




B060-B061 New and Old World screwworm (Cochliomyia (Callitroga) hominivorax, Chrysomya bezziana)


FAD


B101 Anaplasmosis (Anaplasma marginale, A. centrale)



B102 Babesiosis (Babesia bovis, B. bigemina)


FAD

N103 Bovine brucellosis (Brucella abortus)



N152 Brucellosis (Brucella melitensis)


FAD


N253 Brucellosis (Brucella suis)




B104 Bovine genital campylobacteriosis (Campylobacter fetus venerealis)




B105 Bovine tuberculosis (Mycobacterium bovis)




N117 Bovine viral diarrhea (BVD)




B108 Enzootic bovine leukosis (BLV)




B109 Hemorrhagic septicemia (Pasteurella multocida, B/Asian or E/African serotypes)




B110 Infectious bovine rhinotracheitis/ infectious pustular vulvovaginitis (IBR/IPV)




B111 Theileriasis (Theileria annulata, T. parva)


FAD


B112 Trichomoniasis (Tritrichomonas (Trichomonas) foetus)





B113 Trypanosomiasis (Trypanosoma congolense, T. vivax, T. brucei brucei, T. evansi)


FAD


B114 Malignant catarrhal fever



Indicate if Sheep or Wildebeest related form/ or other (Wildebeest-FAD)

B115 Bovine spongiform encephalopathy


FAD


N158 Epizootic hemorrhagic disease (EHD)





CAPRINE AND OVINE

YES

NO


A010-A018 Foot and mouth disease (FMD, Viruses O, A, C, SAT 1, SAT 2, SAT 3, Asia 1, or not typed)


FAD


A020-A023 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or not typed)


FAD


A040 Rinderpest


FAD


A050 Peste des petits ruminants


FAD


A080 Rift Valley fever


FAD


A090 Bluetongue




N001 Crimean Congo hemorrhagic fever


FAD


A100 Sheep pox and goat pox


FAD


B051 Anthrax (Bacillus anthracis)




B052 Aujeskys disease (Pseudorabies)




B053 Echinococcosis / Hydatidosis




B055 Heartwater (Cowdira ruminantium)


FAD


B056 Leptospirosis




B057 Q fever (Coxiella burnetti)




B058 Rabies




B059 Paratuberculosis (Johnes Disease, Mycobacterium paratuberculosis)




B060-B061 New and Old World screwworm (Cochliomyia (Callitroga) hominivorax, Chrysomya bezziana)


FAD


B151 Ovine epididymitis (Brucella ovis infection)




N152 Caprine and ovine brucellosis- (B. melitensis) (all others except B. ovis)




B153 Caprine arthritis / encephalitis (CAE)




B154 Contagious agalactia (Mycoplasma agalactiae, M. capricolum capricolum, M. putrefaciens, M. mycoides mycoides, M. mycoides mycoides LC)




B155 Contagious caprine pleuropneumonia (Mycoplasma capricolum capripneumoniae)


FAD


B156 Enzootic abortion of ewes (Ovine Psittacosis, Chlamydia psittaci)




B158 Nairobi sheep disease


FAD


B159 Salmonellosis (Salmonella abortus ovis)




B160 Scrapie




B161 Maedi-visna / ovine progressive pneumonia




B352 Tularemia (Francisella tularensis)




N002 West Nile fever / encephalitis




EQUINE

YES

NO


A020-A023 Vesicular stomatitis (VS, viruses Indiana, New Jersey, or not typed)


FAD


A110 African horse sickness


FAD


B051 Anthrax (Bacillus anthracis)




B056 Leptospirosis




B058 Rabies




B060-B061 New and Old World screwworm (Cochliomyia (Callitroga) hominivorax, Chrysomya bezziana)


FAD


B062 Trichinellosis (Trichinela spiralis)




B201 Contagious equine metritis (Taylorella equigenitalis)


FAD


B202 Dourine (Trypanosoma equiperadum)


FAD


N220 Eastern equine encephalomyelitis (EEE)




N221 Western equine encephalomyelitis (WEE)




B205 Equine infectious anemia (EIA)



Report additional EIA testing information below

B206 Equine influenza (virus type A)




B207 Equine piroplasmosis (Babesiosis, Babesia (Piroplasma) equi, B. caballi)


FAD


B208 Equine rhinopneumonitis (EHV 1 and 4)




B208a Equine herpesvirus myeloencephalopathy (EHV1 – EHM)




B209 Glanders (Pseudomonas mallei)


FAD


B211 Equine viral arteritis (EVA)




B212 Japanese encephalitis


FAD


B215 Surra (Trypanosoma evansi)


FAD


B216 Venezuelan equine encephalomyelitis


FAD


N352 Tularemia (Francisella tularensis)




N002 West Nile Fever / encephalitis





PORCINE

YES

NO


A010-A018 Foot and mouth disease (FMD-O, A, C, SAT 1, SAT 2, SAT 3, Asia 1, or not typed)


FAD


A020-A023 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or not typed)


FAD


A030 Swine vesicular disease


FAD


A040 Rinderpest


FAD


A120 African swine fever


FAD


A130 Classical swine fever (hog cholera)


FAD


N258 Nipah virus encephalitis


FAD


B051 Anthrax (Bacillus anthracis)




B052 Aujeskys disease (Pseudorabies)




B053 Echinococcosis / Hydatidosis




B056 Leptospirosis




B058 Rabies




B060-B061 New and Old World screwworm (Cochliomyia (Callitroga) hominivorax, Chrysomya bezziana)


FAD


B062 Trichinellosis (Trichinela spiralis)




B252 Cysticercosis (Cysticercus cellulosae metacestode stage of Taenia solium)




N253 Porcine brucellosis (Brucella suis)




B254 Transmissible gastroenteritis (TGE)




B257 Porcine reproductive and respiratory syndrome (PRRS)




B212 Japanese encephalitis


FAD


B352 Tularemia (Francisella tularensis)





POULTRY

YES

NO


A150 Highly pathogenic avian influenza (fowl plague)


FAD


A160 Newcastle disease (exotic)


FAD


N150i Low pathogenic avian influenza (H5 or H7 subtypes) poultry




1008 Turkey rhinotracheitis




B301 Avian infectious bronchitis




B302 Avian infectious laryngotracheitis




B304 Duck viral hepatitis


FAD


B306 Fowl cholera (Pasteurella multocida)




B308 Fowl typhoid (Salmonella gallinarum)


FAD


B309 Infectious Bursal Disease (Gumboro Disease)




B310 Mareks Disease




B311 Mycoplasmosis (Mycoplasma gallisepticum)




1009 Mycoplasmosis (Mycoplasma synoviae)




B312 Avian Chlamydiosis (Psittacosis and Ornithosis, Chlamydia psittaci)




B313 Pullorum Disease (Salmonella pullorum)





AQUACULTURE

YES

NO


FISH




B401 Viral hemorrhagic septicemia (VHS)




B404 Spring viremia of carp (SVC)




B405 Infectious hematopoietic necrosis (IHN)




B413 Epizootic hematopoietic necrosis


FAD


N416 Infectious salmon anemia (ISA)


FAD


N417 Epizootic ulcerative syndrome




N418 Gyrodactylosis (Gyrodactylus salaries)


FAD


N419 Red sea brea iridoviral disease


FAD


N420 Koi herpesvirus disease




MOLLUSC




Infection with Bonamia ostreae


FAD


Infection with Bonamia exitiosa


FAD


Infection with Marteilia refringens


FAD


Infection with Perkinsus marinus




Infection with Perkinsus olseni


FAD


Infection with Xenohaliotis californiensis


FAD


Abalone viral mortality


FAD


CRUSTACEAN




Taura syndrome


FAD


White spot disease


FAD


Yellowhead disease


FAD


Tetrahedral baculovirosis (Baculovirus penaei)


FAD


Spherical baculovirosis (Penaeus monodon-type baculovirus)


FAD


Infectious hypodermal and haematopoietic necrosis


FAD


Crayfish plague (Aphanomyces astaci)


FAD


Infectious myonecrosis


FAD


White tail disease


FAD




Additional Equine Infectious Anemia Testing Information:

1. Number of EIA tests performed in reporting month:


2. Number of horses tested in reporting month (leave blank if unavailable):


3. Number of horses tested positive in reporting month:


4. Number of premises (epidemiological units) with positive(s) in reporting month (If premises previously reported in calendar year do not report, and if no other positive premises indicate -- 0):


5. Number of total horses quarantined in State for positive EIA test:




Instructions for Additional Equine Infectious Anemia Questions:


  1. Number of EIA tests performed in reporting month: Report the total number of EIA tests performed the reporting month for horses that reside in your State. This includes all tests on resident horses conducted both at in-state and out-of-state labs.

  2. Number of horses tested in reporting month (if unavailable leave blank): Report the number of horses tested for EIA for the reporting month. Do not include repeat EIA tests on the same horse in the calendar year. If this information is unavailable, leave this blank.

  3. Number of horses tested positive in reporting month: Report the total number of newly identified horses tested positive for EIA in the reporting month. Do not include repeat testing of an already identified positive horse.

  4. Number of premises (epidemiological units) with positive(s) in reporting month (If premise previously reported in calendar year do not report, and if no other positive premises indicate -- 0): Identify the number of premises (epidemiological units) with positive EIA horses for the calendar year. If a premise has been reported as positive in a previous monthly report, do not include in number of premises positive in reporting month. If the only positive premises is a premises identified on a previous monthly report for the calendar year, report ‘0’. Example: if a premise has one positive horse in June and additional testing in July identifies 3 additional positive horses on the same premises – for July indicate 3 positive horses and ‘0’ for number of premises.

  5. Number of total horses quarantined in State for positive EIA test: This is the total number of EIA quarantined horses at the end of the previous month with the addition of newly identified EIA positive horses and minus any EIA quarantined animals that were destroyed or died in the reporting month.





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 0579-0299. The time required to complete this information collection is estimated to average 4 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.

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NAHRS Monthly Report Form

NAHMS-57


File Typeapplication/msword
File TitleForm Approved
AuthorJames T. Case DVM, PhD
Last Modified Bycbsickles
File Modified2009-08-26
File Created2009-08-26

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