NAHMS 295 NAHMS Swine 2011 Nasal Swab Collection Record

Animal and Plant Health Inspection

Service

Veterinary Services

National Animal Health Monitoring System

2150 Centre Dr #B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-0315

EXP DATE: XX/XXXX

NAHMS

Swine 2011

Nasal Swab Collection Record

Sample 35 LATE finisher pigs (20 weeks and older) collecting from a variety of pens containing the age-appropriate pigs.

----- Please do not collect samples from any other swine such as sows, boars or piglets ------

Samples can be taken from all participating sites.

Record site information, kit number, date, etc. on the following Nasal Swab Collection Record.

For each animal, use one nasal swab provided. Insert the same swab into each nostril and twirl.

Place swab in individual zip lock bag provided.

Place label on zip lock bag and record facility, pen, animal (swab number) information on the right line on the label for each sample.

Cool samples ASAP after clotting.

Ship to NVSL on ice along with the copy of this form within 24 hours of collection.

Send white copy to your Coordinator within 3 business days.

Additional information regarding nasal swab collection is described in the Field Handbook.

NAHMS-295

SEPT 2011

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 0579-0315. 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.

NAHMS Swine 2011 – Nasal Swab Collection Record

Farm ID

# of People Involved _____ Fed VMO _____ Fed AHT _____ State VMO _____ St AHT _____ Producer _____ Priv Vet _____ Others-specify:

Key Collector Initials

Collection Date

Hours to take & prep samples

Kit Number

8-digits: ST, Op, Site

Enter number for each category

MM/DD/YY

In quarter hours

Must match labels

Swab #

Facility / Bldg ID

Pen ID

# of pigs in pen

# of pigs share air space

Pig age in weeks

Pig gender

Vaccinated for: PRRS New Flu Trad Flu Mycoplasma Y D/K N Y D/K N Y D/K N Y D/K N

1

M F

2

M F

3

M F

4

M F

5

M F

6

M F

7

M F

8

M F

9

M F

10

M F

11

M F

12

M F

13

M F

14

M F

15

M F

16

M F

17

M F

18

M F

19

M F

20

M F

21

M F

22

M F

23

M F

24

M F

25

M F

26

M F

27

M F

28

M F

29

M F

30

M F

31

M F

32

M F

33

M F

34

M F

35

M F

Lab Submission #