NAHMS 337 Tick Evaluation and Data Collection Record

NAHMS Equine 2015

Tick Evaluation and

Data Collection Record

National Animal Health Monitoring System

2150 Centre Ave, Bldg B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-0269

EXP. DATE: XX/20XX

Animal and Plant

Health Inspection

Service

Veterinary Services

Farm ID: (6 digits)	Kit #:	Collector name and phone number:	Date: (mm/dd/yy)

Tick Exam and Collection Instructions

Equids to sample: Sample up to 10 equids on the operation. Select equids that have the greatest chance of tick exposure—

i.e., equids that have access to grass or foliage even if the grass/foliage is located only at the edge(s) of a dirt pen or paddock.

Equids that are not turned out in a pasture or have access to other foliage have a low risk of tick exposure.

Kits: Each kit includes one glass tube prefilled with 70% ethanol and two tick collection tools: one Tick Key and one Pro tick.

1. Perform a full-body scratch inspection on the animal with your fingers to locate ticks. Record the location and number of ticks according to the diagram provided on the data collection form. For example, 20 ticks located by the left ear is entered as A-left (20) on the data collection form. Approximately 200 ticks on the right side of the tail is entered as G-right (200).

2. Use one of the two tick removal tools (instructions are included with each tool) to remove the tick and place it in the glass tube (prefilled with 70% ethanol).

3. From each equid where ticks are observed, collect a representative sample of ticks from each location on that equid. All collected ticks for the operation should be placed in the same tube.

4. Ship the tube along with the yellow copy of the Data Collection Record to NVSL, using the enclosed FedEx shipping label.

5. Send the original white copy of the Data Collection Record to your NAHMS Coordinator within 3 business days.

Tick Location Diagram

These are common locations of ticks on a horse or other equid. Please use the codes below to indicate on the Data Collection form where ticks are observed on each animal. Specify which side of the animal the ticks are located. If ticks are observed in a location not specified by the codes, mark H. and specify the location and side of the animal.

1. Ears

2. Mane

3. Intermandibular space

4. Girth or axilla

5. Sheath or udder

6. Between hindquarters/thighs

7. Tail head or under tail

8. Face

9. Other (specify on Data Collection Record)

H

Reference Codes for Tick Collection

Gender codes
1 = Intact male (stallion or colt)	3 = Nonpregnant female (mare or filly)	5 = Spayed female
2 = Castrated male (gelding)	4 = Pregnant female
Primary use codes
1 = Pleasure	3 = Breeding	5 = Farm or ranch work
2 = Show or competition (not betting)	4 = Racing	6 = Other (specify in column)
Equine type
1 = Horse	3 = Donkey	5 = Miniature
2 = Mule	4 = Pony	6 = Other
Breed codes
1 = Appaloosa	6 = Mustang	11 = Tennessee Walker
2 = Arabian	7 = Paint	12 = Thoroughbred
3 = Draft breed	8 = Quarter horse	13 = Warmblood breeds
4 = Miniature horse	9 = Saddlebred	14 = Other registered breed (specify on collection form)
5 = Morgan	10 = Standardbred	15 = Other nonregistered breed (specify on collection form)
Color (color of majority of body)
1 = Red	4 = White	7 = Red roan
2 = Brown	5 = Black	8 = Blue roan
3 = Gray	6 = Tan/Buckskin /Palomino	9 = Other (specify)

Equid #	Equid name or unique ID	Age (months or years)	Gender (See codes)	Primary use (see codes)	Equid Type: (See codes)	Breed (See codes)	Coat color (see codes)	In the past 6 months, has this equid had physical contact with pasture or other foliage (bushes, trees, weeds) (Yes/No)	Treated for ticks in previous 30 days? (Yes/No)	Code for product used to treat for ticks	Location(s) of ticks Indicate all locations where ticks were found Code for area of body, side (left or right), approximate number of ticks observed (see horse diagram)
Ex	Daisy	2yr	3	1	1	2	2	Yes	Yes	4	A-left (5), D-right (50), H-right (3)
1		___ mo ___ yr
2		___ mo ___ yr
3		___ mo ___ yr
4		___ mo ___ yr
5		___ mo ___ yr
6		___ mo ___ yr
7		___ mo ___ yr
8		___ mo ___ yr
9		___ mo ___ yr
10		___ mo ___ yr

Tick Prevention/Treatment Product List