NAHMS 251 Sheep 2011 - Nasal Swab and Blood Sample Collection Reco

National Animal Health Monitoring System

2150 Centre Ave, Bldg B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-0188

Approval expires: 6/30/2013

Animal and Plant Health

Inspection Service

Veterinary Services

Sheep 2011

Nasal Swab & Blood Sample

Collection Record

Draft October 2010

BOTH blood and nasal swab Sampling MUST

be done and completed at the same visit.

If the operation wants to do blood, it must also do the nasal swab sampling. It can not opt out of one.

Instructions:

1) Sample a maximum of 51 sheep greater than 2 years of age.

If you have:

1 to 19 sheep - collect from all

20 to 50 sheep - collect up to 35 samples

51 to 100 sheep - collect up to 45 samples

101 or more sheep - collect 51 samples

2) Collect 1 red top tube of blood per using the provided 18 gauge 1-inch vacutainer needles and tubes.

3) Collect 1 nasal swab sample.

3) Write the State, Operation, Kit, and Animal ID on both samples.

4) Record the tube and swab number and Sheep ID from the tube label to the collection form starting on the next page and complete the information for each sample.

5) Ship with ice packs to the laboratory within 24 hours. Include the yellow copy of this form with the samples. Send the original to NAHMS and the pink copy to your Coordinator.

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 0579-0188. The time required to complete this information collection is estimated to average 4.0 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.

and review the information collected.

NAHMS-251

Oct 2010

Sheep 2011 – Blood Collection Record

State FIPS:	Operation #:	Date:	Kit #:	Total Sheep Inventory TODAY:
2 digits	4 digits	mm/dd/yy	Printed on labels
				Total Sheep over 2 Years of Age:

Tube # from label	Sheep ID	Breed Code	Age in Years (must be > 2)	Gender	Body Score 1 = Thin, 2 = Normal 3 = Fat	Was this animal ever vaccinated for sore mouth?	Comments
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	1
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	2
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	3
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	4
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	5
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	6
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	7
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	8
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	9
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	10
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	11
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	12
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	13
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	14
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	15
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	16
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	17
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	18
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	19
BREED CODES: tbd

Sheep 2011 – Blood Collection Record – continued Page 2

State FIPS:

Operation #:

Kit #:

Continue blood collection if you have more than 19 sheep that are 2-years old or more. Collect up to 35 samples if your flock size is 20 to 50 sheep.
Tube # from label	Sheep ID	Breed Code	Age in Years (must be > 2)	Gender	Body Score 1 = Thin, 2 = Normal 3 = Fat	Was this animal ever vaccinated for sore mouth?	Comments
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	20
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	21
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	22
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	23
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	24
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	25
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	26
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	27
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	28
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	29
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	30
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	31
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	32
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	33
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	34
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	35
Continue blood collection if you have more than 50 sheep that are 2-years old or more.
BREED CODES: TBD

Sheep 2009 – Blood Collection Record – continued Page 3

State FIPS:

Operation #:

Kit #:

Continue blood collection if you have more than 50 sheep that are 2-years old or more. Collect 45 total samples if your flock size is 51 to 100 sheep.
Tube # from label	Sheep ID	Breed Code	Age in Years (must be > 2)	Gender	Body Score 1 = Thin, 2 = Normal 3 = Fat	Was this animal ever vaccinated for sore mouth?	Comments
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	36
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	37
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	38
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	39
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	40
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	41
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	42
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	43
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	44
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	45
Continue blood collection if you have more than 100 sheep that are 2-years old or more. Collect 51 total samples if your flock size is more than 100 sheep.
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	46
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	47
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	48
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	49
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	50
				1 M 2 F	1 T 2 N 3 F	1 Yes 3 No	51
BREED CODES: TBD