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pdfNational Animal Health
Monitoring System
2150 Centre Ave Bldg B
Fort Collins, CO 80526
Animal and
Plant Health
Inspection
Service
Veterinary
Services
Form Approved
OMB Number 0579-xxxx
Expires
Poultry 2010
TURKEY QUESTIONNAIRE
Definitions:
Farm: A premises with one or more poultry house(s) under common management.
Flock: A group of birds housed together in one house and managed as a unit.
Affected turkey: Lesions present consistent with cellulitis/clostridial dermatitis (accumulation of
gelatinous fluid under the skin, particularly along the thighs and breast).
Affected flock: Mortality greater than 0.5 per 1,000 for 2 consecutive days in a flock over 10 weeks
of age, with affected turkeys.
Case farm: Farm with at least two-thirds of flocks affected within the previous 12 months.
Control farm: Farm with little or no problem with cellulitis/clostridial dermatitis during the previous
12 months.
Section A: Inventory
1. How many turkeys are on this farm today? ..........................................................
_____ head
2. How many turkeys were placed in the last 12 months? .......................................
_____ head
3. How many flocks were placed in the last 12 months?..........................................
_____ flocks
Section B: Clostridial Dermatitis
1. Of those turkeys placed in the last 12 months, how many turkeys:
a. Died? ..............................................................................................................
_____ head
2. Of those deaths, approximately how many (or what percent) were due to
clostridial dermatitis? .....................................................................
_____ head OR _____percent
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to
resond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 0579-XXXX. The time required to complete this information collection is estimated to average 0.5
hours per response, including the time to review instructions, search existing data resources, gather the data needed, and
complete and review the information collected.
NAHMS-237
Jun 2010
1
3. Of those flocks placed in the last 12 months, how many flocks
had no, mild, moderate, or severe clostridial dermatitis problems?
a. No problem.....................................................................................................
_____ flocks
b. Mild (mortality < 10%) ....................................................................................
_____ flocks
c.
Moderate ........................................................................................................
_____ flocks
d. Severe (mortality > 30%) ...............................................................................
_____ flocks
e. Total (should equal Item 3, Section A)...........................................................
_____ flocks
4. How would you rank the severity of clostridial dermatitis on this farm during:
None
Mild
Moderate
Severe
a. Spring (Mar–May, 2009)?
1
2
3
4
b. Summer (June–Aug, 2009)?
1
2
3
4
c.
1
2
3
4
1
2
3
4
Fall (Sep–Nov, 2009)?
d. Winter (Dec 2009–Feb 2010)?
Section C: Houses
1. How many bird houses are on this farm?..........................................................
2. Was the pH of the soil on the floor of the houses measured
during the previous 12 months? ......................................................
1 Yes
_____ houses
3 No
4 NA
[If Item 2 = NO or NA, SKIP to Item 4.]
3. What was the most recent measurement of soil pH on this farm? ............................
_____
4. At the completion of a flock’s growing cycle, is litter:
a. Reused for another flock? ..........................................................................
If YES, how many flocks on same litter ......................................................
b. Stored on farm? ..........................................................................................
If YES, distance to nearest poultry house .................................................
c.
Composted?................................................................................................
If YES, distance to nearest poultry house ..................................................
1 Yes
3 No
_____ flocks
1 Yes
3 No
_____ feet
1 Yes
3 No
_____ feet
d. Applied to land on this farm? .....................................................................
1 Yes
3 No
e. Moved off farm? ..........................................................................................
1 Yes
3 No
2
5. Which of the following best describes this farm’s carcass (daily mortality)
disposal method? (Check one only.)
1 Rendering
2 Composting
3 Burial
4 Incineration
5 Other (specify: ________________________________)
If Item 9 = 2 (composting), distance from composter to nearest poultry house ...
_____ feet
6. How often are mortalities removed from houses? (Check one only.)
1 More than twice daily
2 Twice daily
3 Once daily
4 Less than once daily
7. What is the usual down time between flocks? ..................................................
_____ days
8. How frequently are the following procedures performed?
(See supplemental sheet for disinfectant product codes.)
After
every flock
After two
flocks
After three
or more
flocks
Never
a. Houses washed down and disinfected
1
2
3
4
Primary disinfectant product used
_______ code
2
3
4
2
3
4
b. Feeders, feed hoppers, water tanks
washed/disinfected
Primary disinfectant product used
c.
Flush/disinfect water lines
Primary disinfectant product used
1
_______ code
1
_______ code
d. Dry clean walls/ceilings
1
2
3
4
e. Clean fans, ventilation system, cool cells
1
2
3
4
9. What procedure is used to clean and disinfect houses? (Check one only.)
1 Single step (soap and disinfectant mixed)
2 2 step (water and soap followed by disinfectant)
3 Other (specify __________________________)
10. How many days after birds are removed from the house is cleaning and
disinfecting usually done?
_____ days
3
11. Which of the following best describes the bird age grouping? (Check one only.)
1 Multi-age, same house
2 Different ages, different houses
3 Whole farm one age
12. Which of the following best describes the birds’ drinking water supply? (Check one only.)
1 Well less than 300 ft deep
2 Well 300 ft deep or more
3 Municipal water system
4 Other (specify: _____________________________)
13. Does this farm perform any of the following treatments on the birds’ drinking water?
a. Acidification ................................................................................................. .........
1 Yes
If YES, to what target pH? ......................................................................... .........
3 No
_____
b. Chlorine....................................................................................................... .........
1 Yes
3 No
c.
Hydrogen peroxide...................................................................................... .........
1 Yes
3 No
d. Iodine........................................................................................................... .........
1 Yes
3 No
If YES, to what target concentration? ...................................................
_____ ppm free iodine
How many days is iodine in the water?....................................................... .........
e. Water softening ........................................................................................... .........
14. Was the pH of the birds’ drinking water measured
during the previous 12 months? ......................................................................
_____ days
1 Yes
3 No
1 Yes
3 No
[If Item 14 = NO, SKIP to Section D.]
15. What was the most recent measurement of bird drinking water pH on this farm? ....
_____
Section D: Biosecurity
1. During the previous 12 months, did poults come from the following sources?
a. Hatchery belonging to this company...........................................................
1 Yes
3 No
b. Hatchery belonging to a different company ................................................
1 Yes
3 No
c.
Brooder farm belonging to this company ....................................................
1 Yes
3 No
d. Brooder farm belonging to a different company..........................................
1 Yes
3 No
e. Other (specify: _______________________________) ............................
1 Yes
3 No
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2. Which of the following describes the bird flow on this farm?
(Check one only.)
1 All-in/all-out for entire farm
2 All-in/all-out by house
3 Continuous flow
3. Are the following measures always, sometimes, or never required for employees,
catch/vaccination crews, and visitors?
Producer/Employees
Shower
Different personnel for
different houses
Change of clothing
(disposable)
Change of clothing
(washable)
Change shoes or
foot cover
Foot bath (liquid)
Foot bath (dry)
Scrub footwear
(bucket and brush)
Not be around other
poultry (at least
24 hours)
Cannot own poultry
or birds
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
Catch/ Vaccination
Crews
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
Visitors
1 Always
2 Sometimes
3 Never
NA
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
1 Always
2 Sometimes
3 Never
4. Do catch crews and vaccination crews catch birds for other companies?
a. Catch crews ..................................................
b. Vaccination crews .........................................
1 Yes
1 Yes
3 No
3 No
4 NA (no catch crews)
4 NA (no vaccination crews)
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5. Are the following types of animals on this farm?
a. Cattle ..............................................................................................................
1 Yes
3 No
b. Pigs ................................................................................................................
1 Yes
3 No
c.
Other livestock ...............................................................................................
1 Yes
3 No
d. Chickens ........................................................................................................
1 Yes
3 No
e. Other poultry ..................................................................................................
1 Yes
3 No
f.
Pet birds .........................................................................................................
1 Yes
3 No
g. Other pets (dogs, cats, etc.)...........................................................................
1 Yes
3 No
6. Have free-ranging backyard poultry been seen within 100 ft of this farm? ..........
1 Yes
3 No
a. Rodents? ..........................................................................................................
1 Yes
3 No
b. Wild birds? ........................................................................................................
1 Yes
3 No
c. Cats?.................................................................................................................
1 Yes
3 No
d. Dogs? ...............................................................................................................
1 Yes
3 No
e. Wild mammals such as raccoon, opossum, etc.? ............................................
1 Yes
3 No
7. Is feed stored in such a way as to prevent access to:
8. How great a problem were the following pests on this farm
during the previous 12 months?
a. Mice .............................................
1Severe
2 Moderate
3 Slight
4 None
b. Rats
1 Severe
2 Moderate
3 Slight
4 None
1 Severe
2 Moderate
3 Slight
4 None
...........................................
b. Beetles
......................................
9. During the previous 12 months, were any of the following rodent
control methods used on this farm?
a. Chemicals or bait ...........................................................................................
1 Yes
3 No
b. Traps or sticky tape........................................................................................
1 Yes
3 No
c.
Cats ................................................................................................................
1 Yes
3 No
d. Exterminator...................................................................................................
1 Yes
3 No
e. Other (specify: _____________________________) ...................................
1 Yes
3 No
a. Another farm, same company?......................................................................
1 Yes
3 No
b. Another farm, different company?..................................................................
1 Yes
3 No
10. During the previous 12 months, did you share any equipment
(e.g., tractors, feeding equipment, litter spreaders, trailers, egg crates) with:
11. Which of the following best describes the vehicle most often used to
transport shavings to this farm during the previous 12 months? (Check one only.)
1 Vehicle dedicated to this farm only
2 Vehicle dedicated to this company only
3 Vehicle also used on other company farms or independent farms
4 Other (specify: ______________________________)
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12. Is litter/manure from another farm applied to land on this farm?
a. Litter/manure from another farm, same company..........................................
1 Yes
3 No
b. Litter/manure from another farm, different company .....................................
1 Yes
3 No
Section E: Flock Questions
For this section, the questions will refer to one flock, and the house that contained this flock.
Control farms: Select the most recently completed flock (birds already gone to slaughter), and
answer for the house that contained this flock.
Case farms: Select the last completed flock affected with cellulitis (birds already gone to slaughter),
and answer for the house that contained this flock.
For the selected house/flock:
1. What are the dimensions of the house? ....................................................
_____ feet X ____ feet
2. What is the age of the house? .........................................................................
____ years
3. What type of flooring does the house have? (Check one only.)
1 Slatted flooring over dirt/clay
2 Slatted flooring over concrete
3 Litter over dirt/clay
4 Litter over concrete
5 Combination of slats and litter over dirt/clay
6 Combination of slats and litter over concrete
7 Other flooring type (specify: ___________________________)
4. At the time the flock of interest was placed, how long had it been since:
a. The house was washed down and disinfected? ..........................................
_____ months
b. The feeders, feed hoppers, and water tanks for the house
were washed/disinfected?..............................................................................
_____ months
c.
The water lines were flushed/disinfected? .....................................................
_____ months
d. The walls/ceilings were dry cleaned? ............................................................
_____ months
e. Fans, ventilation system, cool cells were cleaned? .......................................
_____ months
5. How many turkeys were placed in the house? ......................................................
_____ head
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6. What type of turkeys were placed for the flock? (Check one only.)
1 Brood hens and toms together
2 Grower hens and toms together
3 Brood hens
4 Brood toms
5 Grower toms
6 Grower hens
7. What was the strain of the turkeys placed for the flock? (Check one only.)
1 Hybrid
2 Nicholas
3 Mixed
4 Other (specify: ___________________________)
8. What was the season when the flock was placed? (Check one only.)
1 Spring (Mar–May, 2009)
2 Summer (June–Aug, 2009)
3 Fall (Sep–Nov, 2009)
4 Winter (Dec 2009–Feb 2010)
9. What was the growth rate for this flock? (Check one only.)
1 Above average
2 Average
3 Below average
10. What was the average barn temperature when the turkeys
in this flock were 10 weeks old? ...........................................................................
_____ °F
11. What was the humidity level in the barn when turkeys
in this flock were 10 weeks old? ...........................................................................
_____ % humidity
12. During the life of the flock, how many times was litter tilled? ...............................
_____ times
13. Were the following floor (pad) treatments done prior to placing
new bedding in this house during the previous 12 months?
a. Acidify (e.g., alum, sodium bisulfate) ............................................................
1 Yes
3 No
b. Salt .................................................................................................................
1 Yes
3 No
c.
1 Yes
3 No
Other (specify: ____________________________) .....................................
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14. What type of litter was used for this flock? (Check one only.)
1 Wood shavings
2 Rice hulls
3 Peanut hulls
4 Litter not used
5 Other (specify: ____________________________)
[If Item 14 = 4, SKIP to Item 16.]
15. Were any of the following litter treatments used for this flock?
a. Acidifier (e.g., alum, sodium bisulfate, PLT, Poultry Guard) .........................
1 Yes
3 No
b. Alkalinizer between flocks (e.g., lime) ...........................................................
1 Yes
3 No
c.
Absorbers (e.g., clinoptilolite clay, peat) .......................................................
1 Yes
3 No
d. Other (specify: ____________________________) .....................................
1 Yes
3 No
a. Clostridium perfringens? ...............................................................................
1 Yes
3 No
b. Clostridium septicum? ...................................................................................
1 Yes
3 No
a. Ionophores .....................................................................................................
1 Yes
3 No
b. Vitamin E........................................................................................................
1 Yes
3 No
c.
Selenium ........................................................................................................
1 Yes
3 No
d. Other vitamins (specify: ________________________) ...............................
1 Yes
3 No
e. Probiotics .......................................................................................................
1 Yes
3 No
f.
1 Yes
3 No
16. Was this flock vaccinated for
17. Were any of the following fed to this flock?
Direct-fed microbials ......................................................................................
If YES, at what age were direct-fed microbials:
i.
Started? ..................................................................................................
_____ days of age
ii.
Discontinued? .........................................................................................
_____ days of age
g. Antibiotics for growth promotion.....................................................................
1 Yes
3 No
h. Antibiotics for disease treatment....................................................................
1 Yes
3 No
i.
Bakery meal ...................................................................................................
1 Yes
3 No
j.
Dried grains....................................................................................................
1 Yes
3 No
k.
MBM ...............................................................................................................
1 Yes
3 No
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18. What type of coccidiosis control was used for this flock?
a. Coccidiostats in feed ......................................................................................
1 Yes
3 No
If YES, at what age were coccidiostats:
i.
Started? ............................................................................................
_____ days of age
ii.
Discontinued? ..................................................................................
_____ days of age
b. Rotating coccidiostats during the same growout ...........................................
1 Yes
3 No
c.
1 Yes
3 No
a. PEMS .............................................................................................................
1 Yes
3 No
b. Coccidiosis .....................................................................................................
1 Yes
3 No
c.
Necrotic enteritis ............................................................................................
1 Yes
3 No
d. Mycoplasma ...................................................................................................
1 Yes
3 No
e. Blackhead ......................................................................................................
1 Yes
3 No
f.
1 Yes
3 No
Coccidia vaccination ......................................................................................
19. Were any of the following diseases present in this flock?
Avian influenza...............................................................................................
20. Of those turkeys placed in this flock, how many turkeys (or what percentage):
a. Died of all causes?..................................................................
_____ head OR _____ percent
b. Died due to clostridial dermatitis? ...........................................
_____ head OR _____ percent
Control Farms – Skip to End
21. What was the age (in weeks) of onset for the clostridial dermatitis in this flock?
22. Was the previous flock in the same house affected with clostridial dermatitis?
If YES, what percentage of turkeys from the previous flock died due
to clostridial dermatitis? .....................................................................................
What was the age (in weeks) of onset for the clostridial dermatitis in
the previous flock?.............................................................................................
_____ weeks
1 Yes
3 No
_____ percent
_____ weeks
Thank you for completing this survey!
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Section F: pH Testing
It has been suggested that the pH level in turkey litter and drinking water may have an association with
clostridial dermatitis. In this section we will ask you to measure the pH of water and litter using the
provided kit.
If this is a CASE FARM:
Select one turkey house that contains turkeys between 7 and 16 weeks of age, and has a history of
clostridial dermatitis. This can be a different house from the one selected for the questionnaire above.
If this is a CONTROL FARM:
Select one turkey house that contains turkeys between 7 and 16 weeks of age, and has NOT had a
history of clostridial dermatitis. This can be a different house from the one selected for the questionnaire
above.
Complete the information below for the selected house:
1. What is the age of the turkeys in this house today?.............................................
_____ weeks
2. How many turkeys are in this house? ..................................................................
_____ head
3. What is the age of this house? .............................................................................
_____ years
4. What are the dimensions of this house? .....................................................
_____ feet X _____feet
5. Does this house contain: (Check one only.)
1 Toms only?
2 Hens only?
3 Toms and hens?
6. Are turkeys in this house currently experiencing
symptoms consistent with clostridial dermatitis?..................................................
If YES, on what date did symptoms begin? .........................................................
7. When was the last outbreak of clostridial dermatitis
in this house? ..........................................................................
_____ date
1 Yes
3 No
_____ date
OR 1 Never
Kit Contents:
Two 50-mL plastic jars
One roll of pH paper
Deionized water
Stir stick
Instructions for pH Measurement
Water collection:
Fill the first plastic jar at least three-fourths full of water. Take equal amounts of water (1/4 jar per location)
from three waterers throughout the house—one on each end of the barn and one in the middle. Use care
to not get any foreign material in the water. Dip a 2-inch piece of pH paper into the water for 5 seconds.
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Remove the pH paper from the water and immediately read the pH by comparing the color of the paper to
the color guide on the packaging. Discard the water.
Record the water pH level here: __________________
Litter collection:
Wearing gloves, dig through the upper layer of litter and collect a golf ball-sized amount of material from
close to the floor. Take three samples from throughout the house—one from near the feeders, one from
the middle of the barn, and one away from the feeders. Place all three samples in the second plastic jar.
Add the bottle of deionized water to the litter and mix well with the stir stick. Press a 2-inch strip of pH
paper onto the surface of the litter slurry and hold in place for 5 seconds. Remove the pH paper from the
slurry and immediately read the pH by comparing the color of the paper to the color guide on the
packaging.
Record the litter pH level here: __________________
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File Type | application/pdf |
File Title | Microsoft Word - Turkey Questionnaire OMB.doc |
Author | aberry |
File Modified | 2010-01-20 |
File Created | 2010-01-20 |