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pdfAccording 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 8 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.
UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES
OMB Approved
0579-0299
EXP.: XX/XXXX
NATIONAL LIST OF REPORTABLE ANIMAL DISEASES (NLRAD)
NATIONAL ANIMAL HEALTH REPORTING SYSTEM (NAHRS)
MONTHLY REPORT FORM
INSTRUCTIONS
These instructions refer to completion of the NLRAD NAHRS form by the State Animal Health Officials (SAHO) or representatives.
NLRAD NAHRS reporting is completed through the NAHRS Web Reporting Tool: https://vsapps.aphis.usda.gov/NAHRS. This document
reflects the reporting required in the NAHRS Web Reporting Tool and can be utilized to assist in completing reports or as a guide for
reporting requirements. Additional information on the NLRAD NAHRS, reporting criteria, and utilizing the NAHRS Web Reporting Tool
can be found at: https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/monitoringandsurveillance/sa_disease_reporting/ct_info_for_participants
For each month, please report disease presence or absence for the entire month. Monthly reports are requested 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.
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 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 confirmed (definitive)
criteria for presence of disease, record it as present. If a case does not meet the NAHRS confirmed (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 nonlisted 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. confirmed; 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 at
NLRAD.NAHRS@aphis.usda.gov to update the information.
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
SECTION I - NAHRS REPORT FOR:
State:
Month:
Year:
NOTE: Diseases below that are indicated as Foreign Animal Disease (FAD) are those diseases that are considered foreign to the United
States. Reporting the presence of a FAD occurrence is made after State-Federal coordination.
SECTION II – DISEASE OCCURRENCE INFORMATION:
WORLD ORGANIZATION FOR ANIMAL HEALTH (OIE)
NUMBER - DISEASE NAME
PRESENT
BOVINE
YES
COMMENTS
NO
A010 Foot-and-Mouth Disease (all FMD, Viruses O, A, C, SAT 1,
SAT 2, SAT 3, Asia 1)
FAD
A020 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or
not typed)
A040 Rinderpest
FAD
A060 Contagious bovine pleuropneumonia (Mycoplasma
mycoides mycoides)
FAD
A070 Lumpy skin disease
FAD
A080 Rift Valley fever
FAD
A090 Bluetongue
Indicate level of diagnostics – i.e. serology
Type (if known):
N001 Crimean Congo hemorrhagic fever
FAD
2001 Akabane (congenital arthrogryposishydranencephalaly
syndrome)
FAD
B051 Anthrax (Bacillus anthracis)
B052 Aujesky’s disease (Pseudorabies)
B053 Echinococcosis / Hydatidosis (E. granulosis, E.
multiocularis, E. oligarthrus, E. vogeli)
B055 Heartwater (Cowdria ruminantium)
FAD
B057 Q fever (Coxiella burnetii)
B058 Rabies
B059 Paratuberculosis (Johne’s Disease, Mycobacterium avium
paratuberculosis)
B060 New World screwworm (Cochliomyia hominivorax)
FAD
B061 Old World screwworm (Chrysomya bezziana)
FAD
B101 Anaplasmosis (Anaplasma marginale, A. centrale)
B102 Babesiosis (Babesia bovis, B. bigemina)
FAD
B103 Bovine brucellosis (Brucella abortus)
B152 Caprine and ovine brucellosis (Brucella melitensis)
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
B253 Porcine 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)
FAD
B110 Infectious bovine rhinotracheitis/ infectious pustular
vulvovaginitis (IBR/IPV)
B111 Theileriasis (Theileria annulata, T. parva)
FAD
B112 Trichomoniasis (Tritrichomonas (Trichomonas) foetus)
B113 Trypanosomiasis (tsetse-transmitted)
(Trypanosoma congolense, T. vivax, T. brucei brucei, T. evansi)
FAD
B114 Malignant catarrhal fever
Indicate if Sheep or Wildebeest related form/ or other
B115 Bovine Spongiform Encephalopathy
N158 Epizootic hemorrhagic disease (EHD)
C613 Melioidosis (Burkholderia pseudomallei) (Pseudoglanders,
Whitmore disease)
FAD
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
FARMED CERVIDS
YES
NO
A010 Foot-and-Mouth Disease (all FMD, Viruses O, A, C, SAT 1,
SAT 2, SAT 3, Asia 1)
FAD
A020 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or
not typed)
A040 Rinderpest
FAD
A080 Rift Valley fever
FAD
A090 Bluetongue
Type (if known):
N001 Crimean Congo hemorrhagic fever
FAD
2001 Akabane (congenital arthrogryposishydranencephalaly
syndrome)
FAD
B051 Anthrax (Bacillus anthracis)
B052 Aujesky’s disease (Pseudorabies)
B053 Echinococcosis / Hydatidosis (E. granulosis, E.
multiocularis, E. oligarthrus, E. vogeli)
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
B055 Heartwater (Cowdria ruminantium)
FAD
B057 Q fever (Coxiella burnetii)
B058 Rabies
B059 Paratuberculosis (Johne’s Disease, Mycobacterium avium
paratuberculosis)
B060 New World screwworm (Cochliomyia hominivorax)
FAD
B061 Old World screwworm (Chyrsomya bezziana)
FAD
B103 Bovine brucellosis (Brucella abortus)
B152 Caprine and ovine brucellosis (Brucella melitensis)
B253 Porcine brucellosis (Brucella suis)
B105 Bovine tuberculosis (Mycobacterium bovis)
B114 Malignant catarrhal fever
Indicate if Sheep or Wildebeest related form/ or other
N156 Chronic Wasting Disease (CWD)
N158 Epizootic hemorrhagic disease (EHD)
C613 Melioidosis (Burkholderia pseudomallei) (Pseudoglanders,
Whitmore disease)
FAD
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
CAPRINE AND OVINE
YES
NO
A010 Foot-and-Mouth Disease (FMD, Viruses O, A, C, SAT 1,
SAT 2, SAT 3, Asia 1, or not typed)
COMMENTS
FAD
A020 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or
not typed)
A040 Rinderpest
FAD
A050 Peste des petits ruminants
FAD
A080 Rift Valley fever
FAD
A090 Bluetongue
Type (if known):
A100 Sheep pox and goat pox
FAD
N001 Crimean Congo hemorrhagic fever
FAD
2001 Akabane virus (congenital
arthrogryposishydranencephalaly syndrome)
FAD
B051 Anthrax (Bacillus anthracis)
B052 Aujesky’s disease (Pseudorabies)
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
B053 Echinococcosis / Hydatidosis (E. granulosis, E.
multiocularis, E. oligarthrus, E. vogeli)
B055 Heartwater (Cowdira ruminantium)
FAD
B057 Q fever (Coxiella burnetii)
B058 Rabies
B059 Paratuberculosis (Johne’s Disease,
Mycobacterium avian subsp. paratuberculosis)
B060 New World screwworm (Cochliomyia hominivorax)
FAD
B061 Old World screwworm (Chyrsomya bezziana)
FAD
B103 Bovine brucellosis (B.abortus)
B105 Bovine Tuberculosis (Mycobacterium bovis)
B111 Theileriasis (Theileria annulata, T. parva)
FAD
B151 Ovine epididymitis (Brucella ovis infection)
B152 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 chlamydiosis,
Chlamydophilia abortus)
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
C613 Melioidosis (Burkholderia pseudomallei) (Pseudoglanders,
Whitmore disease)
C706 Mange-Sarcoptes scabiei var ovis,Chorioptes
bovis,Psoroptes ovis,Psoroptes cuniculi,Psorergates ovis
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
FAD
EQUINE
YES
NO
COMMENTS
A020 Vesicular stomatitis (VS, viruses Indiana, New Jersey, or
not typed)
A110 African horse sickness
FAD
B051 Anthrax (Bacillus anthracis)
B053 Echinococcosis / Hydatidosis (E. granulosis, E.
multiocularis, E. oligarthrus, E. vogeli)
B058 Rabies
B060 New World screwworm (Cochliomyia (Callitroga)
hominivorax)
FAD
B061 Old World screwworm (Chrysomya bezziana)
FAD
B062 Trichinellosis (Trichinella spp.)
B201 Contagious equine metritis (Taylorella equigenitalis)
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
B207 Equine piroplasmosis (Babesiosis, Babesia (Piroplasma)
equi, B. caballi)
B208 Equine rhinopneumonitis (EHV 1)
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
W075 Hendra virus
FAD
C613 Melioidosis (Burkholderia pseudomallei) (Pseudoglanders,
Whitmore disease)
FAD
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
C752 Pigeon fever (Corynebacterium pseudotuberculosis,
ulcerative lymphangitis)
C753 Strangles (Steptococcus equi equi)
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
PORCINE
YES
NO
A010 Foot-and-Mouth Disease (FMD-O, A, C, SAT 1, SAT 2,
SAT 3, Asia 1, or not typed)
FAD
A020 Vesicular stomatitis (VS, Viruses Indiana, New Jersey, or
not typed)
A030 Swine vesicular disease
FAD
A040 Rinderpest
FAD
A120 African swine fever
FAD
A130 Classical swine fever (hog cholera)
N258 Nipah virus encephalitis
FAD
B051 Anthrax (Bacillus anthracis)
B052 Aujesky’s disease (Pseudorabies)
B053 Echinococcosis / Hydatidosis (E. granulosis, E.
multiocularis, E. oligarthrus, E. vogeli)
B058 Rabies
B060 New World screwworm (Cochliomyia (Callitroga)
hominivorax)
FAD
B061 Old World screwworm (Chrysomya bezziana)
FAD
B062 Trichinellosis (Trichinella spp.)
B212 Japanese encephalitis
FAD
B252 Porcine Cysticercosis (Cysticercus cellulosae
metacestode stage of Taenia solium)
B253 Porcine brucellosis (Brucella suis)
B254 Transmissible gastroenteritis (TGE)
B257 Porcine reproductive and respiratory syndrome (PRRS)
B352 Tularemia (Francisella tularensis)
C613 Melioidosis (Burkholderia pseudomallei) (Pseudoglanders,
Whitmore disease)
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
FAD
AVIAN
YES
NO
YES
NO
YES
NO
A150h Highly pathogenic avian influenza (fowl plague)(reporting
of occurrence in all birds)
N150i Low pathogenic avian influenza (H5 or H7 subtypes)
poultry
A160 Newcastle disease (exotic)(END)
N315 Turkey rhinotracheitis (avian metapneumovirus)
B301 Avian infectious bronchitis
B302 Avian infectious laryngotracheitis
B304 Duck viral hepatitis
B308 Fowl typhoid (Salmonella gallinarum)
B309 Infectious Bursal Disease (Gumboro Disease)
B311 Mycoplasmosis (Mycoplasma gallisepticum)
B312 Avian Chlamydiosis (Psittacosis and Ornithosis,
Chlamydia psittaci)
B313 Pullorum Disease (Salmonella pullorum)
N316 Mycoplasmosis (Mycoplasma synoviae)
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
LAGOMORPH (Rabbits and Hares)
COMMENTS
B351 Myxomatosis (Myxoma virus)
B352 Tularemia (Francisella tularensis)
B353 Rabbit hemorrhagic disease
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
OTHER DISEASES
B501 Leishmaniosis (Canines, feline, or equine)
N502 Camelpox
FAD
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
BEE (APIARY) Optional Reporting
YES
NO
B451 Acarapisosis of honey bees
B452 American foulbrood of honey bees
B453 European foulbrood of honey bees
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
B455 Small hive beetle infestation (Aethina tumida)
2008 Tropilaelaps infestation of honey bees
FAD
2009 Varroosis of honey bees
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
AQUATIC
YES
NO
FISH
B401 Viral hemorrhagic septicemia (VHS)
N416 Infectious salmon anemia (ISA) (HPR-deleted)
FAD
N416a Infectious salmon anemia (ISA) (HPR0)
B404 Spring viremia of carp (SVC)
B405 Infectious hematopoietic necrosis (IHN)
B413 Epizootic hematopoietic necrosis
FAD
N417 Epizootic ulcerative syndrome (EUS)(Infection with
Aphanomyces invadans)
N418 Gyrodactylosis (Gyrodactylus salaries)
FAD
N419 Red sea bream iridoviral disease
FAD
N420 Koi herpesvirus disease
2011 Infection with salmonid alphavirus
FAD
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
MOLLUSC
N430 Infection with Bonamia ostreae
N431 Infection with Bonamia exitiosa
N432 Infection with Marteilia refringens
FAD
N433 Infection with Perkinsus marinus
N434 Infection with Perkinsus olseni
FAD
N435 Infection with Xenohaliotis californiensis
N436 Infection with abalone herpes virus
FAD
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
CRUSTACEAN
N450 Taura syndrome
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
B446 White spot disease
N451 Necrotising hepatopancreatitis (Candidatus Hepatobacter
penaei) (NHP, early mortality syndrome)
N452 Yellowhead disease (Infection with Yellowhead virus
genotype 1)
FAD
N455 Infectious hypodermal and haematopoietic necrosis
N456 Crayfish plague (Aphanomyces astaci)
N457 Infectious myonecrosis
FAD
N458 White tail disease
FAD
N459 A cute hepatopancreatic necrosis disease (AHPND) (Vibrio
parahemolyticus-pVA-1 plasmid)
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
AMPHIBIAN DISEASES
YES
NO
N601 Infection with Batrachochytrium dendrobatidis
N602 Infection with ranavirus
N603 Infection with Batrachochytrium salamandrivorans
1000 Other Diseases (occurrence of non-listed diseases/events
of significance, enter in comments)
SECTION III – ADDITIONAL EQUINE INFECTIOUS ANEMIA TESTING INFORMATION:
1. Number of EIA tests performed in a 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
not 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.
VS FORM 12-10
MAY 2019
This form replaces SDA-1.
File Type | application/pdf |
Author | Moxey, Joseph - APHIS |
File Modified | 2019-05-03 |
File Created | 2019-05-03 |