NAHRS-2 SARS-CoV-2 Reporting

SARS-CoV-2 Testing in Animals Reporting Activities

NAHRS-2, SARS-CoV-2 Reporting

OMB: 0579-0476

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Animal: FDdrm, Accession: Unknown

Animal Info and Form

NAHRS SARS-CoV-2 Reporting

Test Resu

Links
NAHRS Monthly Report:

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California Submission May, 2020

Properties

Accession Number

Unknown

Collection State

California

Date Specimen Collected

May 13, 2020

Date Specimen Received

No value

Date Testing Completed

No value

Animal Id

FDdrm

Species

Felis catus

SARS-CoV-2 Reporting

Additional Epidemiological Details

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-XXXX.
The time required to complete this information collection is estimated to average 2 hours per
response, including the time to review instructions, search existing data resources, gather the
data needed, and complete and review the information collected.
OMB Approved 0579-XXXX EXP: XX/20XX

Please provide any additional epidemiological details about the animal referenced above who
was sampled and tested for SARS-CoV-2, the virus causing COVID-19 in humans

0. Name and Title of Official

More

* Provide

the name of the official completing

this form:
John Snowy

Provide the title of the official completing this
form:
VMO

Provide First and Last name, i.e. John Snowy

e.g. VMO, SAHO, Wildlife Official

1. Relevance to Other Animals
Will the information you provide in this form apply to other animals from the same premises which
have also been tested for SARS-CoV-2?

No

Yes

Please provide the Accession number(s) and/or Animal ID(s) for all such animals (preferred) or
the total number of all such animals, if more detailed information is unknown
Accession number
102567-20

Animal ID
/DgIR

+vEDC

From the premises of the animal currently being reported on, how many other animals have been
tested for SARS-CoV-2?
4

2. Age
* What

was the age of this animal at the time of
sampling?
15

Days
Weeks

Months
1. Enter number

Years
2. Select unit of time

Age is exact

Age is estimated
Age unknown
3. Specify if age is exact, estimated or unknown

3. Breed

*

If applicable, what breed is this animal?

Terrier
Breed is known

Not applicable
Breed unknown
Specify if breed is known, not applicable to this animal,
or unknown

4. Gender
* What

is the gender of this animal?

Female

Male

Unknown gender

5. County
* What

county is this animal from?

Larimer

6. Clinical signs
* Which

of the following clinical signs did this animal have at the time of sampling?

Cough

Shortness of Breath

Fever

Nasal Discharge

Ocular Discharge

No clinical signs

Unknown

Lethargy
Vomiting

Sneezing
Diarrhea

Other

Select all that apply

* Please

describe other clinical signs in this animal

Other clinical signs include abdominal pain

* What

was the date of onset of this animal’s
clinical signs?
09/01/2020

Date is exact

Date is estimated
Not applicable
Date unknown
Specify if date is exact, estimated, not applicable or
unknown

7. Other infections/conditions
*

Were any other infections or conditions diagnosed in this animal at the time of sampling?
Respiratory disease
Kidney disease

Cardiovascular disease
Diabetes

None

Gastrointestinal disease
Unknown

Other

Select all that apply

Please describe diagnosed infections or conditions in this animal (Include date of diagnosis,
medications prescribed, etc.)
*

Cancer; aspirin was prescribed

8. Current health status
* What

is the current health status of this

What date did this animal’s clinical signs
resolve?
*

animal
Sick

Euthanized

Died

10/01/2020

Unknown

Recovered

9. Residence type
* What

is the type of premises where this animal mostly resides?

Single - pet house

Multi - pet household

Farm - Non-commercial

Animal Shelter

Animal rehabilitation facility
Prison/Jail

Farm - Commercial
Zoo

Research facility

Long-term care facility (e.g. nursing home, etc)

Petting Zoo

Group facility (e.g. homeless shelter, retirement community, children/disabled group home,
etc)
Feral
* Please

Wildlife

Other

Unknown

describe the premises where the animal mostly resides

Animal mostly resides in a barn

10. Other animals on premises

*

Do other animals reside on the same premises?
Yes

No

Unknown

Please list the number and species of other animals and indicate if any were showing clinical
signs up to 14 days after this animal’s sampling
*

cat, dog, llama, horse - no signs for any

11. Access to outdoors
* What

kind of access to the outdoors does this animal normally have?

Outdoors - contained

Outdoors - free roaming

Indoors

Unknown

Select all that apply

* Please

elaborate if this animal normally accesses a COVID-19 high-risk county/counties

Animal has contact with Weld

12. Contact with suspect/confirmed source
* In

the 14 days prior to its sampling, has this animal had contact (within six feet) with positive or
suspected positive COVID-19/SARS-CoV-2 persons or animals?
Yes - Persons
Unknown - Persons

Yes - Animals

No - Persons

No - Animals

Unknown - Animals

Select all that apply

Please elaborate on contact with positive or suspected positive COVID-19/SARS-CoV-2 persons or
animals
dogwalker 5x a week with 6 dogs

Include frequency, location and nature of contact, etc

13. The next two questions ask about whether or not the affected
animal has had any contact with a caretaker who has high-risk
COVID-19 or SARS-CoV-2 case contacts

Contact with a caretaker means the affected animal has been within six feet of a caretaker.
Examples of caretakers include pet owners, kennel or shelter staff, zookeepers, mink farm
workers, nursing home or other long-term care facility workers and medical professionals
such as nurses, physicians, veterinarians, animal health technicians, etc

Caretakers should be considered to have high-risk COVID-19 contact if they have been within
six feet of a person that has been confirmed or suspected to have COVID-19. Please use the
following link to review the CDC case definition for COVID-19
(human) https://wwwn.cdc.gov/nndss/conditions/coronavirus-disease-2019-covid-19/casedefinition/2020/

Caretakers should be considered to have high-risk SARS-CoV-2 contact if they have been within
six feet of an animal that has been confirmed or suspected to be infected with SARS-CoV-2.
Please use the following link to review the CDC case definition for SARS-CoV-2 (animal):
https://www.aphis.usda.gov/animal_health/one_health/downloads/SARS-CoV-2-casedefinition.pdf

In the 14 days prior to its sampling, did this animal have contact with a caretaker who had high-risk
COVID-19 contact?
Yes

No

Unknown

Please elaborate on contact with caretakers who had high-risk COVID-19 contact.
dogwalker 5x a week and also frequent doctor visits

Include frequency, location and nature of contact, etc

In the 14 days prior to its sampling, did this animal have contact with a caretaker who had high-risk
SARS-CoV-2 contact?
Yes

No

Unknown

Please elaborate on contact with caretakers who had high-risk SARS-CoV-2 contact.
dogwalker 5x a week - many other dogs and also frequent doctor visits w/ many pets around

Include frequency, location and nature of contact, etc

14. International travel
* In

the 14 days prior to its sampling, has this animal traveled outside the USA (for at least one
night away)?

No

Yes
*

Unknown

Please elaborate on this animal’s international travel

went to Japan

Include mode of transportation, duration, temporary residence, etc

15. Domestic travel
* In

the 14 days prior to its sampling, has this animal traveled outside its county of residence (for
at least one night away)?

No

Yes
* Please

Unknown

elaborate on this animal’s national travel

went to Boston, MA

Include mode of transportation, duration, temporary residence, etc

16. Contact with international travelers
* In

the 14 days prior to its sampling, has this animal had contact (within six feet) with any persons
who traveled outside the USA (for at least one night away)?

No

Yes
* Please

Unknown

elaborate on person’s international travel in addition to this animal’s contact with him/her

many friends visited from Germany around this time frame

Include mode of transportation, duration, temporary residence, etc

17. Source of testing recommendation
* Who

recommended this animal for SARSCoV-2 testing?
Homer Snow
Provide First and Last name, i.e. Homer Snow. Type
“Unknown” if applicable.

Provide the title of the individual who
recommended testing:
DVM, PhD
e.g. VMO, SAHO, Wildlife Official

18. Animal current case status
* What

is this animal’s current case status?

Confirmed positive

Presumptive positive

Not a case

Unknown

19. Control measures
With relation to this animal, what control measures HAVE BEEN applied to reduce or eliminate
disease spread?
Quarantine

Cleaning & Disinfection

Traceability

None

Other

Unknown
With relation to this animal, please describe control measures that HAVE BEEN applied
Animal has been isolated from all other animals and owners have also isolated from
friends/family

With relation to this animal, what control measures WILL BE applied to reduce or eliminate disease
spread?
Quarantine

Cleaning & Disinfection

Traceability

None

Other

Unknown
With relation to this animal, please describe control measures that WILL BE applied
Continued isolation plus reduced doctor visits

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