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Animal: FDdrm, Accession: Unknown
Animal Info and Form
NAHRS SARS-CoV-2 Reporting
Test Resu
Links
NAHRS Monthly Report:
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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| File Type | application/pdf |
| File Modified | 2020-10-16 |
| File Created | 2020-10-08 |