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International Breeders' Meeting

INTERNATIONAL COLLATING CENTRE


    Animal Health Trust
    Information Exchange on Infectious Equine Disease
    Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, England
    Telephone: + 44 (0) 1638 750659 extension 1203
    Fax: + 44 (0) 1638 555659
    Website: http://www.aht.org.uk    /icc/linksicc.html

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    PLEASE NOTE DUE TO A CHANGE IN PERSONNEL, IN FUTURE PLEASE CONTACT AMANDA TANNER AT ANY OF THE ABOVE NUMBERS, OR E-MAIL icc@aht.org.uk TO SUBMIT REPORTING INFORMATION



Country:
Quarter: 1 2 3 4 Year:

PLEASE COMPLETE THIS FORM AT THE END OF EACH QUARTER
ONE FORM SHOULD BE COMPLETED FOR EACH DISEASE REPORTED
NB: Equine Influenza, African Horse Sickness, Venezuelan Equine Encephalomyelitis
Or a severe outbreak of any other disease listed overleaf should be reported IMMEDIATELY (see notes overleaf).


Disease being reported:
Date outbreak commenced: Date of last reported case:
Serotype/strain (if applicable):
Name of laboratory confirming diagnosis:
Method of diagnosis: Serology Agent Isolation PCR ELISA Other (please specify):
Has the outbreak been: Limited Extensive Clinically Mild Clinically Severe
Has it affected: Performance Horses Breeding Stock
Thoroughbreds Non-Thoroughbreds Other Breeds
How many premises: and horses: have been affected?
Vaccination history (if relevant):
Brief clinical description and any other relevant information:


E-Mail Address:
Position: Date:




NOTES

Diseases which should be reported to the International Collating Centre. This is not an exclusive list; please include any other diseases you consider to be relevant.


Viral Diseases
* African Horse Sickness
Borna Disease
Encephalomyelitis
Equine Herpesvirus 1 & 4
Equine Infectious Anaemia
Equine Morbillivirus
Getah Virus Disease
* Influenza
Japanese Encephalitis
Rabies
Rotavirus
* Venezuelan Equine Encephalomyelitis
Vesicular Stomatitis
Viral Arteritis

Protozoal Diseases
Dourine
Equine protozoal myelitis
Piroplasmosis (Babesia equi and Babesia caballi)
Surra

Bacterial and Rickettsial Diseases
Anthrax
Contagious Equine Metritis
Ehrlichia equi
Glanders
Leptospirosis
Lyme Disease
Melioidosis
Potomac Horse Fever
Strangles (Streptococcus equi)
Salmonellosis
S.abortus equi
Other
Tetanus

*Please notify the International Collating Centre IMMEDIATELY if Influenza, African Horse Sickness or Venezuelan Equine Encephalomyelitis occurs. All other diseases should be reported on the quarterly return(s).