# National Animal Health Reporting System (NAHRS) Monthly Report Form

> USDA:APHIS:VS:CEAH![](media/image1.jpeg){width="1.0in"
> height="1.0854166666666667in"}

2150 Centre Ave, Bldg B

Fort Collins, CO 80526-8117

Person completing the report:

Name:

Address:

Telephone:

FAX:

E-mail address

These instructions refer to completion of this form by the State
Veterinarian's office or representative. The level of disease
(presumptive versus definitive) reported to your office by laboratories
should be taken into account and combined with other available
information to determine whether the data fit the National Animal Health
Reporting System (NAHRS) reporting criteria.

For each month, please report for the entire month. The report for each
month is generally due by the 20th of the following month. If you
receive reports on out-of-state submissions, **REPORT ONLY FOR YOUR OWN
STATE**. Be sure to indicate the State and month for which you are
reporting in the spaces provided on the top of each page of the form.

Complete the following confirmed disease report after consulting the
NAHRS disease reporting criteria for each disease. If a case meets the
NAHRS criteria for presence of disease, record it as present. If a case
does not strictly meet the NAHRS criteria, you may use additional
information to decide if you want to report the presence of confirmed
disease for the given month. REMEMBER, we are looking for presence data
only at this time and the disease reporting criteria are minimum
standards. NOTE: For those diseases considered to be foreign to the
United States (FAD), the default response is '**NO**'. To report the
presence of an FAD, change the '**NO**' to '**YES**'.

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. In the
COMMENTS column, please indicate the highest level of diagnostic
criteria used in confirming a clinical case. If a report of a case is
received after the report has been sent, notify the NAHRS administrator
to update the information.

If you received no reports in the investigation of a suspected confirmed
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. If
the disease is considered reportable in your State (you would expect to
receive a report if found), but you received no report which fits the
NAHRS criteria, check **'NO'** under PRESENT.

Add any additional information which you feel may be of value in the
COMMENTS column e.g. level of lab diagnosis, presumptive vs definitive,
clarification if needed.

Aquaculture diseases apply to COMMERCIAL FOOD FISH only. Please do not
report any results for ORNAMENTAL OR WILD FISH.

Similarly, avian diseases apply to COMMERCIAL POULTRY only. At this
time, COMMERCIAL POULTRY is not divided into CHICKEN, TURKEY, or DUCK
flocks. If a BACKYARD flock is involved, please indicate in the
comments. Do not report results for WILD OR PET birds.

  ------------------------------ ------------ ------- ------------------------------
  **STATE:**                     **MONTH:**           
                                 **YEAR:**            

  OIE NUMBER - DISEASE NAME      PRESENT              COMMENTS

  **BOVINE**                     YES          NO      

  **A010-A018** Foot and Mouth                **X**   
  Disease (FMD, Viruses O, A, C,                      
  SAT 1, SAT 2, SAT 3, Asia 1,                        
  or not typed)                                       

  **A020-A023** Vesicular                     **X**   
  Stomatitis (VS, Viruses                             
  Indiana, New Jersey, or not                         
  typed)                                              

  **A040** Rinderpest                         **X**   

  **A060** Contagious Bovine                  **X**   
  Pleuropneumonia (*Mycoplasma                        
  mycoides mycoides*)                                 

  **A070** Lumpy Skin Disease                 **X**   

  **A080** Rift Valley Fever                  **X**   

  **1001** Crimean Congo                      **X**   
  Hemorrhagic Fever                                   

  **A090** Bluetongue                                 

  **B051** Anthrax (*Bacillus                         
  anthracis*)                                         

  **B052** Aujesky's Disease                          
  (Pseudorabies)                                      

  **B053**                                            
  Echinococcosis/Hydatidosis                          

  **B055** Heartwater (*Cowdria               **X**   
  ruminantium*)                                       

  **B056** Leptospirosis                              

  **B057** Q Fever (*Coxiella                         
  burnetti*)                                          

  **B058** Rabies                                     

  **B059** Paratuberculosis                           
  (Johne's Disease,                                   
  *Mycobacterium avium                                
  paratuberculosis*)                                  

  **B060-B061** New and Old                   **X**   
  World Screwworm (*Cochliomyia                       
  (Callitroga) hominivorax,                           
  Chrysomya bezziana*)                                

  **B101** Anaplasmosis                               
  (*Anaplasma marginale, A.                           
  centrale*)                                          

  **B102** Babesiosis (*Babesia               **X**   
  bovis, B. bigemina*)                                

  **B103** Bovine Brucellosis                         
  (*Brucella abortus*)                                

  **1002** Brucellosis                                
  (*Brucella melitensis*)                             

  **1003** Brucellosis                                
  (*Brucella suis*)                                   

  **B104** Bovine Genital                             
  Campylobacteriosis                                  
  (*Campylobacter fetus                               
  venerealis*)                                        

  **B105** Bovine Tuberculosis                        
  (*Mycobacterium bovis*)                             

  **1004** Bovine viral diarrhea                      
  (BVD)                                               

  **B108** Enzootic Bovine                            
  Leukosis (BLV)                                      

  **B109** Hemorrhagic                                
  Septicemia (*Pasteurella                            
  multocida*, B/Asian or                              
  E/African serotypes)                                

  **B110** Infectious Bovine                          
  Rhinotracheitis/ Infectious                         
  Pustular Vulvovaginitis                             
  (IBR/IPV)                                           

  **B111** Theileriasis                       **X**   
  (*Theileria annulata, T.                            
  parva*)                                             

  **B112** Trichomoniasis                             
  (*Tritrichomonas (Trichomonas)                      
  foetus*)                                            

  **B113** Trypanosomiasis                    **X**   
  (*Trypanosoma congolense, T.                        
  vivax, T. brucei brucei*)                           

  **B114** Malignant Catarrhal                        Indicate if Sheep or
  Fever (Bovine Malignant                             Wildebeest related form/ or
  Catarrh, Wildebeest                                 other
  associated)                                         

  **B115** Bovine Spongiform                  **X**   
  Encephalopathy                                      
  ------------------------------ ------------ ------- ------------------------------

  ------------------------------ ----- ------- ------------------------------
  **CAPRINE AND OVINE**          YES   NO      

  **A010-A018** Foot and Mouth         **X**   
  Disease (FMD, Viruses O, A, C,               
  SAT 1, SAT 2, SAT 3, Asia 1,                 
  or not typed)                                

  **A020-A023** Vesicular              **X**   
  Stomatitis (VS, Viruses                      
  Indiana, New Jersey, or not                  
  typed)                                       

  **A040** Rinderpest                  **X**   

  **A050** Peste des Petits            **X**   
  Ruminants                                    

  **A080** Rift Valley Fever           **X**   

  **A090** Bluetongue                          

  **1001** Crimean Congo               **X**   
  Hemorrhagic Fever                            

  **A100** Sheep Pox and Goat          **X**   
  Pox                                          

  **B051** Anthrax (*Bacillus                  
  anthracis*)                                  

  **B052** Aujesky's Disease                   
  (Pseudorabies)                               

  **B053**                                     
  Echinococcosis/Hydatidosis                   

  **B055** Heartwater (*Cowdira        **X**   
  ruminantium*)                                

  **B056** Leptospirosis                       

  **B057** Q Fever (*Coxiella                  
  burnetti*)                                   

  **B058** Rabies                              

  **B059** Paratuberculosis                    
  (Johne's Disease,                            
  *Mycobacterium                               
  paratuberculosis*)                           

  **B060-B061** New and Old            **X**   
  World Screwworm (*Cochliomyia                
  (Callitroga) hominivorax,                    
  Chrysomya bezziana*)                         

  **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          **X**   
  Pleuropneumonia (*Mycoplasma                 
  capricolum capripneumoniae*)                 

  **REB156** Enzootic Abortion                 
  of Ewes (Ovine Psittacosis,                  
  *Chlamydia psittaci*)                        

  **B158** Nairobi Sheep Disease       **X**   

  **B159** Salmonellosis                       
  (*Salmonella abortus ovis*)                  

  **B160** Scrapie                             

  **B161** Maedi-Visna/Ovine                   
  Progressive Pneumonia                        

  **1005** Tularemia                           
  (*Francisella tularensis*)                   

  **1006** West Nile                           
  fever/encephalitis                           
  ------------------------------ ----- ------- ------------------------------

+-----------------------------+----+----+-----------------------------+
| ## EQUINE                   | Y  | NO |                             |
|                             | ES |    |                             |
+-----------------------------+----+----+-----------------------------+
| **A020-A023** Vesicular     |    |    |                             |
| Stomatitis (VS, Viruses     |    |    |                             |
| Indiana, New Jersey, or not |    |    |                             |
| typed)                      |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **A110** African Horse      |    | *  |                             |
| Sickness                    |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B051** Anthrax (*Bacillus |    |    |                             |
| anthracis*)                 |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B056** Leptospirosis      |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B058** Rabies             |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B060-B061** New and Old   |    | *  |                             |
| World Screwworm             |    | *X |                             |
| (*Cochliomyia (Callitroga)  |    | ** |                             |
| hominivorax, Chrysomya      |    |    |                             |
| bezziana*)                  |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B062** Trichinellosis     |    |    |                             |
| (*Trichinela spiralis*)     |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B201** Contagious Equine  |    |    |                             |
| Metritis (*Taylorella       |    |    |                             |
| equigenitalis*)             |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B202** Dourine            |    | *  |                             |
| *(Trypanosoma equiperadum*) |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B204a** Eastern Equine    |    |    |                             |
| Encephalomyelitis (EEE)     |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B204b** Western Equine    |    |    |                             |
| Encephalomyelitis (WEE)     |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B205** Equine Infectious  |    |    |                             |
| Anemia (EIA)                |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B206** Equine Influenza   |    |    |                             |
| (Virus Type A)              |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B207** Equine             |    | *  |                             |
| Piroplasmosis (Babesiosis,  |    | *X |                             |
| *Babesia (Piroplasma) equi, |    | ** |                             |
| B. caballi)*                |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B208** Equine             |    |    |                             |
| Rhinopneumonitis (1 and 4)  |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B209** Glanders           |    | *  |                             |
| (*Pseudomonas mallei*)      |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B211** Equine Viral       |    |    |                             |
| Arteritis (EVA)             |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B212** Japanese           |    | *  |                             |
| Encephalitis                |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B215** Surra              |    | *  |                             |
| (*Trypanosoma evansi*)      |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B216** Venezuelan Equine  |    | *  |                             |
| Encephalomyelitis           |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B103** Brucellosis        |    |    |                             |
| (*Brucella abortus)*        |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **1003** Brucellosis        |    |    |                             |
| (*Brucella suis*)           |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **1005** Tularemia          |    |    |                             |
| (*Francisella tularensis*)  |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **1006** West Nile          |    |    |                             |
| Fever/encephalitis          |    |    |                             |
+-----------------------------+----+----+-----------------------------+

  ------------------------------ ----- ------- ------------------------------
  **PORCINE**                    YES   NO      

  **A010-A018** Foot and Mouth         **X**   
  Disease (FMD, Viruses O, A, C,               
  SAT 1, SAT 2, SAT 3, Asia 1,                 
  or not typed)                                

  **A020-A023** Vesicular                      
  Stomatitis (VS, Viruses                      
  Indiana, New Jersey, or not                  
  typed)                                       

  **A030** Swine Vesicular             **X**   
  Disease                                      

  **A040** Rinderpest                  **X**   

  **A120** African Swine Fever         **X**   

  **A130** Classical Swine Fever       **X**   
  (Hog Cholera)                                

  **1007** Nipah Virus                 **X**   
  Encephalitis                                 

  **B051** Anthrax (*Bacillus                  
  anthracis*)                                  

  **B052** Aujesky's Disease                   
  (Pseudorabies)                               

  **B053**                                     
  Echinococcosis/Hydatidosis                   

  **B056** Leptospirosis                       

  **B058** Rabies                              

  **B060-B061** New and Old            **X**   
  World Screwworm (*Cochliomyia                
  (Callitroga) hominivorax,                    
  Chrysomya bezziana*)                         

  **B062** Trichinellosis                      
  (*Trichinela spiralis*)                      

  **B252** Cysticercosis                       
  (*Cysticercus cellulosae*                    
  metacestode stage of *Taenia                 
  solium*)                                     

  **B253** Porcine Brucellosis                 
  (*Brucella suis*)                            

  **B254** Transmissible                       
  Gastroenteritis (TGE)                        

  **B257** Porcine Reproductive                
  and Respiratory Syndrome                     
  (PRRS)                                       

  **B212** Japanese Encephalitis               

  **1005** Tularemia                           
  (*Francisella tularensis*)                   
  ------------------------------ ----- ------- ------------------------------

+-----------------------------+----+----+-----------------------------+
| ## [COMM                    | Y  | NO |                             |
| ERCIAL POULTRY]{.smallcaps} | ES |    |                             |
+-----------------------------+----+----+-----------------------------+
| **A150** Fowl Plague        |    | *  |                             |
| (Highly Pathogenic Avian    |    | *X |                             |
| Influenza) & all H5 and H7  |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **A160** Newcastle Disease  |    | *  |                             |
| (Exotic)                    |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **1008** Turkey             |    | *  |                             |
| Rhinotracheitis             |    | *X |                             |
|                             |    | ** |                             |
+-----------------------------+----+----+-----------------------------+
| **B301** Avian Infectious   |    |    |                             |
| Bronchitis                  |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B302** Avian Infectious   |    |    |                             |
| Laryngotracheitis           |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B304** Duck Viral         |    |    |                             |
| Hepatitis                   |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B306** Fowl Cholera       |    |    |                             |
| *(Pasteurella multocida*)   |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B308** Fowl Typhoid       |    |    |                             |
| (*Salmonella gallinarum*)   |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B309** Infectious Bursal  |    |    |                             |
| Disease (Gumboro Disease)   |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B310** Marek's Disease    |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B311** Mycoplasmosis      |    |    |                             |
| (*Mycoplasma                |    |    |                             |
| gallisepticum*)             |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **1009** Mycoplasmosis      |    |    |                             |
| (*Mycoplasma synoviae*)     |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B312** Avian Chlamydiosis |    |    |                             |
| (Psittacosis and            |    |    |                             |
| Ornithosis, *Chlamydia      |    |    |                             |
| psittaci*)                  |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B313** Pullorum Disease   |    |    |                             |
| (*Salmonella pullorum*)     |    |    |                             |
+-----------------------------+----+----+-----------------------------+

+-----------------------------+----+----+-----------------------------+
| ## [COMMER                  | Y  | NO | COMMENTS                    |
| CIAL FOOD FISH]{.smallcaps} | ES |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B401** Viral Hemorrhagic  |    |    |                             |
| Septicemia                  |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B404** Spring Viremia of  |    |    |                             |
| Carp                        |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B405** Infectious         |    |    |                             |
| Hematopoietic Necrosis      |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B413** Epizootic          |    |    |                             |
| Hematopoietic Necrosis      |    |    |                             |
+-----------------------------+----+----+-----------------------------+
| **B415** *Onchorynchus      |    |    |                             |
| Masou* Virus Disease        |    |    |                             |
+-----------------------------+----+----+-----------------------------+