Where were the affected horse(s) housed in the 6 months prior to onset of clinical signs: Affected horse(s) had not left the property in the 6 months prior to the onset of clinical signs (tick if applicable) Is there any standing water in the vicinity of the affected horse(s)? (tick applicable) Yes (Please describe: ) No Have any medical treatment(s) or changes in animal management been administered to the affected horse(s)? (tick applicable) Yes (Please describe: ) No Clinical signs (Please tick all applicable boxes and provide a DETAILED description of all clinical signs) Affected horse #1 Affected horse #2 Clinical sign: Details: (Include duration of signs) Clinical sign: Details: (Include duration of signs) Ataxia Ataxia Depression Depression Altered mental state Altered mental state Muscle fasciculations Muscle fasciculations Hypermetria Hypermetria Hyperaesthesia Hyperaesthesia Circling Circling Recumbency Recumbency Facial paralysis Facial paralysis Blindness Blindness Lameness Lameness Oedema Oedema Colic Colic Seizures Seizures Weight loss Weight loss Pyrexia Pyrexia Death Death Other : __________________________ Other : __________________________ Primary syndrome Syndrome: Enhanced Surveillance for Equine Arbovirus Disease Project Lesions / autopsy findings (if applicable)
Where were the affected horse(s) housed in the 6 months prior to onset of clinical signs: Affected horse(s) had not left the property in the 6 months prior to the onset of clinical signs (tick if applicable) Is there any standing water in the vicinity of the affected horse(s)? (tick applicable) Yes (Please describe: ) No Have any medical treatment(s) or changes in animal management been administered to the affected horse(s)? (tick applicable) Yes (Please describe: ) No Clinical signs (Please tick all applicable boxes and provide a DETAILED description of all clinical signs) Affected horse #1 Affected horse #2 Clinical sign: Details: (Include duration of signs) Ataxia Depression Altered mental state Muscle fasciculations Hypermetria Hyperaesthesia Circling Recumbency Facial paralysis Blindness Lameness Oedema Colic Seizures Weight loss Pyrexia Death Other : __________________________ Clinical sign: Details: (Include duration of signs) Ataxia Depression Altered mental state Muscle fasciculations Hypermetria Hyperaesthesia Circling Recumbency Facial paralysis Blindness Lameness Oedema Colic Seizures Weight loss Pyrexia Death Other : __________________________ Primary syndrome Syndrome: Enhanced Surveillance for Equine Arbovirus Disease Project Lesions / autopsy findings (if applicable)