Get the free Specimen Submittal Form for Suspect Avian Influenza A (H5N1) - cdph ca

A form used by the California Department of Public Health for submitting specimens suspected of avian influenza A (H5N1) for testing.

How to fill out specimen submittal form for

How to fill out Specimen Submittal Form for Suspect Avian Influenza A (H5N1)

1. Obtain the Specimen Submittal Form for Suspect Avian Influenza A (H5N1) from the appropriate authority or organization.
2. Fill in the 'Sample Information' section with details such as species, sex, age, and any clinical signs observed.
3. Include any relevant history regarding the individual bird or group of birds being submitted.
4. Complete the 'Submission Details' section, ensuring to provide information about the submitter's name, contact information, and address.
5. Indicate the type of samples being submitted (e.g., swabs, tissues, etc.) and the quantity of each type.
6. Make sure to sign and date the form where indicated to certify that the information is accurate.
7. Review the form to ensure all sections are complete and clear.
8. Submit the form along with the specimens to the designated laboratory or diagnostic facility.

Who needs Specimen Submittal Form for Suspect Avian Influenza A (H5N1)?

1. Veterinarians who suspect avian influenza in birds
2. Wildlife biologists monitoring wildlife health
3. Farmers and poultry producers reporting sick birds
4. Laboratory personnel conducting tests on avian specimens
5. Public health officials investigating potential outbreaks

People Also Ask about

What is the diagnostic test for H5N1?

The MN assay remains the gold standard for serological diagnosis of H5N1 infection in humans.

What is the specimen for avian influenza?

The sample type will also depend on the type of birds that are being tested; oropharyngeal swabs from gallinaceous poultry and cloacal swabs from waterfowl are the preferred specimens for most diagnostic tests, although it is optimal to collect swabs from both locations, if possible.

What kind of test is used to detect H5N1?

Commercial PCR tests for influenza can be used to rule out influenza A (and therefore H5N1) infection in symptomatic people less likely to be infected with influenza A(H5N1) (e.g., symptomatic people with limited animal exposure, or no known exposure to infected animals or humans).

What is the diagnostic tool for avian influenza?

Serological tests: As all influenza A viruses have antigenically similar nucleocapsid and matrix antigens, agar gel immunodiffusion tests are used to detect antibodies to these antigens. Concentrated virus preparations containing either or both type of antigens are used in such tests.

Is avian influenza virus H5N1 a threat to human health?

The highly pathogenic avian influenza virus subtype H5N1 is already panzootic in poultry, with attendant economic consequences. It continues to cross species barriers to infect humans and other mammals, often with fatal outcomes.

Is H5N1 the same as avian flu?

H5N1 avian influenza (bird flu) refers to the disease caused by infection with avian influenza Type A viruses. These viruses naturally spread among wild aquatic birds worldwide and can infect domestic poultry and other bird and animal species. Bird flu viruses do not normally infect humans.

What is the PCR test for H5N1?

H5N1-specific influenza PCR As the name suggests, this test is specifically for H5N1 influenza, and we can be more confident in the result if that's the strain for which we're looking. The downside is that it won't detect co-infections with multiple flu strains.

What is the confirmatory test for the bird flu?

To diagnose bird flu, a healthcare professional takes a sample of fluid from your nose and throat to test for evidence of bird flu infection. They also may take a sample of fluid from your eye if you have pink eye.

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What is Specimen Submittal Form for Suspect Avian Influenza A (H5N1)?

The Specimen Submittal Form for Suspect Avian Influenza A (H5N1) is a document used to collect relevant information about biological samples suspected of containing the H5N1 strain of avian influenza. It ensures proper identification and tracking of specimens submitted for laboratory testing.

Who is required to file Specimen Submittal Form for Suspect Avian Influenza A (H5N1)?

Veterinarians, wildlife biologists, and other professionals who suspect avian influenza A (H5N1) in birds or related species are required to file the Specimen Submittal Form to facilitate laboratory testing and monitoring.

How to fill out Specimen Submittal Form for Suspect Avian Influenza A (H5N1)?

To fill out the Specimen Submittal Form, users need to provide details such as the sample collector's information, the species and age of the bird, the date and location of specimen collection, clinical signs observed, and any relevant history related to exposure or outbreaks.

What is the purpose of Specimen Submittal Form for Suspect Avian Influenza A (H5N1)?

The purpose of the Specimen Submittal Form is to ensure that laboratory personnel have all the necessary information for processing and testing the submitted specimens accurately, facilitating timely diagnosis and appropriate response to potential outbreaks.

What information must be reported on Specimen Submittal Form for Suspect Avian Influenza A (H5N1)?

The information that must be reported includes the collector's name and contact details, bird species, age, location of collection, date of collection, clinical signs observed, and any background information regarding potential exposure to avian influenza outbreaks.