1255SUP (Agreed 12/03/2009)

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DEPARTMENT FOR ENVIRONMENT, FOOD AND RURAL AFFAIRS

THE SCOTTISH EXECUTIVE ENVIRONMENT AND RURAL AFFAIRS DEPARTMENT

NATIONAL ASSEMBLY FOR WALES

No: .............

EXPORT OF DAY OLD CHICKS TO INDONESIA

SUPPORT HEALTH CERTIFICATE

I. Name and address of OFFICIAL

VETERINARIAN to whom this certificate must be returned as

soon as possible:

II. Name and address of exporter:

III. Address of flock of origin:

IV. Date of export:

V. Health Information.

I, the undersigned, certify that the birds comprising the flock of

origin meet the following requirements:

a) the flock of origin has been continuously resident in Great Britain

for a period of at least 90 days prior to the export of the day old

chicks;

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1255SUP (Agreed 12/03/2009)

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b) the flock(s) of origin are subject to routine veterinary supervision

and there has been no evidence of the following diseases during the

6 months immediately prior to export:

Newcastle disease, fowl pox, fowl cholera (Pasteurella multocida),

fowl typhoid (Salmonella gallinarum), infectious bronchitis (IB),

infectious laryngotracheitis (ILT), infectious synovitis, infectious

bursal disease (IBD or Gumboro disease), egg drop syndrome (EDS ’76),

pullorum disease (Salmonella pullorum), typhoid disease, ornithosis,

Marek’s disease, lymphoid leucosis, mycoplasmosis, chronic

respiratory disease (CRD), swollen head syndrome (avian pneumovirus),

chick anaemia agent, avian nephritis, leucocytozoonosis, infectious

coryza, avian spirochaetosis, avian encephalomyelitis, avian

salmonellosis, avian tuberculosis;

c) EITHER *(i)on (date), blood samples were

taken from a representative sample selected at random from the

flock(s) of origin and tested serologically at the Veterinary

Laboratory Agency (VLA) for Salmonella pullorum, S.typhimurium,

S.gallinarum and S.enteritidis with negative results in each case;

OR *(ii) the flocks of origin are subject to regular

microbiological sampling at the hatchery at least once per fortnight for

Salmonella enteritidis, S.typhimurium, S.pullorum and S.gallinarum

according to a Government controlled monitoring scheme and have given

negative results in each case during the past 6 months;

d) the flocks of origin have been inspected and showed no clinical signs

of communicable disease on the day of shipment;

FLOCK VETERINARIAN stamp Signed ............................RCVS

Name in

block letters .........................

Flock Veterinarian

Date Address ...............................

.......................................

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