Questionnaire for Serological Evidence of Henipavirus Exposure in cattle and goats i‡³ Gw›UewW cix¶vi gva¨‡g Miæ Ges QvM‡j wbcv fvBiv‡mi msμgY AbymÜv‡bi Rb¨ cÖkœ Supporting information for: “Serological Evidence of Henipavirus Exposure in Cattle, Goats and Pigs in Bangladesh” Sukanta Chowdhury, Salah Uddin Khan, Gary Crameri, Jonathan H. Epstein, Christopher C. Broder, Ausraful Islam, Alison J. Peel, Jennifer Barr, Peter Daszak, Lin‐Fa Wang, and Stephen P. Luby Study ID: mbv³Kvix bs
Date of interview (dd/mm/yyyy): mv¶v‡Zi ZvwiL
Interviewer name: mv¶vZ MÖnYKvixi bvg
Section A: Animal owner’s information (‡mKkb G: cïi gvwjK m¤úwK©Z Z_¨)
1. Name of the animal owners (cïi gvwj‡Ki bvg) : 2. Place of Interview (mv¶v‡Zi ¯’vb): i. Village (MÖvg): ii. Union (BDwbqb): iii. Upazilla (Dc‡Rjv): iv. District (†Rjv): 3. Phone number (‡dvb bs): GIS record: North East (wR AvB Gm Z_¨)
DËi
c~e©
Section B: Information on domestic animals (‡mKkb we: M„ncvwjZ cï m¤úwK©Z Z_¨) Species Number 1. Total animals cÖRvwZ
msL¨v
‡gvU cï
a) Cattle Miæ
b) Goat QvMj
c) Others Ab¨b¨v
2. Number of selected animal species for sample and data collection: a) Cattle i³ I bgybv msMÖ‡ni Rb¨ evQvBK…Z cïi msL¨v
Miæ b) Goat QvMj 3. Breed of selected animal species: a) Cattle Local cross others evQvBK…Z cïi RvZ Miæ ‡`kx
msKi
Ab¨b¨v
b) Goat Black Bengal Jamunapari QvMj eø¨vK †esMj
hgybvcvwi
4. Age of selected animal species: a) 2 months ‐ 12 months evQvBK…Z cïi eqm 2 gvm - 12 gvm b) 13 months ‐ 24 months 13 gvm - 24 gvm c) 25 months – 36 months 25 gvm - 36 gvm d) 37 months – 48 months 37 gvm - 48 gvm e) 49 months – 60 months 49 gvm - 60 gvm f) > 60 months 60 gv‡mi †ekx 5. Sex of selected animal species: a) Male evQvBK…Z cïi wj½ cyiæl b) Female ¯¿x 6. Health status: a) Apparently healthy ¯^v‡¯’¨i aib
AvcvZ`„wó‡Z my¯ ’ b) Sick Amy¯’ 7. BCS (Body Condition Score): a) 1 = emaciated kvixwiK Ae¯’v
1 = nvwÇmvi
b) 2 = thin 2 = cvZjv c) 3 = average body condition 3 = †gvUvgywU fvj d) 4 = heavy condition 4 = †gvUv e) 5 = fatty 5 = †ekx †gvUv Pleases fill up followings (8) if cattle or goats become sick hw` Miæ/QvMj Amy¯’ _v‡K Z‡e bx‡Pi (8) Z_¨¸‡jv cyib Kiæb
a) Temperature 8. Clinical findings: ZvcgvÎv
cÖvß j¶Y mg~n
b) Pulse/minute agbx ¯ú›`b/wgt
c) Respiration/minute k¦vm-cÖk¦vm/wgt
d) Posture: Normal `vov‡bv Ae¯’vb
¯^vfvweK
Recumbent gvwU‡Z kvwqZ
Normal e) Respiratory sign: ¯^vfvweK k¦mbZš¿xq j¶Y
Coughing Kvwk others Ab¨b¨v
f) Neurological sign: mœvqyZš¿xq j¶Y g) Others sign: Ab¨b¨v j¶Y Sneezing mw`© Rales bvK WvKv Others Ab¨b¨v Normal ¯^vfvweK Inco‐ordination fvimvg¨nxbZv Circling e„ËvKv‡i Nyiv Convulsion wLPzwb Stiffness k³n‡q _vKv Paresis Aek n‡q hvIqv Others Ab¨b¨v Diarrheal cvZjv cvqLvbv Salivation gyL w`‡q jvjv cov Other Ab¨b¨v () Section C: Last one year disease history (‡mKkb wm: MZ GK eQ‡i †iv‡Mi BwZnvm) 1. Among your cattle and goats, how many deaths occurred in the last year? MZ eQ‡i Avcbvi cvwjZ Miæ Ges QvM‡ji g‡a¨ KZ¸‡jv gviv †M‡Q?
2. The last time when your cattle or goats were sick, what signs did they have? ‡klevi hLb Avcbvi Miæ Ges QvMj Amy¯’ n‡qwQj, wK ai‡bi j¶Y †`Lv wM‡qwQj?
3. Did you seek any advice for treating the animal (s)? cïMy‡jvi wPwKrmvi Rb¨ †Kv‡bv e¨e¯’v wb‡qwQ‡jb wK?
4. How did you treat the animal? cïMy‡jvi wPwKrmv wKfv‡e K‡iwQ‡jb?
Cattle Miæ
Goats QvMj
a) Yes n¨uv
b) No bv
a) By Registered Veterinarian wbeÜbK…Z cï wPwKrmK ×viv
b) By local village doctor ¯’vbxq MÖvg¨ wPwKrmK ×viv
a) Others Ab¨b¨v
Section D: Animal Management history (‡mKkb wW: cïi e¨e¯’vcbvi BwZnvm) 1. How do you rear your animals? cïMy‡jv wKfv‡e cvjb K‡ib?
a) Household cvwievwiKfv‡e
b) Herd/Commercial farming cvj/evwbwR¨K Lvgv‡i
2. What type of animal’s feeding methods do you manage commonly? ** a) Extensive cïMy‡jv‡K mvavibZ †Kvb c×wZ‡Z LvIqv‡bv nq?
Db¥y³ c×wZ‡Z
b) Semi‐intensive Avav-Ave× c×wZ‡Z
c) Intensive Ave× c×wZ‡Z 3. How far distance grazing area from the bat a) 0‐1000 meters / 0‐1094 yards 0-1000 wgUvi / 0-1094 MR
roost? cïi Pvibfywg ev`y‡ii Avevm¯’j †_‡K KZ `y‡i?
b) 1001‐2000 meters / 1095‐2187 yards 1001-2000 wgUvi / 1095-2187 MR c) 2001‐3000 meters / 2188‐3281 yards 2001-3000 wgUvi / 2188-3281 MR d) 3001‐4000 meters / 3282‐4375 yards 3001-4000 wgUvi / 3282-4375 MR e) 4001‐5000 meters / 4376‐5468 yards 4001-5000 wgUvi / 4376-5468 MR ** Extensive= free range grazing, Intensive= stall feeding and semi‐intensive= mixed type (partial extensive and partial intensive) Section E: Ecological data (‡mKkb B: cwi‡ek m¤úwK©Z Z_¨) 1. Did you see fruit bats around house hold at night? a) Yes iv‡Î Avcbvi N‡ii Pvwiw`‡K ev`~i †`L‡Z †c‡qwQ‡jb?
n¨uv
b) No bv
2. How many fruit orchards within one kilometre radius area? GK wK‡jvwgUvi e¨vm GjvKvi g‡a¨ KZMy‡jv d‡ji evMvb Av‡Q?
3. Did your animal (s) feed on fruits partially eaten by bats/bird/unknown a) Yes* n¨uv
animals? cïMy‡jv ev`~i/cvwL/ARvbv cïi AvswkK LvIqv †Kvb dj †L‡Z †`‡LwQ‡jb wK? b) No bv
c) Don’t know Rvwbbv
*If yes, then how? Usual practice accidentally hw` n¨uv nq, Z‡e wKfv‡e?
mPivPifv‡e AvKw¯§K 4. Did your animal (s) drink raw date palm sap? a) Yes* cïMy‡jv‡K †LRy‡ii im †L‡Z †`‡LwQ‡jb wK?
n¨uv
b) No bv
c) Don’t know Rvwbbv
*If yes, then how? Usual practice accidentally hw` n¨uv nq, Z‡e wKfv‡e?
mPivPifv‡e AvKw¯§K 5. Have any pigs herd or household pigs within one kilometre radius area? GK wK‡jvwgUvi e¨vm GjvKvi g‡a¨ cvwievwiKfv‡e cvwjZ ïKi A_ev ïKz‡ii cvj Av‡Q wKbv? Section F: Sick animal exposure history (‡mKkb Gd: Amy¯’ cïi ms®ú‡k© Avmvi Z_¨) 1. Have you ever been in contact with sick animals? Avcwb wK KL‡bv Amy¯’ cïi ms¯ú‡k© wM‡qwQ‡jb?
2. Did you use any protective measures when working with sick animals? Amy¯’ cïi ms¯ú‡k© KvR Kivi mgq Avcwb †Kvb cÖwZ‡iva e¨e¯’v wb‡qwQ‡jb?
a) Yes n¨uv
b) No bv
a) Yes n¨uv
b) No bv
a) Yes n¨uv b) No bv
3. What type of protective measures did you take? wK ai‡bi cÖwZ‡iva e¨e¯’v wb‡qwQ‡jb?
Section G: Public health data (‡mKkb wR: gvby‡li ¯^v¯’¨ welqK Z_¨ ) 1. Had any identified human Nipah cases in your family? Avcbvi cwiev‡i †KD wK wbcv AvμvšÍ wQj?
a) Yes* n¨uv b) No bv
*If yes, how many persons? a) Deaths hw` DËi n¨uv n‡q _v‡K, Z‡e KZ Rb?
g„Z
b) Recovered Av‡ivM¨jvf 2. Do any Nipah recovered persons of your family currently have any partial mental a) Yes* n¨uv and physical disability? Avcbvi cwiev‡i wbcv †ivM nB‡Z gy³ wKš‘ ‡ivM cieZ©x AvswkK gvbwmK Ges kvixwiK Amy¯’Zv Av‡Q
b) No GiKg †KD wK Av‡Q?
bv *If answer is yes, how many? hw` DËi n¨uv n‡q _v‡K, Z‡e KZ Rb? If any overall comment or information: hw` Ab¨ †Kvb gšÍe¨ ev Z_¨ _v‡K