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  you are in: DISEASE > REPORT > FORM



Report a case of ranavirus

Please provide as much information as possible about what you've seen.

Which amphibians have you seen dying?
Frogs
Toads
Newts

When did the deaths start?
Month:  Year:
When did the deaths end?
Month:  Year:

If you have experienced amphibian deaths in other years, please enter them:  [separate each year with a comma]

How has the amphibian population changed in the last 5 years?
Increased:
Decreased:
Stayed the same:

How may dead amphibians have you found?

What symptoms did they show?

Skin problems:

Pale
Discoloured
Red spots
Marks or blemishes
Sores or ulcers
Sloughing skin

Body condition:

Thin
Bloated
Contorted / having spasms
Protruding blood vessels
Bleeding
Eye problems
Burst abdomen
Breakdown of limbs
Protruding tongue
Lethargy

No symptoms


About your garden...


What is the setting for your property?
Urban  Suburban
Rural village  Open countryside

When was the last time plants or fish were added to the pond?
[please enter month and year]

Apart from the amphibians you've seen dying, what other animals use the pond?
Frogs:  Toads:  Newts:  Snails:  Dragonflies:

Are there any fish in the pond?
If yes, please enter the species and number below:
Fish species1:  number:
Fish species2:  number:
Fish species3:  number:

Where were the fish obtained?

If there were any fish deaths along with the amphibian deaths, when did they occur?
Before amphibian deaths
During amphibian deaths
After amphibian deaths

Do you use any fishcare products?
If yes, have you used them this year?
Which brand do you use?

Are there slugs in your garden?
Yes
No

Do you use slug pellets?
Yes
Sometimes
Rarely
No
Which brand do you use?

Do you use fertilisers in the garden?
Yes
Sometimes
Rarely
No
Which brand do you use?

Do you use weed killers in the garden?
Yes
Sometimes
Rarely
No
Which brand do you use?

If you use any other chemicals in the garden please enter the brand / type:

Do you use algicide in the pond?
Yes
Somtimes
Rarely
No
Which brand do you use?

Do you use a water purifier?
Yes
Sometimes
Rarely
No
Which brand do you use?

If you use any other chemicals in the pond please enter the brand / type:

If you have seen any other dead animals in your garden at this time please enter the species and number:

About you...
Name:
Address:
Postcode:  
Daytime phone number:
Email address:

This data will be sent to our research partners, the Institute of Zoology; if you would prefer your personal contact details not to be sent with this please tick this box:

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