for eksport af hund eller kat fra Danmark til New Zealand / for export of dog or cat from Denmark to New Zealand

Transkript

1 OPRINDELSES- OG SUNDHEDSCERTIFIKAT / CERTIFICATE OF ORIGIN AND HEALTH for eksport af hund eller kat fra Danmark til New Zealand / for export of dog or cat from Denmark to New Zealand Certifikatnummer (1) : / Importtilladelsesnummer: / Import permit Number: Eksportland: / Exporting country: DANMARK/ DENMARK Kompetent ministerium: / MINISTERIET FOR FØDEVARER, LANDBRUG OG FISKERI / Competent ministry: MINISTRY OF FOOD, AGRICULTURE AND FISHERIES Udstedende kompetente myndighed: / Issuing competent authority: FØDEVARESTYRELSEN/ THE DANISH VETERINARY AND FOOD ADMINISTRATION I DYRENES OPRINDELSE / ORIGIN OF THE ANIMALS 1. Navn og adresse på ejer/eksportør: / Name and address of owner/exporter: / 2. Dyrets oprindelsesland/sted: / Country/territory of origin of animal/s: 3. Udgangshavn/-lufthavn: / Port of embarkation: La 23, Page 1 of 12 New Zealand

2 II BESKRIVELSE AF FORSENDELSEN / DESCRIPTION OF THE CONSIGNMENT 1. Afsendelsesdato: / Date of departure: 2. Identifikation af dyret: / Identification of the animal: Mikrochip nr.: / Microchip No: Navn: / Name: Race: / Breed: Køn: / Sex: Neutraliseret eller intakt: / Neutered or Entire: Fødselsdato: / Date of birth: 3. Anatomisk placering af microchip: / Anatomical site of microchip: 4. Fysisk beskrivelse af dyret: / Physical description of the animal: III INFORMATION OM BESTEMMELSESSTEDET / INFORMATION ABOUT DESTINATION 1. Modtagerens navn og adresse: / Name and address of consignee: 2. Transportmiddel: / Means of transport: / (Angiv antal vogne, lastbiler, fly-nummer, navn på skib/ Specify the number of wagons, trucks, flight-number, name of ship/ 3. Ankomsthavn/-lufthavn: / Port of arrival: La 23, Page 2 of 12 New Zealand

3 VETERINÆRCERTIFIKAT A/ VETERINARY CERTIFICATE A IV DYRENES SUNDHEDSOPLYSNINGER / HEALTH INFORMATION OF THE ANIMALS Jeg/ I, embedsdyrlæge attesterer hermed med hensyn til ovennævnte dyr at: / an Official Veterinarian certify with respect to the animal identified above that: 1. Jeg har scannet og bekræftet microchipnummeret der er anført ovenfor. / I have scanned and confirmed the microchip number above. 2. Microchipnummeret er anført på alle vaccinations og behandlingsoptegnelser, laboratoriereporter og certifikatet. / The microchip number is recorded on all vaccination and treatment records, laboratory results, and certification. 3. Efter grundig forespørgsel og fysisk undersøgelse er jeg overbevist om, at dyret er mere end 9 måneder på det planlagte afsendelsestidspunkt. / After due enquiry and physical examination, I am satisfied that the animal will be more that 9 months old at the scheduled time of shipment. 4. Efter grundig forespørgsel og fysisk undersøgelse er jeg overbevist om, at dyret ikke vil være mere end 42 dage drægtig på det planlagte afsendelsestidspunkt. / After due enquiry and physical examination, I am satisfied that the animal will not be more than 42 days pregnant at the scheduled time of shipment. 5. Efter grundig forespørgsel er jeg overbevist om, at dyret uafbrudt har opholdt sig i Danmark i 6 måneder forud for eksport. / After due enquiry, I am satisfied that the animal has been continuously resident in Denmark for the 6 months prior to export. 6. Efter grundig forespørgsel og fysisk undersøgelse er jeg overbevist om, at hunden ikke tilhører følgende racer eller typer helt eller overvejende: Brazilian Fila, Amerikansk Pit Bull Terrier, Dogo Argentino, Japanese Tosa, Perro de Presa Canario. / After due enquiry and physical examination, I am satisfied that the dog is not a dog that belongs wholly or predominantly to any of the following dog breeds or types: Brazilian Fila, American Pit Bull Terrier, Dogo Argentino, Japanese Tosa, Perro de Presa Canario. 7. Efter grundig forespørgsel er jeg overbevist om, at dyret ikke er en hybrid (krydsning med en anden art), med undtagelse af Bengalske katte. Dokumentation af fem generationer of domesticerede afstamning skal forevises for Bengalske katte. / After due enquiry, I am satisfied that the animal is not a hybrid (crossed with another species), with the exception of Bengal cats. Documentation of five generations of domestic ancestry must be provided for Bengal cats. La 23, Page 3 of 12 New Zealand

4 8. Rabies vaccination / Rabies vaccination Katten eller hunden er blevet vaccineret mod rabies med en af myndighederne godkendt inaktiveret virus vaccine eller en rekombinant vaccine der udtrykker rabies virus glycoprotein: / The cat or dog has been vaccinated against rabies with a government approved inactivated virus vaccine or recombinant vaccine expressing the rabies virus glycoprotein; a. Ved tilfælde af 1. gangs vaccination, foretages denne ikke mindre end 6 måneder, og ikke mere end 1 år forud for det planlagte afsendelsestidspunkt, når dyret er mindst 3 måneder gammelt (2)(4). / a. In the case of a primary vaccination, the vaccine was given not less than six months and not more than one year prior to the date of shipment, when the animal was at least three months old. (2)(4) ; Dato for vaccination: / Date of vaccination: b. I tilfælde af en booster vaccination, foretages denne ikke mere end 1 år forud for det planlagte afsendelsestidspunkt (2)(4)(5). / b. In case of a booster vaccination, the vaccine was given not more than one year prior to the date of shipment. (2)(4)(5) Dato for vaccination: / Date of vaccination: Dato for tidligere vaccination: / Date of previous vaccination: 9. Rabies titer test / Rabies titre test Kattten eller hunden har været underlagt en FAVN eller RFFIT rabies-neutraliserende antistoftitrerings test (som beskrevet i OIE Terrestrial Manual) på en prøve indsamlet ikke mindre end tre måneder og ikke mere end 24 måneder forud for datoen for afsendelsen, med en resultat på mindst 0,5 IU / ml; / The cat or dog has been subjected to a FAVN or RFFIT rabies neutralising antibody titration test (as prescribed in the OIE Terrestrial Manual) on a sample collected not less than three months and not more than 24 months prior to the date of shipment, with a result of at least 0.5 IU/ml; Dato for prøvetagning: / Sample collection date: Test resultat: / Test result: La 23, Page 4 of 12 New Zealand

5 10. Behandling mod endoparasitter / Internal parasite treatments Katten eller hunden blev behandlet to gange med et produkt (eller kombination eller produkter) der er registreret til bekæmpelse af nematoder og cestoder, efter fabrikantens anbefalede dosis. / The cat or dog was treated twice with a product (or combination or products) registered for the control of nematodes and cestodes at the manufacturer s recommended dose. a. Den første behandling blev givet i de sidste 30 dage forud for datoen for afsendelse og mindst to uger inden den anden behandling. / a. The first treatment was given in the 30 days prior to the date of shipment and at least two weeks before the second treatment. Dato for første behandling: / First treatment date: Navn på aktivt stof: / Name of active ingredient(s): b. Anden behandling (eller behandlingsforløbet) blevet givet i de seneste fire dage forud for afsendelsen. / b. The second treatment (or course of treatment) was given in the four days prior to the date of shipment. Dato for anden behandling: / Second treatment date: Navn på aktivt stof: / Name of active ingredient(s): 11. Ektoparasitær behandling / External parasite treatments Katten eller hunden blev behandlet af en dyrlæge to gange med et topicalt produkt registreret til bekæmpelse af flåter og lopper, efter fabrikantens anbefalede dosis og certificeret som fri for ektoparasitter ved hver behandling. The cat or dog was treated by a veterinarian twice with a topical product registered for the control of ticks and fleas at the manufacturer s recommended dose and certified as free from external parasites at each treatment. a. Den første behandling blev givet i de sidste 30 dage forud for datoen for afsendelse og mindst to uger før den anden behandling, og dyret var fri for ektoparasitter. / a. The first treatment was given in the 30 days prior to the date of shipment and at least two weeks before the second treatment, and the animal was free of external parasites. Dato for første behandling/insektion: / First treatment/inspection date: Navn på aktivt stof: / Name of active ingredient(s): b. Den anden behandling blev givet i de seneste to dage forud for afsendelsesdatoen, og dyret var fri for ektoparasitter. / b. The second treatment was given in the two days prior to the date of shipment and the animal was free of external parasites. Dato for anden behandling/inspektion: / Second treatment/inspection date: Navn på aktivt stof: / Name of active ingredient(s): La 23, Page 5 of 12 New Zealand

6 11. Hundens hjerteorm (Dirofilaria immitis) / Canine heartworm (Dirofilaria immitis) Behandling: / Treatment: ENTEN / EITHER a. Hunden er blevet behandlet med et af følgende i de seneste fire dage forud for afsendelsesdatoen: Ivermectin på 6 mcg/kg (2), Milbemycin ved 0,5 mg/kg (2), Moxidectin ved 2-4 mcg/kg (2), Selamectin på 6 mg/kg (2). / a. The dog has been treated with one of the following in the four days prior to the date of shipment: Ivermectin at 6 mcg/kg (2), Milbemycin at 0.5 mg/kg (2), Moxidectin at 2-4 mcg/kg (2), Selamectin at 6 mg/kg (2). Dato for behandling: / Date of treatment: b. Hunden er up-to-date på hjerteormsforebyggelse, med en depot-injektion (langsom frigivelse) af Moxidectin (2). / b. The dog is up-to-date on heartworm prevention with a sustained-release injection of Moxidectin (2). Dato for behandling: / Date of treatment: Produktnavn: / Name of product: OG / AND Test / Testing Hunden har været genstand for en hjerteorm antigen ELISA (enzymlinket immunosorbentassay) test med et negativt resultat i de seneste 30 dage inden datoen for afsendelse. / The dog has been subjected to a heartworm antigen ELISA ( enzyme-linked immunosorbent assay) test with a negative result in the 30 days prior to the date of shipment. Dato for prøvetagning: / Sample collection date: 12. Babesi Gibsoni test (hunde) (6) / Babesia Gibsoni test (dogs) (6) a. Hunden har været genstand for en IFA (indirekte fluorescerende antistof) test eller ELISA (enzymlinket immunosorbentassay) test for Babesia gibsoni med et negativt resultat i de 16 dage inden afsendelsesdatoen (2) ; / a. The dog has been subjected to an IFA (indirect fluorescent antibody) test or ELISA (enzymelinked immunosorbent assay) test for Babesia gibsoni with a negative result in the 16 days prior to the date of shipment (2) ; Dato for prøvetagning: / Sample collection date: b. Hunden har været genstand for to PCR (polymerase chain reaction) test for Babesia arter eller Babesia gibsoni med negative resultater på prøver taget med 30 til 37 dages mellemrum, med den anden prøve opsamlet i de seneste 16 dage inden afsendelsesdatoen (2). / b. The dog has been subjected to two PCR (polymerase chain reaction) tests for Babesia species or Babesia gibsoni with negative results on samples collected 30 to 37 days apart, with the second sample collected in the 16 days prior to the date of shipment (2). La 23, Page 6 of 12 New Zealand

7 Dato for første prøvetagning: / First sample collection date: Dato for anden prøvetagning: / Second sample collection date: 13. Brucella Canis test (hunde) (7) / Brucella Canis testing (dogs) (7) ENTEN / EITHER a. Hunden har været genstand for en rapid slide agglutinationstest (RSAT) med et negativt resultat i de seneste 16 dage forud for datoen for afsendelsen (2) ; / a. The dog has been subjected to a rapid slide agglutination test (RSAT) with a negative result in the 16 days prior to the date of shipment (2) ; Dato for prøvetagning: / Sample collection Date: b. Hunden har været genstand for en tube agglutinationstest (TAT) med et negativt resultat i de seneste 16 dage før datoen for afsendelsen (2) ; / b. The dog has been subjected to a tube agglutination test (TAT) with a negative result in the 16 days prior to the date of shipment (2) ; Dato for prøvetagning: / Sample collection Date: c. Hunden har været genstand for en cytoplasmatisk agar gel immunodiffusionsprøve (CPAg-AGID) med et negativt resultat i de seneste 16 dage før datoen for afsendelsen (2). / c. The dog has been subjected to a cytoplasmic agar gel immunodiffusion test (CPAg-AGID) with a negative result in the 16 days prior to the date of shipment (2). Dato for prøvetagning: / Sample collection date: d. Hunden har haft en mistænkelig RSAT eller TAT resultat og har efterfølgende været genstand for en CPAg-AGID test med et negativt resultat, hvor den anden prøve opsamlet i de seneste 16 dage forud for datoen for afsendelsen (2). / d. The dog has had a suspicious RSAT or TAT result and has been subjected to a CPAg-AGID with a negative result, with the second sample collected in the 16 days prior to the date of shipment (2). Dato for prøvetagning af RSAT eller TAT: / RSAT or TAT sample collection date: / Dato for prøvetagning af CPAg-AGID: / CPAg-AGID sample collection date: e. Hunden havde en mistænkelig TAT resultat, og testen blev gentaget i 30 til 42 dage efter den første test med et negativt resultat, hvor den anden prøve er opsamlet i de seneste 16 dage forud datoen for afsendelsen (2). / e. The dog had a suspicious TAT result and the test was repeated in 30 to 42 days after the first test with a negative result, with the second sample collected in the 16 days prior to the date of shipment (2). La 23, Page 7 of 12 New Zealand

8 Dato for første prøvetagning: / First sample collection date: Dato for anden prøvetagning: / Second sample collection date: OG / AND f. For intakte hunde: Efter behørig undersøgelse og efter min bedste viden: i de 44 dage forud for datoen for afsendelsen, er hunden ikke blevet brugt til naturlig parring, medmindre det er med en hund af samme Brucella canis sundhedsstatus. Enhver kunstig befrugtning blev gjort med sæd, der opfylder de relevante New Zealand import sundhedskontrol standard for sæd (2). / f. For entire dogs only: After due enquiry and to the best of my knowledge: in the 44 days prior to the date of shipment, the dog did not naturally mate, unless to a dog of equal Brucella canis health status. Any artificial insemination was done with semen that meets the relevant New Zealand import health standard for semen (2). 14. Babesia canis behandling eller test(s)(hunde der på et tidspunkt har boet eller rejst til Sydafrika) / Babesia canis tretment or test(s) (Dogs that have ever resided in or travelled to South Africa) ENTEN/ EITHER a. Hunden har fået en injektion af imidocarb dipropionat ved 7,5 mg / kg IM i de 16 dage forud for datoen for afsendelsen (2) ; / a. The dog has been given one injection of imidocarb dipropionate at 7.5 mg/kg IM in the 16 days prior to the date of shipment (2) ; Total dosis: / Total dose: Dato for behandling: / Date of treatment: b. Hunden har været genstand for en IFA (indirekte fluorescerende antistof) test eller ELISA (enzyme-linked immunosorbent assay) test for Babesia canis med et negativt resultat indenfor de seneste 16 dage inden afsendelsesdatoen (2) ; / b. The dog has been subjected to an IFA (indirect fluorescent antibody) test or ELISA (enzymelinked immunosorbent assay) test for Babesia canis with a negative result in the 16 days prior to the date of shipment (2) ; Dato for prøvetagning: / Sample collection date: c. Hunden har været genstand for to negative PCR (polymerase chain reaction) test for Babesia arter eller Babesia canis med negative resultater på prøver der er taget med 30 til 37 dage mellemrum, med den anden prøve opsamlet i de seneste 16 dage forud for datoen for afsendelsen (2). / c. The dog has been subjected to two negative PCR (polymerase chain reaction) tests for Babesia species or Babesia canis with negative results on samples collected 30 to 37 days apart, with the second sample collected in the 16 days prior to the date of shipment (2). Dato for første prøvetagning: / First sample collection date: Dato for anden prøvetagning:/ Second sample collection date: La 23, Page 8 of 12 New Zealand

9 15. Leptospirose behandling eller test (Hunde) / Leptospirosis treatment or testing (Dogs) ENTEN / EITHER a. Hunden er blevet behandlet med doxycyclin ved en terapeutisk dosis i 14 på hinanden følgende dage i de seneste 30 dage forud datoen for afsendelsen (2) ; / a. The dog has been treated with doxycycline at a therapeutic dose rate for 14 consecutive days in the 30 days prior to the date of shipment (2) ; Dosis rate: / Dose rate: Dato for behandling: / Date of treatment: b. Hunden er blevet behandlet med en terapeutisk dosis af dihydrostreptomycin i fem på hinanden følgende dage i de seneste 30 dage forud datoen for afsendelsen (2) ; / b. The dog has been treated with a therapeutic dose of dihydrostreptomycin for five consecutive days in the 30 days prior to the date of shipment (2) ; Dosis rate: / Dose rate: Dato for behandling: / Date of treatment: c. Hunden har været genstand for en mikroskopisk agglutinationstest (MAT) for Leptospira interrogans serovar canicola med et negativt resultat indenfor de sidste 30 dage inden datoen for afsendelsen (2) ; / c. The dog has been subjected to a microscopic agglutination test (MAT) for Leptospira interrogans serovar canicola with a negative result in the 30 days prior to the date of shipment (2) ; Dato for prøvetagning: / Sample collection date: d. Hunden havde en positiv MAT på 1:400 eller mindre for L. canicola i de sidste 30 dage inden datoen for afsendelsen, og har været genstand for en anden MAT for L. canicola mindst 14 dage efter den første test og viste her ingen stigning over titeren af den første test (2). / d. The dog had a positive MAT of 1:400 or less for L. canicola in the 30 days prior to the date of shipment and has been subjected to a second MAT for L. canicola at least 14 days after the first test and showed no increase above the titre of the first test (2). Dato for første prøvetagning: / First sample collection date: Dato for anden prøvetagning: / Second sample collection date: La 23, Page 9 of 12 New Zealand

10 16. Undersøgelse: / Examination: I de to dage forud for afsendelse, undersøgte jeg dyret/dyrene og fandt det/dem fri for kliniske tegn på infektiøse eller smitsomme sygdomme, eksterne parasitter og (kun for en hund, der ikke er kastreret eller steriliseret) eventuelle synlige tegn af canine transmissible venereal tumour ved undersøgelse af de ydre kønsorganer (som omfatter undersøgelse af den ekstruderede penis). / In the two days prior to shipment, I examined the animal/s and found it/them to be free from clinical signs of infectious or contagious diseases, external parasites, and (only for a dog that is not castrated or spayed) any visible signs of canine transmissible venereal tumour on examination of external genitalia (which includes examination of the extruded penis). 17. Embedsdyrlægens underskrift og stemple er på alle sider (inklusiv laboratorie reporter). / Government veterinary signature and stamp to be applied to all pages (including laboratory reports). VI ATTESTERING (3) / CERTIFICATION (3) Udfærdiget i: / Done at: Dato: / Date: Officielt stempel (3) : / Official stamp (3) : Embedsdyrlægens underskrift (3) / Signature of the veterinary officer (3) 1. Navn og titel med blokbogstaver: / Name and title in block letters: 2. Den udstedende myndigheds navn og adresse: / Name and address of issuing authority: (1) Certifikatnummeret skal anføres på alle certifikatets sider. / The certificate number must be applied on all the pages of the certificate. (2) Det ikke relevante overstreges. / Delete as appropriate. (3) Certifikatet skal stemples og underskrives i en anden farve end det trykte. / The certificate must be stamped and signed in colour different to the printing. (4) En mikrochip skal implanteres før eller på samme tid som den rabies vaccination og rabies titer test, der anvendes til import. / A microchip must be implanted prior to or at the same time as the rabies vaccination and rabies titre test used for import. (5) Rabies vaccination skal holdes up-to-date fra datoen for prøvetagning for rabies titer test til dato for afsendelse. / Rabies vaccination must be kept up-to-date from date of sample collection for rabies titre test to date of shipment. (6) Hunde diagnostiseret med Babesia gibsoni er ikke egnede til import, uanset behandling. / Dogs diagnosed with Babesia gibsoni are not eligible for import, regardless of treatment. (7) Hunde der er diagnosticerede med Brucella canis er ikke egnede til import, uanset behandling./ Dogs diagnosed with Brucella canis are not eligible for import, regardless of treatment. La 23, Page 10 of 12 New Zealand

11 VETERINÆRCERTIFIKAT B / VETERINARY CERTIFICATE B Erklæring af embedsdyrlæge ved grænsekontrolstedet / Declaration of the Official Veterinarian at the Border of Inspection Post Jeg/ I, grænseembedsdyrlæge attesterer hermed med hensyn til ovennævnte dyr at: / the Official Veterinarian at the Border of Inspection Post certify in regards to the animal identified above that: 1. Katten eller hunden blev inspiceret i de to dage forud for rejsen og er: sund og egnet til at rejse, fri for eksterne parasitter, fri for kliniske tegn på smitsomme sygdomme, og (kun for en hund, der ikke er kastreret eller steriliseret) fri for synlige tegn på canine transmissible venereal tumor ved undersøgelse af de ydre kønsorganer (som omfatter undersøgelse af ekstrudered penis). / The cat or dog was inspected in the two days prior to travel and is: healthy and fit to travel, free of external parasites, free of clinical signs of infectious disease, and (only for a dog that is not castrated or spayed) free of any visible signs of canine transmissible venereal tumour on examination of external genitalia (which includes examination of protruded penis). 2. Alle tests blev udført på et statsligt laboratorium eller et laboratorium godkendt af den officielle veterinære myndighed i Danmark, og resultaterne er stemplet og knyttet til dette certifikat. / All tests were conducted at a government laboratory or a laboratory approved by the official government veterinary authority of Denamrk, and the results are stamped and attached to this certificate. 3. Alle krævede dokumenter er blevet gennemgået og korrekt udfyldt i overensstemmelse med New Zealand import sundhedsstandard krav. / All the required documents were examined and correctly completed in accordance with New Zealand import health standard requirements. 4. Jeg har bekræftet dyrets identitet ved aflæsning af den implanterede transponder/mikrochip: / I have confirmed the identity of the animal by reading the implanted transponder/microchip: Mikrochip nummer: / Microchip number: Anatomisk placering: / Anatomical site implanted: 4. Dyret blev anbragt i en beholder, der opfylder International Air Transport Association (IATA) standarder. Beholderen var ren, tør og fri for skadedyr, og blev forseglet med et officiel segl med følgende nummeret eller mærke: / The animal was placed in a container that meets the International Air Transport Association (IATA) standards. The container was clean, dry, and free of pests, and was fastened with an official seal bearing the number or mark: Segl mærke/nr.: Seal number/mark: La 23, Page 11 of 12 New Zealand

12 Udfærdiget i: / Done at: Dato: / Date: Officielt stempel (2) : / Official stamp (2) : Embedsdyrlægens underskrift (2) / Signature of the veterinary officer (2) 1. Grænsekontrolstedets navn og adresse: / Name and address of the Border of Inspection Post: (1) Certifikatnummeret skal anføres på alle certifikatets sider. / The certificate number must be applied on all the pages of the certificate. (2) Certifikatet skal stemples og underskrives i en anden farve end det trykte. / The certificate must be stamped and signed in colour different to the printing. La 23, Page 12 of 12 New Zealand