OHZDIS Field Report

OHZDIS Field Reporting

← Dashboard Field Report Report History

OHZDIS · One Health Field Reporting System

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Reports are analyzed in real-time by 43 OHZDIS modules · Data feeds directly into the live dashboard

🐄 Farm / Livestock

🏥 Hospital / Clinic

🌿 Environmental

📋 Report History

Fill in report details — OHZDIS will auto-assess severity

Reporter Information REQUIRED

Farm / Facility Name *

Reporter Name *

Location / District *

Contact Number

Animal Situation REQUIRED

Species Affected *

Total Animals on Farm

Animals Affected *

Animals Dead

Date First Noticed *

Onset Pattern

Clinical Signs Observed

Sudden death / mass mortality Respiratory distress / gasping Neurological signs (tremors, paralysis) Drop in egg production Swollen head / cyanotic comb Diarrhea / bloody discharge Loss of appetite / lethargy Fever / high temperature Skin lesions / blisters Unusual behavior Wild birds found dead nearby Workers also feeling unwell

Additional observations

Severity Assessment

LOW
Mild signs
Few animals

MODERATE
Spread within farm

HIGH
Rapid spread
High mortality

CRITICAL
Mass death
Human symptoms

Fill in patient details — OHZDIS will assess zoonotic probability

Facility Information REQUIRED

Hospital / Clinic Name *

Reporting Physician

Location *

Department

Case Information REQUIRED

Number of Cases *

Age Group

Symptom Onset Date

Hospitalized / ICU

Animal / Environmental Exposure

Animal Contact? *

Travel History

Occupation

Suspected Diagnosis

Symptoms

Fever ≥38°C Cough / respiratory distress Pneumonia / infiltrates on X-ray Encephalitis / neurological signs Hemorrhagic symptoms Severe diarrhea / vomiting Skin rash / lesions Jaundice / liver failure Conjunctivitis / eye symptoms Lymphadenopathy

Clinical notes

Environmental Sample Report

Sample Type *

Collection Location *

Collection Date

Number of Samples

Test Result (if available)

Pathogen Suspected

Observations

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