Register Cases of African Horse Sickness

Step 1 of 4 - Compulsory Information for a new suspected or confirmed case.

This information is compulsory. Please take your time to complete the below form as accurately as possible.

Download an offline version of this form (.pdf - 13.3kb).

Question	Response
Horse Identification
Please provide a name or other identifier for the horse:
Please provide the estimated age of the horse (in years):
Place where case occurred
Please enter the country in which the case occurred:
Please select the province in which the case occurred:	Gauteng Mpumalanga North West Limpopo Free State KwaZulu Natal Northern Cape Eastern Cape Western Cape Namibia Lesotho Other Country
Please enter the nearest town or city to where the case occurred:
Please enter the location where the case occurred (eg. agricultural holdings or suburb - if not applicable, please enter the town/city again):
Please enter the plot name or number or farm name where the case occurred:
Date of case
Please select the date on which symptoms were first noticed:
Classification of the case
Please select one option to classify the case: Suspected only. Confirmed by veterinarian diagnosis. Confirmed by laboratory test. Suspected but laboratory test negative.
Current status of horse
Please select one option to describe the current status of the horse: Alive. Dead. Euthanised.
If not alive, please select the date of death:
Sample sent for testing
Has a blood sample been sent to Ondersterpoort for definitive testing: Yes. No.
Contact details for information regarding this case
Please enter a contact name:
Please enter a contact telephone number:
Please enter a contact email address:
Submit