Import Permit Number:    ...............................

Country of export:            Australia

Competent authority:       Department of Agriculture, Fisheries and Forestry

I. IDENTIFICATION OF HORSES

Note: A passport or identification silhouette must be attached for each horse.

II. ORIGIN AND DESTINATION OF HORSE(S)

Name and address of exporter:...................................................................................
......................................................................................................................................................

Name and address of pre-export isolation facility: .........................................
......................................................................................................................................................

Name and address of importer: ................................................................................
......................................................................................................................................................

Means and identification of transport: By air - flight number: .........................................

III. HEALTH INFORMATION

I, Dr ………………………………, a duly authorised government veterinary officer, hereby certify with respect to the horse(s) described above that:

1. The horse(s) has been in Australia since birth, or for a continuous period of at least 60 days prior to export.^*
   
   
2. The following diseases are compulsorily notifiable in Australia: African horse sickness, dourine, glanders, surra, equine encephalomyelitis (Venezuelan, Eastern and Western equine encephalomyelitis (VEE, EEE, WEE)), Japanese encephalitis, equine infectious anaemia, contagious equine metritis, Borna disease, vesicular stomatitis, rabies, anthrax and equine influenza.
   
   
3. Australia is recognised by the World Organisation for Animal Health (WOAH) as being a country free from African horse sickness.
   
   
4. Australia is free of the following diseases for the 12 months preceding export: glanders, Borna disease and vesicular stomatitis.
   
   
5. Australia is free of the following diseases for the 24 months preceding export: dourine, contagious equine metritis, equine influenza, rabies and surra and equine encephalomyelitis (VEE, EEE, WEE).
   
   
6. During the 3 months prior to export, no case of equine infectious anaemia (EIA) has been associated with any premises where the horse(s) was kept during that period and no case of EIA has been detected at the pre-export isolation facility or within a 100km radius of the facility during that period.
   
   
7. If the horse(s) was immunised against West Nile virus, the dates, vaccine and batch number(s) are recorded in both the health certificate and in the passport.^*
   
   
8. Within 6 months prior to export:
   
   
   1. after due enquiry, the horse(s) has not been resident on premises where strangles (Streptococcus equi) was detected;^*
      
      OR
      
      
   2. the horse(s) was tested negative for Streptococcus equi by means of 3 tests with negative results, using a bacterial culture method and/or polymerase chain reaction (PCR), on nasopharyngeal swabs, at intervals of not less than 7 days between tests, the last swab being taken in the last 10 days before export.^*1
      
      Dates of sampling: 1) ………………… 2) ………………… 3) …………………
   
   
9. The horse(s) has been examined within 48 hours of export and is visibly free of external parasites, shows no clinical signs of disease and is fit for travel.
   
   
10. The horse(s) showed no clinical sign of Japanese encephalitis on the day of export.
    
    
11. The horse(s) was resident on properties where Japanese encephalitis was not reported during the 60 days prior to entering pre-export isolation.
    
    
12. The horse(s) was subjected to the following tests, with negative results, on samples of blood taken during pre-export isolation:¹
    
    
    1. equine infectious anaemia: a Coggins test
       
       Date of sampling: …………………
       
       
    2. dourine: complement fixation test
       
       Date of sampling: …………………
       
       
    3. surra: a CATT tested at either APHA Weybridge laboratory in the United Kingdom at which the CATT test is ISO17025 accredited or at the WOAH reference laboratory for Trypanosoma, The Institute of Tropical Medicine, Antwerp Department of Parasitology, Nationalestraat 155B-2000 Antwerpen, Belgium.
       
       Date of sampling: …………………
       
       Note: If a horse being prepared for export to South Africa tests suspects or positive on the CATT, the horse must be removed from pre-export isolation and the remaining horses must then be re-tested 21 days later. South Africa must be advised of any such suspect or positive test results during pre-export isolation.
    
    
13. The horse(s) was tested 3 times with negative results for contagious equine metritis during pre-export isolation using a bacterial culture method or a real time PCR at intervals of not less than 7 days between tests:¹
    
    
    1. - in the case of a stallion, colt or gelding, swabs must be taken from the penile sheath (lamina interna), urethra and urethral fossa including the urethral sinus for each of the three tests;
    2. - In the case of a non-pregnant mare or filly older than 18 months, swabs must be taken from the endometrium, clitoral fossa and clitoral sinus (paediatric swabs) for each of the three tests;
    3. - In the case of a pregnant mare of filly younger than 18 months, swabs must be taken from the clitoral fossa and clitoral sinus (paediatric swabs) for each of the three tests.
       
       
    4. Dates of sampling: 1) ………………… 2) ………………… 3) …………………
       
       
    5. In accordance with the WOAH Terrestrial Manual, stallions/colts/geldings/mares/fillies should not be washed with disinfectant or treated with local or systemic antibiotics from at least 7 days prior to taking the first set of swabs until the last set of swabs has been taken.
    
    
14. The horse(s) was tested twice within 45 days of export for equine viral arteritis by virus neutralisation test at an interval of 21 days between tests with the following results:¹
    
    
    1. both negative;^*
       
       Dates of sampling: 1) ………………… 2) …………………
       
       OR
       
       
    2. in the case of a mare, filly or gelding that tests serologically positive, a stable or declining titre must be demonstrated. Paired samples were tested on the same day in the same laboratory and were titrated to an end point;^*
       
       Dates of sampling: 1) ………………… 2) …………………
       
       OR
       
       
    3. in the case of a colt or stallion that tests serologically positive, proof must be furnished that the horse was isolated for a minimum of 7 days prior to the first vaccination and subjected to a virus neutralisation test for equine viral arteritis on day 7 of isolation with negative results; immediately vaccinated and remained isolated for 21 days after vaccination from other equids not of equivalent health status and then revaccinated regularly according to the recommendations of the vaccine manufacturer. All vaccinations must be certified in the horse’s passport.^*
       
       Date of sampling: …………………
    
    
15. The horse(s) has received, during the 60 days immediately prior to export, but not within 14 days of export either:^{2, 3}
    
    
    1. at least 2 primary vaccinations against equine influenza using an epidemiologically relevant vaccine given 21 to 42 days apart;^*
       

       	Date of vaccination	Vaccine name
       First vaccination
       Second vaccination

       OR
       
       
    2. a booster vaccination against equine influenza using an epidemiologically relevant vaccine which was given within 6 months of a primary course or booster vaccination. Booster vaccinations must have been administered at regular 6 monthly intervals since the primary course.^*
       

       Date of booster vaccination	Vaccine name

16. The horse(s) has been treated within 7 days of export during pre-export isolation for internal and external parasites with an effective remedy registered for use in Australia. Treatment for internal parasites must include broad-spectrum product(s) effective against nematodes and cestodes. Treatment against trematodes must also be administered during the same period using an effective veterinary product prescribed and administered under veterinary direction as an off-label use and in accordance with applicable Australian legislation.
    

    	Date of treatment	Name of product(s)	Active ingredient(s)
    Internal parasites
    External parasites

17. In the case of a mare or filly older than 18 months, was subjected to a pregnancy test and either:^*
    
    
    1. non-pregnant;^*
       
       OR
       
       
    2. pregnant: the last service date must not be more than 240 days prior to date of export.^*

    Mare/filly name	Last service date

18. The horse(s) has been in pre-export isolation for a minimum of 30 days prior to export, and no horses were introduced during this pre-export isolation period. No horses showed any clinical signs of infectious diseases during pre-export isolation, and all samples collected in Australia were collected whilst the horse(s) was in pre-export isolation.
    
    
    1. Date of entry into pre-export isolation: ……………………………………………

This certificate is valid for 7 days.

^* Delete as appropriate

¹ Copies of officially endorsed test results must be attached to the health certificate. All tests must be done at a government recognised laboratory in accordance with the WOAH Manual of Diagnostic Tests and Vaccines for Terrestrial Animals.

² All vaccinations must either be entered in the passport or officially endorsed vaccination certificates attached to the health certificate.

³ According to the WOAH Expert Surveillance Panel on Equine Influenza Vaccine Composition, vaccines for the international market should contain both clade 1 and clade 2 viruses of the Florida sublineage. Clade 1 is represented by A/eq/South Africa/04/2003-like or A/eq/Ohio/2003-like viruses. Clade 2 is represented by A/eq/Richmond/1/2007-like viruses. The last vaccination (both primary vaccinations or booster vaccination) should be done with an epidemiologically relevant vaccine.

Official veterinarian name:          …………………………………..               Date: …………………………………..

Signature:                                      …………………………………..              Stamp:

Place:                                              …………………………………..

The colour of the stamp and signature must be different to that of the printed text.