Reporting Grass Sickness Cases

The Equine Grass Sickness Surveillance Scheme is completely confidential and the information that you provide is used in connection with EGS research only.

Please note you MUST be over 16 years old to submit a case report.

Your case data will be stored indefinitely and maintained by The Moredun Foundation Equine Grass Sickness Fund ( EGSF Privacy Policy, contact EGSF Compliance Manager, 0131 445 5111 or email info@moredun.org.uk).

EGSF is the only charity dedicated to supporting and advancing research into EGS and further improving the treatment of chronic cases. We publish a free bi-annual newsletter for the interest of all our supporters, containing research updates, fundraising news and merchandise catalogue. You can opt in to receive this by email or by post in the case form below and can alter your preferences at any time by contacting EGSF.

Please read these notes before completing the questionnaire:

1. Please complete the questionnaire for one horse/pony only. If you wish to report more than one case please complete separate questionnaires for each horse/pony.

2. Please complete all three sections of the questionnaire.

3. For more information or for clarification on any aspect of the Equine Grass Sickness Surveillance Scheme please phone Kate Thomson on 0131 445 6257  or email biobank@grasssickness.org.uk

    Case Details

    1. What is/was your horse/pony's name?

    2. Where was your horse/pony kept when he/she first showed signs of EGS? The address of the premises will be kept confidential and anonymous, and will only be used for mapping purposes. This information is vital to help us establish if EGS is more common in certain areas of the country.

    Address

    Town

    County

    Postcode

    3. What age was your horse/pony when you first noticed signs of EGS? (Years / months)

    4. What sex is/was sex your horse/pony?

    5. What breed is/was your horse/pony? (Or type if breed is unknown)

    6. When did your horse/pony first show signs of EGS? If you are unsure of the exact date please provide the month and year in which your horse/pony first showed signs of EGS

    7. Did your horse/pony survive?

    8. Which one of the following best describes the type of EGS and the outcome?

    9. Which best describes how the diagnosis was made? (please tick all that apply)

    Premises Details

    10. Prior to showing signs of EGS how long had your horse/pony been kept on

    a) The whole premises ( Years/ months/ weeks/ days)

    b) The affected paddock (Years/ months/weeks/days)

    11. At the time when your horse/pony first showed signs of EGS what was the area available for horses grazing on:

    a) The whole premises (Acres)

    b) The affected paddock (Acres)

    12. At the time when your horse/pony first showed signs of EGS what was the total number of horses/ponies grazing, including the affected horses on

    a) The whole premises

    b) The affected paddock

    13. Have there been any previous cases of EGS on
    a) The whole premises
    b)The affected paddock

    14. Since what date are you aware of the history of the premises (DD/MM/YY)

    Your Details

    15. Your Name

    16. Your Address

    Town

    County

    Post Code

    Telephone

    Email Address

    Your comments or observations

    Thank you for lettting us know about your case of EGS

    In spring and autumn we publish The Moredun Foundation Equine Grass Sickness Fund supporters' newsletter, 'Equine News', containing research updates, volunteering opportunities, fundraising activities and our Christmas Catalogue. If you would like to receive 'Equine News' please select from the following options. You can update your preferences at any time by contacting EGSF on 0131 445 6257 or email info@grasssickness.org.uk.