Lepto cases identified in the UK
This form is for vets and laboratories to record cases confirmed as being Leptospirosis in the UK. The data will be used to populate a map. Your surgery and contact name will be kept confidential.
The map will just show; The Species, Strains of lepto infecting, If a dog then was it vaccinated and with which strains, In which county the surgery is, In which county the animal may have been infected.
Please submit one form for each case that you see
Your email address
Please provide a contact name in case clarification of any detail is required
In which county is the diagnosing veterinary surgery in?
Which species of animal was found to have Lepto?
Has Lepto been confirmed by a laboratory or in-house?
Lepto confirmed at a Laboratory
Lepto confirmed in-house
Which strain of Lepto was confirmed?
In which county might the animal have caught the infection?
E.g. family and dog on holiday indifferent part of the country
Has the animal ever been out of the country or brought in from another country?
Yes - the animal has been outside of the UK
No - the animal has always been in the UK
If a dog, had it been vaccinated with any Lepto vaccine previous to this infection?
Which vaccine had the dog been vaccinated with prior to this infection?
How many months prior to identifying this infection was the dog last vaccinated with a Lepto vaccine?
Was APHA informed of the infection?
Your submission will help people to make an informed decision on which vaccines their dog should be receiving.
A copy of your responses will be emailed to the address that you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service