West Nile Virus - Monmouth County Regional Health Commission

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WEST NILE VIRUS

Dead Bird Monitoring Report Form

The Department of Health is now accepting reports of dead birds. Only a sample of dead birds that meet specific criteria will be tested for the West Nile virus. However, your report of a dead bird is extremely important to us because dead bird reports may indicate the presence of West Nile virus. If you do not receive a call back from the Department of Health within two business days of making your report, please dispose of the bird.

There is currently no evidence that West Nile virus can be spread directly from birds to people. However, dead birds can carry a variety of diseases and, therefore, should never be handled with bare hands.

To dispose of a dead bird, use plastic or latex gloves to carefully place it in a double plastic bag. Or you may use a doubled plastic bag as a glove to pick up the bird. Then wrap the bird in the bag, tie it off and place it in the outdoor trash. Wash your hands with soap and water when finished.

Please fill out the following information. This will be kept confidential

First Name:	Last Name:
Address:
City:	Zip:
Telephone:	Evening Phone:
Email:

Dead Bird(s) Information

Date Found:	Day: Month: Year:
# Found:

Location of Dead Crow:

Address or Street Name:
Nearest Cross Streets/Between:
	Zip:
If public site, provide name (i.e. Wright Park):
Special Instructions:
Comments:

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Phone: 732-493-9520 Fax: 732-493-9521