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SUBMISSION FORM

SUBMISSION OF CONTAGIOUS BOVINE PLEUROPNEUMONIA FOR INTERNATIONAL QUALITY CONTROL

To: PAN AFRICAN VETERINARY VACCINE CENTRE (PANVAC)
c/o FAO, P.O.Box 5536, Addis Ababa, Ethiopia
Telephone: (251-1) 338001
Facsimile: (251-1) 338844
Telex: 21216 FAOAA ET

Producer Laboratory: 
(Name and Address) 
Batch Number:Number of Vials Produced:
No. of Doses per Vial: 
Filling Volume per Vial: 
Date of Manufacture (Freeze Drying): 
Stabilizer Used: 
Expiry Date: 
Number of Vials Submitted: 
(minimum 10, preferably 15, required) 
Medium for Working Seed preparation:Medium for inoculum:
 Medium for final vaccine preparation:
 Passage level in the final vaccine preparation:
Seed Strain:Cattle Challenge Strain:
Designation:Designation:
Source:Source:
Passage Level:Passage Level:
Streptomycin Resistance: Yes/No 

IN-HOUSE QC RESULTS:

Vacuum:PASS/FAIL/NOT DONE
Moisture (%): 
Sterility: 
Aerobic Medium used:PASS/FAIL/NOT DONE
Anaerobic Medium used:PASS/FAIL/NOT DONE
Fungus Medium used:PASS/FAIL/NOT DONE
Titre per Dose (CCU50): 
Medium used for titration: 
Method used (Micro/Tube): 
Innocuity:  - MicePASS/FAIL/NOT DONE
 - Guinea pigsPASS/FAIL/NOT DONE
Identity Test: 
Agar gel immuno-diffusionPASS/FAIL/NOT DONE
Growth InhibitionPASS/FAIL/NOT DONE
Colony morphologyPASS/FAIL/NOT DONE
Digitonin sensitivityPASS/FAIL/NOT DONE
Streptomycin ResistanceYES/NO/NOT DONE
Other (specify) 
Safety in Cattle:PASS/FAIL/NOT DONE
Number of Field Doses used: 
Potency in Cattle: 
ChallengePASS/FAIL/NOT DONE
Antibody (titre)PASS/FAIL/NOT DONE
PathologyPASS/FAIL/NOT DONE
CulturePASS/FAIL/NOT DONE

Name and Qualification of Officer Responsible for Quality Control:

Signature of Head of QC: Date: / /

SUBMISSION OF COMBINED CBPP AND RINDERPEST VACCINE FOR INTERNATIONAL QUALITY CONTROL

TO: PAN AFRICAN VETERINARY VACCINE CENTRE (PANVAC)
c/o FAO, P.O.Box 5536, Addis Ababa, Ethiopia
Telephone: (251-1) 338001
Facsimile: (251-1) 338844
Telex: 21216 FAOAA ET

Producer Laboratory: (Name and Address)

A. Production DataRinderpestCBPP
1Batch No. 
2Number of vials produced 
3Number of doses per vial 
4Filling volume per vial 
5Stabilizer used 
6Manufacturing date (Freeze-drying) 
7Expiry date 
8Number of vials submitted (Minimum 20 required) 
9Cell substrates used N/A
 9.1 For seed-virus preparation
  Type
  Passage level
 9.2 For vaccine production
  Type
  Passage level
10Medium for inoculum preparationN/A 
11Medium for vaccine productionN/A 
12Vaccine seed strain  
 12.1 Designation  
 12.2 Source  
 12.3 Passage level  
 12.4 Passage level in final vaccine  


B. In-house QC ResultsRinderpestCBPP
1Titre per VialTCID50:CCU50:
 Titre per field doseTCID50:CCU50:
 1.1 Titration method used:  
  a) Micro  
  b) Tube  
 1.2 Cell Substrate/Medium used:  
2Identity testPASS/FAIL/NDPASS/FAIL/ND
 2.1 Method used:  
3BVD test  
 3.1 Cell substratePASS/FAIL/ND 
 3.2 SerumPASS/FAIL/NDN/A
 3.3 VaccinePASS/FAIL/ND 
 3.4 Test method (reference)  
4Adventitious virusesPASS/FAIL/ND 
 4.1 Cell substrate used in QC  
 4.2 Test method (Reference)  
5Safety test in cattlePASS/FAIL/NDPASS/FAIL/ND
 5.1 Number of field doses used  
6Potency test in cattle  
 6.1 Challenge testPASS/FAIL/NDPASS/FAIL/ND
 6.2 Antibody titrePASS/FAIL/NDPASS/FAIL/ND
 6.3 Challenge strain  
 Designation  
 Source  
 Passage level  
7Vacuum testPASS/FAIL/NDPASS/FAIL/ND
8Moisture content(%)  
9Sterility test  
 9.1 Aerobic-medium used:PASS/FAIL/NDPASS/FAIL/ND
 9.2 Anaerobic-medium used:PASS/FAIL/NDPASS/FAIL/ND
 9.3 Fungus-medium used:PASS/FAIL/NDPASS/FAIL/ND
10Innocuity test  
 10.1 MicePASS/FAIL/NDPASS/FAIL/ND
 10.2 Guinean pigsPASS/FAIL/NDPASS/FAIL/ND
Note:  N/A = Not applicable CCU50 = Colour Changing Units50
 N/D = Not done TCID50= Tissue Culture Infectious Units50

Name and Qualification of Officer Responsible for Quality Control:

Signature of Head of QC: Date: / /

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