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Wildlife & Fish Trapping & Netting Research Application Form To Animal Ethics Committee Date application received: ------------------Project Title IACUC Register Number IACUC Permit Number CUFS Principal Investigator: ---------------------Person to contact (if other than PI) for more details on environmental enhancement needs or restrictions for this protocol: Research Staff Contact: ---------------------- Phone Number: -------------------- E-mail: -------------------------------------------**************************************** Refer to the Guide for the Care and Use of Laboratory Animals 8th Edition 2011 (the Guide). ‘Applicants’ are Staff or Students of the Faculty of Science, Cairo University. Effective alternatives to using live animals must be considered. All use of animals for any purpose must be justified. Investigators have personal responsibility for all matters related to the welfare of the animals they use and must act in accordance with all requirements of the Guide. This responsibility begins when an animal is allocated to a project and ends with its fate at the completion of the project. Investigators have an obligation to treat animals with respect and to consider their welfare when planning and conducting projects. ***************************************** I certify that this project has been considered and approved by the Zoology Department-Faculty of Science, Cairo University IACUC on : Project Title Expected commencement date Expected completion date 1. Personal 1.1 Primary or Responsible Investigator/ Supervisor (A staff member with ultimate responsibility for the research) Title Given Name Surname Staff Position Qualifications Contact Address Telephone / Mobile No. Email Are you Animal Competency and Experience (ACE) Registered? Yes No 1.2 Co-Investigator (s): Title Given Name Surname Faculty/Institution Qualifications E-mail 1 2 3 4 1.3 Is this project in collaboration with any other organization or agency? Yes No If yes, specify which organization or agency and who has primary or overarching responsibility for the project 1.4 Funding (i) Is this research being externally funded? If yes, indicate source of funds Yes No (ii) If funding is not obtained, will the project still proceed? Yes No 2. Project Details In this section you are asked to provide an overview of the project, its aims, design and intended outcomes. It is important to use plain English to ensure that all AEC members understand the proposed project. 2.1 Keywords. Provide a list for any technical terms to assist the AEC to understand this application 2.2 Give a brief plain English description of the aims of this project, the proposed research design and methods, and the anticipated outcomes Aims Research Design Anticipated Outcomes (include here projected benefits to humans, animals or the environment) 3. Animal Reduction In this section you are asked to provide information about the number of animals, the species and strain, the reasons why this number is necessary, whether there is an opportunity for sharing tissues or animals and strategies you have utilized to minimize the overall number of animals you plan to use. 3.1 Provide justification for the use of animals Tick either ‘yes’ or ‘no’ for each justification (i – v) to indicate whether or not it applies to this project. Yes No (i) Significant understanding of human and / or animal biology? (ii) Maintenance and improvement of human and / or animal health and welfare? Yes No Yes No (iii) Achievement of educational objectives? Yes No (iv) Improvement of animal management or production? Yes No (v) Understanding, maintenance and improvement of the natural environment? 3.2 Originality. Is this a repetition of any previously performed study? Yes No i.e. has this study previously been undertaken anywhere in the world, in Australia or at Murdoch? If yes, briefly describe the previous work and justify why this needs to be repeated. If no, how has this been determined? 3.3 Statistical Explanation (i) To decide on the number of animals you plan to trap or net, have you utilized Yes No a statistical calculation? If yes, provide details, if no, describe how you have arrived at the number of animals necessary for this project. 3.4 Animal Numbers Species & Common Names Yr 1 Animal Numbers Yr 2 Yr 3 3.5 Do you plan to use any methods for capture other than trapping or Yes netting? If yes, Provide details Total No 3.6 Provide details of the locations at which you will be trapping or netting (for locations which are remote or not readily identifiable to the lay person, provide details of the closest town or identifiable location). If you have identified more than one location, specify which animals will be targeted at each location. 3.7 Is this trapping or netting project in collaboration with any other Yes No project or institution? If yes, Provide details about what part/s of the project are the responsibility of the other project or institution and what elements will be part of this proposed project. 3.8 Rare and Endangered Species Are any of the target species classified as rare or endangered? Yes No If yes, specify which standard you have used (e.g. IUCN, DEC) and justify the use of the animals. Is there a related, alternative, species suitable for the project? Animals from an endangered species must not be used unless the research is of direct benefit to the conservation of that species and will not further endanger the target species. 3.9 Estimate how many animals or what proportion of the animals will be released immediately following capture without any further intervention 4. Replacement In this section you are asked to explain what alternatives you have considered and why animals are needed for the project. No 4.1 Could conventional field observations be used to obtain the required results? Yes If yes, why is trapping or netting being utilized? If no, why not? 4.2 Have alternatives to capturing animals been considered? Why have these been rejected? Yes No 4.3 Will the results of this project assist to reduce numbers of animals for future Yes No projects? If yes, please specify 5. Refinement In this section you are asked to identify and justify the impact of all aspects of the project on the animal’s well-being from the time it is obtained until the project is completed. At each step provide information about how impacts on the animals will be minimized. 5.1 Impact on the animal Identify any potential impacts on the animal that may arise from the procedures being performed, including harm, pain or distress. How will these be mitigated? 5.2 When is the safest time to release the animals? (Consider issues such as whether the species is nocturnal and also seasonal issues including the reproductive biology of the species). Identify how you have arrived at this judgment (e.g. literature review, expert advice, previous experience). 5.3 What precautions will be taken to minimize the impact of the weather, especially if animals will remain in the net or trap for a period of time? Consider rain, cold, heat and other potential weather impacts. 5.4 Is the trapping or netting likely to expose any of the animals to Yes predation risks? If yes, identify these risks and describe how you will minimize them. No 5.5 Will animals be marked for identification or re-capture? If yes, how will they be marked? What impact/s will this have to the animal? What alternatives have been considered and rejected? 5.6Will any pharmacological agents or substances be administered? If yes, provide details: Agent / Substance Anesthetic Agent Post-Operative Analgesic Tranquillizer Antibiotic Other Drug Dosage Frequency Yes No Route Administered 6. Animal Management & Housing 6.1 Transport & housing Will any of the animals be transported away from the site of capture? Yes No If yes, provide details including: How many animals will be transported? In what kinds of cages will they be transported? How far will they be transported? What precautions will be taken against heat/cold and stress? Where will they be transported to? Once they arrive at the location, will they remain part of this project or become part of another project? Will they be released at the end or euthanized? (i) Where will the animals be held? (ii) How long will the animals are held in this location? 6.2 Animal Monitoring (i) How will the animals be monitored during capture and handling? (ii) What monitoring will be undertaken post-release? 6.3 Fate of Animals (i) What will happen to any non-target species captured as part of this project? If this is different for differing species likely to be captured, outline for each species. (ii) Fate of remaining animals at the end of the project What will happen to any remaining animals once the research is completed? Fate Planned Euthanasia Never removed from natural environment Returned to natural environment Given to another project within Cairo University Given to another project external to Cairo University Remain in Project Other Yes ( Yes ( Yes ( Yes ( Yes ( Yes ( Yes ( 6.4 Are there any other health risks to the animals in this project? ) ) ) ) ) ) ) No ( No ( No ( No ( No ( No ( No ( ) ) ) ) ) ) ) Yes No Are there any health risks to humans arising from this project? (e.g. the staff Yes handling the animals) If yes to either of these, explain the nature of the risk and the precautions to be taken No 6.5 Other Ethical Considerations Are there any other features of your proposal which raise other ethical Yes considerations? If yes, specify No 7. Statement of Compliance I/we the undersigned have read the Animal care Guidelines and accept responsibility for the conduct of the experimental procedures detailed in this proposal in accordance with the guidelines contained in the Guide. Chief Investigator: Given Name Surname Signature Date Co-Investigator(s) Given Name Surname Signature Date Co-Investigator(s) Given Name Surname Signature Date Co-Investigator(s) Given Name Surname Signature Date Co-Investigator(s) Given Name Surname Signature Date Faculty Dean I authorize this project to proceed in the Faculty of Science subject to approval by Cairo University Animal Ethics Committee. Given Name Surname Signature Date *****************************************