Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7757

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15138920

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

24-JUL-07

5. Location of incident.

Country: UNITED STATES

Prov / State: WEST VIRGINIA

6. Date incident was first observed.

22-JUL-07

Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.

Active(s)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: Advanced Care 3 in 1 Cat Spray - EPA 2596-140

• Active Ingredient(s)
  • (S)-METHOPRENE
    • Guarantee/concentration .07 %
  • TETRACHLORVINPHOS
    • Guarantee/concentration 1.08 %

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7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

10. Site pesticide was applied to (select all that apply).

Site: Animal / Usage sur un animal domestique

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

1

7. Weight (provide a range if necessary )

3

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>8 hrs <= 24 hrs / >8 h <= 24 h

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

• General
  • Symptom - Death

• Nervous and Muscular Systems
  • Symptom - Difficulty getting up

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Died

16. How was the animal exposed?

Treatment / Traitement

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

History: Caller applied product for the first time to his 1 yo, 3 lb, DLH, female cat 2 days ago. The following afternoon, the cat "fell over" suddenly and was unable to walk. No other symptoms reported. Owner took the cat immediately to the vet hospital where a DVM bathed and "shaved" the hair off of the cat to "remove the product". No other known treatments. The cat reportedly died suddenly at the vet hospital yesterday. The cat's body remains at the vet hospital. Cat owner at first declines necropsy, however, after further discussion with him, he decides to proceed. Assessment: Empathized with caller over their loss. Discussed toxidrome of the product with caller; this product has a very wide margin of safety and low toxicity level when used according to the labeled directions. Given the History, it would be very unlikely for a cat to suffer from OP toxicity of a <2% concentrated product in the manner of exposure described and following routine, dermal application of the product. I am unsure what caused your cat's sudden death at this time, given the History and onset. Reiterated that Hartz products have a very wide margin of safety and low level of toxicity when used according to the labeled directions. Discussed the Hartz-sponsored necropsy with caller. He declined at first, but after conversation, decided it was the best way to figure out more definitively what happened with his cat. I will document information provided. Provided case #. Pass this # along to your DVM and have them CB with hospital fax # and/or to discuss toxicity and testing issues. Notified Lead Tox.

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To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Death

19. Provide supplemental information here