Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3611

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Environment

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

28-AUG-13

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)

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

Product Name: unknown

  • Active Ingredient(s)
    • PICOXYSTROBIN

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

9. Application Rate.

Unknown

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

Site: Unknown / Inconnu

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 IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille

2. Common name(s)

honey bee

3. Scientific name(s)

Unknown

4. Number of organisms affected

Unknown

5. Description of site where incident was observed

Fresh water

Terrestrial

Agricultural

Salt Water

6. Check all symptoms that apply

Death

7. Describe symptoms and outcome (died, recovered, etc.).

There were a total of 32 colonies in the bee yard. There were 25 affected colonies. There were between 1000 - 1500 dead bees per colony observed outside of hive. Bees were actively foraging at the time of the incident. There may be a small decline in foraging. There were no Adult bee symptoms. There were no brood symptoms. Brood looks very good. No queen symptoms included. Sample of dead bees taken from the most affected hive it had positive detects for Picoxystrobin. Sample of dead bees taken from affected hive had positive detects for Picoxystrobin. Sample of pollen comb taken from the most affected hive had no active ingredient detected.Sample of honey taken from pollen comb from hive that was least affected, (it was a strong hive within the affected yard) had no active ingredient detected.Sample of comb pollen taken from hive was least affected, it was a strong hive within the affected yard. Least affected had no active ingredient detected.Sample of live bees taken from affected hive had no active ingredient detected.Sample of water taken had no active ingredient detected. Sample of live bees taken from an unaffected hive had no detected active ingredients. The weather at the time of the incident was sunny, 28C.Prior to the incident, the average number of bee frames was unknown since they did not open the hives, frames of brood appeared strong at last hive check. The following pests were present in the affected bee yard in the past year: sacbrood, chalkbrood, varroa mite. After the incident, there were an average of 10 frames of bees, 12 frames of brood, and 4 frames of pollen and 4 frames of honey. Additional food sources provided to the bees included sugar syrup.In 2012, the following treatments were applied to the hives: formic acid and antibiotics.In 2013, the following treatments were applied to the hives: amitraz and antibiotics.It is unknown when the following treatments were applied to the hives: formic acid Information on crops located near the beeyards: 100 ac of corn was 400m from the beeyard, 30 ac of hay was 500 m from the beeyard, 100 ac of wheat was 500 m from the beeyard, 50 ac of soybeans was 500 m from the beeyard, 50 ac of soybeans was 500 m from the beeyard,100 ac of soybeans was 500 m from the beeyard, 100 ac of corn] was 500 m from the beeyard. Beekeeper reported 1000's of dead bees in front of multiple hives. Three out of four rows in the yard are impacted. There are approximately 32-34 hives in the yard. Initial call (Aug 28): pile of dead bees in front of every hive (1000s). person in neighbourhood complaining about bees in their pool. beekeeper gave bees a water source.

8. a) Was the incident a result of (select all that apply)

8. b) i) How many times has the product been applied this year?

8. b) ii) What was the date of the last application?

9. Did it rain

9. a) During application?

Unknown

9. b) Up to 3 days after application?

Unknown

10. a) Was there a buffer zone?

Unknown

10. b) What type?

Aquatic

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?

Unknown

To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here