Nouvelle déclaration d'incident
No de la demande: 2018-4132
Numéro de référence du titulaire d'homologation: 5969865
Nom du titulaire (nom légal complet, aucune abbréviation): Sure-Gro IP Inc.
Adresse: 1900 Minnesota Crt
Ville: Mississauga
État: Ontario
Pays: Canada
Code postal /Zip: L5N 3C9
Incident chez l'humain
Pays: CANADA
État: SASKATCHEWAN
ARLA No d'homologation 18868 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: CIL AMBUSH Tree and Garden Insect Killer
Oui
Inconnu
Site: Unknown / Inconnu
Inconnu
Personne affectée
Sexe: Homme
Âge: >64 yrs / > 64 ans
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Application
Aucun
Yeux
Respiratoire
<=15 min / <=15 min
>3 days <=1 wk / >3 jours <=1 sem
8/10/2018 15:40: Caller has been using this product for years and prior to one week ago he was spraying this product daily for a few days for 10 minutes at a time. He states about 1 week ago he started feeling light headed and when he took his blood pressure he noticed it was significantly lower than his normal baseline. He states he has been feeling "woozy" and has been laying down frequently these past few days. TOE: a few yearsMed hx: GH, no medications, NKA O: Hypotension, light headedness A: Chronic, adult, inhalation exposure to CIL AMBUSH Tree and Garden Insect Killer, SXS R: Attempted to transfer to CSPI. Caller disconnected during hold. Notified CSPI for CB. 8/10/2018 15:58: Called caller back. Trying to see if low BP has any association to last used product, CIL AMBUSH Tree and Garden Insect Killer on Monday, 6 days ago, and BP still too low, 84/69, then 90/63. First noticed Sunday afternoon, had trouble seeing/vision problems driving home. Appointment on the 22nd. R: Urged to follow up with primary health care provider. Since caller has used product for years without symptoms, unlikely that product use has any relation to low blood pressure. If symptoms are causing loss of balance, urged to go in to be seen by health care provider sooner than the scheduled appointment on the 22nd.
Modérée
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified. Permethrin has been determined by research to have low to no effect on humans. Based on the callers age, one would think that it is more related to that then the product itself.