Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7273

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15202727

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Domestic Animal

4. Date registrant was first informed of the incident.

10-AUG-07

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

6. Date incident was first observed.

02-AUG-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. 24984      PMRA Submission No.       EPA Registration No.

Product Name: Matador 120EC Emulsifiable Concentrate Insecticide

• Active Ingredient(s)
  • CYHALOTHRIN-LAMBDA

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Pasture Areas

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

Cow / Vache

3. Breed

Hereford

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

6

7. Weight (provide a range if necessary )

1000

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• General
  • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Not recovered / Non rétabli

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

History: Caller states that the pasture near his cows was sprayed by a crop-duster on August 2nd. They checked the cows the day of the spraying to be sure they looked good. Everyone was healthy on the 2nd and he was not worried. They have 10 pastures and went out and checked on these cows again and one was dead about 100 feet from the field that was sprayed. Two Veterinarians came out to the site and believe this was probably the cause of death. (work name) veterinarian who's husband is a (profession name) states that this is most likely the cause and the cow had been dead about one week. They tested her for anthrax and that was not the cause. Caller agrees to a callback from DVM staff to discuss this further Assessment: Will document your concerns with the product and have DVM staff contact you this evening to discuss the incident 08/10/2007 Follow-Up History: Veterinarian thought that the cow had been dead about a week (would have fit around the time of the spraying). Cattle were in an area approximately 100 feet from area where sprayed. Animal was found intact except for head where predators had eaten a portion of the carcass. All other animals that were in the treated area are fine. Assessment: Explained to rancher that due to only one animal being affected and the dilution effect of application that it was very unlikely that the death was due to the product. Explained that other animals would more than likely have been observed ill or also found dead if due to product exposure. Also explained that this product being a pyrethroid, that testing of tissues for the product could confirm exposure, but not toxicosis. Provided case number for caller's DVM to call and discuss case as necessary.

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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

Based on a follow-up call with caller (farmer's son) on Sept. 26/07 at 5.45 pm. Caller states that adjacent field was sprayed and that no animals were sprayed directly. Caller also thinks that animals might have have eaten grass from underneath fence. Animals do not eat canola because of it's bitter taste and a large consumption would have to be consumed to cause death. Products (ear tags) containing this active ingredient are also registered for use on animals thus it is unlikely that one cow died from the alleged exposure.