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: 2007-7756

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15134844

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.

23-JUL-07

5. Location of incident.

Country: UNITED STATES

Prov / State: TEXAS

6. Date incident was first observed.

21-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)

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

Product Name: Advanced Care 2 in 1 Flea + Tick Cat Spray - EPA 2596-126

  • Active Ingredient(s)
    • TETRACHLORVINPHOS
      • Guarantee/concentration 1,08 %

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 )

0.22

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>2 hrs <=8 hrs / >2 h <=8 h

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • General
    • Symptom - Death
  • Nervous and Muscular Systems
    • Symptom - Seizure

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

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 used the product on 5 cats -- four 12 week old kittens and the mother of the kittens. Product was used on July 21st around 5PM, she left the house at 7PM, and at that time they were OK. She got home at 11PM, and three of the kittens were seizing and were ice cold. She got warm towels and warm water bottles to warm them up and they continued to seize, she brought them to the (name) clinic. The vet gave them shots to help, some catheters, and IV's. The next morning (7/22) the clinic called around 10AM to tell her that "Runt" had passed away. She picked up the other kittens this morning and they seem to doing well, they have a little diarrhea but are otherwise OK. Caller has looked online and is wondering why Hartz is selling this if it has been documented to kill cats? Also wondering about reimbursement? Assessment: - Apologize for the loss of the kitten - Discussed necropsy with caller, she will contact the (name) clinic when they open this evening. - Please have the DVM clinic contact us for necropsy forms and information. - It will also be very helpful if you are able to locate the product container and inform us of the exact product used prior to sending off the necropsy information - Continue to follow up with the DVM staff as to the treatment of the other kittens 07/25/07 Follow-up Owner calling back. The symptomatic cats went to the (name)Clinic and stayed for 1.5 days. They have been home for a couple days and are doing well. Product info provided: UPC: 32700-91028 EPA # 2596-126


To be determined by Registrant

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

Death

19. Provide supplemental information here