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: 2008-1176

2. Registrant Information.

Registrant Reference Number: Prosar case 1-15679914

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.

Human

4. Date registrant was first informed of the incident.

11-JAN-08

5. Location of incident.

Country: CANADA

Prov / State: QUEBEC

6. Date incident was first observed.

01-AUG-05

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. 26980      PMRA Submission No.       EPA Registration No.

Product Name: Vanquish Herbicide

  • Active Ingredient(s)
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)

PMRA Registration No. 24363      PMRA Submission No.       EPA Registration No.

Product Name: Trounce Insecticide

  • Active Ingredient(s)
    • POTASSIUM SALTS OF FATTY ACIDS
    • PYRETHRINS

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

56.8

Units: %

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

Site: Res. - Out Home / Rés - à l'ext.maison

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

A non-company product was also applied at the same time - Trounce Insecticide, EPA registration 24363. The active ingredient is Pyrethrins at a concentration of 0.2%.

To be determined by Registrant

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

Unknown

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Female

Age: <=1 yr / < = 1 an

3. List all symptoms, using the selections below.

System

  • Skin
    • Symptom - Red skin

4. How long did the symptoms last?

>1 mo and <= 2mos / >1 mois et < = 2mois

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

Yes

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

7. Exposure scenario

Non-occupational

8. How did exposure occur? (Select all that apply)

Contact with treated area

Amount of time between application and contact 2

Day(s) / Jour(s)

What was the activity? Was playing on the treated lawn

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

>30 min <=2 hrs / >30 min <=2 h

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

# : The reported called on 1/14/08 to report an incident that happened in 2005. At that time two products, one containing Dicamba and the other containing Pyrethrins as active ingredients, were applied to the reporter's lawn. The reporter believes the grass was dry at the time of application. The reporter then waited 2 days before allowing her daughters to go outside to play on the lawn. The 1st daughter, (age) at the time, developed red spots over about 85% of her body within 1-2 hours of being outside. The 2nd daughter, (age) at the time, developed itchy red spots over about 85% of her body within 1-2 hours of being outside. No hives or welts were seen on either daughter. The reporter took both daughters to an emergency facility later that same day and oral Benadryl was recommended for both girls. In addition, Desocort ointment was used as needed for the older daughter's itching. The younger daughter's symptoms were intermittently seen over a 6 week period during which time oral Benadryl was given as needed. The older daughter's symptoms lasted 3 weeks. At the time of physical examination the doctor felt other reasons for the symptoms could include a viral infection or a reaction to some food item or any new products being used in the home. The reporter concluded by stating that the products have not been used on the lawn since this incident.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Female

Age: >1 <=6 yrs / > 1 < = 6 ans

3. List all symptoms, using the selections below.

System

  • Skin
    • Symptom - Red skin
    • Symptom - Itchy skin

4. How long did the symptoms last?

>1 wk <=1 mo / > 1 sem < = 1 mois

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

Yes

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

7. Exposure scenario

Non-occupational

8. How did exposure occur? (Select all that apply)

Contact with treated area

Amount of time between application and contact 2

Day(s) / Jour(s)

What was the activity? Was playing on the treated lawn

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

>30 min <=2 hrs / >30 min <=2 h

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

# : The reported called on 1/14/08 to report an incident that happened in 2005. At that time two products, one containing Dicamba and the other containing Pyrethrins as active ingredients, were applied to the reporter's lawn. The reporter believes the grass was dry at the time of application. The reporter then waited 2 days before allowing her daughters to go outside to play on the lawn. The 1st daughter, (age) at the time, developed red spots over about 85% of her body within 1-2 hours of being outside. The 2nd daughter, (age) at the time, developed itchy red spots over about 85% of her body within 1-2 hours of being outside. No hives or welts were seen on either daughter. The reporter took both daughters to an emergency facility later that same day and oral Benadryl was recommended for both girls. In addition, Desocort ointment was used as needed for the older daughter's itching. The younger daughter's symptoms were intermittently seen over a 6 week period during which time oral Benadryl was given as needed. The older daughter's symptoms lasted 3 weeks. At the time of physical examination the doctor felt other reasons for the symptoms could include a viral infection or a reaction to some food item or any new products being used in the home. The reporter concluded by stating that the products have not been used on the lawn since this incident.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.

It is unlikely that the symptoms discussed above are the result of the exposure to the products listed above. The symptoms appear to more likely be the result of exposure to an arthropod; this is further supported by the report. Since an insecticide (pyrethrin) was included in the spray mixture, one would assume there was an insect targeted by the spray. The symptoms are suggestive of bites from chiggers which would not be controlled by an application of a pyrethrin.