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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3191

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16208037

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.

29-MAY-08

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

Unknown

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. 2596-147

Product Name: Control One Spot Flea and Tick Treatment for Cats (non-specific)

  • Active Ingredient(s)
    • (S)-METHOPRENE

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: 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).

The owner of the cat had applied the product about 6 days before the call.

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

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Siamese

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

7

7. Weight (provide a range if necessary )

10

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Staggering
  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Anorexia
  • Skin
    • Symptom - Hair loss

12. How long did the symptoms last?

Unknown / Inconnu

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

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Euthanised / Euthanasie

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

1-16208037: The reporter, a veterinary technician, called on 5/29/08 to inquire about the safety profile of a topical flea and tick product containing the active ingredient Methoprene. The product had been applied to a 7 year old cat about 6 days previous to the call. The reporter had conflicting information from the cat's owner regarding when symptoms had developed. The owner had informed the reporter she had left the cat alone over the weekend after applying the product. However, she went on to state she had seen the cat groom itself the same day as product application, and after grooming the cat had begun staggering and vomiting, had a decreased appetite, and had developed hair loss at the application site. The owner had bathed the cat twice 2 days after product application. The cat had a history of kidney disease and GI issues. The safety profile of the product was discussed and a recommendation was made to provide symptomatic and supportive care. Company sponsored hair testing was discussed and the appropriate forms were faxed to the veterinary clinic. A follow-up call revealed the cat had been euthanized due to a worsening of his symptoms.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here