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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3843

2. Registrant Information.

Registrant Reference Number: Prosar 1-16608444

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.

06-SEP-08

5. Location of incident.

Country: UNITED STATES

Prov / State: TEXAS

6. Date incident was first observed.

05-SEP-08

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. 100-1000

Product Name: Demon WP in Water-Soluble Packets

  • Active Ingredient(s)
    • CYPERMETHRIN
      • Guarantee/concentration 40 %

7. b) Type of formulation.

Wettable or soluble powder

Application Information

8. Product was applied?

No

9. Application Rate.

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

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

Dog / Chien

3. Breed

English Pointer

4. Number of animals affected

2

5. Sex

Male

6. Age (provide a range if necessary )

0.08

7. Weight (provide a range if necessary )

5

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Abnormal behaviour
    • Specify - "Acting drunk"
  • Nervous and Muscular Systems
    • Symptom - Difficulty walking
    • Symptom - Muscle tremors
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-16608444: The reporter called on 09/06/2008 to report the exposure of ten 4-week old puppies to a pyrethroid insecticide product containing the active ingredient Cypermethrin. According to the reporter, the puppies ingested an unknown amount of the undiluted product on 09/05/2008. Four of the puppies began "acting drunk", developed tremors, and their hind limbs would "not work." It is unclear when the signs developed in relation to product exposure. Two of these puppies died (1st subform III), the other two puppies remained symptomatic (2nd subform III) and the remaining six puppies were asymptomatic at the time of the report. The reporter was advised that small ingestions of the product typically only result in transient gastrointestinal upset. Massive ingestions of the product can result in more significant signs including vomiting and neurologic signs. A recommendation was made to have the symptomatic puppies evaluated by a veterinarian immediately and to have the attending veterinarian call with any questions. Another reporter (the owner's friend) called on 09/06/2008 to report the same exposure and stated that one puppy's "equilibrium was off" and that another puppy had died. This reporter was encouraged to take the symptomatic puppy to the veterinarian immediately. On repeated attempts at follow up, the initial reporter (owner) could not be reached. The person answering the phone stated that all surviving puppies (unknown number) had been taken to the pound. No further information was obtained.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Product ingestion by the puppies was witnessed, but the reporter is not specific about whether all 10 puppies were seen ingesting the product.

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

English Pointer

4. Number of animals affected

2

5. Sex

Unknown

6. Age (provide a range if necessary )

0.08

7. Weight (provide a range if necessary )

5

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Abnormal behaviour
    • Specify - "Acting drunk"
  • Nervous and Muscular Systems
    • Symptom - Difficulty walking
    • Symptom - Muscle tremors

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-16608444: The reporter called on 09/06/2008 to report the exposure of ten 4-week old puppies to a pyrethroid insecticide product containing the active ingredient Cypermethrin. According to the reporter, the puppies ingested an unknown amount of the undiluted product on 09/05/2008. Four of the puppies began "acting drunk", developed tremors, and their hind limbs would "not work." It is unclear when the signs developed in relation to product exposure. Two of these puppies died (1st subform III), the other two puppies remained symptomatic (2nd subform III) and the remaining six puppies were asymptomatic at the time of the report. The reporter was advised that small ingestions of the product typically only result in transient gastrointestinal upset. Massive ingestions of the product can result in more significant signs including vomiting and neurologic signs. A recommendation was made to have the symptomatic puppies evaluated by a veterinarian immediately and to have the attending veterinarian call with any questions. Another reporter (the owner's friend) called on 09/06/2008 to report the same exposure and stated that one puppy's "equilibrium was off" and that another puppy had died. This reporter was encouraged to take the symptomatic puppy to the veterinarian immediately. On repeated attempts at follow up, the initial reporter (owner) could not be reached. The person answering the phone stated that all surviving puppies (unknown number) had been taken to the pound. No further information was obtained.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here