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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-085. Location of incident.
Country: UNITED STATES
Prov / State: TEXAS
6. Date incident was first observed.
05-SEP-08Product 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 %
- CYPERMETHRIN
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
