Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4138

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-16453212

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.

28-JUL-08

5. Location of incident.

Country: UNITED STATES

Prov / State: FLORIDA

6. Date incident was first observed.

21-JUL-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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2724-504-2596

Product Name: UltraGuard Pro Drops for Cats

• Active Ingredient(s)
  • (S)-METHOPRENE
    • Guarantee/concentration 3.6 %
  • ETOFENPROX
    • Guarantee/concentration 40 %

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7. b) Type of formulation.

Liquid

Other (specify)

Treated Collar

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).

Reporter bathed cat in flea and tick shampoo on or around 7/17/08 after removing a flea collar. Two days after bathing the cat, the reporter applied the flea and tick drop product. None of these products are labelled for use on geriatric pets. Additionally, the registrant recommends a waiting period of approximately 5 days between application of a flea and tick shampoo and application of flea and tick drops.

To be determined by Registrant

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

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Other

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

15

7. Weight (provide a range if necessary )

5

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

• General
  • Symptom - Lethargy
  • Symptom - Death

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

1-16453213: The reported called on 7/28/2008, to report exposure of his mother¿s 15year old, 5lb, female cat to a flea and tick product containing the active ingredients Etofenprox and Methoprene. According to the reporter, he bathed the cat in a flea and tick shampoo after having removed an unspecified flea collar that the cat had been wearing. He had called an un-specified company, and had been told he should wait two days after bathing the cat to apply the flea and tick drops. Two days after bathing the cat, the reporter applied the topical flea and tick drops to the cat. Two days following application of the drops, the cat became lethargic. Symptoms of lethargy persisted until the cat was found dead. The cat was never presented for veterinary care. The reporter was advised that given the history and onset of symptoms, it was unlikely that the symptoms were related to the flea and tick drops alone. Additionally, it was discussed with the reporter that the product is not labeled for use on geriatric animals as sensitivity issues can develop. Further it was discussed that it is never recommended to use multiple flea and tick products on an animal at the same time as sensitivity issues can occur. A recommendation was made to discuss the situation with a Veterinarian and consider necropsy to assist in determining the exact cause of death.

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To be determined by Registrant

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

Death

19. Provide supplemental information here