Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4437
2. Registrant Information.
Registrant Reference Number: 080079989
Registrant Name (Full Legal Name no abbreviations): Wellmark International
Address: 100 Stone Road West, Suite 111
City: Guelph
Prov / State: Ontario
Country: Canada
Postal Code: N1G5L3
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
21-JUL-08
5. Location of incident.
Country: CANADA
Prov / State: NOVA SCOTIA
6. Date incident was first observed.
20-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)
PMRA Registration No. 26496
PMRA Submission No.
EPA Registration No.
Product Name: Zodiac Spot On Flea Control For Cats And Kittens
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
1
Units: mL
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).
On July 20, 2008, the owner inappropriately applied the product to her cat as a form of treatment.
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
Animal's Owner
2. Type of animal affected
Cat / Chat
3. Breed
Unspecified Domestic Feline
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
0.19
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
>8 hrs <=24 hrs / > 8 h < = 24 h
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Other
- Specify - Ear twitching
- Symptom - Muscle tremors
- Nervous and Muscular Systems
- Nervous and Muscular Systems
- Gastrointestinal System
- Symptom - Anorexia
- Symptom - Constipation
- Gastrointestinal System
- Symptom - Abnormal tongue colour
12. How long did the symptoms last?
Persisted until death
13. Was medical treatment provided? Provide details in question 17.
Yes
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?
Treatment / Traitement
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
On July 21, 2008, the owner began to supply the kitten with water through a straw. On the same day, the owner took the kitten to a local veterinary clinic where the attending veterinarian administered diazepam and placed the animal on fluid therapy. The APSS veterinarian suggested that the signs the kitten was experiencing were more consistent with permethrin toxicity. The APSS veterinarian recommended the owner have her attending veterinarian contact the APSS for further recommendations such as permethrin hair testing and symptomatic care. The cat passed away on July 29, 2008.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here
The APSS veterinarian doubted that this substance was related to causing the clinical situation. On July 30, 2008, an APSS veterinary technician contacted the owner to discuss necropsy and hair testing submission. The owner declined further testing. Permethrin toxicity is suspected.