Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4674

2. Registrant Information.

Registrant Reference Number: 2018390

Registrant Name (Full Legal Name no abbreviations): Sure-Gro Inc.

Address: 150 Savannah Oaks Dr.

City: Brantford

Prov / State: Ontario

Country: Canada

Postal Code: N3V 1E7

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

15-SEP-08

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

19-AUG-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. 28352      PMRA Submission No.       EPA Registration No.

Product Name: Wilson Predator Rat and Mouse Killer Blok

• Active Ingredient(s)
  • DIFETHIALONE

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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: Res. - Out Home / Rés - à l'ext.maison

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

It is believed that the dogs ingested an unknown amount of rodenticide put out by the Neighbor on Friday.

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

Golden Retriever

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

5

7. Weight (provide a range if necessary )

60

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Vomiting

12. How long did the symptoms last?

>8 hrs <=24 hrs / > 8 h < = 24 h

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

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

On Saturday and Sunday, Pebbles and Quest (Golden Retrievers) both vomited and the owner had seen blue specks in their vomitus. On Sunday, the owner noticed blue specks in their stool. The caller believes that the dogs were able to ingest an unknown amount of rodenticide put out by their neighbor on Friday. Currently the dogs are acting normally. (Aug 19, 2008 at 05:07 PM)] Because the amount was unknown consistent, the patient was considered to be at unknown risk of developing clinical signs. If signs develop, there is unknown risk that those signs will be life-threatening. It was explained to the dog owners that Difethiolone is a potent second generation anticoagulant rodenticide. Dogs should be evaluated now by a veterinarian for clotting deficit/s, and appropriate action taken. Take dogs to veterinarian now, ask vet to call us. ( Aug 20, 2008 at 04:39 PM). The Owner called on the 25th of August to update the case. All three dogs were taken into the RDVM. PT tests were ran on all three dogs. The blood was collected on 8/19 and sent out; the results did not come into the clinic until 8/20. Toffee's PT test was WNL and she is not on Vit. K1. Pebbles' PT test was prolonged and is currently on a full regimen of vitamin K1. Quest's PT test was WNL; however, she had abnormal stool color (the same color as the bait) so the RDVM put her on 2 weeks worth of Vit. K1. Quest's PT test will be repeated 72 hours post the last dose of Vit. K1. If the PT is prolonged than she will be placed back on Vit. K1 to finish the treatment. The owner questioned if there was any correlation to the delay in clotting results and the amount of activity the animal could stand without showing signs. It was explained that the results should be viewed as a yes or no threshold. If an animal is abnormally prolonged than restricted activity should be implemented. ( Aug 25, 2008 at 08:14 PM)

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To be determined by Registrant

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

Minor

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Golden Retriever

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

7

7. Weight (provide a range if necessary )

60

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Vomiting
  • Symptom - Abnormal feces colour

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?

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

On Saturday and Sunday, Pebbles and Quest (Golden Retrievers) both vomited and the owner had seen blue specks in their vomitus. On Sunday, the owner noticed blue specks in their stool. The caller believes that the dogs were able to ingest an unknown amount of rodenticide put out by their neighbor on Friday. Currently the dogs are acting normally. (Aug 19, 2008 at 05:07 PM)] Because the amount was unknown consistent, the patient was considered to be at unknown risk of developing clinical signs. If signs develop, there is unknown risk that those signs will be life-threatening. It was explained to the dog owners that Difethiolone is a potent second generation anticoagulant rodenticide. Dogs should be evaluated now by a veterinarian for clotting deficit/s, and appropriate action taken. Take dogs to veterinarian now, ask vet to call us. ( Aug 20, 2008 at 04:39 PM). The Owner called on the 25th of August to update the case. All three dogs were taken into the RDVM. PT tests were ran on all three dogs. The blood was collected on 8/19 and sent out; the results did not come into the clinic until 8/20. Toffee's PT test was WNL and she is not on Vit. K1. Pebbles' PT test was prolonged and is currently on a full regimen of vitamin K1. Quest's PT test was WNL; however, she had abnormal stool color (the same color as the bait) so the RDVM put her on 2 weeks worth of Vit. K1. Quest's PT test will be repeated 72 hours post the last dose of Vit. K1. If the PT is prolonged than she will be placed back on Vit. K1 to finish the treatment. The owner questioned if there was any correlation to the delay in clotting results and the amount of activity the animal could stand without showing signs. It was explained that the results should be viewed as a yes or no threshold. If an animal is abnormally prolonged than restricted activity should be implemented. ( Aug 25, 2008 at 08:14 PM)

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To be determined by Registrant

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

Minor

19. Provide supplemental information here