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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-5630

2. Registrant Information.

Registrant Reference Number: 357533

Registrant Name (Full Legal Name no abbreviations): S.C. Johnson and Son, Limited

Address: 1 Webster Street

City: Brantford

Prov / State: ON

Country: Canada

Postal Code: N3T 5R1

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

Domestic Animal

4. Date registrant was first informed of the incident.

05-AUG-08

5. Location of incident.

Country: UNITED STATES

Prov / State: INDIANA

6. Date incident was first observed.

01-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)

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 4822-229

Product Name: Raid Flea Killer Plus Fogger

  • Active Ingredient(s)
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
      • Guarantee/concentration 1.67 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration 1 %
    • PYRETHRINS
      • Guarantee/concentration .5 %

7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Res. - In Home / Rés. - à l'int. maison

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

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

To be determined by Registrant

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

Yes

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

DLH

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.25

7. Weight (provide a range if necessary )

2.00

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Diarrhea
  • General
    • Symptom - Death
    • Symptom - Lethargy
  • Skin
    • Symptom - Hair loss

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?

Other / Autre

specify Defined point of exposure not evident or witnessed. Exposure based on speculation.

17. Provide any additional details about the incident

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

8/5/2008 Caller used the product on 08/01/08. She returned to house 6 to 8 hours later to ventilate. A kitten was locked outside in a dog crate until 08/03/08 (48 hours after setting the foggers off in the house). The owners finally returned to their apartment on 8/3 a finally let the kitten out of the crate an back into the home that was fogged on 8/1. Within 6 to 8 hours after returning the kitten to the apt, the kitten lost 30 to 40 % of her hair, had diarrhea and became very lethargic. Caller found the kitten deceased that following morning. Caller did not take kitten to DVM. Kitten had been a stray 6 to 8 weeks ago and was in such poor health that caller admits she had been unable to treat for fleas until now. This kitten had never received appropriate veterinary care.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews. This incident must be considered possible animal abuse given that kitten was left outside in a dog crate during the hot August days in Indiana. Not only was it likely that this kitten suffered from heat exposure, but it is apparent that this cat suffered a major flea infestation which is commonly life-threatening to kittens if left untreated. This animal never received appropriate veterinary care which is always required when taking in a stray kitten. Any relationship between the use of this product and development of a severe and fatal illness is inconceivable and lacks and biological plausibility. Also minimal concentrations of the active ingredient from this pesticide would remain in the home 48 hours after application.