Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-5632

2. Registrant Information.

Registrant Reference Number: 363277

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.

17-AUG-08

5. Location of incident.

Country: UNITED STATES

Prov / State: NEW YORK

6. Date incident was first observed.

Unknown

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. 4822-529

Product Name: Raid Ant Baits III USA (non-specific))

• Active Ingredient(s)
  • ABAMECTIN
    • Guarantee/concentration .01 %

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7. b) Type of formulation.

Bait

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

DSH

4. Number of animals affected

2

5. Sex

Male

6. Age (provide a range if necessary )

0.17

7. Weight (provide a range if necessary )

1

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Vomiting

• General
  • Symptom - Death
  • Symptom - Lethargy

• Respiratory System
  • Symptom - Shortness of breath

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?

Unknown

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

8/17/2008 Caller reports finding a bait station next to kitten's bedding. The bait is not altered, and no exposure was witnessed. Caller found three spots of vomit on the bedding, and the kitten is lethargic and has heavy breathing. 8/20/2008 Callback to original caller for follow up. Caller reports that a second kitten developed lethargy and dyspnea following the original call. Both kittens died at the home later that day before the owner could have them evaluated by a veterinarian. Owner states that both cats had a bad flea infestation and suspects this may have been the cause of their deaths.

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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

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. Exposure history appears to indicate that the bait station was not even chewed on such that none of the bait on this plastic enclosed device could have been ingested. . Secondly, the potential dose of abamectin this cat could have received from a single ant bait station is well below any dose of this compound that could potentially lead to illness in a cat and is unlikely to have been the cause of this dog's death. The dose of abamectin used within the ant bait station is significant smaller than the dose of ivermectin, a similar compound to abamectin, used therapeutically by veterinarians to treat heartworm in cats. Finally, the owner stated both cats suffered from a severe flea infestation and surmised that this was the more likely cause of their death.