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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3468

2. Registrant Information.

Registrant Reference Number: Prosar 1-19432331

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Domestic Animal

4. Date registrant was first informed of the incident.


5. Location of incident.


Prov / State: WISCONSIN

6. Date incident was first observed.


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.


PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: Non-specific Quadris (Azoxystrobin-based fungicide)

  • Active Ingredient(s)
      • Unknown

PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: Non-specific Maxim (Fludioxonil-based fungicide)

  • Active Ingredient(s)
      • Unknown

PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: Non-specific Platinum (Thiamethoxam-based insecticide)

  • Active Ingredient(s)
      • Unknown

7. b) Type of formulation.



Application Information

8. Product was applied?


9. Application Rate.


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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: potatoes

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

Treated potatoes were planted in a field on an unknown date. Two non-company products were also used to treat the potatoes.

To be determined by Registrant

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


Subform III: Domestic Animal Incident Report

1. Source of Report


2. Type of animal affected

Other / Autre

specify Llama

3. Breed

Unknown breed

4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )


8. Route(s) of exposure


9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>3 days <=1 wk / >3 jours <=1 sem

11. List all symptoms


  • General
    • Symptom - Death
  • Nervous and Muscular Systems
    • Symptom - Other
    • Specify - neurological signs
  • Blood
    • Symptom - Dec. acetylcholinesterase enzyme actv
    • Specify - 50 percent dec in brain cholinesterase

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?

15. Outcome of the incident


16. How was the animal exposed?

Other / Autre

specify Unknown if exposure occurred

17. Provide any additional details about the incident

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

1-19432331: A reporter forwarded the following information on 08/06/2009 regarding the potential exposure of 2 llamas to a fungicide containing the active ingredient Azoxystrobin, a fungicide containing the active ingredient Fludioxonil, and an insecticide containing the active ingredient Thiamethoxam. According to the reporter, potatoes treated with the 3 products and 2 non-company products were planted in a field on an unknown date. Two llamas from the neighboring field developed neurologic signs and died within 1 week of the potato planting. Exposure is unknown. Blood and brain samples were analyzed, and a 50% decrease in brain cholinesterase was detected and presumed to be the cause of death. No organophosphates or carbamates were detected in the blood. None of the products used are cholinesterase inhibitors, so a recommendation was made to check for toxic plants and other sources of toxicity. No further information was obtained.

To be determined by Registrant

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


19. Provide supplemental information here

It is clear that the 3 company products listed are not cholinesterase inhibitors. However, 2 non-company products are unknown and may be cholinesterase Inhibitors.