Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4006

2. Registrant Information.

Registrant Reference Number: Prosar 1-19692387

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

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

Domestic Animal

4. Date registrant was first informed of the incident.

30-AUG-09

5. Location of incident.

Country: CANADA

Prov / State: NOVA SCOTIA

6. Date incident was first observed.

30-AUG-09

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. 24653      PMRA Submission No.       EPA Registration No.

Product Name: Control Pet Care System Home Flea/Tick Killer (Canada)

• Active Ingredient(s)
  • (S)-METHOPRENE
  • PERMETHRIN

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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: 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).

The product was applied to the kitten on 08/30/2009. NOTE: This product is not labeled for use on animals.

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

Other

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.42

7. Weight (provide a range if necessary )

4

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• Skin
  • Symptom - Hair loss

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown/Inconnu

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

1-19692387: A reporter called on 08/30/2009 to report the exposure of a kitten to a flea and tick spray containing the active ingredients Methoprene and Permethrin. According to the reporter, her brother accidentally bought the incorrect product and sprayed the cat 5 minutes prior to the report. The reporter and her brother were unable to bathe the kitten because it started biting and scratching. The kitten was asymptomatic at the time of the call. The reporter was advised that the product is not intended for use on cats. Onset of toxicity signs may occur within minutes to 12 hours of product exposure. The signs of toxicity were discussed. Generally, it is recommended that the pet is bathed in a non-insecticidal shampoo to remove the product. A recommendation was made to try and bathe the cat using a washcloth and soap if a traditional bath cannot be given. If any signs of toxicity develop, the kitten needs to be seen by a veterinarian for symptomatic and supportive care. Symptomatic cats should be monitored for 48-72 hours as signs can re-develop in under-treated animals. On follow up on 08/31/2009, the reporter stated that she washed the cat with a cloth. The cat did have some hair loss, but no other signs were noted. No further information was obtained.

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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