Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4261

2. Registrant Information.

Registrant Reference Number: Prosar 1-19345261

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-JUL-09

5. Location of incident.

Country: UNITED STATES

Prov / State: INDIANA

6. Date incident was first observed.

29-JUL-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.       PMRA Submission No.       EPA Registration No. 2596-94

Product Name: 2 in 1 Flea andTick Killer for Dogs

• Active Ingredient(s)
  • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
    • Guarantee/concentration .2 %
  • PIPERONYL BUTOXIDE
    • Guarantee/concentration .12 %
  • PYRETHRINS
    • Guarantee/concentration .06 %

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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: 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 reporter applied a canine product to a 4 month old, 6 lb. kitten, stating "she did read the directions of the product and the precautions". The reporter also mentioned that she had purchased topical spot-on drops for her dogs, but had not applied the product yet.

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

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Persian

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.33

7. Weight (provide a range if necessary )

6

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>15 min <=2 hrs / >15 min <=2 h

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

• Respiratory System
  • Symptom - Rapid breathing

• Skin
  • Symptom -
  • Specify - Felt warm to the touch

• General
  • Symptom - Abnormal behaviour
  • Specify - "Curled into little ball"

• Gastrointestinal System
  • Symptom - Anorexia

• Nervous and Muscular Systems
  • Symptom - Ataxia

• Respiratory System
  • Symptom - Runny nose

• General
  • Symptom - Abnormal behaviour
  • Specify - Refuses to walk

• Respiratory System
  • Symptom - Pneumonia
  • Specify - Diagnosed with "chemical pneumonia"

• General
  • Symptom - Death

• Respiratory System
  • Symptom - Pulmonary edema
  • Specify - fluid in lungs

12. How long did the symptoms last?

Persisted until death

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

Unknown

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?

Treatment / Traitement

17. Provide any additional details about the incident

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

1-19345261: The reporter called on 7/30/09 to report the exposure of her 4 month old, 6 pound Persian kitten to a canine flea and tick spray containing the active ingredients Pyrethrins, Piperonyl Butoxide, and N-Octyl Bicycloheptene Dicarboxmide the previous day. The reporter confirmed "she did read the directions of the product and the precautions" prior to application. According to the reporter, within 10 minutes of product application the kitten became ataxic, began to breathe rapidly, and felt warm to the touch. The owner then bathed her with a hand dish washing soap. By the time of the call, the kitten was anorexic, had nasal discharge, and was curled up in a ball refusing to walk. The hazards of applying canine products to cats were discussed, and a recommendation was made to seek veterinary care. Contact with the reporter was re-established on 7/31, at which time the reporter revealed that she had bathed the kitten and taken it to a veterinarian. The veterinarian had diagnosed the kitten as having ¿¿¿chemical pneumonia¿¿¿ with ¿¿¿fluid in the lungs¿¿¿. He felt the kitten was too ill to respond to any treatment; the kitten passed away at home the morning of 7/31. The company-sponsored necropsy program was discussed, but the reporter declined.

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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