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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4643

2. Registrant Information.

Registrant Reference Number: Prosar 1-20455311

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.

19-OCT-09

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

19-OCT-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)

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 100-885

Product Name: Dividend XL Wheat

  • Active Ingredient(s)
    • DIFENOCONAZOLE
    • METALAXYL-M (MEFENOXAM)

7. b) Type of formulation.

Application Information

8. Product was applied?

No

9. Application Rate.

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

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

To be determined by Registrant

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

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cow / Vache

3. Breed

Unknown beef cattle

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

1600

lbs

8. Route(s) of exposure

Oral

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

  • Gastrointestinal System
    • Symptom - Anorexia
  • Reproductive System
    • Symptom - Premature birth

12. How long did the symptoms last?

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

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

Fully Recovered / Complètement rétabli

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-20455311: A reporter (cattle owner) called on 10/19/2009 to report the exposure of 2 cows to fungicide-treated wheat seed containing the active ingredients Metalaxyl and Difenoconazole. According to the reporter, the cattle ingested the contents of a 50 pound bag of product 24 hours prior to the report. The cattle were off their feed at the time of the report. The reporter was advised that ingestion of a large amount of seed may put the cattle at risk for grain overload, but toxicity is not a concern given the minimal concentration of fungicide on the seed. A recommendation was made to contact a veterinarian regarding the signs described. On follow up, the reporter stated that a veterinarian was not consulted. The cattle resumed eating 24 hours after going off feed. One cow did calve early and the caller thought that it may have been from grain overload. The calf was fine per the reporter. No further information was obtained.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

No ill effects on the animals as a result of eating the grain.

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cow / Vache

3. Breed

Unknown beef cattle

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

500

lbs

8. Route(s) of exposure

Oral

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

  • Gastrointestinal System
    • Symptom - Anorexia

12. How long did the symptoms last?

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

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

Fully Recovered / Complètement rétabli

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-20455311: A reporter (cattle owner) called on 10/19/2009 to report the exposure of 2 cows to fungicide-treated wheat seed containing the active ingredients Metalaxyl and Difenoconazole. According to the reporter, the cattle ingested the contents of a 50 pound bag of product 24 hours prior to the report. The cattle were off their feed at the time of the report. The reporter was advised that ingestion of a large amount of seed may put the cattle at risk for grain overload, but toxicity is not a concern given the minimal concentration of fungicide on the seed. A recommendation was made to contact a veterinarian regarding the signs described. On follow up, the reporter stated that a veterinarian was not consulted. The cattle resumed eating 24 hours after going off feed. One cow did calve early and the caller thought that it may have been from grain overload. The calf was fine per the reporter. No further information was obtained.


To be determined by Registrant

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

Minor

19. Provide supplemental information here