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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4696

2. Registrant Information.

Registrant Reference Number: Prosar 1-19971348

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.

16-SEP-09

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

13-SEP-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. 25923      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/Tick Drops for Dogs/Puppies Under 30 lbs (Canada)

  • Active Ingredient(s)
    • PERMETHRIN

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 canine product was applied to 2 cats on 09/12/2009. NOTE: This product is not labeled for use on cats.

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

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

1.5

7. Weight (provide a range if necessary )

13

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

  • Nervous and Muscular Systems
    • Symptom - Muscle twitching
    • Symptom - Seizure
  • General
    • Symptom - Hyperthermia
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

Unknown

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

1-19971348: A reporter (cat owner) called on 09/16/2009 to report the exposure of 2 cats to a canine flea and tick product containing the active ingredient Permethrin. According to the reporter, the product was applied to the cats on 09/12/2009. On 09/13/2009, Cat #1 (1st Subfom III) developed twitching that progressed to seizures later that evening. The reporter bathed both cats and brought Cat #1 to the veterinary clinic on 09/13/2009. Cat #1 had a temperature of 108 degrees F on presentation at the veterinary clinic. The cat was treated with IV fluids, unknown "relaxer" medications, and was bathed in cold water to decrease the body temperature. Cat #1 remained hospitalized and his temperature did decrease, but he died on 09/16/2009 at the veterinary clinic. The other cat never developed any signs. The reporter was advised that the product is not intended for use on cats. Inappropriate use on cats can result in serious signs of toxicity including tremors, seizures, hyperthermia and death. Because signs can re-develop for up to 72 hours in under-treated cats, 48-72 hours of monitoring at a veterinary clinic is recommended. The reporter was advised to monitor the other cat for the development of any signs, and to discuss with her veterinarian the use of appropriate flea and tick products for the asymptomatic elderly cat. NOTE: This product is not labeled for use on cats.


To be determined by Registrant

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

Death

19. Provide supplemental information here