Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4698

2. Registrant Information.

Registrant Reference Number: Prosar 1-19971830

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: UNITED STATES

Prov / State: MICHIGAN

6. Date incident was first observed.

16-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.       PMRA Submission No.       EPA Registration No. 2596-94

Product Name: Advanced Care 2 in 1 Flea/Tick Killer for Dogs 20 fl oz

• Active Ingredient(s)
  • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
    • Guarantee/concentration .2 %
  • PIPERONYL BUTOXIDE
    • Guarantee/concentration 9.12 %
  • PYRETHRINS
    • Guarantee/concentration .06 %

---

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 canine product was applied to a kitten on 09/15/2009. 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

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Himalayan

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.25

7. Weight (provide a range if necessary )

3

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Respiratory System
  • Symptom - Difficulty Breathing

• Nervous and Muscular Systems
  • Symptom - Depression

• General
  • Symptom - Hypothermia

• Blood
  • Symptom - Hypoglycemia

• Nervous and Muscular Systems
  • Symptom - Other
  • Specify - Altered level of consciousness

• Respiratory System
  • Symptom - Abnormal lung sounds
  • Symptom - Other
  • Specify - Fluid in cranial thorax
  • Symptom - Other
  • Specify - Caudal lung fields hyperinflated
  • Symptom - Tachypnea

• General
  • 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

1-19971830: A reporter (veterinarian) called on 09/16/2009 to report the exposure of a kitten to a canine flea and tick spray containing the active ingredients Pyrethrins, Piperonyl Butoxide, and NOBD. According to the reporter, the product was applied to the kitten on 09/15/2009 to treat fleas. The kitten's owner noted that the kitten was in distress on 09/16/2009. The kitten was bathed and brought to the reporter where it presented with difficulty breathing, depression, hypothermia (body temperature 90 degrees F), hypoglycemia (blood glucose 63mg/dL), an altered level of consciousness, and tachypnea. The reporter also heard crackles on thoracic auscultation. At the time of the report, the kitten had been re-bathed at the veterinary clinic, placed on IV dextrose with saline, actively warmed with a heating pad, and given a dose of oral amoxicillin and rectal methocarbamol. The kitten's temperature had warmed to 95 degrees F, and a CBC revealed a low white blood cell count. The reporter believed the kitten's prognosis to be poor. The reporter was advised that canine products used inappropriately on cats can result in problems; however, this product has a very low concentration of active ingredients and the signs described are not consistent with pyrethrin toxicity. The reporter was advised that the product may result in dermal, GI, ocular or respiratory irritation, but the only systemic effects of pyrethrin overdose are neurologic in nature. A recommendation was made to rule out infectious diseases for the cause of the decreased white blood cell count and other signs. A recommendation was also made to take a thoracic radiograph to assess the abnormal lung sounds. The reporter called back on 09/16/2009 to report that the kitten had died. A thoracic radiograph had revealed fluid in the cranial lung fields and hyperinflation of the caudal lung fields. A necropsy was planned. No further information was obtained. 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