Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-0491

2. Registrant Information.

Registrant Reference Number: 2010-IR-01

Registrant Name (Full Legal Name no abbreviations): E.I. du Pont Canada Company

Address: 7070 Mississauga Road

City: Mississauga

Prov / State: ON

Country: Canada

Postal Code: L5N 5M8

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

Human

4. Date registrant was first informed of the incident.

22-JAN-10

5. Location of incident.

Country: UNITED STATES

Prov / State: NORTH CAROLINA

6. Date incident was first observed.

Unknown

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. unknown

Product Name: Lannate

• Active Ingredient(s)
  • METHOMYL
    • Unknown

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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: Agricultural-Indoor / Agricole-intérieur

Préciser le type: not specified

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

Product was applied to unspecified crops in greenhouse, approximately 25 years prior to incident report. Application details were not specified other than protective clothing was worn and spray equipment was decontaminated after spraying. Formulation of Lannate (methomyl) was not specified. Subject removed protective clothing after application and proceeded with other work in the greenhouse.

To be determined by Registrant

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

Unknown

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.

System

• Respiratory System
  • Symptom - Difficulty Breathing

• Nervous and Muscular Systems
  • Symptom - Headache

4. How long did the symptoms last?

Unknown / Inconnu

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

Yes

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

7. Exposure scenario

Occupational

8. How did exposure occur? (Select all that apply)

Contact with treated area

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

Chemical resistant gloves

Respirator

10. Route(s) of exposure.

Skin

Respiratory

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

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

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

Ms. (name) reported alleged "Lannate" poisoning 25 years ago. 'Every medication that (she) takes (she is) having reactions to it (and is) wondering if this medication intolerence may be potential residual long-term effects of her past exposure. (Back in those days not sure DuPont had more than one 'Lannate' product) She worked in a nursery and had been using for some time - spraying - for over a year this product. (Name states that she) always followed all the things (you are) supposed to do - (wear), respirator, gloves, hat, clothes for protection. This tiem she was exposed was with an open air greenhouse/nursery. Srayed as usual outside - cleaned the sprayer - used the protective equipment. However, after she sprayed. She removed clothing and respirator and worked in the greenhouse not thinking that could be exposed to the chemical she had just sprayed'. (Name alleges that she) "could not breathe, smothering effect and then after years could not tolerate 'malathion'. The morning after her exposure she woke up and could not breathe - her husband was in bed and she poked him and got him awake." (It sounds as if CPR was done because she talked about her chest being squeezed (on the way to or at the hospital)." When she went to the hospital she took the label and was told that the spray was residual and stayed in the bottle like lead. She also reported that she experienced headaches afterwards and maybe some memory issue for a while, but she is not sure about this. She states that, "eventually (she) had to quit the greenhouse work"

To be determined by Registrant

14. Severity classification.

Major

15. Provide supplemental information here.

The 6(a)2 report of this incident is enclosed in the PRZ file with this report.