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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-0936

2. Registrant Information.

Registrant Reference Number: 090134152

Registrant Name (Full Legal Name no abbreviations): Wellmark International

Address: 100 Stone Road West, Suite 111

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G5L3

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

Domestic Animal

4. Date registrant was first informed of the incident.

03-DEC-09

5. Location of incident.

Country: UNITED STATES

Prov / State: VIRGINIA

6. Date incident was first observed.

30-NOV-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. 2724-404-270

Product Name: Bio Spot Flea and Tick Spray for Cats and Kittens

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration .27 %
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
      • Guarantee/concentration .62 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration .37 %
    • PYRETHRINS
      • Guarantee/concentration .2 %

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).

On November 27, 2009 the owner sprayed the product onto the cat.

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

Medical Professional

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 )

4

7. Weight (provide a range if necessary )

9.86

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Subdued
  • Nervous and Muscular Systems
    • Symptom - Collapse
  • Gastrointestinal System
    • Symptom - Vomiting
  • General
    • Symptom - Hypothermia
  • Blood
    • Symptom - Leukopenia
    • Symptom - Hypoglycemia
  • General
    • Symptom - Dehydration
  • Renal System
    • Symptom - Other
    • Specify - Elevated Kidney Values
  • Eye
    • Symptom - Pupil dilation
    • Symptom - Unreactive pupil
    • Specify - Absent Pupillary Light Reflex
  • Skin
    • Symptom - Hyperesthesia
    • Specify - Hyperesthesia
  • Blood
    • Symptom - Thrombocytopenia
  • 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?

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

On December 3, 2009 the owner took the pet to the veterinarian, where a complete blood count and chemistry profile were done. Based on the blood work results and physical exam the veterinarian determined the cat was hypothermic, had a decreased blood sugar and white blood cell count and was dehydrated.The cat also had indications of kidney disease, a decrease in platelets and an absent pupillary light reflex. The veterinarian gave the cat dextrose, fluid therapy, and thermoregulation. The veterinarian then contacted the Animal Product Safety Service (APSS). The APSS veterinarian stated clinical signs and types of signs were not consistent with the exposure to the product. The APSS veterinarian recommended symptomatic and supportive care, a diagnostic evaluation, monitoring the body temperature, and fluid therapy.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The APSS veterinarian stated that the substance was considered to have a doubtful likelihood of causing the clinical situation. On December 7, 2009 an APSS assistant received the follow up fax back from the veterinary clinic, which stated that the cat had died on December 3, 2009. On December 9, 2009 an APSS technican contacted the veterinary clinic to obtain further details on the cat's death. The veterinary staff stated that the cat had died and was not euthanized.