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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-1433

2. Registrant Information.

Registrant Reference Number: PROSAR 1-21832717

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.

04-MAR-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

03-MAR-10

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. 25922      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/TIck Drops for Dogs/Puppies Over 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 product was applied to the dog on 03/02/2010. It is suspected that the cat licked product off the dog at an unknown time. NOTE: The product label states that cats that actively groom or engage in close physical contact with treated dogs may be at risk of harm.

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

Cat / Chat

3. Breed

Unknown Breed

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

12

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Muscle tremors
    • Symptom - Difficulty walking
  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Adipsia

12. How long did the symptoms last?

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

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?

Other / Autre

specify Unknown-contact with treated dog or accidental ingestion off treated dog

17. Provide any additional details about the incident

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

1-21832717: A reporter (cat owner) called on 03/04/2010 to report the possible exposure of his cat to a canine topical flea and tick product containing the active ingredient Permethrin. According to the reporter, the product was applied to the dog on 03/02/2010. He suspects that the cat may have licked product off the dog because on 03/03/2010, the cat developed muscle tremors, had difficulty walking, and was not eating or drinking. The cat's signs were persistent at the time of the report. The reporter was advised that cats having exposure to concentrated canine pyrethrin products may develop serious symptoms within 30 minutes to 24 hours of exposure. The signs of overdose were discussed. A recommendation was made to seek immediate veterinary attention for symptomatic and supportive care including management of tremors with methocarbamol, treatment of seizures with phenobarbital, maintenance of hydration, and regulation of body temperature. It was recommended that the cat be monitored by a veterinarian for a minimum of 48-72 hours as signs may re-develop in under-treated patients. On follow up on 03/05/2010, the reporter stated that the cat was not brought to the veterinarian and had recovered by the morning of the follow up. NOTE: The product label states that cats that actively groom or engage in close physical contact with treated dogs may be at risk of harm.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here