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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-2256

2. Registrant Information.

Registrant Reference Number: PROSAR 1-22333549

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 5, Suite 101

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N2R7

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

Domestic Animal

4. Date registrant was first informed of the incident.

21-APR-10

5. Location of incident.

Country: CANADA

Prov / State: QUEBEC

6. Date incident was first observed.

20-APR-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. 27801      PMRA Submission No.       EPA Registration No.

Product Name: Killex Lawn Weed Control Concentrate

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
    • MECOPROP-P (PRESENT AS DIMETHYLAMINE SALT)

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: Res. - Out Home / Rés - à l'ext.maison

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

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

Dog / Chien

3. Breed

Shih Tzu

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

5

lbs

8. Route(s) of exposure

Skin

Oral

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 - Ataxia
    • Symptom - Other
    • Specify - Knuckling under of the feet
  • Respiratory System
    • Symptom - Coughing
  • Eye
    • Symptom - Pupil dilation

12. How long did the symptoms last?

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

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 The owner indicated the dog may have walked on the treated lawn and possibly licked her feet.

17. Provide any additional details about the incident

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

1-22333549: The reporter, a veterinarian, notified the registrant on 4/21/10 of the possible exposure of a 3 year old female Shih Tzu to an herbicide product containing low concentrations of the active ingredients 2,4-D, Dicamba, and Mecoprop-P. There was no witnessed ingestion - according to the reporter, the dog may have walked on a lawn which had been treated with diluted product and may have then licked her feet. Presumed exposure to a ¿¿¿taste¿¿¿ amount had occurred on 4/20; that same day the dog developed symptoms of ataxia, coughing, mydriasis, and knuckling under with her feet. The safety profile of the product was discussed. The reporter was advised that ingestions of the product could cause minor GI irritation, which should be managed with fluid replacement therapy as needed. The reporter was also told that while large ingestions of concentrated product could result in renal complications, neurological signs, metabolic acidosis, and muscle cramping, it would be difficult for the dog to ingest enough of a low-concentrated product to produce such signs. A recommendation was made to treat the dog¿¿¿s symptoms and perform diagnostic tests for other possible causes. A follow-up call on 4/23 revealed that the dog¿¿¿s symptoms were starting to resolve by the time she presented to the reporter on 4/21. She was monitored at the clinic and was discharged that same day; symptoms resolved within a total of 24 hours.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here