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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-2680

2. Registrant Information.

Registrant Reference Number: PROSAR Case #1-22404494

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection

Address: 410 Swing Road

City: Greensboro

Prov / State: North Carolina

Country: USA

Postal Code: 27419

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

Domestic Animal

4. Date registrant was first informed of the incident.

27-APR-10

5. Location of incident.

Country: UNITED STATES

Prov / State: VIRGINIA

6. Date incident was first observed.

23-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.       PMRA Submission No.       EPA Registration No. 100-1240

Product Name: Demand G Insecticide

  • Active Ingredient(s)
    • LAMBDA-CYHALOTHRIN
      • Guarantee/concentration .045 %

7. b) Type of formulation.

Dust

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).

Product was applied to the floor of a residential garage, no further details available

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

Dog / Chien

3. Breed

Cocker Spaniel

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

10

7. Weight (provide a range if necessary )

35

lbs

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

  • Respiratory System
    • Symptom - Heavy breathing
  • Gastrointestinal System
    • Symptom - Bloating
  • General
    • Symptom - Polydipsia
  • Blood
    • Symptom - Anemia
    • Symptom - Bleeding
  • Renal System
    • Symptom - Lack of control of urination
  • Nervous and Muscular Systems
    • Symptom - Difficulty walking
  • 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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

1-22404494- The reporter, a pet owner, called to report the exposure of her dog to an insecticide containing the active ingredient Lambda-Cyhalothrin. The caller indicated she had applied the product to the ground outside of her residential garage an estimated 4-5 days prior to her first contact with the registrant (04/27/10). She did not indicate an application rate, but did state her dog frequented the area and may have walked through application areas. No exposure was observed, but the caller assumed both dermal contact and potential ingestion via grooming of the feet. The animal, a 10 year male 35 pound Cocker Spaniel dog, had developed abdominal distension, excessive thirst, and heavy breathing 24 hours before the initial contact. The caller asked if the signs observed could be related to the exposure described. The caller was told small ingestions as described would not be expected to elicit the signs seen. She was encouraged to seek prompt veterinary care for her animal. On routine call back the reporter indicated her dog was found by the veterinarian to have anemia and was receiving blood replacement and corticosteroids. The caller revealed the dog had one prior episode of this type associated with the administration of an unnamed medication. It was reiterated to the caller that this was not expected to be associated with exposure to the product. The reporter spontaneously called back on two occasions. On the first, she indicated her animal was still at the veterinary hospital, was weak on one side, had difficulty with urinary continence, and was unable to walk unassisted. The animal was reported to have gone to rehabilitation. On the final spontaneous call back the reporter indicated that the dog had died. She indicated on this call she had applied the product originally to the lawn, the dog walked through the area, licked its paws, and three days later ¿¿¿had a stroke¿¿¿. Leading up to its death the dog was undergoing rehabilitation at the veterinarian¿¿¿s clinic and had a ¿¿¿bleeding attack¿¿¿. The veterinarian recommended euthanasia but the animal died before that could be done. The caller revealed the animal had a history of immune mediated thrombocytopenia historically triggered by administration of an unnamed antibiotic. The veterinarian told the owner the animal suffered a splenic hemorrhage. It was once again reiterated that this was not expected to be associated with exposure to this product.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The symptoms, as described, are not consistent with exposure to the active ingredient involved.