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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-0833

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-24400165

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Domestic Animal

4. Date registrant was first informed of the incident.

13-OCT-10

5. Location of incident.

Country: UNITED STATES

Prov / State: MISSOURI

6. Date incident was first observed.

12-OCT-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. Unknown

Product Name: Demand (non-specific)

  • Active Ingredient(s)
    • LAMBDA-CYHALOTHRIN
      • Unknown

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: Res. - In Home / Rés. - à l'int. 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

Cat / Chat

3. Breed

Domestic shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

5

7. Weight (provide a range if necessary )

8

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • General
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Anorexia
  • Respiratory System
    • Symptom - Laboured breathing
  • Nervous and Muscular Systems
    • Symptom - Coma
  • General
    • Symptom - Death
  • Nervous and Muscular Systems
    • Symptom - Muscle twitching

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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

1-24400165- the reporter, a veterinary technician, indicates an animal in their care had been exposed to an insecticide containing the active ingredient Lambda-Cyhalothrin. She indicates the product was sprayed in the pet owners home by a commercial pest control operator the night prior to presentation and initial contact with the registrant. No information is available about the rate of application. It is not known what re-entry interval was observed and no discreet exposure episode was observed. The pet owner described the development of abnormal behavior the night of application in their five year eight pound female domestic shorthair cat. The owner described the animal as mopey, hiding and refusing food. The morning after application the animal was found struggling for breath at which point the animal presented to the veterinarian. The reporter asked about potential harm at the point of initial contact with the registrant. She reported no findings by the veterinarian attending the animal. The caller was advised the product was typically diluted by commercial pest control operators conferring predominantly an irritant effect to body surfaces exposed. The caller was advised nonspecific signs seen in the animal were not consistent with the toxicity profile of the active ingredient. The caller was advised of the class of the active ingredient and treatment protocols employed in overdosage scenarios. On routine follow up the reporter indicated the animal had died two days following the initial contact with the registrant. The animal had been described as non responsive and twitching the day following initial contact. The reporter described the animal as comatose. Treatments described included fluid therapy, B12, and B Complex vitamins. It is unknown what diagnostic may have been run. No further information is available


To be determined by Registrant

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

Death

19. Provide supplemental information here