Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-0836

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-24561530

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.

29-OCT-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

28-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. 26491      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard One Spot Treatment for Cats Kittens

  • Active Ingredient(s)
    • (S)-METHOPRENE

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).

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

Domestic shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

1

7. Weight (provide a range if necessary )

3

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>1 wk <=1 mo / > 1 sem < = 1 mois

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Seizure
  • Gastrointestinal System
    • Symptom - Salivating excessively
    • Symptom - Fecal incontinence
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

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

1-24561530- The reporter, a pet owner, indicated his three animal were exposed to an insecticide containing the active ingredient methoprene. The pet owner stated he applied the product, a topical flea drop, to his three female domestic shorthair cats three weeks prior to initial contact with the registrant. The pet owner reported all three animals spontaneously developed seizures the day prior to the initial contact with the registrant. The reporter indicated he found the first animal, a one year three pound cat (Sub-form III, #1), lying on the ground foaming at the mouth and defecating. The cat died shortly after it was found in this condition. He reported later in the day his four year six pound cat (Sub-form III, #2) was found in a similar condition. He rushed the animal to the veterinary hospital but the animal died prior to arrival. The reporter indicated he found his third cat, a four year eight pound female (Sub-form III, #3), when he arrived home dead. It was reported the animal had defecated żżżall over? prior to its death. The pet owner was informed the signs seen were inconsistent with the toxicity profile of the product and the time line of application. The caller was informed of registrant supported necropsy to assist in determining the cause of death. At the time of this report the caller had not pursued necropsy.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

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 )

4

7. Weight (provide a range if necessary )

6

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>1 wk <=1 mo / > 1 sem < = 1 mois

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Fecal incontinence
    • Symptom - Salivating excessively
  • Nervous and Muscular Systems
    • Symptom - Seizure
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

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

1-24561530- The reporter, a pet owner, indicated his three animal were exposed to an insecticide containing the active ingredient methoprene. The pet owner stated he applied the product, a topical flea drop, to his three female domestic shorthair cats three weeks prior to initial contact with the registrant. The pet owner reported all three animals spontaneously developed seizures the day prior to the initial contact with the registrant. The reporter indicated he found the first animal, a one year three pound cat (Sub-form III, #1), lying on the ground foaming at the mouth and defecating. The cat died shortly after it was found in this condition. He reported later in the day his four year six pound cat (Sub-form III, #2) was found in a similar condition. He rushed the animal to the veterinary hospital but the animal died prior to arrival. The reporter indicated he found his third cat, a four year eight pound female (Sub-form III, #3), when he arrived home dead. It was reported the animal had defecated żżżall over? prior to its death. The pet owner was informed the signs seen were inconsistent with the toxicity profile of the product and the time line of application. The caller was informed of registrant supported necropsy to assist in determining the cause of death. At the time of this report the caller had not pursued necropsy.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

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 )

4

7. Weight (provide a range if necessary )

8

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>1 wk <=1 mo / > 1 sem < = 1 mois

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Fecal incontinence
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

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

1-24561530- The reporter, a pet owner, indicated his three animal were exposed to an insecticide containing the active ingredient methoprene. The pet owner stated he applied the product, a topical flea drop, to his three female domestic shorthair cats three weeks prior to initial contact with the registrant. The pet owner reported all three animals spontaneously developed seizures the day prior to the initial contact with the registrant. The reporter indicated he found the first animal, a one year three pound cat (Sub-form III, #1), lying on the ground foaming at the mouth and defecating. The cat died shortly after it was found in this condition. He reported later in the day his four year six pound cat (Sub-form III, #2) was found in a similar condition. He rushed the animal to the veterinary hospital but the animal died prior to arrival. The reporter indicated he found his third cat, a four year eight pound female (Sub-form III, #3), when he arrived home dead. It was reported the animal had defecated żżżall over? prior to its death. The pet owner was informed the signs seen were inconsistent with the toxicity profile of the product and the time line of application. The caller was informed of registrant supported necropsy to assist in determining the cause of death. At the time of this report the caller had not pursued necropsy.


To be determined by Registrant

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

Death

19. Provide supplemental information here