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: 2011-2591

2. Registrant Information.

Registrant Reference Number: PROSAR Case#1-26286792

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.

26-MAY-11

5. Location of incident.

Country: CANADA

Prov / State: MANITOBA

6. Date incident was first observed.

26-MAY-11

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. 100-1088

Product Name: Scimitar GC

  • Active Ingredient(s)
    • LAMBDA-CYHALOTHRIN

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

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

mixed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.9

7. Weight (provide a range if necessary )

14

lbs

8. Route(s) of exposure

Oral

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

  • Gastrointestinal System
    • Symptom - Vomiting

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

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

1-26286792- The reporter, a pet owner, indicates exposure of his animal to an insecticide containing the active ingredient lambda-cyhalothrin. The pet was also exposed to an herbicide not marketed by the registrant that was of equivocal formulation. The two products had been applied to the callers residential lawn the day prior to his initial report. He indicated the morning of his initial call his eleven month fourteen pound male mixed breed dog had vomited twice. The pet owner had noted grass in the vomitus and was unsure if the animal had ingested grass from application areas. He indicated he would be restricting the animals access to application areas going forward, but asked about potential for harm. The caller was advised to contact the registrant of the herbicide noted directly. He caller was advised that the insecticidal product used according to label instructions would not be anticipated to be problematic. Ingestion of foliage to which the product was applied may potentially act as a gastrointestinal irritant. Certainly, evidence of gastrointestinal irritation may be seen if dogs eat grass alone. The caller was advised to replace fluids as lost, offer bland diets and offered the threshold at which they might seek veterinarian assistance. He was advised, typically, veterinary assistance would be unnecessary. On follow up the reporter indicated the animal had vomited twice and spontaneously resolved. No veterinary care was indicated. No further information is available.


To be determined by Registrant

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

Minor

19. Provide supplemental information here

Symptoms are not consistent with exposure to lambda-cyhalothrin. Repidity of resolution is more likely attributable to animal eating grass only.