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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-2962

2. Registrant Information.

Registrant Reference Number: 110033137

Registrant Name (Full Legal Name no abbreviations): Monsanto Canada Inc.

Address: 180 Kent Street, Suite 810

City: Ottawa

Prov / State: ON

Country: Canada

Postal Code: K1P 0B6

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

Domestic Animal

4. Date registrant was first informed of the incident.

15-APR-11

5. Location of incident.

Country: UNITED STATES

Prov / State: CALIFORNIA

6. Date incident was first observed.

19-MAR-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. 71995-40

Product Name: Roundup Concentrate Extended Control Weed And Grass Killer Plus Weed P

  • Active Ingredient(s)
    • GLYPHOSATE (PRESENT AS ISOPROPYLAMINE SALT OR ETHANOLAMINE SALT)
      • Guarantee/concentration 18 %

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. - 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

Other

2. Type of animal affected

Cat / Chat

3. Breed

unknown

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.75

7. Weight (provide a range if necessary )

Unknown

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

  • 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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

Feline Domestic Unspecified Mix named (name) (Feline Domestic) Signalment 9.0 mo neutered male weighing unknown amount. Was in good health previously. Normal environment: outdoors mostly. Agent Exposure Roundup Concentrate Extended Control Weed And Grass Killer Plus Weed Preventer (not specific agent id) Possible exposure occurred on Mar 19, 2011 at 12:00 PM CDT (suspected ). Exposure involved unknown amount by unknown route. The exposure was accidental, and occurred at animal owner yard. [Note : The owner sprayed the product in her yard yesterday. (name) was in the area when she sprayed and would not leave. The owner came out to her driveway today and moved her car a few inches farther under the carport. She she was done, she saw the cat under the car dead (she did not run him over). The other cat in her household is asymptomatic. (by on Mar 20, 2011 at 02:58 PM)] Because the amount was unknown consistent, the patient was considered to be at low risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : Glyphosate has a very wide margin of safety. It inhibits a specific biochemical pathway that is unique to plants. Ingestion of the product when wet can cause some irritation to the oral mucous membranes, causing nausea and vomiting. Once the product has dried and is absorbed into the plants it is nontoxic. (by on Mar 21, 2011 at 11:16 AM)] Clinical Status Death {General Disorders} Permanent: Mar 20, 2011 at 12:00 PM CDT Status: Death Potential Cause Roundup Concentrate Extended Control Weed And Grass Killer Plus Weed Preventer Because the time course was not consistent, the amount was unknown consistent, and the findings were not consistent, this substance was considered to have not related likelihood of causing the clinical situation. Patient Care Planned/Recommended Care Necropsy Purpose: Diagnostic; Importance: Important Who: Owner ; Willingness: Unwilling Refused, Reason: Uncataloged reason Outcome Died , EPA max illness designation: D-A Feline Domestic Unspecified Mix named Princess (Feline Domestic) Signalment 9.0 mo neutered female weighing unknown amount. Was in good health previously. Normal environment: outdoors mostly. Patient Note [Note : Princess is not showing any signs of illness at this time. (by on Mar 21, 2011 at 11:16 AM)] Agent Exposure Roundup Concentrate Extended Control Weed And Grass Killer Plus Weed Preventer (not specific agent id) Possible exposure occurred on Mar 19, 2011 at 12:00 PM CDT (suspected ). Exposure involved unknown amount by unknown route. The exposure was accidental, and occurred at animal owner yard. [Note : The owner sprayed the product in her yard yesterday. (name) was in the area when she sprayed and would not leave. The owner came out to her driveway today and moved her car a few inches farther under the carport. She she was done, she saw the cat under the car dead (she did not run him over). The other cat in her household is asymptomatic. (by on Mar 20, 2011 at 02:58 PM)] Because the amount was unknown consistent, the patient was considered to be at low risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : Glyphosate has a very wide margin of safety. It inhibits a specific biochemical pathway that is unique to plants. Ingestion of the product when wet can cause some irritation to the oral mucous membranes, causing nausea and vomiting. Once the product has dried and is absorbed into the plants it is nontoxic. (by on Mar 21, 2011 at 11:16 AM)] Potential Cause Roundup Concentrate Extended Control Weed And Grass Killer Plus Weed Preventer Because the time course was unknown consistent, the amount was unknown consistent, and the findings were unknown consistent, this substance was considered to have did not monitor likelihood of causing the clinical situation. Patient Care Planned/Recommended Ca


To be determined by Registrant

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

Death

19. Provide supplemental information here

There were 2 cats reported on in this case, however only 1 was reported to have died. The other cat's outcome is unknown. Therefore only one cat was entered in this report.