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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-3153

2. Registrant Information.

Registrant Reference Number: 110083675

Registrant Name (Full Legal Name no abbreviations): Farnam Companies, Inc.

Address: 301 W. Osborn Road

City: Phoenix

Prov / State: Arizona

Country: USA

Postal Code: 85013

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

Domestic Animal

4. Date registrant was first informed of the incident.

03-JUL-11

5. Location of incident.

Country: UNITED STATES

Prov / State: MAINE

6. Date incident was first observed.

02-JUL-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. 270-304

Product Name: Farnam Equisect Fly Repellent For Horses And Ponies Dogs And Cats

  • Active Ingredient(s)
    • PYRETHRINS
      • Guarantee/concentration .1 %

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: 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).

On July 2, 2011 the owner applied the product to her cat.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Egyptian Mau

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.15

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>24 hrs <=3 days / >24 h <=3 jours

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • Respiratory System
    • Symptom - Mouth breathing
  • General
    • Symptom - Vocalizing
    • 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

On the afternoon of July 2, 2011, the owner applied the product to the cat, and then rinsed the cat with water. Several hours after applying the product, the owner noticed the cat was mouth breathing. On the morning of July 3, 2011, the cat began vocalizing. Later that morning, the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that products labeled for cats generally have low concentrations of pyrethroids. The APSS veterinarian also stated that if the product is groomed, a taste reaction (hypersalivation or nausea) could occur, and if there is a taste reaction a taste treat should be given, such as 1-2 tablespoons of milk or tuna juice. The APSS veterinarian further stated that the essential oils in the product can cause vomiting/diarrhea and central nervous system (CNS) depression if ingested, and that they may also be irritating to the skin. The APSS assistant recommended that the owner take the cat to the veterinarian and have the veterinarian call for information.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The APSS veterinarian stated that the substance was considered to have a low likelihood of causing the clinical situation. On July 7, 2011 an APSS assistant called the owner to update the case. The owner stated the cat's signs had improved somewhat by the evening of July 4, 2011, but that the cat quickly declined and passed away.