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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-5674

2. Registrant Information.

Registrant Reference Number: 846085

Registrant Name (Full Legal Name no abbreviations): McLaughlin Gormley King Company

Address: 8810 Tenth Ave North

City: Minneapolis

Prov / State: MN

Country: USA

Postal Code: 55427-4319

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

Domestic Animal

4. Date registrant was first informed of the incident.

31-AUG-11

5. Location of incident.

Country: UNITED STATES

Prov / State: GEORGIA

6. Date incident was first observed.

Unknown

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. 1021-1600-79533

Product Name: MGK INSECT REPELLENT SPRAY 2559

  • Active Ingredient(s)
    • DEET (N,N-DIETHYL-M-TOLUAMIDE) PLUS RELATED ACTIVE TOLUAMIDES (ORTHO + PARA ISOMERS)
      • Guarantee/concentration 25 %
    • DI-N-PROPYL ISOCINCHOMERONATE
      • Guarantee/concentration 2.5 %
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
      • Guarantee/concentration 5 %

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).

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

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

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

Yorkshire Terrier (Yorkie)

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

1

7. Weight (provide a range if necessary )

9.00

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 - Anorexia
    • Symptom - Bloody stool
    • Symptom - Diarrhea
    • Symptom - Vomiting
  • General
    • Symptom - Death
    • Symptom - Hypothermia
    • Symptom - Lethargy
  • Liver
    • Symptom - Elevated liver enzymes
  • Nervous and Muscular Systems
    • Symptom - Recumbent
  • Renal System
    • Symptom - Anuria

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?

Yes

14. b) How long was the animal hospitalized?

1

Day(s) / Jour(s)

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

August 31, 2011 Veterinarian called to report that she was treating a dog that presented on August 30 with a temperature of 100.4 with a history of anorexia and vomiting. Laboratory tests on the animal's blood revealed an ALT 344 AST 160 WBC 22.5. On August 31, the dog had a temperature of 102, was more lethargic and started showing bloody diarrhea. The dog appeared to have a painful abdomen and was not producing any urine. Diagnostic testing for parvo was positive. The dog eventually deteriorated clinically and died on August 31 despite various therapeutic interventions. The owner's admitted that they had been spraying a DEET containing insect repellent on their hands and rubbing it on the dog/s fur daily for about 2 weeks prior to this illness. The vet suspects an infectious cause for the illness, likely Parvo, but wanted to rule out the involvement of a DEET containing insect repellent. The veterinarian was informed that DEET is primarily associated with neurological symptoms with intoxication in dogs. Given that this dog did not display a primary neurological illness, it was concluded that the repellent was not the likely cause


To be determined by Registrant

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

Death

19. Provide supplemental information here

The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews. This dog's illness is not suggestive of DEET toxicity and is much more consistent with an infectious etiology, likely Parvo virus as demonstrated in diagnostic testing. It should be underscored that this repellent was grossly misused as it is not intended for application to animals.