Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2012-2418

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Domestic Animal

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

25-MAY-12

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)

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PMRA Registration No. 26493      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Powerspot flea and tick control for dogs over 14kg

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

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PMRA Registration No. 26494      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Powerspot flea and tick control for dogs under 14kg

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

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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).

The pesticide comes in individual containers that you clip and put on dog's back once a month to protect them from flea and tick bites and infestations. Ie is squeezed onto the dog's back in between shoulderblades and it seeps in. After research into this toxic pesticide, I discovered that the EPA has a report of over 44000 incidents of pets having a toxic reaction to chemical flea products. This is low because most people don't report it. It should be mandatory for vets to report it to Health Canada to give a much clearer picture as the vets are very aware of this situation. These chemicals are very poisonous as they are neurotoxins and are toxic to nerve cells and either damage or kill them. That is why a common symptom is seizures and involuntary body movements. I would ask you to please investigate this product and chemical and to have it removed from being sold over the counter. Thank you!!!

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

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

Bichon Frise

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

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

• Nervous and Muscular Systems
  • Symptom - Seizure
  • Symptom - Muscle spasm
  • Symptom - Muscle twitching

• General
  • Symptom - Abnormal behaviour
  • Specify - running around and hitting furniture

• Respiratory System
  • Symptom - Panting

• Nervous and Muscular Systems
  • Symptom - Other
  • Specify - nerve damage

• General
  • Symptom - Fatigue
  • Specify - exhaustion

12. How long did the symptoms last?

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

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

Recvrd resid.effects/Rétabli séquelles

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

Within 3 hours, my bichon frise began running around the house, panting and banging into furniture. Then he started having seizures and muscle spasms that lasted all night and for a total of 3 days before subsiding, this plus the twitching, running around and hitting furniture. The vet recommended Benadryl for the allergy which did not help. There is no antidote other than to wait until it kills the animal or it recovers. Less than 3 hours before symptoms began, I washed it off his body but it had already absorbed into his body. The first time this happened was a year ago with a Hartz product with the same ingredient which was then pulled off the shelf by Pet Value. Unfortunetely it was replaced by another brand with the exact same ingredient and I did not realize it until after the fact.

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To be determined by Registrant

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

Not Applicable

19. Provide supplemental information here