Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-0073

2. Registrant Information.

Registrant Reference Number: 120066426

Registrant Name (Full Legal Name no abbreviations): Wellmark International

Address: 100 Stone Road West, Suite 111

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G5L3

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

Domestic Animal

4. Date registrant was first informed of the incident.

20-MAY-12

5. Location of incident.

Country: CANADA

Prov / State: NEWFOUNDLAND

6. Date incident was first observed.

20-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. 26494      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Powerspot Flea And Tick Control For Dogs Under 14 kg

• 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.

1

Units: mL

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 May 20, 2012 the owner accidentally applied the dog 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

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

6.5

7. Weight (provide a range if necessary )

12.5

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>15 min <=2 hrs / >15 min <=2 h

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

• General
  • Symptom -
  • Specify - Excessive Grooming

• Nervous and Muscular Systems
  • Symptom - Fasciculations

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

Fully Recovered / Complètement rétabli

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 May 20, 2012 the owner noticed that the cat was grooming excessively, so she bathed the cat once with pet shampoo. Later that morning, the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that cats do not tolerate permethrin and that there are individual variations in sensitivity. The APSS veterinarian also stated that signs range from mild dermal hypersensitivity to seizures, and signs can develop from almost immediately up to 72 hours post-exposure. The APSS assistant recommended that the owner monitor the cat for gastrointestinal (GI) signs of vomiting and drooling for 3 days; monitor for central nervous system (CNS) signs of shaking, twitching, and tremors for 3 days; take the cat to the veterinarian; bathe the cat with liquid dish washing detergent (LDWD); and call back with questions.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here

On May 23, 2012 an APSS assistant called the owner to update the case. The owner stated that on the evening of May 20, 2012, shortly after her initial call to the APSS, she bathed the cat with LDWD, monitored for GI and CNS signs, and observed that the cat developed fasciculations. The owner stated that on May 21, 2012 she called her regular veterinarian and, per her regular veterinarian's recommendation, bathed the cat again and clipped his hair. The owner stated that later that day, the cat had fully recovered. Label precaution: Toxic to cats. Cats that actively groom or engage in close physical contact with recently treated dogs may be at risk of harm.